Trial | Outcome |
NCT00035932 (38) [back to overview] | Most Common AEs and AEs of Interest Through Week 48 |
NCT00035932 (38) [back to overview] | Participants Achieving Virologic Half Log Suppression (Limit of Quantification [LOQ] = 400 c/mL) at Week 24 (Overall and by Protease Inhibitor [PI] Sensitivity) |
NCT00035932 (38) [back to overview] | Participants Achieving Virologic Half Log Suppression (LOQ = 400 c/mL) at Week 48, (Overall and by PI Sensitivity) |
NCT00035932 (38) [back to overview] | PR Interval and Change From Baseline by Analysis Time Point |
NCT00035932 (38) [back to overview] | Change From Baseline in CD4 Cell Count at Week 24 |
NCT00035932 (38) [back to overview] | Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 48 |
NCT00035932 (38) [back to overview] | Change From Baseline in CD4 Cell Count at Week 48 |
NCT00035932 (38) [back to overview] | Change From Baseline in CD4 Cell Count at Week 96 |
NCT00035932 (38) [back to overview] | Fasting Glucose Mean Change From Baseline at Week 24 |
NCT00035932 (38) [back to overview] | HIV IC50 at Week 24 |
NCT00035932 (38) [back to overview] | Participants Achieving Virologic Half Log Suppression (LOQ = 400 c/mL) at Week 96 |
NCT00035932 (38) [back to overview] | Inhibitory Quotient at Week 24 |
NCT00035932 (38) [back to overview] | Fasting Glucose Mean Change From Baseline at Week 48 |
NCT00035932 (38) [back to overview] | Lipid Mean Percent Change From Baseline at Week 24 |
NCT00035932 (38) [back to overview] | Lipid Mean Percent Change From Baseline at Week 48 |
NCT00035932 (38) [back to overview] | Lipid Mean Percent Change From Baseline at Week 96, Observed Values |
NCT00035932 (38) [back to overview] | Mean ATV, RTV and SQV Minimum Concentration (Cmin) Values |
NCT00035932 (38) [back to overview] | Mean Score of European Quality of Life-5 Dimensions (EQ-5D) Health Index Score at Baseline, Mid-Study (Week 24), and Final (Week 48) |
NCT00035932 (38) [back to overview] | Mean Score of European Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Baseline, Mid-Study (Week 24), and Final (Week 48) |
NCT00035932 (38) [back to overview] | HIV RNA Level - Treated Subjects With Evaluable Cmins at Week 24 |
NCT00035932 (38) [back to overview] | Grade 3/4 Laboratory Abnormalities Through Week 48 |
NCT00035932 (38) [back to overview] | Fridericia-corrected QT (QTcF) Interval and Change From Baseline by Analysis Time Point |
NCT00035932 (38) [back to overview] | Deaths, Serious Adverse Events (SAEs), and Adverse Events (AEs) Through Week 48 |
NCT00035932 (38) [back to overview] | Correlation of ATV Minimum Plasma Concentration (Cmin), Inhibitory Quotient (IQ), and Number of Protease Inhibitor (PI) Mutations at Baseline With HIV RNA Change From Baseline at Week 24 |
NCT00035932 (38) [back to overview] | Correlation of ATV Minimum Plasma Concentration (Cmin) Inhibitory Quotient (IQ), and Number of PI Mutations at Baseline and CD4 Cell Count Change From Baseline at Week 24 |
NCT00035932 (38) [back to overview] | Adherence to Regimen Though Week 48 Based on MACS the Multicenter AIDS Cohort Study (MACS) Adherence Questionnaire |
NCT00035932 (38) [back to overview] | Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 96 |
NCT00035932 (38) [back to overview] | Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 48 |
NCT00035932 (38) [back to overview] | Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 24 |
NCT00035932 (38) [back to overview] | Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 96 |
NCT00035932 (38) [back to overview] | Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 48 |
NCT00035932 (38) [back to overview] | Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 24 |
NCT00035932 (38) [back to overview] | Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 96 |
NCT00035932 (38) [back to overview] | Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 24 |
NCT00035932 (38) [back to overview] | Mean Change From Baseline in HIV RNA at Week 96 |
NCT00035932 (38) [back to overview] | Mean Change From Baseline in HIV RNA at Week 48 |
NCT00035932 (38) [back to overview] | Mean Change From Baseline in HIV RNA at Week 2 |
NCT00035932 (38) [back to overview] | Mean Change From Baseline in HIV Ribonucleic Acid (RNA) at Week 24 |
NCT00042289 (26) [back to overview] | PK Parameter: Trough Concentration (C12) With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Trough Concentration (C12) With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Trough Concentration (C24) With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Trough Concentration (C24) With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Area Under the Curve From 0 to 12 Hours (AUC12) With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Trough Concentration (C24) With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Cord/Maternal Blood Concentration Ratio With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Cord/Maternal Blood Concentration Ratio With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | Plasma Concentration for Contraceptives |
NCT00042289 (26) [back to overview] | Area Under the Curve From 0 to 12 Hours (AUC12) of ARVs for Contraceptive Arms |
NCT00042289 (26) [back to overview] | Number of Women Who Met PK Target of Area Under the Curve (AUC) for ARVs |
NCT00042289 (26) [back to overview] | Number of Women Who Met PK Target of Area Under the Curve (AUC) for ARVs |
NCT00042289 (26) [back to overview] | Pharmacokinetic (PK) Parameter: Infant Plasma Washout Concentration of ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Area Under the Curve From 0 to 12 Hours (AUC12) With Geometric Mean (95% CI) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Area Under the Curve From 0 to 12 Hours (AUC12) With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Maximum Concentration (Cmax) in mg/L With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Area Under the Curve From 0 to 24 Hours (AUC24) With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Area Under the Curve From 0 to 24 Hours (AUC24) With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Area Under the Curve From 0 to 24 Hours (AUC24) With Median (Range) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | Area Under the Curve From 0 to 24 Hours (AUC24) of ARVs for Contraceptive Arms |
NCT00042289 (26) [back to overview] | PK Parameter: Maximum Concentration (Cmax) in mg/L With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Maximum Concentration (Cmax) in mg/L With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Maximum Concentration (Cmax) in ng/mL With Median (95% CI) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Maximum Concentration (Cmax) in ng/mL With Median (IQR) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | PK Parameter: Trough Concentration (C12) With Geometric Mean (95% CI) for ARVs and TB Drugs |
NCT00042289 (26) [back to overview] | Pharmacokinetic (PK) Parameter: Infant Plasma Washout Half-life (T1/2) of ARVs and TB Drugs |
NCT00074581 (2) [back to overview] | Linked Partner HIV Infection Rates in Early-ART and Delayed-ART Arms |
NCT00074581 (2) [back to overview] | All Partner HIV Infection Rates in Early-ART and Delayed-ART Arms |
NCT00084136 (18) [back to overview] | Time to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(PI Comparison) |
NCT00084136 (18) [back to overview] | Time to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(NRTI Comparison) |
NCT00084136 (18) [back to overview] | Time to Immunologic Failure (PI Comparison) |
NCT00084136 (18) [back to overview] | Time to Loss of Virologic Response at Week 96 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(NRTI Comparison) |
NCT00084136 (18) [back to overview] | Time to Loss of Virologic Response by Week 48 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(PI Comparison) |
NCT00084136 (18) [back to overview] | Time to Treatment Failure (NRTI Comparison) |
NCT00084136 (18) [back to overview] | Time to Treatment Failure (PI Comparison) |
NCT00084136 (18) [back to overview] | Time to Immunologic Failure (NRTI Comparison) |
NCT00084136 (18) [back to overview] | Time to First Dose Modification or Grade 3 or 4 Adverse Event (PI Comparison) |
NCT00084136 (18) [back to overview] | Time to First Dose Modification or Grade 3 or 4 Adverse Event (NRTI Comparison) |
NCT00084136 (18) [back to overview] | Time to Discontinuation of Initial Antiretroviral (ARV) Therapy (PI Comparison) |
NCT00084136 (18) [back to overview] | Time to Discontinuation of Initial Antiretroviral (ARV) Therapy (NRTI Comparison) |
NCT00084136 (18) [back to overview] | Plasma HIV-1 Viral Load Fewer Than 400 Copies/ml (PI Comparison) |
NCT00084136 (18) [back to overview] | Plasma HIV-1 Viral Load Fewer Than 400 Copies/ml (NRTI Comparison) |
NCT00084136 (18) [back to overview] | Change in CD4 Count From Screening to Weeks 24, 48, 96 (PI Comparison) |
NCT00084136 (18) [back to overview] | Time to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(NRTI Comparison) |
NCT00084136 (18) [back to overview] | Change in CD4 Count From Screening to Weeks 24, 48, 96 (NRTI Comparison) |
NCT00084136 (18) [back to overview] | Time to Loss of Virologic Response at Week 96 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(NRTI Comparison) |
NCT00118898 (22) [back to overview] | Cumulative Probability of Not Experiencing a Grade 3/4 Safety Event |
NCT00118898 (22) [back to overview] | Cumulative Probability of Not Experiencing Regimen Failure |
NCT00118898 (22) [back to overview] | Cumulative Probability of Not Experiencing Treatment Modification |
NCT00118898 (22) [back to overview] | Cumulative Probability of Not Experiencing Virologic Failure |
NCT00118898 (22) [back to overview] | Number of Participants Experiencing Certain Targeted Clinical Events, Including Death, AIDS-defining Illness, and HIV-1 Related Events. |
NCT00118898 (22) [back to overview] | Number of Participants With HIV-1 RNA Levels Less Than 200 Copies/mL |
NCT00118898 (22) [back to overview] | The Number of Participants With HIV-1 RNA Levels Less Than 50 Copies/mL |
NCT00118898 (22) [back to overview] | Time From Randomization to Virologic Failure |
NCT00118898 (22) [back to overview] | Time From Treatment Dispensation to a Grade 3/4 Safety Event |
NCT00118898 (22) [back to overview] | Time From Treatment Dispensation to Regimen Failure (First Occurrence of Virologic Failure or Treatment Modification) |
NCT00118898 (22) [back to overview] | Time From Treatment Dispensation to Treatment Modification |
NCT00118898 (22) [back to overview] | Number of Participants With Regimen Failure |
NCT00118898 (22) [back to overview] | Amount of Study Follow-up |
NCT00118898 (22) [back to overview] | Number of Participants With a Grade 3/4 Safety Event |
NCT00118898 (22) [back to overview] | Number of Participants With Treatment Modification |
NCT00118898 (22) [back to overview] | Number of Participants With Virologic Failure |
NCT00118898 (22) [back to overview] | Number of Participants With Virologic Failure and Emergence of Major Resistance |
NCT00118898 (22) [back to overview] | Change in CD4 Count (Cells/mm3) From Baseline |
NCT00118898 (22) [back to overview] | Change in Fasting High-density Lipoprotein (HDL) Cholesterol Level From Baseline |
NCT00118898 (22) [back to overview] | Change in Fasting Non-high Density Lipoprotein (Non-HDL) Cholesterol Level From Baseline |
NCT00118898 (22) [back to overview] | Change in Fasting Total Cholesterol Level From Baseline |
NCT00118898 (22) [back to overview] | Change in Fasting Triglyceride Level From Baseline |
NCT00135356 (18) [back to overview] | Mean Changes From Baseline in Fasting Glucose at Week 48 and Week 96 |
NCT00135356 (18) [back to overview] | Change From Baseline in Trunk-to-limb Fat Ratio as Measured by DEXA at Week 96 |
NCT00135356 (18) [back to overview] | Change From Baseline in Trunk-to-limb Fat Ratio as Measured by Dual Energy X-Ray Absortiometry (DEXA) at Week 48 |
NCT00135356 (18) [back to overview] | Kaplan-Meier Cumulative Proportion of Participants Without Virologic Rebound (HIV RNA ≥400 c/mL) at Timepoints up to Week 96 in Treated Participants With HIV RNA <400 c/mL at Baseline |
NCT00135356 (18) [back to overview] | Mean Change From Baseline in CD4 Count |
NCT00135356 (18) [back to overview] | Mean Changes From Baseline in Fasting Insulin at Week 48 and Week 96 |
NCT00135356 (18) [back to overview] | Mean Percent Change From Baseline in Visceral Adipose Tissue (VAT) Area by Computed Tomography (CT) Scans and in Trunk Fat by DEXA. |
NCT00135356 (18) [back to overview] | Mean Changes From Baseline in Fasting Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) |
NCT00135356 (18) [back to overview] | Mean Changes From Baseline in Body Mass Index at Week 48 and Week 96 |
NCT00135356 (18) [back to overview] | Mean Changes From Baseline in Body Weight at Week 48 and Week 96 |
NCT00135356 (18) [back to overview] | Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, and AEs Leading to Discontinuation |
NCT00135356 (18) [back to overview] | Percentage of Participants With Adverse Events (AEs) Leading to Discontinuation |
NCT00135356 (18) [back to overview] | Percentage of Participants With Abnormal Liver Function Tests |
NCT00135356 (18) [back to overview] | Mean Percent Changes From Baseline in Fasting Lipids |
NCT00135356 (18) [back to overview] | Mean Percent Change From Baseline in Total Body Fat by DEXA and in Total Adipose Tissue (TAT) Area by CT Scans |
NCT00135356 (18) [back to overview] | Mean Percent Change From Baseline in Peripheral Adipose Tissue (Limb Fat) by DEXA and by Changes in Subcutaneous Adipose Tissue (SAT) Area by CT Scans |
NCT00135356 (18) [back to overview] | Mean Changes From Baseline in Waist-to-Hip Ratio at Week 48 and Week 96 |
NCT00135356 (18) [back to overview] | Mean Changes From Baseline in Waist Circumference at Week 48 and Week 96 |
NCT00207142 (17) [back to overview] | Change From Baseline in CD4 Cell Count at Week 48 of Rescue Phase |
NCT00207142 (17) [back to overview] | Kaplan-Meier Cumulative Proportion for Treatment Failure (HIV-1 RNA ≥50 c/mL) at Different Time Points Through Week 48 of the Maintenance Phase |
NCT00207142 (17) [back to overview] | Change From Baseline in CD4 Cell Count at Week 24 of Induction Phase |
NCT00207142 (17) [back to overview] | Treatment Outcomes Based on Viral Loads (HIV-1 RNA ≥50 c/mL) Through the End of Rescue Phase |
NCT00207142 (17) [back to overview] | Treatment Outcomes Based on Viral Loads (HIV-1 RNA ≥400 c/mL) Through the End of Rescue Phase |
NCT00207142 (17) [back to overview] | Time to Suppression (Confirmed HIV-1 RNA < 50 c/mL) During Treatment Phase |
NCT00207142 (17) [back to overview] | Time to Suppression (Confirmed HIV-1 RNA < 400 c/mL) During Treatment Phase |
NCT00207142 (17) [back to overview] | Summary of Adverse Events During Rescue Phase |
NCT00207142 (17) [back to overview] | Summary of Adverse Events During Maintenance Phase |
NCT00207142 (17) [back to overview] | Summary of Adverse Events During Induction Phase |
NCT00207142 (17) [back to overview] | Percent Change From End of Induction Phase in Fasting Lipids at Week 48 of Maintenance Phase |
NCT00207142 (17) [back to overview] | Kaplan-Meier Cumulative Proportion for Treatment Failure (HIV-1 RNA ≥400 c/mL) at Different Time Points Through Week 48 of the Maintenance Phase |
NCT00207142 (17) [back to overview] | Percentage of Participants With HIV-1 RNA <50 Copies/mL (c/mL) Through Week 48 of the Maintenance Phase |
NCT00207142 (17) [back to overview] | Percentage of Participants With HIV-1 RNA <400 c/mL Through Week 48 of the Maintenance Phase |
NCT00207142 (17) [back to overview] | Change From End of Induction Phase in CD4 Cell Count at Week 48 of Maintenance Phase |
NCT00207142 (17) [back to overview] | Change From Baseline in HIV-1 RNA at Week 48 of the Rescue Phase |
NCT00207142 (17) [back to overview] | Change From Baseline in HIV-1 RNA at Week 24 of the Induction Phase |
NCT00225017 (3) [back to overview] | Changes in LDL Particle Number From Baseline to Week 24 |
NCT00225017 (3) [back to overview] | Percentage Change in Brachial Artery Flow Mediated (FMD) Vasodilation Between Arms From Baseline to Week 24 |
NCT00225017 (3) [back to overview] | Change in Total Cholesterol Levels From Baseline to Week 24 |
NCT00242216 (2) [back to overview] | Proportion of Patient With Viral Load Less Than 400 Copies/mL |
NCT00242216 (2) [back to overview] | CD4 Cell Count Change From Baseline During Treatment. |
NCT00272779 (88) [back to overview] | Minimum Plasma Concentration (Cmin) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) |
NCT00272779 (88) [back to overview] | Mean Changes in Fasting Insulin at Week 96 |
NCT00272779 (88) [back to overview] | Mean Changes in Fasting Glucose at Week 96 |
NCT00272779 (88) [back to overview] | Mean Changes From Baseline in Body Weight at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change in Weight From Baseline at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change in Fasting Insulin at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change in Fasting Glucose at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change in Body Mass Index (BMI) in Participants at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Waist-to-hip-ratio at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Waist Circumference at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Waist Circumference at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Trunk-to-limb Fat Ratio Measured by DEXA at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Trunk-to-Limb Fat Ratio as Measured by Dual Energy X-ray Absorptiometry (DEXA) at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in CD4 Cell Count at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Body Weight at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Body Weight at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in BMI at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in BMI at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in BMI at Week 48 |
NCT00272779 (88) [back to overview] | Maximum Plasma Concentration (Cmax) of ATV/RTV and LPV/RTV in the Presence of an Antiretroviral (ARV) Regimen Including TDF at Week 4 |
NCT00272779 (88) [back to overview] | Inhibitory Quotient (IQ) of ATV and LPV When Dosed With RTV at Week 4 |
NCT00272779 (88) [back to overview] | Cmin of Tenofovir at Week 4 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Waist-to-hip-ratio at Week 96 |
NCT00272779 (88) [back to overview] | Cmax of Tenofovir at Week 4 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in VAT Associated With RETN_730 |
NCT00272779 (88) [back to overview] | Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA |
NCT00272779 (88) [back to overview] | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 |
NCT00272779 (88) [back to overview] | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 |
NCT00272779 (88) [back to overview] | Cmax of RTV at Week 4 |
NCT00272779 (88) [back to overview] | AUC (TAU) of Tenofovir at Week 4 |
NCT00272779 (88) [back to overview] | AUC (0-24) of RTV at Week 4 |
NCT00272779 (88) [back to overview] | Area Under the Concentration-time Curve, in One Dosing Interval [AUC(TAU)] of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
NCT00272779 (88) [back to overview] | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 |
NCT00272779 (88) [back to overview] | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 |
NCT00272779 (88) [back to overview] | Mean Changes in Fasting Lipids at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change in Fasting Lipid at Week 48 |
NCT00272779 (88) [back to overview] | Cmin of RTV at Week 4 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 |
NCT00272779 (88) [back to overview] | Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
NCT00272779 (88) [back to overview] | Terminal Elimination Half-life (T-half) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
NCT00272779 (88) [back to overview] | Reduction of log10 HIV RNA Levels From Baseline to Week 48 |
NCT00272779 (88) [back to overview] | Reduction of log10 HIV RNA Levels From Baseline at Week 96 |
NCT00272779 (88) [back to overview] | Protein Binding Adjusted Effective Concentration (EC-90) of ATV and LPV When Dosed With RTV at Week 4 |
NCT00272779 (88) [back to overview] | Percentage of Participants With Lipoatrophy at Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With HIV RNA < 50 c/mL) at Week 96 |
NCT00272779 (88) [back to overview] | Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980 |
NCT00272779 (88) [back to overview] | Number of Participants With HIV RNA < 400 c/mL) at Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With HIV RNA < 400 c/mL at Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Confirmed Plasma HIV RNA < 400 c/mL at Week 48 (Defined by the Food and Drug Administration [FDA] Time to Loss of Virologic Response [TLOVR] Algorithm) |
NCT00272779 (88) [back to overview] | Number of Participants Who Adhered to Regimen as Measured by Multicenter AIDS Cohort Study Adherence Questionnaire (MACS) at Week 48 |
NCT00272779 (88) [back to overview] | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 |
NCT00272779 (88) [back to overview] | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 |
NCT00272779 (88) [back to overview] | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 |
NCT00326716 (27) [back to overview] | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT00326716 (27) [back to overview] | Number of Participants With Grade 2 to Grade 4 AEs and SAEs |
NCT00326716 (27) [back to overview] | SAEs in Enrolled Infants |
NCT00326716 (27) [back to overview] | SAEs in Enrolled Mothers |
NCT00326716 (27) [back to overview] | Infant Gestational Age at Delivery |
NCT00326716 (27) [back to overview] | Mean ATV Area Under the Concentration Curve (AUC TAU) |
NCT00326716 (27) [back to overview] | Mean ATV Maximum Plasma Concentration (Cmax) in One Dosing Interval |
NCT00326716 (27) [back to overview] | Mean ATV Terminal Elimination Half Life (T 1/2) |
NCT00326716 (27) [back to overview] | Mean ATV Time of Maximum Observed Plasma Concentration (Tmax) |
NCT00326716 (27) [back to overview] | Mean ATV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose |
NCT00326716 (27) [back to overview] | Mean CD4 Cell Count at Baseline |
NCT00326716 (27) [back to overview] | Mean HIV RNA Level at Baseline |
NCT00326716 (27) [back to overview] | Mean RTV Area Under the Concentration Curve (AUC TAU) |
NCT00326716 (27) [back to overview] | Mean RTV Maximum Plasma Concentration (Cmax) in One Dosing Interval |
NCT00326716 (27) [back to overview] | Mean RTV Terminal Elimination Half Life (T 1/2) |
NCT00326716 (27) [back to overview] | Mean RTV Time of Maximum Observed Plasma Concentration (Tmax) |
NCT00326716 (27) [back to overview] | Mean RTV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose |
NCT00326716 (27) [back to overview] | Median Change From Baseline to Day of Delivery in Maternal Cluster of Differentiation 4 (CD4) Cell Count |
NCT00326716 (27) [back to overview] | Median Change From Baseline to Day of Delivery in Maternal HIV RNA Level |
NCT00326716 (27) [back to overview] | Infant Gender |
NCT00326716 (27) [back to overview] | Infant HIV Status |
NCT00326716 (27) [back to overview] | Infant Race |
NCT00326716 (27) [back to overview] | Maternal HIV Ribonucleic Acid (RNA) Level on Day of Delivery |
NCT00326716 (27) [back to overview] | Mean Atazanavir Maternal Plasma Concentration and Neonatal Cord Blood Concentration |
NCT00326716 (27) [back to overview] | Mean Atazanavir Plasma Protein Binding |
NCT00326716 (27) [back to overview] | Median Infant Total Bilirubin Level |
NCT00326716 (27) [back to overview] | Multicenter AIDS Cohort Study (MACS) Participant Adherence to Regimen and Drug Components for ATV 300 mg / RTV 100 mg Test Dose |
NCT00335322 (2) [back to overview] | Time Weighted Mean Change From Baseline Plasma HIV-RNA |
NCT00335322 (2) [back to overview] | Time-weighted Mean Change From Baseline Plasma HIV-RNA. |
NCT00337467 (13) [back to overview] | Cumulative Proportion of Participants Without Treatment Failure Through Week 100 |
NCT00337467 (13) [back to overview] | Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 24 |
NCT00337467 (13) [back to overview] | Mean Change From Baseline in CD4 Cell Count at Week 96 |
NCT00337467 (13) [back to overview] | Mean Change From Baseline in CD4 Cell Count at Week 48 |
NCT00337467 (13) [back to overview] | Percentage of Participants With Treatment Failure Through Week 48 |
NCT00337467 (13) [back to overview] | Mean Percent Changes From Baseline in Fasting Total Cholesterol, High Density Lipoprotein (HDL) Cholesterol, Non-HDL Cholesterol, Low Density Lipoprotein (LDL) Cholesterol, and Triglycerides at Week 48 |
NCT00337467 (13) [back to overview] | Mean Percent Changes From Baseline in Fasting Total Cholesterol, High Density Lipoprotein (HDL) Cholesterol, Non-HDL Cholesterol, Low Density Lipoprotein (LDL) Cholesterol, and Triglycerides at Week 96 |
NCT00337467 (13) [back to overview] | Number of Participants With Genotype Substitutions for Virologic Rebounds (HIV-RNA ≥ 400 c/mL) Through Week 48 |
NCT00337467 (13) [back to overview] | Number of Participants With Genotype Substitutions for Virologic Rebounds (HIV-RNA ≥ 400 c/mL) Through Week 96 |
NCT00337467 (13) [back to overview] | Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, and Discontinuations Due to AEs |
NCT00337467 (13) [back to overview] | Percentage of Participants With Treatment Failure Through Week 96 |
NCT00337467 (13) [back to overview] | Percentage of Participants With Virological Rebound Through Week 48 |
NCT00337467 (13) [back to overview] | Percentage of Participants With Virological Rebound Through Week 96 |
NCT00389207 (34) [back to overview] | Change in Framingham Score From Baseline |
NCT00389207 (34) [back to overview] | Proportion of Patients With Virological Rebound With VL >=50 Copies/mL After CVR (Confirmed Virological Response) at Week 24, 48, 96, 144 |
NCT00389207 (34) [back to overview] | Change in Physical Health Summary (PHS) Score From Baseline |
NCT00389207 (34) [back to overview] | Change in the Calculated Glomerular Filtration Rate (GFR) at Week 48, 96 and 144 |
NCT00389207 (34) [back to overview] | Change of Cholesterol Values From Baseline to Week 48, 96, 144 |
NCT00389207 (34) [back to overview] | Change of hsCRP From Baseline to Week 48, 96, 144 |
NCT00389207 (34) [back to overview] | Change of Total Cholesterol to HDL-cholesterol Ratio From Baseline to Week 48, 96, 144 |
NCT00389207 (34) [back to overview] | Change of Total Triglycerides From Baseline to Week 48, 96, 144 |
NCT00389207 (34) [back to overview] | Changes of Apolipoprotein Values From Baseline to Week 48, 96, 144 |
NCT00389207 (34) [back to overview] | Genotypic Resistance Associated With Virologic Failure |
NCT00389207 (34) [back to overview] | Glycaemic Abnormalities |
NCT00389207 (34) [back to overview] | Lipodystrophy |
NCT00389207 (34) [back to overview] | Non-scheduled Physician Visits |
NCT00389207 (34) [back to overview] | Number of Patients Hospitalized |
NCT00389207 (34) [back to overview] | Change in CD4+ Count From Baseline |
NCT00389207 (34) [back to overview] | Proportion of Patients With Virologic Failure at Week 48, 96, 144 |
NCT00389207 (34) [back to overview] | Proportion of Patients With Virological Rebound With VL >=400 Copies/mL After CVR at Week 24, 48, 96, 144 |
NCT00389207 (34) [back to overview] | Proportion of Patients With VL < 400 Copies/ml |
NCT00389207 (34) [back to overview] | Proportion of Patients With VL < 50 Copies/ml |
NCT00389207 (34) [back to overview] | Serum Lipid Abnormalities |
NCT00389207 (34) [back to overview] | Treatment Response at Week 144 |
NCT00389207 (34) [back to overview] | Treatment Response at Week 48 |
NCT00389207 (34) [back to overview] | Treatment Response at Week 48 (TLOVR Algorithm) |
NCT00389207 (34) [back to overview] | Treatment Response at Week 96 |
NCT00389207 (34) [back to overview] | Treatment-emergent AIDS-defining Illness |
NCT00389207 (34) [back to overview] | Treatment-emergent AIDS-defining Illness Leading to Death |
NCT00389207 (34) [back to overview] | Proportion of Patients With >= DAIDS Grade 2 Laboratory Abnormalities |
NCT00389207 (34) [back to overview] | Change in Mental Health Summary (MHS) Score From Baseline |
NCT00389207 (34) [back to overview] | Proportion of Patients Reporting CNS (Central Nervous System) Side Effects of Any Severity |
NCT00389207 (34) [back to overview] | Proportion of Patients Reporting Hepatic Events of Any Severity |
NCT00389207 (34) [back to overview] | Proportion of Patients Reporting Rash of Any Severity |
NCT00389207 (34) [back to overview] | Time to Loss of Virologic Response (Rebound) |
NCT00389207 (34) [back to overview] | Time to Treatment Failure |
NCT00389207 (34) [back to overview] | Time to Treatment Response (First Confirmed VL<50 Copies/mL) |
NCT00413153 (9) [back to overview] | Glucose Trafficking |
NCT00413153 (9) [back to overview] | Fasting Glucose |
NCT00413153 (9) [back to overview] | Body Composition - Visceral Adipose Tissue |
NCT00413153 (9) [back to overview] | Total Bilirubin |
NCT00413153 (9) [back to overview] | Liver Enzymes -- Aspartate Aminotransferase (AST) |
NCT00413153 (9) [back to overview] | Liver Enzymes -- Alanine Aminotransferase (ALT) |
NCT00413153 (9) [back to overview] | Lipid Metabolism - Serum Triglyceride |
NCT00413153 (9) [back to overview] | Insulin Sensitivity |
NCT00413153 (9) [back to overview] | Immune Parameters -- CD4 Count |
NCT00440947 (26) [back to overview] | Number of Participants Who Met the PDVF Criteria at Week 84 |
NCT00440947 (26) [back to overview] | Number of Participants Who Met the Protocol-defined Virologic Failure (PDVF) Criteria at Week 36 |
NCT00440947 (26) [back to overview] | Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 Visit |
NCT00440947 (26) [back to overview] | Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 Visit |
NCT00440947 (26) [back to overview] | Percentage of Participants Who Achieved Plasma HIV-1 RNA <400 c/ml at the Week 36 Visit |
NCT00440947 (26) [back to overview] | Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 Visit |
NCT00440947 (26) [back to overview] | Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 Visit |
NCT00440947 (26) [back to overview] | Mean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized Phase |
NCT00440947 (26) [back to overview] | Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 Visit |
NCT00440947 (26) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 Visit |
NCT00440947 (26) [back to overview] | Mean Percent Compliance at Week 144 |
NCT00440947 (26) [back to overview] | Mean Percent Compliance at Week 36 |
NCT00440947 (26) [back to overview] | Mean Percent Compliance at Week 84 |
NCT00440947 (26) [back to overview] | Number of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir |
NCT00440947 (26) [back to overview] | Number of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir |
NCT00440947 (26) [back to overview] | Number of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir |
NCT00440947 (26) [back to overview] | Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36 |
NCT00440947 (26) [back to overview] | Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84 |
NCT00440947 (26) [back to overview] | Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144 |
NCT00440947 (26) [back to overview] | Number of Participants Who Met the PDVF Criteria at Week 144 |
NCT00440947 (26) [back to overview] | Change From Baseline in CD4+ Cell Count at Week 144 |
NCT00440947 (26) [back to overview] | Change From Baseline in CD4+ Cell Count at Week 36 |
NCT00440947 (26) [back to overview] | Change From Baseline in CD4+ Cell Count at Week 84 |
NCT00440947 (26) [back to overview] | Change From Baseline in HIV-1 RNA at Week 144 |
NCT00440947 (26) [back to overview] | Change From Baseline in HIV-1 RNA at Week 36 |
NCT00440947 (26) [back to overview] | Change From Baseline in HIV-1 RNA at Week 84 |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 48. |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 24 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 2 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 12 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 6 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 8 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With Loss of Virologic Response Following Confirmed Virologic Response |
NCT00552240 (46) [back to overview] | Number of Participants With Virologic Response (VR) |
NCT00552240 (46) [back to overview] | Number of Participants With Virologic Response According to the Time to Loss of Virologic Response (TLOVR) Algorithm |
NCT00552240 (46) [back to overview] | Number of Participants With Virologic Success (FDA Definition) |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 48 of Treatment |
NCT00552240 (46) [back to overview] | Number of Patients With Virologic Rebound to >400 Copies/ml |
NCT00552240 (46) [back to overview] | Proportion of Patients With DAIDS Grade >= 2 Laboratory Abnormalities |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 4 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 36 of Treatment |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 6. |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 8. |
NCT00552240 (46) [back to overview] | Change in Fasting High Density Lipoprotein (HDL) Cholesterol Level |
NCT00552240 (46) [back to overview] | Change in Fasting Low Density Lipoprotein (LDL)Cholesterol Level |
NCT00552240 (46) [back to overview] | Change in Fasting Plasma Total Cholesterol Level |
NCT00552240 (46) [back to overview] | Change in Fasting Plasma Triglycerides Level |
NCT00552240 (46) [back to overview] | Change in Fasting Total Cholesterol to High Density Lipoprotein (HDL) Ratio |
NCT00552240 (46) [back to overview] | Change in Framingham Score |
NCT00552240 (46) [back to overview] | Change in Glomerular Filtration Rate (GFR) From Baseline to Week 48 |
NCT00552240 (46) [back to overview] | Percentage Adherence by Pill Count |
NCT00552240 (46) [back to overview] | Proportion of Patients Reporting CNS Side Effects of Any Severity |
NCT00552240 (46) [back to overview] | Proportion of Patients Reporting Hepatic Events of Any Severity |
NCT00552240 (46) [back to overview] | Proportion of Patients Reporting Rash of Any Severity |
NCT00552240 (46) [back to overview] | Time to Virologic Response (First Confirmed Viral Load < 50 Copies/ml), All Participants |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 50 Copies/ml at Week 48 |
NCT00552240 (46) [back to overview] | Incidence of Patients With AIDS Progression at Each Visit |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 12 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 2 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 24 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 36 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 4 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 48 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 6 of Treatment |
NCT00552240 (46) [back to overview] | Number of Participants With HIV Viral Load < 400 Copies/ml at Week 8 of Treatment |
NCT00552240 (46) [back to overview] | AIDS Progression and Death: Number of Patients With a Treatment-emergent AIDS Defining Illness or an AIDS-defining Illness Leading to Death |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 12. |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 2. |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 24. |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 36. |
NCT00552240 (46) [back to overview] | Change in CD4+ Cell Count From Baseline to Week 4. |
NCT00552240 (46) [back to overview] | Time to Virologic Response (First Confirmed Viral Load < 50 Copies/ml), Only Participants With Confirmed Viral Load < 50 Copies/ml |
NCT00646776 (26) [back to overview] | Tmax of RTV |
NCT00646776 (26) [back to overview] | Total Area Under the Plasma Concentration-time Curve (AUCtot) |
NCT00646776 (26) [back to overview] | Number of Participants With Marked Abnormalities (MAs) in Hematology: Hemoglobin, Hematocrit, Platelet Count and Leukocytes |
NCT00646776 (26) [back to overview] | Number of Participants With MAs in Hematology: Neutrophils + Bands (Absolute), Lymphocytes (Absolute), Monocytes (Absolute), Basophils (Absolute) and Eosinophils (Absolute) |
NCT00646776 (26) [back to overview] | Number of Participants With MAs in Serum Chemistry: Alkaline Phosphatase (ALP),Aspartate Aminotransferase (AST),Alanine Aminotransferase (ALT),Bilirubin (Total),Bilirubin (Direct),Blood Urea Nitrogen (BUN),Creatinine,Sodium (Serum),Potassium (Serum) |
NCT00646776 (26) [back to overview] | Number of Participants With MAs in Serum Chemistry: Chloride (Serum), Calcium (Total), Protein (Total), Bicarbonate, Phosphorous (Inorganic) |
NCT00646776 (26) [back to overview] | Number of Participants With MAs in Serum Chemistry: Glucose (Fasting Serum), Albumin, Creatine Kinase, Uric Acid, Lactate Dehydrogenase (LDH) |
NCT00646776 (26) [back to overview] | Number of Participants With MAs in Urinalysis |
NCT00646776 (26) [back to overview] | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation. |
NCT00646776 (26) [back to overview] | AUC(TAU) for ATV |
NCT00646776 (26) [back to overview] | AUC(TAU) for RTV |
NCT00646776 (26) [back to overview] | AUC24avg for 25-O-Desacetyl-RIB |
NCT00646776 (26) [back to overview] | Average Area Under the Plasma Concentration-time Curve for 24 Hours (AUC24avg) for Rifabutin (RIB) |
NCT00646776 (26) [back to overview] | Cmax of 25-O-Desacetylrifabutin (25-O-Desacetyl-RIB) |
NCT00646776 (26) [back to overview] | Cmax of ATV |
NCT00646776 (26) [back to overview] | Cmax of RTV |
NCT00646776 (26) [back to overview] | Cmin of 25-O-Desacetyl-RIB |
NCT00646776 (26) [back to overview] | Cmin of ATV |
NCT00646776 (26) [back to overview] | Cmin of RTV |
NCT00646776 (26) [back to overview] | Maximum Plasma Concentration (Cmax) of RIB |
NCT00646776 (26) [back to overview] | Minimum Plasma Concentration (Cmin) of RIB |
NCT00646776 (26) [back to overview] | Number of Participants With Clinically Significant Vital Signs or Physical Examination Findings |
NCT00646776 (26) [back to overview] | Number of Participants With Identified Electrocardiogram (ECG) Abnormalities |
NCT00646776 (26) [back to overview] | T-half of RTV |
NCT00646776 (26) [back to overview] | Terminal Elimination Half-life (T-half) of ATV |
NCT00646776 (26) [back to overview] | Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV |
NCT00756730 (8) [back to overview] | HDL Cholesterol at Week 24 |
NCT00756730 (8) [back to overview] | At Week 24 the Percentage of Subjects That Had Triglycerides Less Than 200 mg/dL |
NCT00756730 (8) [back to overview] | Difference in CD4 From Baseline to Week 24 |
NCT00756730 (8) [back to overview] | LDL Cholesterol at Week 24 |
NCT00756730 (8) [back to overview] | Percentage of Patients That Experience 10% Decline in Triglycerides From Baseline to Week 24. |
NCT00756730 (8) [back to overview] | The Change in Fasting Triglyceride Level From Baseline to Week 24 |
NCT00756730 (8) [back to overview] | Total Cholesterol in the Two Study Groups at 24 Weeks |
NCT00756730 (8) [back to overview] | Percent of Patients With HIV VL <200 Copies/mL at Week 4, 12 & 24 |
NCT00757783 (16) [back to overview] | Change From Baseline in CD4 Cell Count at Week 12 and 48, Observed Values. |
NCT00757783 (16) [back to overview] | Change From Baseline in Apolipoprotein B in the LE Set at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Antiviral Activity, Human Immunodeficiency Virus Type 1 (HIV-1) RNA. |
NCT00757783 (16) [back to overview] | Change From Baseline in Total Cholesterol (TC) Levels in the LE Set at Week 12 and 48 |
NCT00757783 (16) [back to overview] | Change From Baseline in TC/HDL Ratio in the LE Set at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in Low Density Lipoprotein (LDL) Direct in the LE Set at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in Insulin at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in Glucose at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in Homeostasis Model Assessment-Insulin Resistance (HOMA-IR) at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in HIV-1 RNA Viral Load at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in High Density Lipoprotein (HDL) in the LE Set at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in Fasting Triglyceride (TG) Levels in the Lipid Evaluable (LE) Set at Week12 |
NCT00757783 (16) [back to overview] | Change From Baseline in Apolipoprotein A1 in the LE Set at Week 12 and 48. |
NCT00757783 (16) [back to overview] | Change From Baseline in Cluster of Differentiation (CD) 4 Percent at Week 12 and 48, Last Observation Carried Forward (LOCF). |
NCT00757783 (16) [back to overview] | Number of Participants With Antiviral Activity, HIV-1 RNA, Missing Values as Treatment Failure (M=F) |
NCT00757783 (16) [back to overview] | Change From Baseline in Cluster of Differentiation (CD) 4 Cell Count at Week 12 and 48, Last Observation Carried Forward (LOCF). |
NCT00762892 (5) [back to overview] | Change From Baseline in Lipids at 48 Weeks |
NCT00762892 (5) [back to overview] | Change From Baseline in CD4 Count at 48 Weeks |
NCT00762892 (5) [back to overview] | Change From Baseline in Homocysteine at 6 Months |
NCT00762892 (5) [back to overview] | Change From Baseline in Interleukin-6 (IL-6) at 48 Weeks |
NCT00762892 (5) [back to overview] | Change From Baseline in Log HIV Viral Load at 48 Weeks |
NCT00768989 (28) [back to overview] | Atazanavir Individual Inhibitory Quotient (IQ) |
NCT00768989 (28) [back to overview] | Atazanavir Area Under the Concentration Curve From Time 0 to 24 Hours (AUC [0-24h]) in 1 Dosing Interval |
NCT00768989 (28) [back to overview] | Atazanavir Cmin Prior to the Morning Dose |
NCT00768989 (28) [back to overview] | Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Death as Outcome, AEs Leading to Discontinuation, SAEs Leading to Discontinuation |
NCT00768989 (28) [back to overview] | Atazanavir Terminal Elimination Half Life |
NCT00768989 (28) [back to overview] | Atazanavir Maximum Observed Plasma Concentration (Cmax) in 1 Dosing Interval |
NCT00768989 (28) [back to overview] | Number of Participants With Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) Level <50 Copies/mL at Week 24 |
NCT00768989 (28) [back to overview] | Number of Participants With HIV RNA Levels <400 Copies/mL at Week 24 |
NCT00768989 (28) [back to overview] | Number of Participants With Hematology Laboratory Test Results With Worst Toxicity of Grades 1 to 4 Among All Treated Participants |
NCT00768989 (28) [back to overview] | Number of Participants With Enzyme and Urine Laboratory Test Results With Worst Toxicity of Grades 1 to 4 |
NCT00768989 (28) [back to overview] | Number of Participants With Blood Chemistry Laboratory Test Results With Worst Toxicity of Grades 1 to 4 (Continued) |
NCT00768989 (28) [back to overview] | Number of Participants With Blood Chemistry Laboratory Test Results With Worst Toxicity of Grades 1 to 4 |
NCT00768989 (28) [back to overview] | Mean Change From Baseline in Electrocardiogram Findings |
NCT00768989 (28) [back to overview] | Mean Change From Baseline in Total Bilirubin Level |
NCT00768989 (28) [back to overview] | Mean Change From Baseline in Absolute Cluster of Differentiation 4 Cell Count |
NCT00768989 (28) [back to overview] | Baseline and Mean Change From Baseline in Total Cholesterol Levels |
NCT00768989 (28) [back to overview] | Raltegravir Tmax |
NCT00768989 (28) [back to overview] | Raltegravir Terminal Elimination Half Life |
NCT00768989 (28) [back to overview] | Raltegravir Cmin Prior to the Morning Dose |
NCT00768989 (28) [back to overview] | Raltegravir Cmin 12 Hours Postdose |
NCT00768989 (28) [back to overview] | Raltegravir Cmax in 1 Dosing Interval |
NCT00768989 (28) [back to overview] | Raltegravir AUC (0-12h) in 1 Dosing Interval |
NCT00768989 (28) [back to overview] | Number of Participants With HIV RNA Levels <50 Copies/mL at Weeks 48 and 96 |
NCT00768989 (28) [back to overview] | Number of Nonresponders at Week 8 |
NCT00768989 (28) [back to overview] | Atazanavir Trough Plasma Concentration (Cmin) 12 Hours Postdose |
NCT00768989 (28) [back to overview] | Atazanavir Time of Maximum Observed Plasma Concentration (Tmax) |
NCT00768989 (28) [back to overview] | Number of Participants With HIV RNA Levels <400 Copies/mL at Week 48 |
NCT00768989 (28) [back to overview] | Atazanavir Area Under the Concentration Curve From Time 0 to 12 Hours (AUC [0-12h]) in 1 Dosing Interval |
NCT00811954 (19) [back to overview] | Self-reported Adherence |
NCT00811954 (19) [back to overview] | Change in Waist:Height Ratio From Baseline |
NCT00811954 (19) [back to overview] | Presence of Mutations Associated With NRTI Resistance |
NCT00811954 (19) [back to overview] | Cumulative Probability of First Virologic Failure by Week 96 |
NCT00811954 (19) [back to overview] | Cumulative Probability of Time to Loss of Virologic Response (TLOVR) by Week 96 |
NCT00811954 (19) [back to overview] | Incidence of Death or AIDS Defining Events (CDC Category C) |
