ClinicalTrials.gg
Active, not recruitingNCT05660980Updated Nov 4, 2026

Study of Oral and Long-Acting Injectable Cabotegravir and Rilpivirine in Virologically Suppressed Children Living With HIV-1, Two to Less Than 12 Years of Age

A Phase 1/2 interventional study of Once daily CAB tablet + RPV tablet and Long acting CAB injectable + long acting RPV injectable in HIV-1-infection, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Active, not recruiting at 12 sites in 5 countries. Open to participants aged 2 Years to 11 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1/2, Interventional, and Treatment

Updated Nov 4, 2026Now Active, not recruitingPrimary completion moved+2 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
90
Allocation
Non-randomized
Ages
2 Years to 11 Years
Sex
All
01

Study summary

The purpose of the study is to evaluate the pharmacokinetics (PK), safety, tolerability, and acceptability of a long-acting injectable Cabotegravir and Rilpivirine in Virologically Suppressed Children Living with HIV-1, Two to Less Than 12 Years of Age

Read the detailed description

This is a Phase I/II, multicenter, open-label, non-comparative study to evaluate the safety, tolerability, acceptability, and PK of oral CAB and oral RPV followed by long-acting injectable CAB (CAB LA) and long-acting injectable RPV (RPV LA) to propose the weight-band dosing in virologically suppressed children living with HIV-1 aged two to less than 12 years. The study will also assess the long-acting injectable regimen with and without an oral lead-in period in the same study population.

Following completion of the study, if it is not possible for participants to access injections of CAB LA and RPV LA from non-study sources all participants may enter a Study Safety Extension (SSE) period. During the SSE period ongoing safety information to monitor for toxicities will be collected.

02

Conditions studied

  • HIV-1-infection
03

In context

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years to 11 Years
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, Step 1: Entry for Cohort 1, Cohort 2a, and Cohort 2b

  • Parent or legal guardian is willing and able to provide written permission for child's study participation and, when applicable per institutional review board/ethics committee (IRB/EC) policies and procedures, child is willing and able to provide written assent for study participation.

Note: All sites must follow all applicable IRB/EC policies and procedures; for US sites, this includes single IRB (sIRB) policies and procedures.

  • Age two years old to less than 12 years old at entry
  • Body weight ≥10 kg and \<40 kg at entry
  • At entry, willing and able to comply with the study visit schedule and other study requirements, as determined by the site investigator or designee.
  • Confirmed -1-infection based on documented testing of two samples collected from two separate blood collection tubes per Sample #1 and Sample #2 requirements. Test results may be obtained from medical records or from testing performed during the study screening period
  • Has been on a stable unchanged ART regimen consisting of two or more drugs from two or more antiretroviral drug classes for at least six consecutive months (defined as 180 consecutive days) prior to entry.
  • Has no prior history of switching ART regimens for reasons related to treatment failure based on parent/guardian report and/or available medical records.

Note: Participants undergoing dose modifications for growth or who have switched to a new formulation due to toxicity, tolerability, or changes in national treatment guidelines are considered eligible per this inclusion criterion. Treatment failure should be defined by local guidelines.

  • From a specimen collected less than six months (defined as within 179 days) prior to entry, has at least one of the following documented plasma HIV-1 RNA results:

    • \<50 copies/mL, or
    • less than the lower limit of detection of the assay
  • From a specimen collected in the 6-18 months (defined as 180 to 545 days) prior to entry, has at least one of the following documented plasma HIV-1 RNA results:

    • \<50 copies/mL, or
    • less than the lower limit of detection of the assay
  • At screening, a documented plasma HIV-1 RNA \<50 copies/mL.

Note: HIV-1 RNA test results at screening cannot be used to satisfy previously listed inclusion criterion. If participant does not have a documented HIV-1 RNA test result at screening that satisfies previously listed criteria, they should be referred for standard of care testing and return at a later date for screening.

