Simpler HIV pill shows promise for teens in small trial
NCT ID NCT03682848
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a once-daily pill containing two HIV drugs (dolutegravir and lamivudine) in 32 adolescents aged 12 to 17 who had never taken HIV medication before. The goal was to see if this simpler two-drug regimen could control the virus as well as standard three-drug combinations, while potentially causing fewer long-term side effects. After 48 weeks, the main measure was the percentage of teens with undetectable virus levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dolutegravir/Lamivudine (DTG/3TC) fixed-dose combination pill
- What this could lead to
- If successful, this could offer a simpler, less toxic daily HIV treatment option for adolescents, reducing long-term side effects while keeping the virus under control.
- What could go wrong
- This is a small, single-arm study with only 32 participants, so results may not apply to all teens. HIV treatment must be taken lifelong, and the virus could still become resistant or cause side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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32 people
The number who actually took part.
- Started
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May 2019
- Finished
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May 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * HIV-1-infected adolescents were 12 to \<18 years of age at the time of signing the informed consent form. * Weight was \>25 kg at the time of signing the informed consent form. * Screening plasma HIV-1 RNA was between 1,000 and =500,000 c/mL. * Participants were antiretroviral-naive (defined as having had no prior therapy with any antiretroviral agent for the treatment of HIV following a diagnosis of HIV-1 infection). Participants who had received ART for prevention of mother-to-child transmission of HIV in the first 3 months of life were allowed. Participants who had received HIV post-exposure prophylaxis (PEP) or pre-exposure prophylaxis (PrEP) in the past were allowed as long as the last PEP/PrEP dose was = 6 months before HIV diagnosis or there was documented HIV seronegativity at least 2 months after the last prophylactic dose and prior to the date of HIV diagnosis. * Male and female participants were included. A female participant was eligible to participate if she was not pregnant (as confirmed by a negative serum human chorionic gonadotropin \[hCG\] test at Screening and a negative urine hCG test before Enrollment) and not lactating. Female participants of child-bearing potential who were engaging in sexual activity that could have led to pregnancy had to agree to use one birth-control method from 28 days prior to the first dose of study medication until 4 weeks after the last dose of study medication (and completion of the follow-up visit). Condoms were additionally recommended, as appropriate use was the only contraceptive method effective in preventing HIV-1 transmission. The investigator was responsible for ensuring that participants understood how to properly use these contraceptive methods. All participants in the study were also counseled on safer sexual practices, including the use and benefit/risk of effective barrier methods (e.g., male condoms), as well as on the risk of HIV transmission to an uninfected partner. * The participant's parent(s) or legal guardian, or the participant, was capable of giving signed informed consent. Exclusion Criteria: * Females who were breastfeeding or who planned to become pregnant or breastfeed during the study were excluded. * Any evidence of active Centers for Disease Control and Prevention (CDC) Stage 3 and/or Category C or World Health Organization (WHO) Stage 4 disease-except cutaneous Kaposi's sarcoma not requiring systemic therapy-and historical or current CD4 cell counts \<200 cells/mm³ or CD4 percent \<15 percent resulted in exclusion. * Participants with severe hepatic impairment (Class C) as determined by the Child-Pugh classification were excluded. * Participants with unstable liver disease (defined by ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice), cirrhosis, or known biliary abnormalities (except Gilbert's syndrome or asymptomatic gallstones) were excluded. * Evidence of hepatitis B virus (HBV) infection at Screening led to exclusion as follows: participants positive for HBsAg were excluded; participants negative for anti-HBs but positive for anti-HBc (negative HBsAg) and positive for HBV DNA were excluded. Participants positive for anti-HBc (negative HBsAg) and anti-HBs (past and/or current evidence) were immune to HBV and were not excluded. * Participants with an anticipated need for any HCV therapy during the first 48 weeks of the study-and for any HCV therapy based on interferon or drugs with potential adverse drug-drug interactions with study treatment throughout the entire study period-were excluded. * Untreated syphilis infection (positive rapid plasma reagin \[RPR\] at Screening without clear documentation of treatment) resulted in exclusion. Participants who were at least 24 hours post-completed treatment were eligible. * Participants with a history of sensitivity to any study medication or its components, or to drugs of the same class, or a history of drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicated participation, were excluded. * Participants with ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, resected non-invasive cutaneous squamous cell carcinoma, or cervical, anal, or penile intraepithelial neoplasia were excluded. Other localized malignancies required agreement between the investigator and Study Medical Monitor for inclusion. * Participants who, in the investigator's judgment, posed a significant suicide risk were excluded. A recent history of suicidal behavior and/or suicidal ideation could have been considered evidence of serious suicide risk. * Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening resulted in exclusion. * Treatment with radiation therapy, cytotoxic chemotherapeutic agents, or any systemic immune suppressant within 28 days of Screening resulted in exclusion. * Treatment with any agent with documented activity against HIV-1 in vitro within 28 days of the first study dose resulted in exclusion. * Receipt of any prohibited medication, and inability or unwillingness to switch to an alternative medication, resulted in exclusion. * Exposure to an experimental drug or vaccine within 28 days, 5 half-lives of the test agent, or twice the duration of the biological effect of the test agent (whichever was longer) prior to the first study dose resulted in exclusion. * Any evidence of pre-existing viral resistance based on any major resistance-associated mutation in Screening or historical results led to exclusion. * Any verified Grade 4 laboratory abnormality led to exclusion. A single repeat test during Screening was allowed to verify results. * Any acute laboratory abnormality at Screening that, in the Investigator's opinion, would have precluded participation in the study of an investigational compound resulted in exclusion. * ALT \>5× the upper limit of normal (ULN), or ALT \>5× ULN with bilirubin \>1.5× ULN (with \>35 percent direct bilirubin), resulted in exclusion. * Creatinine clearance \<50 mL/min/1.73 m² using the Schwartz equation resulted in exclusion. * Children who were wards of the state or government were excluded.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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GSK Investigational Site
Kericho, 20200, Kenya
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GSK Investigational Site
Kisumu, 40100, Kenya
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GSK Investigational Site
Cape Town, 7500, South Africa
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GSK Investigational Site
Durban, 4001, South Africa
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GSK Investigational Site
Johannesburg, 1862, South Africa
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GSK Investigational Site
Bangkok, 10330, Thailand
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GSK Investigational Site
Bangkok, 10700, Thailand
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GSK Investigational Site
Chiang Mai, 50200, Thailand
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