Trial Outcomes & Findings for Population Effectiveness of Dolutegravir Implementation in Sub-Saharan Africa (NCT NCT04066036)

NCT ID: NCT04066036

Last Updated: 2026-08-05

Results Overview

HIV-1 RNA \>= 200 copies/mL

Recruitment status

COMPLETED

Target enrollment

999 participants

Primary outcome timeframe

48 weeks

Results posted on

2026-08-05

Participant Flow

Participant milestones

Participant milestones
Measure
Study Population
The study will enroll a total of 1,000 ART-experienced participants from the study sites in Uganda and South Africa who are being transitioned to TLD from non-nucleoside reverse transcriptase-based antiretroviral therapy. This is an observational study only.: This is an observational study only.
Overall Study
STARTED
999
Overall Study
COMPLETED
913
Overall Study
NOT COMPLETED
86

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Population Effectiveness of Dolutegravir Implementation in Sub-Saharan Africa

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Population
n=999 Participants
The study will enroll a total of 1,000 ART-experienced participants from the study sites in Uganda and South Africa who are being transitioned to TLD from non-nucleoside reverse transcriptase-based antiretroviral therapy. This is an observational study only.: This is an observational study only.
Age, Continuous
44 years
n=20 Participants
Sex: Female, Male
Female
606 Participants
n=20 Participants
Sex: Female, Male
Male
393 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
999 Participants
n=20 Participants
Race (NIH/OMB)
White
0 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Region of Enrollment
Uganda
500 participants
n=20 Participants
Region of Enrollment
South Africa
499 participants
n=20 Participants
Marital Status
Single
626 Participants
n=20 Participants
Marital Status
Married/domestic partnership
373 Participants
n=20 Participants
Education Level
No Schooling
109 Participants
n=20 Participants
Education Level
Primary
341 Participants
n=20 Participants
Education Level
Secondary
441 Participants
n=20 Participants
Education Level
Tertiary
108 Participants
n=20 Participants
Years on ART
7.4 years
n=20 Participants
ART regimen prior to TLD
Efavirenz-containing regimen
783 Participants
n=20 Participants
ART regimen prior to TLD
Nevirapine-containing regimen
214 Participants
n=20 Participants
ART regimen prior to TLD
Unknown
2 Participants
n=20 Participants

PRIMARY outcome

Timeframe: 48 weeks

HIV-1 RNA \>= 200 copies/mL

Outcome measures

Outcome measures
Measure
Study Population
n=999 Participants
The study will enroll a total of 1,000 ART-experienced participants from the study sites in Uganda and South Africa who are being transitioned to TLD from non-nucleoside reverse transcriptase-based antiretroviral therapy. This is an observational study only.: This is an observational study only.
48 Week Outcome
Proportion of participants with HIV drug resistance at 48 weeks
Proportion of Participants With Virologic Failure (HIV-1 RNA >= 200 Copies/mL)
28 Participants

SECONDARY outcome

Timeframe: 48 weeks

HIV-1 RNA \>= 1,000 copies/mL

Outcome measures

Outcome measures
Measure
Study Population
n=999 Participants
The study will enroll a total of 1,000 ART-experienced participants from the study sites in Uganda and South Africa who are being transitioned to TLD from non-nucleoside reverse transcriptase-based antiretroviral therapy. This is an observational study only.: This is an observational study only.
48 Week Outcome
Proportion of participants with HIV drug resistance at 48 weeks
Proportion of Participants With Virologic Failure (HIV-1 RNA >= 1,000 Copies/mL)
18 Participants

SECONDARY outcome

Timeframe: 24 and 48 weeks

Proportion of participants with International AIDS Society-defined drug resistance mutations to their current regimen

Outcome measures

Outcome measures
Measure
Study Population
n=999 Participants
The study will enroll a total of 1,000 ART-experienced participants from the study sites in Uganda and South Africa who are being transitioned to TLD from non-nucleoside reverse transcriptase-based antiretroviral therapy. This is an observational study only.: This is an observational study only.
48 Week Outcome
n=999 Participants
Proportion of participants with HIV drug resistance at 48 weeks
Proportion of Participants With HIV Drug Resistance
2 Participants
3 Participants

Adverse Events

Study Population

Serious events: 12 serious events
Other events: 0 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
Study Population
n=999 participants at risk
The study will enroll a total of 1,000 ART-experienced participants from the study sites in Uganda and South Africa who are being transitioned to TLD from non-nucleoside reverse transcriptase-based antiretroviral therapy. This is an observational study only.: This is an observational study only.
Social circumstances
Death
0.20%
2/999 • Adverse event data were collected passively over 48 weeks of study participation.
Blood and lymphatic system disorders
Death
0.10%
1/999 • Adverse event data were collected passively over 48 weeks of study participation.
General disorders
Death
0.30%
3/999 • Adverse event data were collected passively over 48 weeks of study participation.
Infections and infestations
Death
0.10%
1/999 • Adverse event data were collected passively over 48 weeks of study participation.
Respiratory, thoracic and mediastinal disorders
Death
0.10%
1/999 • Adverse event data were collected passively over 48 weeks of study participation.
Infections and infestations
Hospitalization
0.20%
2/999 • Adverse event data were collected passively over 48 weeks of study participation.
Injury, poisoning and procedural complications
Hospitalization
0.10%
1/999 • Adverse event data were collected passively over 48 weeks of study participation.
Endocrine disorders
Hospitalization
0.10%
1/999 • Adverse event data were collected passively over 48 weeks of study participation.

Other adverse events

Adverse event data not reported

Additional Information

Dr. Suzanne McCluskey

Massachusetts General Hospital

Phone: 617-726-9488

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place