  • Has normal, Grade 1, or Grade 2 results for all the following laboratory tests at screening (i.e., within 28 days prior to entry) based on grading per the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events:

    • (\<5.0 x )
    • ALT (\<5.0 x ULN)
    • Total (\<2.6 x ULN)
    • Lipase (\<3 x ULN)
    • Estimated (eGFR; ≥60 ml/min/1.73 m2)
    • (≥50,000 cells/mm3 or ≥50.00 x 109 cells/L)
    • (≥8.5 g/dL or ≥5.25 mmol/L)
    • Neutrophils (≥600 cells/mm3)

Note: Laboratory tests may be repeated during the study screening period (i.e., within 28 days prior to entry), with the latest result used for eligibility determination. ALT and total bilirubin should also be assessed

  • Has no evidence of chronic infection based on hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), and hepatitis B surface antibody (HBsAb) testing at screening; any of the following three combinations of test results are acceptable for inclusion:

    • HBsAg negative, HBcAb negative, HBsAb negative
    • HBsAg negative, HBcAb negative, HBsAb positive
    • HBsAg negative, HBcAb positive, HBsAb positive
  • At screening, has a mean (based upon a triplicate reading) less than or equal to 450 msec based on an (ECG) automated machine readout or calculated using the Fridericia formula.
  • For female participants of , not pregnant based upon negative blood or urine pregnancy test at entry. Childbearing potential is defined as nine years of age or older and:

    • Having reached menarche or
    • Engaging in sexual activity (self-reported) that could lead to pregnancy
  • For female participants of childbearing potential who are engaging in sexual activity (self-reported) that could lead to pregnancy, at entry, currently using at least one allowable highly effective method of and agrees to use at least one allowable highly effective method of contraception throughout study participation and for at least 30 days after last oral product use and 48 weeks after last injectable study product use.

Highly effective methods of contraception include:

  • Surgical sterilization (i.e., hysterectomy, bilateral oophorectomy, tubal ligation, or salpingectomy)
  • Contraceptive intrauterine device or intrauterine system
  • Subdermal contraceptive implant
  • Progestogen injections
  • Combined estrogen and progestogen oral contraceptive pills
  • Percutaneous contraceptive patch
  • Contraceptive vaginal ring

Inclusion Criteria, Step 2: Continuation for Cohort 1 and Cohort 2a to injection phase

All participants enrolled in Cohort 1 or Cohort 2a will be assessed for eligibility to progress from the oral lead-in phase (Step 1) to the injection phase (Step 2), primarily based on the safety assessments from the Step 1 Week 4a study visit. Clinical assessments conducted prior to administering the first injection at the Week 4b visit will also be used to confirm eligibility to receive the injectable study product.

All of the following criteria must be met in order for a participant enrolled in Cohort 1 or Cohort 2a to be included in Step 2

  • Currently enrolled as a participant in Step 1.
  • Has normal, Grade 1, or Grade 2 results from all of the following laboratory test results based upon specimens collected at the Week 4a study visit or from confirmatory repeat testing of Week 4a study visit laboratory tests:

    • AST (\<5.0 x ULN)
    • ALT (\<5.0 x ULN)
    • Lipase (\< 3 x ULN)
    • Estimated glomerular filtration rate (eGFR; ≥60 ml/min/1.73 m2))
    • Platelets (≥50,000 cells/mm3 or ≥50.00 x 109 cells/L)
    • Hemoglobin (≥8.5 g/dL or ≥5.25 mmol/L)
    • CK (\<10 x ULN)

Note: For a Grade 2 ALT test result from this visit, refer to protocol for required participant management.

  • For female participants of childbearing potential not pregnant based upon negative blood or urine pregnancy test at the Week 4b study visit.
  • Assessed by the IoR or designee as sufficiently adherent to study products in Step 1 to permit an adequate evaluation of safety and tolerability as part of the oral lead in phase prior to entry into the injection phase.

Inclusion criteria

Inclusion Criteria for Parents/Caregivers

Parents/caregivers of participants will be considered for enrollment to complete quantitative behavioral surveys and/or qualitative in-depth interviews (IDIs), as indicated in the SoE. One parent/caregiver per participant should be enrolled to complete all behavioral assessments, including the IDI, when applicable. for parent/caregiver enrollment should be obtained at the entry visit, after the child participant's eligibility has been confirmed, and may be completed at a later date, if necessary. However, parent/caregiver consent must occur prior to any study assessments being conducted. The enrolled caregiver may be the different than the parent or legal guardian who provided written permission for the child to participate. If, at any point the enrolled parent/caregiver for a given participant withdraws from the study or is unable to complete remaining study assessments for any reason, they may be replaced.

