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Trial · NCT02831764

An Efficacy, Safety, and Tolerability Study Comparing Dolutegravir (DTG) Plus Lamivudine (3TC) With Dolutegravir Plus Tenofovir/Emtricitabine in Treatment naïve HIV Infected Participants (Gemini 2)

NCT02831764, Phase 3, Completed, ViiV Healthcare; results first posted 2019-04-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. An Efficacy, Safety, and Tolerability Study Comparing Dolutegravir (DTG) Plus Lamivudine (3TC) With Dolutegravir Plus Tenofovir/Emtricitabine in Treatment naïve HIV Infected Participants (Gemini 2). Trials, record NCT02831764. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02831764

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
An Efficacy, Safety, and Tolerability Study Comparing Dolutegravir (DTG) Plus Lamivudine (3TC) With Dolutegravir Plus Tenofovir/Emtricitabine in Treatment naïve HIV Infected Participants (Gemini 2)
NCT number
NCT02831764
Status
Completed
Phases
Phase 3
Enrollment
722 participants, actual
Lead sponsor
ViiV Healthcare
Conditions
Infection, Human Immunodeficiency Virus, HIV Infections
Interventions
Dolutegravir (DTG), Lamivudine (3TC), Tenofovir disoproxil fumarate/Emtricitabine (TDF/FTC FDC)
First posted
2016-07-13
Last updated
2023-12-07
Other registries' IDs
eudract:2016-000459-28
Results first posted
2019-04-22

Source ClinicalTrials.gov

Registered outcomes64

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Plasma Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) <50 Copies/mL (c/mL) at Week 48Week 48
Percentage of participants with HIV-1 RNA\<50 c/mL was obtained using Food and Drug Administration (FDA) Snapshot algorithm. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant antiretroviral therapy (ART) prior to the visit of interest. This endpoint was analyzed using a stratified analysis with Cochran-Mantel-Haenszel (CMH) weights. Intent-To-Treat Exposed (ITT-E) Population was used which comprised of all randomized participants who received at least one dose of study treatment. Percentage values are rounded off.
SecondaryPercentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 24Week 24
Percentage of participants with HIV-1 RNA\<50 c/mL was obtained using FDA Snapshot algorithm. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest. This endpoint was analyzed using a stratified analysis with CMH weights. Percentage values are rounded off.
SecondaryPercentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 96Week 96
Percentage of participants with HIV-1 RNA\<50 c/mL was obtained using FDA Snapshot algorithm. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest. This endpoint was analyzed using a stratified analysis with CMH weights. Percentage values are rounded off.
SecondaryPercentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 144Week 144
Percentage of participants with HIV-1 RNA\<50 c/mL was obtained using FDA Snapshot algorithm. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest. This endpoint was analyzed using a stratified analysis with CMH weights. Percentage values are rounded off.
SecondaryTime to Viral Suppression (HIV-1 RNA <50 c/mL) up to Week 144Up to Week 144
Time of viral suppression is defined as the first viral load value \<50 c/mL. Nonparametric Kaplan-Meier method was performed. Participants who withdrew for any reason without being suppressed were censored at date of withdrawal. Participants who have not been withdrawn and have not had viral suppression at time of the analysis were censored at last viral load date. Confidence Interval (CI) was estimated using the Brookmeyer-Crowley method.
SecondaryCD4+ Cell Counts at Weeks 24 and 48Weeks 24 and 48
CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples were collected at specified time points to assess CD4+ cells. Analysis was performed by flow cytometry.
SecondaryCD4+ Cell Counts at Week 96Week 96
CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples were collected at specified time points to assess CD4+ cells. Analysis was performed by flow cytometry.
SecondaryCD4+ Cell Counts at Week 144Week 144
CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples were collected at specified time points to assess CD4+ cells. Analysis was performed by flow cytometry.
SecondaryChanges From Baseline in CD4+ Cell Counts at Week 24 and 48Baseline and Weeks 24, 48
CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples were collected at specified time points to assess CD4+ cells. Analysis was performed by flow cytometry. Baseline value is defined as the the latest pre-dose assessment. Change from Baseline was defined as value at the indicated time point minus Baseline value. Adjusted least mean and standard error has been presented. Adjusted mean is the estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for the following covariates/factors: treatment, visit, Baseline plasma HIV-1 RNA (factor), Baseline CD4+ cell count, treatment and visit interaction, and Baseline CD4+ cell count and visit interaction, with visit as the repeated factor.
SecondaryChanges From Baseline in CD4+ Cell Counts at Week 96Baseline and Week 96
CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples were collected at specified time points to assess CD4+ cells. Analysis was performed by flow cytometry. Baseline value is defined as the the latest pre-dose assessment. Change from Baseline was defined as value at the indicated time point minus Baseline value. Adjusted mean and standard error has been presented. Adjusted mean is the estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for the following covariates/factors: treatment, visit, Baseline plasma HIV-1 RNA (factor), Baseline CD4+ cell count, treatment and visit interaction, and Baseline CD4+ cell count and visit interaction, with visit as the repeated factor.