NCT00811954 (19) [back to overview] | Incidence of Targeted Serious Non-AIDS Defining Events (Renal Failure, Liver Disease, Serious Metabolic Disorder, and CVD) |
NCT00811954 (19) [back to overview] | Presence of Mutations Associated With ATV/RTV or DRV/RTV Resistance |
NCT00811954 (19) [back to overview] | Presence of Mutations Associated With INI Resistance |
NCT00811954 (19) [back to overview] | CD4+ T-cell Count |
NCT00811954 (19) [back to overview] | CD4+ T-cell Count Changes From Baseline |
NCT00811954 (19) [back to overview] | Change in Fasting HDL Cholesterol Level From Baseline |
NCT00811954 (19) [back to overview] | Change in Fasting Plasma Glucose Level From Baseline |
NCT00811954 (19) [back to overview] | Change in Fasting Total Cholesterol Level From Baseline |
NCT00811954 (19) [back to overview] | Change in Fasting Triglycerides Level From Baseline |
NCT00811954 (19) [back to overview] | Change in Framingham 10-year Risk of MI or Coronary Death From Baseline |
NCT00811954 (19) [back to overview] | Change in Waist Circumference From Baseline |
NCT00811954 (19) [back to overview] | Cumulative Incidence of Discontinuation of the RAL or PI Component of Randomized Treatment for Toxicity by Week 96 |
NCT00811954 (19) [back to overview] | Cumulative Incidence of First Adverse Event by Week 96 |
NCT00814879 (6) [back to overview] | Cholesterol |
NCT00814879 (6) [back to overview] | Number of Patients With < 400 Copies HIV RNA/mL at Week 48 |
NCT00814879 (6) [back to overview] | Number of Patients Reaching Virologic Failure at Week 48. |
NCT00814879 (6) [back to overview] | Mean Change in Total Bilirubin (mg/dL) From Baseline |
NCT00814879 (6) [back to overview] | CD4+ Cell Count |
NCT00814879 (6) [back to overview] | CD4+ Cell Count |
NCT00827112 (16) [back to overview] | Number of Participants With Phenotypic Resistance |
NCT00827112 (16) [back to overview] | Percentage of Participants With Plasma Human Immuno Deficiency Virus-1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than 50 Copies/Milliliter (mL) |
NCT00827112 (16) [back to overview] | Time to Loss of Virological Response (TLOVR) |
NCT00827112 (16) [back to overview] | Change From Baseline in Cluster of Differentiation 4+T Lymphocyte (CD4) Cell Counts at Weeks 16, 24, 48 and 96 |
NCT00827112 (16) [back to overview] | Change From Baseline in Cluster of Differentiation 8+T Lymphocyte (CD8) Cell Count at Weeks 16, 24, 48 and 96 |
NCT00827112 (16) [back to overview] | Change From Baseline in HIV-1 RNA Levels of First 15 Participants at Days 4, 7, 10 and 14 |
NCT00827112 (16) [back to overview] | Change From Baseline in Plasma log10 Viral Load at Weeks 16, 24, 48 and 96 |
NCT00827112 (16) [back to overview] | Percentage of Participants With Less Than 400 Copies/mL of HIV-1 RNA |
NCT00827112 (16) [back to overview] | Percentage of Participants With Less Than 50 Copies/mL of HIV-1 RNA |
NCT00827112 (16) [back to overview] | Time-Averaged Difference (TAD) in log10 Viral Load |
NCT00827112 (16) [back to overview] | Number of Participants With HIV-1 RNA Tropism Status Using Trofile Assay |
NCT00827112 (16) [back to overview] | Average Observed Plasma Concentration (Cavg) of Maraviroc |
NCT00827112 (16) [back to overview] | HIV-1 RNA Levels at Baseline |
NCT00827112 (16) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Maraviroc |
NCT00827112 (16) [back to overview] | Minimum Observed Plasma Concentration (Cmin) of Maraviroc |
NCT00827112 (16) [back to overview] | Number of Participants With Genotypic Resistance |
NCT00833482 (14) [back to overview] | AUC(TAU) of Ritonavir, Administered As Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants |
NCT00833482 (14) [back to overview] | Number of Participants With Marked Abnormalities in Hematology Laboratory Test and Urinalysis Results |
NCT00833482 (14) [back to overview] | Tmax of Voriconazole, Administered With and Without Atazanavir/Ritonavir, in EM Participants |
NCT00833482 (14) [back to overview] | Cmax and Cmin of Voriconazole, Administered With and Without Atazanavir/Ritonavir, in EM Participants |
NCT00833482 (14) [back to overview] | Number of Participants With Investigator-identified Abnormalities in Electrocardiogram Results Not Present Prior to Administration of Study Drug and Considered Not Relevant and Not AEs by Investigator |
NCT00833482 (14) [back to overview] | Number of Participants With Marked Abnormalities in Serum Chemistry Test Results |
NCT00833482 (14) [back to overview] | Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, and Any AE |
NCT00833482 (14) [back to overview] | Area Under the Plasma Concentration-time Curve in 1 Dosing Interval [AUC(TAU)] of Atazanavir Administered as Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants |
NCT00833482 (14) [back to overview] | AUC(TAU)of Voriconazole, Administered With and Without Atazanavir/Ritonavir, in EM Participants |
NCT00833482 (14) [back to overview] | Time to Maximum Concentration (Tmax) of Atazanavir, Administered as Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants |
NCT00833482 (14) [back to overview] | Tmax of Ritonavir, Administered As Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants |
NCT00833482 (14) [back to overview] | Cmax and Cmin of Ritonavir, Administered As Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants |
NCT00833482 (14) [back to overview] | Number of Participants With Abnormalities in Vital Signs |
NCT00833482 (14) [back to overview] | Maximum Observed Plasma Concentration (Cmax) and Minimum Observed Plasma Concentration (Cmin) of Atazanavir, Administered as Atazanavir/Ritonavir With and Without Voriconazole, in Participants Who Are Extensive Metabolizers (EM) |
NCT00851799 (27) [back to overview] | Change in Fasting High-density Lipoprotein Cholesterol (HDL-C) From Study Entry to Weeks 4, 24, 48 and 96 |
NCT00851799 (27) [back to overview] | Fold Change in High Sensitivity C-reactive Protein (hsCRP) From Study Entry to Weeks 48 and 96 |
NCT00851799 (27) [back to overview] | Change in Fasting Glucose Level From Study Entry to Weeks 4, 24, 48 and 96 |
NCT00851799 (27) [back to overview] | Change in Fasting Calculated Low-density Lipoprotein Cholesterol (LDL-C) From Study Entry to Weeks 4, 24, 48 and 96 |
NCT00851799 (27) [back to overview] | Change in CD4+ T-cell Count From Study Entry to Weeks 24, 48, 96 and 144 |
NCT00851799 (27) [back to overview] | CD4+ T-cell Count at Study Entry and Weeks 24, 48, 96 and 144 |
NCT00851799 (27) [back to overview] | Percent Change in Visceral Abdominal Fat (VAT) From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Percent Change in Trunk Fat From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Fold Change in Soluble CD14 From Study Entry to Weeks 48 and 96 |
NCT00851799 (27) [back to overview] | Percent Change in Total Limb Fat From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Percent Change in Subcutaneous Abdominal Fat (SAT) From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Percent Change in Lean Mass From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Percent Change in Bone Mineral Density (BMD) of the Total Body From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Percent Change in Bone Mineral Density (BMD) of the Hip From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Change in Brachial Artery (BA) Flow Mediated Dilation (FMD) From Study Entry to Week 24 |
NCT00851799 (27) [back to overview] | Annual Rate of Change in Right Common Carotid Artery Intima-media Thickness (CIMT) |
NCT00851799 (27) [back to overview] | Change in Absolute Flow Mediated Dilation (FMD) From Study Entry to Weeks 4, 24 and 48 |
NCT00851799 (27) [back to overview] | Fold Change in Soluble CD163 From Study Entry to Weeks 48 and 96 |
NCT00851799 (27) [back to overview] | Percent Change in Bone Mineral Density (BMD) of the Lumber Spine From Study Entry to Week 96 |
NCT00851799 (27) [back to overview] | Fold Change in Percent Expression of CD38+HLADR+ on CD8+ (Percent) From Study Entry to Weeks 24 and 96 |
NCT00851799 (27) [back to overview] | Fold Change in Percent Expression of CD38+HLADR+ on CD4+ (Percent) From Study Entry to Weeks 24 and 96 |
NCT00851799 (27) [back to overview] | Fold Change in Interleukin-6 (IL-6) From Study Entry to Weeks 48 and 96 |
NCT00851799 (27) [back to overview] | Change in Brachial Artery Flow Mediated Dilation (FMD) From Study Entry to Weeks 4 and 48 |
NCT00851799 (27) [back to overview] | Fold Change in D-dimer From Study Entry to Weeks 48 and 96 |
NCT00851799 (27) [back to overview] | Change in Fasting Triglyceride (TG) From Study Entry to Weeks 4, 24, 48 and 96 |
NCT00851799 (27) [back to overview] | Change in Fasting Total Cholesterol (TC) From Study Entry to Weeks 4, 24, 48 and 96 |
NCT00851799 (27) [back to overview] | Change in Fasting Insulin Level From Study Entry to Weeks 4, 24, 48 and 96 |
NCT00869960 (8) [back to overview] | Atazanavir Systemic Exposure During the Follicular Phase (Days 6-10 After Menses) |
NCT00869960 (8) [back to overview] | Atazanavir Systemic Exposure During the Luteal Phase (Days 20-25 After Menses) |
NCT00869960 (8) [back to overview] | Ritonavir Systemic Exposure During the Follicular Phase (Days 6-10 After Menses) |
NCT00869960 (8) [back to overview] | Tenofovir Systemic Exposure During the Luteal Phase (Days 20-25 After Menses) |
NCT00869960 (8) [back to overview] | Tenofovir Systemic Exposure During the Follicular Phase (Days 6-10 After Menses) |
NCT00869960 (8) [back to overview] | Emtricitabine Systemic Exposure During the Luteal Phase (Days 20-25 After Menses) |
NCT00869960 (8) [back to overview] | Ritonavir Systemic Exposure During the Luteal Phase (Days 20-25 After Menses) |
NCT00869960 (8) [back to overview] | Emtricitabine Systemic Exposure During the Follicular Phase (Days 6-10 After Menses) |
NCT00884793 (4) [back to overview] | Number of Subjects Who Had a Decrease in HIV RNA Per Million CD4+ T Cells in the Ileum |
NCT00884793 (4) [back to overview] | Number of Subjects Who Experienced an Increase in CD4+ T Cells (as a % of All Cells) in the Ileum. |
NCT00884793 (4) [back to overview] | Number of Subjects Who Experienced an Increase in CD4% in the Ileum. |
NCT00884793 (4) [back to overview] | "Average Change in Activated (CD38+HLADR+) CD8+ T Cells in the Ileum" |
NCT00885482 (1) [back to overview] | Number of Patients With Virological Failure (Two Consecutive Measures of HIV-RNA Higher Than 50 Copies/mL or a Single Measure Higher Than 1000 Copies/mL) Within 48 Weeks at intention-to.Treat Analysis |
NCT00892437 (6) [back to overview] | Change From Baseline in CD4 Cell Count at Week 24 |
NCT00892437 (6) [back to overview] | Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 |
NCT00892437 (6) [back to overview] | Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 24 |
NCT00892437 (6) [back to overview] | Change From Baseline in HIV-1 RNA at Week 48 |
NCT00892437 (6) [back to overview] | Change From Baseline in HIV-1 RNA at Week 24 |
NCT00892437 (6) [back to overview] | Change From Baseline in CD4 Cell Count at Week 48 |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Atazanavir (ATV): Treatment B: ATV/Low-Dose Ritonavir (Rtv) 400/100 mg (Results for AUC24hr) |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Etravirine (ETR) (Results for AUC12hr) |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment A: Atazanavir (ATV)/Rtv 300/100 mg (Results for AUC24hr) |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment B: Atazanavir (ATV)/Rtv 400/100 mg (Results for AUC24hr) |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Atazanavir (ATV): Treatment A: ATV/Low-Dose Ritonavir (Rtv) 300/100 mg (Results for C0h, Cmin, and Cmax) |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Etravirine (ETR) (Results for C0h, Cmin, and Cmax) |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment A: Atazanavir (ATV)/Rtv 300/100 mg (Results for C0h, Cmin, and Cmax) |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment B: Atazanavir (ATV)/Rtv 400/100 mg (Results for C0h, Cmin, and Cmax) |
NCT00896051 (18) [back to overview] | The Percentage of Participants With a Virologic Response (Plasma Viral Load < 50 Copies/mL) at Week 48 Using the Snapshot Analysis Method |
NCT00896051 (18) [back to overview] | The Percentage of Participants With a Virologic Response Using the Non-Completing = Failure (NC=F) Imputation Method |
NCT00896051 (18) [back to overview] | The Percentage of Participants With a Virologic Response Using the Time to Loss of Virologic Response (TLOVR) Imputation Method |
NCT00896051 (18) [back to overview] | Time to Confirmed Virologic Response |
NCT00896051 (18) [back to overview] | Time to Virologic Failure |
NCT00896051 (18) [back to overview] | Change From Pre-Baseline in Log10 Viral Load Over Time |
NCT00896051 (18) [back to overview] | Change From Prebaseline in CD4+ Cell Count Over Time |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Atazanavir (ATV): Treatment B: ATV/Low-Dose Ritonavir (Rtv) 400/100 mg (Results for C0h, Cmin, and Cmax) |
NCT00896051 (18) [back to overview] | Percentage of Participants With Undetectable Plasma Viral Load (VL) Values (<50 Copies/mL) at Week 48 |
NCT00896051 (18) [back to overview] | Pharmacokinetic Results of Atazanavir (ATV): Treatment A: ATV/Low-Dose Ritonavir (Rtv) 300/100 mg (Results for AUC24hr) |
NCT00931801 (4) [back to overview] | Maintenance of Virologic Suppression |
NCT00931801 (4) [back to overview] | Change in Quality of Life From Baseline to 48 Weeks of Study Treatment |
NCT00931801 (4) [back to overview] | The Change in Adherence to Study Treatment Arm From Baseline to Week 48 |
NCT00931801 (4) [back to overview] | The Difference in CD4 From Baseline to Week 48 |
NCT00940771 (4) [back to overview] | Viral Load |
NCT00940771 (4) [back to overview] | CD4 Count |
NCT00940771 (4) [back to overview] | Non-fasting Cholesterol |
NCT00940771 (4) [back to overview] | Non-fasting Triglycerides |
NCT01003990 (1) [back to overview] | Number of Participants With Serious Adverse Events (SAEs), Treatment Related SAEs, Treatment Related Adverse Events (AEs), AEs Leading to Discontinuation of Study Therapy, Grade 3 to Grade 4 AEs, Grade 3 to Grade 4 AEs, CDC Class C AIDS Events, or Death |
NCT01099579 (18) [back to overview] | Area Under the Concentration Curve (in 1 Dosing Interval From Time 0 to 24 Hours Post Observed Dose) (AUC[TAU])of Atazanavir and Ritonavir |
NCT01099579 (18) [back to overview] | Apparent Total Body Clearance Per Body Weight (CLT/F) Per Kilogram of Atazanavir and Ritonavir |
NCT01099579 (18) [back to overview] | Number of Participants With Laboratory Test Results With Worst Toxicity of Grade 3-4 |
NCT01099579 (18) [back to overview] | Electrocardiogram Changes From Baseline in PR Interval, QTC Bazett, and QTC Fridericia at Week 48 |
NCT01099579 (18) [back to overview] | Mean CD4 Percent Changes From Baseline at Week 48 by Antiretroviral (ARV) Treatment Status |
NCT01099579 (18) [back to overview] | Mean CD4 Percent Changes From Baseline at Week 48 by Treatment/Weight |
NCT01099579 (18) [back to overview] | Mean Change From Baseline in HIV RNA Levels at Week 48 by Prior Antiretroviral (ARV) Treatment Status |
NCT01099579 (18) [back to overview] | Mean Change From Baseline in HIV RNA Levels at Week 48 by Treatment/Weight |
NCT01099579 (18) [back to overview] | Apparent Total Body Clearance (CLT/F) of Atazanavir and Ritonavir |
NCT01099579 (18) [back to overview] | Number of Participants With Centers for Disease Control (CDC) Class C AIDS Events |
NCT01099579 (18) [back to overview] | Number of Participants Who Acquired Phenotypic Resistance to Atazanavir or Atazanovir/Ritonavir |
NCT01099579 (18) [back to overview] | Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation |
NCT01099579 (18) [back to overview] | Time to Maximum Observed Concentration (Tmax) of Atazanavir and Ritonavir |
NCT01099579 (18) [back to overview] | Percentage of Participants With HIV RNA Levels <50 c/mL and <400 c/mL at Week 48 by Treatment/Weight |
NCT01099579 (18) [back to overview] | Percentage of Participants With HIV RNA Levels <50 c/mL and <400 c/mL at Week 48 by Prior Antiretroviral (ARV) Treatment Status |
NCT01099579 (18) [back to overview] | Maximum Observed Concentration (Cmax) and Minimum Observed Concentration (Cmin) of Atazanavir and Ritonavir |
NCT01099579 (18) [back to overview] | CD4 Cell Count Changes From Baseline at Week 48 by Treatment/Weight |
NCT01099579 (18) [back to overview] | CD4 Cell Count Changes From Baseline at Week 48 by Prior Antiretroviral (ARV) Treatment Status |
NCT01102972 (24) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 24 Visit: Observed, MD=F, and SNAPSHOT Analyses |
NCT01102972 (24) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 48 Visit: Observed, MD=F, and SNAPSHOT Analyses |
NCT01102972 (24) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 c/mL at the Week 24 Visit: Observed, M/D=F, and SNAPSHOT Analyses |
NCT01102972 (24) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 c/mL at the Week 48 Visit: TLOVR, Observed, M/D=F, and SNAPSHOT Analyses |
NCT01102972 (24) [back to overview] | Number of Confirmed Virologic Failure Participants (PAR) From Baseline Through Week 48 With the Indicated Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Tenofovir, Emtricitabine, Atazanavir, or Ritonavir |
NCT01102972 (24) [back to overview] | Change From Baseline in Cholesterol/HDL Ratio at Week 48 |
NCT01102972 (24) [back to overview] | Change From Baseline in Cholesterol/HDL Ratio at Week 24 |
NCT01102972 (24) [back to overview] | Change From Baseline in CD4+ Cell Count at Week 48 |
NCT01102972 (24) [back to overview] | Change From Baseline in CD4+ Cell Count at Week 24 |
NCT01102972 (24) [back to overview] | Number of Participants Who Met the Protocol-defined Confirmed Viral Failure Criteria Through Week 48 |
NCT01102972 (24) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 24 Visit: TLOVR Analysis |
NCT01102972 (24) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 48 Visit: TLOVR Analysis |
NCT01102972 (24) [back to overview] | Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c)/Milliliter (mL) at the Week 24 Visit: TLOVR Analysis |
NCT01102972 (24) [back to overview] | Change From Baseline in Fasting Triglycerides, Total Cholesterol, High-density Lipoprotein (HDL) Cholesterol, and Low-density Lipoprotein (LDL) Cholesterol at Week 24 |
NCT01102972 (24) [back to overview] | Change From Baseline in Fasting Triglycerides, Total Cholesterol, High-density Lipoprotein (HDL) Cholesterol, and Low-density Lipoprotein (LDL) Cholesterol at Week 48 |
NCT01102972 (24) [back to overview] | Change From Baseline in HIV-1 RNA at Week 48 |
NCT01102972 (24) [back to overview] | Number of Confirmed Virologic Failure (VF) Participants (PAR) With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 24 |
NCT01102972 (24) [back to overview] | Number of Confirmed Virologic Failure (VF) Participants (PAR) With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 48 |
NCT01102972 (24) [back to overview] | Number of Participants Who Experienced Death and/or Disease Progression |
NCT01102972 (24) [back to overview] | Number of Participants Who Met the Protocol-defined Confirmed Viral Failure Criteria Through Week 24 |
NCT01102972 (24) [back to overview] | Number of Confirmed Virologic Failure Participants (PAR) From Baseline Through Week 24 With the Indicated Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Tenofovir, Emtricitabine, Atazanavir, or Ritonavir |
NCT01102972 (24) [back to overview] | Change From Baseline in HIV-1 RNA at Week 24 |
NCT01102972 (24) [back to overview] | Number of Participants With the Indicated Grade 2 to Grade 4 Adverse Events (AEs) Occurring at a Frequency of >=3% in Either Treatment Group |
NCT01102972 (24) [back to overview] | Number of Participants With the Indicated Grade 2 to Grade 4 Adverse Events (AEs) Occurring at a Frequency of >=3% in Either Treatment Group |
NCT01108510 (8) [back to overview] | Change From Baseline in CD4 Cell Count at Week 48 |
NCT01108510 (8) [back to overview] | Change From Baseline in CD4 Cell Count at Week 192 |
NCT01108510 (8) [back to overview] | Change From Baseline in CD4 Cell Count at Week 144 |
NCT01108510 (8) [back to overview] | Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96 |
NCT01108510 (8) [back to overview] | Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 |
NCT01108510 (8) [back to overview] | Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 192 |
NCT01108510 (8) [back to overview] | Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 144 |
NCT01108510 (8) [back to overview] | Change From Baseline in CD4 Cell Count at Week 96 |
NCT01232127 (7) [back to overview] | Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and Ritonavir |
NCT01232127 (7) [back to overview] | Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and Ritonavir |
NCT01232127 (7) [back to overview] | Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and Ritonavir |
NCT01232127 (7) [back to overview] | Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical Interest |
NCT01232127 (7) [back to overview] | Number of Participants With Abnormalities in Vital Signs |
NCT01232127 (7) [back to overview] | Number of Participants With Abnormalities in Laboratory Test Results |
NCT01232127 (7) [back to overview] | Number of Participants With Abnormalities in Electrocardiogram (ECG) Findings |
NCT01332227 (7) [back to overview] | Number of Participants With Genotypable/Phenotypable Isolates, Emergent Genotypic Substitutions in Patients With Genotypable Isolates, and Phenotypic Resistance in Patients With Phenotypable Isolates at Week 48 |
NCT01332227 (7) [back to overview] | Number of Participants With Genotypable/Phenotypable Isolates, Emergent Genotypic Substitutions in Patients With Genotypable Isolates, and Phenotypic Resistance in Patients With Phenotypable Isolates at Week 24 |
NCT01332227 (7) [back to overview] | Mean Changes in Fasting Lipid Levels From Baseline to Week 48 |
NCT01332227 (7) [back to overview] | Percentage of Participants With HIV-1 RNA Level <40 c/mL at Week 48 |
NCT01332227 (7) [back to overview] | Percentage of Participants With HIV-1 RNA Level <40 c/mL at Week 24 |
NCT01332227 (7) [back to overview] | Number of Patients With Death as Outcome, Serious Adverse Events (SAEs), Treatment-related SAEs, Treatment-emergent Adverse Events (AEs) Leading to Discontinuation, and Treatment-emergent AEs |
NCT01332227 (7) [back to overview] | Number of Participants With Virologic Rebound at Weeks 24 and 48 |
NCT01335698 (14) [back to overview] | CD4 Cell Count Changes From Baseline on ATV Powder |
NCT01335698 (14) [back to overview] | CD4 Cell Count Changes From Baseline on ATV Powder |
NCT01335698 (14) [back to overview] | Mean Change From Baseline in CD4 Percent on ATV Powder |
NCT01335698 (14) [back to overview] | Mean Change From Baseline in HIV RNA on ATV Powder |
NCT01335698 (14) [back to overview] | Number of Participants With A Center of Disease Control and Prevention (CDC) Class C AIDS Event on ATV Powder |
NCT01335698 (14) [back to overview] | Number of Participants With Emergent Genotypic Substitutions on ATV Powder Through Week 48 |
NCT01335698 (14) [back to overview] | Number of Participants With HIV RNA <50 Copies/mL and <400 Copies/mL in the Week 24 Atazanavir Powder Cohort and the Eligible Week 48 Atazanavir Powder Cohort |
NCT01335698 (14) [back to overview] | Number of Participants With Laboratory Test Results Meeting the Criteria for Grade 3-4 Abnormality on ATV Powder |
NCT01335698 (14) [back to overview] | Number of Participants Who Died and With Adverse Events (AEs) Leading to Discontinuation, Hyperbilirubinemia, Jaundice, First-degree Arterioventricular Block, Tachycardia, and Rash on ATV Powder |
NCT01335698 (14) [back to overview] | Mean Change From Baseline in CD4 Percent on ATV Powder |
NCT01335698 (14) [back to overview] | Area Under the Concentration-Time Curve [AUC(TAU)] |
NCT01335698 (14) [back to overview] | Maximum Observed Plasma Concentration (Cmax) |
NCT01335698 (14) [back to overview] | Minimum Plasma Concentration (Cmin) |
NCT01335698 (14) [back to overview] | Number of Participants Who Experienced a SAE on ATV Powder |
NCT01351740 (2) [back to overview] | Proportions of Subjects Experiencing Virologic Failure by Randomized Treatment Arm |
NCT01351740 (2) [back to overview] | Proportions of Subjects in Each Randomized Treatment Arm With Atazanavir Trough Levels Below 150ng/mL |
NCT01384734 (17) [back to overview] | Number of Participants With Newly-emergent Genotypic Substitutions at Week 24 |
NCT01384734 (17) [back to overview] | Maximum Decrease From Monotherapy Baseline in log10 Plasma HIV-1 RNA |
NCT01384734 (17) [back to overview] | Percentage of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) < 50 Copies Per Milliliter (c/mL) at Week 24 |
NCT01384734 (17) [back to overview] | Maximum Change From Baseline in Inhibitory Concentration at 50% (IC50) Fold Change Among Participants With VF at Week 24 |
NCT01384734 (17) [back to overview] | Change From Baseline in IC50 Fold Change Among Participants With VF at Week 96 |
NCT01384734 (17) [back to overview] | Change From Baseline in IC50 Fold Change Among Participants With VF at Week 48 |
NCT01384734 (17) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA < 50 c/mL at Day 8 of the Monotherapy Period |
NCT01384734 (17) [back to overview] | Change From Baseline in CD4+ T-cell Count |
NCT01384734 (17) [back to overview] | Change From Monotherapy Baseline in CD4+ and CD8+ T-cell Proportion During Monotherapy |
NCT01384734 (17) [back to overview] | Change From Monotherapy Baseline in Cluster of Differentiation (CD)4+ and CD8+ T-cell Counts During Monotherapy |
NCT01384734 (17) [back to overview] | Change From Monotherapy Baseline in log10 HIV RNA of the Monotherapy Period |
NCT01384734 (17) [back to overview] | Number of Participants With Newly-emergent Genotypic Substitutions at Week 48 |
NCT01384734 (17) [back to overview] | Number of Participants With Newly-emergent Genotypic Substitutions at Week 96 |
NCT01384734 (17) [back to overview] | Number of Participants With SAE and Discontinuation Due to AEs During Monotherapy Period |
NCT01384734 (17) [back to overview] | Number of Participants With SAE and Discontinuation Due to AEs During Primary Study |
NCT01384734 (17) [back to overview] | Number of Participants With Serious Adverse Events (SAE) and Discontinuation Due to AEs up to Week 24 |
NCT01384734 (17) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA < 50 c/mL at Primary Study |
NCT01388543 (1) [back to overview] | Day 7 Atazanavir Oral Clearance |
NCT01404572 (5) [back to overview] | Number of Participants Who Died and With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT01404572 (5) [back to overview] | Mean Palatability Score for Current and New Powder for Oral Use (POU) Formulations of Atazanavir |
NCT01404572 (5) [back to overview] | Mean Scores on a Subjective Sweet Intensity Scale for Current and New Powder for Oral Use (POU) Formulations of Atazanavir |
NCT01404572 (5) [back to overview] | Median Palatability Score for Current and New Powder for Oral Use Formulations of Atazanavir |
NCT01404572 (5) [back to overview] | Median Scores on a Subjective Sweet Intensity Scale for Current and New Powder for Oral Use (POU) Formulations of Atazanavir |
NCT01421355 (1) [back to overview] | Change in Brachial Artery Diameter |
NCT01511809 (1) [back to overview] | Proportion of Patients With Treatment Failure (TF) |
NCT01667978 (1) [back to overview] | AUC Norethindrone |
NCT01691794 (3) [back to overview] | Number of Participants With Laboratory Test Results Meeting the Criteria for Abnormal, Grades 1-4 |
NCT01691794 (3) [back to overview] | Number of Participants With Laboratory Test Results Meeting the Criteria for Abnormal, Grades 1-4 (Continued) |
NCT01691794 (3) [back to overview] | Number of Participants Who Died and With Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, Grade 2-4 Related AEs, Grade 3-4 AEs, and Centers for Disease Control (CDC) Class C AIDS Events |
NCT01803074 (28) [back to overview] | Time to Maximum Decline in Log 10 HIV-1 RNA - Part B |
NCT01803074 (28) [back to overview] | Area Under The Plasma Concentration - Time Curve Over the Dosing Interval (AUC([Tau]) - Part A and C |
NCT01803074 (28) [back to overview] | Area Under The Plasma Concentration - Time Curve Over the Dosing Interval (AUC[Tau]) - Part B |
NCT01803074 (28) [back to overview] | Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Counts - Part A and C |
NCT01803074 (28) [back to overview] | Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Counts - Part B |
NCT01803074 (28) [back to overview] | Maximum Observed Plasma Concentrations (Cmax) - Part A and C |
NCT01803074 (28) [back to overview] | Maximum Observed Plasma Concentrations (Cmax) - Part B |
NCT01803074 (28) [back to overview] | Number of Participants With Abnormal Changes in Physical Examination |
NCT01803074 (28) [back to overview] | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) |
NCT01803074 (28) [back to overview] | Number of Participants With Clinically Significant Changes in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
NCT01803074 (28) [back to overview] | Number of Participants With Clinically Significant Grade 3/4 Laboratory Abnormalities From Baseline |
NCT01803074 (28) [back to overview] | Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Related SAEs, Discontinuations Due to SAEs, Adverse Events (AEs), and Discontinuations Due to AEs During the Study |
NCT01803074 (28) [back to overview] | Percent Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Percent - Part A and C |
NCT01803074 (28) [back to overview] | Percent Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Percent - Part B |
NCT01803074 (28) [back to overview] | Plasma Concentration 24 Hours Post-Dose (C24) - Part A and C |
NCT01803074 (28) [back to overview] | Plasma Concentration 24 Hours Post-Dose (C24) - Part B |
NCT01803074 (28) [back to overview] | Time to Reach Maximum Plasma Concentration (Tmax) - Part A and C |
NCT01803074 (28) [back to overview] | Time to Reach Maximum Plasma Concentration (Tmax) - Part B |
NCT01803074 (28) [back to overview] | Apparent Total Body Clearance: Part A and C |
NCT01803074 (28) [back to overview] | Average Observed Plasma Concentration at Steady State (Css-avg): Part A and C |
NCT01803074 (28) [back to overview] | Change in Plasma Log10 HIV-1 Ribonucleic Acid (RNA) Levels From Baseline to Day 11 |
NCT01803074 (28) [back to overview] | Degree of Fluctuation (DF): Part A and C |
NCT01803074 (28) [back to overview] | Maximum Decline From Baseline in Log10 HIV-1 RNA - Part A and C |
NCT01803074 (28) [back to overview] | Maximum Decline From Baseline in Log10 HIV-1 RNA - Part B |
NCT01803074 (28) [back to overview] | Number of Participants With Clinically Significant Changes in Heart Rate |
NCT01803074 (28) [back to overview] | Plasma Half-life: Part A and C |
NCT01803074 (28) [back to overview] | Time to Maximum Decline in Log 10 HIV-1 RNA - Part A and C |
NCT01803074 (28) [back to overview] | Accumulation Index (AI): Part A and C |
NCT01837719 (12) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Cobicistat |
NCT01837719 (12) [back to overview] | Apparent Terminal Half-life (T-HALF) of Atazanavir |
NCT01837719 (12) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Atazanavir |
NCT01837719 (12) [back to overview] | Observed Concentration at 24 Hours (C24) of Atazanavir |
NCT01837719 (12) [back to overview] | T-HALF of Cobicistat |
NCT01837719 (12) [back to overview] | Time of Maximum Observed Concentration (Tmax) of Atazanavir |
NCT01837719 (12) [back to overview] | Time of Maximum Observed Concentration (Tmax) of Cobicistat |
NCT01837719 (12) [back to overview] | Area Under the Concentration Curve From Time 0 to Time of Last Quantifiable Concentration (AUC[0-T]) and Area Under the Concentration Curve From Time 0 to Infinity (AUC[INF]) of Cobicistat |
NCT01837719 (12) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of Last Quantifiable Concentration (AUC[0-T]) and From Time 0 to Infinity (AUC[INF]) for Atazanavir |
NCT01837719 (12) [back to overview] | Number of Participants Who Died and With Serious Adverse Events (SAEs) |
NCT01837719 (12) [back to overview] | Number of Participants With Marked Abnormalities in Results of Clinical Laboratory Tests |
NCT01837719 (12) [back to overview] | Number of Participants With Out-of-range Intervals on Electrocardiogram (ECG) Findings |
NCT01903031 (21) [back to overview] | ATV PK Parameter Cmax Determined Based on ATV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | Ethinyl Estradiol Concentrations Obtained on Study Days 7 and 14. |
NCT01903031 (21) [back to overview] | Etonogestrel Concentrations Obtained on Study Days 7 and 14 |
NCT01903031 (21) [back to overview] | Proportion of Participants With Plasma HIV-1 RNA Levels <40 Copies/mL |
NCT01903031 (21) [back to overview] | RTV PK Parameter Cmin Determined Based on RTV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | Ritonavir (RTV) PK Parameter AUC(0-24h) Calculated Based on Intensive RTV PK Samples Obtained From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | RTV PK Parameter CLss/F Determined Based on RTV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | RTV PK Parameter Tmax Determined Based on RTV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | ATV PK Parameter CLss/F Determined Based on ATV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | ATV PK Parameter Cmin Determined Based on ATV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | ATV PK Parameter AUC(0-24h) Calculated Based on Intensive Atazanavir (ATV) PK Samples Obtained From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | Percentage of Participants With Signs and Symptoms of Grade 2 or Higher Deemed Possibly, Probably or Definitely Related to Study Treatment |
NCT01903031 (21) [back to overview] | Etonogestrel Concentrations at Study Day 21 |
NCT01903031 (21) [back to overview] | Ethinyl Estradiol Concentrations at Study Day 21 |
NCT01903031 (21) [back to overview] | EFV PK Parameter Minimum Plasma Concentration (Cmin) Determined Based on EFV Levels From Individual Participants Enrolled in Arm B |
NCT01903031 (21) [back to overview] | ATV PK Parameter Time to Cmax (Tmax) Determined Based on ATV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | EFV PK Parameter Area Under the Concentration-Time Curve (AUC0-24hours) Calculated Based on Intensive EFV PK Samples Obtained From Individual Participants Enrolled in Arm B |
NCT01903031 (21) [back to overview] | EFV PK Parameter Clearance (CLss/F) Determined Based on EFV Levels From Individual Participants Enrolled in Arm B |
NCT01903031 (21) [back to overview] | EFV PK Parameter Maximum Plasma Concentration (Cmax) Determined Based on EFV Levels From Individual Participants Enrolled in Arm B |
NCT01903031 (21) [back to overview] | RTV PK Parameter Cmax Determined Based on RTV Levels From Individual Participants Enrolled in Arm C |
NCT01903031 (21) [back to overview] | Proportion of Participants With Progesterone Levels Greater Than 5 ng/mL. |
NCT01910402 (48) [back to overview] | Absolute Values in CD4+ Cell Count at Indicated Timepoints-Continuation Phase |
NCT01910402 (48) [back to overview] | Absolute Values in CD4+ Cell Count at Indicated Timepoints-Randomized Phase |
NCT01910402 (48) [back to overview] | Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase |
NCT01910402 (48) [back to overview] | Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase |
NCT01910402 (48) [back to overview] | Bone Specific Alkaline Phosphatase, Osteocalcin, Procollagen 1 N-terminal Propeptide, Type 1 Collagen C-Telopeptide, Vitamin D Ratio of Week 48 Results Over Baseline |
NCT01910402 (48) [back to overview] | Change From Baseline at Week 48 in SF-12 Total Score, MCS and PCS |
NCT01910402 (48) [back to overview] | Change From Baseline in Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Creatine Kinase at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in Albumin at Indicated Timepoints |
NCT01910402 (48) [back to overview] | Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in Bilirubin and Creatinine at Indicated Timepoints |
NCT01910402 (48) [back to overview] | Change From Baseline in Bone Specific Alkaline Phosphatase, Osteocalcin and Procollagen 1 N-terminal Propeptide at Indicated Timepoints |
NCT01910402 (48) [back to overview] | Change From Baseline in Carbon Dioxide, Electrolytes, Lipids, Glucose, Urea at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in Carbon Dioxide, Electrolytes, Lipids, Glucose, Urea at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Continuation Phase |
NCT01910402 (48) [back to overview] | Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Randomized Phase |
NCT01910402 (48) [back to overview] | Change From Baseline in Creatinine Clearance at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in Erythrocyte Mean Corpuscular Volume at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in Hematocrit Count at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase |
NCT01910402 (48) [back to overview] | Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase |
NCT01910402 (48) [back to overview] | Change From Baseline in Total CHLS/HDL CHLS Ratio at Indicated Timepoints |
NCT01910402 (48) [back to overview] | Change From Baseline in Type I Collagen C-telopeptides at Indicated Timepoints |
NCT01910402 (48) [back to overview] | Change From Baseline in Urine Albumin Creatinine Ratio at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in Vitamin D, Vitamin D2 and Vitamin D3 at Week 24 and Week 48 |
NCT01910402 (48) [back to overview] | HIVTSQs Total Score at Indicated Timepoints |
NCT01910402 (48) [back to overview] | Number of Participants With AEs by Maximum Toxicity-Continuation Phase |
NCT01910402 (48) [back to overview] | Number of Participants With AEs by Maximum Toxicity-Randomized Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Any Adverse Events (AEs), and Serious Adverse Events (SAEs)-Randomized Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Any AEs, and SAEs in Continuation Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Continuation Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Randomized Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Continuation Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Randomized Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Post-Baseline HIV-1 Disease Progression for DTG 50 mg/ABC 600 mg/3TC 300 mg QD (Randomized + Continuation Phase) |
NCT01910402 (48) [back to overview] | Number of Participants With Post-Baseline HIV-1 Disease Progression-Randomized Phase |
NCT01910402 (48) [back to overview] | Number of Participants With Treatment Emergent Resistances for ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200mg QD (Randomized Phase) |
NCT01910402 (48) [back to overview] | Number of Participants With Treatment Emergent Resistances for DTG 50 mg/ABC 600 mg/3TC 300 mg QD (Randomized + Continuation Phase) |
NCT01910402 (48) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA <50 and <400 c/mL Over Time-Randomized Phase |
NCT01910402 (48) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA <50 c/mL in Continuation Phase |
NCT01910402 (48) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48 by Subgroups |
NCT01910402 (48) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48 by Subgroups |
NCT01910402 (48) [back to overview] | Change From Baseline in Erythrocytes at Indicated Time Points |
NCT01910402 (48) [back to overview] | Change From Baseline in TC/HDL Ratio at Week 48 |
NCT01910402 (48) [back to overview] | Change From Baseline in Lipase at Indicated Timepoints |
NCT01910402 (48) [back to overview] | Change From Baseline in Triglycerides at Week 48 |
NCT01910402 (48) [back to overview] | Number of Participants Who Withdrew From Treatment Due to AEs-Continuation Phase |
NCT01910402 (48) [back to overview] | Number of Participants Who Withdrew From Treatment Due to AEs-Randomized Phase |
NCT01910402 (48) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48 |
NCT01967940 (16) [back to overview] | Part 2: Change From Baseline in Plasma log10 HIV-1 RNA (Copies/mL) at Week 48 |
NCT01967940 (16) [back to overview] | Part 1: Change From Baseline in Plasma log10 HIV-1 RNA (Copies/mL) at Day 10 |
NCT01967940 (16) [back to overview] | Part 1: Percentage of Participants With Plasma HIV-1 RNA Decreases From Baseline Exceeding 0.5 log10 at Day 10 |
NCT01967940 (16) [back to overview] | Part 2: Change From Baseline in CD4+ Cell Count at Week 24 |
NCT01967940 (16) [back to overview] | Part 2: Change From Baseline in CD4+ Cell Count at Week 48 |
NCT01967940 (16) [back to overview] | Part 2: Change From Baseline in CD4+ Percentage at Week 24 |
NCT01967940 (16) [back to overview] | Part 2: Change From Baseline in CD4+ Percentage at Week 48 |
NCT01967940 (16) [back to overview] | Part 2: Change From Baseline in Plasma log10 HIV-1 RNA (Copies/mL) at Week 24 |
NCT01967940 (16) [back to overview] | Part 2: Percentage of Participants With Plasma HIV-1 RNA < 400 Copies/mL as Defined by the FDA Snapshot Analysis at Week 24 |
NCT01967940 (16) [back to overview] | Part 2: Percentage of Participants With Plasma HIV-1 RNA < 400 Copies/mL as Defined by the FDA Snapshot Analysis at Week 48 |
NCT01967940 (16) [back to overview] | Part 2: Percentage of Participants With Plasma HIV-1 RNA < 50 Copies/mL as Defined by the FDA Snapshot Analysis at Week 24 |
NCT01967940 (16) [back to overview] | Part 2: Percentage of Participants With Plasma HIV-1 RNA < 50 Copies/mL as Defined by the FDA Snapshot Analysis at Week 48 |
NCT01967940 (16) [back to overview] | Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Any Treatment-Emergent Adverse Event Through Week 24 |
NCT01967940 (16) [back to overview] | Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Any Treatment-Emergent Adverse Event Through Week 48 |
NCT01967940 (16) [back to overview] | Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Grade 3 or 4 Laboratory Abnormalities Through Week 24 |
NCT01967940 (16) [back to overview] | Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Grade 3 or 4 Laboratory Abnormalities Through Week 48 |
NCT02116660 (1) [back to overview] | Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) |
NCT02155101 (3) [back to overview] | HIV-1 RNA Viral Load |
NCT02155101 (3) [back to overview] | HIV-1 RNA Viral Load |
NCT02155101 (3) [back to overview] | HIV-1 RNA Viral Load |
NCT02386098 (8) [back to overview] | Change From Baseline in Percentage of CD4+ Cells Over Time-Stage 1 |
NCT02386098 (8) [back to overview] | Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation (AELD)-Stage 1 |
NCT02386098 (8) [back to overview] | Percentage of Participants With HIV-1 RNA <200 c/mL at Weeks 24, 48 and 96-Stage 1 |
NCT02386098 (8) [back to overview] | Number of Participants With Occurrence of New Acquired Immunodeficiency Syndrome (AIDS) Defining Events-Stage 1 |
NCT02386098 (8) [back to overview] | Percentage of Participants With Plasma Human Immunodeficiency Virus-1 (HIV-1) Ribonucleic Acid (RNA) <40 Copies Per Milliliter (c/mL) at Week 24-Stage 1 |
NCT02386098 (8) [back to overview] | Change From Baseline in Cluster of Differentiation 4+ (CD4+) Cell Count Over Time-Stage 1 |
NCT02386098 (8) [back to overview] | Change From Baseline in Logarithm to the Base 10 (log10) HIV-1 RNA Over Time-Stage 1 |
NCT02386098 (8) [back to overview] | Percentage of Participants With Plasma HIV-1 RNA <40 c/mL at Weeks 48 and 96-Stage 1 |
NCT03019783 (2) [back to overview] | Change in Flow-mediated, Endothelium-dependent Vasodilation |
NCT03019783 (2) [back to overview] | Change in Plasma Total Antioxidant Capacity |
Most Common AEs and AEs of Interest Through Week 48
Prespecified AEs of interest included jaundice, ocular icterus, and hyperbilirubinemia. (NCT00035932)
Timeframe: From Enrollment to Week 48
Intervention | participants (Number) |
---|
| Diarrhea (Most Common) | Headache (Most Common) | Nausea (Most Common) | Jaundice (AE of Interest) | Ocular Icterus (AE of Interest) | Hyperbilirubinemia (AE of Interest) |
---|
ATV 300 mg / RTV | 25 | 21 | 19 | 19 | 13 | 24 |
,ATV 400 mg / SQV | 29 | 24 | 24 | 6 | 3 | 8 |
,LPV / RTV | 54 | 18 | 15 | 0 | 0 | 1 |
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Participants Achieving Virologic Half Log Suppression (Limit of Quantification [LOQ] = 400 c/mL) at Week 24 (Overall and by Protease Inhibitor [PI] Sensitivity)
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 400 c/mL at Week 24, by their baseline phenotypic sensitivity to their randomized PI. (NCT00035932)
Timeframe: Baseline, Week 24
Intervention | participants (Number) |
---|
| Overall (n=120, 115, 123) | PI Sensitive (n=88, 83, 88) | PI Resistant (n=32, 30, 33) |
---|
ATV 300 mg / RTV | 95 | 79 | 16 |
,ATV 400 mg / SQV | 74 | 58 | 15 |
,LPV / RTV | 93 | 72 | 19 |
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Participants Achieving Virologic Half Log Suppression (LOQ = 400 c/mL) at Week 48, (Overall and by PI Sensitivity)
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 400 c/mL at Week 48, by their baseline phenotypic sensitivity to their randomized PI. (NCT00035932)
