Page last updated: 2024-11-08

alanine and Cardiometabolic Syndrome

alanine has been researched along with Cardiometabolic Syndrome in 15 studies

Alanine: A non-essential amino acid that occurs in high levels in its free state in plasma. It is produced from pyruvate by transamination. It is involved in sugar and acid metabolism, increases IMMUNITY, and provides energy for muscle tissue, BRAIN, and the CENTRAL NERVOUS SYSTEM.
alanine : An alpha-amino acid that consists of propionic acid bearing an amino substituent at position 2.

Cardiometabolic Syndrome: A cluster of symptoms that are risk factors for CARDIOVASCULAR DISEASES and TYPE 2 DIABETES MELLITUS. The major components not only include metabolic dysfunctions of METABOLIC SYNDROME but also HYPERTENSION, and ABDOMINAL OBESITY.

Research Excerpts

ExcerptRelevanceReference
"Elevated plasma homocysteine has been reported in individuals with diseases of the metabolic syndrome including vascular disease and insulin resistance."7.73Detrimental actions of metabolic syndrome risk factor, homocysteine, on pancreatic beta-cell glucose metabolism and insulin secretion. ( Brennan, L; Flatt, PR; McClenaghan, NH; Newsholme, P; Patterson, S, 2006)
"Recent evidence continues to contribute to the evidence for weight gain associated with INSTIs, especially when used with newer nucleoside reverse transcriptase inhibitor, tenofovir alafenamide (TAF)."5.12Risks of metabolic syndrome and diabetes with integrase inhibitor-based therapy. ( Hill, A; Shah, S, 2021)
"Both the serum uric acid (SUA) level and elevated alanine aminotransferase (ALT) are related to metabolic syndrome."3.83Association between Serum Uric Acid and Elevated Alanine Aminotransferase in the General Population. ( Chen, S; Guo, X; Li, Z; Sun, G; Sun, Y; Yang, H; Yu, S, 2016)
"Elevated plasma homocysteine has been reported in individuals with diseases of the metabolic syndrome including vascular disease and insulin resistance."3.73Detrimental actions of metabolic syndrome risk factor, homocysteine, on pancreatic beta-cell glucose metabolism and insulin secretion. ( Brennan, L; Flatt, PR; McClenaghan, NH; Newsholme, P; Patterson, S, 2006)
" Our aim was to investigate the frequency of the alanine (Ala) 54Thr polymorphism of the FABP2 gene in patients with coronary heart disease (CHD), and the association between the polymorphism and the markers of metabolic syndrome, serum lipid levels and the fatty acid profile of serum lipids."3.71Variation in the fatty acid binding protein 2 gene is not associated with markers of metabolic syndrome in patients with coronary heart disease. ( Erkkilä, AT; Laakso, M; Lehto, S; Lindi, V; Pyörälä, K; Uusitupa, MI, 2002)
" The objective of the current study was to examine the potential impact of a C-->T substitution in exon 4, resulting in an alanine to valine substitution at codon 55, on the Metabolic Syndrome in 284 unrelated Swedish men born in 1944."3.71Lack of association between the uncoupling protein-2 Ala55Val gene polymorphism and phenotypic features of the Metabolic Syndrome. ( Björntorp, P; Bouchard, C; Rosmond, R, 2002)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's7 (46.67)29.6817
2010's5 (33.33)24.3611
2020's3 (20.00)2.80

Authors

AuthorsStudies
Ye, Z1
Zhang, C1
Wang, S1
Zhang, Y1
Li, R1
Zhao, Y1
Qiao, J1
Shah, S1
Hill, A1
van Wyk, J1
Ait-Khaled, M1
Santos, J1
Scholten, S1
Wohlfeiler, M1
Ajana, F1
Jones, B1
Nascimento, MC1
Tenorio, AR1
Smith, DE1
Wright, J1
Wynne, B1
Wang, B1
Smyl, C1
Chen, CY1
Li, XY1
Huang, W1
Zhang, HM1
Pai, VJ1
Kang, JX1
Zhang, R1
Wang, J1
Yang, R1
Sun, J1
Chen, R1
Luo, H1
Liu, D1
Cai, D1
Iida, M1
Harada, S1
Kurihara, A1
Fukai, K1
Kuwabara, K1
Sugiyama, D1
Takeuchi, A1
Okamura, T1
Akiyama, M1
Nishiwaki, Y1
Suzuki, A1
Hirayama, A1
Sugimoto, M1
Soga, T1
Tomita, M1
Banno, K1
Aoki, D1
Takebayashi, T1
Chen, S1
Guo, X1
Yu, S1
Sun, G1
Yang, H1
Li, Z1
Sun, Y1
Chen, CH1
Lu, ML1
Kuo, PH1
Chen, PY1
Chiu, CC1
Kao, CF1
Huang, MC1
Frederiksen, L1
Brødbaek, K1
Fenger, M1
Jørgensen, T1
Borch-Johnsen, K1
Madsbad, S1
Urhammer, SA1
Erkkilä, AT1
Lindi, V1
Lehto, S1
Pyörälä, K1
Laakso, M1
Uusitupa, MI1
Rosmond, R1
Bouchard, C1
Björntorp, P1
Vieira-Filho, JP1
Reis, AF1
Kasamatsu, TS1
Tavares, EF1
Franco, LJ1
Matioli, SR1
Moisés, RS1
Patterson, S1
Flatt, PR1
Brennan, L1
Newsholme, P1
McClenaghan, NH1
Wadén, J1
Thorn, LM1
Forsblom, C1
Lakka, T1
Saraheimo, M1
Rosengård-Bärlund, M1
Heikkilä, O1
Wessman, M1
Turunen, JA1
Parkkonen, M1
Tikkanen, H1
Groop, PH1
Macias-Gonzalez, M1
Cardona, F1
Queipo-Ortuño, M1
Bernal, R1
Martin, M1
Tinahones, FJ1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase III, Randomized, Multicenter, Parallel-group, Non-inferiority Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Dolutegravir Plus Lamivudine in HIV-1 Infected Adults Who Are Virologically Suppressed[NCT03446573]Phase 3743 participants (Actual)Interventional2018-01-18Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen Who Discontinued the Treatment Due to AEs: Up to Week 48

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Number of participants who discontinued the treatment due to adverse events have been presented. (NCT03446573)
Timeframe: Up to Week 48

InterventionParticipants (Count of Participants)
Randomized to TBR But Received TDF-based Regimen (Early Switch)0

Number of Participants Who Discontinued the Treatment Due to AEs: Up to Week 144

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. (NCT03446573)
Timeframe: Up to Week 144

InterventionParticipants (Count of Participants)
DTG+3TC FDC (Early Switch)23
TAF-based Regimen (Early Switch)7

Number of Participants Who Discontinued the Treatment Due to AEs: Up to Week 48

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Number of participants who discontinued the treatment due to adverse events have been presented. (NCT03446573)
Timeframe: Up to Week 48

InterventionParticipants (Count of Participants)
DTG+3TC FDC (Early Switch)13
TAF Based Regimen (Early Switch)2

Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Week 24

Percentage of participants with plasma HIV-1 RNA <50 c/mL was evaluated using FDA snapshot algorithm at Week 24. 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. Percentage values are rounded off. (NCT03446573)
Timeframe: Week 24

InterventionPercentage of participants (Number)
DTG+3TC FDC (Early Switch)95
TAF Based Regimen (Early Switch)96

Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Week 48

Percentage of participants with plasma HIV-1 RNA <50 c/mL (virologic success) was evaluated using FDA snapshot algorithm at Week 48 to demonstrate the non-inferior antiviral activity of switching to DTG +3TC once daily compared to continuation of TBR over 48 weeks. 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. (NCT03446573)
Timeframe: Week 48

InterventionPercentage of participants (Number)
DTG+3TC FDC (Early Switch)93.2
TAF Based Regimen (Early Switch)93.0

Percentage of Participants With Virologic Failure Endpoint as Per FDA Snapshot Category at Week 24