Outcomes64

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Plasma Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) <50 Copies/mL (c/mL) at Week 48Week 48ITT-E PopulationPercentage of participantsNUMBER
SECONDARYPercentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 24Week 24ITT-E PopulationPercentage of participantsNUMBER
SECONDARYPercentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 96Week 96ITT-E PopulationPercentage of participantsNUMBER
SECONDARYPercentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 144Week 144ITT-E PopulationPercentage of participantsNUMBER
SECONDARYTime to Viral Suppression (HIV-1 RNA <50 c/mL) up to Week 144Up to Week 144ITT-E PopulationDaysMEDIAN
SECONDARYCD4+ Cell Counts at Weeks 24 and 48Weeks 24 and 48ITT-E Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles).Cells/mm^3MEAN
SECONDARYCD4+ Cell Counts at Week 96Week 96ITT-E Population. Only those participants available at the specified time points were analyzed.Cells/mm^3MEAN
SECONDARYCD4+ Cell Counts at Week 144Week 144ITT-E Population. Only those participants available at the specified time points were analyzed.Cells/mm^3MEAN
SECONDARYChanges From Baseline in CD4+ Cell Counts at Week 24 and 48Baseline and Weeks 24, 48ITT-E Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles).Cells/mm^3LEAST_SQUARES_MEAN
SECONDARYChanges From Baseline in CD4+ Cell Counts at Week 96Baseline and Week 96ITT-E Population. Only those participants available at the specified time points were analyzed.Cells/mm^3MEAN

Results by group918

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Plasma Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) <50 Copies/mL (c/mL) at Week 48DTG + 3TC - Double-blind Phase9395% Confidence Interval 90.4 to 95.7Percentage of participants
Percentage of Participants With Plasma Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) <50 Copies/mL (c/mL) at Week 48DTG + TDF/FTC - Double-blind Phase9495% Confidence Interval 91.4 to 96.4Percentage of participants
Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 24DTG + 3TC - Double-blind Phase9495% Confidence Interval 91.4 to 96.4Percentage of participants
Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 24DTG + TDF/FTC - Double-blind Phase9495% Confidence Interval 91.4 to 96.4Percentage of participants
Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 96DTG + 3TC - Double-blind Phase8895% Confidence Interval 84.4 to 91.2Percentage of participants
Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 96DTG + TDF/FTC - Double-blind Phase9095% Confidence Interval 86.5 to 92.8Percentage of participants
Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 144DTG + 3TC - Double-blind Phase + Open-label Phase8495% Confidence Interval 80.4 to 87.9Percentage of participants
Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 144DTG + TDF/FTC - Double-blind Phase + Open-label Phase8495% Confidence Interval 80.6 to 88.2Percentage of participants
Time to Viral Suppression (HIV-1 RNA <50 c/mL) up to Week 144DTG + 3TC - Double-blind Phase + Open-label Phase29.0Inter-Quartile Range 29.0 to 55.0Days
Time to Viral Suppression (HIV-1 RNA <50 c/mL) up to Week 144DTG + TDF/FTC - Double-blind Phase + Open-label Phase29.0Inter-Quartile Range 29.0 to 57.0Days

