Doravirine/Lamivudine vs Dolutegravir/Lamivudine for HIV
Doravirine/Lamivudine (DOR/3TC) as a Maintenance ART in Comparison With Dolutegravir/Lamivudine (DTG/3TC) in PLWH Successfully
Recruiting
Phase 2Interventional Study
HIV-1-infection
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 2
Study type
Interventional
Purpose
Treatment
Participants needed
408 (estimated)
Sponsor
Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida · Other
Who this trial is looking for
This trial is looking for adults living with HIV who have been stable on their treatment. Participants will compare two different treatment options to see which works better for maintaining low levels of HIV in the blood.
Are You a Good Fit for This Trial?
You may be able to join if
I am at least 18 years old.
I live with HIV-1.
My HIV viral load has been below 50 copies/mL for at least 24 months.
I have been on a stable three-drug treatment for at least 12 months.
I am affiliated with French Social Insurance.
I have agreed to participate in the study.
You may not be able to join if
I have HIV-2.
I have been co-infected with hepatitis B.
I have documented resistance mutations to the study drugs.
My kidney function is below 50 mL/min.
I take medications that interact with the study drugs.
I am pregnant or breastfeeding.
I have a medical condition that limits my ability to join a study.
I am under legal guardianship or judicial protection.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
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The main objective of the MODULO trial is to compare (non-inferiority) the capacity of DOR/3TC and DTG/3TC two-drug regimens of maintain virological success at W48 in people living with HIV virus ( PLWH) with suppressed HIV plasma viral load (pVL) under three-drug regimen at inclusion.
The virological success is defined as no virological failure (2 consecutive pVL ≥50 copies/mL or one pVL ≥50 cop…
The main objective of the MODULO trial is to compare (non-inferiority) the capacity of DOR/3TC and DTG/3TC two-drug regimens of maintain virological success at W48 in people living with HIV virus ( PLWH) with suppressed HIV plasma viral load (pVL) under three-drug regimen at inclusion.
The virological success is defined as no virological failure (2 consecutive pVL ≥50 copies/mL or one pVL ≥50 copies/mL followed with discontinuation of treatment or follow-up).
Trial Locations
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Facility
City
State
Country
Status
Eligibility Criteria
Inclusion Criteria:
* Adults ≥18 years;
* Living with HIV-1;
* With pVL \<50 copies/mL for at least 24 months;
* Under stable three-drug regimen including 2 NRTIs + 1 NNRTI or 1 INSTI or 1 boosted PI for at least 12 months;
* Affiliated to the French Social Insurance;
* Who have given their written…
Inclusion Criteria:
* Adults ≥18 years;
* Living with HIV-1;
* With pVL \<50 copies/mL for at least 24 months;
* Under stable three-drug regimen including 2 NRTIs + 1 NNRTI or 1 INSTI or 1 boosted PI for at least 12 months;
* Affiliated to the French Social Insurance;
* Who have given their written consent to participate in the study
Exclusion Criteria:
* HIV-2 co-infection;
* Co-infection with hepatitis B virus (positive HBsAg and/or positive anti-HBc antibody with negative anti-HBs antibody);
* Documented resistance mutation or association of resistance mutations, associated with partial or full resistance to doravirine, dolutegravir or lamivudine;
* At least one resistance genotype is mandatory to include the patient:
* If there was no virological failure under NRTI, NNRTI and INSTI in the past:
* Pretherapeutic HIV-RNA genotype,
* OR, in case of no available HIV-RNA genotype, genotype on proviral HIV-DNA to performed before inclusion,
* In case of virological failure under NRTI, NNRTI and INSTI in the past:
* HIV-RNA genotype at time of virological failure,
* OR, in case of no available HIV-RNA genotype at time of failure, genotype on proviral HIV-DNA to performed before inclusion to be sure that the virus is fully sensitive to the study treatments,
* Past virological failure is defined as: 2 consecutive pVL ≥50 copies/mL or one pVL ≥200 copies/mL,
* Resistance genotypes will be interpretated with the last available ANRS algorithm.
* Glomerular filtration rate \<50 mL/min (CKD-EPI formula);
* Comedications leading to drug-drug interaction with one of the 3 study drugs (cf. detailed protocol);
* Pregnant or breastfeeding women, and women with age to be pregnant but refusing effective contraception, whether or not a desire for pregnancy is expressed;
* Any clinal condition limiting the participation in a clinical trial: Immunocompromised conditions including active cancer or hematological malignancy, organ transplant or with transplant rejection within the last 6 months, immunosuppressive therapy, or other condition that in the opinion of the investigator could cause impaired host immunity
* Protected adults (persons under legal guardianship or under "sauvegarde de justice" (judicial protection due to temporarily and slightly diminished mental or physical faculties)
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