Percentage of participants with plasma HIV-1 RNA >=50 c/mL was evaluated using FDA snapshot algorithm at Week 24. 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. (NCT03446573)
Timeframe: Week 24

InterventionPercentage of participants (Number)
DTG+3TC FDC (Early Switch)0.3
TAF Based Regimen (Early Switch)0.8

Percentage of Participants With Virologic Failure Endpoint as Per Food and Drug Administration (FDA) Snapshot Category at Week 48

Percentage of participants with virologic failure (plasma HIV-1 RNA >=50 c/mL) was evaluated using FDA snapshot algorithm at Week 48. 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. Intent-to-treat exposed (ITT-E) Population comprises of all randomized participants who received at least one dose of study treatment either DTG + 3TC or TBR. Participants were assessed according to the treatment to which the participant was randomized. Any participant receiving a treatment randomization number was considered to be randomized. (NCT03446573)
Timeframe: Week 48

InterventionPercentage of participants (Number)
DTG+3TC FDC (Early Switch)0.3
TAF Based Regimen (Early Switch)0.5

Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 24 and 48

"Serum samples were collected for analysis of 25-hydroxyvitamin D. Baseline value was latest pre-dose assessment (Day 1) with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, BMI (continuous), smoking status, vitamin D use, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionNanomoles per liter (Mean)
Week 24, n=351, 355Week 48, n=344, 343
DTG+3TC FDC (Early Switch)0.0-5.8
TAF Based Regimen (Early Switch)2.1-3.5

Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen

"Serum samples were collected for the analysis of 25-hydroxyvitamin D. Baseline value was the value from latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for serum 25-hydroxyvitamin D in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

InterventionNanomoles per liter (Number)
Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)2

Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 96 and 144

"Serum samples were collected for analysis of 25-hydroxyvitamin D. Baseline value is latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionNanomoles per liter (Mean)
Week 96, n=315, 291Week 144, n=315, 303
DTG+3TC FDC (Early Switch)-11.5-7.5
TAF Based Regimen (Early Switch)-2.2-1.9

Change From Baseline in Bone Biomarkers-serum Bone-ALP, Osteocalcin, Serum P1NP and Serum Type 1 CTX-1 at Weeks 96 and 144

"Serum samples were collected for analysis of bone biomarkers. Baseline is latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionMicrograms per liter (Mean)
Bone-ALP, Week 96, n=316, 289Bone-ALP, Week 144, n=314, 301Osteocalcin, Week 96, n=315 , 288Osteocalcin, Week 144, n=315, 301P1NP, Week 96, n=316 ,290P1NP, Week 144, n=315, 302CTX-1, Week 96 ,n=315, 289CTX-1, Week 48, n=315, 300
DTG+3TC FDC (Early Switch)-0.62-0.27-1.97-0.746.73.90.02010.0022
TAF Based Regimen (Early Switch)-0.79-0.40-0.101.214.73.50.0050-0.0104

Change From Baseline in Bone Biomarkers-serum Bone-specific ALP (Bone-ALP), Osteocalcin, Serum P1NP and Serum CTX-1 in Participants Randomized to TBR Arm Receiving TDF-based Regimen at Weeks 24 and 48

"Serum samples were collected for analysis of bone biomarkers. Baseline was latest pre-dose assessment with a non-missing value (Day 1) . Change from Baseline is post-dose visit value minus Baseline value. Change from Baseline in bone biomarkers-serum bone-specific ALP (Bone-ALP), osteocalcin, serum P1NP and serum CTX-1 in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

InterventionMicrograms per liter (Number)
Bone-ALP, Week 24, n=1Osteocalcin, Week 24, n=1P1NP, Week24, n=1CTX-1, Week 24,n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)0.313.4110.045

Change From Baseline in Bone Biomarkers-serum Bone-specific ALP (Bone-ALP), Osteocalcin, Serum Procollagen 1 N-Terminal Propeptide (P1NP) and Serum Type 1 Collagen C-telopeptides (CTX-1) at Weeks 24 and 48

"Serum samples were collected for analysis of bone biomarkers. Baseline was latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was the estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, body mass index (BMI) (continuous), smoking status, vitamin D use, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionMicrograms per liter (Mean)
Bone-ALP, Week 24, n=350, 354Bone-ALP, Week 48, n=343, 342Osteocalcin, Week 24, n=350 ,353Osteocalcin, Week 48, n=343, 342P1NP, Week24, n=349 ,356P1NP, Week48, n=342, 343CTX-1, Week 24,n=350,356CTX-1, Week 48, n=343, 343
DTG+3TC FDC (Early Switch)-0.77-0.03-1.08-1.157.09.30.03500.0602
TAF-based Regimen (Early Switch)-1.05-0.340.260.695.06.4-0.00310.0310

Change From Baseline in CD4+ Cell Count at Weeks 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+. It was evaluated by flow cytometry. Baseline value is defined as the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the TBR (TAF-based regimen) arm as efficacy of TAF and TDF are comparable." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionCells per cubic millimeter (Median)
Week 24, n=351, 359Week 48, n=344, 345
DTG+3TC FDC (Early Switch)21.022.5
TAF Based Regimen (Early Switch)6.011.0

Change From Baseline in CD4+ Cell Count at Weeks 96 and 144

"CD4+ cells are a 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+and evaluated by flow cytometry. Baseline value is defined as the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the TBR (TAF-based regimen) arm as efficacy of TAF and TDF are comparable" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionCells per cubic millimeter (Median)
Week 96, n=315, 295Week 144, n=309, 301
DTG+3TC FDC (Early Switch)61.036.0
TAF-based Regimen (Early Switch)45.035.0

Change From Baseline in CD4+/CD8+ Cell Count Ratio at Weeks 24 and 48

"Blood samples were collected at specified time points to assess CD4+/CD8+ cell count ratio. It was assessed by flow cyclometry to evaluate the immunologic activity of switching to DTG+3TC once daily compared to continuation of TBR over 48 Weeks. Baseline (Day 1) values were the actual CD4+ cell count ratio values at pre-dose Day 1. Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the TBR (TAF-based regimen) arm as efficacy of TAF and TDF are comparable ." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionRatio (Median)
Week 24, n=346, 358Week 48, n=342, 343
DTG+3TC FDC (Early Switch)0.0100.030
TAF Based Regimen (Early Switch)0.0400.050

Change From Baseline in CD4+/CD8+ Cell Count Ratio at Weeks 96 and 144

"Blood samples were collected at specified time points to assess CD4+/CD8+ cell count ratio and were evaluated by flow cyclometry to evaluate the immunologic activity of switching to DTG+3TC once daily compared to continuation of TBR over Weeks 96 and 144. Baseline (Day 1) values are the actual CD4+ cell count ratio values at pre-dose Day 1. Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the TBR (TAF-based regimen) arm as efficacy of TAF and TDF are comparable" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionRatio (Median)
Week 96, n=312, 292Week 144, n=307, 300
DTG+3TC FDC (Early Switch)0.0350.060
TAF-based Regimen (Early Switch)0.0800.100

Change From Baseline in EQ-5D-5L Thermometer Scores at Week 24 and 48

EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L included EQ visual Analogue scale (EQ VAS) 'Thermometer' which provided Self-rated current health status. Score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). MMRM was run on the LOCF dataset. Baseline was the latest pre-dose assessment value with a non-missing value (Day 1) and change from Baseline is defined as post-dose value minus Baseline value. (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionScores on a scale (Mean)
Week 24Week 48
DTG+3TC FDC (Early Switch)1.21.1
TAF Based Regimen (Early Switch)1.31.7

Change From Baseline in EQ-5D-5L Thermometer Scores at Weeks 96 and 144

EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L included EQ visual Analogue scale (EQ VAS) 'Thermometer' which provided Self-rated current health status. Score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). Baseline is defined as the latest pre-dose assessment value with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionScores on a scale (Mean)
Week 96, n=364, 369Week 144, n=364, 368
DTG+3TC FDC (Early Switch)0.70.2
TAF Based Regimen (Early Switch)1.91.4

