Clinical Trial to Evaluate the Safety and Appropriateness of Switching from Dolutegravir/Lamivudine to Bictegravir/Emtricitabine/Tenofovir Alafenamide in People With HIV, Good Control and Neuropsychiatric Vulnerabilities: MIND Study

2024-511951-16-00 Protocol GESIDA 11920 Therapeutic use (Phase IV) Ended

Start 30 Aug 2022 · End 7 Aug 2024 · Status Ended · 1 EU/EEA countries · 13 sites · Protocol GESIDA 11920

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 84
Countries 1
Sites 13

HIV

The safety of switching to BIC/FTC/TAF versus continuing treatment with DTG/3TC.

Key facts

Sponsor
Fundacion Seimc Gesida
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Trial duration
30 Aug 2022 → 7 Aug 2024
Decision date (initial)
2024-05-13
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Research grant of GILEAD SCIENCES S.A

External identifiers

EU CT number
2024-511951-16-00
EudraCT number
2021-005927-19
ClinicalTrials.gov
NCT05549180

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

The safety of switching to BIC/FTC/TAF versus continuing treatment with DTG/3TC.

Secondary objectives 3

  1. The desirability of switching to BIC/FTC/TAF versus continuing treatment with DTG/3TC.
  2. The efficacy of switching to BIC/FTC/TAF versus continuing treatment with DTG/3TC.
  3. Exploratory outcome: Brain integrity and functionality before and after switching to BIC/FTC/TAF.

Conditions and MedDRA coding

HIV

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2021-005927-19 Phase IV, randomized, multicenter, double-blind clinical trial designed to evaluate the safety and convenience of switching from Dolutegravir/Lamivudine to Bictegravir/Emtricitabine/Tenofovir alafenamide in people with HIV, good virological control and neuropsychiatric vulnerabilities: MIND study, Ensayo clínico fase IV, aleatorizado, multicéntrico y doble ciego diseñado para evaluar la seguridad y la conveniencia del cambio de Dolutegravir/Lamivudina por Bictegravir/Emtricitabina/Tenofovir alafenamida en personas con VIH, buen control virológico y vulnerabilidades neuropsiquiátricas: Estudio MIND

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Adult >18 years diagnosed with HIV by standard microbiological techniques
  2. Active antiretroviral treatment with DTG/3TC
  3. Last HIV viral load performed on the participant in the 6 months prior to the visit screening < 50 copies/mL. If the participant does not have an HIV viral load <50 cop/mL performed in the 14 days prior to the screening visit, it will be necessary to confirm at screening visit that the participant's HIV viral load is <50 cop/mL
  4. Prior clinical diagnosis, carried out by a qualified specialist physician, of any of the following pathologies: Insomnia Anxiety disorders Depressive disorders

Exclusion criteria 6

  1. Allergy or intolerance to any of the components of BIC/FTC/TAF
  2. History of active CNS infections
  3. Active psychosis or suicidal ideation
  4. Pregnant or lactating women, as well as women of childbearing age who do not commit to use at least two contraceptive methods
  5. Any clinical or laboratory condition that in the opinion of the investigator will prevent the participant to complete the study procedures
  6. Participant included in the neuroimaging substudy: Claustrophobia or presence of magnetizable body devices

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Proportion of neuropsychiatric adverse effects grade 2-4 (defined using the AIDS Clinical Trials Group Adverse Events Grading Score11)

Secondary endpoints 3

  1. Proportion of grade 2-4 adverse effects (defined using the AIDS Clinical Trials Group Adverse Events Grading Score11)
  2. Proportion of ART discontinuations due to neuropsychiatric adverse effects.
  3. Proportion of ART discontinuations for any reason.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 8

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD6357588 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Week(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/001
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD6357589 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/001
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD6357590 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/001
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD6357591 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/001
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD9200497 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/003
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD9200500 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/003
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD9200501 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/003
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biktarvy 50 mg/200 mg/25 mg film-coated tablets

PRD9200503 · Product

Active substance
Emtricitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR20 — -
Marketing authorisation
EU/1/18/1289/003
MA holder
GILEAD SCIENCES IRELAND UNLIMITED COMPANY
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 4

