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Dolutegravir/Rilpivirine, Antiretroviral Efficacy Study Using Real-world Data in Subjects With Human Immunodeficiency Virus (HIV)-1

Durability of Antiretroviral Suppression and the Real World Clinical Profile of the Novel 2-Drug Regimen Juluca, a Onepill-Regimen Consisting of Dolutegravir and Rilpivirine, in Routine Clinical Care in Germany

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03518060
Acronym
JUNGLE
Enrollment
209
Registered
2018-05-08
Start date
2018-06-25
Completion date
2023-05-14
Last updated
2024-10-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV Infections

Keywords

2 drug regimen, Juluca, Rilpivirine, Dolutegravir, Antiretroviral, One pill regimen

Brief summary

This was a prospective, non-interventional, single-arm, multi-center study aimed at gathering real-world data on JULUCA use in routine clinical care in Germany, to supplement clinical trial data to further improve/optimize care in HIV positive participants in Germany. Approximately 250 virologically suppressed HIV positive participants on stable antiretroviral therapy (ART) were included in the study at the discretion of treating physician. Eligible participants were followed up for approximately 3 years and data was collected during routine clinical care.

Interventions

DRUGJULUCA

JULUCA is a combination of dolutegravir (INSTI) and rilpivirine (NNRTI).

Sponsors

MUC Research GmbH
CollaboratorOTHER
ViiV Healthcare
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Greated than or equal to (\>=)18 years of age. * Documented HIV-1 infection. * Virologically suppressed (HIV-1 ribonucleic acid \[RNA\] less than \[\<\] 50 copies \[c\]/mL for at least 6 months) * Prescription for JULUCA was issued independently from entering this study. * Ability to understand informed consent form and other relevant study documents

Exclusion criteria

* Any contraindication according to JULUCA SmPC. * Documented viral load greater than (\>) 50 c/mL at any time point within 6 months prior to inclusion into this study. * History of treatment failure. * Known or suspected substitutions associated with resistance to any non-nucleoside reverse-transcriptase inhibitors (NNRTI) or integrase strand transfer inhibitor (INSTI). * Any ART for the treatment of HIV-1 in addition to JULUCA. * Hepatitis B virus (HBV)-co-infection. * Current participation in the ongoing non-interventional study TRIUMPH (study number: 202033) or any interventional clinical trial irrespective of indication. * Previous participation in clinical trials involving JULUCA.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Sustained Virologic Suppression at Year 3At Year 3Virologic suppression (VS) was defined as HIV-RNA less than (\<) 50 copies (c)/mL for at least 6 months or, if between 50-200 c/mL with a subsequent next available measurement (within 120 days) \<50 c/mL at Year 3 follow-up. Any subsequent measurement was accepted as a consecutive measurement as long as measured no later than 120 days after the initial measurement. If no subsequent HIV-RNA measurement was performed within 120 days, this was scored as a confirmed HIV-RNA greater than or equal to (\>=)200 c/mL.

Secondary

MeasureTime frameDescription
Number of Participants With Low Level ViremiaAt Year 1, Year 2 and Year 3Low level viremia was defined as a VL greater than (\>) 50 to \<200 c/mL.
Number of Participants With Virologic ReboundAt Year 1, Year 2 and Year 3Virologic rebound was defined as two consecutive VL measurements of \>=200 c/mL.
Number of Participants With Treatment SwitchAt Year 1, Year 2 and Year 3The treatment switch could have been due to virologic failure (VF) or due to intolerability and last observation carried forward (LOCF) as determined at the discretion of the physician.
Number of Monitoring Measures During the 3-year Follow-upUp to Year 3The HIV monitoring measures included were defined as HIV-RNA measurements, normalized to participant years.
Number of Participants With Serious Adverse Events (SAEs)Up to Year 3An adverse event (AE) was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal investigational product, whether or not related to the medicinal investigational product. A SAEs was defined as any adverse event meeting the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in a congenital anomaly in the off-spring of a participant, was medically significant or could have required intervention to prevent the previously stated outcomes.
Number of Participants With Sustained Virologic Suppression at Year 1 and Year 2At Year 1 and Year 2VS was defined as HIV-RNA \<50 c/mL for at least 6 months or, if between 50-200 c/mL with a subsequent next available measurement (within 120 days) \<50 c/mL. Any subsequent measurement was accepted as a consecutive measurement as long as measured no later than 120 days after the initial measurement. If no subsequent HIV-RNA measurement was performed within 120 days, this was scored as a confirmed HIV-RNA \>=200 c/mL.
Number of Participants With Adherence to TherapyAt Year 1, Year 2 and Year 3Adherence to therapy refers to the missed monthly doses. At each follow-up visit, participants were asked to give an estimation of their level of adherence to their antiretroviral therapy (ART).
Change From Baseline (BL) in Lipid Laboratory ValuesAt Year 1, Year 2 and Year 3To assess the impact on the lipid metabolism, changes in the following parameters were analyzed: total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides.
Change in Treatment SatisfactionAt Year 1, Year 2 and Year 3The change in HIV treatment satisfaction was assessed with the help of the HIV Treatment Satisfaction questionnaire (HIVTSQs), which is a 10-item-self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility, etc. HIV TSQs total score: unweighted sum of 10 items of the HIV TSQs (range: 0-60; with higher scores indicating greater treatment satisfaction).
Change in Symptom DistressAt Year 1, Year 2 and Year 3The change in HIV symptom distress was assessed with the help of the HIV Symptom Distress Module (SDM); which is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. SDM total score: unweighted sum of the 20 items (using a 5-point scale, ranging from 0-4), ranging from 0 to 80. Higher scores indicate higher degrees of symptom distress.
Number of Participants by Reasons for Therapy Switch to JULUCAAt Baseline (Day 1)The primary and secondary reasons for therapy switch were presented.
Number of Participants With Adverse Drug Reactions (ADRs)Up to Year 3An ADR was defined as a noxious and unintended response to a medicinal investigational product related to any dose where at least a reasonable possibility (i.e. the relationship) cannot be ruled out.

