ClinicalTrials.gg
CompletedNCT03311945Updated Jul 18, 2025Results posted

Simplification Study of HIV-1 Infected Patients With Virological Suppression Under the Combination of Lamivudine (150 mg BID) Plus Raltegravir (400 mg BID) Switching to Lamivudine (300 mg QD) Plus Raltegravir (1200 mg QD) : Roll-over Study of the RALAM

A Phase 3 interventional study of Raltegravir and Lamivudine in HIV Infections, HIV-1-infection and HIV Seropositivity, sponsored by Judit Pich. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-18.

Primary conditionHIV SeropositivityRegistry: HIV InfectionsReclassifiedWhy we changed it
Registry
HIV Infections — the first condition term the registry derived for this study.
ClinicalTrials.gg
HIV Seropositivity
Why
  1. The study's listed conditions name HIV Seropositivity, a narrower term within HIV Infections.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Judit Pich · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Phase 3b, single arm, single site simplification study of HIV-1 infected patients with virological suppression under the combination of Lamivudine (150 mg BID) plus Raltegravir (400 mg BID) switching to Lamivudine (300 mg QD) plus Raltegravir (1200 mg QD): Roll-over study of the RALAM clinical trial (NCT02284035)

02

Conditions studied

  • HIV Infections
  • HIV-1-infection
  • HIV Seropositivity

Browse trials for

Keywords

  • Raltegravir
  • Lamivudine
03

In context

HIV Seropositivity Reclassified

194 studies on the registry are indexed under HIV Seropositivity; 11 are open to participants now.

This study's enrollment of 33 is below the median of 105 across 114 interventional studies indexed under HIV Seropositivity.

Browse HIV Seropositivity studies →

Lead sponsor

Judit Pich is the lead sponsor of 7 studies on the registry; none are open to participants now.

Compared within HIV Seropositivity, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is HIV Infections. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients in the switch arm who have completed the 24-week follow-up of RALAM (NCT02284035) study and remain virologically suppressed (viral load \<50 copies/mL) on dual therapy with lamivudine plus Raltegravir
  • Patients who have signed to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy, lactation, or planned pregnancy during the study period
  • Any disease or history of disease which, in opinion of the investigator, might confound the results of the study or pose additional risk to patient treatment
  • co-infection
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Raltegravir + Lamivudine

    Lamivudine (300 mg QD) plusRaltegravir (1200 mg QD)

    Drug: Raltegravir · Drug: Lamivudine

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of Patients With Therapeutic Failure

    Proportion of patients that at least present one of the following events: virological failure, change in antirretroviral treatment for any reason, consent withdrawal, loss to follow-up or death.

    Time frame: 48 weeks

Secondary outcomes

  1. Change From Baseline in Peripheral Mononuclear Blood Cells HIV-1 Reservoir

    Time frame: 48 weeks

  2. Changes From Baseline in Cholesterol Total

    Time frame: 24 weeks

  3. Changes From Baseline in Cholesterol LDL

    Time frame: 24 weeks

  4. Changes From Baseline in Cholesterol HDL

    Time frame: 24 weeks

  5. Changes From Baseline in Triglycerides

    Time frame: 24 weeks

  6. Changes From Baseline in Insulin Resistance (HOMA-IR)

    Time frame: 24 weeks

  7. Change From Baseline in Lumbar and Femoral Bone Mineral Density

    Time frame: 48 weeks

  8. Change From Baseline in Plasma 25-OH Vitamin D Levels

    Time frame: 48 weeks

  9. Change From Baseline in Urine Beta-2-microglobulin

    Time frame: 48 weeks

  10. Change From Baseline in Estimated Glomerular Filtration Rate (Chronic Kidney Disease Epidemiology CollaborationI)

    Time frame: 48 weeks

  11. Change From Baseline in Urine Protein/Creatinine Ratio

    Time frame: 48 weeks

  12. Changes From Baseline in Biomarkers of Inflammation IL-6

    Time frame: 48 weeks

  13. Changes From Baseline in Biomarker of Mononuclear Activation SD-163

    Time frame: 48 weeks

  14. Changes From Baseline in Biomarker of Mononuclear Activation SD-14

    Time frame: 48 weeks

  15. Changes From Baseline in Biomarker of Inflammation High Sensitivity C-reactive Protein

    Time frame: 48 weeks

  16. Changes From Baseline in Sleep Quality (Pittsburgh Sleep Quality Index) at

    Time frame: 48 weeks

  17. Change From Baseline in EQ-5D-5L

    Time frame: 48 weeks

  18. Incidence of Adverse Events

    Time frame: 48 weeks

  19. Viral Load

    Proportion of patients with viral load below ultrasensitive HIV-1 RNA detection limit (limit of detection 1 copy/mL) at 48 weeks

    Time frame: 48 weeks

07

Results

Posted Jul 18, 2025

Participant flow

All trial subjects were recruited at a single site in Spain: Hospital Clínic de Barcelona. The subjects were patients in the switch arm who completed the 24-week follow-up of RALAM (NCT02284035) study and remained virologically suppressed (viral load \<50 copies/mL) on dual therapy with 3TC plus Raltegravir. Recruitment start period: 02-May-2018.

