Evidence map›Paper›PMID 38538160›Full record

Trial reportThe lancet. HIV2024

Safety and pharmacokinetics of oral and long-acting injectable cabotegravir or long-acting injectable rilpivirine in virologically suppressed adolescents with HIV (IMPAACT 2017/MOCHA): a phase 1/2, multicentre, open-label, non-comparative, dose-finding study.

Aditya H Gaur, Edmund V Capparelli, Katherine Calabrese, Kristin Baltrusaitis, Mark A Marzinke, Cynthia McCoig, Rodica M Van Solingen-Ristea, Sisinyana Ruth Mathiba, Adeola Adeyeye, John H Moye and 20 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyClinical Trial, Phase IIClinical Trial, Phase I
In one paragraph

Trial report in The lancet. HIV, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03497676 (Phase I/II Study of the Safety, Acceptability, Tolerability, and Pharmacokinetics of Oral and Long-Acting Injectable Cabotegravir and Long-Acting Injectable Rilpivirine in Virologically Suppressed HIV-Infected Children and Adolescents), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
10.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03497676 phase1 / phase2completednot on this map

Phase I/II Study of the Safety, Acceptability, Tolerability, and Pharmacokinetics of Oral and Long-Acting Injectable Cabotegravir and Long-Acting Injectable Rilpivirine in Virologically Suppressed HIV-Infected Children and Adolescents

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2019 to 2025Enrolled168ConditionsHIV InfectionsArmsOral Cabotegravir (CAB), Oral Rilpivirine (RPV), Long-Acting Injectable Cabotegravir (CAB LA), Long-Acting Injectable Rilpivirine (RPV LA), Combination Antiretroviral Therapy (cART)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 26 citations in OpenAlex.

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  15. Mucosal immunity in acute HIV: a review of recent work.Current opinion in HIV and AIDS · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 18 institutions in 7 countries.

Aditya H GaurSt Jude Children's Research Hospital, Memphis, TN, USA. Electronic address: aditya.gaur@stjude.org.
Edmund V CapparelliUniversity of California San Diego, La Jolla, CA, USA.
Katherine CalabreseFHI 360, Durham, NC, USA.
Kristin BaltrusaitisCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Mark A MarzinkeJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Cynthia McCoigViiV Healthcare, Madrid, Spain.
Rodica M Van Solingen-RisteaJanssen Research and Development, Beerse, Belgium.
Sisinyana Ruth MathibaBaragwanath Academic Hospital, Johannesburg, South Africa.
Adeola AdeyeyeNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD, USA.
John H MoyeEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Bethesda, MD, USA.
Barbara HeckmanFrontier Science Foundation, Amherst, NY, USA.
Elizabeth D LowenthalUniversity of Pennsylvania Perelman School of Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Shawn WardFrontier Science Foundation, Boston, MA, USA.
Ryan MilliganFrontier Science Foundation, Boston, MA, USA.
Pearl SamsonFrontier Science Foundation, Boston, MA, USA.
Brookie M BestUniversity of California San Diego, La Jolla, CA, USA.
Conn M HarringtonViiV Healthcare, ResearchTriangle Park, NC, USA.
Susan L FordViiV Healthcare, ResearchTriangle Park, NC, USA.
Jenny HuangGlaxoSmithKline, Mississauga, ON, Canada.
Herta CrauwelsJanssen Research and Development, Beerse, Belgium.
Kati VandermeulenJanssen Research and Development, Beerse, Belgium.
Allison L AgwuJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Christiana Smith-AndersonUniversity of Colorado School of Medicine, Aurora, CO, USA.
Andres Camacho-GonzalezEmory University School of Medicine-Children's Healthcare of Atlanta, Atlanta, GA, USA.
Pradthana OunchanumChiangrai Prachanukroh Hospital, Chiang Rai, Thailand.
Jared L KneeboneFrontier Science Foundation, Amherst, NY, USA.
Ellen TownleyNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD, USA.
Carolyn Bolton MooreCentre for Infectious Disease Research in Zambia, Lusaka, Zambia; University of Alabama, Birmingham, AL, USA.
IMPAACT 2017 Collaborators
IMPAACT 2017 Team
Frontier Science & Technology Research Foundation · USJanssen (Belgium) · BEChiangRai Prachanukroh Hospital · THJohns Hopkins Medicine · USUniversity of California, San Diego · USCancer Research And Biostatistics · USCentre for Infectious Disease Research in Zambia · ZMChris Hani Baragwanath Hospital · ZAEmory University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USFamily Health International 360 · USGlaxoSmithKline (Canada) · CANational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USSt. Jude Children's Research Hospital · USUniversity of Colorado Denver · USUniversity of Pennsylvania · USViiV Healthcare (Spain) · ES