Countries

Germany

Participant flow

Pre-assignment details

A total of 209 participants were enrolled in the full analysis set (FAS) from which 9 participants were excluded due to not meeting the eligibility criteria. Therefore, 200 participants formed the modified FAS (mFAS).

Participants by arm

ArmCount
Participants Who Received JULUCA
Virologically suppressed HIV positive participants, on a stable antiretroviral regimen, who switched to the 2-Drug Regimen JULUCA (Dolutegravir \[DTG\] / Rilpivirine \[RPV\]) were included in the study. Participants were followed-up for approximately 3 years during routine clinical practice.
200
Total200

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse drug reactions23
Overall StudyDeath1
Overall StudyInteraction with comedication or comorbidities4
Overall StudyLost to Follow-up13
Overall StudyPhysician Decision7
Overall StudyPoor adherence1
Overall StudyWithdrawal by Subject25
Overall StudyWithdrawal of informed consent2

Baseline characteristics

CharacteristicParticipants Who Received JULUCA
Age, Continuous49.0 Years
Age, Customized
< 50 years
104 Participants
Age, Customized
>= 50 years
96 Participants
Race and Ethnicity Not Collected— Participants
Sex: Female, Male
Female
19 Participants
Sex: Female, Male
Male
181 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
1 / 200
other
Total, other adverse events
41 / 200
serious
Total, serious adverse events
52 / 200

Outcome results

Primary

Number of Participants With Sustained Virologic Suppression at Year 3

Virologic suppression (VS) was defined as HIV-RNA less than (\<) 50 copies (c)/mL for at least 6 months or, if between 50-200 c/mL with a subsequent next available measurement (within 120 days) \<50 c/mL at Year 3 follow-up. Any subsequent measurement was accepted as a consecutive measurement as long as measured no later than 120 days after the initial measurement. If no subsequent HIV-RNA measurement was performed within 120 days, this was scored as a confirmed HIV-RNA greater than or equal to (\>=)200 c/mL.

Time frame: At Year 3

Population: The analysis was performed on the modified Full Analysis Set (mFAS) which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3HIV-RNA 50-200 copies/mL & subsequent measurement >=50 c/mL1 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3On drug, but no HIV-RNA in window & LOCF HIV-RNA <50 c/mL1 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3HIV-RNA <50 c/mL119 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3HIV-RNA 50-200 c/mL and subsequent measurement <50 c/mL2 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3HIV-RNA 50-200 c/mL & missing subsequent measurement1 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3Discontinuation due to intolerability & LOCF HIV-RNA <50 c/mL23 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3Discontinuation due to death & LOCF HIV-RNA <50 c/mL1 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3Discontinuation due to other reasons & LOCF HIV-RNA <50 c/mL35 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3Discontinuation due to other reasons & LOCF HIV-RNA >=50 c/mL4 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 3Lost to follow-up & LOCF HIV-RNA <50 c/mL13 Participants
Secondary

Change From Baseline (BL) in Lipid Laboratory Values

To assess the impact on the lipid metabolism, changes in the following parameters were analyzed: total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides.

Time frame: At Year 1, Year 2 and Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations. This analysis was performed only on the participants from the mFAS who had laboratory parameters data at baseline and at years 1, 2 or 3.