Timeframe: Baseline, Week 48
Intervention | participants (Number) |
---|
| Overall (n=120, 115, 123) | PI Sensitive (n=88, 84, 88) | PI Resistant (n=32, 30, 33) |
---|
ATV 300 mg / RTV | 77 | 65 | 12 |
,ATV 400 mg / SQV | 60 | 52 | 7 |
,LPV / RTV | 84 | 67 | 16 |
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PR Interval and Change From Baseline by Analysis Time Point
The PR interval is measured from the beginning of the P wave to the beginning of the QRS complex, and reflects the time the electrical impulse takes to travel from the sinus node through the atrioventricular (AV) node and entering the ventricles. The PR interval is therefore a good estimate of AV node function. (NCT00035932)
Timeframe: Baseline, Week 4 predose, 2-3 hours postdose, 6-12 hours postdose, Week 12, Week 24, Week 48
Intervention | msec (Mean) |
---|
| Baseline Mean (n=119, 110, 118) | Mean Change at Week 4 predose (n=117, 104, 110) | Mean Change Wk 4 2-3 hrs postdose (n=113,102,106) | Mean Change Wk 4 6-12 hrs postdose (n=112,101,105) | Mean Change at Week 12 (n=110, 97, 107) | Mean Change at Week 24 (n=108, 92, 109) | Mean Change at Week 48 (n=89, 75, 97) |
---|
ATV 300 mg / RTV | 153 | 4 | 1 | 2 | 5 | 2 | 0 |
,ATV 400 mg / SQV | 155 | 9 | 6 | 6 | 7 | 7 | 2 |
,LPV / RTV | 154 | 3 | 1 | 2 | 8 | 5 | 4 |
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Change From Baseline in CD4 Cell Count at Week 24
(NCT00035932)
Timeframe: Baseline, Week 24
Intervention | cells/mm3 (Mean) |
---|
ATV 300 mg / RTV | 83 |
ATV 400 mg / SQV | 59 |
LPV / RTV | 90 |
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Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 48
Treatment Response = confirmed suppression to LOQ (400 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound. (NCT00035932)
Timeframe: Week 48
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 64 |
ATV 400 mg / SQV | 42 |
LPV / RTV | 67 |
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Change From Baseline in CD4 Cell Count at Week 48
(NCT00035932)
Timeframe: Baseline, Week 48
Intervention | cells/mm3 (Mean) |
---|
ATV 300 mg / RTV | 110 |
ATV 400 mg / SQV | 72 |
LPV / RTV | 121 |
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Change From Baseline in CD4 Cell Count at Week 96
(NCT00035932)
Timeframe: Baseline, Week 96
Intervention | cells/mm3 (Mean) |
---|
ATV 300 mg / RTV | 122 |
LPV / RTV | 154 |
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Fasting Glucose Mean Change From Baseline at Week 24
(NCT00035932)
Timeframe: Baseline, Week 24
Intervention | mg/dL (Mean) |
---|
ATV 300 mg / RTV | 0 |
ATV 400 mg / SQV | -3 |
LPV / RTV | 0 |
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HIV IC50 at Week 24
IC50: inhibitory concentration of drug required to reduce viral replication by 50%. (NCT00035932)
Timeframe: Week 24
Intervention | ng/mL (Mean) |
---|
ATV 300 mg / RTV | 17.83 |
ATV 400 mg / SQV | 22.84 |
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Participants Achieving Virologic Half Log Suppression (LOQ = 400 c/mL) at Week 96
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 400 c/mL at Week 96. (NCT00035932)
Timeframe: Baseline, Week 96
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 61 |
LPV / RTV | 58 |
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Inhibitory Quotient at Week 24
Inhibitory quotient is a measure of drug exposure and susceptibility in an individual. The IQ is typically calculated as the ratio of Cmin to HIV IC50. (NCT00035932)
Timeframe: Baseline, Week 24
Intervention | ratio (Mean) |
---|
ATV 300 mg / RTV | 136.94 |
ATV 400 mg / SQV | 25.04 |
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Fasting Glucose Mean Change From Baseline at Week 48
(NCT00035932)
Timeframe: Week 48
Intervention | mg/dL (Mean) |
---|
ATV 300 mg / RTV | 4 |
ATV 400 mg / SQV | -1 |
LPV / RTV | 1 |
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Lipid Mean Percent Change From Baseline at Week 24
Mean percent change in total cholesterol, high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, and fasting triglycerides. (NCT00035932)
Timeframe: Baseline, Week 24
Intervention | percent change (Number) |
---|
| Total Cholesterol | High Density Lipoprotein (HDL) Cholesterol | Fasting Low Density Lipoprotein (LDL) Cholesterol | Fasting Triglycerides |
---|
ATV 300 mg / RTV | -8 | -7 | -10 | -2 |
,ATV 400 mg / SQV | -9 | -1 | -11 | -14 |
,LPV / RTV | 3 | 0 | -4 | 31 |
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Lipid Mean Percent Change From Baseline at Week 48
Mean percent change in total cholesterol, high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, and fasting triglycerides. (NCT00035932)
Timeframe: Week 48
Intervention | percent change in lipid values (Number) |
---|
| Total Cholesterol | HDL Cholesterol | Fasting LDL Cholesterol | Fasting Triglycerides |
---|
ATV 300 mg / RTV | -8 | -7 | -10 | -4 |
,ATV 400 mg / SQV | -4 | 4 | -3 | -14 |
,LPV / RTV | 6 | 2 | 1 | 30 |
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Lipid Mean Percent Change From Baseline at Week 96, Observed Values
Mean percent change in total cholesterol, high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, and fasting triglycerides. (NCT00035932)
Timeframe: Week 96
Intervention | percent change in lipid values (Number) |
---|
| Total Cholesterol (n=60, 46, 54) | HDL Cholesterol (n=60, 46, 54) | Fasting LDL Cholesterol (n=52, 39, 43) | Fasting Triglycerides (n=52, 40, 43) |
---|
ATV 300 mg / RTV | -7 | -5 | -11 | -2 |
,ATV 400 mg / SQV | -1 | 3 | -7 | 4 |
,LPV / RTV | 9 | 7 | 1 | 30 |
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Mean ATV, RTV and SQV Minimum Concentration (Cmin) Values
"The minimum or trough concentration (Cmin) of a drug observed after its administration and just prior to the administration of a subsequent dose." (NCT00035932)
Timeframe: collected at the pre-dose time point after receiving atazanavir for at least four weeks
Intervention | ng/mL (Mean) |
---|
| ATV (n=40,23) | RTV (n=40,0) | SQV (n=0,19) |
---|
ATV 300 mg / RTV | 719.53 | 154.83 | NA |
,ATV 400 mg / SQV | 312.01 | NA | 52.15 |
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Mean Score of European Quality of Life-5 Dimensions (EQ-5D) Health Index Score at Baseline, Mid-Study (Week 24), and Final (Week 48)
The EQ-5D is a 5-item questionnaire to assess health-related quality of life in 5 health dimensions (mobility, self-care, usual activity, pain/discomfort, anxiety/depression) are scored on a 3-level scale: no problems (1), some problems (2), extreme problems (3). Using a standard algorithm, responses are summarized into a single score, the EQ-5D Health Index Score (HIS), which ranges between 1 (representing perfect health) and 0 (representing the worst imaginable health state or death). The smallest coefficient of change is 0.03. (NCT00035932)
Timeframe: Baseline, Week 24, Week 48
Intervention | units on a scale (Mean) |
---|
| Baseline (n=99, 86, 100) | Mid-Study (n=103, 83, 95) | Final (n=93, 84, 96) |
---|
ATV 300 mg / RTV | 0.83 | 0.87 | 0.84 |
,ATV 400 mg / SQV | 0.85 | 0.86 | 0.85 |
,LPV / RTV | 0.86 | 0.89 | 0.88 |
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Mean Score of European Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Baseline, Mid-Study (Week 24), and Final (Week 48)
The EQ-5D has a Visual Analog Scale (VAS), which is a feeling thermometer-like scale with a range between 0 and 100. Patients are required to draw a line from a box on the VAS scale to an actual mark on the thermometer-like scale that corresponds with a number that reflects their self-assessed health status at the time they are completing the questionnaire. Higher VAS scores indicate better overall health. There is no minimum clinically important difference reported in the literature for VAS. (NCT00035932)
Timeframe: Baseline, Week 24, Week 48
Intervention | units on a scale (Mean) |
---|
| Baseline (n=98, 85, 101) | Mid-Study (n=102, 83, 97) | Final (n=95, 81, 96) |
---|
ATV 300 mg / RTV | 81.33 | 84.89 | 82.77 |
,ATV 400 mg / SQV | 81.72 | 83.34 | 85.80 |
,LPV / RTV | 81.52 | 85.09 | 86.16 |
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HIV RNA Level - Treated Subjects With Evaluable Cmins at Week 24
Week 24 HIV RNA level and change from baseline were summarized for treated subjects with evaluable Cmins. (NCT00035932)
Timeframe: Baseline, Week 24
Intervention | log10 c/mL (Mean) |
---|
| Baseline Values | Week 24 Values | Change from Baseline at Week 24 |
---|
ATV 300 mg / RTV | 4.53 | 2.62 | -1.91 |
,ATV 400 mg / SQV | 4.41 | 2.83 | -1.57 |
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Grade 3/4 Laboratory Abnormalities Through Week 48
Common Terminology Criteria for Adverse Events v3.0 (CTCAE) Grades:1=Mild, 2=Moderate, 3=Severe, 4=Life-threatening/disabling, 5=Death. Abnormal values: absolute neutrophil count: ≥500 to <750/mm3 (grade 3), <500/mm3 (grade 4); platelets: 20,000-49,999/mm3 (grade 3), <20,000/mm3 or diffuse petechiae (grade 4); alanine transaminase (ALT): 5.1-10 x upper limit of normal (ULN; grade 3), >10 x ULN (grade 4); aspartate transaminase (AST): 5.1-10 x ULN (grade 3), >10 x ULN (grade 4); bilirubin: 2.6-5 x ULN (grade 3), >5 x ULN (grade 4). (NCT00035932)
Timeframe: From Enrollment to Week 48
Intervention | participants (Number) |
---|
| Neutrophil Reduction | Platelet Reduction | ALT Elevation | AST Elevation | Total Bilirubin Elevation |
---|
ATV 300 mg / RTV | 8 | 2 | 5 | 4 | 58 |
,ATV 400 mg / SQV | 8 | 4 | 4 | 2 | 22 |
,LPV / RTV | 10 | 3 | 4 | 4 | 1 |
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Fridericia-corrected QT (QTcF) Interval and Change From Baseline by Analysis Time Point
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. The QT interval was corrected for heart rate using Fridericia's (QTcF) formula. (NCT00035932)
Timeframe: Baseline, Week 4 predose, 2-3 hours postdose, 6-12 hours postdose, Week 12, Week 24, Week 48
Intervention | msec (Mean) |
---|
| Baseline Mean (n=119, 110, 118) | Mean Change at Week 4 predose (n=117, 104, 110) | Mean Change Wk 4 2-3 hrs postdose (n=113,102,106) | Mean Change Wk 4 6-12 hrs postdose (n=112,101,105) | Mean Change at Week 12 (n=110, 97, 107) | Mean Change at Week 24 (n=108, 92, 109) | Mean Change at Week 48 (n=89, 75, 97) |
---|
ATV 300 mg / RTV | 390 | -3 | -2 | -4 | 2 | 1 | -1 |
,ATV 400 mg / SQV | 387 | 1 | -3 | -1 | 3 | 3 | -1 |
,LPV / RTV | 390 | -2 | -7 | -8 | 2 | 2 | 0 |
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Deaths, Serious Adverse Events (SAEs), and Adverse Events (AEs) Through Week 48
AE=any new untoward medical occurrence/worsening of a pre-existing medical condition regardless of causal relationship. SAE=any untoward medical occurrence at any dose that: results in death; is life-threatening; requires/prolongs inpatient hospitalization; results in persistent/significant disability; is cancer; is congenital anomaly/birth defect; results in drug dependency/abuse; is an important medical event. (NCT00035932)
Timeframe: From Enrollment through Week 48
Intervention | participants (Number) |
---|
| Deaths (n = 120, 115, 123) | AEs leading to discontinuation (n = 119, 110, 118) | SAEs (n = 120, 115, 123) | AEs, grades 1-4 (n = 119, 110, 118) | AEs, grades 3-4 (n = 119, 110, 118) |
---|
ATV 300 mg / RTV | 0 | 6 | 12 | 97 | 11 |
,ATV 400 mg / SQV | 1 | 8 | 14 | 93 | 18 |
,LPV / RTV | 1 | 5 | 11 | 103 | 12 |
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Correlation of ATV Minimum Plasma Concentration (Cmin), Inhibitory Quotient (IQ), and Number of Protease Inhibitor (PI) Mutations at Baseline With HIV RNA Change From Baseline at Week 24
Pearson correlations of the Cmin (trough plasma concentration), IQ (the ratio of Cmin of ATV to HIV IC50), and Number of baseline PI Mutations with HIV RNA change from baseline at Week 24 were explored. (NCT00035932)
Timeframe: Baseline, Week 24
Intervention | Pearson Correlation Coefficient (Number) |
---|
| ATV Cmin | IQ (<10; >=10) | # of PI Mutations at baseline (<4; >=4) |
---|
ATV 300 mg / RTV | -0.056 | -0.391 | 0.306 |
,ATV 400 mg / SQV | 0.254 | -0.081 | 0.437 |
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Correlation of ATV Minimum Plasma Concentration (Cmin) Inhibitory Quotient (IQ), and Number of PI Mutations at Baseline and CD4 Cell Count Change From Baseline at Week 24
Pearson correlations of the Cmin (trough plasma concentration), IQ (the ratio of Cmin of ATV to HIV IC50), and Number of baseline PI Mutations with CD4 cell count change from baseline at Week 24 were explored. (NCT00035932)
Timeframe: Baseline, Week 24
Intervention | Pearson Correlation Coefficient (Number) |
---|
| ATV Cmin | IQ (<10; >=10) | # of PI Mutations at baseline (<4; >=4) |
---|
ATV 300 mg / RTV | 0.37 | 0.376 | -0.395 |
,ATV 400 mg / SQV | -0.21 | 0.105 | -0.227 |
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Adherence to Regimen Though Week 48 Based on MACS the Multicenter AIDS Cohort Study (MACS) Adherence Questionnaire
The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Drug-specific questions included adherence with dose and frequency. Adherence was defined as taking all doses and numbers of pills as prescribed for each medication. This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance. (NCT00035932)
Timeframe: Baseline, Week 24, Week 48
Intervention | participants (Number) |
---|
| Adherent at Baseline (n=27, 25, 33) | Adherent at Week 24 (n=18, 11, 25) | Adherent at Week 48 (n=11, 4, 20) |
---|
ATV 300 mg / RTV | 12 | 10 | 8 |
,ATV 400 mg / SQV | 10 | 5 | 2 |
,LPV / RTV | 18 | 23 | 13 |
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Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 96
(NCT00035932)
Timeframe: Week 96
Intervention | Participants (Number) |
---|
ATV 300 mg / RTV | 61 |
LPV / RTV | 57 |
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Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 48
(NCT00035932)
Timeframe: Week 48
Intervention | Participants (Number) |
---|
ATV 300 mg / RTV | 76 |
ATV 400 mg / SQV | 60 |
LPV / RTV | 84 |
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Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 24
(NCT00035932)
Timeframe: Week 24
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 95 |
ATV 400 mg / SQV | 74 |
LPV / RTV | 93 |
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Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 96
Treatment Response = confirmed suppression to LOQ (50 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound. (NCT00035932)
Timeframe: Week 96
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 38 |
LPV / RTV | 41 |
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Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 48
Treatment Response = confirmed suppression to LOQ (50 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound. (NCT00035932)
Timeframe: Week 48
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 43 |
ATV 400 mg / SQV | 28 |
LPV / RTV | 52 |
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Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 24
Treatment Response = confirmed suppression to LOQ (50 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound. (NCT00035932)
Timeframe: Week 24
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 46 |
ATV 400 mg / SQV | 25 |
LPV / RTV | 50 |
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Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 96
Treatment Response = confirmed suppression to LOQ (400 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound. (NCT00035932)
Timeframe: Week 96
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 52 |
LPV / RTV | 53 |
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Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 24
Treatment Response = confirmed suppression to LOQ (400 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound. (NCT00035932)
Timeframe: Week 24
Intervention | participants (Number) |
---|
ATV 300 mg / RTV | 76 |
ATV 400 mg / SQV | 50 |
LPV / RTV | 74 |
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Mean Change From Baseline in HIV RNA at Week 96
(NCT00035932)
Timeframe: Baseline, Week 96
Intervention | log10 c/mL (Mean) |
---|
ATV 300 mg / RTV | -2.29 |
LPV / RTV | -2.08 |
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Mean Change From Baseline in HIV RNA at Week 48
(NCT00035932)
Timeframe: Baseline, Week 48
Intervention | log10 c/mL (Mean) |
---|
ATV 300 mg / RTV | -1.93 |
ATV 400 mg / SQV | -1.55 |
LPV / RTV | -1.87 |
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Mean Change From Baseline in HIV RNA at Week 2
(NCT00035932)
Timeframe: Baseline, Week 2
Intervention | log10 c/mL (Mean) |
---|
ATV 300 mg / RTV | -1.18 |
ATV 400 mg / SQV | -1.14 |
LPV / RTV | -1.30 |
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Mean Change From Baseline in HIV Ribonucleic Acid (RNA) at Week 24
(NCT00035932)
Timeframe: Baseline, Week 24
Intervention | log10 c/mL (Mean) |
---|
ATV 300 mg / RTV | -1.86 |
ATV 400 mg / SQV | -1.52 |
LPV / RTV | -1.89 |
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Plasma Concentration for Contraceptives
Serum concentrations of the contraceptives. Note that no historical controls were provided by team pharmacologists and thus no comparisons were done for contraceptive concentrations in women using hormonal contraceptives and selected ARV drugs as compared to historical controls not using those ARV drugs. (NCT00042289)
Timeframe: Measured at 6-7 weeks after contraceptive initiation postpartum
Intervention | pg/mL (Median) |
---|
ATV/RTV/TFV 300/100/300mg q.d. With ENG | 604 |
LPV/RTV 400/100 b.i.d. With ENG | 428 |
EFV 600mg q.d. With ENG | 125 |
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Area Under the Curve From 0 to 12 Hours (AUC12) of ARVs for Contraceptive Arms
Pharmacokinetic parameters were determined from plasma concentration-time profiles using noncompartmental methods. AUC12h (area-under-the-curve from 0 to 12 hours) were determined using the linear trapezoidal rule. (NCT00042289)
Timeframe: Measured at 2-12 wks postpartum before contraceptive initiation and 6-7 wks after contraceptive initiation. Blood samples were drawn pre-dose and at 0, 1, 2, 6, 8 and 12 hours post dosing.
Intervention | mcg*hr/mL (Median) |
---|
| Before contraceptive initiation | After contraceptive initiation |
---|
LPV/RTV 400/100 b.i.d. With ENG | 115.97 | 100.20 |
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Number of Women Who Met PK Target of Area Under the Curve (AUC) for ARVs
Pharmacokinetic parameters were determined from plasma concentration-time profiles using noncompartmental methods. AUC (area under the curve) were determined using the linear trapezoidal rule. See PK target in the Protocol Appendix V. (NCT00042289)
Timeframe: Measured at 2nd trimester (20-26 wks gestation), 3rd trimester (30-38 wks gestation), and either 2-3 wks, 2-8 wks or 6-12 wks postpartum depending on study arm. Blood samples were drawn pre-dose and at 1, 2, 4, 6, 8, 12 (and 24) hours post dosing.
Intervention | Participants (Count of Participants) |
---|
| 3rd Trimester | Postpartum |
---|
EFV 600mg q.d. | 20 | 21 |
,MVC 150 or 300mg b.i.d. | 8 | 7 |
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Number of Women Who Met PK Target of Area Under the Curve (AUC) for ARVs
Pharmacokinetic parameters were determined from plasma concentration-time profiles using noncompartmental methods. AUC (area under the curve) were determined using the linear trapezoidal rule. See PK target in the Protocol Appendix V. (NCT00042289)
Timeframe: Measured at 2nd trimester (20-26 wks gestation), 3rd trimester (30-38 wks gestation), and either 2-3 wks, 2-8 wks or 6-12 wks postpartum depending on study arm. Blood samples were drawn pre-dose and at 1, 2, 4, 6, 8, 12 (and 24) hours post dosing.
Intervention | Participants (Count of Participants) |
---|
| 2nd Trimester | 3rd Trimester | Postpartum |
---|
ATV/RTV Arm 1: 300/100mg q.d. | 1 | 12 | 12 |
,DRV/COBI 800/150 mg q.d. | 3 | 4 | 14 |
,DRV/RTV 600 or 800 or 900/100mg b.i.d. Then 800 or 900/100mg b.i.d. Then 600/100mg b.i.d. | 7 | 16 | 22 |
,DRV/RTV 600/100mg b.i.d. | 7 | 19 | 22 |
,DRV/RTV 800/100mg q.d. | 9 | 19 | 22 |
,DTG 50mg q.d. | 9 | 20 | 23 |
,EFV 600 mg q.d. (Outside THA) | 12 | 33 | 34 |
,ATV/RTV Arm 2: 300/100mg q.d. Then 400/100mg q.d. Then 300/100mg q.d. | 8 | 29 | 27 |
,ETR 200mg b.i.d. | 5 | 13 | 7 |
,EVG/COBI 150/150mg q.d. | 8 | 10 | 18 |
,FPV/RTV 700/100mg b.i.d. | 8 | 26 | 22 |
,IDV/RTV Arm 2: 400/100mg q.d. (Only THA) | 10 | 19 | 26 |
,LPV/RTV Arm 3: 400/100mg b.i.d. Then 600/150mg b.i.d. Then 400/100mg b.i.d. | 9 | 30 | 27 |
,ATV/COBI 300/150 mg q.d. | 1 | 2 | 5 |
,NFV Arm 2: 1250mg b.i.d. Then 1875mg b.i.d. Then 1250mg b.i.d. | NA | 15 | 14 |
,RAL 400mg b.i.d. | 11 | 33 | 30 |
,RPV 25mg q.d. | 14 | 26 | 25 |
,TAF 10mg q.d. w/COBI | 15 | 23 | 22 |
,TAF 25mg q.d. | 13 | 23 | 24 |
,TAF 25mg q.d. w/COBI or RTV Boosting | 10 | 24 | 18 |
,TFV 300mg q.d. | 2 | 27 | 27 |
,TFV/ATV/RTV Arm 1: 300/300/100mg q.d. | 1 | 11 | 12 |
,TFV/ATV/RTV Arm 2: 300/300/100mg q.d. Then 300/400/100mg q.d Then 300/300/100mg q.d. | 7 | 23 | 32 |
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Pharmacokinetic (PK) Parameter: Infant Plasma Washout Concentration of ARVs and TB Drugs
Infant plasma concentrations were collected and measured during the first 9 days of life. (NCT00042289)
Timeframe: Blood samples were collected at 2-10, 18-28, 36-72 hours and 5-9 days after birth.
Intervention | mcg/mL (Median) |
---|
| 2-10 hours after birth | 18-28 hours after birth | 36-72 hours after birth | 5-9 days after birth |
---|
DRV/COBI 800/150 mg q.d. | 0.35 | 1.43 | 1.87 | 1.72 |
,DTG 50mg q.d. | 1.73 | 1.53 | 1.00 | 0.06 |
,EFV 600 mg q.d. (Outside THA) | 1.1 | 1.0 | 0.9 | 0.4 |
,EVG/COBI 150/150mg q.d. | 0.132 | 0.032 | 0.005 | 0.005 |
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PK Parameter: Area Under the Curve From 0 to 12 Hours (AUC12) With Geometric Mean (95% CI) for ARVs and TB Drugs
Measured in 2nd trimester (20-26 wks gestation), 3rd trimester (30-38 wks gestation), and either 2-3 wks, 2-8 wks, or 6-12 wks postpartum depending on study arm. Blood samples were drawn pre-dose and at 1, 2, 4, 6, 8, and 12 hrs post dosing. (NCT00042289)
Timeframe: Measured in 2nd trimester (20-26 wks gestation), 3rd trimester (30-38 wks gestation), and either 2-3 wks, 2-8 wks, or 6-12 wks postpartum depending on study arm. Blood samples were drawn pre-dose and at 1, 2, 4, 6, 8, and 12 hrs post dosing.
Intervention | ng*hour/mL (Geometric Mean) |
---|
| 2nd Trimester | 3rd Trimester | Postpartum |
---|
MVC 150 or 300mg b.i.d. | NA | 2717 | 3645 |
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Area Under the Curve From 0 to 24 Hours (AUC24) of ARVs for Contraceptive Arms
Pharmacokinetic parameters were determined from plasma concentration-time profiles using noncompartmental methods. AUC24h (area-under-the-curve from 0 to 24 hours) were determined using the linear trapezoidal rule. (NCT00042289)
Timeframe: Measured at 2-12 wks postpartum before contraceptive initiation and 6-7 wks after contraceptive initiation. Blood samples were drawn pre-dose and at 0, 1, 2, 6, 8, 12, and 24 hours post dosing.
Intervention | mcg*hr/mL (Median) |
---|
| Before contraceptive initiation | After contraceptive initiation |
---|
ATV/RTV/TFV 300/100/300mg q.d. With ENG | 53.96 | 55.25 |
,EFV 600mg q.d. With ENG | 53.64 | 56.65 |
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PK Parameter: Trough Concentration (C12) With Geometric Mean (95% CI) for ARVs and TB Drugs
Pharmacokinetic parameters were determined from plasma concentration-time profiles using noncompartmental methods. Trough concentration was the measured concentration from the 12h post-dose sample after an observed dose. (NCT00042289)
Timeframe: Measured at 2nd trimester (20-26 wks gestation), 3rd trimester (30-38 wks gestation), and either 2-3 wks, 2-8 wks or 6-12 wks postpartum depending on study arm. Trough concentration was measured 12 hrs after an observed dose.
Intervention | ng/mL (Geometric Mean) |
---|
| 3rd Trimester | Postpartum |
---|
MVC 150 or 300mg b.i.d. | 108 | 128 |
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Pharmacokinetic (PK) Parameter: Infant Plasma Washout Half-life (T1/2) of ARVs and TB Drugs
Infant plasma concentrations were collected and measured during the first 9 days of life. Half-life is defined as 0.693/k, where k, the elimination rate constant, is the slope of the decline in concentrations. (NCT00042289)
Timeframe: Infant plasma samples at 2-10, 18-28, 36-72 hours and 5-9 days after birth.
Intervention | hour (Median) |
---|
DTG 50mg q.d. | 32.8 |
EVG/COBI 150/150mg q.d. | 7.6 |
DRV/COBI 800/150 mg q.d. | NA |
EFV 600 mg q.d. (Outside THA) | 65.6 |
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Linked Partner HIV Infection Rates in Early-ART and Delayed-ART Arms
incident HIV infections occurring in the partners (HIV-negative at enrollment) of randomized HIV-infected index (HIV-positive at enrollment) cases are assessed, by arm. Only acquisition from the index partner were included in the primary analysis, therefore, each endpoint was required to be confirmed (by genotyping) such that the viral envelop sequence in the index case matched that of the partner. (NCT00074581)
Timeframe: Throughout study
Intervention | event rate per 100 person-yr (Number) |
---|
Early-ART | 0.07 |
Delayed-ART | 1.03 |
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All Partner HIV Infection Rates in Early-ART and Delayed-ART Arms
All Incident HIV infections occurring in the partners (HIV-negative at enrollment) of randomized HIV-infected index (HIV-positive at enrollment) cases are assessed, by arm. (NCT00074581)
Timeframe: Throughout study
Intervention | event rate per 100 person-yr (Number) |
---|
Early-ART | 0.44 |
Delayed-ART | 1.41 |
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Time to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(PI Comparison)
Time from randomization to any of the following events occurring prior to week 48: changed any ARV medication (including permanent discontinuation of all medications); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values < 400 copies/mL; two consecutive plasma HIV-1 RNA values > 400 copies/mL following virologic suppression. (NCT00084136)
Timeframe: Week 48 (using follow-up only until closing of ddI+FTV+ATV arm on May 22,2008)
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
ddI+FTC+ATV | 0 | 0 | 48 |
,ZDV/3TC+EFV | 0 | 0 | 32 |
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Time to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(NRTI Comparison)
Time from randomization to any of the following events occurring prior to week 48: discontinued ARV regimen (see time to discontinuation of initial ARV therapy above); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values < 400 copies/mL; two consecutive plasma HIV-1 RNA values > 400 copies/mL following virologic suppression. (NCT00084136)
Timeframe: Week 48 (using follow-up through study closure on May 31,2010)
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile |
---|
TDF/FTC+EFV | 0 | 24 |
,ZDV/3TC+EFV | 0 | 16 |
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Time to Immunologic Failure (PI Comparison)
Time from randomization to the first scheduled study visit (week 48 or later) with a CD4+ cell count fewer than 100 cells/mm3. (NCT00084136)
Timeframe: At or after Week 48 (including only follow-up until ddI+FTV+ATV arm closed - May 22,2008)
Intervention | weeks (Number) |
---|
| 1st percentile | 5th percentile |
---|
ddI+FTC+ATV | 48 | NA |
,ZDV/3TC+EFV | 48 | 112 |
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Time to Loss of Virologic Response at Week 96 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(NRTI Comparison)
Time to any of the following events occurring prior to week 96: changed any ARV medication (including permanent discontinuation of all medications); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values < 400 copies/mL; two consecutive plasma HIV-1 RNA values > 400 copies/mL following virologic suppression. (NCT00084136)
Timeframe: Week 96 using follow-up through study closure on May 31,2010
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
TDF/FTC+EFV | 0 | 0 | NA |
,ZDV/3TC+EFV | 0 | 0 | 32 |
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Time to Loss of Virologic Response by Week 48 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(PI Comparison)
Time from randomization to any of the following events occurring prior to week 48: discontinued ARV regimen (see time to discontinuation of initial ARV therapy above); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values < 400 copies/mL; two consecutive plasma HIV-1 RNA values > 400 copies/mL following virologic suppression. (NCT00084136)
Timeframe: Week 48 (using follow-up only until closing of ddI+FTV+ATV arm on May 22,2008)
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
ddI+FTC+ATV | 0 | 0 | 48 |
,ZDV/3TC+EFV | 0 | 16 | NA |
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Time to Treatment Failure (NRTI Comparison)
Time from randomization to the earliest of: scheduled week of first plasma sample meeting virologic failure (two consecutive plasma HIV-1 RNA values 1,000 copies/mL or higher, regardless of whether ARV medications being taken at the time); scheduled week of first AIDS defining diagnosis (WHO Stage 4 (2005) plus microsporidiosis, cyclospora gastroenteritis and Chaga's disease), not attributed to Immune Reconstitution Inflammatory Syndrome (reviewed by chairs); date of death (due to any cause). Plasma drawn every 8 weeks (except confirmation samples could be drawn earlier). (NCT00084136)
Timeframe: Virologic failure starting 14 weeks following randomization; disease progression starting 12 weeks following randomization; and death occurring at any time following randomization. Follow-up through study closure (May 31, 2010).
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
TDF/FTC+EFV | 16 | 40 | NA |
,ZDV/3TC+EFV | 16 | 40 | NA |
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Time to Treatment Failure (PI Comparison)
Time from randomization to the earliest of: scheduled week of first plasma sample meeting virologic failure (two consecutive plasma HIV-1 RNA values 1,000 copies/mL or higher, regardless of whether ARV medications being taken at the time); scheduled week of first AIDS defining diagnosis (WHO Stage 4 (2005), plus microsporidiosis, cyclospora gastroenteritis and Chaga's disease), not attributed to Immune Reconstitution Inflammatory Syndrome (reviewed by chairs); date of death (due to any cause). Plasma drawn every 8 weeks (except confirmation samples could be drawn earlier). (NCT00084136)
Timeframe: Virologic failure starting 14 weeks following randomization; disease progression starting 12 weeks following randomization; and death occurring at any time following randomization. Follow-up until ddI+FTC+ATV arm closed (May 22, 2008).
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
ddI+FTC+ATV | 16 | 24 | 120 |
,ZDV/3TC+EFV | 16 | 40 | NA |
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Time to Immunologic Failure (NRTI Comparison)
Time from randomization to the first scheduled study visit (week 48 or later) with a CD4+ cell count fewer than 100 cells/mm3. (NCT00084136)
Timeframe: At or after Week 48 (including all follow-up through study closure - May 31,2010)
Intervention | weeks (Number) |
---|
| 1st percentile | 5th percentile | 10th percentile |
---|
TDF/FTC+EFV | 48 | 104 | NA |
,ZDV/3TC+EFV | 48 | 128 | NA |
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Time to First Dose Modification or Grade 3 or 4 Adverse Event (PI Comparison)
Time from treatment dispensation to the first occurring of the following: week of first ARV medication change; week of first grade 3 or higher sign/symptom or laboratory abnormality (total bilirubin was excluded) that was at least one grade higher than baseline. Grading used the Division of AIDS (DAIDS) 2004 Severity of Adverse Events Tables. (NCT00084136)
Timeframe: Throughout study follow-up until ddI+FTC+ATV arm closed (May 22, 2008)
Intervention | weeks (Number) |
---|
| 10th percentile | 25th percentile | 50th percentile |
---|
ddI+FTC+ATV | 4 | 32 | 144 |
,ZDV/3TC+EFV | 4 | 12 | 96 |
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Time to First Dose Modification or Grade 3 or 4 Adverse Event (NRTI Comparison)
Time from treatment dispensation to the first occurring of the following: week of first ARV medication change; week of first grade 3 or higher sign/symptom or laboratory abnormality (total bilirubin was excluded) that was at least one grade higher than baseline. Grading used the Division of AIDS (DAIDS) 2004 Severity of Adverse Events Tables. (NCT00084136)
Timeframe: Throughout study follow-up until study closure (May 31, 2010)
Intervention | weeks (Number) |
---|
| 10th percentile | 25th percentile | 50th percentile |
---|
TDF/FTC+EFV | 4 | 32 | 224 |
,ZDV/3TC+EFV | 4 | 12 | 112 |
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Time to Discontinuation of Initial Antiretroviral (ARV) Therapy (PI Comparison)
Time is measured from date of treatment initiation to earliest of the following: date of last participant contact (premature discontinuation of study follow-up); date all ARV medications were held (if all medications held for at least 8 weeks, for any reason); date that any ARV medication was changed (excluding the following single ARV substitutions: stavudine or tenofovir for zidovudine, nevirapine for efavirenz, or didanosine for tenofovir). (NCT00084136)
Timeframe: Throughout follow-up until ddI+FTC+ATV arm closed (May 22,2008)
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
ddI+FTC+ATV | 7 | 18 | 76 |
,ZDV/3TC+EFV | 16 | 34 | NA |
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Time to Discontinuation of Initial Antiretroviral (ARV) Therapy (NRTI Comparison)
Time is measured from date of treatment initiation to earliest of the following: date of last participant contact (premature discontinuation of study follow-up); date all ARV medications were held (if all medications held for at least 8 weeks, for any reason); date that any ARV medication was changed (excluding the following single ARV substitutions: stavudine or tenofovir for zidovudine, nevirapine for efavirenz, or didanosine for tenofovir). (NCT00084136)
Timeframe: Throughout follow-up until study closed (May 31,2010)
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
TDF/FTC+EFV | 18 | 36 | 201 |
,ZDV/3TC+EFV | 16 | 34 | 163 |
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Plasma HIV-1 Viral Load Fewer Than 400 Copies/ml (PI Comparison)
Number of participants with plasma HIV-1 Viral load fewer than 400 copies/mL at study visit weeks 24 and 48. Closest observed result between 20 and up to 28 weeks (for week 24), and between 44 and up to 52 (for week 48) used if multiple results available. Missing values excluded, and both study treatment status and history ignored. (NCT00084136)
Timeframe: At Weeks 24 and 48 (including only follow-up until ddI+FTC+ARV arm closed - May 22, 2008)
Intervention | participants (Number) |
---|
| Week 24: Number with RNA <400 c/mL (N=495; N=506) | Week 48: Number with RNA <400 c/mL (N=476; N=478) |
---|
ddI+FTC+ATV | 431 | 424 |
,ZDV/3TC+EFV | 459 | 437 |
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Plasma HIV-1 Viral Load Fewer Than 400 Copies/ml (NRTI Comparison)
Number of participants with plasma HIV-1 Viral load fewer than 400 copies/mL at study visit weeks 24 and 48. Closest observed result between 20 and up to 28 weeks (for week 24), and between 44 and up to 52 (for week 48) used if multiple results available. Missing values excluded, and both study treatment status and history ignored. (NCT00084136)
Timeframe: At Weeks 24 and 48 (including follow-up through to study closure on May 31, 2010)
Intervention | participants (Number) |
---|
| Week 24: Number with RNA <400 c/mL (N=495; N=500) | Week 48: Number with RNA <400 c/mL (N=482; N=487) |
---|
TDF/FTC+EFV | 448 | 455 |
,ZDV/3TC+EFV | 459 | 442 |
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Change in CD4 Count From Screening to Weeks 24, 48, 96 (PI Comparison)
Available pre-randomization CD4 cell counts were limited to the single CD4 cell count used for study eligibility (and therefore must have been fewer than 300 cells/mm3). (NCT00084136)
Timeframe: weeks 24, 48 and 96 (including follow-up until ddI+FTC+ARV arm closed - May 22, 2008)
Intervention | cells/mm^3 (Median) |
---|
| Change from screening to week 24 (N=490; N=502) | Change from screening to week 48 (N=474; N=477) | Change from screening to week 96 (N= 188; N=188) |
---|
ddI+FTC+ATV | 146.5 | 187.0 | 256.0 |
,ZDV/3TC+EFV | 112.5 | 152.0 | 216.0 |
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Time to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(NRTI Comparison)
Time from randomization to any of the following events occurring prior to week 48: changed any ARV medication (including permanent discontinuation of all medications); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values < 400 copies/mL; two consecutive plasma HIV-1 RNA values > 400 copies/mL following virologic suppression. (NCT00084136)
Timeframe: Week 48 using follow-up through study closure on May 31,2010
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
TDF/FTC+EFV | 0 | 0 | NA |
,ZDV/3TC+EFV | 0 | 0 | 32 |
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Change in CD4 Count From Screening to Weeks 24, 48, 96 (NRTI Comparison)
Available pre-randomization CD4 cell counts were limited to the single CD4 cell count used for study eligibility (and therefore must have been fewer than 300 cells/mm3). (NCT00084136)
Timeframe: weeks 24, 48 and 96 (including all follow-up through to study closure on May 31, 2010)
Intervention | cells/mm^3 (Median) |
---|
| Change from screening to week 24 (N=490; N=498) | Change from screening to week 48 (N=480; N=485) | Change from screening to week 96 (N=458; N=471) |
---|
TDF/FTC+EFV | 120.5 | 159 | 226 |
,ZDV/3TC+EFV | 112.5 | 151.5 | 220.5 |
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Time to Loss of Virologic Response at Week 96 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(NRTI Comparison)
Time from randomization to any of the following events occurring prior to week 96: discontinued ARV regimen (see time to discontinuation of initial ARV therapy above); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values < 400 copies/mL; two consecutive plasma HIV-1 RNA values > 400 copies/mL following virologic suppression. (NCT00084136)
Timeframe: Week 96 (using follow-up through to study closure on May 31,2010)
Intervention | weeks (Number) |
---|
| 5th percentile | 10th percentile | 25th percentile |
---|
TDF/FTC+EFV | 0 | 24 | NA |
,ZDV/3TC+EFV | 0 | 16 | NA |
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Cumulative Probability of Not Experiencing a Grade 3/4 Safety Event
Kaplan-Meier estimate of the cumulative survival probability at week 48 and 96. Grade 3/4 safety event is defined as a grade 3 or 4 sign, symptom, or laboratory abnormality that is at least one grade higher than at baseline, total bilirubin and creatine kinase (CPK) were excluded. Grading used the Division of AIDS (DAIDS) 2004 Severity of Adverse Events Tables. As-treated analysis censored at 1st modification of initially assigned regimen, participants who never started treatment were excluded. (NCT00118898)
Timeframe: At week 48 and 96
Intervention | percentage of participants (Number) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 78 | 70 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 64 | 58 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 79 | 73 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 73 | 66 |
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Cumulative Probability of Not Experiencing Regimen Failure
Kaplan-Meier estimate of the cumulative survival probability at week 48 and 96. Blood samples for determining virologic failure were obtained at 16 and 24 weeks, and every 12 weeks thereafter. Virologic failure was defined as a confirmed plasma HIV-1 RNA level >= 1000 copies/mL at or after 16 weeks and before 24 weeks or >=200 copies/mL at or after 24 weeks. Treatment modification was defined as the 1st modification of the regimen, including a permanent discontinuation, switch, or substitution. (NCT00118898)
Timeframe: At week 48 and 96
Intervention | percentage of participants (Number) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 79 | 70 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 64 | 54 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 80 | 73 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 66 | 57 |
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Cumulative Probability of Not Experiencing Treatment Modification
Kaplan-Meier estimate of the cumulative survival probability at week 48 and 96. Treatment modification is defined as the 1st modification of the regimen, including a permanent discontinuation, switch, or substitution. (NCT00118898)
Timeframe: At week 48 and 96
Intervention | percentage of participants (Number) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 80 | 73 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 67 | 56 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 86 | 77 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 73 | 62 |
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Cumulative Probability of Not Experiencing Virologic Failure
Kaplan-Meier estimate of the cumulative survival probability at week 48 and 96. Blood samples for determining virologic failure were obtained at 16 and 24 weeks, and every 12 weeks thereafter. Virologic failure was defined as a confirmed plasma HIV-1 RNA level >= 1000 copies/mL at or after 16 weeks and before 24 weeks or >=200 copies/mL at or after 24 weeks. (NCT00118898)
Timeframe: At week 48 and 96
Intervention | percentage of participants (Number) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 94 | 90 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 88 | 85 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 92 | 89 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 88 | 83 |
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Number of Participants With HIV-1 RNA Levels Less Than 200 Copies/mL
(NCT00118898)
Timeframe: At Weeks 48 and 96
Intervention | Participants (Number) |
---|
| Number of Participants with RNA data at Week 48 | Number with HIV-1 RNA <200 copies/ml at Week 48 | Number of Participants with RNA data at Week 96 | Number with HIV-1 RNA <200 copies/ml at Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 415 | 398 | 379 | 362 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 400 | 377 | 361 | 342 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 416 | 391 | 384 | 368 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 411 | 372 | 374 | 346 |
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The Number of Participants With HIV-1 RNA Levels Less Than 50 Copies/mL
(NCT00118898)
Timeframe: At Weeks 48 and 96
Intervention | Participants (Number) |
---|
| Number of Participants with RNA data at Week 48 | Number with HIV-1 RNA <50 copies/ml at Week 48 | Number of Participants with RNA data at Week 96 | Number with HIV-1 RNA <50 copies/ml at Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 415 | 372 | 379 | 345 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 400 | 346 | 361 | 328 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 416 | 348 | 384 | 345 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 411 | 322 | 374 | 317 |
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Time From Randomization to Virologic Failure
Blood samples for determining virologic failure were obtained at visit weeks 16 and 24 , and every 12 weeks thereafter. Virologic failure was defined as a confirmed plasma HIV-1 RNA level >= 1000 copies/mL at or after 16 weeks after randomization and before 24 weeks, or >=200 copies/mL at or after 24 weeks. The 5th percentile for time to virologic failure is the time (in weeks) at which 5% of the participants have experienced virologic failure. (NCT00118898)
Timeframe: Follow-up time was variable,median follow-up was 138 weeks; see 'Amount of study follow-up' outcome for details
Intervention | Weeks (Number) |
---|
| 5th percentile time to virologic failure | 10th percentile time to virologic failure |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 36 | 96 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 24 | 36 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 24 | 84 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 24 | 36 |
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Time From Treatment Dispensation to a Grade 3/4 Safety Event
Grade 3/4 safety event is defined as a grade 3 or 4 sign, symptom, or laboratory abnormality that is at least one grade higher than at baseline, total bilirubin and creatine kinase (CPK) were excluded. Grading used the Division of AIDS (DAIDS) 2004 Severity of Adverse Events Tables. (NCT00118898)
Timeframe: All follow-up while on initially assigned regimen; the median (25th, 75th percentile) follow-up while on initial regimen was 120 (54, 156) weeks and the range was 0 to 205 weeks.
