BREATHER Plus

A randomised open label 2-arm, 96 week trial evaluating the efficacy, safety and acceptability of short cycle (five days on, two days off) dolutegravir/tenofovir based triple antiretroviral therapy (ART) compared to daily dolutegravir/tenofovir based triple ART in virologically suppressed HIV infected adolescents aged 12 to 19 years of age in sub Saharan Africa

Can young people living with HIV safely take weekends off dolutegravir-based HIV treatment?

What is this study about?

The goal of HIV treatment is to make sure the amount of HIV virus in the blood remains very low. This is called having an undetectable viral load. If this goal is achieved and sustained life-long, then people living with HIV can live a healthy life, with a normal life expectancy. However, it is challenging to take medication every single day for life. This may be an even bigger challenge for teenagers living with HIV.

In BREATHER Plus we will compare Short Cycle Therapy to Continuous treatment:

  • Short Cycle Therapy: where people taking part will take all their HIV medicines during the week but stop taking them at weekends (either Friday and Saturday or Saturday and Sunday)
  • Continuous Treatment: where people taking part will take all their HIV medicines every day without any interruptions

 People joining BREATHER Plus will have an equal chance of being randomised to one of the two groups. Both Short Cycle Therapy and Continuous Treatment will include the anti-HIV drug dolutegravir.

We want to see if a similar proportion of young people in the Short Cycle Therapy group have low HIV virus as in the Continuous Treatment group, and whether they find there are other benefits to having two days off treatment each week.

BREATHER+ logo

Type of study

Randomised trial

Contact details

mrcctu.bplata@ucl.ac.uk

Who is funding the study?

This trial is funded by the European Developing Countries Clinical Trials Partnership (EDCTP)

When is it taking place?

The trial will take place from 2021 to 2025.

Where is it taking place?

The trial is taking place in Uganda, Zimbabwe, Kenya and South Africa

Who is included?

We want 460 young people living with HIV from Kenya, South Africa, Uganda and Zimbabwe to be part of this trial. People taking part need to: • be 12 to 19 years old, • HIV-1-infected, • have undetectable HIV viral load for at least the last year, • be on combination antiretroviral therapy, • never have switched HIV medication in the past because of treatment failure.