Caregivers must meet the following criteria to be eligible to enroll in IMPAACT 2036:

  • 18 years of age or older
  • Able and willing to provide written informed consent consistent with site IRB/EC policies and procedures
  • Caregiver, defined as a biological parent, legal guardian, or other person who provides significant emotional, psychological, and/or physical care to a child enrolled in IMPAACT 2036, based on self-report

Exclusion Criteria, Step 1: Entry for Cohort 1, Cohort 2a, and Cohort 2b

Potential participants must be excluded from the study if any of the conditions specified below are identified during the screening period (i.e., within 28 days prior to study entry). The screening period begins when parental permission and informed assent (if applicable) are obtained and ends immediately prior to enrollment. For criteria involving a potential participant's medical history, it is expected that each exclusionary condition will be assessed at screening and subsequently reviewed and confirmed on the day of study entry, prior to enrollment. In these criteria, "at entry" is used to refer to the day of enrollment in the study

  • Within 6 months prior to entry, any HIV-1 RNA value >400 copies/mL OR two consecutive "viral blips," defined as an HIV-1 RNA value ≥50 copies/mL but ≤400 copies/mL.
  • As determined by the IoR or designee, and based on available medical records, known or suspected resistance to NNRTIs.

Note: Prior receipt of NNRTIs for prophylaxis or treatment is not exclusionary

  • As determined by the IoR or designee, and based on available medical records, known or suspected resistance to INSTIs.
  • Ongoing congestive heart failure, symptomatic arrhythmia, or any current cardiac disease, as determined by the IoR or designee, and based on available medical records.
  • Has any of the following, as determined by the IoR or designee based on participant/parent/guardian report and available medical records:

    • Current infection
    • Current clinically significant hepatic disease
    • Current or anticipated need for chronic anti-coagulation
    • History of known or suspected bleeding disorder, including a history of prolonged bleeding
    • History of sensitivity to heparin or heparin-induced thrombocytopenia, as determined by the IoR or designee, based on available medical records
    • Risk factors for Torsade de Pointes (e.g., heart failure, hypokalemia, hypomagnesemia)
    • Known or suspected allergy to study product components.
    • Known phobia to needles
  • More than one seizure within one year (defined as within 365 days) prior to entry, or unstable or poorly controlled seizure disorder, as determined by the IoR or designee, and based on available medical records.
  • Has the following combination of laboratory test results at screening (i.e., from specimens collected within 28 days prior to entry): ALT greater than or equal to 3 x ULN and total bilirubin greater than or equal to 1.5 x ULN and direct bilirubin greater than 35% of total bilirubin.
  • At entry, known active tuberculosis infection, as determined by the IoR or designee based on participant/parent/guardian report and available medical records.
  • At entry, any ongoing pancreatitis as determined by the IoR or designee based on participant/parent/guardian report and available medical records.
  • At entry, has symptoms suggestive of active coronavirus disease 2019 (COVID-19) or test results or contacts that require quarantine per local clinical practice, public health, and/or infection control guidelines as determined by the IoR or designee based on participant/parent/guardian report and available medical records.

Note: Potential participants with symptoms suggestive of active COVID-19, test results, and/or contacts that require quarantine may resume screening (or be re-screened) after symptoms have resolved and applicable quarantine requirements have been completed.

  • Receipt of any prohibited medication within 7 days prior to entry, with the exception of antiviral agents that are part of the participant's ART regimen, as determined by the site investigator based on participant/parent/guardian report and available medical records

Note: Medications and vaccines approved for emergency use (e.g., COVID vaccines) that do not appear in the IMPAACT 2036 Prohibited and Precautionary Medications listing are not exclusionary may be administered as per standard of care.