Intervention | Weeks (Number) |
---|
| 5th percentile time to a grade 3/4 safety event | 10th percentile time to a grade 3/4 safety event | 25th percentile time to a grade 3/4 safety event |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 2.6 | 7.9 | 59.3 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 1.3 | 2.0 | 16.0 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 3.0 | 8.1 | 81.4 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 1.3 | 3.9 | 44.4 |
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Time From Treatment Dispensation to Regimen Failure (First Occurrence of Virologic Failure or Treatment Modification)
Blood samples for determining virologic failure were obtained at 16 and 24 weeks, and every 12 weeks thereafter. Virologic failure was defined as a confirmed plasma HIV-1 RNA level >= 1000 copies/mL at or after 16 weeks and before 24 weeks or >=200 copies/mL at or after 24 weeks. Treatment modification was defined as the 1st modification of the regimen, including a permanent discontinuation, switch, or substitution. (NCT00118898)
Timeframe: Follow-up time was variable,median follow-up was 138 weeks; see 'Amount of study follow-up' outcome for details
Intervention | Weeks (Number) |
---|
| 5th percentile time to regimen failure | 10th percentile time to regimen failure | 25th percentile time to regimen failure |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 4 | 16 | 72 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 4 | 4 | 24 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 4 | 16 | 84 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 4 | 4 | 36 |
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Time From Treatment Dispensation to Treatment Modification
Treatment modification is defined as the 1st modification of the regimen, including a permanent discontinuation, switch, or substitution. (NCT00118898)
Timeframe: Follow-up time was variable,median follow-up was 138 weeks; see 'Amount of study follow-up' outcome for details
Intervention | Weeks (Number) |
---|
| 5th percentile time to treatment modification | 10th percentile time to treatment modification | 25th percentile time to treatment modification |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 3.4 | 15.0 | 83.7 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 1.4 | 2.1 | 27.4 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 7.9 | 24.9 | 108.9 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 1.6 | 5.0 | 43.6 |
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Number of Participants With Regimen Failure
Blood samples for determining virologic failure were obtained at 16 and 24 weeks, and every 12 weeks thereafter. Virologic failure was defined as a confirmed plasma HIV-1 RNA level >= 1000 copies/mL at or after 16 weeks and before 24 weeks or >=200 copies/mL at or after 24 weeks. Treatment modification was defined as the 1st modification of the regimen, including a permanent discontinuation, switch, or substitution. (NCT00118898)
Timeframe: Follow-up time was variable, median follow-up was 138 weeks; see 'Amount of study follow-up' outcome for details
Intervention | participants (Number) |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 162 |
EFV, Placebo FTC/TDF, and ABC/3TC | 246 |
RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 157 |
RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 233 |
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Amount of Study Follow-up
Participants were to be followed for 96 weeks after the last enrollment. Accrual was expected to take 96 weeks, thus the planned follow-up time was 96 to 192 weeks, dependent on when in the study the participant enrolled. This outcome summarizes that total amount of actual follow-up in weeks from randomization to last contact. (NCT00118898)
Timeframe: Follow-up time was variable, median follow-up was 138 weeks
Intervention | Weeks (Median) |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 141.4 |
EFV, Placebo FTC/TDF, and ABC/3TC | 133.3 |
RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 141.6 |
RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 137.3 |
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Number of Participants With a Grade 3/4 Safety Event
Grade 3/4 safety event is defined as a grade 3 or 4 sign, symptom, or laboratory abnormality that is at least one grade higher than at baseline, total bilirubin and creatine kinase (CPK) were excluded. Grading used the Division of AIDS (DAIDS) 2004 Severity of Adverse Events Tables. As-treated analysis censored at 1st modification of initially assigned regimen, participants who never started treatment were excluded. (NCT00118898)
Timeframe: Over all study follow-up while on initially assigned treatment, median follow-up was 120 weeks
Intervention | participants (Number) |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 145 |
EFV, Placebo FTC/TDF, and ABC/3TC | 182 |
RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 137 |
RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 156 |
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Number of Participants With Treatment Modification
Treatment modification is defined as the 1st modification of the regimen, including a permanent discontinuation, switch, or substitution. (NCT00118898)
Timeframe: Follow-up time was variable, median follow-up was 138 weeks; see 'Amount of study follow-up' outcome for details
Intervention | participants (Number) |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 152 |
EFV, Placebo FTC/TDF, and ABC/3TC | 239 |
RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 138 |
RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 216 |
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Number of Participants With Virologic Failure
Blood samples for determining virologic failure were obtained at 16 and 24 weeks, and every 12 weeks thereafter. Virologic failure was defined as a confirmed plasma HIV-1 RNA level >= 1000 copies/mL at or after 16 weeks and before 24 weeks or >=200 copies/mL at or after 24 weeks. (NCT00118898)
Timeframe: Follow-up time was variable, median follow-up was 138 weeks; see 'Amount of study follow-up' outcome for details
Intervention | participants (Number) |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 57 |
EFV, Placebo FTC/TDF, and ABC/3TC | 72 |
RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 57 |
RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 83 |
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Number of Participants With Virologic Failure and Emergence of Major Resistance
Emergence of resistant virus was assessed by genotypic testing performed at Stanford University for all participants who met criteria for virologic failure and retrospectively on baseline samples from these participants. Major mutations were defined by International AIDS Society-United States of America (2008), as well as T69D, L74I, G190C/E/Q/T/V for reverse transcriptase and L24I, F53L, I54V/A/T/S, G73C/S/T/A, N88D for protease. (NCT00118898)
Timeframe: Follow-up time was variable,median follow-up was 138 weeks; see 'Amount of study follow-up' outcome for details
Intervention | participants (Number) |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 27 |
EFV, Placebo FTC/TDF, and ABC/3TC | 41 |
RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 5 |
RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 12 |
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Change in CD4 Count (Cells/mm3) From Baseline
Change was calculated as the CD4 count at Week 48 (or at Week 96) minus the baseline CD4 count (mean of pre-entry and entry values). (NCT00118898)
Timeframe: At Weeks 48 and 96
Intervention | Cells/mm3 (Median) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 163 | 220.5 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 188 | 250.5 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 175 | 251.5 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 177.5 | 250.3 |
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Change in Fasting High-density Lipoprotein (HDL) Cholesterol Level From Baseline
Only fasting results are included. The protocol did not require that samples be collected fasting. (NCT00118898)
Timeframe: At Weeks 48 and 96
Intervention | mg/dL (Median) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 8 | 9 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 10 | 11 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 5 | 4 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 8 | 7 |
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Change in Fasting Non-high Density Lipoprotein (Non-HDL) Cholesterol Level From Baseline
Only fasting results are included. The protocol did not require that samples be collected fasting. (NCT00118898)
Timeframe: At Weeks 48 and 96
Intervention | mg/dL (Median) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 14 | 13.5 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 23 | 18 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 8 | 10 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 20 | 18 |
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Change in Fasting Total Cholesterol Level From Baseline
Only fasting results are included. The protocol did not require that samples be collected fasting. (NCT00118898)
Timeframe: At Weeks 48 and 96
Intervention | mg/dL (Median) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 22 | 23 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 35 | 33 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 11 | 14 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 30 | 25 |
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Change in Fasting Triglyceride Level From Baseline
Only fasting results are included. The protocol did not require that samples be collected fasting. (NCT00118898)
Timeframe: At Weeks 48 and 96
Intervention | mg/dL (Median) |
---|
| Week 48 | Week 96 |
---|
EFV, FTC/TDF, and Placebo ABC/3TC | 10 | 9 |
,EFV, Placebo FTC/TDF, and ABC/3TC | 15 | 14 |
,RTV-boosted ATV, FTC/TDF, and Placebo ABC/3TC | 14 | 11 |
,RTV-boosted ATV, Placebo FTC/TDF, and ABC/3TC | 24 | 33 |
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Mean Changes From Baseline in Fasting Glucose at Week 48 and Week 96
(NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | mg/dL (Mean) |
---|
| Week 48 (n=124; n=63) | Week 96 (n=124; n=64) |
---|
ATV/RTV Switch Arm | 3.6 | 1.2 |
,PI/RTV Control Arm | -3.3 | 3.0 |
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Change From Baseline in Trunk-to-limb Fat Ratio as Measured by DEXA at Week 96
Mean changes from baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement is associated with a decrease in values.(Baseline trunk-to-limb fat ratio values can be found in the Baseline Characteristics section.) (NCT00135356)
Timeframe: Baseline, Week 96
Intervention | ratio (Mean) |
---|
| LOCF Population (n=112; n=54) | OC Population (n=94; n=45) |
---|
ATV/RTV Switch Arm | 0.04 | 0.04 |
,PI/RTV Control Arm | 0.02 | 0.05 |
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Change From Baseline in Trunk-to-limb Fat Ratio as Measured by Dual Energy X-Ray Absortiometry (DEXA) at Week 48
Mean changes from Baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement is associated with a decrease in values. (Baseline trunk-to-limb fat ratio values can be found in the Baseline Characteristics section.) (NCT00135356)
Timeframe: Baseline, Week 48
Intervention | ratio (Mean) |
---|
| LOCF Population (n=112; n=54) | OCPopulation (n=105; n=51) |
---|
ATV/RTV Switch Arm | 0.02 | 0.02 |
,PI/RTV Control Arm | -0.02 | -0.01 |
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Kaplan-Meier Cumulative Proportion of Participants Without Virologic Rebound (HIV RNA ≥400 c/mL) at Timepoints up to Week 96 in Treated Participants With HIV RNA <400 c/mL at Baseline
Virologic rebound was measured from the first dose of study therapy to the first of the 2 consecutive measurements ≥400 c/mL. Time to virologic rebound was analyzed using life tables. Measured Values show the Kaplan-Meier cumulative proportion of participants without virologic rebound up to the end of the respective interval. (NCT00135356)
Timeframe: Weeks 8-12, Weeks 20-24, Weeks 32-36, Weeks 44-48, Weeks 56-60, Weeks 68-72, Weeks 80-84, Weeks 92-96
Intervention | Proportion of participants (Number) |
---|
| By Weeks 8-12 | By Weeks 20-24 | By Weeks 32-36 | By Weeks 44-48 | By Weeks 56-60 | By Weeks 68-72 | By Weeks 80-84 | By Weeks 92-96 |
---|
ATV/RTV Switch Arm | 0.9837 | 0.9837 | 0.9753 | 0.9669 | 0.9585 | 0.9585 | 0.9585 | 0.9585 |
,PI/RTV Control Arm | 1.000 | 1.000 | 0.9841 | 0.9841 | 0.9841 | 0.9841 | 0.9674 | 0.9309 |
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Mean Change From Baseline in CD4 Count
Mean change from baseline in CD4 count among treated subjects (NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | cells/mm3 (Mean) |
---|
| Week 48 (n=114; n=56) | Week 96 (n=96; n=54) |
---|
ATV/RTV Switch Arm | 14 | 3 |
,PI/RTV Control Arm | 44 | 82 |
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Mean Changes From Baseline in Fasting Insulin at Week 48 and Week 96
(NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | microunits per milliliter (Mean) |
---|
| Baseline (n=124; n=62) | Week 48 (n=124; n=59) | Week 96 (n=124; n=59) |
---|
ATV/RTV Switch Arm | 14.1 | 1.3 | 0.0 |
,PI/RTV Control Arm | 21.8 | -4.1 | 0.3 |
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Mean Percent Change From Baseline in Visceral Adipose Tissue (VAT) Area by Computed Tomography (CT) Scans and in Trunk Fat by DEXA.
The mean percent change from baseline in physical signs of lipohypertrophy, as assessed objectively by changes in visceral adipose tissue (VAT) area (cm2) by computed tomography (CT) scans and by changes in trunk fat (kg) by DEXA. Clinical improvement is associated with a decrease in values. (Baseline values can be found in the Baseline Characteristics section.) (NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | Percent change (Mean) |
---|
| Week 48 VAT (n=98; n=53) | Week 96 VAT (n=101; n=53) | Week 48 Trunk Fat (n=112; n=57) | Week 96 Trunk Fat (n=112; n=57) |
---|
ATV/RTV Switch Arm | 6.5 | 4.3 | 2.6 | 1.6 |
,PI/RTV Control Arm | -0.4 | 2.1 | -1.8 | -3.6 |
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Mean Changes From Baseline in Fasting Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)
HOMA-IR is an index used in evaluation of obese patients at risk for type 2 diabetes which requires fasting glucose and insulin concentrations. It is a mathematical model based on the theory of a negative feedback loop between the liver and β-cells that regulates both fasting glucose and insulin concentrations and can be used to estimate pancreatic β-cell function and degree of insulin resistance. HOMA-IR normal values are between 2 and 2.5. HOMA-IR ≥ 2.5 indicates insulin-resistance. (NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | mg/dL x uU/mL (Mean) |
---|
| Baseline (n=115; n=59) | Week 48 (n=115; n=57) | Week 96 (n=115; n=57) |
---|
ATV/RTV Switch Arm | 3.42 | 0.74 | 0.28 |
,PI/RTV Control Arm | 5.43 | -1.73 | 1.00 |
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Mean Changes From Baseline in Body Mass Index at Week 48 and Week 96
(NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | kg/m2 (Mean) |
---|
| Week 48 (n=130; n=67) | Week 96 (n=130; n=67) |
---|
ATV/RTV Switch Arm | 0.3 | 0.2 |
,PI/RTV Control Arm | -0.2 | -0.5 |
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Mean Changes From Baseline in Body Weight at Week 48 and Week 96
(NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | kg (Mean) |
---|
| Week 48 (n=130; n=68) | Week 96 (n=130; n=68) |
---|
ATV/RTV Switch Arm | 1 | 0 |
,PI/RTV Control Arm | -1 | -1 |
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Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, and AEs Leading to Discontinuation
Percentage of Participants with AEs, Serious AEs (SAEs), Deaths, and AEs leading to discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event. (NCT00135356)
Timeframe: Through Week 96 of study therapy
Intervention | Percentage of Participants (Number) |
---|
| Death | SAE | AE Leading to Discontinuation | Any AEs (all grades) through Week 96 |
---|
ATV/RTV Switch Arm | 0 | 8 | 5 | 90 |
,PI/RTV Control Arm | 0 | 7 | 3 | 83 |
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Percentage of Participants With Adverse Events (AEs) Leading to Discontinuation
Percentage of Participants with AEs leading to discontinuation of study therapy. An AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. All events listed in this table were SAEs, except for renal impairment and hypertriglycerideamia, which were an AEs (and did not meet the 5 percent threshold reported in Adverse Event module of this record). (NCT00135356)
Timeframe: Through Week 96
Intervention | Percent of Participants (Number) |
---|
| Any adverse experience leading to discontinuation | Hyperbilirubinemia | Jaundice | Drug abuse | Renal impairment | Stevens-Johnson syndrome | Hypertriglyceridemia | Squamous cell carcinoma |
---|
ATV/RTV Switch Arm | 5 | 2 | 1 | 1 | 1 | 1 | 0 | 0 |
,PI/RTV Control Arm | 3 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
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Percentage of Participants With Abnormal Liver Function Tests
Percentage of participants with Abnormal Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and Total Bilirubin (TBILI) measurements. Values for liver tests are graded using the modified World Health Organization (WHO) criteria. Grade 1 is mild, grade 2 is moderate, grade 3 is severe, grade 4 is life threatening or disabling. (NCT00135356)
Timeframe: Week 48, Week 96
Intervention | Percentage of Participants (Number) |
---|
| Wk 48 ALT Grades 1-4 | Wk 48 ALT Grades 3-4 | Wk 48 ALT Grade 4 | Wk 96 ALT Grades 1-4 | Wk 96 ALT Grades 3-4 | Wk 96 ALT Grade 4 | Wk 48 AST Grade 1-4 | Wk 48 AST Grades 3-4 | Wk 48 AST Grade 4 | Wk 96 AST Grades 1-4 | Wk 96 AST Grades 3-4 | Wk 96 AST Grade 4 | Wk 48 TBILI Grades 1-4 | Wk 48 TBILI Grades 3-4 | Wk 48 TBILI Grade 4 | Wk 96 TBILI Grades 1-4 | Wk 96 TBILI Grades 3-4 | Wk 96 TBILI Grade 4 |
---|
ATV/RTV Switch Arm | 34 | 1 | 0 | 37 | 2 | 0 | 19 | 1 | 0 | 24 | 1 | 0 | 94 | 53 | 13 | 95 | 60 | 17 |
,PI/RTV Control Arm | 23 | 0 | 0 | 32 | 0 | 0 | 15 | 0 | 0 | 19 | 0 | 0 | 19 | 0 | 0 | 21 | 0 | 0 |
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Mean Percent Changes From Baseline in Fasting Lipids
Mean percent changes from baseline in fasting total, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and non-HDL cholesterol, triglycerides, and apolipoprotein B (NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | Percent change (Number) |
---|
| Week 48 - Total Cholesterol | Week 48 - HDL Cholesterol | Week 48 - Non-HDL Cholesterol | Week 48 - LDL Cholesterol | Week 48 - Triglycerides | Week 48 - Apolipoprotein B | Week 96 - Total Cholesterol | Week 96 - HDL Cholesterol | Week 96 - Non-HDL Cholesterol | Week 96 - LDL Cholesterol | Week 96 - Triglycerides | Week 96 - Apolipoprotein B |
---|
ATV/RTV Switch Arm | -13.0 | -6.2 | -14.8 | -10.4 | -23.8 | -7.6 | -12.5 | -6.8 | -14.0 | -8.4 | -25.0 | -8.3 |
,PI/RTV Control Arm | -1.0 | -2.6 | -0.6 | 2.6 | -11.7 | 1.1 | -0.1 | -4.6 | 1.2 | 3.6 | -12.2 | 8.3 |
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Mean Percent Change From Baseline in Total Body Fat by DEXA and in Total Adipose Tissue (TAT) Area by CT Scans
The mean percent change from baseline in total body fat by DEXA and in total adipose tissue (TAT) area by CT scans. Total body fat and TAT are both associated many factors (trunk fat + limb fat + other [weight, etc]), and thus clinical improvement cannot be predicted based solely an increase or decrease of these values. (Baseline values can be found in the Baseline Characteristics section.) (NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | percent change (Mean) |
---|
| Week 48 TAT (n=108; n= 59) | Week 96 TAT (n=111; n=59) | Week 48 Total Body Fat (n=105; n=51) | Week 96 Total Body Fat (n=94; n=45) |
---|
ATV/RTV Switch Arm | 0.0 | -0.9 | 1.9 | 0.5 |
,PI/RTV Control Arm | -3.5 | -5.0 | -3.7 | -7.4 |
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Mean Percent Change From Baseline in Peripheral Adipose Tissue (Limb Fat) by DEXA and by Changes in Subcutaneous Adipose Tissue (SAT) Area by CT Scans
The mean percent change from baseline in physical signs of lipoatrophy, as assessed objectively by changes in peripheral adipose tissue (ie, limb fat (kg) by DEXA and in subcutaneous adipose tissue (SAT) area by CT scans. Clinical improvement is associated with stable values, or an increase in values. (Baseline values can be found in the Baseline Characteristics section.) (NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | percent change (Mean) |
---|
| Week 48 SAT (n=108; n=59) | Week 96 SAT (n=111; n=59) | Week 48 Limb Fat (n=112; 54) | Week 48 Limb Fat (n=112; n=54) |
---|
ATV/RTV Switch Arm | -2.2 | -3.5 | 0.9 | -0.8 |
,PI/RTV Control Arm | -5.9 | -9.7 | -3.6 | -6.1 |
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Mean Changes From Baseline in Waist-to-Hip Ratio at Week 48 and Week 96
Mean changes from baseline in proportion of waist to hip measurements. (NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | ratio (Mean) |
---|
| Week 48 (n=123; n=65) | Week 96 (n=124; n=65) |
---|
ATV/RTV Switch Arm | -0.01 | -0.01 |
,PI/RTV Control Arm | -0.01 | -0.01 |
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Mean Changes From Baseline in Waist Circumference at Week 48 and Week 96
(NCT00135356)
Timeframe: Baseline, Week 48, Week 96
Intervention | cm (Mean) |
---|
| Week 48 (n=123; n=66) | Week 96 (n=124; n=66) |
---|
ATV/RTV Switch Arm | -1 | -1 |
,PI/RTV Control Arm | -1 | -1 |
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Change From Baseline in CD4 Cell Count at Week 48 of Rescue Phase
Change From Baseline in CD4 Count at Week 48 of Rescue Phase. Change=Week 48 Rescue Phase value - Baseline value; a decrease signifies worsening. (NCT00207142)
Timeframe: Baseline, Week 48 of Rescue Phase
Intervention | cells/mm3 (Mean) |
---|
Rescue Treatment | 313 |
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Kaplan-Meier Cumulative Proportion for Treatment Failure (HIV-1 RNA ≥50 c/mL) at Different Time Points Through Week 48 of the Maintenance Phase
Treatment failure based on HIV-1 RNA ≥ 50 c/mL was defined as virologic rebound on or before Week 48 or discontinuation of study therapy before Week 48 for any reason. Time to treatment failure was analyzed using life tables. Measured Values shows the Kaplan-Meier cumulative proportion of participants without treatment failure up to the end of the respective interval. (NCT00207142)
Timeframe: Weeks 6-8, Weeks 14-16, Weeks 22-24, Weeks 30-32, Weeks 38-40, Weeks 46-48
Intervention | Proportion of participants (Number) |
---|
| Proportion by Week 6-8 | Proportion by Week 14-16 | Proportion by Week 22-24 | Proportion by Week 30-32 | Proportion by Week 38-40 | Proportion by Week 46-48 |
---|
Continuation Regimen | 0.9412 | 0.9176 | 0.9059 | 0.8824 | 0.8343 | 0.8176 |
,Switch Regimen | 0.9655 | 0.9655 | 0.9540 | 0.9310 | 0.8506 | 0.8273 |
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Change From Baseline in CD4 Cell Count at Week 24 of Induction Phase
Change From Baseline in CD4 Count at Week 24 of Induction Phase. Change=Week 24 Induction Phase value - Baseline value; a decrease signifies worsening. (NCT00207142)
Timeframe: Baseline, Week 24 of Induction Phase
Intervention | cells/mm3 (Mean) |
---|
Randomized Subjects | 170 |
Nonrandomized Subjects | 201 |
Total | 177 |
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Treatment Outcomes Based on Viral Loads (HIV-1 RNA ≥50 c/mL) Through the End of Rescue Phase
Treatment outcome is based on the first reason of failure. These analyses were performed using HIV-1 RNA of 50 c/mL to define suppression and virologic rebound. (NCT00207142)
Timeframe: Through Week 48 of Rescue Phase. Measurements were included from the end of Induction Phase through the last dose of Rescue Phase study therapy plus 4 days.
Intervention | Participants (Number) |
---|
| Suppression Maintained Through Week 48 | Suppression, then Virologic Rebound at/before Wk48 | Discontinuation Before Week 48 | Viral Suppression Never Achieved |
---|
Rescue Treatment | 29 | 7 | 8 | 6 |
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Treatment Outcomes Based on Viral Loads (HIV-1 RNA ≥400 c/mL) Through the End of Rescue Phase
Treatment outcome is based on the first reason of failure. These analyses were performed using HIV-1 RNA of 400 c/mL to define suppression and virologic rebound. (NCT00207142)
Timeframe: Baseline, Week 48 of Rescue Phase
Intervention | Participants (Number) |
---|
| Suppression Maintained Through Week 48 | Suppression, then Virologic Rebound at/before Wk48 | Discontinuation Before Week 48 | Viral Suppression Never Achieved |
---|
Rescue Treatment | 39 | 2 | 9 | 0 |
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Time to Suppression (Confirmed HIV-1 RNA < 50 c/mL) During Treatment Phase
Description: Time to suppression was measured from the first dose of Induction Phase study therapy to the first of the 2 consecutive measurements < 50 c/mL. Time to suppression was analyzed using life tables. Measured Values show the Kaplan-Meier cumulative number of treated participants without suppression up to the end of the respective interval. (NCT00207142)
Timeframe: Week 16-18, Week 24-26, Week 38-40, Week 64-66
Intervention | Participants (Number) |
---|
| Number of Participants Suppressed by Wk 16-18 | Number of Participants Suppressed by Wk 24-26 | Number of Participants Suppressed by Wk 38-40 | Number of Participants Suppressed by Wk 64-66 |
---|
Nonrandomized Subjects | 3 | 5 | 31 | 42 |
,Randomized Subjects | 131 | 171 | 172 | 172 |
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Time to Suppression (Confirmed HIV-1 RNA < 400 c/mL) During Treatment Phase
Time to suppression was measured from the first dose of Induction Phase study therapy to the first of the 2 consecutive measurements <400 c/mL. Time to suppression was analyzed using life tables. Measured Values show the Kaplan-Meier cumulative number of treated participants without suppression up to the end of the respective interval. (NCT00207142)
Timeframe: Week 16-18, Week 24-26, Week 30-32
Intervention | Participants (Number) |
---|
| Number of Participants Suppressed by Week 16-18 | Number of Participants Suppressed by Wk 24-26 | Number of Participants Suppressed by Wk 30-32 |
---|
Nonrandomized Subjects | 39 | 54 | 55 |
,Randomized Subjects | 168 | 171 | 172 |
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Summary of Adverse Events During Rescue Phase
Summary of Adverse Events (AEs), Deaths, Serious AEs (SAEs), and AEs leading to study discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event. (NCT00207142)
Timeframe: Measurements are included from the end of Induction Phase (26 to 30 weeks after the first dose therapy) through the last dose of Rescue Phase study therapy plus 30 days.
Intervention | Participants (Number) |
---|
| Deaths | SAEs | SAEs related to study therapy | AEs leading to discontinuation |
---|
Rescue Treatment | 1 | 2 | 0 | 1 |
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Summary of Adverse Events During Maintenance Phase
Summary of Adverse Events (AEs), Deaths, Serious AEs (SAEs), and AEs leading to study discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event. (NCT00207142)
Timeframe: Measurements are included from the end of Induction Phase (26 to 30 weeks after first dose) through the last dose of Maintenance Phase study therapy plus 30 days.
Intervention | Participants (Number) |
---|
| Deaths | Serious Adverse Events (SAEs) | SAEs related to study therapy | AEs leading to discontinuation |
---|
Continuation Regimen | 0 | 3 | 0 | 4 |
,Switch Regimen | 0 | 4 | 0 | 1 |
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Summary of Adverse Events During Induction Phase
Summary of Adverse Events (AEs), Deaths, Serious AEs (SAEs), and AEs leading to study discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event. (NCT00207142)
Timeframe: Measurements are included through the earlier of the last dose of Induction Phase study therapy plus 30 days or the first dose of Maintenance/Rescue Phase therapy (ie, up until 26 to 31 weeks + 30 days).
Intervention | Participants (Number) |
---|
| Deaths | SAEs | SAEs related to study therapy | AEs leading to discontinuation |
---|
Nonrandomized Subjects | 3 | 9 | 2 | 9 |
,Randomized Subjects | 0 | 7 | 0 | 0 |
,Total | 3 | 16 | 2 | 9 |
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Percent Change From End of Induction Phase in Fasting Lipids at Week 48 of Maintenance Phase
Percent change in fasting lipids from end of Induction Phase to Week 48 of Maintenance Phase.Percent changes were calculated on the log scale and then back transformed to the original scale.Change=Week 48 maintenance Phase value - end of Induction Phase value; a decrease signifies worsening for HDL cholesterol and improvement for all other lipds. (NCT00207142)
Timeframe: Measurements were included from the end of Induction Phase (Week 26 to Week 30 of Induction therapy) through Week 48 of Maintenance Phase.
Intervention | percent change (Mean) |
---|
| Total Cholesterol | HDL Cholesterol | LDL Cholesterol | Triglycerides | Non-HDL Cholesterol |
---|
Continuation Regimen | 1.4 | 0.8 | -2.1 | 9.8 | 1.1 |
,Switch Regimen | -4.7 | 3.7 | -0.7 | -27.0 | -7.4 |
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Kaplan-Meier Cumulative Proportion for Treatment Failure (HIV-1 RNA ≥400 c/mL) at Different Time Points Through Week 48 of the Maintenance Phase
Treatment failure based on HIV-1 RNA ≥ 400 c/mL was defined as virologic rebound on or before Week 48 or discontinuation of study therapy before Week 48 for any reason. Time to treatment failure was analyzed using life tables. Measured Values shows the Kaplan-Meier cumulative proportion of participants without treatment failure up to the end of the respective interval. (NCT00207142)
Timeframe: Weeks 6-8, Weeks 14-16, Weeks 22-24, Weeks 30-32, Weeks 38-40, Weeks 46-48
Intervention | Proportion of participants (Number) |
---|
| Proportion by Week 6-8 | Proportion by Week 14-16 | Proportion by Week 22-24 | Proportion by Week 30-32 | Proportion by Week 38-40 | Proportion by Week 46-48 |
---|
Continuation Regimen | 0.9885 | 0.9885 | 0.9770 | 0.9540 | 0.8966 | 0.8823 |
,Switch Regimen | 0.9412 | 0.9176 | 0.9059 | 0.8824 | 0.8585 | 0.8585 |
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Percentage of Participants With HIV-1 RNA <50 Copies/mL (c/mL) Through Week 48 of the Maintenance Phase
Participants were considered successes unless they experienced treatment failure, or had missing Week 48 HIV-1 RNA. Treatment failure: virologic rebound (ie, 2 consecutive on-treatment HIV-1 RNA ≥ 50 c/mL, or last HIV-1 RNA ≥ 50 c/mL followed by discontinuation), or discontinuation before Week 48. Denominator included all randomized participants. (NCT00207142)
Timeframe: From the end of Induction Phase (Week 26 to Week 30 of Induction Phase treatment) through Week 48 of Maintenance Phase
Intervention | Percentage of participants (Number) |
---|
Switch Regimen | 78 |
Continuation Regimen | 75 |
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Percentage of Participants With HIV-1 RNA <400 c/mL Through Week 48 of the Maintenance Phase
Participants were considered successes unless they experienced treatment failure, or had missing Week 48 HIV-1 RNA. Treatment failure: virologic rebound (ie, 2 consecutive on-treatment HIV-1 RNA ≥ 400 c/mL, or last HIV-1 RNA ≥ 400 c/mL followed by discontinuation), or discontinuation before Week 48. Denominator included all randomized participants. (NCT00207142)
Timeframe: From the end of Induction Phase (Week 26 to Week 30 of Induction Phase treatment) through Week 48 of Maintenance Phase
Intervention | Percentage of participants (Number) |
---|
Switch Regimen | 86 |
Continuation Regimen | 81 |
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Change From End of Induction Phase in CD4 Cell Count at Week 48 of Maintenance Phase
Change in CD4 Cell Count From End of Induction Phase at Week 48 of Maintenance Phase. Change=Week 48 maintenance Phase value - end of Induction Phase value; a decrease signifies worsening. (NCT00207142)
Timeframe: End of Induction Phase (Week 26 to Week 30 of Induction Phase treatment), Week 48 of Maintenance Phase
Intervention | cells/mm3 (Mean) |
---|
Switch Regimen | 100 |
Continuation Regimen | 92 |
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Change From Baseline in HIV-1 RNA at Week 48 of the Rescue Phase
Change From Baseline in HIV-1 RNA at Week 48 of the Rescue Phase. Change=Week 48 Rescue Phase value - Baseline value; a decrease signifies improvement. (NCT00207142)
Timeframe: Baseline, Week 48 of Rescue Phase
Intervention | log10 c/mL (Mean) |
---|
Rescue Treatment | -3.71 |
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Change From Baseline in HIV-1 RNA at Week 24 of the Induction Phase
Change From Baseline in HIV-1 RNA at Week 24 of the Induction Phase. Change=Week 24 Induction Phase value - Baseline value; a decrease signifies improvement. (NCT00207142)
Timeframe: Baseline, Week 24 of Induction Phase
Intervention | log10 c/mL (Mean) |
---|
Randomized Subjects | -3.16 |
Nonrandomized Subjects | -3.35 |
Total | -3.21 |
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Changes in LDL Particle Number From Baseline to Week 24
Change in LDL particle number (NCT00225017)
Timeframe: Baseline to 24 weeks
Intervention | nmol/l (Median) |
---|
Atazanavir Switch | -194 |
Control (Continue Protease Inhibitor) | -116 |
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Change in Total Cholesterol Levels From Baseline to Week 24
Total cholesterol level changes within and between arms (NCT00225017)
Timeframe: Baseline to 24 weeks
Intervention | mg/dL (Median) |
---|
Atazanavir Switch | -25 |
Control (Continue Protease Inhibitor) | 2 |
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Proportion of Patient With Viral Load Less Than 400 Copies/mL
(NCT00242216)
Timeframe: 24 weeks
Intervention | percentage (Number) |
---|
Atazanavir | 89 |
Fosamprenavir | 73 |
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CD4 Cell Count Change From Baseline During Treatment.
(NCT00242216)
Timeframe: 24 weeks.
Intervention | cell/mm3 (Mean) |
---|
Atazanavir | 139 |
Fosamprenavir | 117 |
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Minimum Plasma Concentration (Cmin) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
Cmin was derived from the plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 526.4 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 5944 |
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Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL)
The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction. (NCT00272779)
Timeframe: IBS-QoL is administered at baseline (Day 1) and Week 4.
Intervention | Units on Scale (Mean) |
---|
| Overall (306, 316) | Dysphoria (317, 325) | Interference with activity (319, 327) | Body image (321, 329) | Health worry (319, 330) | Food avoidance (319, 329) | Social reaction (316, 327) | Sexual (320, 329) | Relationships (321, 328) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 3.2 | 3.3 | 3.1 | 1.6 | 6.0 | 4.0 | 1.9 | 3.7 | 1.2 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -0.7 | -0.1 | -1.9 | -1.3 | 2.0 | -1.7 | -0.8 | -0.1 | -0.6 |
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Mean Changes in Fasting Insulin at Week 96
Mean change from baseline in fasting insulin at Week 96. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96.
Intervention | µU/mL (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0.1 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -0.8 |
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Mean Changes in Fasting Glucose at Week 96
Mean change from baseline in fasting glucose at Week 96 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | mg/dL (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4.0 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 1.0 |
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Mean Changes From Baseline in Body Weight at Week 96
Mean change in body weight from baseline was determined. (NCT00272779)
Timeframe: Physical examination was performed at Baseline (Day 1) and Weeks 48 and 96.
Intervention | kg (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 6 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 3 |
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Mean Change in Weight From Baseline at Week 48
Mean change in body weight from baseline was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | kg (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4.0 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 2.0 |
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Mean Change in Fasting Insulin at Week 48
Mean change from baseline in fasting insulin at Week 48. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48.
Intervention | micro units (µU)/mL (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 2.5 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0.2 |
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Mean Change in Fasting Glucose at Week 48
Mean change from baseline in fasting glucose at Week 48. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48.
Intervention | mg/dL (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 2 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0 |
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Mean Change in Body Mass Index (BMI) in Participants at Week 48
Mean change in BMI from baseline at Week 48 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | kg/m^2 (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 1.3 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0.8 |
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Mean Change From Baseline in Waist-to-hip-ratio at Week 48
Mean change from baseline in waist-to-hip-ratio at Week 48 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | ratio (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0.02 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0.01 |
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Mean Change From Baseline in Waist Circumference at Week 96
Mean change From baseline in waist circumference at Week 96 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96.
Intervention | cm (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 6 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 2 |
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Mean Change From Baseline in Waist Circumference at Week 48
Mean change from baseline in waist circumference at Week 48 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | cm (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 2 |
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Mean Change From Baseline in Trunk-to-limb Fat Ratio Measured by DEXA at Week 48
Mean changes from baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement was associated with a decrease in values. (NCT00272779)
Timeframe: DEXA scans were taken at Baseline (Day 1) and at Weeks 48.
Intervention | Ratio (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0.04 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -0.02 |
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Mean Change From Baseline in Trunk-to-Limb Fat Ratio as Measured by Dual Energy X-ray Absorptiometry (DEXA) at Week 96
Mean changes from baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement is associated with a decrease in values. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96.
Intervention | Ratio (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0.05 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0.00 |
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Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 48
Mean change from baseline in CD4 cell counts was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48.
Intervention | c/mm^3 (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 203 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 219 |
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Mean Change From Baseline in CD4 Cell Count at Week 96
Mean change from baseline in CD4 count among treated participants was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | cells/mm^3 (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 268 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 290 |
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Mean Change From Baseline in Body Weight at Week 96
Mean change from baseline in weight at Week 96 (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | kg (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 5 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 3 |
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Mean Change From Baseline in Body Weight at Week 48
Mean change from baseline in body weight at Week 48 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | kg (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 3 |
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Mean Change From Baseline in BMI at Week 96
Mean change From baseline in BMI at Week 96 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | kg/m^2 (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 2.0 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 1.2 |
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Mean Change From Baseline in BMI at Week 96
(NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | kg/m^2 (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 1.6 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 1.0 |
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Mean Change From Baseline in BMI at Week 48
Mean change from baseline in BMI at Week 48 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48.
Intervention | kg/m^2 (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 1.5 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 1.1 |
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Maximum Plasma Concentration (Cmax) of ATV/RTV and LPV/RTV in the Presence of an Antiretroviral (ARV) Regimen Including TDF at Week 4
Cmax was derived from plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given every day (QD) and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given twice daily (BID) and TDF given QD.
Intervention | nanogram(ng)/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 2897 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 10654 |
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Inhibitory Quotient (IQ) of ATV and LPV When Dosed With RTV at Week 4
IQ defined as Cmin at week 4 divided by protein binding adjusted EC90 values for the respective protease inhibitor (ATV or LPV) derived from individual participant clinical isolates. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 27.33 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 35.91 |
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Cmin of Tenofovir at Week 4
Cmin was derived from plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 72.46 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 84.98 |
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Mean Change From Baseline in Waist-to-hip-ratio at Week 96
Mean change from baseline in waist-to-hip-ratio at Week 96 was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | ratio (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0.02 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0.01 |
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Cmax of Tenofovir at Week 4
Cmax was derived from plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 352.0 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 380.7 |
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Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48
MOS-HIV is developed to assess a participant's health and functional status associated with HIV infection. The questionnaire is applied to participants with adequate linguistic skills and consists of 35 items. The questionnaire derives an overall health score and 10 subscale scores (health transitions, pain, physical functioning, role functioning, social functioning, cognitive functioning, mental health, energy/fatigue, health distress and quality of life).The subscale and summary scores range from 0-100 with a higher score indicating better health. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Units on Scale (Mean) |
---|
| Physical Health Summary (296, 287) | Mental Health Summary (296, 287) | Overall Health Perception Subscale (305, 297) | Physical Function Subscale (303, 298) | Role Function Subscale (307, 298) | Social Function Subscale (308, 295) | Cognitive Function Subscale (307, 300) | Pain Subscale (308, 297) | Mental Health Subscale (306, 300) | Energy/Fatigue Subscale (304, 300) | Health Distress Subscale (304, 300) | Quality of Life Subscale (308, 300) | Health Transition Subscale (308, 300) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 3.8 | 6.0 | 15.6 | 5.8 | 8.5 | 9.2 | 4.8 | 8.3 | 8.3 | 8.4 | 14.3 | 12.9 | 11.0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 3.3 | 5.6 | 13.7 | 5.3 | 8.1 | 7.4 | 5.6 | 8.0 | 8.7 | 7.9 | 15.0 | 8.4 | 8.8 |
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Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. SAT and TAT were measured by computed tomography (CT). (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | cm^2 (Mean) |
---|
| SAT-to-TAT Ratio: CCDC122_5980 WT | SAT-to-TAT Ratio: CCDC122_5980 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0.03 | 0.11 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0.03 | 0.02 |
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Mean Change From Baseline in VAT Associated With RETN_730
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT was measured by computed tomography (CT). (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | cm^2 (Mean) |
---|
| VAT: RETN_730 WT | VAT: RETN_730 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | -2.95 | 23.29 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 13.69 | -1.05 |
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Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96
The mean percent change from baseline in limb, trunk and total body fat was measured by DEXA. Limb fat: a physical sign of lipoatrophy, clinical improvement in limb fat is associated with a decrease in values. Trunk fat: physical sign of lipohypertrophy, clinical improvement in trunk fat is associated with a decrease in values. Total body fat: association of many factors like trunk fat, limb fat, weight etc. Clinical improvement in total body fat cannot be predicted based solely an increase or decrease of these values. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96.
Intervention | Percentage (Mean) |
---|
| Trunk Fat | Limb Fat | Total Body Fat |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 34 | 27 | 29 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 16 | 15 | 15 |
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Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48
The mean percent change from baseline in limb, trunk and total body fat was measured by DEXA. Limb fat: a physical sign of lipoatrophy, clinical improvement in limb fat is associated with a decrease in values. Trunk fat: a physical sign of lipohypertrophy, clinical improvement in trunk fat is associated with a decrease in values. Total body fat: association of many factors like trunk fat, limb fat, weight etc. Clinical improvement in total body fat cannot be predicted based solely an increase or decrease of these values. (NCT00272779)
Timeframe: DEXA scans were performed at baseline (within 30 days of starting study treatment), and at Weeks 48.
Intervention | Percentage (Mean) |
---|
| Trunk Fat | Limb Fat | Total Body Fat |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 26 | 22 | 23 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 16 | 17 | 15 |
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Cmax of RTV at Week 4
Cmax was derived from plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 959.8 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 657.4 |
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AUC (TAU) of Tenofovir at Week 4
AUC (TAU) was derived from plasma concentration versus time data.It was calculated from time 0-24 hours for tenofovir in LPV/RPV and ATV/RTV regimen at Week 4. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng*h/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 3272 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 3675 |
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AUC (0-24) of RTV at Week 4
AUC (0-24) was derived from plasma concentration versus time data. It was estimated as 2 times the AUC(TAU) based on 12-hour PK. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng*h/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 6724 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 8011 |
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Area Under the Concentration-time Curve, in One Dosing Interval [AUC(TAU)] of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
AUC(TAU) was derived from the plasma concentration versus time data. It was calculated from time 0 to 12 hours for LPV and RTV in the LPV/RTV regimen, 0-24 hours for ATV and RTV in the ATV/RTV regimen, and 0-24 hours for tenofovir in both regimens at Week 4. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng*h/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 28605 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 90945 |
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Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48
Mean percent change from baseline in BMD of arms, legs, trunk and total body was measured using DEXA, an X-ray scan technique. (NCT00272779)
Timeframe: DEXA scans were taken at Baseline (Day 1) and Week 48.