Funding

LOC-IMPAACT Leadership GroupPharmacokinetics and Safety of Remdesivir for Treatment of COVID-19 in Pregnant Women in the USUM1AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI Jennifer Jao, Sharon A Nachman · 2011 to 2026
$278.1M
Statistical and Data Management Center-Pediatric,Adolescent, and Maternal CTGUM1AI068616 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Sean Scott Brummel, Marlene Ann Cooper · 2011 to 2026
$155.6M
International Maternal Pediatric Adolescent AIDS Clinical Trials (IMPAACT) GroupU01AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI JACKSON, J BROOKS · 2006 to 2010
$109.7M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
Soweto Clinical Trials UnitUM1AI069453 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI Glenda E Gray, Lerato Mohapi · 2012 to 2026
$40.9M
University of California, San Diego Clinical Trial UnitUM1AI069536 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STEPHEN A SPECTOR · 2012 to 2026
$34.0M
Wits HIV Research Group CLINICAL TRIAL UNIT (CTU) reapplicationUM1AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI REES, HELEN, SANNE, IAN MATTHIAS · 2012 to 2025
$31.8M
Thailand HIV/AIDS and Infectious Disease Clinical Trials Unit (THAI CTU)UM1AI069399 · NIAID · CHIANG MAI UNIVERSITY · PI Kiat Ruxrungtham, Khuanchai Supparatpinyo · 2012 to 2026
$25.0M
Units for HIV/AIDS Clinical Trials NetworksU01AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI SANNE, IAN MATTHIAS · 2007 to 2011
$24.2M
NIAID NIH HHS U01 AI068632NIAID NIH HHS U01 AI069463NIAID NIH HHS UM1 AI068616NIAID NIH HHS UM1 AI068632NIAID NIH HHS UM1 AI069399NIAID NIH HHS UM1 AI069453NIAID NIH HHS UM1 AI069463NIAID NIH HHS UM1 AI069536NIAID NIH HHS UM1 AI106716NICHD NIH HHS HHSN275201800001CNICHD NIH HHS HHSN275201800001I
6 · The paper itself

Abstract

backgroundCombined intramuscular long-acting cabotegravir and long-acting rilpivirine constitute the first long-acting combination antiretroviral therapy (ART) regimen approved for adults with HIV. The goal of the IMPAACT 2017 study (MOCHA [More Options for Children and Adolescents]) was to assess the safety and pharmacokinetics of these drugs in adolescents.

methodsIn this phase 1/2, multicentre, open-label, non-comparative, dose-finding study, virologically suppressed adolescents (aged 12-17 years; weight ≥35 kg; BMI ≤31·5 kg/m

findingsBetween March 19, 2019, and Nov 25, 2021, 55 participants were enrolled: 30 in cohort 1C and 25 in cohort 1R. At week 16, 28 (97%, 95% CI 82-100) of the 29 dose-evaluable participants in cohort 1C and 21 (91%; 72-99) of the 23 dose-evaluable participants in cohort 1R had reported at least one adverse event, with the most common being injection-site pain (nine [31%] in cohort 1C; nine [39%] in cohort 1R; none were severe). One (4%, 95% CI 0-22) participant in cohort 1R had an adverse event of grade 3 or higher, leading to treatment discontinuation, which was defined as acute rilpivirine-related allergic reaction (self-limiting generalised urticaria) after the first oral dose. No deaths or life-threatening events occurred. In cohort 1C, the week 2 median cabotegravir AUC

interpretationStudy data support using long-acting cabotegravir or long-acting rilpivirine, given every 4 weeks or 8 weeks, per the adult dosing regimens, in virologically suppressed adolescents aged 12 years and older and weighing at least 35 kg.

fundingThe National Institutes of Health and ViiV Healthcare.

Indexed as

Anti-HIV AgentsDiketopiperazinesHIV InfectionsAdolescentChildHumansPyridonesRilpivirineAnti-HIV AgentscabotegravirDiketopiperazinesPyridonesRilpivirine

Identifiers

PMID38538160
PMCPMC11213970
OpenAlexW4393177493

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.