  • Any past or current exposure to CAB LA or RPV LA
  • At entry, based on physical examination, has a current inflammatory skin condition that compromises the safety of intramuscular injections, as determined by the IoR or designee.
  • At entry, based on physical examination, has a dermatological condition overlying the buttock or upper thigh region, which, in the IoR or designee's opinion, may interfere with the interpretation of injection site reactions.
  • Enrolled in another clinical trial of an agent, device, or vaccine.
  • Has any documented or suspected clinically significant medical or psychiatric condition or any other condition or social circumstance that, in the opinion of the site investigator, would make participation unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.

Exclusion Criteria, Step 2: Continuation for Cohort 1 and Cohort 2a to injection phase

Participants in Cohort 1 or Cohort 2a who meet any of the following criteria will be excluded from Step 2:

  • Has permanently discontinued oral study product.
  • Occurrence of any grade 3 or higher adverse event assessed as related to study product during Step 1.
  • Any other condition or social circumstance situation that, in the opinion of the IoR or designee, would make continued study participation unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.

Exclusion criteria

Exclusion Criteria for Parents/Caregivers

  • Any condition or social circumstance situation that, in the opinion of the IoR or designee, would make study participation unsafe for the caregiver or the child study participant, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.
Terms in these criteria, in plain language(16)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Cohort 1

    Cohort 1 will receive Once daily oral CAB + oral RPV through the Week 4b visit, followed by intramuscular injection doses of CAB LA + RPV LA every four weeks (Q4W dosing regimen) or every eight weeks (Q8W dosing regimen)

    Drug: Once daily CAB tablet + RPV tablet · Drug: Long acting CAB injectable + long acting RPV injectable

  • Experimental
    Cohort 2A

    Cohort 2A: Once daily doses of oral CAB + oral RPV through the Week 4b visit, followed by Q4W or Q8W intramuscular injection doses of CAB LA + RPV LA.

    Drug: Once daily CAB tablet + RPV tablet · Drug: Long acting CAB injectable + long acting RPV injectable

  • Experimental
    Cohort 2B

    Cohort 2B: Q4W or Q8W intramuscular injection doses of CAB LA + RPV LA.

    Drug: Long acting CAB injectable + long acting RPV injectable

Interventions

  • DrugOnce daily CAB tablet + RPV tablet

    Tablet

  • DrugLong acting CAB injectable + long acting RPV injectable

    Injectable

  • DrugLong acting CAB injectable + long acting RPV injectable

    Injectable

06

What researchers measure

Primary outcomes

  1. AUC (Cohort 1, tablets)

    Area under the curve from start of dose to 8 hours post dose

    Time frame: At week 2

  2. CL/F (Cohort 1, tablets)

    apparent clearance from start of dose to 8 hours post dose

    Time frame: At week 2

  3. Cmax (Cohort 1, tablets)

    Peak concentration from start of dose to 8 hours post dose

    Time frame: At week 2

  4. Tmax (Cohort 1, tablets)

    Time of maximal concentration from start of dose to 8 hours post dose

    Time frame: At week 2

  5. Pre-dose concentrations (C0) (Cohort 1, tablets)

    Time frame: At week 2

  6. Week 5 concentrations (C5WK) (Cohort 1, injections)

    Time frame: Through week5

  7. Week 12 concentrations (C12WK) (Cohort 1, injections)

    Time frame: Through week 12

  8. Trough concentrations (Ct) prior to IM doses through Week 24 (Cohort 1, injections)

    Time frame: Through week 24

  9. Accumulation Ratio at week 24 and week 8 (Cohort 1, injections)

    Time frame: At week 8 and 24

  10. Proportion of children who experience a drug related safety event during the CAB + RPV oral lead-in period (Cohort 1)

    Time frame: Through week 4a

  11. Proportion of children who experience a grade 3 of higher adverse event during the CAB + RPV oral lead-in period (Cohort 1)

    Time frame: Through week 4a

  12. Proportion of children who experience an SAE during the CAB + RPV oral lead-in period (Cohort 1)

    Time frame: Through week 4a

  13. Proportion of children who experience premature permanent discontinuation study treatment due to an adverse event during the CAB + RPV oral lead-in period (Cohort 1)