Intervention | grams/ centimeters ^2 (g/cm^2) (Mean) |
---|
| Bone Mineral Density of Both Arms | Bone Mineral Density of Both Legs | Bone Mineral Density of Trunk | Bone Mineral Density of Total Body |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | -1 | -2 | -4 | -2 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -1 | -2 | -4 | -3 |
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Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96
Mean percent change from baseline in BMD of arms, legs, trunk and total body was measured using DEXA, an X-ray scan technique. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | g/cm^2 (Mean) |
---|
| Bone Mineral Density of Both Arms | Bone Mineral Density of Both Legs | Bone Mineral Density of Trunk | Bone Mineral Density of Total Body |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | -1 | -2 | -3 | -3 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -2 | -3 | -5 | -4 |
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Mean Changes in Fasting Lipids at Week 96
Mean change from baseline in fasting lipids at Week 96 was determined. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | mg/dL (Mean) |
---|
| Fasting total Cholesterol (n=342, 291) | Fasting HDL Cholesterol (n=341, 291) | Fasting Non-HDL Cholesterol (n=341, 291) | Fasting LDL Cholesterol (n=342, 291) | Fasting Triglycerides (n=342, 291) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 20 | 7.0 | 13.0 | 12.0 | 16.0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 37 | 10.0 | 27.0 | 17.0 | 63.0 |
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Mean Change in Fasting Lipid at Week 48
Mean change from baseline in fasting lipids, for fasting total cholesterol, LDL cholesterol, HDL cholesterol, non-HDL cholesterol, and triglycerides at Week 48 were determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48.
Intervention | milligrams/deciliter (mg/dL) (Mean) |
---|
| Fasting total Cholesterol (n=373, 337) | Fasting HDL Cholesterol (n=371, 335) | Fasting Non-HDL Cholesterol (n=371, 335) | Fasting LDL Cholesterol (n=372, 335) | Fasting Triglycerides (n=373, 337) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 19 | 9 | 10 | 12 | 20 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 38 | 12 | 26 | 18 | 70 |
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Cmin of RTV at Week 4
Cmin was derived from plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 50.52 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 179.0 |
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Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT was measured by computed tomography (CT). (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | cm^2 (Mean) |
---|
| VAT: BRUNOL_1842 WT | VAT: BRUNOL_1842 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 23.45 | -3.20 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 10.38 | -1.76 |
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Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted (adj) p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | mg/dL (Mean) |
---|
| Fasting Non-HDL Cholesterol: RETN_097 WT | Fasting Non-HDL Cholesterol: RETN_097 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 12.50 | 13.23 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 26.98 | 52.28 |
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Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | ng/dL (Mean) |
---|
| Fasting PAI-1: APOE_R176C WT |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 5.98 | -117.27 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 7.30 | -5.94 |
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Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | mg/dL (Mean) |
---|
| Fasting Triglycerides: APOE_C130R WT | Fasting Triglycerides: APOE_C130R MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 23.27 | 13.92 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 70.71 | 131.56 |
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Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | mg/dL (Mean) |
---|
| Fasting Triglycerides: RETN_097 WT | Fasting Triglycerides: RETN_097 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 21.41 | 27.21 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 68.06 | 157.87 |
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Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | mg/dL (Mean) |
---|
| Fasting Triglycerides: RETN_2265 WT | Fasting Triglycerides: RETN_2265 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 19.61 | 28.70 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 65.83 | 148.95 |
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Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | mg/dL (Mean) |
---|
| Fasting Triglycerides: RETN_598 WT | Fasting Triglycerides: RETN_598 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 20.23 | 25.78 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 61.66 | 123.28 |
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Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | mg/dL (Mean) |
---|
| Fasting Triglycerides: RETN_734 WT | Fasting Triglycerides: RETN_734 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 23.35 | 21.16 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 75.12 | 155.28 |
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Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | pg/mL (Mean) |
---|
| Fasting TNF-alpha: IL6_5309 WT | Fasting TNF-alpha: IL6_5309 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | -1.19 | 6.01 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -2.68 | 1.41 |
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Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | pg/mL (Mean) |
---|
| Fasting TNF-alpha: RS11030679 WT | Fasting TNF-alpha: RS11030679 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 7.58 | 0.02 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -0.13 | 1.27 |
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Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL)
The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction. (NCT00272779)
Timeframe: IBS-QoL is administered at baseline (Day 1) and Week 12.
Intervention | Units on Scale (Mean) |
---|
| Overall (301. 310) | Dysphoria (308, 319) | Interference with activity (310, 320) | Body image (316, 321) | Health worry (312, 320) | Food avoidance (316, 322) | Social reaction (311, 316) | Sexual (317, 321) | Relationships (313, 320) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4.6 | 4.7 | 5.1 | 2.1 | 7.9 | 5.6 | 3.3 | 4.7 | 3.5 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0.2 | 1.2 | -0.4 | -0.1 | 3.6 | -0.6 | -0.4 | -0.4 | 0.0 |
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Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL)
The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 24
Intervention | Units on a scale (Mean) |
---|
| Overall (290, 289) | Dysphoria (295, 298) | Interference with activity (294, 297) | Body image (299, 300) | Health worry (297, 300) | Food avoidance (299, 300) | Social reaction (295, 297) | Sexual (299, 299) | Relationships (297, 297) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4.3 | 4.4 | 4.4 | 1.8 | 7.5 | 5.6 | 3.2 | 4.3 | 3.3 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 1.4 | 1.8 | 0.0 | 1.1 | 5.3 | 0.4 | 0.4 | 0.8 | 1.2 |
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Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24
Medical Outcomes Study HIV Health Survey (MOS-HIV) is developed to assess a patient's health and functional status associated with HIV infection. The MOS-HIV questionnaire is applied to participants with adequate linguistic skills. The subscale and summary scores range from 0-100 with a higher score indicating better health. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 24.
Intervention | Units on Scale (Mean) |
---|
| Physical Health Summary (317, 314) | Mental Health Summary (317, 314) | Overall Health Perception Subscale (325, 320) | Physical Function Subscale (324, 325) | Role Function Subscale (325, 325) | Social Function Subscale (327, 322) | Cognitive Function Subscale (326, 324) | Pain Subscale (327, 325) | Mental Health Subscale (325, 326) | Energy/Fatigue Subscale (323, 326) | Health Distress Subscale (323, 326) | Quality of Life Subscale (327, 326) | Health Transition Subscale (327, 326) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4.1 | 5.3 | 15.2 | 7.6 | 10.6 | 8.5 | 5.6 | 7.4 | 6.4 | 7.1 | 14.4 | 9.9 | 13.1 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 3.3 | 4.8 | 13.0 | 5.0 | 6.5 | 7.1 | 3.0 | 8.6 | 7.4 | 7.5 | 13.9 | 7.1 | 10.7 |
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Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
Tmax was derived from the plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | Hr (Median) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 3.00 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 4.00 |
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Terminal Elimination Half-life (T-half) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
T-half was derived from the plasma concentration versus time data. (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | Hr (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 10.31 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 13.89 |
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Reduction of log10 HIV RNA Levels From Baseline to Week 48
Changes from baseline in log10 HIV RNA levels were calculated. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | c/mL (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | -3.09 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -3.13 |
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Reduction of log10 HIV RNA Levels From Baseline at Week 96
Changes from baseline in log10 HIV RNA levels were calculated. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | c/mL (Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | -3.21 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -3.19 |
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Protein Binding Adjusted Effective Concentration (EC-90) of ATV and LPV When Dosed With RTV at Week 4
EC90/50=concentration of drug inducing 90%/50% of its maximal response. Protein binding adjusted EC90 for ATV and LPV were derived from phenotypically measured individual EC50 values at baseline using the following formula: Protein binding adjusted EC90 (ng/mL) = scale factor × molecular weight of the free base × EC50 micrometer(μM)/ unbound fraction (fu). Scale factor relates EC50 to EC90 (value of 3 and 2 for ATV and LPV, respectively); fu: estimated unbound fraction of ATV and LPV in vivo (0.14 and 0.02 for ATV and LPV respectively). (NCT00272779)
Timeframe: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Intervention | ng/mL (Geometric Mean) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 19.01 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 162.7 |
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Percentage of Participants With Lipoatrophy at Week 96
Lipoatrophy, redistribution of body fat was defined as >= 20% decrease in limb fat. The percentage of participants with lipoatrophy from baseline was determined. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | percentage of participants (Number) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 5 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 7 |
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Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48
HIV RNA < 50 c/mL is the most stringent measure of viral suppression (lowest threshold of assay) and indicates that a participant responded to treatment. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Participants (Number) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 343 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 338 |
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Number of Participants With HIV RNA < 50 c/mL) at Week 96
HIV RNA < 50 c/mL is the most stringent measure of viral suppression (lowest threshold of assay) and indicates that a participant has responded to treatment. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | Participants (Number) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 327 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 302 |
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Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT and TAT were measured by computed tomography (CT). (NCT00272779)
Timeframe: Baseline (Day 1), Week 48, and Week 96.
Intervention | cm^2 (Mean) |
---|
| VAT-to-TAT Ratio: CCDA122_5980 WT | VAT-to-TAT Ratio: CCDA122_5980 MAC |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | -0.03 | -0.11 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | -0.03 | -0.02 |
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Number of Participants With HIV RNA < 400 c/mL) at Week 96
HIV RNA <400 c/mL is a less stringent measure of viral suppression (highest threshold of assay) and indicates that a participant has responded to treatment. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96
Intervention | Participants (Number) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 350 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 330 |
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Number of Participants With HIV RNA < 400 c/mL at Week 48
HIV RNA < 400 c/mL is a less stringent measure of viral suppression (highest threshold of assay) and indicates that a participant responded to treatment. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Participants (Number) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 377 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 365 |
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Number of Participants With Confirmed Plasma HIV RNA < 400 c/mL at Week 48 (Defined by the Food and Drug Administration [FDA] Time to Loss of Virologic Response [TLOVR] Algorithm)
TLOVR defines responders at Week 48 as participants with confirmed HIV RNA <400 c/mL through Week 48 without intervening virologic rebound or treatment discontinuation. Virologic rebound is defined as confirmed on-treatment HIV RNA <400 c/mL or last on-treatment HIV RNA <400 c/mL followed by discontinuation. Participants are considered failures in this analysis if they experienced virologic rebound at or before Week 48, discontinued before Week 48, never responded by Week 48, never received study therapy or had missing HIV RNA at Week 48 and beyond. (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Participants (Number) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 377 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 363 |
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Number of Participants Who Adhered to Regimen as Measured by Multicenter AIDS Cohort Study Adherence Questionnaire (MACS) at Week 48
The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Adherence to regimen was defined as taking 100% of medicine (all doses and numbers of pills as prescribed for each medicine). This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance. (NCT00272779)
Timeframe: Week 48
Intervention | Participants (Number) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 330 |
LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 316 |
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Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48
Participants with virologic failure are those who never suppressed (HIV RNA <400 c/mL) and were on study through Week 48, or who rebounded to HIV RNA >= 400 c/mL and those who discontinued due to insufficient viral load response. IAS=International AIDS Society, PI=protease inhibitor, RTI=reverse transcription inhibitor, TAMS=Thymidine Analogue-Associated Mutations, NRTI=non-nucleotide reverse transcriptase inhibitor, M184V= Methionine-to-valine mutation at position 184 (in reverse transcription [RT] gene), FC=fold change (NCT00272779)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Participants (Number) |
---|
| Virologic Failure, Week 48 (HIV RNA >= 400 c/mL) | Paired Genotypes (n = 27, 26) | Paired Phenotypes (n= 27, 26) | IAS-defined major PI substitutions (n = 17, 15) | Other IAS-defined PI substitutions (n = 17, 15) | PI phenotypic resistance (ATV/RTV FC>5.2 (n=18,16) | PI phenotypic resistance (LPV/RTV FC >9 (n=18, 16) | PI phenotypic resistance (Other PIs )(n=18, 16) | RTI Substitutions , TAMS (n= 17,15) | RTI Substitutions , M184V (n = 17,15) | RTI phenotypic resistance, FTC FC>3.5 (n = 18, 16) | RTI phenotypic resistance, TDF FC >1.4(n = 18, 16) | RTI phenotypic resistance, Other NRTIs(n = 18, 16) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 27 | 17 | 18 | 1 | 6 | 1 | 0 | 4 | 1 | 3 | 4 | 0 | 5 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 26 | 15 | 16 | 0 | 2 | 0 | 0 | 4 | 1 | 3 | 3 | 1 | 5 |
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Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96
Virologic failure participants defined as participants who were never suppressed (HIV RNA < 400 c/mL) and on study through Week 48, or who rebounded to HIV RNA ≥ 400 c/mL, and those who discontinued due to insufficient viral load response using CVR (NC=F). IAS-USA=International AIDS Society-United States of America, PI=protease inhibitor, RTI=reverse transcription inhibitor, TAMS=Thymidine Analogue-Associated Mutations, NRTI=non-nucleotide reverse transcriptase inhibitor, M184/V= Methionine-to-valine mutation at position 184 (in reverse transcription [RT] gene), FC=fold change (NCT00272779)
Timeframe: Baseline (Day 1) and Week 96.
Intervention | Participants (Number) |
---|
| Virologic Failure, Week 96 (HIV RNA >= 400 c/mL) | Paired Genotypes (n = 28, 29) | Paired Phenotypes (n= 28, 29) | IAS-USA major PI substitutions (n = 26, 26) | IAS-USA minor PI substitutions (n = 26, 26) | PI polymorphisms without IAS-USA (n=26, 26) | PI phenotypic resistance (ATV/RTV FC >5.2 (25, 23) | PI phenotypic resistance (LPV/RTV FC>9 (25,23) | PI phenotypic resistance (Other PIs [25, 23]) | NRTI substitutions (TAMS [26, 26]) | NRTI substitutions (M184I/V [26, 26]) | RTI phenotypic resistance (FC [n = 25, 23]) | RTI phenotypic resistance (TDF [n = 25, 23]) | RTI phenotypic resistance (Other NRTI [n =25, 23]) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 28 | 26 | 25 | 1 | 1 | 11 | 1 | 0 | 3 | 1 | 5 | 5 | 0 | 5 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 29 | 26 | 23 | 0 | 1 | 14 | 0 | 1 | 6 | 3 | 7 | 5 | 2 | 6 |
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Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis
19 genes of interest were selected from previous results or literature, and 34 SNPs were genotyped. Phenotype-Genotype analysis was performed using 31 of the SNPs. The genotypes of each SNP were further classified as either a minor allele carrier (MAC) group composed of heterozygous and rare homozygous genotypes, or wild type [WT, common homozygous]. (NCT00272779)
Timeframe: Baseline visit
Intervention | participants (Number) |
---|
| RETN_097 WT | RETN_097 MAC | APOE_R176C WT | APOE_R176C MAC | CCDC122_5980 WT | CCDC122_5980 MAC | IL6_5309 WT | IL6_5309 MAC | RS11030679 WT | RS11030679 MAC | APOE_C130R WT | APOE_C130R MAC | RETN_2265 WT | RETN_2265 MAC | RETN_598 WT | RETN_598 MAC | RETN_734 WT | RETN_734 MAC | BRUNOL_1842 WT | BRUNOL_1842 MAC | RETN_730 WT | RETN_730 MAC |
---|
All Participants With Pharmacogenetic Blood Samples | 164 | 35 | 182 | 16 | 126 | 71 | 57 | 141 | 112 | 87 | 169 | 30 | 146 | 53 | 119 | 80 | 175 | 22 | 121 | 77 | 99 | 100 |
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Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in urinalysis: Proteinuria: Grade 3: 4= or >2-3.5 g loss/day, Grade 4: >3.5 g loss/day. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| Glycosuria (n = 434, 431) | Proteinuria (n = 434, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 6 | 5 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 5 | 6 |
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Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in urinalysis: Proteinuria: Grade 3: 4= or >2-3.5 g loss/day, Grade 4: >3.5 g loss/day. (NCT00272779)
Timeframe: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| Glycosuria (n = 434, 431) | Proteinuria (n = 434, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 4 | 3 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 3 | 1 |
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Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48
Laboratory measurements marked as abnormal, as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria in serum enzymes were: Creatine phosphokinase (CPK): Grade 3: 5.1 - 10.0 * upper limit of normal (ULN), Grade 4: >10* ULN; Lipase: Grade 3: 2.10 - 5.0* ULN, Grade 4: 5.0* ULN. (NCT00272779)
Timeframe: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| CPK (n = 435, 430) | Lipase (n = 435, 430) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 22 | 6 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 20 | 6 |
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Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96
Laboratory measurements marked as abnormal, as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria in serum enzymes were: CPK: Grade 3: 5.1 - 10.0 * ULN, Grade 4: >10* ULN; Lipase: Grade 3: 2.10 - 5.0* ULN, Grade 4: 5.0* ULN. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| CPK (n=435, 430) | Lipase (n=435, 430) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 34 | 9 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 28 | 9 |
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Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96
Renal function test abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: BUN: Grade 3: 5.1- 10*ULN, Grade 4: >10*ULN; Creatinine: Grade 3: 3.1 - 6*ULN, Grade 4: >6*ULN; low phosphorous (hypophosphatemia): Grade 3: 1.0- 1.4 mg/dL, Grade 4: <1.0mg/dL; high uric acid (hyperuricemia): Grade 3: 12.1 - 15.0 mg/dL, Grade 4: >15.0 mg/dL. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| BUN (n = 435,431) | Creatine (n = 435, 431) | Phosphorous (n = 435, 431) | Uric acid (n = 435, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0 | 1 | 0 | 1 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0 | 2 | 1 | 4 |
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Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48
Renal function test abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Blood urea nitrogen (BUN): Grade 3: 5.1- 10*ULN, Grade 4: >10*ULN; Creatinine: Grade 3: 3.1 - 6*ULN, Grade 4: >6*ULN; low phosphorous (hypophosphatemia): Grade 3: 1.0- 1.4 mg/dL, Grade 4: <1.0mg/dL; high uric acid (hyperuricemia): Grade 3: 12.1 - 15.0 mg/dL, Grade 4: >15.0 mg/dL. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| BUN (n = 435, 431) | Creatinine (n = 435, 431) | Phosphorus (n = 435, 431) | Uric acid (n = 435, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0 | 1 | 0 | 0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0 | 1 | 1 | 3 |
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Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96
Liver function tests abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), while albumin was graded as per NCI-CTCAE. Grade 3 and 4 criteria were: ALT, AST, alkaline phosphatase: Grade 3: 5.1- 10*ULN, Grade 4: >10*ULN; direct and total bilirubin: Grade 3: 2.6- 5*ULN, Grade 4: >5*ULN, Albumin: Grade 3: <2g/dL. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| ALT (n= 435, 431) | AST (n = 435, 430) | Albumin (n = 435, 431) | Alkaline Phosphatase (n= 435, 430) | Total Bilirubin (n = 435, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 11 | 11 | 0 | 1 | 192 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 7 | 5 | 0 | 1 | 3 |
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Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48
Liver function tests abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), while albumin was graded as per National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE). Grade 3 and 4 criteria were: alanine aminotransferase (ALT), aspartate aminotransferase(AST), alkaline phosphatase: Grade 3: 5.1- 10*ULN, Grade 4: >10*ULN; direct and total bilirubin: Grade 3: 2.6- 5*ULN, Grade 4: >5*ULN, Albumin: Grade 3: <2g/dL. (NCT00272779)
Timeframe: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| ALT (n= 435, 431) | AST (n = 435, 430) | Albumin (n = 435, 431) | Alkaline Phosphatase (n= 435, 430) | Direct Bilirubin (n = 435, 430) | Total Bilirubin (n = 435, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 8 | 9 | 0 | 1 | 37 | 146 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 6 | 2 | 0 | 1 | 4 | 1 |
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Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96
Hematology abnormalities were graded per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Hemoglobin: Grade 3: 6.5-7.9 g/dL, Grade 4: <6.5 g/dL; Hematocrit: Grade 3: >=19.5 - 24%, Grade 4: <19.5%; platelet count: Grade 3: 20,000- 49, 999/ mm^3, Grade 4: <20,000/mm^3; INR: Grade 3 Absolute Neutrophil Count (ANC): Grade 3: >= 500 - <750/mm^3, Grade 4: <500/mm^3; PT: Grade 3: 1.51 - 3.0*ULN, Grade 4: >3*ULN; WBC: Grade 3: >=800 to <1000/mm^3, Grade 4: <80/mm^3. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| Hematocrit (n= 434, 431) | Hemoglobin (n= 434, 431) | INR (n= 435, 431) | Neutrophils (n = 434, 431) | Platelets ( n= 433, 431) | Prothrombin time (n = 435, 431) | WBC (n = 434, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0 | 3 | 7 | 21 | 5 | 9 | 0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 6 | 7 | 18 | 7 | 1 | 24 | 1 |
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Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC)
Hematology abnormalities were graded per modified World Health Organization (WHO) criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Hemoglobin: Grade 3: 6.5-7.9 g/dL, Grade 4: <6.5 g/dL; Hematocrit: Grade 3: >=19.5 - 24%, Grade 4: <19.5%; platelet count: Grade 3: 20,000- 49, 999/ mm^3, Grade 4: <20,000/mm^3; INR: Grade 3 Absolute Neutrophil Count (ANC): Grade 3: >= 500 - <750/mm^3, Grade 4: <500/mm^3; PT: Grade 3: 1.51 - 3.0*ULN, Grade 4: >3*ULN; WBC: Grade 3: >=800 to <1000/mm^3, Grade 4: <80/mm^3. (NCT00272779)
Timeframe: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| Hematocrit (n= 434, 431) | Hemoglobin (n= 434, 431) | INR (n= 435, 431) | Neutrophils (n = 434, 431) | Platelets ( n= 433, 430) | PT (n = 435, 431) | WBC (n = 434, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0 | 2 | 6 | 14 | 5 | 6 | 0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 6 | 6 | 11 | 3 | 1 | 16 | 0 |
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Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48
Laboratory measurements marked as abnormal, as per National Cholesterol Education Program (NCEP)- Adult Treatment Panel (ATP)-III guided categories. The following definitions specify the criteria for MAs in fasting lipids: Total cholesterol: Grade 3: 240 - 300 mg/dL, Grade 4: >=240 mg/dL, triglycerides: Grade 3: 200 - <500 mg/dL, Grade 4: >=500 mg/dL. (NCT00272779)
Timeframe: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| Total Cholesterol (n = 434, 428) | Triglycerides (n = 434, 428) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 30 | 2 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 77 | 15 |
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Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96
Laboratory measurements marked as abnormal, as per NCEP-ATP-III guided categories. The following definitions specify the criteria for MAs in fasting lipids: Total cholesterol: Grade 3: 240 - 300 mg/dL, Grade 4: >=240 mg/dL, triglycerides: Grade 3: 200 - <500 mg/dL, Grade 4: >=500 mg/dL. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| Total Cholesterol (n = 434, 428) | Triglycerides (n = 434, 428) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 47 | 3 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 108 | 18 |
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Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in fasting glucose: hypoglycemia: Grade 3: 30-39 mg/dL, Grade 4: <30 mg/dL; hyperglycemia: 251-500 mg/dL, Grade 4: >500 mg/dL. (NCT00272779)
Timeframe: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| Hyperglycemia (n = 434, 428) | Hypoglycemia (n = 434, 428) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 1 | 0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 1 | 0 |
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Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in fasting glucose: hypoglycemia: Grade 3: 30-39 mg/dL, Grade 4: <30 mg/dL; hyperglycemia: 251-500 mg/dL, Grade 4: >500 mg/dL. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| Hyperglycemia (n = 434, 428) | Hypoglycemia (n = 434, 428) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 3 | 1 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 2 | 0 |
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Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48
Serum electrolytes abnormalities,graded per modified WHOcriteria.Ranges were:hypercarbia:Grade3:41-45milliequivalents(meq)/L,Grade4:>45meq/L;hypocarbia:Grade3:10-14 meq/L,Grade4:<10 meq/L;hypercalcemia:Grade3:12.6 - 13.5 mg/dL,Grade 4:>13.5 mg/dL;hypocalcemia:6.1-6.9mg/dL,Grade4:<6.1mg/dL;hyperchloremia:Grade 3: 121-125 meq/L,Grade4:>125meq/L;hypochloremia:Grade 3:80-84 meq/L,Grade4:<80meq/L;hyperkalemia:Grade3:6.6-7.0meq/L,Grade4:>7.0meq/L;hypokalemia:Grade3:2.0-2.4 meq/L,Grade4:<2.0meq/L;hypernatremia:Grade3:158-165 meq/L,Grade4:>165meq/L;hyponatremia:Grade 3:116-122 meq/L,Grade 4:115 meq/L. (NCT00272779)
Timeframe: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Intervention | Participants (Number) |
---|
| Hypercarbia (n = 435, 431) | Hypocarbia (n = 435, 431) | Hypercalcemia (n = 435, 431) | Hypocalcemia (n = 435, 431) | Hyperchloremia (n = 435, 431) | Hypochloremia (n = 435, 431) | Hyperkalemia (n = 435, 430) | Hypokalemia (n = 435, 430) | Hypernatremia (n = 435, 431) | Hyponatremia (n = 435, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0 | 7 | 0 | 4 | 0 | 0 | 1 | 1 | 0 | 1 |
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Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96
Serum electrolytes abnormalities,graded per modified WHOcriteria.Ranges were:hypercarbia:Grade3:41-45milliequivalents(meq)/L,Grade4:>45meq/L;hypocarbia:Grade3:10-14 meq/L,Grade4:<10 meq/L;hypercalcemia:Grade3:12.6 - 13.5 mg/dL,Grade 4:>13.5 mg/dL;hypocalcemia:6.1-6.9mg/dL,Grade4:<6.1mg/dL;hyperchloremia:Grade 3: 121-125 meq/L,Grade4:>125meq/L;hypochloremia:Grade 3:80-84 meq/L,Grade4:<80meq/L;hyperkalemia:Grade3:6.6-7.0meq/L,Grade4:>7.0meq/L;hypokalemia:Grade3:2.0-2.4 meq/L,Grade4:<2.0meq/L;hypernatremia:Grade3:158-165 meq/L,Grade4:>165meq/L;hyponatremia:Grade 3:116-122 meq/L,Grade 4:115 meq/L. (NCT00272779)
Timeframe: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Intervention | Participants (Number) |
---|
| Hypercarbia (n = 435, 431) | Hypocarbia (n = 435, 431) | Hypercalcemia (n = 435, 431) | Hypocalcemia (n = 435, 431) | Hyperchloremia (n = 435, 431) | Hypochloremia (n = 435, 431) | Hyperkalemia (n = 435, 430) | Hypokalemia (n = 435, 430) | Hypernatremia (n = 435, 431) | Hyponatremia (n = 435, 431) |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 0 | 4 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 0 | 8 | 0 | 4 | 0 | 2 | 1 | 1 | 2 | 2 |
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Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96
AEs:new,untoward medical occurrences/worsening of pre-existing medical condition,drug-related or not.SAEs:any AE that:resulted in death;was life threatening;resulted in a persistent or significant disability/incapacity;resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was cancer;or overdose.Discontinuation from study was due either to an AE or was conducted at the investigator's discretion.AEs represented here include SAEs, which are not included in the AE count represented in the AE xml upload section. As such, these numbers may not match. (NCT00272779)
Timeframe: From Day 1 through Week 96
Intervention | Participants (Number) |
---|
| Deaths | Serious Adverse Events (SAEs) | Adverse Events (AEs) leading to discontinuation |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 6 | 63 | 13 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 6 | 50 | 22 |
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Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48
AEs:new,untoward medical occurrences/worsening of pre-existing medical condition,drug-related or not.SAEs:any AE that:resulted in death;was life threatening;resulted in a persistent or significant disability/incapacity;resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was cancer;or overdose.Discontinuation from study was due either to an AE or was conducted at the investigator's discretion.AEs represented here include SAEs, which are not included in the AE count represented in the AE xml upload section. As such, these numbers may not match. (NCT00272779)
Timeframe: From baseline (Day 1) to Week 48.
Intervention | Participants (Number) |
---|
| Deaths | Other SAEs | AEs | AEs leading to discontinuation |
---|
ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | 6 | 51 | 400 | 11 |
,LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | 6 | 42 | 399 | 15 |
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Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE =any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. (NCT00326716)
Timeframe: During study period and 30 days post-study.
Intervention | Participants (Number) |
---|
| Death (n=41, n=40) | Serious Adverse Event (n=41, n=40) | Total AEs Leading to Discontinuation (n=41, n=40) | Anemia Leading to Discontinuation (n=41, n=40) | Transaminitis Discontinuation (n=41, n=40) | Prematurity Causing Discontinuation (n=41, n=40) | All AEs (n=41, n=40) | Anemia (n=41, n=40) | Diarrhea (n=41, n=40) | Nausea (n=41, n=40) | Vomiting (n=41, n=40) | Jaundice (n=41, n=40) | Hyperbilirubinemia (n=41, n=40) | Ocular Icterus (n=41, n=40) | Skin / subcutaneous tissue disorders (n=41, n=40) |
---|
All Infants | 0 | 14 | 2 | 2 | 0 | 1 | 40 | 3 | 4 | 0 | 5 | 20 | 1 | 0 | 20 |
,All Treated Mothers | 0 | 16 | 2 | 1 | 1 | NA | 40 | 6 | 4 | 6 | 7 | 10 | 1 | 3 | 10 |
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Number of Participants With Grade 2 to Grade 4 AEs and SAEs
AEs and SAEs considered possibly, probably, or certainly related to study treatment, were graded according to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Death). Hyperbilirubinemia (Grade 1=1.1 to 1.5 upper limit of normal [ULN] [mild], Grade 2=1.6 to 2.5 ULN [moderate], Grade 3=2.6 to 5.0 ULN [severe], Grade 4= > 5.0 ULN [potentially life threatening]). (NCT00326716)
Timeframe: During Study Period and 30 Days Post-Study.
Intervention | Participants (Number) |
---|
| Grade 2 to Grade 4 (n=41, n=40) | Related Grade 2 to Grade 4 (n=41, n=40) | Grade 3 to Grade 4 (n=41, n=40) | Grade 3 to Grade 4 Total Bilirubin (n=41, n=40) |
---|
All Infants | 19 | 0 | 8 | 7 |
,All Treated Mothers | 32 | 10 | 12 | 19 |
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SAEs in Enrolled Infants
SAEs were evaluated for all treated and untreated participants. An SAE was defined as an untoward medical occurrence that results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event); might have caused death if it were more severe, required inpatient hospitalization or prolongation of existing hospitalization, in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, an important medical event that required intervention to prevent serious outcomes. (NCT00326716)
Timeframe: Birth Through Week 16 of Life
Intervention | Participants (Number) |
---|
| Any Adverse Experience | Blood and Lymphatic System Disorders | Anemia | Cardiac Disorders | Cardio-Respiratory Arrest | Restrictive Cardiomyopathy | Congenital, Familial, and Genetic Disorders | Atrial Septal Defect | Gastrointestinal Disorders | Constipation | Vomiting | Hepatobiliary Disorders | Hyperbilirubinemia | Jaundice | Infections and Infestations | Bronchiolitis | Gastroenteritis | Meningitis | Pneumonia | Sepsis | Syphilis | Injury, Poisoning, and Procedural Complications | Overdose | Metabolism and Nutrition Disorders | Hyperkalemia | Hypoglycemia | Nervous System Disorders | Cerebral Ischemia | Convulsion | Pregnancy, Puerperium, and Perinatal Conditions | Premature Baby | Respiratory, Thoracic, and Mediastinal Disorders | Neonatal Respiratory Distress Syndrome | Respiratory Distress |
---|
Infant ATV 300 mg / RTV 100 mg | 10 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 4 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 |
,Infant ATV 400 mg / RTV 100 mg | 4 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 |
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SAEs in Enrolled Mothers
SAEs were evaluated for all treated and untreated participants. An SAE was defined as an untoward medical occurrence that results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event); might have caused death if it were more severe, required inpatient hospitalization or prolongation of existing hospitalization, in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, an important medical event that required intervention to prevent serious outcomes. (NCT00326716)
Timeframe: During Study Period and 30 Days Post-Study.
Intervention | Participants (Number) |
---|
| Any Adverse Experience | Blood and Lymphatic System Disorders | Anemia | Cardiac Disorders | Cardiomyopathy | Sinus Arrhythmia | Gastrointestinal Disorders | Abdominal Hernia | Hepatobiliary Disorders | Hyperbilirubinemia | Infections and Infestations | Endometrial Decidual | Pneumonia | Sepsis | Investigations | Transaminases Increased | Pregnancy, Puerperium, and Perinatal Conditions | Amenorrhea | Pre-eclampsia | Pregnancy Induced Hypertension | Premature Rupture of Membranes | Vascular Disorders | Hypertension | Hemorrhage |
---|
Mother ATV 300 mg / RTV 100 mg | 7 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 2 | 0 | 0 | 0 | 0 | 2 | 0 | 1 | 0 | 1 | 1 | 0 | 1 |
,Mother ATV 400 mg / RTV 100 mg | 8 | 2 | 2 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 2 | 0 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 0 | 0 | 1 | 1 | 0 |
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Infant Gestational Age at Delivery
(NCT00326716)
Timeframe: At the time of delivery
Intervention | Weeks (Mean) |
---|
Mothers ATV 300 mg / 100 mg Third Trimester | 38 |
Mothers ATV 400 mg / 100 mg Third Trimester | 38 |
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Mean ATV Area Under the Concentration Curve (AUC TAU)
AUC = area under the concentration curve (AUC [TAU]) of atazanavir in one dosing interval from time zero to 24 hours. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum
Intervention | ng•h / mL (Geometric Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Second Trimester | 34,399.13 |
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 34,251.50 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 46,602.45 |
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Mean ATV Maximum Plasma Concentration (Cmax) in One Dosing Interval
Cmax = maximum observed plasma concentration of atazanavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum
Intervention | ng / mL (Geometric Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Second Trimester | 3,729.09 |
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 3,291.46 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 4,210.76 |
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Mean ATV Terminal Elimination Half Life (T 1/2)
T 1/2 = terminal elimination half life of atazanavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum
Intervention | Hours (Geometric Mean) |
---|
Mothers ATV 300 mg / 100 mg Second Trimester | 10.42 |
Mothers ATV 300 mg / 100 mg Third Trimester | 12.10 |
Mothers ATV 400 mg / 100 mg Third Trimester | 12.17 |
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Mean ATV Time of Maximum Observed Plasma Concentration (Tmax)
Tmax = time to reach maximum observed plasma concentration of atazanavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum
Intervention | Hours (Geometric Mean) |
---|
Mothers ATV 300 mg / 100 mg Second Trimester | 3.68 |
Mothers ATV 300 mg / 100 mg Third Trimester | 2.94 |
Mothers ATV 400 mg / 100 mg Third Trimester | 3.30 |
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Mean ATV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose
Cmin = plasma concentration 24 hours post dose of atazanavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum at 24 hours following the daily dose.
Intervention | ng•h / mL (Geometric Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Second Trimester | 663.78 |
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 668.48 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 916.63 |
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Mean CD4 Cell Count at Baseline
(NCT00326716)
Timeframe: Baseline
Intervention | cells / mm^3 (Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 435.0 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 390.0 |
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Mean HIV RNA Level at Baseline
(NCT00326716)
Timeframe: Baseline
Intervention | log10 cm / mL (Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 3.520 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 4.020 |
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Mean RTV Area Under the Concentration Curve (AUC TAU)
AUC = area under the concentration curve (AUC [TAU]) of ritonavir in one dosing interval. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum
Intervention | ng•h / mL (Geometric Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Second Trimester | 4,500.03 |
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 4,664.93 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 4,383.30 |
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Mean RTV Maximum Plasma Concentration (Cmax) in One Dosing Interval
Cmax = maximum observed plasma concentration of ritonavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum
Intervention | ng / mL (Geometric Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Second Trimester | 530.81 |
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 587.36 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 524.48 |
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Mean RTV Terminal Elimination Half Life (T 1/2)
T 1/2 = terminal elimination half life of ritonavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum
Intervention | Hours (Geometric Mean) |
---|
Mothers ATV 300 mg / 100 mg Second Trimester | 5.03 |
Mothers ATV 300 mg / 100 mg Third Trimester | 5.28 |
Mothers ATV 400 mg / 100 mg Third Trimester | 5.10 |
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Mean RTV Time of Maximum Observed Plasma Concentration (Tmax)
Tmax = time to reach the maximum observed plasma concentration of ritonavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, Weeks 28 to 36, and 4-6 Weeks Postpartum
Intervention | Hours (Geometric Mean) |
---|
Mothers ATV 300 mg / 100 mg Second Trimester | 6.11 |
Mothers ATV 300 mg / 100 mg Third Trimester | 4.15 |
Mothers ATV 400 mg / 100 mg Third Trimester | 4.63 |
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Mean RTV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose
Cmin = plasma concentration 24 hours post dose of ritonavir at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum at 24 hours following the daily dose.
Intervention | ng•h / mL (Geometric Mean) |
---|
Mothers ATV 300 mg / RTV 100 mg Second Trimester | 50.10 |
Mothers ATV 300 mg / RTV 100 mg Third Trimester | 41.12 |
Mothers ATV 400 mg / RTV 100 mg Third Trimester | 38.05 |
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Infant Gender
(NCT00326716)
Timeframe: At the time of delivery
Intervention | Participants (Number) |
---|
| Male | Female |
---|
Mothers ATV 300 mg / 100 mg Third Trimester | 12 | 8 |
,Mothers ATV 400 mg / 100 mg Third Trimester | 9 | 11 |
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Infant HIV Status
The neonatal HIV-1 status are assessed by the Roche Amplicor HIV-1 DNA Assay Version 1.5 (Roche Molecular Systems). (NCT00326716)
Timeframe: Birth Through 6 Months on Study
Intervention | Participants (Number) |
---|
| HIV Positive | HIV Negative |
---|
Infant ATV 300 mg / RTV 100 mg | 0 | 20 |
,Infant ATV 400 mg / RTV 100 mg | 0 | 20 |
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Infant Race
(NCT00326716)
Timeframe: At the time of delivery
Intervention | Participants (Number) |
---|
| Black | White | Mixed Race |
---|
Mothers ATV 300 mg / 100 mg Third Trimester | 15 | 5 | 0 |
,Mothers ATV 400 mg / 100 mg Third Trimester | 18 | 1 | 1 |
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Maternal HIV Ribonucleic Acid (RNA) Level on Day of Delivery
The maternal HIV RNA level is assessed by the Roche Amplicor® Ultrasensitive Assay Version 1.5. (NCT00326716)
Timeframe: Day of Delivery ± 2 Days
Intervention | Participants (Number) |
---|
| HIV RNA < 400 copies/mL | HIV RNA < 50 copies/mL |
---|
Mothers ATV 300 mg / RTV 100 mg | 19 | 19 |
,Mothers ATV 400 mg / RTV 100 mg | 20 | 19 |
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Mean Atazanavir Maternal Plasma Concentration and Neonatal Cord Blood Concentration
Mean atazanavir maternal plasma concentration and neonatal cord blood concentration as measured at the time of delivery. (NCT00326716)
Timeframe: At Time of Delivery
Intervention | ng / mL (Mean) |
---|
| Maternal Serum Concentration | Cord Blood Concentration |
---|
Mothers ATV 300 mg / RTV 100 mg | 1,412.05 | 273.20 |
,Mothers ATV 400 mg / RTV 100 mg | 1,568.06 | 231.49 |
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Mean Atazanavir Plasma Protein Binding
Atazanavir Plasma Protein Binding Percentage measured at specified time points. (NCT00326716)
Timeframe: Pregnancy Weeks 28 to Delivery at 3 Hours Postdose and 24 Hours Postdose, and Time of Delivery
Intervention | Percentage Bound (Mean) |
---|
| Third Trimester 3 Hours Post Dose (n = 20, 20) | Third Trimester 24 Hours Post Dose (n = 19, 20) | Time of Delivery (n = 15, 12) |
---|
Mother ATV 300 mg / RTV 100 mg | 91.34 | 90.37 | 77.05 |
,Mother ATV 400 mg / RTV 100 mg | 87.70 | 88.89 | 75.62 |
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Multicenter AIDS Cohort Study (MACS) Participant Adherence to Regimen and Drug Components for ATV 300 mg / RTV 100 mg Test Dose
The MACS was administered to evaluate participant adherence to each drug and the adherence to the regimen. The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Drug-specific questions included adherence with dose and frequency. Adherence was defined as taking all doses and numbers of pills as prescribed for each medication. This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance. (NCT00326716)
Timeframe: Study Week 2, Pregnancy Weeks 20 to Weeks 28, Pregnancy Weeks 28 to Delivery, Week 2 Postpartum, Week 4 Postpartum
Intervention | Participants (Number) |
---|
| Study Week 2 Regimen (n = 20,18) | Study Week 2 ATV (n = 20,18) | Study Week 2 RTV (n = 20,18) | Study Week 2 ZDV/3TC (n = 20,18) | Visit 1 Pregnancy Week 20 to 28 Regimen (n=12, 9) | Visit 1 Pregnancy Week 20 to 28 ATV (n=12, 9) | Visit 1 Pregnancy Week 20 to 28 RTV (n=12, 9) | Visit 1 Pregnancy Week 20 to 28 ZDV/3TC (n=12, 9) | Visit 2 Pregnancy Week 20 to 28 Regimen (n=8, 5) | Visit 2 Pregnancy Week 20 to 28 ATV (n=8, 5) | Visit 2 Pregnancy Week 20 to 28 RTV (n=8, 5) | Visit 2 Pregnancy Week 20 to 28 ZDV/3TC (n=8, 5) | Visit 3 Pregnancy Week 20 to 28 Regimen (n=6, 2) | Visit 3 Pregnancy Week 20 to 28 ATV (n=6, 2) | Visit 3 Pregnancy Week 20 to 28 RTV (n=6, 2) | Visit 3 Pregnancy Week 20 to 28 ADV/3TC (n=6, 2) | Visit 4 Pregnancy Wk 20 to 28 Regimen (n=0, 13) | Visit 4 Pregnancy Week 20 to 28 ATV (n=0, 13) | Visit 4 Pregnancy Week 20 to 28 RTV (n=0, 13) | Visit 4 Pregnancy Wk 20 to 28 ZDV/3TC (n=0, 13) | Visit 1 Pregnancy Wk 20 to Birth Regimen (n=20,20) | Visit 1 Pregnancy Week 20 to Birth ATV (n=20,20) | Visit 1 Pregnancy Week 20 to Birth RTV (n=20,20) | Visit 1 Pregnancy Wk 20 to Birth ZDV/3TC (n=20,20) | Visit 2 Pregnancy Wk 20 to Birth Regimen (n=19,19) | Visit 2 Pregnancy Week 20 to Birth ATV (n=19,19) | Visit 2 Pregnancy Week 20 to Birth RTV (n=19,19) | Visit 2 Pregnancy Wk 20 to Birth ZDV/3TC (n=19,19) | Visit 3 Pregnancy Wk 20 to Birth Regimen (n=15,19) | Visit 3 Pregnancy Week 20 to Birth ATV (n=15,19) | Visit 3 Pregnancy Week 20 to Birth RTV (n=15,19) | Visit 3 Pregnancy Wk 20 to Birth ZDV/3TC (n=15,19) | Visit 4 Pregnancy Wk 28 to Birth Regimen (n=5,15) | Visit 4 Pregnancy Week 28 to Birth ATV (n=5,15) | Visit 4 Pregnancy Week 28 to Birth RTV (n=5,15) | Visit 4 Pregnancy Wk 28 to Birth ZDV/3TC (n=5,15) | Visit 5 Pregnancy Wk 28 to Birth Regimen (n=1, 2) | Visit 5 Pregnancy Week 28 to Birth ATV (n=1, 2) | Visit 5 Pregnancy Week 28 to Birth RTV (n=1, 2) | Visit 5 Pregnancy Wk 28 to Birth ZDV/3TC (n=1, 2) | Visit 6 Pregnancy Wk 28 to Birth Regimen (n=0, 1) | Visit 6 Pregnancy Week 28 to Birth ATV (n=0, 1) | Visit 6 Pregnancy Week 28 to Birth RTV (n=0, 1) | Visit 6 Pregnancy Wk 28 to Birth ZDV/3TC (n=0, 1) | Postpartum Week 2 Regimen (n=19, 19) | Postpartum Week 2 ATV (n=18, 19) | Postpartum Week 2 RTV (n=18, 19) | Postpartum Week 2 ZDV/3TC (n =19, 19) | Postpartum Week 4 Regimen (n=17, 19) | Postpartum Week 4 ATV (n=17, 19) | Postpartum Week 4 RTV (n=17, 19) | Postpartum Week 4 ZDV/3TC (n=17, 19) |
---|
Mother ATV 300 mg / RTV 100 mg | 20 | 20 | 20 | 20 | 11 | 12 | 12 | 11 | 3 | 8 | 7 | 4 | 4 | 5 | 5 | 4 | NA | NA | NA | NA | 19 | 20 | 20 | 19 | 18 | 19 | 19 | 18 | 12 | 13 | 13 | 12 | 5 | 5 | 5 | 5 | 1 | 1 | 1 | 1 | NA | NA | NA | NA | 14 | 16 | 16 | 14 | 16 | 17 | 16 | 17 |
,Mother ATV 400 mg / RTV 100 mg | 17 | 17 | 17 | 17 | 8 | 8 | 9 | 9 | 3 | 5 | 4 | 4 | 2 | 2 | 2 | 2 | 13 | 13 | 13 | 13 | 20 | 20 | 20 | 20 | 18 | 19 | 19 | 18 | 18 | 19 | 19 | 18 | 15 | 15 | 15 | 15 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 18 | 18 | 18 | 18 | 18 | 19 | 19 | 18 |
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Time Weighted Mean Change From Baseline Plasma HIV-RNA
(NCT00335322)
Timeframe: 144 weeks
Intervention | log copies/mL (Mean) |
---|
TDF/FTC+EFV | -2.77 |
TDF/FTC+ r/ATV | -2.88 |
TDF/FTC + AZT+ABC | -2.54 |
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Time-weighted Mean Change From Baseline Plasma HIV-RNA.