Participant flow — Overall Study
MilestoneRAL+3TC
Started33
Completed30
Not completed3
Withdrew: Adverse event2
Withdrew: Lack of efficacy1

Outcome measures

PrimaryProportion of Patients With Therapeutic Failure

Proportion of patients that at least present one of the following events: virological failure, change in antirretroviral treatment for any reason, consent withdrawal, loss to follow-up or death.

Time frame:
48 weeks
Reported as:
Count of participants · Participants
Proportion of Patients With Therapeutic Failure
ParticipantsRaltegravir + Lamivudine
Patients with therapeutic failure3
Patients without therapeutic failure30
Statistical analysis
  • Raltegravir + Lamivudine ·
SecondaryChange From Baseline in Peripheral Mononuclear Blood Cells HIV-1 Reservoir
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Cholesterol Total
Time frame:
24 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Cholesterol LDL
Time frame:
24 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Cholesterol HDL
Time frame:
24 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Triglycerides
Time frame:
24 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Insulin Resistance (HOMA-IR)
Time frame:
24 weeks

Results for this outcome have not been posted.

SecondaryChange From Baseline in Lumbar and Femoral Bone Mineral Density
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChange From Baseline in Plasma 25-OH Vitamin D Levels
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChange From Baseline in Urine Beta-2-microglobulin
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChange From Baseline in Estimated Glomerular Filtration Rate (Chronic Kidney Disease Epidemiology CollaborationI)
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChange From Baseline in Urine Protein/Creatinine Ratio
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Biomarkers of Inflammation IL-6
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Biomarker of Mononuclear Activation SD-163
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Biomarker of Mononuclear Activation SD-14
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Biomarker of Inflammation High Sensitivity C-reactive Protein
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChanges From Baseline in Sleep Quality (Pittsburgh Sleep Quality Index) at
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryChange From Baseline in EQ-5D-5L
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryIncidence of Adverse Events
Time frame:
48 weeks

Results for this outcome have not been posted.

SecondaryViral Load

Proportion of patients with viral load below ultrasensitive HIV-1 RNA detection limit (limit of detection 1 copy/mL) at 48 weeks

Time frame:
48 weeks

Results for this outcome have not been posted.

Adverse events

Collected over 48 weeks. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Raltegravir + Lamivudine0/33 (0%)0/33 (0%)16/33 (48.5%)
Most frequent other events
Most frequent other events
EventRaltegravir + Lamivudine
GastrointestinalGastrointestinal disorders9/33
SystemicGeneral disorders8/33
RespiratoryRespiratory, thoracic and mediastinal disorders4/33
DermatologicalSkin and subcutaneous tissue disorders2/33
GenitourinaryRenal and urinary disorders2/33
MusculoskeletalMusculoskeletal and connective tissue disorders1/33
EndocrineEndocrine disorders1/33
InfectionsImmune system disorders1/33

Baseline characteristics

Age, Continuous
Age, Continuous(years)Raltegravir + Lamivudine
Mean53.7 ± 12.1
Sex: Female, Male
Sex: Female, Male(Participants)Raltegravir + Lamivudine
Female7
Male26
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Raltegravir + Lamivudine
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White31
More than one race0
Unknown or Not Reported2
08

Study locations

1 site
  • Hospital Clínic i Provincial de Barcelona
    Barcelona, 08036, Spain
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2018 to primary completion in Mar 2021, 34 months.

Results were first posted in Jul 2025, 4 years 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 29, 2017
First posted
Oct 17, 2017
StartActual
May 2, 2018
Primary completionActual
Mar 30, 2021
CompletionActual
Nov 30, 2022
Results first posted
Jul 18, 2025
Last update
Jul 18, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03311945
Lead sponsor
Judit Pich
Collaborators
Fundacion Clinic per a la Recerca Biomédica
Responsible party
Judit Pich (Clinical Research Manager, Hospital Clinic of Barcelona) — Sponsor-investigator
First posted
Oct 17, 2017
Start date
May 2, 2018
Primary completion
Mar 30, 2021
Completion
Nov 30, 2022
Results posted
Jul 18, 2025
Last update
Jul 18, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Raltegravir · Lamivudine

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