    Time frame: Through week 4a

  14. Proportion of children who experience a drug-related safety failure event during the 24 weeks of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Week 4b through week 28

  15. Proportion of children who experience a grade 3 or higher adverse event during the 24 weeks of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Week 4b through week 28

  16. Proportion of children who experience an SAE during the 24 weeks of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Week 4b through week 28

  17. Proportion of children who experience premature permanent discontinuation study treatment due to an adverse event during the 24 weeks of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Week 4b through week 28

Secondary outcomes

  1. Accumulation ratios Wk 24:Wk 8 and Wk 48: Wk 8 (Cohort 2a), Wk 20:Wk4 and Wk 44: Wk 4 (Cohort 2b

    Time frame: At week 8, 48 and 72

  2. Ct prior to IM doses through Week. 24 and Week. 48 (Cohort 2a)

    Time frame: At Week. 24 and Week. 48

  3. Ct prior to IM doses through Wk. 20 and Wk. 44 (Cohort 2b)

    Time frame: At week 20 and 44

  4. Proportion of children who experience a drug-related safety failure event through Weeks 48 and 72 of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Through week 48 and 72

  5. Proportion of children who experience a grade 3 or higher adverse event through Weeks 48 and 72 of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Through week 48 and 72

  6. Proportion of children who experience an SAE through Weeks 48 and 72 of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Through week 48 and 72

  7. Proportion of children who experience premature permanent discontinuation study treatment due to an adverse event through Weeks 48 and 72 of CAB + RPV (oral and injectable) (Cohort 1)

    Time frame: Through week 48 and 72

  8. Proportion of children who have HIV-1 RNA <50 and ≥50, copies/ml at Weeks 24, 48, and 72 using the FDA Snapshot algorithm (Cohort 1)

    Time frame: At weeks 24, 48 and 72

  9. Proportion of children who have HIV-1 RNA <200 and ≥200 copies/ml at Weeks 24, 48, and 72 using the FDA Snapshot algorithm (Cohort 1)

    Time frame: At weeks 24, 48 and 72

  10. Proportion of children with confirmed virologic failure at Weeks 24, 48 and 72 while on CAB + RPV (Cohort 1)

    Time frame: At weeks 24, 48 and 72

  11. Child and/or parent/caregiver responses to questionnaires about CAB or RPV side effects, pain associated with injections, and injection site reactions at Weeks 24, 48, and 72 (Cohort 1)

    Time frame: At Weeks 24, 48, and 72

  12. Child and/or parent/caregiver reported attitudes about CAB or RPV, including willingness to use at Weeks 24, 48, and 72 (Cohort 1)

    Time frame: At weeks 24, 48 and 72

  13. Proportion of participants who had genotypic and phenotypic resistance to CAB or RPV among children who experience virologic failure while on CAB + RPV (Cohort 1)

    Time frame: Through week 72

  14. Median for CD4 count and percentage at Weeks 24, 48 and 72 (Cohort 1)

    Time frame: At weeks 24, 48 and 72

  15. Median change from baseline CD4 count and percentage at Weeks 24, 48 and 72 (Cohort 1)

    Time frame: At weeks 24, 48 and 72

  16. Child and/or parent/caregiver response to questionnaires (Cohort 2)

    about CAB or RPV side effects, pain associated with injections and injection site reactions for children who are on 48 weeks of CAB+RPV(oral and injectable) OR 44 weeks of CAB LA+RPV LA (injectable)

    Time frame: at week 44 and 48

  17. Child and/or parent/caregiver reported attitudes about CAB (Cohort 2) or RPV, including willingness to use for children who are on 48 weeks of CAB + RPV (oral and injectable) OR 44 weeks of CAB LA + RPV LA (injectable)

    Time frame: At week 44 and 48

  18. Proportion of children who experience a drug-related safety failure event during the 48 weeks of CAB + RPV (oral and injectable) OR the 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  19. Proportion of children who experience a grade 3 or higher adverse event during the 48 weeks of CAB + RPV (oral and injectable) OR the 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  20. Proportion of children who experience an SAE during the 48 weeks of CAB + RPV (oral and injectable) OR the 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  21. Proportion of children who experience premature permanent discontinuation study treatment due to an adverse event during the 48 weeks of CAB + RPV (oral and injectable) OR the 44 weeks of CAB LA + RPV (Cohort 2) LA (injectable)