Participant flow50

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Double-blind Phase (Day1 to Week 96)STARTEDDTG + 3TC - Double-blind Phase360
Double-blind Phase (Day1 to Week 96)STARTEDDTG + TDF/FTC - Double-blind Phase362
Double-blind Phase (Day1 to Week 96)STARTEDDTG + 3TC - Open-label Phase0
Double-blind Phase (Day1 to Week 96)STARTEDDTG + TDF/FTC - Open-label Phase0
Double-blind Phase (Day1 to Week 96)STARTEDDTG + 3TC - Continuation Phase0
Double-blind Phase (Day1 to Week 96)Intent-to-Treat ExposedDTG + 3TC - Double-blind Phase360
Double-blind Phase (Day1 to Week 96)Intent-to-Treat ExposedDTG + TDF/FTC - Double-blind Phase359
Double-blind Phase (Day1 to Week 96)Intent-to-Treat ExposedDTG + 3TC - Open-label Phase0
Double-blind Phase (Day1 to Week 96)Intent-to-Treat ExposedDTG + TDF/FTC - Open-label Phase0
Double-blind Phase (Day1 to Week 96)Intent-to-Treat ExposedDTG + 3TC - Continuation Phase0

Adverse events474

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersDTG + 3TC - Double-blind Phase + Open-label Phase4936055
otherDiarrhoeaGastrointestinal disordersDTG + TDF/FTC - Double-blind Phase + Open-label Phase5335961
otherDiarrhoeaGastrointestinal disordersDTG + 3TC - Continuation Phase02520
otherNasopharyngitisInfections and infestationsDTG + 3TC - Double-blind Phase + Open-label Phase4436059
otherNasopharyngitisInfections and infestationsDTG + TDF/FTC - Double-blind Phase + Open-label Phase69359103
otherNasopharyngitisInfections and infestationsDTG + 3TC - Continuation Phase02520
otherHeadacheNervous system disordersDTG + 3TC - Double-blind Phase + Open-label Phase3336049
otherHeadacheNervous system disordersDTG + TDF/FTC - Double-blind Phase + Open-label Phase4435960
otherHeadacheNervous system disordersDTG + 3TC - Continuation Phase02520
otherUpper respiratory tract infectionInfections and infestationsDTG + 3TC - Double-blind Phase + Open-label Phase4736075

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDTG + 3TC - Double-blind Phase + Open-label Phase2360
Total, all-cause mortalityDTG + TDF/FTC - Double-blind Phase + Open-label Phase1359
Total, all-cause mortalityDTG + 3TC - Continuation Phase0252
Total, other adverse eventsDTG + 3TC - Double-blind Phase + Open-label Phase273360
Total, other adverse eventsDTG + TDF/FTC - Double-blind Phase + Open-label Phase276359
Total, other adverse eventsDTG + 3TC - Continuation Phase45252
Total, serious adverse eventsDTG + 3TC - Double-blind Phase + Open-label Phase39360
Total, serious adverse eventsDTG + TDF/FTC - Double-blind Phase + Open-label Phase47359
Total, serious adverse eventsDTG + 3TC - Continuation Phase9252

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30420123BACKGROUNDPubMed
34913844DERIVEDPubMed
40134635DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
DTG + 3TC - Double-blind Phase + Open-label Phase vs DTG + TDF/FTC - Double-blind Phase + Open-label Phase: Number of Participants Who Discontinue Treatment Due to AEs Over Week 144

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02831764

GET https://conductscience.org/api/trials/v1/NCT02831764/registered?page=2