Change From Baseline in EQ-5D-5L Utility Score at Weeks 96 and 144

EQ-5D-5L questionnaire provides profile of participant function and global health state rating. Five-item measure has 1question assessing each of 5dimensions:mobility,self-care,usual activities,pain/discomfort,anxiety/depression and 5 levels for each dimension including 1=no problems,2=slight problems,3=moderate problems,4=severe problems,5=extreme problems. Health state is defined by combining levels of answers from each of 5 questions. Each health state is referred to in terms of a 5 digit code.Health state 5 digit code is translated into utility score, which is valued up to 1 (perfect health) with lower values meaning worse state.EQ-5D-5L utility score ranges from -0.281 to 1. Higher scores indicate better health.Baseline is latest pre-dose assessment value with a non-missing value (Day 1).Change from Baseline is post-dose visit value minus Baseline value. (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionScores on a scale (Mean)
Week 96, n=364, 370Week 144, n=364, 369
DTG+3TC FDC (Early Switch)-0.0036-0.0151
TAF Based Regimen (Early Switch)-0.0038-0.0042

Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Utility Score at Week 24 and 48

EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. The health state is defined by combining the levels of answers from each of the 5 questions. Each health state is referred to in terms of a 5 digit code. Health state 5 digit code is translated into utility score, which is valued up to 1 (perfect health) with lower values meaning worse state. EQ-5D-5L utility score ranges from -0.281 to 1. Higher scores indicate better health. (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionScores on a scale (Mean)
Week 24Week 48
DTG+3TC FDC (Early Switch)0.00290.0037
TAF Based Regimen (Early Switch)0.00460.0023

Change From Baseline in Fasting Lipids at Weeks 24 and 48

"Blood samples were collected at Baseline (Day 1), Week 24 and Week 48 to assess fasting lipids which included plasma cholesterol, plasma LDL cholesterol, plasma high density lipoprotein (HDL) cholesterol and plasma triglycerides. Baseline value was the value from the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

,
InterventionMillimoles per liter (Median)
Plasma cholesterol, Week 24, n=282, 264Plasma cholesterol, Week 48, n=275, 263Plasma LDL Cholesterol, Week 24, n=282, 264Plasma LDL Cholesterol, Week 48, n=275, 263Plasma Triglycerides, Week 24, n=282, 264Plasma Triglycerides, Week 48, n=275, 263Plasma HDL Cholesterol, Week 24, n=282, 264Plasma HDL Cholesterol, Week 48, n=275, 263
DTG+3TC FDC (Early Switch)-0.325-0.200-0.210-0.170-0.100-0.100-0.0500.000
TAF Based Regimen (Early Switch)0.0000.100-0.0600.0700.0600.1000.0500.050

Change From Baseline in Fasting Lipids at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen

"Blood samples were collected at Baseline (Day 1), weeks 24 and 48 visit (participant withdrew from the study at Week 36) to assess fasting lipids which included plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value was the value from the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for fasting lipids in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

InterventionMillimoles per liter (Number)
Plasma cholesterol, Week 24, n=1Plasma LDL Cholesterol, Week 24, n=1Plasma Triglycerides, Week 24, n=1Plasma HDL Cholesterol, Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)0-0.671.360.05

Change From Baseline in Fasting Lipids at Weeks 96 and 144

"Blood samples were collected at Baseline (Day 1), Weeks 96 and 144 to assess fasting lipids which includes plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value is the value from the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionMillimoles per liter (Median)
Plasma cholesterol, Week 96, n=238, 213Plasma cholesterol, Week 144, n=243, 230Plasma LDL Cholesterol, Week 96, n=238, 213Plasma LDL Cholesterol, Week 144, n=243, 230Plasma Triglycerides, Week 96, n=238, 213Plasma Triglycerides, Week 144, n=243, 230Plasma HDL Cholesterol, Week 96, n=238, 213Plasma HDL Cholesterol, Week 144, n=243, 230
DTG+3TC FDC (Early Switch)-3.7-4.0-5.6-5.0-2.1-9.4-3.8-3.8
TAF Based Regimen (Early Switch)1.23.81.74.24.92.20.03.8

Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 24 and 48

"Serum samples assessed: renal inflammation biomarker serum creatinine.Baseline(Day 1)was value from latest pre-dose assessment with non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count(continuous), age(continuous), sex, race, BMI(continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker(continuous), treatment by visit interaction, Baseline value by visit interaction, with visit as repeated factor. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionMicromoles per liter (Mean)
Week 24, n=351, 359Week 48, n=344, 345
DTG+3TC FDC (Early Switch)7.476.67
TAF Based Regimen (Early Switch)3.112.18

Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen

"Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarker - serum creatinine. Baseline was defined as the latest pre-dose assessment value with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline in serum creatinine in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

InterventionMicromoles per liter (Number)
Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)-8

Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 96 and 144

"Serum samples were collected to assess renal inflammation biomarker - serum creatinine. Baseline is defined as the latest pre-dose assessment value with a non-missing value (Day 1). Change from Baseline is post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionMicromoles per liter (Mean)
Week 96, n=316, 294Week 144, n=311, 302
DTG+3TC FDC (Early Switch)5.539.25
TAF-based Regimen (Early Switch)0.585.17

Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 24 and 48

"Serum samples were collected to assess renal biomarker. Baseline was latest pre-dose assessment value with non-missing value (Day 1). Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for following:treatment, visit, Baseline third agent class, CD4+ cell count(continuous), age(continuous), sex, race, BMI(continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker(continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionMilligrams per liter (Mean)
Week 24, n=351, 357Week 48, n=344, 343
DTG+3TC FDC (Early Switch)-0.030.00
TAF Based Regimen (Early Switch)-0.020.01

Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen

"Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarker - cystatin C. Baseline was defined as the latest pre-dose assessment value with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for serum cystatin -C biomarker in TDF based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

InterventionMilligrams per liter (Number)
Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)0

Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 96 and 144

"Serum samples were collected to assess renal biomarker. Baseline is latest pre-dose assessment value with non-missing value (Day 1). Change from Baseline is post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionMilligrams per liter (Mean)
Week 96, n=316, 290Week 144, n=315, 302
DTG+3TC FDC (Early Switch)0.070.13
TAF-based Regimen (Early Switch)0.100.14

Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 24 and 48

"Serum samples assessed:serum GFR from cystatin C and from creatinine adjusted using CKD-EPI Baseline(Day 1) was value from latest pre-dose assessment with non-missing value. Change from Baseline is post-dose visit value minus Baseline value.Adjusted mean and standard error is presented.Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from repeated measures model adjusting for treatment, visit, Baseline third agent class,CD4+ cell count(continuous),age(continuous), sex, race, BMI(continuous),presence of diabetes mellitus, presence of hypertension, Baseline biomarker(continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

,
InterventionMilliliters/minute/1.73*meter square (Mean)
GFR from cystatin C CKD-EPI, Week 24, n=351, 357GFR from cystatin C CKD-EPI, Week 48, n=344, 343GFR from creatinine CKD-EPI, Week 24, n=351, 359GFR from creatinine CKD-EPI, Week 48, n=344, 345
DTG+3TC FDC (Early Switch)3.20.1-8.8-7.7
TAF Based Regimen (Early Switch)1.5-1.6-3.8-2.9

Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen

"Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarkers - serum GFR from cystatin C adjusted using CKD-EPI and serum GFR from creatinine adjusted using CKD-EPI. Baseline was defined as the latest pre-dose assessment value with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline in serum GFR from cystatin C adjusted using CKD-EPI and serum GFR from creatinine adjusted using CKD-EPI in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 24 and 48

InterventionMilliliters/minute/1.73*meter square (Number)
GFR from cystatin C CKD-EPI, Week 24, n=1GFR from creatinine CKD-EPI, Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)04

Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 96 and 144

"Serum samples were collected to assess serum GFR from cystatin C and from creatinine adjusted for BSA. Baseline is defined as the latest pre-dose assessment value with a non-missing value (Day 1). Change from Baseline is post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionMilliliters/minute/1.73*meter square (Mean)
GFR from cystatin C CKD-EPI, Week 96, n=316, 290GFR from cystatin C CKD-EPI, Week 144, n=315, 302GFR from creatinine adjusted for BSA, Week 96, n=315, 294GFR from creatinine adjusted for BSA, Week 144, n=311, 300
DTG+3TC FDC (Early Switch)-7.6-13.9-7.2-11.5
TAF Based Regimen (Early Switch)-11.7-15.8-1.9-7.0

Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 24 and 48 in Participants Randomized to TBR Receiving TDF-based Regimen

"Urine samples were collected at Baseline, Week 24 and Week 48 to assess renal biomarkers - urine albumin/creatinine ratio and urine protein/creatinine ratio. Baseline was defined as the latest pre-dose assessment value with a non-missing value. (Day 1). Change from Baseline in UA/C was calculated as UA/C ratio at post-Baseline visit minus UA/C ratio calculated at Baseline. Change from Baseline in UP/C was calculated as UP/C ratio at post-Baseline visit minus UP/C ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

InterventionRatio (Number)
UA/C, Week 24, n=1UP/C, Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)00.3

Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 96 and 144

"Urine samples were collected at Baseline, Weeks 96 and 144. Baseline is defined as Day 1. Change from Baseline in UA/C is defined as UA/C ratio at post-Baseline visit minus UA/C ratio at Baseline. Change from Baseline in UP/C and UA/C is defined as UP/C and UA/C ratio at post-Baseline visit minus UP/C and UA/C ratio at Baseline, respectively. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionRatio (Geometric Mean)
UA/C, Week 96, n=208, 175UA/C, Week 144, n=202, 179UP/C, Week 96, n=245, 206UP/C, Week 144, n=237, 220
DTG+3TC FDC (Early Switch)1.0581.2031.0481.182
TAF-based Regimen (Early Switch)1.0751.2001.1051.188

Change From Baseline in Renal Biomarkers- Urine Albumin/Creatinine (UA/C) Ratio and Urine Protein/Creatinine (UP/C) Ratio at Weeks 24 and 48

"Urine samples were collected at Baseline, Week 24 and Week 48. Baseline is defined as Day 1. Change from Baseline in UA/C was calculated as UA/C ratio at post-Baseline visit minus UA/C ratio calculated at Baseline. Estimated geometric mean adjusted ratio (each visit over Baseline) and 95% CI have been presented. Change from Baseline in UP/C and UA/C was calculated as UP/C and UA/C ratio at post-Baseline visit minus UP/C and UA/C ratio calculated at Baseline, respectively. Estimated geometric mean adjusted ratio (each visit over Baseline) and 95% CI have been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

,
InterventionRatio (Geometric Mean)
UA/C, Week 24, n=235, 230UA/C, Week 48, n=230, 224UP/C, Week 24, n=267, 261UP/C, Week 48, n=261, 257
DTG+3TC FDC (Early Switch)1.0801.1250.9550.971
TAF Based Regimen (Early Switch)1.0221.0590.9761.016

Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 24 and 48

"Urine biomarker samples were collected at Baseline, Weeks 24 and 48 to assess urine beta-2 microglobulin/urine creatinine. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine was calculated as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

,
InterventionRatio (Geometric Mean)
Week 24, n=136, 141Week 48, n=126, 141
DTG+3TC FDC (Early Switch)0.9910.973
TAF Based Regimen (Early Switch)1.0340.922

Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 96 and 144

"Urine biomarker samples were collected at Baseline, Weeks 96 and 144 to assess urine beta-2 microglobulin/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine is defined as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionRatio (Geometric Mean)
Week 96, n=109, 107Week 144, n=101, 97
DTG+3TC FDC (Early Switch)1.0800.904
TAF-based Regimen (Early Switch)0.9860.958

Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 24 and 48

"Urine biomarker samples were collected at Baseline and at Weeks 24 and 48 to assess urine phosphate. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate was calculated as urine phosphate at post-Baseline visit minus urine phosphate calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

,
InterventionRatio (Geometric Mean)
Week 24, n=348, 352Week 48, n=342, 340
DTG+3TC FDC (Early Switch)0.9550.969
TAF Based Regimen (Early Switch)0.9400.970

Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen

"Urine biomarker samples were collected to assess urine phosphate. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate was calculated as urine phosphate at post-Baseline visit minus urine phosphate calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

InterventionRatio (Number)
Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)2.9

Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 96 and 144

"Urine biomarker samples were collected at Baseline, Weeks 96 and 144 to assess urine phosphate. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate is defined as urine phosphate at post-Baseline visit minus urine phosphate at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionRatio (Geometric Mean)
Week 96, n=312, 286Week 144, n=313, 298
DTG+3TC FDC (Early Switch)0.9600.890
TAF Based Regimen (Early Switch)0.9780.912

Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 24 and 48

"Urine biomarker samples were collected at Baseline, Weeks 24 and 48 to assess urine retinol binding protein 4/urine creatinine. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in Urine retinol binding protein 4/urine creatinine ratio was calculated as Urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus Urine retinol binding protein 4/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

,
InterventionRatio (Geometric Mean)
Week 24, n=344, 343Week 48, n=340, 335
DTG+3TC FDC (Early Switch)0.8601.063
TAF Based Regimen (Early Switch)0.9201.068

Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen

"Urine biomarker samples were collected to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine retinol binding protein 4/urine creatinine was calculated as urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus urine retinol binding protein 4/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen." (NCT03446573)
Timeframe: Baseline (Day 1) and at weeks 24 and 48

InterventionRatio (Number)
Week 24, n=1
Randomized to TBR But Received TDF-based Regimen (Early Switch)1.04

Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 96 and 144

"Urine biomarker samples were collected at Baseline, Weeks 96 and 144 to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in Urine retinol binding protein 4/urine creatinine ratio is defined as Urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus Urine retinol binding protein 4/urine creatinine ratio at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm Randomized to TBR but received TDF-based regimen" (NCT03446573)
Timeframe: Baseline (Day 1) and at Weeks 96 and 144

,
InterventionRatio (Geometric Mean)
Week 96, n=310, 282Week 144, n=304, 288
DTG+3TC FDC (Early Switch)0.9261.188
TAF Based Regimen (Early Switch)0.8511.227

Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With AEs by Their Severity Grades: Up to Week 48

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events were evaluated by the investigator and graded according to the DAIDS toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Number of TDF-based regimen participants with adverse events by maximum grade have been presented. (NCT03446573)
Timeframe: Up to Week 48

InterventionParticipants (Count of Participants)
Grade 1Grade 2Grade 3Grade 4Grade 5
Randomized to TBR But Received TDF-based Regimen (Early Switch)01000

Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 48

An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other important medical event as per medical or scientific judgment . Number of TDF-based regimen participants with any SAE and common (>=2%) non-SAEs are presented. (NCT03446573)
Timeframe: Up to Week 48

InterventionParticipants (Count of Participants)
Any non-SAE (>=2%)Any SAE
Randomized to TBR But Received TDF-based Regimen (Early Switch)10

Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 36

samples were collected up to the Week 36 visit for the analysis of clinical chemistry parameters: alanine aminotransferase (ALT), albumin, alkaline phosphate (ALP), aspartate aminotransferase (AST), bilirubin, carbon dioxide (CO2), cholesterol, creatinine kinase (CK), creatinine, direct bilirubin, glomerular filtration rate (GFR) from creatinine adjusted using chronic kidney disease-epidemiology collaboration (CKD-EPI), GFR from cystatin C adjusted using CKD-EPI, hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters were evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. (NCT03446573)
Timeframe: Up to Week 36