(NCT00335322)
Timeframe: 48 weeks
Intervention | log copies/mL (Mean) |
---|
TDF/FTC+EFV | -2.59 |
TDF/FTC+r/ATV | -2.69 |
TDF/FTC+AZT+ABC | -2.39 |
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Cumulative Proportion of Participants Without Treatment Failure Through Week 100
This Kaplan-Meier life table reports the cumulative proportion of participants without treatment failure up to the end of the respective time interval. Failure time is measured from the start of study therapy, and is based on the earliest event defining failure (virologic rebound at or before Week 96, or discontinuation prior to Week 96). (NCT00337467)
Timeframe: Through Week 100
Intervention | proportion of participants (Number) |
---|
| Interval Week 4 - 8 (n=61) | Interval Week 8 - 12 (n=60) | Interval Week 12 - 16 (n=58) | Interval Week 16 - 20 (n=55) | Interval Week 20 - 24 (n=54) | Interval Week 24 - 28 (n=53) | Interval Week 32 - 36 (n=52) | Interval Week 36 - 40 (n=50) | Interval Week 48 - 52 (n=48) | Interval Week 56 - 60 (n=46) | Interval Week 64 - 68 (n=45) | Interval Week 68 - 72 (n=43) | Interval Week 72 - 76 (n=42) | Interval Week 84 - 88 (n=41) | Interval Week 92 - 96 (n=40) | Interval Week 96 - 100 (n=31) |
---|
Proportion of Participants | 0.9836 | 0.9508 | 0.9016 | 0.8852 | 0.8689 | 0.8525 | 0.8197 | 0.7869 | 0.7541 | 0.7377 | 0.7049 | 0.6885 | 0.6721 | 0.6557 | 0.6557 | 0.6557 |
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Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 24
(NCT00337467)
Timeframe: Baseline, Week 24
Intervention | cells /mm3 (Mean) |
---|
| Baseline Value (n=61) | Change at Week 24 (n=51) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy. | 559 | 61 |
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Mean Change From Baseline in CD4 Cell Count at Week 96
(NCT00337467)
Timeframe: Baseline, Week 96
Intervention | cells /mm3 (Mean) |
---|
| Baseline Value (n=61) | Change at Week 96 (n=40) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy. | 559 | 63 |
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Mean Change From Baseline in CD4 Cell Count at Week 48
(NCT00337467)
Timeframe: Baseline, Week 48
Intervention | cells /mm3 (Mean) |
---|
| Baseline Value (n=61) | Change at Week 48 (n=46) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy. | 559 | 53 |
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Percentage of Participants With Treatment Failure Through Week 48
Treatment Failure through Week 48 defined as virologic rebound (HIV RNA >=400 c/mL) on or before Week 48 or study discontinuation before Week 48. Virological rebound is defined as confirmed on-treatment HIV ribonucleic acid (RNA) >= 400 c/mL at 2 consecutive visits or last on-treatment HIV RNA >=400 c/mL followed by discontinuation of study therapy. (NCT00337467)
Timeframe: Week 48
Intervention | Percentage of Participants (Number) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy | 21.3 |
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Mean Percent Changes From Baseline in Fasting Total Cholesterol, High Density Lipoprotein (HDL) Cholesterol, Non-HDL Cholesterol, Low Density Lipoprotein (LDL) Cholesterol, and Triglycerides at Week 48
Lipid values after starting lipid-reducing agents are excluded from analyses. Baseline values are provided in Baseline Characteristics. (NCT00337467)
Timeframe: Baseline, Week 48
Intervention | percent change (Mean) |
---|
| Total Cholesterol (n=36) | HDL Cholesterol (n=35) | Non-HDL Cholesterol (n=35) | LDL Cholesterol (n=33) | Triglycerides (n=36) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy. | 9 | 2 | 12 | 20 | 17 |
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Mean Percent Changes From Baseline in Fasting Total Cholesterol, High Density Lipoprotein (HDL) Cholesterol, Non-HDL Cholesterol, Low Density Lipoprotein (LDL) Cholesterol, and Triglycerides at Week 96
Lipid values after starting lipid-reducing agents are excluded from analyses. Baseline values are provided in Baseline Characteristics. (NCT00337467)
Timeframe: Baseline, Week 96
Intervention | percent change (Mean) |
---|
| Total Cholesterol (n=29) | HDL Cholesterol (n=29) | Non-HDL Cholesterol (n=29) | LDL Cholesterol (n=28) | Triglycerides (n=29) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy. | 14 | 2 | 19 | 29 | 16 |
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Number of Participants With Genotype Substitutions for Virologic Rebounds (HIV-RNA ≥ 400 c/mL) Through Week 48
International Aids Society of the United States (IAS-USA)-defined major protease inhibitor (PI) substitutions are V32I, L33F, M46I/L, I47V, G48V, I50L/V, I54M/L, I76V, I82A/F/T/S, I84V, N88S, and L90M. Reverse Transcriptase (RT) are TAMS and M184V. (NCT00337467)
Timeframe: Week 48
Intervention | participants (Number) |
---|
| IAS-USA-defined major PI substitutions | RT substitutions |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy. | 1 | 0 |
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Number of Participants With Genotype Substitutions for Virologic Rebounds (HIV-RNA ≥ 400 c/mL) Through Week 96
International Aids Society of the United States (IAS-USA)-defined major protease inhibitor (PI) substitutions are V32I, L33F, M46I/L, I47V, G48V, I50L/V, I54M/L, I76V, I82A/F/T/S, I84V, N88S, and L90M. Reverse Transcriptase (RT) are TAMS and M184V. (NCT00337467)
Timeframe: Week 96
Intervention | participants (Number) |
---|
| IAS-USA-defined major PI substitutions | RT substitutions |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy | 2 | 0 |
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Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, and Discontinuations Due to AEs
AE=any new untoward medical occurrence or worsening of a pre-existing medical condition that does not necessarily have a causal relationship to treatment. SAE=any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event. AE grades are: mild (1), moderate (2), severe (3), life-threatening (4), and death (5). (NCT00337467)
Timeframe: From Baseline through Week 96
Intervention | percentage of participants (Number) |
---|
| All Grades AEs | All Grades AEs Related to Study Therapy | Grade 3 to Grade 4 AEs | Grade 3 to Grade 4 AEs Related to Study Therapy | Deaths | SAEs | SAEs Related to Study Therapy | AEs Leading to Discontinuation | Lipodystrophy-Related AEs |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy. | 75.4 | 13.1 | 18 | 3.3 | 3.3 | 19.7 | 0 | 4.9 | 1.6 |
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Percentage of Participants With Treatment Failure Through Week 96
Treatment Failure through Week 96 defined as virologic rebound (HIV RNA >=400 c/mL) on or before Week 96 or study discontinuation before Week 96. In addition, treatment failure defined based on HIV RNA >= 50 c/mL, latter analysis performed on treated subjects with baseline HIV RNA < 50 c/mL. (NCT00337467)
Timeframe: Week 96
Intervention | percentage of participants (Number) |
---|
| HIV RNA >= 400 c/mL(n=61) | HIV RNA>=50 c/mL w/Baseline HIV RNA<50 c/mL (n=60) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy | 34.4 | 43.3 |
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Percentage of Participants With Virological Rebound Through Week 48
Virological rebound is defined as confirmed on-treatment HIV RNA >= 400 c/mL at 2 consecutive visits or last on-treatment HIV RNA >=400 c/mL followed by discontinuation of study therapy. In addition, virologic rebound defined based on HIV RNA >=50 c/m, latter analysis performed on subjects with baseline HIV RNA < 50 c/mL. (NCT00337467)
Timeframe: Week 48
Intervention | percentage of participants (Number) |
---|
| HIV RNA >= 400 c/mL (n=61) | HIV RNA>=50 c/mL w/Baseline HIV RNA<50 c/mL (n=60) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy | 12 | 26.7 |
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Percentage of Participants With Virological Rebound Through Week 96
Virological rebound is defined as confirmed on-treatment HIV RNA >= 400 c/mL at 2 consecutive visits or last on-treatment HIV RNA >=400 c/mL followed by discontinuation of study therapy. In addition, virologic rebound defined based on HIV RNA >=50 c/m, latter analysis performed on subjects with baseline HIV RNA < 50 c/mL. (NCT00337467)
Timeframe: Week 96
Intervention | percentage of participants (Number) |
---|
| HIV RNA >= 400 c/mL (n=61) | HIV RNA>=50 c/mL w/Baseline HIV RNA<50 c/mL (n=60) |
---|
Atazanavir (ATV)/Ritonavir (RTV) Monotherapy | 14.8 | 33.3 |
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Change in Framingham Score From Baseline
Change in the estimated risk of cardiovascular disease using the Framingham algorithm from baseline to after 48, 96 and 144 weeks, last observation carried forward (LOCF). The score is based on age, gender, systolic blood pressure, total cholesterol, high density lipoprotein cholesterol and smoking status. Scores range from 0 to 21 with higher scores indicating a greater risk. (NCT00389207)
Timeframe: From baseline to Weeks 48, 96 and 144/EOT
Intervention | Units on a scale (Mean) |
---|
| Change in Framingham score to Week 48 | Change in Framingham score to Week 96 | Change in Framingham score to Week 144/EOT |
---|
Atazanvir/Ritonavir | 0.66 | 1.19 | 0.82 |
,Nevirapine QD+BID | 0.50 | 0.93 | 1.14 |
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Proportion of Patients With Virological Rebound With VL >=50 Copies/mL After CVR (Confirmed Virological Response) at Week 24, 48, 96, 144
The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL) (NCT00389207)
Timeframe: at Week 24, 48, 96, 144
Intervention | participants (Number) |
---|
| virologic rebound after CVR at Week 24 | virologic rebound after CVR at Week 48 | virologic rebound after CVR at Week 96 | virologic rebound after CVR at Week 144 |
---|
Atazanvir/Ritonavir | 5 | 12 | 10 | 15 |
,Nevirapine BID | 2 | 5 | 6 | 9 |
,Nevirapine QD | 3 | 4 | 4 | 8 |
,Nevirapine QD+BID | 5 | 9 | 10 | 17 |
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Change in Physical Health Summary (PHS) Score From Baseline
QoL assessment by change in PHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the MOS-HIV, a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The PHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL. (NCT00389207)
Timeframe: From baseline to Weeks 48, 96 and 144/EOT
Intervention | Units on a scale (Mean) |
---|
| Change in PHS score to Week 48 | Change in PHS score to Week 96 | Change in PHS score to Week 144/EOT |
---|
Atazanvir/Ritonavir | 3.35 | 3.00 | 3.35 |
,Nevirapine QD+BID | 3.34 | 3.19 | 2.22 |
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Change in the Calculated Glomerular Filtration Rate (GFR) at Week 48, 96 and 144
Calculations based on the MDRD algorithm. (NCT00389207)
Timeframe: From baseline to Week 48, 96, 144
Intervention | mL/min/1.73 m^2 (Mean) |
---|
| change baseline to week 48 (N=143, 128, 271, 173) | change baseline to week 96 (N=130, 122, 252, 157) | change baseline to week 144 (N=163, 168, 331, 174) |
---|
Atazanvir/Ritonavir | -7.18 | -11.53 | -9.56 |
,Nevirapine BID | -5.92 | -10.02 | -6.33 |
,Nevirapine QD | -3.91 | -6.93 | -3.27 |
,Nevirapine QD+BID | -4.86 | -8.42 | -4.82 |
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Change of Cholesterol Values From Baseline to Week 48, 96, 144
Changes frombaseline in total cholesterol, LDL-cholesterol(LDL-c) and HDL (NCT00389207)
Timeframe: baseline to week 48, 96, 144
Intervention | mg/dL (Mean) |
---|
| total cholesterol, week 48 (N=138,122,164) | total cholesterol, week 96 (N=124,114,147) | total cholesterol, week 144 (N=154,155,160) | LDL-c, week 48 (N=136,117,159) | LDL-c, week 96 (N=119,110,145) | LDL-c, week 144 (N=151,150,157) | HDL, week 48(N=138,122,164) | HDL, week 96 (N=124,114,147) | HDL, week 144(N=154,155,160) |
---|
Atazanvir/Ritonavir | 20.84 | 29.99 | 28.13 | 10.58 | 19.19 | 17.61 | 3.49 | 4.74 | 5.73 |
,Nevirapine BID | 29.54 | 36.87 | 30.66 | 17.70 | 21.66 | 17.95 | 11.59 | 13.33 | 10.47 |
,Nevirapine QD | 29.28 | 39.17 | 33.12 | 16.54 | 21.93 | 21.42 | 12.06 | 13.86 | 12.61 |
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Change of hsCRP From Baseline to Week 48, 96, 144
Change of hsCRP from baseline to week 48, 96, 144 (NCT00389207)
Timeframe: baseline to week 48, 96, 144
Intervention | mg/L (Mean) |
---|
| hsCRP, week 48 (N=142,126,173) | hsCRP, week 96 (N=128,120,157) | hsCRP, week 144 (N=160,164,174) |
---|
Atazanvir/Ritonavir | -0.70 | 0.35 | 0.04 |
,Nevirapine BID | -0.67 | -0.79 | -0.02 |
,Nevirapine QD | -1.01 | -1.54 | -0.09 |
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Change of Total Cholesterol to HDL-cholesterol Ratio From Baseline to Week 48, 96, 144
Change of Total cholesterol to HDL-cholesterol ratio from baseline to week 48, 96, 144 (NCT00389207)
Timeframe: baseline to week 48, 96, 144
Intervention | ratio (Mean) |
---|
| total triglycerides, week 48 (N=138,122,164) | total triglycerides, week 96 (N=124,114,147) | total triglycerides, week 144 (N=154,155,160) |
---|
Atazanvir/Ritonavir | 0.20 | 0.28 | 0.17 |
,Nevirapine BID | -0.33 | -0.25 | -0.07 |
,Nevirapine QD | -0.37 | -0.22 | -0.24 |
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Change of Total Triglycerides From Baseline to Week 48, 96, 144
Change of total triglycerides from baseline to week 48, 96, 144 (NCT00389207)
Timeframe: baseline to week 48, 96, 144
Intervention | mg/dL (Mean) |
---|
| total triglycerides, week 48 (N=138,120,164) | total triglycerides, week 96 (N=124,113,147) | total triglycerides, week 144 (N=153,153,159) |
---|
Atazanvir/Ritonavir | 36.28 | 30.45 | 27.11 |
,Nevirapine BID | 1.67 | 5.35 | 6.11 |
,Nevirapine QD | 0.08 | 9.34 | -3.46 |
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Changes of Apolipoprotein Values From Baseline to Week 48, 96, 144
Changes frombaseline apolipoprotein A1 & B (NCT00389207)
Timeframe: baseline to week 48, 96, 144
Intervention | g/L (Mean) |
---|
| apolipoprotein A1, week 48 (N=134,121,156) | apolipoprotein A1, week 96 (N=115,106,141) | apolipoprotein A1, week 144 (N=144,140,148) | apolipoprotein B, week 48 (N=134,120,156) | apolipoprotein B, week 96 (N=115,106,141) | apolipoprotein B, week 144 (N=144,139,148) |
---|
Atazanvir/Ritonavir | 0.08 | 0.07 | 0.06 | 0.03 | 0.03 | 0.03 |
,Nevirapine BID | 0.23 | 0.23 | 0.14 | 0.03 | -0.00 | 0.05 |
,Nevirapine QD | 0.23 | 0.23 | 0.16 | 0.00 | 0.00 | 0.01 |
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Genotypic Resistance Associated With Virologic Failure
Number of treatment-emergent drug-associated substitutions in patients with virological failure up to Week 48. The total number of genotypic mutations in those patients who were virologic failures is given, not the number of patients with mutations. (NCT00389207)
Timeframe: From baseline to Week 48
Intervention | Number of substitutions (Number) |
---|
| Emtricitabine-associated substitutions at Week 48 | Tenofovir-associated substitutions at Week 48 | Nevirapine-associated substitutions at Week 48 |
---|
Atazanvir/Ritonavir | 0 | 0 | 0 |
,Nevirapine QD+BID | 21 | 11 | 34 |
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Glycaemic Abnormalities
Number of patients with AE elevated serum glucose (NCT00389207)
Timeframe: From baseline to Week 144
Intervention | Patients (Number) |
---|
| Number with glycaemic abnormalities | Number without glycaemic abnormalities |
---|
Atazanvir/Ritonavir | 3 | 190 |
,Nevirapine QD+BID | 0 | 376 |
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Lipodystrophy
Number of patients with AE lipodystrophy (NCT00389207)
Timeframe: From baseline to Week 144
Intervention | Patients (Number) |
---|
| Number with lipodystrophy | Number without lipodystrophy |
---|
Atazanvir/Ritonavir | 1 | 192 |
,Nevirapine QD+BID | 1 | 375 |
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Non-scheduled Physician Visits
Cost effectiveness assessment by number of patients with non-scheduled physician visits (NCT00389207)
Timeframe: From baseline to Week 24, Week 24 to 48, Week 48 to 96, and Week 96 to 144/EOT
Intervention | patients (Number) |
---|
| Number between baseline and Week 24 | Number between Week 24 and Week 48 | Number between Week 48 and Week 96 | Number between Week 96 and Wk 144/EOT |
---|
Atazanvir/Ritonavir | 35 | 35 | 28 | 35 |
,Nevirapine QD+BID | 74 | 45 | 58 | 58 |
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Number of Patients Hospitalized
Cost effectiveness assessment by number of patients hospitalized (NCT00389207)
Timeframe: From baseline to Week 24, Week 24 to 48, Week 48 to 96, and Week 96 to 144/EOT
Intervention | Patients (Number) |
---|
| Number hospitalized between baseline and Week 24 | Number hospitalized between Week 24 and Week 48 | Number hospitalized between Week 48 and Week 96 | Number hospitalized between Week 96 and Wk 144/EOT |
---|
Atazanvir/Ritonavir | 2 | 5 | 5 | 1 |
,Nevirapine QD+BID | 8 | 6 | 5 | 9 |
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Change in CD4+ Count From Baseline
Change in CD4+ cell count from baseline among patients on treatment at each visit, with the final visit at Week 144 or EOT (NCT00389207)
Timeframe: From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT
Intervention | cells/mm^3 (Mean) |
---|
| Change in CD4+ count to Week 4 | Change in CD4+ count to Week 8 | Change in CD4+ count to Week 12 | Change in CD4+ count to Week 24 | Change in CD4+ count to Week 36 | Change in CD4+ count to Week 48 | Change in CD4+ count to Week 60 | Change in CD4+ count to Week 72 | Change in CD4+ count to Week 84 | Change in CD4+ count to Week 96 | Change in CD4+ count to Week 108 | Change in CD4+ count to Week 120 | Change in CD4+ count to Week 132 | Change in CD4+ count to Week 144/EOT |
---|
Atazanvir/Ritonavir | 86.1 | 98.0 | 110.9 | 133.8 | 163.4 | 183.6 | 208.2 | 231.9 | 246.4 | 251.6 | 267.2 | 269.2 | 281.3 | 285.8 |
,Nevirapine QD+BID | 77.2 | 105.6 | 120.3 | 134.4 | 160.1 | 168.2 | 184.8 | 213.7 | 223.0 | 217.7 | 231.2 | 231.3 | 243.4 | 251.0 |
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Proportion of Patients With Virologic Failure at Week 48, 96, 144
(NCT00389207)
Timeframe: at Week 48, 96, 144
Intervention | participants (Number) |
---|
| virologic failure at Week 48 | virologic failure at Week 96 | virologic failure at Week 144 |
---|
Atazanvir/Ritonavir | 25 | 13 | 17 |
,Nevirapine BID | 25 | 25 | 28 |
,Nevirapine QD | 20 | 15 | 19 |
,Nevirapine QD+BID | 45 | 40 | 47 |
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Proportion of Patients With Virological Rebound With VL >=400 Copies/mL After CVR at Week 24, 48, 96, 144
The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL) (NCT00389207)
Timeframe: at Week 24, 48, 96, 144
Intervention | participants (Number) |
---|
| virologic rebound after CVR at Week 24 | virologic rebound after CVR at Week 48 | virologic rebound after CVR at Week 96 | virologic rebound after CVR at Week 144 |
---|
Atazanvir/Ritonavir | 2 | 2 | 2 | 5 |
,Nevirapine BID | 2 | 3 | 6 | 6 |
,Nevirapine QD | 2 | 3 | 3 | 4 |
,Nevirapine QD+BID | 4 | 6 | 9 | 10 |
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Proportion of Patients With VL < 400 Copies/ml
VL <400 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT) (NCT00389207)
Timeframe: From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT
Intervention | Proportion of patients (Number) |
---|
| Proportion with VL<400 copies /mL at Week 4 | Proportion with VL<400 copies /mL at Week 8 | Proportion with VL<400 copies /mL at Week 12 | Proportion with VL<400 copies /mL at Week 24 | Proportion with VL<400 copies /mL at Week 36 | Proportion with VL<400 copies /mL at Week 48 | Proportion with VL<400 copies /mL at Week 60 | Proportion with VL<400 copies /mL at Week 72 | Proportion with VL<400 copies /mL at Week 84 | Proportion with VL<400 copies /mL at Week 96 | Proportion with VL<400 copies /mL at Week 108 | Proportion with VL<400 copies /mL at Week 120 | Proportion with VL<400 copies /mL at Week 132 | Proportion with VL<400 copies /mL at Week 144/EOT |
---|
Atazanvir/Ritonavir | 0.287 | 0.679 | 0.834 | 0.956 | 0.966 | 0.977 | 0.988 | 0.988 | 0.994 | 0.987 | 1.000 | 0.994 | 0.993 | 0.986 |
,Nevirapine QD+BID | 0.365 | 0.714 | 0.856 | 0.924 | 0.968 | 0.985 | 0.993 | 0.996 | 0.988 | 1.000 | 0.996 | 1.000 | 0.996 | 0.991 |
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Proportion of Patients With VL < 50 Copies/ml
VL <50 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT) for the patient (NCT00389207)
Timeframe: From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT
Intervention | Proportion of patients (Number) |
---|
| Proportion with VL<50 copies /mL at Week 4 | Proportion with VL<50 copies /mL at Week 8 | Proportion with VL<50 copies /mL at Week 12 | Proportion with VL<50 copies /mL at Week 24 | Proportion with VL<50 copies /mL at Week 36 | Proportion with VL<50 copies /mL at Week 48 | Proportion with VL<50 copies /mL at Week 60 | Proportion with VL<50 copies /mL at Week 72 | Proportion with VL<50 copies /mL at Week 84 | Proportion with VL<50 copies /mL at Week 96 | Proportion with VL<50 copies /mL at Week 108 | Proportion with VL<50 copies /mL at Week 120 | Proportion with VL<50 copies /mL at Week 132 | Proportion with VL<50 copies /mL at Week 144/EOT |
---|
Atazanvir/Ritonavir | 0.09 | 0.25 | 0.412 | 0.779 | 0.83 | 0.886 | 0.901 | 0.915 | 0.896 | 0.924 | 0.968 | 0.955 | 0.947 | 0.929 |
,Nevirapine QD+BID | 0.107 | 0.304 | 0.515 | 0.842 | 0.907 | 0.931 | 0.959 | 0.965 | 0.972 | 0.98 | 0.964 | 0.976 | 0.971 | 0.952 |
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Serum Lipid Abnormalities
Number of patients with AE elevated serum lipids (i.e. hypercholesterolaemia) (NCT00389207)
Timeframe: From baseline to Week 144
Intervention | patients (Number) |
---|
| Number with serum lipid abnormalities | Number without serum lipid abnormalities |
---|
Atazanvir/Ritonavir | 4 | 189 |
,Nevirapine QD+BID | 9 | 367 |
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Treatment Response at Week 144
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 144 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 144. (NCT00389207)
Timeframe: From baseline to Week 144
Intervention | participants (Number) |
---|
| Number of responders | Number of non-responders |
---|
Atazanvir/Ritonavir | 143 | 50 |
,Nevirapine BID | 113 | 75 |
,Nevirapine QD | 121 | 67 |
,Nevirapine QD+BID | 234 | 142 |
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Treatment Response at Week 48
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 48 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 48. (NCT00389207)
Timeframe: From baseline to Week 48
Intervention | Patients (Number) |
---|
| Number of responders | Number of non-responders |
---|
Atazanvir/Ritonavir | 126 | 67 |
,Nevirapine BID | 124 | 64 |
,Nevirapine QD | 126 | 62 |
,Nevirapine QD+BID | 250 | 126 |
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Treatment Response at Week 48 (TLOVR Algorithm)
Treatment response is defined as a VL <50 copies/mL measured at two consecutive visits up to Week 48 and without subsequent rebound or change of ARV therapy up to Week 48, based on time to loss of virologic response (TLOVR) algorithm, as a sensitivity analysis for the primary analysis. (NCT00389207)
Timeframe: From baseline to Week 48
Intervention | Patients (Number) |
---|
| Number of responders | Number of non-responders |
---|
Atazanvir/Ritonavir | 142 | 51 |
,Nevirapine QD+BID | 261 | 115 |
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Treatment Response at Week 96
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 96 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 96. (NCT00389207)
Timeframe: From baseline to Week 96
Intervention | participants (Number) |
---|
| Number of responders | Number of non-responders |
---|
Atazanvir/Ritonavir | 149 | 44 |
,Nevirapine BID | 122 | 66 |
,Nevirapine QD | 131 | 57 |
,Nevirapine QD+BID | 253 | 123 |
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Treatment-emergent AIDS-defining Illness
Treatment-emergent AIDS-defining illness (tr.-emerg. AIDS-def.illness) including worsening during treatment (NCT00389207)
Timeframe: From baseline to Week 144
Intervention | Patients (Number) |
---|
| Number with tr.-emerg. AIDS-def.illness | Number without tr.-emerg. AIDS-def.illness |
---|
Atazanvir/Ritonavir | 7 | 186 |
,Nevirapine QD+BID | 26 | 350 |
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Treatment-emergent AIDS-defining Illness Leading to Death
Patients with an AIDS-defining illness leading to death broken out by treatment. Statistical analysis shows time to death from AIDS-defining illness. (NCT00389207)
Timeframe: From baseline to Week 144
Intervention | Patients (Number) |
---|
| Number with AIDS-def. illness leading to death | Number without AIDS-def. illness leading to death |
---|
Atazanvir/Ritonavir | 0 | 193 |
,Nevirapine QD+BID | 3 | 373 |
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Proportion of Patients With >= DAIDS Grade 2 Laboratory Abnormalities
(NCT00389207)
Timeframe: week 148
Intervention | participants (Number) |
---|
| DAIDS 2 moderate | DAIDS 3 severe | DAIDS 4 potential lifethreatening |
---|
Atazanvir/Ritonavir | 72 | 39 | 9 |
,Nevirapine BID | 84 | 28 | 15 |
,Nevirapine QD | 74 | 30 | 9 |
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Change in Mental Health Summary (MHS) Score From Baseline
Quality of life (QoL) assessment by change in MHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the Medical Outcomes Study HIV Health Survey (MOS-HIV), a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The MHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL. (NCT00389207)
Timeframe: From baseline to Weeks 48, 96 and 144/EOT
Intervention | Units on a scale (Mean) |
---|
| Change in MHS score to Week 48 | Change in MHS score to Week 96 | Change in MHS score to Week 144/EOT |
---|
Atazanvir/Ritonavir | 4.52 | 4.89 | 4.70 |
,Nevirapine QD+BID | 6.09 | 6.10 | 4.76 |
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Proportion of Patients Reporting CNS (Central Nervous System) Side Effects of Any Severity
Proportion of Patients reporting CNS (central nervous system) side effects of any severity (NCT00389207)
Timeframe: week 148
Intervention | participants (Number) |
---|
Nevirapine QD | 41 |
Nevirapine BID | 41 |
Atazanvir/Ritonavir | 37 |
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Proportion of Patients Reporting Hepatic Events of Any Severity
Proportion of Patients reporting hepatic events of any severity (NCT00389207)
Timeframe: week 148
Intervention | participants (Number) |
---|
Nevirapine QD | 26 |
Nevirapine BID | 24 |
Atazanvir/Ritonavir | 92 |
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Proportion of Patients Reporting Rash of Any Severity
Proportion of Patients reporting rash of any severity (NCT00389207)
Timeframe: week 148
Intervention | participants (Number) |
---|
Nevirapine QD | 75 |
Nevirapine BID | 64 |
Atazanvir/Ritonavir | 74 |
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Time to Loss of Virologic Response (Rebound)
Time to loss of virologic response (TLOVR) was defined as the time from start of treatment to the first measurement showing VL ≥ 50 copies/mL in the first virologic rebound, after having a confirmed virological response. (NCT00389207)
Timeframe: Baseline to week 144
Intervention | weeks (Median) |
---|
Nevirapine QD | 143.86 |
Nevirapine BID | 143.21 |
Nevirapine QD+BID | 143.71 |
Atazanvir/Ritonavir | 143.00 |
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Time to Treatment Failure
Treatment failure is defined as the occurrence of the first of at least one of the following events: early discontinuation of trial drug, change in ARV therapy, failure to achieve an HIV RNA count < 50 copies/mL up to Visit 10 (week 48) or loss of virologic response (NCT00389207)
Timeframe: baseline to week 144
Intervention | weeks (Median) |
---|
Nevirapine QD | 143.86 |
Nevirapine BID | 143.21 |
Nevirapine QD+BID | 143.71 |
Atazanvir/Ritonavir | 143.00 |
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Time to Treatment Response (First Confirmed VL<50 Copies/mL)
Time to treatment response was defined as the time from start of treatment until the first measurement of the first confirmed virological response (NCT00389207)
Timeframe: baseline to week 144
Intervention | weeks (Median) |
---|
Nevirapine QD | 12.00 |
Nevirapine BID | 12.14 |
Nevirapine QD+BID | 12.00 |
Atazanvir/Ritonavir | 23.71 |
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Glucose Trafficking
"6 month mean and standard deviation for glucose uptake into anterior thigh muscle as measured by FDG/PET scanning during euglycemic hyperinsulinemic clamp. During the hyperinsulinemic conditions of the clamp, glucose and 18-FDG [labeled glucose] are taken up by muscle. The quantity of 18-FDG taken up is measured by the PET scan. Although there are no well-accepted norms for this measurement, a higher value indicates that more glucose is being taken up by (or trafficked to) muscle. Increased uptake of glucose indicates increased muscle insulin sensitivity." (NCT00413153)
Timeframe: 6 months
Intervention | umol/kg/min (Mean) |
---|
Boosted Reyataz (ATV/r) | 26.7 |
Continue Kaletra (LPV/r) | 24.4 |
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Fasting Glucose
6 month mean and standard deviation for fasting glucose. (NCT00413153)
Timeframe: 6 months
Intervention | mg/dL (Mean) |
---|
Boosted Reyataz (ATV/r) | 84 |
Continue Kaletra (LPV/r) | 90 |
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Body Composition - Visceral Adipose Tissue
6 month mean and standard deviation for visceral adipose tissue (VAT) as measured by single slice computed tomography (CT) scan at the L4 pedicle (pedicle of 4th lumbar vertebra). (NCT00413153)
Timeframe: 6 months
Intervention | square centimeters (Mean) |
---|
Boosted Reyataz (ATV/r) | 91 |
Continue Kaletra (LPV/r) | 167 |
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Total Bilirubin
6 month mean and standard deviation for total bilirubin. (NCT00413153)
Timeframe: 6 months
Intervention | mg/dL (Mean) |
---|
Boosted Reyataz (ATV/r) | 2.8 |
Continue Kaletra (LPV/r) | 0.6 |
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Liver Enzymes -- Aspartate Aminotransferase (AST)
6 month mean and standard deviation for AST. (NCT00413153)
Timeframe: 6 months
Intervention | U/L (Mean) |
---|
Boosted Reyataz (ATV/r) | 39 |
Continue Kaletra (LPV/r) | 42 |
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Liver Enzymes -- Alanine Aminotransferase (ALT)
6 month mean and standard deviation for ALT. (NCT00413153)
Timeframe: 6 months
Intervention | U/L (Mean) |
---|
Boosted Reyataz (ATV/r) | 61 |
Continue Kaletra (LPV/r) | 65 |
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Insulin Sensitivity
6 month mean and standard deviation for insulin-stimulated glucose uptake (M) per unit insulin at 120 minutes as measured by euglycemic hyperinsulinemic clamp. (NCT00413153)
Timeframe: 6 months
Intervention | umol/kg/min per uU/mL insulin (Mean) |
---|
Boosted Reyataz (ATV/r) | 39.0 |
Continue Kaletra (LPV/r) | 49.2 |
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Immune Parameters -- CD4 Count
6 month mean and standard deviation for CD4+ count. (NCT00413153)
Timeframe: 6 months
Intervention | cells/microL (Mean) |
---|
Boosted Reyataz (ATV/r) | 432 |
Continue Kaletra (LPV/r) | 688 |
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Number of Participants Who Met the PDVF Criteria at Week 84
The number of participants that failed to respond to therapy from the time of treatment randomization through Week 84, based on the protocol definition of virologic failure (PDVF), was tabulated. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA <400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound >=400 c/ml after achieving HIV-1 <400 c/ml. (NCT00440947)
Timeframe: Week 84
Intervention | participants (Number) |
---|
| Protocol-defined virologic failure | Confirmed rebound after achieving <400 c/ml |
---|
ABC/3TC + ATV: Randomized Phase | 1 | 1 |
,ABC/3TC + ATV/r: Randomized Phase | 7 | 7 |
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Number of Participants Who Met the Protocol-defined Virologic Failure (PDVF) Criteria at Week 36
The number of participants that failed to respond to therapy through 36 weeks on treatment, based on the protocol definition of virologic failure (PDVF), was tabulated. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA <400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound >=400 c/ml after achieving HIV-1 <400 c/ml. (NCT00440947)
Timeframe: Week 36
Intervention | participants (Number) |
---|
| Protocol-defined virologic failure | Failure to achieve <400 c/ml by Week 30 | Confirmed rebound after achieving <400 c/ml |
---|
ABC/3TC + ATV/r: Induction Phase | 15 | 5 | 10 |
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Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 Visit
Percentage of PAR with HIV-1 RNA <400 c/ml at Week 144 was tabulated; stratified by baseline HIV-1 RNA (<100,000 and >=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV-RNA <400 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA <400 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to >=400 c/ml, or had an unconfirmed HIV RNA >=400 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures. (NCT00440947)
Timeframe: Week 144
Intervention | percentage of participants (Number) |
---|
| TLOVR | Obs | M/D=F |
---|
ABC/3TC + ATV: Extension Phase | 84 | 99 | 84 |
,ABC/3TC + ATV/r: Extension Phase | 80 | 97 | 82 |
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Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 Visit
Percentage of PAR with HIV-1 RNA <400 c/ml at Week 84 was tabulated; stratified by baseline HIV-1 RNA (<100,000 and >=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV-RNA <400 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA <400 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to >=400 c/ml, or had an unconfirmed HIV RNA >=400 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures. (NCT00440947)
Timeframe: Week 84
Intervention | percentage of participants (Number) |
---|
| TLOVR | Obs | M/D=F |
---|
ABC/3TC + ATV: Randomized Phase | 92 | 99 | 92 |
,ABC/3TC + ATV/r: Randomized Phase | 86 | 98 | 87 |
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Percentage of Participants Who Achieved Plasma HIV-1 RNA <400 c/ml at the Week 36 Visit
The percentage of PAR with HIV-1 RNA virus <400 c/ml from a Week 36 blood sample was tabulated. Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV RNA <400 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved CF HIV RNA <400 c/ml, prematurely discontinued (DC) study or study medication (Med; any reason), had CF rebound to >=400 c/ml, or had an unconfirmed HIV RNA >=400 c/ml at last visit. ITT-E observed analysis (Obs): all observed data. ITT-E M/D=F analysis: PAR with missing data/data collected after study Med DC were failures. (NCT00440947)
Timeframe: Week 36
Intervention | percentage of participants (Number) |
---|
| TLOVR | Obs | M/D=F |
---|
ABC/3TC + ATV/r: Induction Phase | 82 | 98 | 84 |
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Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 Visit
The percentage of PAR with HIV-1 RNA virus <50 c/ml from a Week 36 blood sample was tabulated. Per TLOVR algorithm, responders were PAR with confirmed viral load <50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA <50 c/ml, prematurely discontinued (DC) study or study medication (any reason), had confirmed rebound to >=50 c/ml, or had an unconfirmed HIV RNA >=50 c/ml at last visit. ITT-E observed analysis (Obs): all observed data. ITT-E M/D=F analysis: PAR with missing data/data collected after study medication DC were failures. (NCT00440947)
Timeframe: Week 36
Intervention | percentage of participants (Number) |
---|
| TLOVR | Obs | M/D=F |
---|
ABC/3TC + ATV/r: Induction Phase | 80 | 88 | 77 |
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Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 Visit
A blood sample was drawn to determine the amount of HIV-1 RNA virus in c/ml at Week 84. The percentage of participants with HIV-1 RNA <50 c/ml at Week 84 was tabulated. The secondary analysis methods were: Observed (Obs; uses all visits with data in the analysis period), and missing/discontinuation=failure (M/D=F) analyses. M/D=F: participants with missing data or data collected after study medication DC were considered failures. (NCT00440947)
Timeframe: Week 84
Intervention | percentage of participants (Number) |
---|
| Obs | M/D=F |
---|
ABC/3TC + ATV: Randomized Phase | 92 | 85 |
,ABC/3TC + ATV/r: Randomized Phase | 92 | 82 |
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Mean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized Phase
The mean age of participants randomized to treatment in the Randomized Phase was calculated at Baseline. (NCT00440947)
Timeframe: Baseline of Randomized Phase
Intervention | years (Mean) |
---|
ABC/3TC + ATV: Randomized Phase | 37.5 |
ABC/3TC + ATV/r: Randomized Phase | 39.7 |
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Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 Visit
Percentage of PAR with HIV-1 RNA <50 c/ml at Week 144 was tabulated; stratified by baseline HIV-1 RNA (<100,000 and >=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV RNA <50 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA <50 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to >=50 c/ml, or had an unconfirmed HIV RNA >=50 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures. (NCT00440947)
Timeframe: Week 144
Intervention | percentage of participants (Number) |
---|
| TLOVR | Obs | M/D=F |
---|
ABC/3TC + ATV: Extension Phase | 77 | 95 | 80 |
,ABC/3TC + ATV/r: Extension Phase | 73 | 92 | 78 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 Visit
The percentage of PAR with HIV-1 RNA virus <50 c/ml determined from a blood sample drawn at Week 84 was tabulated by treatment arm with stratification by baseline HIV-1 RNA (<100,000 c/ml and >=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed viral load <50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA <50 c/ml, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 50 c/ml, or had an unconfirmed HIV RNA of at least 50 c/ml at last visit. (NCT00440947)
Timeframe: Week 84
Intervention | percentage of participants (Number) |
---|
ABC/3TC + ATV: Randomized Phase | 86 |
ABC/3TC + ATV/r: Randomized Phase | 81 |
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Mean Percent Compliance at Week 144
Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen. (NCT00440947)
Timeframe: Week 144
Intervention | percent compliance (Mean) |
---|
| Abacavir/Lamivudine | Ritonavir | Atazanavir |
---|
ABC/3TC + ATV: Extension Phase | 92.0 | 93.3 | 99.1 |
,ABC/3TC + ATV/r: Extension Phase | 90.1 | 90.1 | 91.4 |
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Mean Percent Compliance at Week 36
Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen. (NCT00440947)
Timeframe: Week 36
Intervention | percent compliance (Mean) |
---|
| Abacavir/Lamivudine | Ritonavir | Atazanavir |
---|
ABC/3TC + ATV/r: Induction Phase | 92.2 | 92.3 | 92.7 |
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Mean Percent Compliance at Week 84
Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen. (NCT00440947)
Timeframe: Week 84
Intervention | percent compliance (Mean) |
---|
| Abacavir/Lamivudine | Ritonavir | Atazanavir |
---|
ABC/3TC + ATV: Randomized Phase | 92.0 | 92.9 | 98.9 |
,ABC/3TC + ATV/r: Randomized Phase | 91.2 | 91.5 | 92.4 |
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Number of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir
A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant. (NCT00440947)
Timeframe: Baseline through Week 36
Intervention | participants (Number) |
---|
| PAR with reduced abacavir susceptibility | PAR with reduced lamivudine susceptibility | PAR with reduced atazanavir susceptibility | PAR with reduced ritonavir susceptibility |
---|
ABC/3TC + ATV/r: Induction Phase | 0 | 1 | 0 | 0 |
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Number of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir
A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant. (NCT00440947)
Timeframe: Randomization at Week 36 through Week 84
Intervention | participants (Number) |
---|
| PAR with reduced abacavir susceptibility | PAR with reduced lamivudine susceptibility | PAR with reduced atazanavir susceptibility | PAR with reduced ritonavir susceptibility |
---|
ABC/3TC + ATV: Randomized Phase | 0 | 1 | 0 | 0 |
,ABC/3TC + ATV/r: Randomized Phase | 0 | 0 | 0 | 0 |
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Number of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir
A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant. (NCT00440947)
Timeframe: Week 84 through Week 144
Intervention | participants (Number) |
---|
| PAR with reduced abacavir susceptibility | PAR with reduced lamivudine susceptibility | PAR with reduced atazanavir susceptibility | PAR with reduced ritonavir susceptibility |
---|
ABC/3TC + ATV: Extension Phase | 0 | 1 | 0 | 0 |
,ABC/3TC + ATV/r: Extension Phase | 1 | 1 | 1 | 1 |
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Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36
A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New resistance-associated mutations (defined by the International AIDS Society-USA guidelines) that developed at the time of failure were tabulated by drug class. PAR, participants; VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor. (NCT00440947)
Timeframe: Baseline through Week 36
Intervention | participants (Number) |
---|
| PAR with paired genotypes at baseline and VF | PAR with treatment-emergent mutations | PAR with NRTI mutations | PAR with NNRTI mutations | PAR with major PI mutations | PAR with minor PI mutations |
---|
ABC/3TC + ATV/r: Induction Phase | 15 | 6 | 4 | 1 | 0 | 2 |
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Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84
A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New International AIDs Society-USA defined resistance mutations that developed at the time of failure were tabulated by drug class. VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor. (NCT00440947)
Timeframe: Randomization at Week 36 through Week 84
Intervention | participants (Number) |
---|
| PAR with paired genotypes at baseline and VF | PAR with treatment-emergent mutations | PAR with NRTI mutations | PAR with NNRTI mutations | PAR with major PI mutations | PAR with minor PI mutations |
---|
ABC/3TC + ATV: Randomized Phase | 1 | 1 | 1 | 0 | 0 | 0 |
,ABC/3TC + ATV/r: Randomized Phase | 7 | 2 | 0 | 0 | 0 | 2 |
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Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144
A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New International AIDs Society-USA defined resistance mutations that developed at the time of failure were tabulated by drug class. VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor. (NCT00440947)
Timeframe: Week 84 through Week 144
Intervention | participants (Number) |
---|