    Time frame: At week 44 and 48

  22. Proportion of children who have HIV-1 RNA <50 and ≥50, copies/ml using the FDA Snapshot algorithm for children who are on 48 weeks of CAB + RPV (oral and injectable) OR 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  23. Proportion of children who have HIV-1 RNA <200 and ≥200 copies/ml using the FDA Snapshot algorithm for children who are on 48 weeks of CAB + RPV (oral and injectable) OR 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  24. Proportion of children with confirmed virologic failure while on treatment for children who are on 48 weeks of CAB + RPV (oral and injectable) OR 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  25. Median and Interquartile Range for CD4 count and percentage for children who are on 48 weeks of CAB + RPV (oral and injectable) OR 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  26. Median and Interquartile Range change from baseline CD4 count and percentage for children who are on 48 weeks of CAB + RPV (oral and injectable) OR 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  27. Proportion of participants who had genotypic and phenotypic resistance to CAB and RPV among children who experience virologic failure while on 48 weeks of CAB + RPV (oral and injectable) OR while on 44 weeks of CAB LA + RPV LA (injectable) (Cohort 2)

    Time frame: At week 44 and 48

  28. LA dosing: Ct prior to IM doses at Wk. 48 and Wk. 72 and accumulation ratios (Wk. 48:Wk. 8 and Wk. 72:Wk. 8) (Cohort 1)

    Time frame: At week 8 and 48

Other outcomes

  1. CAB and RPV concentrations 8 to 48 weeks following final IM dose

    Time frame: At week 8 and 48

  2. Proportion of children who experience a drug-related safety failure event through 48 weeks following permanent discontinuation of CAB LA + RPV LA

    Time frame: Through week 48

  3. Proportion of children who experience a grade 3 or higher adverse event through 48 weeks following permanent discontinuation of CAB LA + RPV LA

    Time frame: Through week 48

  4. Proportion of children who experience an SAE through 48 weeks following permanent discontinuation of CAB LA + RPV LA

    Time frame: Through week 48

  5. PO dosing: Wk. 2 AUC, CL/F, Cmax, Tmax, and pre-dose concentrations (C0) by administration mode

    Time frame: At week 2

07

Study locations

12 sites
  • Site 5030, Emory University School of Medicine NICHD CRS
    Atlanta, Georgia 30322, United States
  • Site 6501, St. Jude Children's Research Hospital CRS
    Memphis, Tennessee 38105, United States
  • Site 12701, Gaborone CRS
    Gaborone, Botswana
  • Site 12702, Molepolole CRS
    Molepolole, Botswana
  • Site 5073, School of Medicine, Federal University of Minas Gerais
    Belo Horizonte, 30.130-100, Brazil
  • CRS 5071, Instituto de Puericultura e Pediatria Martagao Gesteira - UFRJ NICHD CRS
    Rio de Janeiro, 21941-912, Brazil
  • Site 30300, Umlazi CRS
    Umlazi, KwaZulu-Natal 4066, South Africa
  • CRS 8052, Soweto IMPAACT CRS
    Johannesburg, 1862, South Africa
  • Site 8051, Wits RHI Shandukani Research Centre CRS
    Johannesburg, 2001, South Africa
  • Siriraj Hospital, Mahidol University NICHD CRS (Site #5115)
    Bangkok, Bangkoknoi 10700, Thailand
  • CRS 31784, Chiang Mai University HIV Treatment (CMU HIV Treatment) CRS
    Chiang Mai, 50200, Thailand
  • Site 5116, Chiangrai Prachanukroh Hospital NICHD CRS
    Chiang Rai, 57000, Thailand
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie results in the publication, after deidentification.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 3 months following publication and available throughout period of funding of the International Maternal Pediatric Adolescent AIDS Clinical Trial (IMPAACT) Network by NIH.

