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Table 1 Summary of study characteristics of the ATLAS, FLAIR, and ATLAS-2M trials

From: Indirect comparison of 48-week efficacy and safety of long-acting cabotegravir and rilpivirine maintenance every 8 weeks with daily oral standard of care antiretroviral therapy in participants with virologically suppressed HIV-1-infection

Trial acronym (Author year)

Study design

Countries/region

Participant eligibility criteria

Intervention/comparator

Endpoints

ATLAS

(Swindells 2020) [13]

Randomized, multicenter, parallel-group,

open-label,

Phase 3

Argentina

Australia

Canada

Europe

Mexico

Republic of Korea

Russian Federation

South Africa

USA

• On initial or second ARV regimen ≥ 6 months prior to screening

• Prior switch only for tolerability/safety, access to medications, or convenience/ simplification, and NOT due to treatment failure

• HIV-1 RNA < 50 copies/mL at screening and ≥ 2 HIV-1 RNA measurements < 50 copies/mL in the 12 months prior to screening

• CAB + RPV Q4W

• Continued cART SoC therapy

• Primary: % participants with HIV-1 RNA ≥ 50 copies/mL at Week 48

• Key secondary: participants with HIV-1 RNA < 50 copies/mL at Week 48

FLAIR

(Orkin 2020) [12]

Randomized, multicenter,

open-label, non-inferiority,

Phase 3

Canada

Europe

Japan

Russian Federation

South Africa

USA

• Treatment naïve at screening

• 20 weeks induction period with DTG/ABC/3TC

• HIV-1 RNA < 50 copies/mL prior to randomization

• CAB + RPV Q4W

• DTG + ABC + 3TC

• Primary: % participants with HIV-1 RNA ≥ 50 copies/mL at Week 48

• Key secondary: participants with HIV-1 RNA < 50 copies/mL at Week 48

ATLAS-2M

(Overton 2021) [15, 31]

Randomized, multicenter, parallel-group,

open-label, non-inferiority,

Phase 3

Argentina

Australia

Canada

Europe

Mexico

North America

Republic of Korea

Russian Federation

South Africa

USA

• Uninterrupted SoC regimen ≥ 6 months

• 2 documented HIV-1 RNA viral load measurements

• < 50 copies/mL in each past 2, 6-month periods and at study entry

• CAB + RPV Q4Wa

• CAB + RPV Q8Wa

• Primary: % participants with HIV-1 RNA ≥ 50 copies/mL at Week 48

• Key secondary: participants with HIV-1 RNA < 50 copies/mL at Week 48

  1. 3TC lamivudine, ABC abacavir, ARV antiretroviral, ATLAS Antiretroviral Therapy as Long-Acting Suppression, ATLAS-2M ATLAS every 2 months, CAB cabotegravir, cART combination antiretroviral therapy, DTG dolutegravir, FLAIR First Long-Acting Injectable Regimen, LA long-acting, HIV-1 human immunodeficiency virus type 1, Q4W every 4 weeks, Q8W every 8 weeks, RNA ribonucleic acid, RPV rilpivirine, SoC standard of care
  2. aParticipants with prior CAB + RPV LA exposure were excluded from the current analysis