InterventionParticipants (Count of Participants)
ALT, Grade 1ALT, Grade 2ALT, Grade 3ALT, Grade 4Albumin, Grade 1Albumin, Grade 2Albumin, Grade 3Albumin, Grade 4ALP, Grade 1ALP, Grade 2ALP, Grade 3ALP, Grade 4AST, Grade 1AST, Grade 2AST, Grade 3AST, Grade 4Bilirubin, Grade 1Bilirubin, Grade 2Bilirubin, Grade 3Bilirubin, Grade 4CO2, Grade 1CO2, Grade 2CO2, Grade 3CO2, Grade 4Cholesterol, Grade 1Cholesterol, Grade 2Cholesterol, Grade 3Cholesterol, Grade 4CK, Grade 1CK, Grade 2CK, Grade 3CK, Grade 4Creatinine, Grade 1Creatinine, Grade 2Creatinine, Grade 3Creatinine, Grade 4Direct bilirubin, Grade 1Direct bilirubin, Grade 2Direct bilirubin, Grade 3Direct bilirubin, Grade 4GFR from creatinine adjusted using CKD EPI,Grade 1GFR from creatinine adjusted using CKD EPI,Grade 2GFR from creatinine adjusted using CKD EPI,Grade 3GFR from creatinine adjusted using CKD EPI,Grade 4GFR from cystatin C adjusted using CKD-EPI,Grade 1GFR from cystatin C adjusted using CKD-EPI,Grade 2GFR from cystatin C adjusted using CKD-EPI,Grade 3GFR from cystatin C adjusted using CKD-EPI,Grade 4Hypercalcemia, Grade 1Hypercalcemia, Grade 2Hypercalcemia, Grade 3Hypercalcemia, Grade 4Hyperglycemia, Grade 1Hyperglycemia, Grade 2Hyperglycemia, Grade 3Hyperglycemia, Grade 4Hyperkalemia, Grade 1Hyperkalemia, Grade 2Hyperkalemia, Grade 3Hyperkalemia, Grade 4Hypernatremia, Grade 1Hypernatremia, Grade 2Hypernatremia, Grade 3Hypernatremia, Grade 4Hypocalcemia, Grade 1Hypocalcemia, Grade 2Hypocalcemia, Grade 3Hypocalcemia, Grade 4Hypoglycemia, Grade 1Hypoglycemia, Grade 2Hypoglycemia, Grade 3Hypoglycemia, Grade 4Hypokalemia, Grade 1Hypokalemia, Grade 2Hypokalemia, Grade 3Hypokalemia, Grade 4Hyponatremia, Grade 1Hyponatremia, Grade 2Hyponatremia, Grade 3Hyponatremia, Grade 4LDL cholesterol, Grade 1LDL cholesterol, Grade 2LDL cholesterol, Grade 3LDL cholesterol, Grade 4Phosphate, Grade 1Phosphate, Grade 2Phosphate, Grade 3Phosphate, Grade 4Triglycerides, Grade 1Triglycerides, Grade 2Triglycerides, Grade 3Triglycerides, Grade 4
Randomized to TBR But Received TDF-based Regimen (Early Switch)00000000000000000000000000000000000000000000000000000000000000000000000000000000000000001000

Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 36

Blood samples were collected up to the Week 36 visit for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters were evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Only those TDF-based regimen participants with maximum post-Baseline emergent hematology toxicities in any of the hematology parameters have been presented. (NCT03446573)
Timeframe: Up to Week 36

InterventionParticipants (Count of Participants)
Hemoglobin, Grade 1Hemoglobin, Grade 2Hemoglobin, Grade 3Hemoglobin, Grade 4Leukocytes, Grade 1Leukocytes, Grade 2Leukocytes, Grade 3Leukocytes, Grade 4Neutrophils, Grade 1Neutrophils, Grade 2Neutrophils, Grade 3Neutrophils, Grade 4Platelets, Grade 1Platelets, Grade 2Platelets, Grade 3Platelets, Grade 4
Randomized to TBR But Received TDF-based Regimen (Early Switch)0000000000000000

Number of Participants With AEs by Their Severity Grades: Up to Week 144

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events were evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Number of participants with adverse events by maximum grade have been presented. (NCT03446573)
Timeframe: Up to Week 144

,
InterventionParticipants (Count of Participants)
Grade 1Grade 2Grade 3Grade 4Grade 5
DTG+3TC FDC (Early Switch)572175093
TAF Based Regimen (Early Switch)652085480

Number of Participants With AEs by Their Severity Grades: Up to Week 48

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events were evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Number of participants with adverse events by maximum grade have been presented. (NCT03446573)
Timeframe: Up to Week 48

,
InterventionParticipants (Count of Participants)
Grade 1Grade 2Grade 3Grade 4Grade 5
DTG+3TC FDC (Early Switch)1021701931
TAF Based Regimen (Early Switch)941771560

Number of Participants With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 148

An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other important medical event as per medical or scientific judgment (NCT03446573)
Timeframe: Up to Week 148

,
InterventionParticipants (Count of Participants)
Any non-SAE (>=2%)Any SAE
DTG+3TC FDC (Early Switch)30757
TAF-based Regimen (Early Switch)30444

Number of Participants With Any Serious Adverse Events (SAEs) and Common (>=2%) Non-serious Adverse Events (Non-SAEs): Up to Week 48

An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other important medical event as per medical or scientific judgment . Safety Population included all participants who received at least one dose of study treatment either DTG + 3TC or TBR. This population was based on the treatment the participant actually received. Number of participants with any SAE and common (>=2%) non-SAEs are presented. (NCT03446573)
Timeframe: Up to Week 48

,
InterventionParticipants (Count of Participants)
Any non-SAE (>=2%)Any SAE
DTG+3TC FDC (Early Switch)22221
TAF Based Regimen (Early Switch)20416

Number of Participants With Disease Progression at Weeks 24 and 48

HIV-associated conditions were recorded during the study and were assessed according to the 2014 CDC Classification System for HIV Infection in Adults. CDC classification for HIV were: Stage 1: No AIDS defining condition and CD4+ T-lymphocyte count: >=500 cells/mcL; Stage 2: No AIDS infection and CD4+ lymphocyte count: 200-499 cell/mcL and Stage 3:Documented AIDS defining condition or CD4+ T-lymphocye count <200 cells/mcL. Disease progression summarize participants who had HIV infection stage 3 associated conditions or death. Indicators of clinical disease progression were defined as: CDC Category Stage 1 at enrollment to Stage 3 event; CDC Category Stage 2 at enrollment to Stage 3 event; CDC Category Stage 3 at enrollment to New Stage 3 Event; CDC Category Stage 1, 2 or 3 at enrollment to Death. (NCT03446573)
Timeframe: At Weeks 24 and 48

,
InterventionParticipants (Count of Participants)
From CDC Stage 1 to CDC Stage 3 EventFrom CDC Stage 2 to CDC Stage 3 EventFrom CDC Stage 3 to new CDC Stage 3 EventFrom CDC Stage 1, 2 or 3 to DeathNo HIV-1 disease progression
DTG+3TC FDC (Early Switch)1001367
TAF Based Regimen (Early Switch)0000372

Number of Participants With Disease Progression at Weeks 96 and 144

HIV-associated conditions were recorded during the study and assessed according to the 2014 CDC Classification System for HIV Infection in Adults. CDC classification for HIV is: Stage 1: No AIDS defining condition and CD4+ T-lymphocyte count: >=500 cells/mcL; Stage 2: No AIDS infection and CD4+ lymphocyte count: 200-499 cell/mcL and Stage 3: Documented AIDS-defining condition or CD4+ T-lymphocye count <200 cells/mcL. Indicators of clinical disease progression is defined as: CDC Category Stage 1 at enrollment to Stage 3 event; CDC Category Stage 2 at enrollment to Stage 3 event; CDC Category Stage 3 at enrollment to New Stage 3 Event; CDC Category Stage 1, 2 or 3 at enrollment to Death. (NCT03446573)
Timeframe: At Weeks 96 and 144