| PAR with paired genotypes at baseline and VF | PAR with treatment-emergent mutations | PAR with NRTI mutations | PAR with NNRTI mutations | PAR with major PI mutations | PAR with minor PI mutations |
---|
ABC/3TC + ATV: Extension Phase | 5 | 2 | 0 | 0 | 0 | 2 |
,ABC/3TC + ATV/r: Extension Phase | 5 | 1 | 1 | 0 | 1 | 1 |
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Number of Participants Who Met the PDVF Criteria at Week 144
The number of participants enrolled in the extension phase that failed to respond to therapy from Week 84 through Week 144, based on the protocol definition of virologic failure (PDVF) was tabulated,. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA <400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound >=400 c/ml after achieving HIV-1 <400 c/ml. (NCT00440947)
Timeframe: Week 144
Intervention | participants (Number) |
---|
| Protocol-defined virologic failure | Confirmed rebound after achieving <400 c/ml |
---|
ABC/3TC + ATV: Extension Phase | 5 | 5 |
,ABC/3TC + ATV/r: Extension Phase | 6 | 6 |
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Change From Baseline in CD4+ Cell Count at Week 144
A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 144 value minus the baseline value. Blood was drawn to analyze for CD4+ cell count. (NCT00440947)
Timeframe: Baseline and Week 144
Intervention | cells/millimeters cubed (mm^3) (Mean) |
---|
ABC/3TC + ATV: Extension Phase | 317.7 |
ABC/3TC + ATV/r: Extension Phase | 325.1 |
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Change From Baseline in CD4+ Cell Count at Week 36
Blood was drawn to analyze for CD4+ cell count. A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 36 value minus the baseline value. (NCT00440947)
Timeframe: Baseline and Week 36
Intervention | cells/millimeters cubed (mm^3) (Mean) |
---|
ABC/3TC + ATV/r: Induction Phase | 185.4 |
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Change From Baseline in CD4+ Cell Count at Week 84
A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 84 value minus the baseline value. Blood was drawn to analyze for CD4+ cell count. (NCT00440947)
Timeframe: Baseline and Week 84
Intervention | cells/millimeters cubed (mm^3) (Mean) |
---|
ABC/3TC + ATV: Randomized Phase | 265.7 |
ABC/3TC + ATV/r: Randomized Phase | 282.9 |
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Change From Baseline in HIV-1 RNA at Week 144
Change from baseline was calculated as the Week 144 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load. (NCT00440947)
Timeframe: Baseline and Week 144
Intervention | log10 c/ml (Mean) |
---|
ABC/3TC + ATV: Extension Phase | -3.291 |
ABC/3TC + ATV/r: Extension Phase | -3.239 |
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Change From Baseline in HIV-1 RNA at Week 36
Change from baseline was calculated as the Week 36 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load. (NCT00440947)
Timeframe: Baseline and Week 36
Intervention | log10 c/ml (Mean) |
---|
ABC/3TC + ATV/r: Induction Phase | -3.241 |
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Change From Baseline in HIV-1 RNA at Week 84
Change from baseline was calculated as the Week 84 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load. (NCT00440947)
Timeframe: Baseline and Week 84
Intervention | log10 c/ml (Mean) |
---|
ABC/3TC + ATV: Randomized Phase | -3.261 |
ABC/3TC + ATV/r: Randomized Phase | -3.270 |
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Change in CD4+ Cell Count From Baseline to Week 48.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 48
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 155.1 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 160.4 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 24 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 24
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 61 | 5 | 11 |
,Nevirapine (NVP) Plus Truvada | 48 | 9 | 18 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 2 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 2
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 5 | 63 | 9 |
,Nevirapine (NVP) Plus Truvada | 6 | 62 | 7 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 12 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 12
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 43 | 27 | 7 |
,Nevirapine (NVP) Plus Truvada | 42 | 20 | 13 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 6 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 6
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 14 | 53 | 10 |
,Nevirapine (NVP) Plus Truvada | 23 | 38 | 14 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 8 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 8
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 23 | 50 | 4 |
,Nevirapine (NVP) Plus Truvada | 34 | 25 | 16 |
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Number of Participants With Loss of Virologic Response Following Confirmed Virologic Response
HIV viral load > 50 copies/ml on two consecutive measurements separated by at least 2 weeks, after confirmed virologic response (2 consecutive HIV viral load values < 50 copies/ml) (NCT00552240)
Timeframe: baseline to week 24 and week 48
Intervention | Participants (Number) |
---|
| At week 24 | At week 48 |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 4 | 9 |
,Nevirapine (NVP) Plus Truvada | 1 | 2 |
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Number of Participants With Virologic Response (VR)
VR is defined as HIV viral load of <50 copies/ml measured at two consecutive visits PRIOR TO Week 48 and without subsequent rebound or change of ARV therapy prior to Week 48. (NCT00552240)
Timeframe: baseline to week 48
Intervention | participants (Number) |
---|
| Responders | Nonresponders |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 50 | 27 |
,Nevirapine (NVP) Plus Truvada | 46 | 29 |
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Number of Participants With Virologic Response According to the Time to Loss of Virologic Response (TLOVR) Algorithm
HIV viral load <50 copies/ml measured at two consecutive visits UP TO Week 48 and without subsequent rebound or change of ARV therapy up to Week 48. (NCT00552240)
Timeframe: baseline to week 48
Intervention | Participants (Number) |
---|
| Responders | Nonresponders |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 51 | 26 |
,Nevirapine (NVP) Plus Truvada | 48 | 27 |
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Number of Participants With Virologic Success (FDA Definition)
HIV viral load <50 copies/ml measured in the Week 48 window whereby patients withdrawing early and patients without a Week 48 assessment are considered failures. Includes all participants in full analysis set (FAS). (NCT00552240)
Timeframe: baseline to week 48
Intervention | Participants (Number) |
---|
| Responders | Nonresponders |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 48 | 29 |
,Nevirapine (NVP) Plus Truvada | 42 | 33 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 48 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 48
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 48 | 8 | 21 |
,Nevirapine (NVP) Plus Truvada | 42 | 2 | 31 |
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Number of Patients With Virologic Rebound to >400 Copies/ml
HIV viral load >400 copies/ml on two consecutive measurements separated by at least 2 weeks, after confirmed virologic response (2 consecutive HIV viral load values < 50 copies/ml) (NCT00552240)
Timeframe: baseline to week 48
Intervention | Participants (Number) |
---|
| Rebound following response | No rebound following response |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 6 | 63 |
,Nevirapine (NVP) Plus Truvada | 2 | 55 |
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Proportion of Patients With DAIDS Grade >= 2 Laboratory Abnormalities
(NCT00552240)
Timeframe: baseline to week 52
Intervention | participants (Number) |
---|
| Grade 2 moderate | Grade 3 severe | Grade 4 potential lifethreatening |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 31 | 7 | 3 |
,Nevirapine (NVP) Plus Truvada | 25 | 8 | 7 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 4 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 4
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 10 | 62 | 5 |
,Nevirapine (NVP) Plus Truvada | 12 | 53 | 10 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 36 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 36
Intervention | Participants (Number) |
---|
| HIV viral load < 50 copies/ml | HIV viral load ≥ 50 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 55 | 5 | 17 |
,Nevirapine (NVP) Plus Truvada | 53 | 4 | 18 |
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Change in CD4+ Cell Count From Baseline to Week 6.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 6
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 87.2 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 78.4 |
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Change in CD4+ Cell Count From Baseline to Week 8.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 8
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 111.9 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 90.5 |
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Change in Fasting High Density Lipoprotein (HDL) Cholesterol Level
(NCT00552240)
Timeframe: baseline to week 48
Intervention | mg/dl (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 9.6 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 3.5 |
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Change in Fasting Low Density Lipoprotein (LDL)Cholesterol Level
(NCT00552240)
Timeframe: baseline to week 48
Intervention | mg/dl (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 8.7 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 6.9 |
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Change in Fasting Plasma Total Cholesterol Level
(NCT00552240)
Timeframe: baseline to week 48
Intervention | mg/dl (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 18.2 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 13.8 |
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Change in Fasting Plasma Triglycerides Level
(NCT00552240)
Timeframe: baseline to week 48
Intervention | mg/dl (Mean) |
---|
Nevirapine (NVP) Plus Truvada | -4.7 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 8.4 |
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Change in Fasting Total Cholesterol to High Density Lipoprotein (HDL) Ratio
(NCT00552240)
Timeframe: baseline to week 48
Intervention | ratio (Mean) |
---|
Nevirapine (NVP) Plus Truvada | -0.38 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | -0.02 |
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Change in Framingham Score
Framingham prediction of 10-year risk of Coronary Heart Disease (CHD) outcomes (myocardial infarction [MI] or CHD death) based on the patient's gender, age, systolic blood pressure, total cholesterol, HDL-c and smoking status. The scale for the estimated risk ranges from 0 to 30%. (NCT00552240)
Timeframe: baseline to week 48
Intervention | percent 10-year risk (Mean) |
---|
Nevirapine (NVP) Plus Truvada | -0.09 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 0.14 |
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Change in Glomerular Filtration Rate (GFR) From Baseline to Week 48
using 4-variable Modification of Diet in Renal Disease (MDRD) formula (NCT00552240)
Timeframe: baseline to week 48
Intervention | ml/min/1.73m^2 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | -0.06 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | -12.81 |
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Percentage Adherence by Pill Count
Number of pills not returned / number of treatment days in percent (%) (NCT00552240)
Timeframe: baseline to week 48
Intervention | percentage adherence (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 94.3 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 97.0 |
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Proportion of Patients Reporting CNS Side Effects of Any Severity
(NCT00552240)
Timeframe: baseline to week 52
Intervention | participants (Number) |
---|
Nevirapine (NVP) Plus Truvada | 25 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 23 |
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Proportion of Patients Reporting Hepatic Events of Any Severity
(NCT00552240)
Timeframe: baseline to week 52
Intervention | participants (Number) |
---|
Nevirapine (NVP) Plus Truvada | 5 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 24 |
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Proportion of Patients Reporting Rash of Any Severity
(NCT00552240)
Timeframe: baseline to week 52
Intervention | participants (Number) |
---|
Nevirapine (NVP) Plus Truvada | 21 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 19 |
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Time to Virologic Response (First Confirmed Viral Load < 50 Copies/ml), All Participants
Time to response whereby patients withdrawing early were censored after their withdrawal (NCT00552240)
Timeframe: baseline to week 48
Intervention | days (Median) |
---|
Nevirapine (NVP) Plus Truvada | 57 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 84 |
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Number of Participants With HIV Viral Load < 50 Copies/ml at Week 48
HIV viral load <50 copies/ml measured at Week 48 among observed cases on-treatment. (NCT00552240)
Timeframe: baseline to week 48
Intervention | Participants (Number) |
---|
| Responders | Nonresponders |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 48 | 8 |
,Nevirapine (NVP) Plus Truvada | 42 | 2 |
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Incidence of Patients With AIDS Progression at Each Visit
Cumulative incidence of patients with AIDS progression are shown (NCT00552240)
Timeframe: baseline to week 52
Intervention | participants (Number) |
---|
| week 0 | week 2 | week 4 | week 6 | week 8 | week 12 | week 24 | week 36 | week 48 | week 50 | End of Study Visit |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 0 | 0 | 0 | 1 | 1 | 2 | 3 | 3 | 3 | 3 | 3 |
,Nevirapine (NVP) Plus Truvada | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 2 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 12 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 12
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 63 | 7 | 7 |
,Nevirapine (NVP) Plus Truvada | 56 | 6 | 13 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 2 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 2
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 17 | 51 | 9 |
,Nevirapine (NVP) Plus Truvada | 24 | 44 | 7 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 24 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 24
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 63 | 3 | 11 |
,Nevirapine (NVP) Plus Truvada | 51 | 6 | 18 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 36 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 36
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 59 | 1 | 17 |
,Nevirapine (NVP) Plus Truvada | 54 | 3 | 18 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 4 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 4
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 31 | 41 | 5 |
,Nevirapine (NVP) Plus Truvada | 38 | 27 | 10 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 48 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 48
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 54 | 2 | 21 |
,Nevirapine (NVP) Plus Truvada | 43 | 1 | 31 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 6 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 6
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 44 | 23 | 10 |
,Nevirapine (NVP) Plus Truvada | 40 | 21 | 14 |
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Number of Participants With HIV Viral Load < 400 Copies/ml at Week 8 of Treatment
Results within time windows, patients on-treatment (NCT00552240)
Timeframe: baseline to week 8
Intervention | Participants (Number) |
---|
| HIV viral load < 400 copies/ml | HIV viral load ≥ 400 copies/ml | Missing data |
---|
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 58 | 15 | 4 |
,Nevirapine (NVP) Plus Truvada | 48 | 11 | 16 |
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AIDS Progression and Death: Number of Patients With a Treatment-emergent AIDS Defining Illness or an AIDS-defining Illness Leading to Death
"AIDS defining illnesses include: Aspergillosis, Bartonellosis, Candidiasis, Cervical cancer, Chagas disease, Coccidiodomycosis, Cryptococcosis, Cytomegalovirus retinus, encephalopathy, Herpes Simplex Virus, Histoplasmosis, Isosporiasis, Kaposi's sarcoma, Leishmaniasis, Microsporidiosis, Mycobacterium avium complex, mycobacterium (non-tuberculous), Nocardiosis, Pneumocystis carinii pneumonia, Pneumonia, Progressive Multifocal Leukoencephalopathy, Rhodococcus equi, Salmonella, Toxoplasmosis, Wasting.~Number of cases (no time-to analysis was performed due to small numbers)." (NCT00552240)
Timeframe: baseline to week 48
Intervention | Participants (Number) |
---|
Nevirapine (NVP) Plus Truvada | 1 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 3 |
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Change in CD4+ Cell Count From Baseline to Week 12.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 12
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 123.1 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 102.2 |
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Change in CD4+ Cell Count From Baseline to Week 2.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 2
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 62.6 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 61.0 |
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Change in CD4+ Cell Count From Baseline to Week 24.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 24
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 131.8 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 132.5 |
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Change in CD4+ Cell Count From Baseline to Week 36.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 36
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 147.6 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 120.5 |
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Change in CD4+ Cell Count From Baseline to Week 4.
Patients on-treatment, data within time windows (NCT00552240)
Timeframe: baseline to week 4
Intervention | cells/mm^3 (Mean) |
---|
Nevirapine (NVP) Plus Truvada | 76.4 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 63.0 |
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Time to Virologic Response (First Confirmed Viral Load < 50 Copies/ml), Only Participants With Confirmed Viral Load < 50 Copies/ml
(NCT00552240)
Timeframe: baseline to week 48
Intervention | days (Median) |
---|
Nevirapine (NVP) Plus Truvada | 55 |
Atazanavir Plus Ritonavir (ATV/r) Plus Truvada | 84 |
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Tmax of RTV
Tmax was derived from the plasma concentration versus time for RTV and was recorded directly from experimental observations for each treatment period. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | Hour (Median) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 4.00 |
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Total Area Under the Plasma Concentration-time Curve (AUCtot)
AUCtot represents the total free RIB plus 25-O-Desacetyl-RIB output. It is calculated as: AUCtot (micromolar[µM]*h) = AUC24avg(RIB)(ng*h/mL)/847.016 (g/mole) + AUC24avg(25-O-Desacetyl-RIB)(ng*h/mL)/804.979(g/mole). The 300 mg RIB arm represents an extrapolation from the 150 mg RIB group. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | µM*h (Geometric Mean) |
---|
RIB 150 mg Once Daily (QD) | 2.00 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 4.38 |
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Number of Participants With Marked Abnormalities (MAs) in Hematology: Hemoglobin, Hematocrit, Platelet Count and Leukocytes
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following hematology MA definitions specify the criteria for the data presented. Hemoglobin/hematocrit: <0.85 x pre-treatment (pre-Rx) value. Platelet count: <0.85 x lower limit of normal (LLN) (or, if pre-Rx value 1.5 x upper limit of normal (ULN). Leukocytes: <0.9 x LLN or >1.2 x ULN (or, if pre-Rx value ULN. If pre-Rx value >ULN, then >1.15 x pre-Rx or NCT00646776)
Timeframe: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Intervention | Participants (Number) |
---|
| Hemoglobin | Hematocrit | Platelet count | Leukocytes |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 1 | 1 | 0 | 7 |
,RIB 150 mg Once Daily (QD) | 0 | 0 | 0 | 1 |
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Number of Participants With MAs in Hematology: Neutrophils + Bands (Absolute), Lymphocytes (Absolute), Monocytes (Absolute), Basophils (Absolute) and Eosinophils (Absolute)
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following hematology MA definitions specify the criteria for the data presented. Neutrophils+bands (absolute): <=1.50 x 10^3 cells/microliter (uL). Lymphocytes (absolute): <0.75 x 10^3 cells/uL or >7.50 x 10^3 cells/uL. Monocytes (absolute): >2.00 x 10^3 cells/uL. Basophils (absolute): >0.40 x 10^3 cells/uL. Eosinophils (absolute): >0.75 x 10^3 cells/uL. (NCT00646776)
Timeframe: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Intervention | Participants (Number) |
---|
| Neutrophils+bands (absolute) | Lymphocytes (absolute) | Monocytes (absolute) | Basophils (absolute) | Eosinophils (absolute) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 10 | 5 | 0 | 0 | 0 |
,RIB 150 mg Once Daily (QD) | 1 | 1 | 0 | 0 | 0 |
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Number of Participants With MAs in Serum Chemistry: Alkaline Phosphatase (ALP),Aspartate Aminotransferase (AST),Alanine Aminotransferase (ALT),Bilirubin (Total),Bilirubin (Direct),Blood Urea Nitrogen (BUN),Creatinine,Sodium (Serum),Potassium (Serum)
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. ALP, AST, ALT:>1.25xULN (if pre-Rx >ULN, then >1.25xpre-Rx). Bilirubin (total), bilirubin (direct), BUN:>1.1xULN (if pre-Rx >ULN, then >1.25xpre-Rx). Creatinine:>1.33xpre-Rx. Sodium (serum):<0.95xLLN or >1.05xULN (if pre-Rx ULN. If pre-Rx >ULN, then >1.05xpre-Rx or 1.1xULN (if pre-Rx ULN. If pre-Rx >ULN, then >1.1xpre-Rx or NCT00646776)
Timeframe: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Intervention | Participants (Number) |
---|
| ALP | AST | ALT | Bilirubin (total) | Bilirubin (direct) | BUN | Creatinine | Sodium (serum) | Potassium (serum) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 0 | 0 | 0 | 17 | 16 | 0 | 1 | 0 | 0 |
,RIB 150 mg Once Daily (QD) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With MAs in Serum Chemistry: Chloride (Serum), Calcium (Total), Protein (Total), Bicarbonate, Phosphorous (Inorganic)
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. Chloride (serum), calcium (total), protein (total):<0.9xLLN or >1.1xULN (if pre-Rx ULN. If pre-Rx >ULN, then >1.1xpre-Rx or 1.2xULN (if pre-Rx value ULN. If pre-Rx >ULN, then >1.2xpre-Rx value or 1.25xULN (if pre-Rx ULN, then >1.25x re-Rx or NCT00646776)
Timeframe: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Intervention | Participants (Number) |
---|
| Chloride (serum) | Calcium (total) | Protein (total) | Bicarbonate | Phosphorous (inorganic) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 0 | 0 | 0 | 0 | 0 |
,RIB 150 mg Once Daily (QD) | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With MAs in Serum Chemistry: Glucose (Fasting Serum), Albumin, Creatine Kinase, Uric Acid, Lactate Dehydrogenase (LDH)
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. Glucose (fasting serum): <0.8 x LLN or >1.5 ULN (if pre-Rx ULN. If pre-Rx >ULN, then >2.0 x pre-Rx or 1.5 x ULN (if pre-Rx >ULN, then >1.5 x pre-Rx). Uric acid: >1.2 x ULN (if pre-Rx >ULN, then >1.25 x pre-Rx). LDH: >1.25 x ULN (if pre-Rx >ULN, then >1.5 x pre-Rx). (NCT00646776)
Timeframe: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Intervention | Participants (Number) |
---|
| Glucose (Fasting Serum) | Albumin | Creatine Kinase | Uric Acid | LDH |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 0 | 0 | 0 | 0 | 0 |
,RIB 150 mg Once Daily (QD) | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With MAs in Urinalysis
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following definitions specify the criteria for MAs. Protein, glucose and blood: >=2+ (or, if pre-treatment value >=1+, then >= 2 x pre-treatment value). (NCT00646776)
Timeframe: Pre-dose on Day -1, Day 7 and discharge.
Intervention | Participants (Number) |
---|
| Protein | Glucose | Blood |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 1 | 0 | 1 |
,RIB 150 mg Once Daily (QD) | 0 | 0 | 0 |
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Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation.
AEs were defined as new, untoward medical occurrences/worsening of pre-existing medical condition, whether drug-related or not. SAEs were defined as any AE that: resulted in death; was life threatening; resulted in a persistent or significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was a cancer; or was an overdose. Discontinuation from the study was due either to an AE or was conducted at the investigator's discretion. (NCT00646776)
Timeframe: From Day 1 to 30 days after the last dose of study drug.
Intervention | Participants (Number) |
---|
| Deaths | Other SAEs | AEs | AE leading to discontinuation | Discontinuation due to investigator discretion |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 0 | 2 | 13 | 9 | 4 |
,RIB 150 mg Once Daily (QD) | 0 | 0 | 5 | 1 | 0 |
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AUC(TAU) for ATV
AUC(TAU) was derived from the plasma concentration versus time for ATV, and was calculated by linear and log-linear trapezoidal summations using a mixed log-linear algorithm. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng*h/mL (Geometric Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 51795 |
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AUC(TAU) for RTV
AUC(TAU) was derived from the plasma concentration versus time for RTV, and was calculated by linear and log-linear trapezoidal summations using a mixed log-linear algorithm. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng*h/mL (Geometric Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 8699 |
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AUC24avg for 25-O-Desacetyl-RIB
AUC24avg is AUC(0-24 hour) following dosing on Day 10 for RIB 150 mg QD; AUC24avg is the area under the plasma concentration-time curve in 1 dosing interval (AUC[TAU]) divided by the number of days over the sampling duration for ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly, i.e. AUC(TAU)/7 (NCT00646776)
Timeframe: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng*h/mL (Geometric Mean) |
---|
RIB 150 mg Once Daily (QD) | 117.7 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 1283 |
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Average Area Under the Plasma Concentration-time Curve for 24 Hours (AUC24avg) for Rifabutin (RIB)
AUC24avg is AUC(0-24 hour) following dosing on Day 10 for RIB 150mg once daily (QD); AUC24avg is the area under the plasma concentration-time curve in 1 dosing interval (AUC[TAU]) divided by the number of days over the sampling duration for ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly, i.e. AUC(TAU)/7. (NCT00646776)
Timeframe: Pre-dose (0 hours [h]) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | nanograms*hour /milliliters (ng*h/mL) (Geometric Mean) |
---|
RIB 150 mg Once Daily (QD) | 1565 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 2311 |
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Cmax of 25-O-Desacetylrifabutin (25-O-Desacetyl-RIB)
Cmax was derived from the plasma concentration versus time for 25-O-Desacetyl-RIB (a metabolite of RIB) and was recorded directly from experimental observations for each treatment period. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
RIB 150 mg Once Daily (QD) | 13.44 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 104.36 |
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Cmax of ATV
Cmax was derived from the plasma concentration versus time for ATV and was recorded directly from experimental observations for each treatment period. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 5633 |
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Cmax of RTV
Cmax was derived from the plasma concentration versus time for RTV and was recorded directly from experimental observations for each treatment period. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 1466 |
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Cmin of 25-O-Desacetyl-RIB
Cmin was derived from plasma concentration versus time for 25-O-Desacetyl-RIB. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
RIB 150 mg Once Daily (QD) | 2.79 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 31.97 |
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Cmin of ATV
Cmin was derived from the plasma concentration versus time for ATV. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 920.69 |
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Cmin of RTV
Cmin was derived from the plasma concentration versus time for RTV. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 40.54 |
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Maximum Plasma Concentration (Cmax) of RIB
Cmax was derived from plasma concentration versus time for RIB and was recorded directly from experimental observations for each treatment period. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
RIB 150 mg Once Daily (QD) | 159.0 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 395.6 |
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Minimum Plasma Concentration (Cmin) of RIB
Cmin was derived from plasma concentration versus time for RIB. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | ng/mL (Geometric Mean) |
---|
RIB 150 mg Once Daily (QD) | 28.89 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 40.49 |
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Number of Participants With Clinically Significant Vital Signs or Physical Examination Findings
Vital signs assessments and physical examination were conducted throughout the study. Vital signs assessments included body temperature, respiratory rate, blood pressure (systolic and diastolic), and heart rate. Physical examination included a neurological examination (if ocular signs or symptoms occurred, a reflex to slit lamp exam was performed by an ophthalmologist). The investigator used his/her clinical judgment to decide whether or not abnormalities in vital signs or physical examination were clinically meaningful. (NCT00646776)
Timeframe: Vital signs:screening, prior to dosing on Day 1, Day 7, study discharge. Physical examination:screening, Day -1, Day 7, study discharge
Intervention | Participants (Number) |
---|
RIB 150 mg Once Daily (QD) | 0 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 0 |
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Number of Participants With Identified Electrocardiogram (ECG) Abnormalities
ECG abnormalities were defined as findings that are clinically meaningful as judged by the investigator. A 12-lead ECG was recorded at least 5 minutes after the participant had been lying down and all ECG recordings were evaluated by the investigator. Abnormalities, if present at any study time point, were listed. (NCT00646776)
Timeframe: Pre-dose on Day -1 and study discharge.
Intervention | Participants (Number) |
---|
RIB 150 mg Once Daily (QD) | 0 |
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 3 |
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T-half of RTV
T-half was obtained directly from the concentration-time data. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | Hour (Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 4.45 |
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Terminal Elimination Half-life (T-half) of ATV
T-half was obtained directly from the concentration-time data. T-half following doses administered for treatment ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | Hour (Mean) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 11.89 |
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Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV
Tmax was derived from the plasma concentration versus time for ATV and was recorded directly from experimental observations for each treatment period. (NCT00646776)
Timeframe: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Intervention | Hour (Median) |
---|
ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | 2.00 |
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HDL Cholesterol at Week 24
(NCT00756730)
Timeframe: 24 weeks
Intervention | mg/dL (Mean) |
---|
Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | 38 |
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | 40 |
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At Week 24 the Percentage of Subjects That Had Triglycerides Less Than 200 mg/dL
(NCT00756730)
Timeframe: 24 weeks
Intervention | percentage of participants (Number) |
---|
Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | 48 |
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | 55 |
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Difference in CD4 From Baseline to Week 24
(NCT00756730)
Timeframe: baseline to Week 24
Intervention | cells/mm^3 (Mean) |
---|
Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | 10.75 |
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | 14.28 |
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LDL Cholesterol at Week 24
(NCT00756730)
Timeframe: week 24
Intervention | mg/dL (Mean) |
---|
Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | 116 |
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | 111 |
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Percentage of Patients That Experience 10% Decline in Triglycerides From Baseline to Week 24.
A 10% decline in triglycerides (TGs) was determined to be clinically significant. The percentage of people that experienced a 10% decline was calculated by dividing the number who had a decline of 10% TGs by the total number of participants in the arm. (NCT00756730)
Timeframe: baseline, 24 weeks
Intervention | percentage of patients (Number) |
---|
Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | 80 |
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | 73 |
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The Change in Fasting Triglyceride Level From Baseline to Week 24
(NCT00756730)
Timeframe: Baseline to week 24
Intervention | mg/dL (Mean) |
---|
Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | -126 |
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | -88 |
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Total Cholesterol in the Two Study Groups at 24 Weeks
(NCT00756730)
Timeframe: Week 24
Intervention | mg/dL (Mean) |
---|
Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | 195 |
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | 195 |
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Percent of Patients With HIV VL <200 Copies/mL at Week 4, 12 & 24
(NCT00756730)
Timeframe: Week 4, 12 & 24
Intervention | percentage of participants (Number) |
---|
| Week 4 | Week 12 | Week 24 |
---|
Switch to Atazanavir/Ritonavir (ATV/r), 300mg/100mg QD | 100 | 100 | 100 |
,Switch to Darunavir/Ritonavir (DRV/r) , 800mg/100mg QD | 100 | 100 | 100 |
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Change From Baseline in CD4 Cell Count at Week 12 and 48, Observed Values.
Participants' Cluster of Differentiation (CD) 4 Cell Count were at baseline and the change values at Week 12 and 48 were observed. (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | cells/micro L (Mean) |
---|
| Baseline (n=34,31) | Change at Week 12 (n=32,29) | Change at Week 48 (n=29,25) |
---|
Atazanavir | 326.7 | 68.3 | 205.3 |
,Darunavir | 268.3 | 111.1 | 217.4 |
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Change From Baseline in Apolipoprotein B in the LE Set at Week 12 and 48.
Observed Values (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | g/L (Mean) |
---|
| Baseline (n=28,27) | Change at Week 12 (n=27,27) | Change at Week 48 (n=26,22) |
---|
Atazanavir | 0.8 | -0.05 | 0.0 |
,Darunavir | 0.7 | -0.004 | 0.0 |
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Antiviral Activity, Human Immunodeficiency Virus Type 1 (HIV-1) RNA.
Number of Participants with antiviral activity, human immunodeficiency virus Type 1 (HIV-1) RNA less than (<) 50 copies per milliliters (copies/mL) or < 400 copies/mL. (NCT00757783)
Timeframe: Week 12 and 48
Intervention | number of participants (Number) |
---|
| Week12: HIV-1 RNA Less Than (<) 50 copies/mL | Week 12: HIV-1 RNA < 400 copies/mL | Week 48: HIV-1 RNA < 50 copies/mL | Week 48: HIV-1 RNA < 400 copies/mL |
---|
Atazanavir | 19 | 29 | 22 | 24 |
,Darunavir | 13 | 28 | 25 | 28 |
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Change From Baseline in Total Cholesterol (TC) Levels in the LE Set at Week 12 and 48
Observed Values (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | mg/dL (Mean) |
---|
| Baseline (n= 28, 27) | Change at Week 12 (n= 27, 27) | Change at Week 48 (n= 26, 22) |
---|
Atazanavir | 165.1 | 4.6 | 11.8 |
,Darunavir | 141.8 | 20.3 | 22.3 |
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Change From Baseline in TC/HDL Ratio in the LE Set at Week 12 and 48.
Participants TC and HDL was analyzed at Baseline and Week 12 and 48. Change from Baseline at Week 12 and 48 was calculated as ratio using observed values. (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | ratio (Mean) |
---|
| Baseline (n=28,27) | Change at Week 12 (n=27,27) | Change at Week 48 (n=26,22) |
---|
Atazanavir | 3.9 | -0.1 | -0.1 |
,Darunavir | 4.1 | -0.1 | 0.1 |
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Change From Baseline in Low Density Lipoprotein (LDL) Direct in the LE Set at Week 12 and 48.
Observed Values (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | mg/dL (Mean) |
---|
| Baseline (n=28, 27) | Change at Week 12 (n=27, 27) | Change at Week 48 (n=26, 22) |
---|
Atazanavir | 100.2 | 9.6 | 13.9 |
,Darunavir | 84.6 | 13.6 | 14.7 |
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Change From Baseline in Insulin at Week 12 and 48.
Participants insulin was analyzed at Baseline and Week 12 and 48 and change from Baseline at Week 12 and 48 were reported. (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | IU/mL (Mean) |
---|
| Baseline (n=33,30) | Change at Week 12 (n=30,29) | Change at Week 48 (n=28,24) |
---|
Atazanavir | 8.59 | 0.70 | -2.88 |
,Darunavir | 5.96 | -1.07 | 0.95 |
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Change From Baseline in Glucose at Week 12 and 48.
Participants glucose level was analyzed at Baseline and Week 12 and 48. Change from Baseline at Week 12 and 48 was reported. (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | mg/dL (Mean) |
---|
| Baseline (n=33,30) | Change at Week 12 (n=30,29) | Change at Week 48 (n=28,24) |
---|
Atazanavir | 89.7 | 5.8 | 6.4 |
,Darunavir | 88.5 | 1.5 | 2.8 |
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Change From Baseline in Homeostasis Model Assessment-Insulin Resistance (HOMA-IR) at Week 12 and 48.
Participants homeostasis model assessment-insulin resistance (HOMA-IR) were observed and change from Baseline were reported. HOMA-IR score was calculated as: (fasting plasma glucose*fasting serum insulin)/22.5. Low HOMA IR values indicate high insulin sensitivity and high HOMA IR values indicate low insulin sensitivity (insulin resistance). (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | HOMA-IR score (Mean) |
---|
| Baseline (n=27,22) | Change at Week 12 (n=20,21) | Change at Week 48 (n=19,14) |
---|
Atazanavir | 2.943 | 0.105 | -1.236 |
,Darunavir | 1.624 | -0.483 | 0.035 |
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Change From Baseline in HIV-1 RNA Viral Load at Week 12 and 48.
the HIV-1 RNA viral load was calculated using Log Base 10 transformed HIV-1 RNA observed values. (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | Log10 HIV RNA (Mean) |
---|
| Baseline (n=34,31) | Change at Week 12 (n=32,30) | Change at Week 48 (n=29,24) |
---|
Atazanavir | 4.562 | -2.605 | -2.902 |
,Darunavir | 5.016 | -2.955 | -3.269 |
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Change From Baseline in High Density Lipoprotein (HDL) in the LE Set at Week 12 and 48.
Observed Values (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | mg/dL (Mean) |
---|
| Baseline (n=28,27) | Change at Week 12 (n=27,27) | Change at Week 48 (n=26,22) |
---|
Atazanavir | 45.0 | 2.2 | 3.7 |
,Darunavir | 37.9 | 6.6 | 6.0 |
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Change From Baseline in Fasting Triglyceride (TG) Levels in the Lipid Evaluable (LE) Set at Week12
Observed values. (NCT00757783)
Timeframe: Baseline, Week 12
Intervention | milligram per deciliters (mg/dL) (Mean) |
---|
| Baseline (n=28,27) | Change at Week 12 (n=27,27) |
---|
Atazanavir | 114.2 | 8.1 |
,Darunavir | 113.7 | 22.0 |
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Change From Baseline in Apolipoprotein A1 in the LE Set at Week 12 and 48.
Observed Values (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | grams per liters (g/L) (Mean) |
---|
| Baseline (n=28,27) | Change at Week 12 (n=27,27) | Change at Week 48 (n=26,22) |
---|
Atazanavir | 1.3 | -0.007 | 0.0 |
,Darunavir | 1.1 | 0.1 | 0.1 |
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Change From Baseline in Cluster of Differentiation (CD) 4 Percent at Week 12 and 48, Last Observation Carried Forward (LOCF).
Participants' Cluster of Differentiation (CD) 4 percent were observed at baseline and the change values at Week 12 and 48 was calculated using LOCF. (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | percentage of CD4 cells (Mean) |
---|
| Baseline (n=34,31) | Change at Week 12 (n=32,30) | Change at Week 48 (n=29,25) |
---|
Atazanavir | 21.4 | 4.5 | 8.5 |
,Darunavir | 18.6 | 5.9 | 9.6 |
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Number of Participants With Antiviral Activity, HIV-1 RNA, Missing Values as Treatment Failure (M=F)
Number of participants with antiviral activity, HIV-1 RNA, missing values as treatment failure (Missing = Failure) were observed. (NCT00757783)
Timeframe: Week 12 and 48
Intervention | number of participants (Number) |
---|
| Week 12: HIV-1 RNA Less Than (<) 50 copies/mL | Week 12: HIV-1 RNA < 400 copies/mL | Week 48: HIV-1 RNA < 50 copies/mL | Week 48: HIV-1 RNA < 400 copies/mL |
---|
Atazanavir | 19 | 28 | 22 | 24 |
,Darunavir | 13 | 28 | 25 | 28 |
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Change From Baseline in Cluster of Differentiation (CD) 4 Cell Count at Week 12 and 48, Last Observation Carried Forward (LOCF).
