Effectiveness and Safety of Darunavir/Cobicistat Plus Lamivudine Compared With Darunavir/Cobicistat Plus Tenofovir Alafenamide/Emtricitabine in Virologically Suppressed People Living With HIV at 24 and 48 Weeks of Follow-up

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexMale
Age18+
SponsorInstituto Mexicano del Seguro Social

About this trial

A single-center, open-label, randomized pilot clinical trial between March 2025 and March 2026 at the Hospital de Infectología "La Raza" National Medical Center in Mexico City. Eligible participants were adult males (≥18 years) with HIV-1 infection who had maintained virological suppression (HIV-1 RNA \<50 copies/mL) for 48 weeks on either DRV/c + 3TC or DRV/c + TDF/FTC prior to enrollment (TLALOC-1 trial), and had an estimated glomerular filtration rate (eGFR) by CKD-EPI ≥60 mL/min/1.73 m². The primary endpoints were virological efficacy and safety at 24 weeks.

Eligibility criteria

Qualifiers

Virologically suppressed men living with HIV, transitioning from a DRV/c (800 mg/150 mg) + TDF/FTC (300 mg/200 mg) regimen for at least 48 weeks prior to the study

Viral suppression for 48 weeks prior to the study

Agree to participate in the study by signing a written informed consent form

Age ≥18 years

Disqualifiers

Withdrawal of informed consent

Loss of coverage

Failure to attend sample collection within the required timeframe

Trial design

Treatments tested in this trial

  • Dual therapy: darunavir/cobicistat + lamivudine
  • Triple therapy: darunavir/cobicistat plus tenofovir alafenamide/emtricitabine

Treatment groups

78 Participants
are divided into 2 treatment groups

Locations

1
Hospital de Infectología "Dr Daniel Méndez Hernández" National Medical Center "La Raza", Instituto Mexicano del Seguro Social02990, Mexico CityMexico City, Mexico

Sponsors and collaborators

Instituto Mexicano del Seguro Social

Lead sponsor