,
InterventionParticipants (Count of Participants)
Week 96, From CDC Stage 1 to CDC Stage 3 EventWeek 96, From CDC Stage 2 to CDC Stage 3 EventWeek 96, From CDC Stage 3 to new CDC Stage 3 EventWeek 96, From CDC Stage 1, 2 or 3 to DeathWeek 96, No HIV-1 disease progressionWeek 144, From CDC Stage 1 to CDC Stage 3 EventWeek 144, From CDC Stage 2 to CDC Stage 3 EventWeek 144,From CDC Stage 3 to new CDC Stage 3 EventWeek 144, From CDC Stage 1, 2 or 3 to DeathWeek 144, No HIV-1 disease progression
DTG+3TC FDC (Early Switch)20023652003364
TAF-based Regimen (Early Switch)00003720100371

Number of Participants With Genotypic Resistance: Up to Week 144

Plasma samples were collected for drug resistance testing. Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with genotypic resistance to INSTI, NRTI, NNRTI and PI are summarized. (NCT03446573)
Timeframe: Up to Week 144

InterventionParticipants (Count of Participants)
INSTINRTINNRTIPI
TAF Based Regimen (Early Switch)0000

Number of Participants With Genotypic Resistance: Up to Week 48

Plasma samples were collected for drug resistance testing. Number of participants, who met confirmed virologic withdrawal (CVW) criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with genotypic resistance to INSTI, nucleoside reverse transcriptase inhibitor (NRTI), NNRTI and PI was summarized. (NCT03446573)
Timeframe: Up to Week 48

InterventionParticipants (Count of Participants)
INSTINRTINNRTIPI
TAF Based Regimen (Early Switch)0000

Number of Participants With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 144

Blood samples were collected up to Week 144 for the analysis of clinical chemistry parameters: ALT, albumin, ALP, AST, bilirubin, CO2, cholesterol, CK, creatinine, direct bilirubin, GFR from creatinine adjusted for BSA, GFR from cystatin C adjusted using CKD-EPI, hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, LDL cholesterol, phosphate triglycerides and lactate dehydrogenase. Any abnormality in clinical chemistry parameters were evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. (NCT03446573)
Timeframe: Up to Week 144

,
InterventionParticipants (Count of Participants)
ALT, Grade 1ALT, Grade 2ALT, Grade 3ALT, Grade 4Albumin, Grade 1Albumin, Grade 2Albumin, Grade 3Albumin, Grade 4ALP, Grade 1ALP, Grade 2ALP, Grade 3ALP, Grade 4AST, Grade 1AST, Grade 2AST, Grade 3AST, Grade 4Bilirubin, Grade 1Bilirubin, Grade 2Bilirubin, Grade 3Bilirubin, Grade 4CO2, Grade 1CO2, Grade 2CO2, Grade 3CO2, Grade 4Cholesterol, Grade 1Cholesterol, Grade 2Cholesterol, Grade 3Cholesterol, Grade 4CK, Grade 1CK, Grade 2CK, Grade 3CK, Grade 4Creatinine, Grade 1Creatinine, Grade 2Creatinine, Grade 3Creatinine, Grade 4Direct bilirubin, Grade 1Direct bilirubin, Grade 2Direct bilirubin, Grade 3Direct bilirubin, Grade 4GFR from creatinine adjusted using CKD EPI,Grade 1GFR from creatinine adjusted using CKD EPI,Grade 2GFR from creatinine adjusted using CKD EPI,Grade 3GFR from creatinine adjusted using CKD EPI,Grade 4GFR from cystatin C adjusted using CKD-EPI,Grade 1GFR from cystatin C adjusted using CKD-EPI,Grade 2GFR from cystatin C adjusted using CKD-EPI,Grade 3GFR from cystatin C adjusted using CKD-EPI,Grade 4Hypercalcemia, Grade 1Hypercalcemia, Grade 2Hypercalcemia, Grade 3Hypercalcemia, Grade 4Hyperglycemia, Grade 1Hyperglycemia, Grade 2Hyperglycemia, Grade 3Hyperglycemia, Grade 4Hyperkalemia, Grade 1Hyperkalemia, Grade 2Hyperkalemia, Grade 3Hyperkalemia, Grade 4Hypernatremia, Grade 1Hypernatremia, Grade 2Hypernatremia, Grade 3Hypernatremia, Grade 4Hypocalcemia, Grade 1Hypocalcemia, Grade 2Hypocalcemia, Grade 3Hypocalcemia, Grade 4Hypoglycemia, Grade 1Hypoglycemia, Grade 2Hypoglycemia, Grade 3Hypoglycemia, Grade 4Hypokalemia, Grade 1Hypokalemia, Grade 2Hypokalemia, Grade 3Hypokalemia, Grade 4Hyponatremia, Grade 1Hyponatremia, Grade 2Hyponatremia, Grade 3Hyponatremia, Grade 4LDL cholesterol, Grade 1LDL cholesterol, Grade 2LDL cholesterol, Grade 3LDL cholesterol, Grade 4Phosphate, Grade 1Phosphate, Grade 2Phosphate, Grade 3Phosphate, Grade 4Triglycerides, Grade 1Triglycerides, Grade 2Triglycerides, Grade 3Triglycerides, Grade 4Lactate Dehydrogenase Grade 1Lactate Dehydrogenase Grade 2Lactate Dehydrogenase Grade 3Lactate Dehydrogenase Grade 4
DTG+3TC FDC (Early Switch)551150120060003413332493011021042261041121210215100013001653800169461800073404032004100141009400103102100041198061300606640000
TAF Based Regimen (Early Switch)49931000000104590312410974007034203013121012210003001012410183581900077314021003000520010300700026200562490719007715521000

Number of Participants With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 48

Blood samples were collected up to Week 48 for the analysis of clinical chemistry parameters: alanine aminotransferase (ALT), albumin, alkaline phosphate (ALP), aspartate aminotransferase (AST), bilirubin, carbon dioxide (CO2), cholesterol, creatinine kinase (CK), creatinine, direct bilirubin, glomerular filtration rate (GFR) from creatinine adjusted for body surface area (BSA), GFR from cystatin C adjusted using chronic kidney disease-epidemiology collaboration (CKD-EPI), hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters were evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. (NCT03446573)
Timeframe: Up to Week 48