Access criteria: With whom? Researchers who provide a methodologically sound proposal for use of the data that is approved by the IMPAACT Network. For what types of analyses? To achieve aims in the proposal approved by the IMPAACT Network. By what mechanism will data be made available? Researchers may submit a request for access to data using the IMPAACT "Data Request" form at: https:// www.impaactnetwork.org/ resources/study-proposals.htm. Researchers of approved proposals will need to sign an IMPAACT Data Use Agreement before receiving the data.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2024 to primary completion in Oct 2026, 33 months.

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

Registered
Dec 13, 2022
First posted
Dec 21, 2022
StartActual
Jan 24, 2024
Primary completionActual
Oct 27, 2026
CompletionEst.
Mar 31, 2029
Last update
Nov 4, 2026
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.
Status
Recruiting→Active, not recruiting
changed Nov 4, 2026
Sites
6 sites added, 6 sites removed
Show 6 added (2 Brazil, 2 South Africa, 1 Botswana, 1 Thailand)
  • Site 12702, Molepolole CRS · Molepolole, Botswana
  • Site 5073, School of Medicine, Federal University of Minas Gerais · Belo Horizonte, Brazil
  • CRS 5071, Instituto de Puericultura e Pediatria Martagao Gesteira - UFRJ NICHD CRS · Rio de Janeiro, Brazil
  • Site 30300, Umlazi CRS · Umlazi, South Africa
  • CRS 8052, Soweto IMPAACT CRS · Johannesburg, South Africa
  • CRS 31784, Chiang Mai University HIV Treatment (CMU HIV Treatment) CRS · Chiang Mai, Thailand
Show 6 removed
  • Site 12702, Molepolole CRS · Gaborone, Botswana
  • Site 5073, SOM Federal University Minas Gerais Brazil NICHD CRS · Belo Horizonte, Brazil
  • CRS 5071, Instituto de Puericultura e Pediatria Martagao Gesteira Clinical Research Site · Rio de Janeiro, Brazil
  • Site 30300 Umlazi CRS Site · Umlazi, South Africa
  • CRS 8052, Soweto IMPAACT · Johannesburg, South Africa
  • CRS 31784, Chiang Mai University HIV Treatment CRS · Chiang Mai, Thailand
Nov 4, 2026
Primary completion
Oct 22, 2026→Oct 27, 2026 (actual)
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    Recruiting→Active, not recruiting
    6 sites added, 6 sites removed
    Show 6 added (2 Brazil, 2 South Africa, 1 Botswana, 1 Thailand)
    • Site 12702, Molepolole CRS · Molepolole, Botswana
    • Site 5073, School of Medicine, Federal University of Minas Gerais · Belo Horizonte, Brazil
    • CRS 5071, Instituto de Puericultura e Pediatria Martagao Gesteira - UFRJ NICHD CRS · Rio de Janeiro, Brazil
    • Site 30300, Umlazi CRS · Umlazi, South Africa
    • CRS 8052, Soweto IMPAACT CRS · Johannesburg, South Africa
    • CRS 31784, Chiang Mai University HIV Treatment (CMU HIV Treatment) CRS · Chiang Mai, Thailand
    Show 6 removed
    • Site 12702, Molepolole CRS · Gaborone, Botswana
    • Site 5073, SOM Federal University Minas Gerais Brazil NICHD CRS · Belo Horizonte, Brazil
    • CRS 5071, Instituto de Puericultura e Pediatria Martagao Gesteira Clinical Research Site · Rio de Janeiro, Brazil
    • Site 30300 Umlazi CRS Site · Umlazi, South Africa
    • CRS 8052, Soweto IMPAACT · Johannesburg, South Africa
    • CRS 31784, Chiang Mai University HIV Treatment CRS · Chiang Mai, Thailand
    Primary completion Oct 22, 2026→Oct 27, 2026 (now actual)
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05660980
Responsible party
Sponsor
First posted
Dec 21, 2022
Start date
Jan 24, 2024
Primary completion
Oct 27, 2026
Completion
Mar 31, 2029 (estimated)
Last update
Nov 4, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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