Prospective Study to Assess Usage, Adherence, Effectiveness of Cabotegravir LA for Pre-Exposure Prophylaxis in the United States in the OPERA Cohort (219844)

17/05/2024
15/07/2026
EU PAS number:
EUPAS1000000165
Study
Ongoing
Study type

Study topic

Human medicinal product

Study type

Non-interventional study

Scope of the study

Drug utilisation
Effectiveness study (incl. comparative)

Data collection methods

Secondary use of data
Non-interventional study

Non-interventional study design

Cohort
Study drug and medical condition

Medicinal product name

Study drug International non-proprietary name (INN) or common name

CABOTEGRAVIR

Anatomical Therapeutic Chemical (ATC) code

(J05AJ04) cabotegravir
cabotegravir

Medical condition to be studied

HIV infection
Population studied

Short description of the study population

People living with HIV (PLWH) aged 18 years and older were included in the study.

Age groups

  • Adult and elderly population (≥18 years)
    • Adults (18 to < 65 years)
    • Elderly (≥ 65 years)
      • Adults (65 to < 75 years)
      • Adults (75 to < 85 years)
      • Adults (85 years and over)

Estimated number of subjects

2500
Study design details

Study design

Observational cohort study utilizing prospectively collected electronic health record (EHR) data up from the OPERA longitudinal healthcare database.

Main study objective

• To describe the baseline characteristics of oral pre-exposure prophylaxis (PrEP) users (Tenofovir Disproxil Fumarate (TDF) / Emtricitabine (FTC) or Tenofovir Alafenamide (TAF) /FTC) users) and LA PrEP users (CAB, with or without oral lead-in (OLI)).
• To describe adherence and usage patterns of CAB OLI and/or LA-PrEP.
• To monitor incidence of Human immunodeficiency virus (HIV) and sexually transmitted infections (STIs) while on CAB OLI and/or LA PrEP.
• To evaluate HIV treatment and virologic suppression after HIV acquisition.
• To describe patterns of HIV testing among CAB LA PrEP users.

Setting

The study population will be derived from PrEP users meeting the inclusion criteria in the OPERA (Observational Pharmaco-Epidemiology Research and Analysis) multisite observational database.

Comparators

Not applicable.

Outcomes

• Demographic and clinical characteristics at baseline
• Adherence and Usage Patterns of CAB Oral Lead in (OLI) and/or LA-PrEP
• HIV testing patterns among CAB LA PrEP users
• Incident diagnoses of HIV and Sexually Transmitted Infections (STIs) while on CAB OLI and/or LA PrEP
• Antiretroviral treatment and virological control following HIV Acquisition
• Number of Participants with Incomplete Initiation of CAB LA for PrEP

Data analysis plan

All data analyses will be computed in a descriptive manner.