,
InterventionParticipants (Count of Participants)
ALT, Grade 1ALT, Grade 2ALT, Grade 3ALT, Grade 4Albumin, Grade 1Albumin, Grade 2Albumin, Grade 3Albumin, Grade 4ALP, Grade 1ALP, Grade 2ALP, Grade 3ALP, Grade 4AST, Grade 1AST, Grade 2AST, Grade 3AST, Grade 4Bilirubin, Grade 1Bilirubin, Grade 2Bilirubin, Grade 3Bilirubin, Grade 4CO2, Grade 1CO2, Grade 2CO2, Grade 3CO2, Grade 4Cholesterol, Grade 1Cholesterol, Grade 2Cholesterol, Grade 3Cholesterol, Grade 4CK, Grade 1CK, Grade 2CK, Grade 3CK, Grade 4Creatinine, Grade 1Creatinine, Grade 2Creatinine, Grade 3Creatinine, Grade 4Direct bilirubin, Grade 1Direct bilirubin, Grade 2Direct bilirubin, Grade 3Direct bilirubin, Grade 4GFR from creatinine adjusted using CKD EPI,Grade 1GFR from creatinine adjusted using CKD EPI,Grade 2GFR from creatinine adjusted using CKD EPI,Grade 3GFR from creatinine adjusted using CKD EPI,Grade 4GFR from cystatin C adjusted using CKD-EPI,Grade 1GFR from cystatin C adjusted using CKD-EPI,Grade 2GFR from cystatin C adjusted using CKD-EPI,Grade 3GFR from cystatin C adjusted using CKD-EPI,Grade 4Hypercalcemia, Grade 1Hypercalcemia, Grade 2Hypercalcemia, Grade 3Hypercalcemia, Grade 4Hyperglycemia, Grade 1Hyperglycemia, Grade 2Hyperglycemia, Grade 3Hyperglycemia, Grade 4Hyperkalemia, Grade 1Hyperkalemia, Grade 2Hyperkalemia, Grade 3Hyperkalemia, Grade 4Hypernatremia, Grade 1Hypernatremia, Grade 2Hypernatremia, Grade 3Hypernatremia, Grade 4Hypocalcemia, Grade 1Hypocalcemia, Grade 2Hypocalcemia, Grade 3Hypocalcemia, Grade 4Hypoglycemia, Grade 1Hypoglycemia, Grade 2Hypoglycemia, Grade 3Hypoglycemia, Grade 4Hypokalemia, Grade 1Hypokalemia, Grade 2Hypokalemia, Grade 3Hypokalemia, Grade 4Hyponatremia, Grade 1Hyponatremia, Grade 2Hyponatremia, Grade 3Hyponatremia, Grade 4LDL cholesterol, Grade 1LDL cholesterol, Grade 2LDL cholesterol, Grade 3LDL cholesterol, Grade 4Phosphate, Grade 1Phosphate, Grade 2Phosphate, Grade 3Phosphate, Grade 4Triglycerides, Grade 1Triglycerides, Grade 2Triglycerides, Grade 3Triglycerides, Grade 4
DTG+3TC FDC (Early Switch)24610100020002171117510731002712102849616300008001352600525170005621200200100080005300710080002813603820034444
TAF Based Regimen (Early Switch)1841000000000294007210701005219001998571000010083130066403000641920200010001100620010001320035153047700481140

Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 144

Blood samples were collected up to Week 144 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters are were evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. (NCT03446573)
Timeframe: Up to Week 144

,
InterventionParticipants (Count of Participants)
Hemoglobin, Grade 1Hemoglobin, Grade 2Hemoglobin, Grade 3Hemoglobin, Grade 4Leukocytes, Grade 1Leukocytes, Grade 2Leukocytes, Grade 3Leukocytes, Grade 4Neutrophils, Grade 1Neutrophils, Grade 2Neutrophils, Grade 3Neutrophils, Grade 4Platelets, Grade 1Platelets, Grade 2Platelets, Grade 3Platelets, Grade 4
DTG+3TC FDC (Early Switch)7100211053028200
TAF Based Regimen (Early Switch)2200400058027100

Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 48

Blood samples were collected up to Week 48 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters were evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Only those participants with maximum post-Baseline emergent hematology toxicities in any of the hematology parameters have been presented. (NCT03446573)
Timeframe: Up to Week 48

,
InterventionParticipants (Count of Participants)
Hemoglobin, Grade 1Hemoglobin, Grade 2Hemoglobin, Grade 3Hemoglobin, Grade 4Leukocytes, Grade 1Leukocytes, Grade 2Leukocytes, Grade 3Leukocytes, Grade 4Neutrophils, Grade 1Neutrophils, Grade 2Neutrophils, Grade 3Neutrophils, Grade 4Platelets, Grade 1Platelets, Grade 2Platelets, Grade 3Platelets, Grade 4
DTG+3TC FDC (Early Switch)3000110032016100
TAF Based Regimen (Early Switch)0000100044005100

Number of Participants With Phenotypic Resistance: Up to Week 144

Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with phenotypic resistance to INSTI,NNRT,NRTI and PI were summarized. Assessment of antiviral activity of anti-retroviral therapy (ART) using phenotypic test results was interpreted through a proprietary algorithm (from Monogram Biosciences), which provided the overall susceptibility of the drug. Partially sensitive and resistant calls were considered resistant in this analysis. The phenotypic resistance was calculated using binary scoring system, where 0 was considered as sensitive and 1 as resistance. Phenotypic Resistance data for the following INSTI, NNRTI, NRTI and PI drugs in participants Meeting CVW Criteria has been presented. (NCT03446573)
Timeframe: Up to Week 144

InterventionParticipants (Count of Participants)
INSTI, DTG, SensitiveINSTI, DTG, ResistantINSTI, Bictegravir (BIC), SensitiveINSTI, BIC, ResistantINSTI, Elvitegravir (EVG), SensitiveINSTI, EVG, ResistantINSTI, Raltegravir (RAL), SensitiveINSTI, RAL, ResistantNNRTI, Delavirdine (DLV), SensitiveNNRTI, DLV, ResistantNNRTI, Efavirenz (EFV), SensitiveNNRTI, EFV, ResistantNNRTI, Etravirine (ETR), SensitiveNNRTI, ETR, ResistantNNRTI, Nevirapine (NVP), SensitiveNNRTI, NVP, ResistantNNRTI, Rilpivirine (RPV), SensitiveNNRTI, RPV, ResistantNRTI, 3TC, SensitiveNRTI, 3TC, ResistantNRTI, Abacavir (ABC), SensitiveNRTI, ABC, ResistantNRTI, Zidovudine (AZT), SensitiveNRTI, AZT, ResistantNRTI, Stavudine (D4T), SensitiveNRTI, D4T, ResistantNRTI, Didanosine (DDI), SensitiveNRTI, DDI, ResistantNRTI, Emtricitabine (FTC), SensitiveNRTI, FTC, ResistantNRTI, Tenofovir (TDF), SensitiveNRTI, TDF, ResistantPI, Atazanavir (ATV), SensitivePI, ATV, ResistantPI, Darunavir (DRV), SensitivePI, DRV, ResistantPI, Fosamprenavir (FPV), SensitivePI, FPV, ResistantPI, Indinavir (IDV), SensitivePI, IDV, ResistantPI, Lopinavir (LPV), SensitivePI, LPV, ResistantPI, Nelfinavir (NFV), SensitivePI, NFV, ResistantPI, Ritonavir (RTV), SensitivePI, RTV, ResistantPI, Saquinavir (SQV), SensitivePI, SQV, ResistantPI, Tipranavir (TPV), SensitivePI, TPV, Resistant
TAF Based Regimen (Early Switch)20202020202020202020202020202020202020202020202020

Number of Participants With Phenotypic Resistance: Up to Week 48

Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with phenotypic resistance to INSTI, NNRTI,NRTI and PI were summarized. Assessment of antiviral activity of ART using phenotypic test results was interpreted through a proprietary algorithm (from Monogram Biosciences), which provided the overall susceptibility of the drug. Partially sensitive and resistant calls were considered resistant in this analysis. The phenotypic resistance was calculated using binary scoring system, where 0 was considered as sensitive and 1 as resistance. Phenotypic Resistance data for the following INSTI, NNRTI, NRTI and PI drugs in participants Meeting CVW Criteria has been presented. (NCT03446573)
Timeframe: Up to Week 48

InterventionParticipants (Count of Participants)
INSTI, DTG, SensitiveINSTI, DTG, ResistantINSTI, Bictegravir (BIC), SensitiveINSTI, BIC, ResistantINSTI, Elvitegravir (EVG), SensitiveINSTI, EVG, ResistantINSTI, Raltegravir (RAL), SensitiveINSTI, RAL, ResistantNNRTI, Delavirdine (DLV), SensitiveNNRTI, DLV, ResistantNNRTI, Efavirenz (EFV), SensitiveNNRTI, EFV, ResistantNNRTI, Etravirine (ETR), SensitiveNNRTI, ETR, ResistantNNRTI, Nevirapine (NVP), SensitiveNNRTI, NVP, ResistantNNRTI, Rilpivirine (RPV), SensitiveNNRTI, RPV, ResistantNRTI, 3TC, SensitiveNRTI, 3TC, ResistantNRTI, Abacavir (ABC), SensitiveNRTI, ABC, ResistantNRTI, Zidovudine (AZT), SensitiveNRTI, AZT, ResistantNRTI, Stavudine (D4T), SensitiveNRTI, D4T, ResistantNRTI, Didanosine (DDI), SensitiveNRTI, DDI, ResistantNRTI, Emtricitabine (FTC), SensitiveNRTI, FTC, ResistantNRTI, Tenofovir (TDF), SensitiveNRTI, TDF, ResistantPI, Atazanavir (ATV), SensitivePI, ATV, ResistantPI, Darunavir (DRV), SensitivePI, DRV, ResistantPI, Fosamprenavir (FPV), SensitivePI, FPV, ResistantPI, Indinavir (IDV), SensitivePI, IDV, ResistantPI, Lopinavir (LPV), SensitivePI, LPV, ResistantPI, Nelfinavir (NFV), SensitivePI, NFV, ResistantPI, Ritonavir (RTV), SensitivePI, RTV, ResistantPI, Saquinavir (SQV), SensitivePI, SQV, ResistantPI, Tipranavir (TPV), SensitivePI, TPV, Resistant
TAF Based Regimen (Early Switch)10101010101010101010101010101010101010101010101010

Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Weeks 96 and 144

Percentage of participants with plasma HIV-1 RNA <50 c/mL was evaluated using FDA snapshot algorithm at Weeks 96 and 144. (NCT03446573)
Timeframe: Weeks 96 and 144

,
InterventionPercentage of participants (Number)
Week 96Week 144
DTG+3TC FDC (Early Switch)85.985.9
TAF-based Regimen (Early Switch)79.081.7

Percentage of Participants With Virologic Failure Endpoint as Per FDA Snapshot Category at Weeks 96, 144

Percentage of participants with plasma HIV-1 RNA >=50 c/mL was evaluated using FDA snapshot algorithm at Weeks 96 and 144. (NCT03446573)
Timeframe: Weeks 96 and 144

,
InterventionPercentage of participants (Number)
Week 96Week 144
DTG+3TC FDC (Early Switch)0.30.3
TAF-based Regimen (Early Switch)1.11.3

Reviews

2 reviews available for alanine and Cardiometabolic Syndrome

ArticleYear
Risks of metabolic syndrome and diabetes with integrase inhibitor-based therapy.
    Current opinion in infectious diseases, 2021, 02-01, Volume: 34, Issue:1

    Topics: Alanine; Anti-HIV Agents; Diabetes Mellitus; HIV Infections; HIV Integrase Inhibitors; Humans; Metab

2021
Effects of Pro12Ala polymorphism in peroxisome proliferator-activated receptor-γ2 gene on metabolic syndrome risk: a meta-analysis.
    Gene, 2014, Feb-01, Volume: 535, Issue:1

    Topics: Alanine; Case-Control Studies; Genetic Predisposition to Disease; Humans; Metabolic Syndrome; Polymo

2014

Trials

1 trial available for alanine and Cardiometabolic Syndrome

ArticleYear
Brief Report: Improvement in Metabolic Health Parameters at Week 48 After Switching From a Tenofovir Alafenamide-Based 3- or 4-Drug Regimen to the 2-Drug Regimen of Dolutegravir/Lamivudine: The TANGO Study.
    Journal of acquired immune deficiency syndromes (1999), 2021, 06-01, Volume: 87, Issue:2

    Topics: Adult; Alanine; Anti-HIV Agents; Antiretroviral Therapy, Highly Active; Blood Glucose; Drug Therapy,

2021

Other Studies

12 other studies available for alanine and Cardiometabolic Syndrome

ArticleYear
Amino acid signatures in relation to polycystic ovary syndrome and increased risk of different metabolic disturbances.
    Reproductive biomedicine online, 2022, Volume: 44, Issue:4

    Topics: Alanine; Amino Acids; Body Mass Index; Female; Glycine; Humans; Insulin Resistance; Lysine; Metaboli

2022
Suppression of Postprandial Blood Glucose Fluctuations by a Low-Carbohydrate, High-Protein, and High-Omega-3 Diet via Inhibition of Gluconeogenesis.
    International journal of molecular sciences, 2018, Jun-21, Volume: 19, Issue:7

    Topics: Alanine; Alanine Transaminase; Animals; Blood Glucose; Carbon Isotopes; Diabetes Mellitus, Experimen

2018
Profiling of plasma metabolites in postmenopausal women with metabolic syndrome.
    Menopause (New York, N.Y.), 2016, Volume: 23, Issue:7

    Topics: 2-Aminoadipate Transaminase; Adult; Aged; Alanine; Amino Acids; Amino Acids, Branched-Chain; Asian P

2016
Association between Serum Uric Acid and Elevated Alanine Aminotransferase in the General Population.
    International journal of environmental research and public health, 2016, 08-24, Volume: 13, Issue:9

    Topics: Adult; Alanine; Alanine Transaminase; Asian People; China; Cross-Sectional Studies; Female; Humans;

2016
Gender differences in the effects of peroxisome proliferator-activated receptor γ2 gene polymorphisms on metabolic adversity in patients with schizophrenia or schizoaffective disorder.
    Progress in neuro-psychopharmacology & biological psychiatry, 2011, Jan-15, Volume: 35, Issue:1

    Topics: Adult; Alanine; Female; Gene Frequency; Genotype; Humans; Male; Metabolic Diseases; Metabolic Syndro

2011
Comment: studies of the Pro12Ala polymorphism of the PPAR-gamma gene in the Danish MONICA cohort: homozygosity of the Ala allele confers a decreased risk of the insulin resistance syndrome.
    The Journal of clinical endocrinology and metabolism, 2002, Volume: 87, Issue:8

    Topics: Adult; Aged; Alanine; Cohort Studies; Denmark; Disease Susceptibility; Female; Gene Frequency; Genet

2002
Variation in the fatty acid binding protein 2 gene is not associated with markers of metabolic syndrome in patients with coronary heart disease.
    Nutrition, metabolism, and cardiovascular diseases : NMCD, 2002, Volume: 12, Issue:2

    Topics: Adult; Aged; Alanine; Alleles; Blood Pressure; Body Mass Index; Carrier Proteins; Codon; Coronary Di

2002
Lack of association between the uncoupling protein-2 Ala55Val gene polymorphism and phenotypic features of the Metabolic Syndrome.
    Biochimica et biophysica acta, 2002, Nov-20, Volume: 1588, Issue:2

    Topics: Alanine; Alleles; Blood Glucose; Blood Pressure; Humans; Insulin; Ion Channels; Male; Membrane Trans

2002
Influence of the polymorphisms Tpr64Arg in the beta 3-adrenergic receptor gene and Pro12Ala in the PPAR gamma 2 gene on metabolic syndrome-related phenotypes in an indigenous population of the Brazilian Amazon.
    Diabetes care, 2004, Volume: 27, Issue:2

    Topics: Alanine; Arginine; Brazil; Female; Humans; Male; Metabolic Syndrome; Obesity; Phenotype; Polymorphis

2004
Detrimental actions of metabolic syndrome risk factor, homocysteine, on pancreatic beta-cell glucose metabolism and insulin secretion.
    The Journal of endocrinology, 2006, Volume: 189, Issue:2

    Topics: Alanine; Arginine; Calcium; Carbachol; Clone Cells; Colforsin; Culture Media; Dose-Response Relation

2006
Leisure-time physical activity is associated with the metabolic syndrome in type 1 diabetes: effect of the PPARgamma Pro12Ala polymorphism: the FinnDiane Study.
    Diabetes care, 2007, Volume: 30, Issue:6

    Topics: Adult; Alanine; Amino Acid Substitution; Cross-Sectional Studies; Diabetes Mellitus, Type 1; Humans;

2007
PPARgamma mRNA expression is reduced in peripheral blood mononuclear cells after fat overload in patients with metabolic syndrome.
    The Journal of nutrition, 2008, Volume: 138, Issue:5

    Topics: Alanine; Body Mass Index; Dietary Fats; Gene Expression; Glutathione; Humans; Insulin Resistance; Le

2008