ArmMeasureGroupValue (MEDIAN)
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in total cholesterol from BL - at Year 1-2.5 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in LDL cholesterol from BL - at Year 11 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in HDL cholesterol from BL - at Year 1-0.8 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in triglycerides from BL - at Year 1-1.4 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in total cholesterol from BL - at Year 2-3 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in LDL cholesterol from BL - at Year 27 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in HDL cholesterol from BL - at Year 2-1.4 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in triglycerides from BL - at Year 23.5 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in total cholesterol from BL - at Year 3-5 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in LDL cholesterol from BL - at Year 3-1.9 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in HDL cholesterol from BL - at Year 3-2 mg/dL
Participants Who Received JULUCAChange From Baseline (BL) in Lipid Laboratory ValuesChange in triglycerides from BL - at Year 3-1 mg/dL
Secondary

Change in Symptom Distress

The change in HIV symptom distress was assessed with the help of the HIV Symptom Distress Module (SDM); which is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. SDM total score: unweighted sum of the 20 items (using a 5-point scale, ranging from 0-4), ranging from 0 to 80. Higher scores indicate higher degrees of symptom distress.

Time frame: At Year 1, Year 2 and Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations. This analysis was performed only on the participants from the mFAS who completed the HIV SDM.

ArmMeasureGroupValue (MEDIAN)
Participants Who Received JULUCAChange in Symptom DistressYear 10 Score on a scale
Participants Who Received JULUCAChange in Symptom DistressYear 2-1 Score on a scale
Participants Who Received JULUCAChange in Symptom DistressYear 3-1.5 Score on a scale
Secondary

Change in Treatment Satisfaction

The change in HIV treatment satisfaction was assessed with the help of the HIV Treatment Satisfaction questionnaire (HIVTSQs), which is a 10-item-self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility, etc. HIV TSQs total score: unweighted sum of 10 items of the HIV TSQs (range: 0-60; with higher scores indicating greater treatment satisfaction).

Time frame: At Year 1, Year 2 and Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations. This analysis was performed only on the participants from the mFAS who completed the HIV TSQs.

ArmMeasureGroupValue (MEDIAN)
Participants Who Received JULUCAChange in Treatment SatisfactionYear 11 Score on a scale
Participants Who Received JULUCAChange in Treatment SatisfactionYear 22.5 Score on a scale
Participants Who Received JULUCAChange in Treatment SatisfactionYear 33 Score on a scale
Secondary

Number of Monitoring Measures During the 3-year Follow-up

The HIV monitoring measures included were defined as HIV-RNA measurements, normalized to participant years.

Time frame: Up to Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations.

ArmMeasureValue (MEDIAN)
Participants Who Received JULUCANumber of Monitoring Measures During the 3-year Follow-up4 Measurements per year
Secondary

Number of Participants by Reasons for Therapy Switch to JULUCA

The primary and secondary reasons for therapy switch were presented.

Time frame: At Baseline (Day 1)

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCAPatient's preference24 Participants
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCAOther19 Participants
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCASide effects of previous ART53 Participants
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCAPotential/real interactions8 Participants
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCAReduction in number of drugs41 Participants
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCANon-nucleoside reverse transcriptase inhibitor (NRTI) - free regime9 Participants
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCAPill size1 Participants
Participants Who Received JULUCANumber of Participants by Reasons for Therapy Switch to JULUCASimplification to a single-tablet regimen45 Participants
Secondary

Number of Participants With Adherence to Therapy

Adherence to therapy refers to the missed monthly doses. At each follow-up visit, participants were asked to give an estimation of their level of adherence to their antiretroviral therapy (ART).

Time frame: At Year 1, Year 2 and Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations. This analysis was performed only on the participants from the mFAS who completed the self-assessment questionnaire of adherence.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Adherence to TherapyYear 2109 Participants
Participants Who Received JULUCANumber of Participants With Adherence to TherapyYear 387 Participants
Participants Who Received JULUCANumber of Participants With Adherence to TherapyYear 1111 Participants
Secondary

Number of Participants With Adverse Drug Reactions (ADRs)

An ADR was defined as a noxious and unintended response to a medicinal investigational product related to any dose where at least a reasonable possibility (i.e. the relationship) cannot be ruled out.

Time frame: Up to Year 3

Population: The analysis was performed on the SAS which included all participants who received at least one dose of DTG+RPV.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Adverse Drug Reactions (ADRs)41 Participants
Secondary

Number of Participants With Low Level Viremia

Low level viremia was defined as a VL greater than (\>) 50 to \<200 c/mL.