Dovato 50 mg/300 mg film-coated tablets

PRD7413972 · Product

Active substance
Lamivudine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR25 — -
Marketing authorisation
EU/1/19/1370/001
MA holder
VIIV HEALTHCARE B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Dovato 50 mg/300 mg film-coated tablets

PRD7414367 · Product

Active substance
Lamivudine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR25 — -
Marketing authorisation
EU/1/19/1370/001
MA holder
VIIV HEALTHCARE B.V.
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Dovato 50 mg/300 mg film-coated tablets

PRD7414368 · Product

Active substance
Lamivudine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR25 — -
Marketing authorisation
EU/1/19/1370/001
MA holder
VIIV HEALTHCARE B.V.
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Dovato 50 mg/300 mg film-coated tablets

PRD7414369 · Product

Active substance
Lamivudine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1 U unit(s)
Max total dose
1 U unit(s)
Max treatment duration
300 Month(s)
Authorisation status
Authorised
ATC code
J05AR25 — -
Marketing authorisation
EU/1/19/1370/001
MA holder
VIIV HEALTHCARE B.V.
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacion Seimc Gesida

3 Total trials 3 Ended
Academic / Non-commercial
Sponsor organisation
Fundacion Seimc Gesida
Address
Calle De Agustin De Betancourt 13 Entreplanta
City
Madrid
Postcode
28003
Country
Spain

Scientific contact point

Organisation
Fundacion Seimc Gesida
Contact name
Investigación clínica

Public contact point

Organisation
Fundacion Seimc Gesida
Contact name
Secretaría FSG

Sponsor responsibilities

Article 77 compliance
Fundacion Seimc Gesida
Contact point sponsor
Fundacion Seimc Gesida
Article 77 implementation
Fundacion Seimc Gesida

Locations

1 EU/EEA country · 13 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ended 84 13
Rest of world 0

Investigational sites

Spain

13 sites · Ended
Hospital Costa Del Sol
Internal Medicine, Terreno Autovia Mediterraneo A-7 S/n, 29603, Marbella
Hospital Universitario Puerta De Hierro De Majadahonda
Internal Medicine, Calle De Manuel De Falla 1, 28222, Majadahonda
Hospital Clinico San Carlos
Internal Medicine, Calle Del Profesor Martin Lagos Sn, 28040, Madrid
Hospital Universitario Infanta Leonor
Infectious Diseases, Avenida Gran Via Del Este 80, 28031, Madrid
Hospital Universitario La Paz
Internal Medicine, Paseo De La Castellana 261, 28046, Madrid
Hospital Universitario Virgen De La Macarena
Infectious Diseases, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital General Universitario Reina Sofia
Infectious Diseases, Avenida Menendez Pidal S/n, 14004, Cordoba
Hospital Clinico Universitario Lozano Blesa
Infectious Diseases, Avenida De San Juan Bosco 15, 50009, Zaragoza
Complexo Hospitalario Universitario A Coruna
Infectious Diseases, Lugar Jubias De Arriba 84, 15006, A Coruna
Bellvitge University Hospital
Infectious Diseases, Carrer De La Feixa Llarga S/n, 08907, L'hospitalet De Llobregat
Hospital Universitario Fundacion Alcorcon
Internal Medicine, Calle Budapest 1, 28922, Alcorcon
Hospital Son Llatzer
Internal Medicine, Carretera De Manacor Km 4, 07198, Palma
University Hospital Son Espases
Infectious Diseases, Carretera Valldemossa 79, 07120, Palma

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2022-08-30 2024-08-07 2022-09-27 2023-08-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Final report of PASO-DOBLE study
SUM-133983
2026-05-13T16:51:00 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Final Lay person summary of PASO-DOBLE study 2026-05-13T16:51:56 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) GESIDA11920_Lay Person Summary of Results_Final 1
Summary of results (for publication) GESIDA11920_Summary of Results_Final 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-17 Spain Acceptable
2024-05-13
2024-05-13