Time frame: At Year 1, Year 2 and Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Low Level ViremiaHIV-RNA 50-200 c/mL and subsequent measurement >=50 c/mL - at Year 10 Participants
Participants Who Received JULUCANumber of Participants With Low Level ViremiamHIV-RNA 50-200 c/mL and subsequent measurement >=50 c/mL - at Year 20 Participants
Participants Who Received JULUCANumber of Participants With Low Level ViremiaHIV-RNA 50-200 c/mL and subsequent measurement >=50 c/mL - at Year 31 Participants
Secondary

Number of Participants With Serious Adverse Events (SAEs)

An adverse event (AE) was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal investigational product, whether or not related to the medicinal investigational product. A SAEs was defined as any adverse event meeting the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in a congenital anomaly in the off-spring of a participant, was medically significant or could have required intervention to prevent the previously stated outcomes.

Time frame: Up to Year 3

Population: The analysis was performed on the safety analysis set (SAS) which included all participants who received at least one dose of DTG+RPV.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Serious Adverse Events (SAEs)52 Participants
Secondary

Number of Participants With Sustained Virologic Suppression at Year 1 and Year 2

VS was defined as HIV-RNA \<50 c/mL for at least 6 months or, if between 50-200 c/mL with a subsequent next available measurement (within 120 days) \<50 c/mL. Any subsequent measurement was accepted as a consecutive measurement as long as measured no later than 120 days after the initial measurement. If no subsequent HIV-RNA measurement was performed within 120 days, this was scored as a confirmed HIV-RNA \>=200 c/mL.

Time frame: At Year 1 and Year 2

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA <50 c/mL - at Year 1164 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA 50-200 c/mL and subsequent measurement <50 c/mL - at Year 12 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA 50-200 c/mL & subsequent measurement >=50 copies/mL - at Year 10 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA 50-200 c/mL & missing subsequent measurement - at Year 11 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA >=200 copies/mL - at Year 10 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to intolerability & LOCF HIV-RNA <50 c/mL - at Year 119 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to death & LOCF HIV-RNA <50 c/mL - at Year 11 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to other reasons & LOCF HIV-RNA <50 c/mL - at Year 19 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to other reasons & LOCF HIV-RNA >=50 c/mL - at Year 10 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Lost to follow-up & LOCF HIV-RNA <50 c/mL - at Year 13 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2On drug, but no HIV-RNA in window & LOCF HIV-RNA <50 c/mL - at Year 11 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA <50 c/mL - at Year 2143 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA 50-200 c/mL and subsequent measurement <50 c/mL - at Year 23 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA 50-200 c/mL & subsequent measurement >=50 copies/mL - at Year 20 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA 50-200 c/mL & missing subsequent measurement - at Year 20 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2HIV-RNA >=200 c/mL - at Year 21 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to intolerability & LOCF HIV-RNA <50 c/mL - at Year 222 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to death & LOCF HIV-RNA <50 c/mL - at Year 21 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to other reasons & LOCF HIV-RNA <50 c/mL - at Year 217 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Discontinuation due to other reasons & LOCF HIV-RNA >=50 c/mL - at Year 23 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2Lost to follow-up & LOCF HIV-RNA <50 c/mL - at Year 28 Participants
Participants Who Received JULUCANumber of Participants With Sustained Virologic Suppression at Year 1 and Year 2On drug, but no HIV-RNA in window & LOCF HIV-RNA <50 c/mL - at Year 22 Participants
Secondary

Number of Participants With Treatment Switch

The treatment switch could have been due to virologic failure (VF) or due to intolerability and last observation carried forward (LOCF) as determined at the discretion of the physician.

Time frame: At Year 1, Year 2 and Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Treatment SwitchDiscontinuation due to intolerability and LOCF HIV-RNA <50 c/mL - at Year 119 Participants
Participants Who Received JULUCANumber of Participants With Treatment SwitchDiscontinuation due to intolerability and LOCF HIV-RNA <50 c/mL - at Year 222 Participants
Participants Who Received JULUCANumber of Participants With Treatment SwitchDiscontinuation due to intolerability and LOCF HIV-RNA <50 c/mL - at Year 323 Participants
Secondary

Number of Participants With Virologic Rebound

Virologic rebound was defined as two consecutive VL measurements of \>=200 c/mL.

Time frame: At Year 1, Year 2 and Year 3

Population: The analysis was performed on the mFAS which included all eligible participants who did not have any violation of inclusion or exclusion criteria which also included screening failures and major protocol deviations.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants Who Received JULUCANumber of Participants With Virologic ReboundHIV-RNA >=200 c/mL - at Year 10 Participants
Participants Who Received JULUCANumber of Participants With Virologic ReboundHIV-RNA >=200 c/mL - at Year 21 Participants
Participants Who Received JULUCANumber of Participants With Virologic ReboundHIV-RNA >=200 c/mL - at Year 30 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026