Participants' Cluster of Differentiation (CD) 4 Cell Count were observed at baseline and the change values at Week 12 and 48 was calculated using LOCF. (NCT00757783)
Timeframe: Baseline, Week 12 and 48
Intervention | cells/uL (Mean) |
---|
| Baseline (n=34,31) | Change at Week 12 (n=34,31) | Change at Week 48 (n=34,31) |
---|
Atazanavir | 326.7 | 74.6 | 187.7 |
,Darunavir | 268.3 | 103.4 | 194.9 |
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Change From Baseline in Lipids at 48 Weeks
(NCT00762892)
Timeframe: Baseline and 48 weeks
Intervention | mg/dL (Mean) |
---|
| Total cholesterol | Triglycerides | HDL cholesterol | LDL cholesterol |
---|
Atazanavir | 8.13 | 16.88 | -1.38 | 5.88 |
,Raltegravir | -0.25 | -15.50 | -1.5 | 4.13 |
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Change From Baseline in CD4 Count at 48 Weeks
(NCT00762892)
Timeframe: Baseline and 48 weeks
Intervention | cells/uL (Mean) |
---|
Raltegravir | 192 |
Atazanavir | 205 |
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Change From Baseline in Homocysteine at 6 Months
(NCT00762892)
Timeframe: Baseline and 48 weeks
Intervention | umol/L (Mean) |
---|
Raltegravir | 0.53 |
Atazanavir | 0.10 |
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Change From Baseline in Interleukin-6 (IL-6) at 48 Weeks
(NCT00762892)
Timeframe: Baseline and 48 weeks
Intervention | pg/mL (Mean) |
---|
Raltegravir | -2.71 |
Atazanavir | -4.47 |
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Change From Baseline in Log HIV Viral Load at 48 Weeks
(NCT00762892)
Timeframe: Baseline and 48 weeks
Intervention | copies/mL (Mean) |
---|
Raltegravir | -3.05 |
Atazanavir | -3.29 |
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Atazanavir Individual Inhibitory Quotient (IQ)
Individual IQ was defined at Cmin at Week 2 divided by the protein binding adjusted EC90 (ie, the drug concentration observed to inhibit virion production by 90% in a cell-based assay) values for Atazanavir that were derived from individual participant clinical isolates. (NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | Units on a Scale (Geometric Mean) |
---|
Atazanavir + Raltegravir | 23.47 |
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Atazanavir Area Under the Concentration Curve From Time 0 to 24 Hours (AUC [0-24h]) in 1 Dosing Interval
AUC (0-24h) was estimated by multiplying AUC (0-12h) by 2. (NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng•h/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 39806.7 |
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Atazanavir Cmin Prior to the Morning Dose
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng*h / mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 879.25 |
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Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Death as Outcome, AEs Leading to Discontinuation, SAEs Leading to Discontinuation
AE=any new untoward medical occurrence or worsening of a preexisting medical condition that does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in drug dependency or drug abuse, or is an important medical event. (NCT00768989)
Timeframe: Week 1 to Week 96, continuously
Intervention | Participants (Number) |
---|
| AEs | SAEs | Deaths | AEs leading to discontinuation | SAEs leading to discontinuation |
---|
Atazanavir + Raltegravir | 60 | 7 | 0 | 4 | 1 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 29 | 2 | 0 | 1 | 0 |
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Atazanavir Terminal Elimination Half Life
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | Hours (Mean) |
---|
Atazanavir + Raltegravir | 5.0 |
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Atazanavir Maximum Observed Plasma Concentration (Cmax) in 1 Dosing Interval
Serial blood samples were collected over a 12-hour period after the morning dose at Week 2. (NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 3506.5 |
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Number of Participants With Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) Level <50 Copies/mL at Week 24
The number of HIV 1-infected treatment-naive participants with an HIV RNA level <50 copies/mL after 24 weeks of treatment. Confirmed virologic response noncompleter=failure (NC=F); noncompleter=missing (NC=M); virologic response-observed cases (VR-OC). (NCT00768989)
Timeframe: At Week 24 from Baseline
Intervention | Participants (Number) |
---|
| NC=F (n=63, 30) | NC=M (n=58, 27) | VR-OC (n=52, 25) |
---|
Atazanavir + Raltegravir | 47 | 47 | 41 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 19 | 19 | 19 |
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Number of Participants With HIV RNA Levels <400 Copies/mL at Week 24
NC=F: noncompleter=failure; NC=M: noncompleter=missing; VR-OC: virologic response-observed (NCT00768989)
Timeframe: At Week 24 from Baseline
Intervention | Participants (Number) |
---|
| NC=F (n= 63, 30) | NC=M (n=58, 27) | VR-OC (n=52, 25) |
---|
Atazanavir + Raltegravir | 52 | 52 | 46 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 26 | 26 | 24 |
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Number of Participants With Hematology Laboratory Test Results With Worst Toxicity of Grades 1 to 4 Among All Treated Participants
ULN=upper limit of normal. Hematocrit(%) Grade (Gr) 1: ≥28.5-<31; Gr 2: ≥24-<28.5; Gr 3: ≥19.5-<24; Gr 4: <19.5. Hemoglobin (g/dL) Gr 1: 9.5-11; Gr 2: 8-9.4; Gr 3: 6.5-7.9; Gr 4: <6.5. Platelets (/mm^3) Gr 1: 75,000-99,000; Gr 2: 50,000-74,999; Gr 3: 20,000-49,999; Gr 4: <20,000. White Blood Cells (/mm^3) Gr 1: >2500-4000; Gr 2: >1000-<2500; Gr 3: >800-<1000; Gr 4: <800. . Prothrombin time (seconds) Gr 1: 1.01-1.25*ULN; Gr 2: 1.26-1.5*ULN; Gr 3: 1.51-3*ULN; Gr 4: >3*ULN. (NCT00768989)
Timeframe: While on treatment from Baseline through Week 96
Intervention | Participants (Number) |
---|
| Hematocrit | Hemoglobin | Platelets | Prothrombin Time | White Blood Cells |
---|
Atazanavir + Raltegravir | 1 | 2 | 1 | 12 | 22 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 0 | 0 | 1 | 7 | 14 |
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Number of Participants With Enzyme and Urine Laboratory Test Results With Worst Toxicity of Grades 1 to 4
AST/SGOT=Aspartate aminotransferase/serum glutamate oxaloacetate transaminase; ALT/SGPT=Alanine transaminase/serum glutamic pyruvic transaminase. Bilirubin (mg/dL)Gr 1: 1.1-1.5*ULN;Gr 2:1.6-2.5*ULN;Gr3:2.6-5*ULN;Gr4:>5*ULN.AST/SGOT(U/L)Gr 1:1.25-2.5*ULN;Gr 2: 2.6-5*ULN;Gr 3:5.1-10*ULN;Gr4:>10*ULN.ALT/SGPT (U/L)Gr 1:1.25-2.5*ULN;Gr 2:1.4-2.09*ULN;Gr 3:5.1-10*ULN;Gr4:>10*ULN. Lipase(U/L)Gr 1:1.1-1.39*ULN;Gr 2:>1.5-2*ULN;Gr 3:2.5-5;Gr 4:5*ULN.Proteinuria(g/24 hr loss)Gr 1:1+or <1;Gr 2:2-3+or>1-2; Gr 3:4+or>2-3.5;Gr4:>3.5.Creatine kinase(IU/L)Gr1:2-3*ULN;Gr 2:3.1-5*ULN;Gr 3:5.1-10*ULN;Gr4:>10*ULN. (NCT00768989)
Timeframe: While on treatment from Baseline through Week 96
Intervention | Participants (Number) |
---|
| Total Bilirubin | AST/SGOT | ALT/ SGPT | Lipase | Proteinurea | Creatine kinase |
---|
Atazanavir + Raltegravir | 62 | 11 | 10 | 11 | 14 | 21 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 28 | 8 | 8 | 13 | 11 | 7 |
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Number of Participants With Blood Chemistry Laboratory Test Results With Worst Toxicity of Grades 1 to 4 (Continued)
Hyperkalemia(meq/L) Gr 1: 5.6-6; Gr 2: 6.1-6.5; Gr 3: 6.6-7; Gr4: >7. Hypokalemia(meq/L) Gr 1: 3-3.4; Gr 2: 2.5-2.9; Gr 3: 2-2.4; Gr 4:<2. Hypernatremia (meq/L) Gr 1: 148-150; Gr 2: 151-157; Gr 3: 148-165; Gr 4: >165. Hyponatremia (meq/L) Gr 1: 130-132; Gr 2: 123-129; Gr 3: 116-122; Gr 4: >115.Hyperglycemia(mg/dL)Gr 1: 116-160; Gr 2: 161-250; Gr 3: 251-500; Gr 4: >500. Hypoglycemia(mg/dL)Gr 1: 55-64; Gr 2: 40-54; Gr 3:30-39;Gr 4:<30.Creatine kinase (IU/L) Gr 1: >ULN-1.5*ULN; Gr 2: 1.5-3*ULN; Gr 3: >3-6*ULN; Gr 4: >6.0*ULN. Albumin (g/dL) Gr 1: NCT00768989)
Timeframe: While on treatment from Baseline through Week 96
Intervention | Participants (Number) |
---|
| Hyperkalemia | Hypokalemia | Hypernatremia | Hyponatremia | Hyperclycemia | Hypoglycemia | Creatine kinase | Albumin |
---|
Atazanavir + Raltegravir | 2 | 1 | 0 | 3 | 8 | 6 | 21 | 3 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 1 | 1 | 0 | 1 | 5 | 4 | 7 | 2 |
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Number of Participants With Blood Chemistry Laboratory Test Results With Worst Toxicity of Grades 1 to 4
Blood urea nitrogen Gr 1:1.25-2.5*ULN;Gr 2:2.6-5.0*ULN; Gr 3:5.1-10*ULN; Gr 4:>10*ULN. Creatinine (mg/dL) Gr 1: 1.1-1.5 *ULN; Gr 2: 1.6-3*ULN: Gr 3: 3.1-6*ULN; Gr 4: >6*ULN. Hypercarbia (meq/L)Gr 1: 33-36; Gr 2:37-40; Gr 3: 41-45; Gr 4:>45. Hypocarbia (meq/L)Gr 1:19-21; Gr 2: 15-18; Gr 3: 10-14; Gr 4:<10. Hypercalcemia (mg/dL)Gr 1:10.6-11.5;Gr 2:11.6-12.5; Gr 3:12.6-13.5;Gr 4: >13.5. Hypocalcemia (mg/dL)Gr 1: 8.4-7.8;Gr 2:7.7-7; Gr 3:6.9-6.1; Gr 4: <6.1.Hyperchloremia(meq/L)Gr 1:113-116; Gr 2:117-120; Gr 3:121-125; Gr 4: >125.Hypochloremia(meq/L)Gr 1: 90-93; Gr 2: 85-89; Gr 3:80-84; Gr 4:<80. (NCT00768989)
Timeframe: While on treatment from Baseline through Week 96
Intervention | Participants (Number) |
---|
| Blood urea nitrogen | Creatinine | Hypercarbia | Hypocarbia | Hypercalcemia | Hypocalcemia | Hyperchloremia | Hypochloremia | Hyperkalemia | Hypokalemia | Hypernatremia | Hyponatremia | Hyperclycemia | Hypoglycemia |
---|
Atazanavir + Raltegravir | 0 | 3 | 1 | 15 | 2 | 1 | 0 | 1 | 2 | 6 | 0 | 3 | 8 | 6 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 1 | 2 | 1 | 7 | 1 | 1 | 0 | 1 | 0 | 5 | 0 | 1 | 5 | 4 |
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Mean Change From Baseline in Electrocardiogram Findings
The incidence of QRS wave widening and QT and PR prolongation on participant electrocardiogram findings were evaluated at study Week 24. (NCT00768989)
Timeframe: From Baseline to Week 24
Intervention | msec (Mean) |
---|
| QRS Interval | QTc Friderica Interval | PR Interval |
---|
Atazanavir + Raltegravir | 8.9 | -2.7 | 17.6 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 3.6 | 6.0 | 4.9 |
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Mean Change From Baseline in Total Bilirubin Level
(NCT00768989)
Timeframe: From Baseline to Week 24 and Week 48
Intervention | mg/dL (Mean) |
---|
| Mean change from Baseline at Week 24 | Mean change from Baseline at Week 48 |
---|
Atazanavir + Raltegravir | 2.15 | 2.08 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 1.71 | 1.52 |
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Mean Change From Baseline in Absolute Cluster of Differentiation 4 Cell Count
(NCT00768989)
Timeframe: From Baseline to Weeks 2, 4, 8, 12, 16, 20, and 24
Intervention | cells/mm^3 (Mean) |
---|
| Mean change from Baseline at Week 2 (n=59, 26) | Mean change from Baseline at Week 4 (n=62, 27) | Mean change from Baseline at Week 8 (n=60, 29) | Mean change from Baseline at Week 12 (n=62, 28) | Mean change from Baseline at Week 16 (n=58, 27) | Mean change from Baseline at Week 20 (n=58, 24) | Mean change from Baseline at Week 24 (n=55, 24) |
---|
Atazanavir + Raltegravir | 81.1 | 82.7 | 111.5 | 128.6 | 143.6 | 166.5 | 166.0 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 63.1 | 100.1 | 111.9 | 129.3 | 127.6 | 140.7 | 127.0 |
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Baseline and Mean Change From Baseline in Total Cholesterol Levels
The mean change from baseline in participant fasting lipids was determined using fasting serum samples. (NCT00768989)
Timeframe: From Baseline to Week 24 and Week 48
Intervention | mg/dL (Mean) |
---|
| Baseline (n=56, 26) | Mean change from Baseline at Week 24 (n=51, 20) | Mean change from Baseline at Week 48 (n=38, 20) |
---|
Atazanavir + Raltegravir | 164.6 | 14.7 | 18.0 |
,Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 169.6 | 15.1 | 17.1 |
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Raltegravir Tmax
Serial blood samples were collected over a 12-hour period after the morning dose at Week 2. (NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | Hours (Geometric Mean) |
---|
Atazanavir + Raltegravir | 2.08 |
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Raltegravir Terminal Elimination Half Life
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | Hours (Mean) |
---|
Atazanavir + Raltegravir | 2.9 |
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Raltegravir Cmin Prior to the Morning Dose
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng•h/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 445.42 |
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Raltegravir Cmin 12 Hours Postdose
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng•h/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 76.2 |
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Raltegravir Cmax in 1 Dosing Interval
Serial blood samples were collected over a 12-hour period after the morning dose at Week 2. (NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 1577.0 |
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Raltegravir AUC (0-12h) in 1 Dosing Interval
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng•h/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 6446.4 |
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Number of Participants With HIV RNA Levels <50 Copies/mL at Weeks 48 and 96
Participant HIV RNA level was determined at Weeks 48 and 96 using the Roche Amplicor® Ultrasensitive Assay Version 1. VR-OC=Virologic response-observed cases. (NCT00768989)
Timeframe: At Weeks 48 and 96 from Baseline
Intervention | Participants (Number) |
---|
Atazanavir + Raltegravir | 37 |
Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 19 |
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Number of Nonresponders at Week 8
Participants were classified as nonresponders if they had an HIV RNA level ≥400 copies/mL and a decrease from baseline <2 log10 copies/mL. (NCT00768989)
Timeframe: At Week 8 from Baseline
Intervention | Participants (Number) |
---|
Atazanavir + Raltegravir | 0 |
Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 1 |
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Atazanavir Trough Plasma Concentration (Cmin) 12 Hours Postdose
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng•h/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 687.1 |
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Atazanavir Time of Maximum Observed Plasma Concentration (Tmax)
Serial blood samples were collected over a 12-hour period after the morning dose at Week 2. (NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | Hours (Geometric Mean) |
---|
Atazanavir + Raltegravir | 3.0 |
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Number of Participants With HIV RNA Levels <400 Copies/mL at Week 48
(NCT00768989)
Timeframe: At Week 48 from Baseline
Intervention | Participants (Number) |
---|
Atazanavir + Raltegravir | 45 |
Atazanavir + Ritonavir + Tenofovir/Emtricitabine | 25 |
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Atazanavir Area Under the Concentration Curve From Time 0 to 12 Hours (AUC [0-12h]) in 1 Dosing Interval
(NCT00768989)
Timeframe: At Week 2 from Baseline
Intervention | ng•h/mL (Geometric Mean) |
---|
Atazanavir + Raltegravir | 19903.4 |
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Self-reported Adherence
Self-reported percentage of anti-HIV medications participant had taken during the last month at weeks 4, 24, 48, 96, and 144. (NCT00811954)
Timeframe: At Weeks 4, 24, 48, 96, and 144
Intervention | percentage of prescribed medication (Mean) |
---|
| week 4 (nA=584, nB=590, nC=583) | week 24 (nA=570, nB=568, nC=562) | week 48 (nA=555, nB=547, nC=536) | week 96 (nA=508, nB=525, nC=507) | week 144 (nA=361, nB=376, nC=350) |
---|
Arm A: ATV/RTV + FTC/TDF | 98 | 97 | 96 | 96 | 97 |
,Arm B: RAL + FTC/TDF | 97 | 97 | 97 | 96 | 97 |
,Arm C: DRV/RTV + FTC/TDF | 98 | 96 | 96 | 96 | 98 |
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Change in Waist:Height Ratio From Baseline
Change was calculated as the waist:height ratio at week (48, 96, and 144) minus the baseline waist:height ratio. (NCT00811954)
Timeframe: Study entry to weeks 48, 96, and 144
Intervention | cm:cm (Mean) |
---|
| week 48 (nA=555, nB=551, nC=547) | week 96 (nA=512, nB=526, nC=517) | week 144 (nA=425, nB=419, nC=409) |
---|
Arm A: ATV/RTV + FTC/TDF | 0.01 | 0.02 | 0.02 |
,Arm B: RAL + FTC/TDF | 0.02 | 0.02 | 0.02 |
,Arm C: DRV/RTV + FTC/TDF | 0.01 | 0.02 | 0.02 |
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Presence of Mutations Associated With NRTI Resistance
The number of participants with NRTI resistance determined by the Stanford resistance scoring algorithm (Version 6.3). All sequencing was performed regardless of status on randomized treatment at the time of virologic failure; no sequencing was performed on subjects not meeting virologic failure. (NCT00811954)
Timeframe: At the virologic failure at any time throughout the study (up to 213 weeks)
Intervention | participants (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 8 |
Arm B: RAL + FTC/TDF | 7 |
Arm C: DRV/RTV + FTC/TDF | 3 |
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Cumulative Probability of First Virologic Failure by Week 96
"The Kaplan-Meier estimate of the cumulative probability of virologic failure by week 96.~Time to virologic failure was defined as the first time from study entry to the first of two consecutive HIV-1 RNA >1000 copies/mL at or after week 16 and before week 24, or >200 copies/mL at or after week 24. Week 16 is defined to occur between 14 (98 days) and 18 weeks (126 days) after study entry, week 24 is defined to occur between 22 (154 days) and 26 (182 days) after study entry, and week 96 is defined to occur between 88 (616 days) and 104 (728 days) after study entry." (NCT00811954)
Timeframe: From study entry to week 96
Intervention | cumulative probability per 100 persons (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 13 |
Arm B: RAL + FTC/TDF | 10 |
Arm C: DRV/RTV + FTC/TDF | 15 |
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Cumulative Probability of Time to Loss of Virologic Response (TLOVR) by Week 96
"The Kaplan-Meier estimate of the cumulative probability of TROVR by week 96.~A composite TLOVR endpoint defined in the CDER of the FDA document Guidance for Industry - Antiretroviral Drugs Using Plasma HIV RNA Measurements - Clinical Consideration for Accelerated and Traditional Approval (Appendix B, pages 20) http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm070968.pdf.~If participants never achieved a confirmed HIV-1 RNA≤200 cp/mL (on two consecutive visits) prior to death, permanent discontinuation of randomized treatment, or time of last available HIV-1 RNA evaluation, TLOVR was equal to 0; otherwise, TLOVR was the earliest time of permanent discontinuation of randomized treatment prior to study close-out period, time to confirmed levels >200 cp/mL, or time to death. If TLOVR is immediately preceded by a single missing scheduled visit or multiple consecutive missing scheduled visits, TLOVR is replaced by the first such missing visit." (NCT00811954)
Timeframe: From study entry to week 96
Intervention | cumulative probability per 100 persons (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 31 |
Arm B: RAL + FTC/TDF | 16 |
Arm C: DRV/RTV + FTC/TDF | 24 |
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Incidence of Death or AIDS Defining Events (CDC Category C)
The incidence of death or AIDS defining events (CDC category C) was estimated as number of incident events over total person years of follow-up. Multiple new events for a single subject were counted toward events totals in estimation of event incidence; generalized estimating equations were used to estimation of robust standard errors for the incidence. (NCT00811954)
Timeframe: Study entry to off-study at any time throughout the study (up to 213 weeks), participant follow-up time was variable
Intervention | events per 100 person-years (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 1.55 |
Arm B: RAL + FTC/TDF | 1.64 |
Arm C: DRV/RTV + FTC/TDF | 2.14 |
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Presence of Mutations Associated With ATV/RTV or DRV/RTV Resistance
The number of participants with ATV/RTV or DRV/RTV resistance determined by the Stanford resistance scoring algorithm (Version 6.3). All sequencing was performed regardless of status on randomized treatment at the time of virologic failure; no sequencing was performed on subjects not meeting virologic failure. (NCT00811954)
Timeframe: At the virologic failure at any time throughout the study (up to 213 weeks)
Intervention | participants (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 0 |
Arm B: RAL + FTC/TDF | 0 |
Arm C: DRV/RTV + FTC/TDF | 0 |
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Presence of Mutations Associated With INI Resistance
The number of participants with INI resistance determined by the Stanford resistance scoring algorithm (Version 6.3). All sequencing was performed regardless of status on randomized treatment at the time of virologic failure; no sequencing was performed on subjects not meeting virologic failure. (NCT00811954)
Timeframe: At the virologic failure at any time throughout the study (up to 213 weeks)
Intervention | participants (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 1 |
Arm B: RAL + FTC/TDF | 1 |
Arm C: DRV/RTV + FTC/TDF | 1 |
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CD4+ T-cell Count
The absolute levels of CD4+ T-cell counts (cells/mm3) (NCT00811954)
Timeframe: At Weeks 24, 48, 96, and 144
Intervention | cells/mm^3 (Mean) |
---|
| week 24 (nA=582, nB=574, nC=579) | week 48 (nA=564, nB=565, nC=559) | week 96 (nA=523, nB=541, nC=525) | week 144 (nA=395, nB=418, nC=394) |
---|
Arm A: ATV/RTV + FTC/TDF | 462 | 524 | 587 | 622 |
,Arm B: RAL + FTC/TDF | 460 | 526 | 596 | 631 |
,Arm C: DRV/RTV + FTC/TDF | 457 | 509 | 564 | 596 |
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CD4+ T-cell Count Changes From Baseline
Change was calculated as the CD4+ T-cell count at week (24, 48, 96, and 144) minus the baseline CD4+ T-cell count (NCT00811954)
Timeframe: Study entry to weeks 24, 48, 96, and 144
Intervention | cells/mm^3 (Mean) |
---|
| week 24 (nA=582, nB=574, nC=579) | week 48 (nA=564, nB=565, nC=559) | week 96 (nA=523, nB=541, nC=525) | week 144 (nA=395, nB=418, nC=394) |
---|
Arm A: ATV/RTV + FTC/TDF | 157 | 218 | 284 | 324 |
,Arm B: RAL + FTC/TDF | 153 | 218 | 288 | 325 |
,Arm C: DRV/RTV + FTC/TDF | 147 | 201 | 256 | 288 |
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Change in Fasting HDL Cholesterol Level From Baseline
Only fasting results are included. Change was calculated as the fasting HDL cholesterol at week (48, 96, and 144) minus the baseline fasting HDL cholesterol. (NCT00811954)
Timeframe: Study entry to weeks 48, 96, and 144
Intervention | mg/dL (Mean) |
---|
| week 48 (nA=522, nB=542, nC=506) | week 96 (nA=490, nB=505, nC=488) | week 144 (nA=364, nB=397, nC=363) |
---|
Arm A: ATV/RTV + FTC/TDF | 6 | 7 | 8 |
,Arm B: RAL + FTC/TDF | 5 | 6 | 6 |
,Arm C: DRV/RTV + FTC/TDF | 5 | 5 | 7 |
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Change in Fasting Plasma Glucose Level From Baseline
Only fasting results are included. Change was calculated as the fasting plasma glucose at week (48, 96, and 144) minus the baseline fasting plasma glucose. (NCT00811954)
Timeframe: Study entry to weeks 48, 96, and 144
Intervention | mg/dL (Mean) |
---|
| week 48 (nA=517, nB=535, nC=506) | week 96 (nA=489, nB=499, nC=481) | week 144 (nA=353, nB=392, nC=358) |
---|
Arm A: ATV/RTV + FTC/TDF | 2.2 | 3.0 | 2.2 |
,Arm B: RAL + FTC/TDF | 1.3 | 0.9 | 0.9 |
,Arm C: DRV/RTV + FTC/TDF | 2.1 | 2.5 | 3.6 |
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Change in Fasting Total Cholesterol Level From Baseline
Only fasting results are included. Change was calculated as the fasting total cholesterol at week (48, 96, and 144) minus the baseline fasting total cholesterol. (NCT00811954)
Timeframe: Study entry to weeks 48, 96, and 144
Intervention | mg/dL (Mean) |
---|
| week 48 (nA=521, nB=542, nC=507) | week 96 (nA=490, nB=505, nC=490) | week 144 (nA=364, nB=397, nC=363) |
---|
Arm A: ATV/RTV + FTC/TDF | 13 | 16 | 20 |
,Arm B: RAL + FTC/TDF | 1 | 3 | 6 |
,Arm C: DRV/RTV + FTC/TDF | 15 | 14 | 19 |
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Change in Fasting Triglycerides Level From Baseline
Only fasting results are included. Change was calculated as the fasting triglycerides at week (48, 96, and 144) minus the baseline fasting triglycerides. (NCT00811954)
Timeframe: Study entry to weeks 48, 96, and 144
Intervention | mg/dL (Mean) |
---|
| week 48 (nA=522, nB=542, nC=507) | week 96 (nA=490, nB=505, nC=490) | week 144 (nA=364, nB=397, nC=363) |
---|
Arm A: ATV/RTV + FTC/TDF | 18 | 19 | 12 |
,Arm B: RAL + FTC/TDF | -9 | -9 | -4 |
,Arm C: DRV/RTV + FTC/TDF | 16 | 16 | 20 |
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Change in Framingham 10-year Risk of MI or Coronary Death From Baseline
"Only risk score estimated with fasting lipid results were included. Change was calculated as the Framingham 10-year risk of MI or coronary death at week (48, 96, and 144) minus the baseline Framingham 10-year risk of MI or coronary death. Framingham 10-year risk of MI or coronary death was calculated using Hear Coronary Heart Disease (10-year risk) found at https://www.framinghamheartstudy.org/risk-functions/coronary-heart-disease/hard-10-year-risk.php.~Framingham 10-year risk of MI or coronary death was calculated according to age, laboratory values of total cholesterol and HDL cholesterol, smoking status, systolic blood pressure, and treatment for hypertension. The Framingham 10-year risk of MI or coronary death was calculated as: for males: <0 point (<1 percent risk) up to ≥17 points (≥30 percent risk); whereas for females: <9 points (<1 percent risk) up to ≥25 points (≥30 percent risk). Higher scores indicate high cardiovascular risk." (NCT00811954)
Timeframe: Study entry to weeks 48, 96, and 144
Intervention | percent risk (Mean) |
---|
| week 48 (nA=509, nB=537, nC=492) | week 96 (nA=479, nB=493, nC=470) | week 144 (nA=347, nB=383, nC=349) |
---|
Arm A: ATV/RTV + FTC/TDF | 0.4 | 0.5 | 0.6 |
,Arm B: RAL + FTC/TDF | 0.0 | 0.2 | 0.4 |
,Arm C: DRV/RTV + FTC/TDF | 0.4 | 0.4 | 0.9 |
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Change in Waist Circumference From Baseline
Change was calculated as the waist circumference (based on mid-waist circumference) at week (48, 96, and 144) minus the baseline waist circumference. (NCT00811954)
Timeframe: Study entry to weeks 48, 96, and 144
Intervention | cm (Mean) |
---|
| week 48 (nA=555, nB=551, nC=547) | week 96 (nA=512, nB=526, nC=517) | week 144 (nA=425, nB=419, nC=409) |
---|
Arm A: ATV/RTV + FTC/TDF | 2.3 | 3.3 | 3.6 |
,Arm B: RAL + FTC/TDF | 3.1 | 4.0 | 4.0 |
,Arm C: DRV/RTV + FTC/TDF | 2.1 | 2.8 | 3.4 |
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Cumulative Incidence of Discontinuation of the RAL or PI Component of Randomized Treatment for Toxicity by Week 96
The cumulative incidence of discontinuation for toxicity by week 96 was estimated using competing risks with treatment discontinuation for other reasons considered as a competing event; participants completing the study on the RAL or PI component of their randomized regimen were considered censored at the earliest of the date of last patient contact and off study date. (NCT00811954)
Timeframe: From study entry to week 96
Intervention | cumulative events per 100 persons (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 14 |
Arm B: RAL + FTC/TDF | 1 |
Arm C: DRV/RTV + FTC/TDF | 5 |
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Cumulative Incidence of First Adverse Event by Week 96
"The cumulative incidence of first adverse event (with and without total bilirubin and creatine kinase and measured from study entry) by week 96 was estimated using methods for competing risks. Discontinuation of randomized treatment prior to an adverse event was considered a competing event.~The time to the first of any post-entry Grade 2, 3, or 4 sign or symptom, or Grade 3 or 4 laboratory abnormality while on randomization. The protocol required reporting of signs and symptoms and laboratory values as follow: all signs and symptoms grade ≥2 post-entry to week 48, signs and symptoms grade >3 after week 48, and laboratory values grade >3 and all signs, symptoms, and laboratory values that led to a change in treatment, regardless of grade throughout out all post-entry follow-up." (NCT00811954)
Timeframe: From study entry to week 96
Intervention | cumulative events per 100 persons (Number) |
---|
Arm A: ATV/RTV + FTC/TDF | 81 |
Arm B: RAL + FTC/TDF | 59 |
Arm C: DRV/RTV + FTC/TDF | 65 |
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Cholesterol
Total cholersterol (mg/dL) (NCT00814879)
Timeframe: baseline, week 24, week 48
Intervention | mg/dL (Mean) |
---|
| Baseline | Week 24 | Week 48 |
---|
N(t)RTI(s) + PI/r | 166.25 | 168.07 | 167.41 |
,RAL + ATV | 178.83 | 169.65 | 174.48 |
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Number of Patients With < 400 Copies HIV RNA/mL at Week 48
(NCT00814879)
Timeframe: 48 weeks
Intervention | participants (Number) |
---|
N(t)RTI(s) + PI/r | 22 |
RAL + ATV | 21 |
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Number of Patients Reaching Virologic Failure at Week 48.
Virologic failure was defined by protocol as a plasma HIV RNA >50 c/mL on 2 consecutive occasions >7 days apart or > 10 000 c/mL on one occasion (in the absence of an intercurrent infection or recent immunization). (NCT00814879)
Timeframe: 48 Weeks
Intervention | participants (Number) |
---|
N(t)RTI(s) + PI/r | 2 |
RAL + ATV | 3 |
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Mean Change in Total Bilirubin (mg/dL) From Baseline
mean change in total bilirubin from baseline (NCT00814879)
Timeframe: baseline and 48 weeks
Intervention | mg/dL (Mean) |
---|
N(t)RTI(s) + PI/r | -0.15 |
RAL + ATV | 0.37 |
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CD4+ Cell Count
(NCT00814879)
Timeframe: Weeks 24
Intervention | cells/mm^3 (Mean) |
---|
N(t)NRTI + Plr | 599.4 |
RAL + ATV | 710.0 |
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CD4+ Cell Count
(NCT00814879)
Timeframe: Week 48
Intervention | cells/mm^3 (Mean) |
---|
N(t)RTI(s) + PI/r | 596.6 |
RAL + ATV | 665.9 |
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Number of Participants With Phenotypic Resistance
Phenotypic resistance was assessed for all participants at screening and was evaluated for PIs, NRTIs, and NNRTIs using Monogram GenoSeq and/or PhenoSenseGT assays. This was then repeated for all participants with HIV-1 viral load more than 500 copies/mL either at treatment failure or at early termination, up to Week 96. (NCT00827112)
Timeframe: Week 96 or Time of treatment failure
Intervention | Participants (Number) |
---|
Maraviroc+ Atazanavir / Ritonavir | 0 |
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 0 |
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Percentage of Participants With Plasma Human Immuno Deficiency Virus-1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than 50 Copies/Milliliter (mL)
(NCT00827112)
Timeframe: Week 48
Intervention | Percentage of participants (Number) |
---|
Maraviroc+ Atazanavir / Ritonavir | 74.60 |
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 83.60 |
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Time to Loss of Virological Response (TLOVR)
TLOVR (virological failure) was defined as the time from first dose of study treatment (Day 1) until the time of virologic failure using the time to loss of virologic response algorithm. (NCT00827112)
Timeframe: Baseline through Week 96
Intervention | Days (Mean) |
---|
Maraviroc+ Atazanavir / Ritonavir | 436.2 |
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 463.8 |
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Change From Baseline in Cluster of Differentiation 4+T Lymphocyte (CD4) Cell Counts at Weeks 16, 24, 48 and 96
(NCT00827112)
Timeframe: Baseline, Week 16, Week 24, Week 48, Week 96
Intervention | cells/microliter (cells/mcL) (Mean) |
---|
| Baseline (n= 59, 61) | Change at Week 16 (n= 54, 58) | Change at Week 24 (n= 54, 57) | Change at Week 48 (n= 52, 53) | Change at Week 96 (n= 50, 51) |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 390.00 | 139.80 | 173.30 | 226.60 | 298.50 |
,Maraviroc+ Atazanavir / Ritonavir | 357.70 | 169.60 | 188.90 | 215.70 | 287.50 |
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Change From Baseline in Cluster of Differentiation 8+T Lymphocyte (CD8) Cell Count at Weeks 16, 24, 48 and 96
(NCT00827112)
Timeframe: Baseline, Week 16, Week 24, Week 48, Week 96
Intervention | cells/mcL (Mean) |
---|
| Baseline (n= 59, 61) | Change at Week 16 (n= 54, 58) | Change at Week 24 (n= 54, 57) | Change at Week 48 (n= 52, 53) | Change at Week 96 (n= 50, 51) |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 1125.60 | -153.80 | -178.00 | -267.60 | -231.40 |
,Maraviroc+ Atazanavir / Ritonavir | 931.10 | 63.70 | 6.20 | -76.80 | -63.00 |
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Change From Baseline in HIV-1 RNA Levels of First 15 Participants at Days 4, 7, 10 and 14
Plasma HIV-1 RNA levels were evaluated for first 15 participants enrolled at United States (U.S) sites only. (NCT00827112)
Timeframe: Baseline , Days 4, 7, 10 and 14
Intervention | copies/mL (Mean) |
---|
| Change at Day 4 | Change at Day 7 | Change at Day 10 | Change at Day 14 |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | -46479.40 | -52137.10 | -54925.90 | -55449.90 |
,Maraviroc+ Atazanavir / Ritonavir | 1800.00 | -36947.90 | -58595.80 | -47271.60 |
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Change From Baseline in Plasma log10 Viral Load at Weeks 16, 24, 48 and 96
(NCT00827112)
Timeframe: Baseline, Week 16, Week 24, Week 48, Week 96
Intervention | log10 copies/ml (Mean) |
---|
| Baseline (n= 59, 61) | Change at Week 16 (n= 54, 58) | Change at Week 24 (n= 56, 58) | Change at Week 48 (n= 53, 54) | Change at Week 96 (n= 49, 51) |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 114827 | -107684.6 | -110498.1 | -115582.9 | -99662.6 |
,Maraviroc+ Atazanavir / Ritonavir | 84982 | -89859.1 | -87241.2 | -82343.4 | -80117.7 |
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Percentage of Participants With Less Than 400 Copies/mL of HIV-1 RNA
(NCT00827112)
Timeframe: Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 32, Week 40, Week 48, Week 60, Week 72, Week 84, Week 96
Intervention | Percentage of participants (Number) |
---|
| Week 2 (n= 55, 60) | Week 4 (n= 57, 60) | Week 8 (n= 57, 59) | Week 12 (n= 55, 59) | Week 16 (n= 54, 58) | Week 20 (n= 56, 57) | Week 24 (n= 56, 58) | Week 32 (n= 55, 57) | Week 40 (n= 54, 55) | Week 48 (n= 53, 54) | Week 60 (n= 52, 53) | Week 72 (n= 52, 53) | Week 84 (n= 50, 52) | Week 96 (n= 49, 51) |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 34.43 | 52.46 | 77.05 | 88.52 | 91.80 | 93.44 | 93.44 | 93.44 | 90.16 | 86.89 | 86.89 | 85.25 | 85.25 | 83.61 |
,Maraviroc+ Atazanavir / Ritonavir | 27.12 | 50.85 | 79.66 | 89.83 | 88.14 | 89.83 | 91.53 | 89.83 | 91.53 | 89.83 | 86.44 | 86.44 | 81.36 | 77.97 |
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Percentage of Participants With Less Than 50 Copies/mL of HIV-1 RNA
(NCT00827112)
Timeframe: Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 32, Week 40, Week 48, Week 60, Week 72, Week 84, Week 96
Intervention | Percentage of participants (Number) |
---|
| Week 2 (n= 55, 60) | Week 4 (n= 57, 60) | Week 8 (n= 57, 59) | Week 12 (n= 55, 59) | Week 16 (n= 54, 58) | Week 20 (n= 56, 57) | Week 24 (n= 56, 58) | Week 32 (n= 55, 57) | Week 40 (n= 54, 55) | Week 48 (n= 53, 54) | Week 60 (n= 52, 53) | Week 72 (n= 52, 53) | Week 84 (n= 50, 52) | Week 96 (n= 49, 51) |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 6.60 | 21.30 | 42.60 | 62.30 | 73.80 | 83.61 | 88.52 | 88.52 | 88.52 | 83.61 | 85.25 | 81.97 | 83.61 | 81.97 |
,Maraviroc+ Atazanavir / Ritonavir | 0 | 8.50 | 47.50 | 61.00 | 72.90 | 71.20 | 81.36 | 79.66 | 81.36 | 74.58 | 67.80 | 74.58 | 76.27 | 67.80 |
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Time-Averaged Difference (TAD) in log10 Viral Load
TAD was calculated as area under the curve of HIV divided by time period minus baseline HIV where HIV was denoted as HIV-1 RNA (log10 copies/mL). (NCT00827112)
Timeframe: Week 16, Week 24, Week 48, Week 96
Intervention | log10 copies/mL (Mean) |
---|
| Week 16 | Week 24 | Week 48 | Week 96 |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | -2.402 | -2.626 | -2.868 | -3.001 |
,Maraviroc+ Atazanavir / Ritonavir | -2.459 | -2.663 | -2.897 | -2.998 |
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Number of Participants With HIV-1 RNA Tropism Status Using Trofile Assay
Viral tropism was determined using the trofile assay with enhanced sensitivity for participants with HIV-1 RNA greater than equal to 1000 copies/mL. The enhanced trofile assay had the sensitivity to detect 100 percent of spiked samples when C-X-C chemokine receptor type 4 {CXCR4} [X4]-using HIV-1 RNA represented 0.3 percent of the total viral population. (NCT00827112)
Timeframe: Baseline to Week 96 or Time of treatment Failure
Intervention | Participants (Number) |
---|
| Baseline | Week 96 or Time of treatment Failure |
---|
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 61 | 0 |
,Maraviroc+ Atazanavir / Ritonavir | 60 | 0 |
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Average Observed Plasma Concentration (Cavg) of Maraviroc
Cavg was described as area under the plasma concentration-time profile from time zero to time 24 hours (AUC24) divided by the dosing interval (AUC24/ 24). (NCT00827112)
Timeframe: Day 14 (0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose)
Intervention | ng/mL (Mean) |
---|
Maraviroc+ Atazanavir / Ritonavir | 185.10 |
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HIV-1 RNA Levels at Baseline
(NCT00827112)
Timeframe: Baseline
Intervention | copies/mL (Mean) |
---|
Maraviroc+ Atazanavir / Ritonavir | 84982 |
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 114827 |
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Maximum Observed Plasma Concentration (Cmax) of Maraviroc
(NCT00827112)
Timeframe: Day 14 (0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose)
Intervention | nanogram (ng)/mL (Median) |
---|
Maraviroc+ Atazanavir / Ritonavir | 650 |
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Minimum Observed Plasma Concentration (Cmin) of Maraviroc
(NCT00827112)
Timeframe: Day 14 (0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose)
Intervention | ng/mL (Median) |
---|
Maraviroc+ Atazanavir / Ritonavir | 37.0 |
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Number of Participants With Genotypic Resistance
Genotypic resistance was assessed for all participants at screening and was evaluated for protease inhibitors (PIs), Nucleotide reverse transcriptase inhibitors (NRTIs), and non-NRTIs (NNRTIs) using Monogram GenoSeq and/or PhenoSenseGT assays. This was then repeated for all participants with HIV-1 viral load more than 500 copies/mL either at treatment failure or at early termination, up to Week 96. (NCT00827112)
Timeframe: Week 96 or Time of treatment failure
Intervention | Participants (Number) |
---|
Maraviroc+ Atazanavir / Ritonavir | 0 |
Atazanavir / Ritonavir + Emtricitabine / Tenofovir | 0 |
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AUC(TAU) of Ritonavir, Administered As Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants
AUC(TAU)=area under the plasma concentration-time curve in 1 dosing interval; EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 1, 2, 3, 4, 5, 7, 9,13, and 24 hours postdose on Days 20 and 30 of a 30-day cycle
Intervention | ng.h/mL (Geometric Mean) |
---|
Atazanavir/Ritonavir, 300/100 QD (EM) | 9572 |
Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 8280 |
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Number of Participants With Marked Abnormalities in Hematology Laboratory Test and Urinalysis Results
LLN=lower limit of normal; ULN=upper limit of normal; preRX=pretreatment. Safety criteria: Neutrophils + bands: If <.85*LLN or >1.15*ULN or ULN or if preRXULN; if preRX>ULN, use >1.15*preRX or 1.15*ULN, or if preRX ULN; if preRX >ULN, use >1.15*preRX or = 2+, or if preRX >=1+, use >=2*preRX. White blood cells, urine: If >=2+, or if preRX >=2+, use >=4+. Red blood cells, urine: If >=2+ or if preRX >=2+, use >=4+. Not all categories were evaluated for each arm. (NCT00833482)
Timeframe: Within 21 days of Day 1 and on Days 3, 10, 20, 26, and 31 (at discharge)
Intervention | Participants (Number) |
---|
| Neutrophils + bands(absolute)(*10^3 cells/uL): Low | Lymphocytes, relative (*10*3 cells/uL): Low | Lymphocytes, relative (*10*3 cells/uL): High | Blood, urine: High | White blood cells (WBC), urine: High | Red blood cells (RBC), urine: High |
---|
Atanazivir/Ritonavir, 300/100 QD + Voriconazole, 50 BID (PM) | 0 | NA | NA | 0 | NA | NA |
,Atazanavir/Ritonavir, 300/100 QD (EM) | 0 | 1 | 1 | 1 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100 QD (PM) | 0 | NA | NA | 0 | NA | NA |
,Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 1 | 1 | 1 | 2 | NA | NA |
,Voriconazole, 200 BID (EM) | 1 | 1 | 5 | 1 | 1 | 1 |
,Voriconazole, 50 mg BID (PM) | 0 | NA | NA | 0 | NA | NA |
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Tmax of Voriconazole, Administered With and Without Atazanavir/Ritonavir, in EM Participants
Tmax=time to maximum concentration; EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdoseDays 3 and 30 of a 30-day cycle
Intervention | Hours (Median) |
---|
Voriconazole, 200 BID (EM) | 1.50 |
Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 1.25 |
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Cmax and Cmin of Voriconazole, Administered With and Without Atazanavir/Ritonavir, in EM Participants
Cmax=maximum observed plasma concentration; Cmin=minimum observed plasma concentration; EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdoseDays 3 and 30 of a 30-day cycle
Intervention | ng/mL (Geometric Mean) |
---|
| Voriconazole Cmax | Voriconazole Cmin |
---|
Atazanavir/Ritonavir, 300/100mg QD + Voriconazole, 200 mg BID | 3014 | 439 |
,Voriconazole, 200 BID | 3416 | 776 |
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Number of Participants With Investigator-identified Abnormalities in Electrocardiogram Results Not Present Prior to Administration of Study Drug and Considered Not Relevant and Not AEs by Investigator
volt=voltage; LVH=left ventricular hypertrophy (NCT00833482)
Timeframe: Within 21 days of Day 1 and on Days -1, 21, and 31 (at discharge)
Intervention | Participants (Number) |
---|
| Sinus bradycardia | ST elevation and fusion complexes | T-wave abnormality + minimum volt criteria for LVH | Nonspecific T-wave abnormality |
---|
Atanazivir/Ritonavir, 300/100 QD + Voriconazole, 50 BID (PM) | 2 | 1 | 1 | 1 |
,Atazanavir/Ritonavir, 300/100 QD (EM) | 0 | 0 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100 QD (PM) | 0 | 0 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 0 | 0 | 0 | 0 |
,Voriconazole, 200 BID (EM) | 0 | 0 | 0 | 0 |
,Voriconazole, 50 mg BID (PM) | 0 | 0 | 0 | 0 |
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Number of Participants With Marked Abnormalities in Serum Chemistry Test Results
LLN=lower limit of normal; ULN=upper limit of normal; preRX=pretreatment. Safety criteria: AST and ALT: If >1.25*ULN, or if preRX>ULN, use >1.25*preRX. Total and direct bilirubin: If >1.1*ULN or if preRX>ULN, use >1.25*preRX. Creatinine: If >1.33*preRX. Serum glucose, fasting: If preRXULN; if preRX>ULN, use >2*preRX or 1.5*ULN or preRX>ULN, use >1.5*or preRX. Lactose dehydrogenase: If >1.25*ULN or preRX>ULN, use >1.5*preRX. (NCT00833482)
Timeframe: Within 21 days of Day 1 and on Days 3, 10, 20, 26, and 31 (at discharge)
Intervention | Participants (Number) |
---|
| Aspartate aminotransferase (AST) (U/L): High | Alanine aminotransferase (ALT) (U/L): High | Total bilirubin (mg/dL): High | Direct bilirubin (mg/dL): High | Creatinine (mg/dL): High | Serum glucose, fasting (mg/dL): Low | Creatine kinase (U/L): High | Lactase dehydrogenase (U/L): High |
---|
Atazanavir/Ritonavir, 300/100 QD (EM) | 0 | 1 | 22 | 0 | 0 | 0 | 1 | 1 |
,Atazanavir/Ritonavir, 300/100 QD (PM) | 0 | 1 | 7 | 2 | 1 | 0 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100 QD + Voriconazole, 50 BID (PM) | 0 | 1 | 8 | 2 | 0 | 0 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 1 | 1 | 21 | 0 | 0 | 0 | 3 | 0 |
,Voriconazole, 200 BID (EM) | 0 | 0 | 4 | 0 | 0 | 1 | 0 | 1 |
,Voriconazole, 50 mg BID (PM) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, and Any AE
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. (NCT00833482)
Timeframe: Days 1 to 31 (discharge), continuously
Intervention | Participants (Number) |
---|
| Deaths | SAEs | AEs leading to discontinuation | Any AE |
---|
Atanazivir/Ritonavir, 300/100 QD + Voriconazole, 50 BID (PM) | 0 | 0 | 0 | 3 |
,Atazanavir/Ritonavir, 300/100 QD (EM) | 0 | 0 | 2 | 24 |
,Atazanavir/Ritonavir, 300/100 QD (PM) | 0 | 0 | 0 | 2 |
,Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 0 | 0 | 1 | 21 |
,Voriconazole, 200 BID (EM) | 0 | 0 | 0 | 22 |
,Voriconazole, 50 mg BID (PM) | 0 | 0 | 0 | 0 |
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Area Under the Plasma Concentration-time Curve in 1 Dosing Interval [AUC(TAU)] of Atazanavir Administered as Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants
EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 1, 2, 3, 4, 5, 7, 9,13, and 24 hours postdose on Days 20 and 30 of a 30-day cycle
Intervention | ng*h/mL (Geometric Mean) |
---|
Atazanavir/Ritonavir, 300/100 QD (EM) | 44634 |
Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 38276 |
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AUC(TAU)of Voriconazole, Administered With and Without Atazanavir/Ritonavir, in EM Participants
AUC(TAU)=area under the plasma concentration-time curve in 1 dosing interval; EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdoseDays 3 and 30 of a 30-day cycle
Intervention | ng.h/mL (Geometric Mean) |
---|
Voriconazole, 200 BID (EM) | 20284 |
Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 12944 |
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Time to Maximum Concentration (Tmax) of Atazanavir, Administered as Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants
EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 1, 2, 3, 4, 5, 7, 9,13, and 24 hours postdose on Days 20 and 30 of a 30-day cycle
Intervention | Hours (Median) |
---|
Atazanavir/Ritonavir, 300/100 QD (EM) | 3.0 |
Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 2.07 |
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Tmax of Ritonavir, Administered As Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants
Tmax=time to maximum concentration; EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 1, 2, 3, 4, 5, 7, 9,13, and 24 hours postdose on Days 20 and 30 of a 30-day cycle
Intervention | Hours (Median) |
---|
Atazanavir/Ritonavir, 300/100 QD (EM) | 4.0 |
Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 4.0 |
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Cmax and Cmin of Ritonavir, Administered As Atazanavir/Ritonavir With and Without Voriconazole, in EM Participants
Cmax=maximum observed plasma concentration; Cmin=minimum observed plasma concentration; EM=extensive metabolizers, or participants with functional CYP2C19 alleles. (NCT00833482)
Timeframe: Predose and at 1, 2, 3, 4, 5, 7, 9,13, and 24 hours postdose on Days 20 and 30 of a 30-day cycle
Intervention | ng/mL (Geometric Mean) |
---|
| Ritonavir Cmax | Ritonavir Cmin |
---|
Atazanavir/Ritonavir, 300/100 QD (EM) | 1597 | 37.1 |
,Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 1429 | 28.3 |
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Number of Participants With Abnormalities in Vital Signs
(NCT00833482)
Timeframe: Within 21 days of Day 1 and on Days -1, 1, 3, 11, 21, and 31 (at discharge)
Intervention | Participants (Number) |
---|
| Diastolic blood pressure | Systolic blood pressure | Heart rate | Respiratory rate | Temperature |
---|
Atanazivir/Ritonavir, 300/100 QD + Voriconazole, 50 BID (PM) | 0 | 0 | 0 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100 QD (EM) | 0 | 0 | 0 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100 QD (PM) | 0 | 0 | 0 | 0 | 0 |
,Atazanavir/Ritonavir, 300/100mgQD + Voriconazole, 200mgBID(EM) | 0 | 0 | 0 | 0 | 0 |
,Voriconazole, 200 BID (EM) | 0 | 0 | 0 | 0 | 0 |
,Voriconazole, 50 mg BID (PM) | 0 | 0 | 0 | 0 | 0 |
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Change in Fasting High-density Lipoprotein Cholesterol (HDL-C) From Study Entry to Weeks 4, 24, 48 and 96
HDL cholesterol (unit of measure mg/dL) was measured at study entry and weeks 4, 24, 48 and 96 from participants who reported fasting for at least 8 hours prior to assessment; all results were centrally laboratory tested in batch. Change in HDL-C was calculated as (week 4, 24, 48 or 96 result) - (study entry result). (NCT00851799)
Timeframe: Study entry, weeks 4, 24, 48 and 96
Intervention | mg/dL (Median) |
---|
| Change from study entry to week 4 | Change from study entry to week 24 | Change from study entry to week 48 | Change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | -1 | 3 | 2 | 4 |
,Cohort B: RAL + FTC/TDF | -2 | 3 | 2 | 4 |
,Cohort C: DRV/RTV + FTC/TDF | -3 | 0 | 1 | 4 |
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Fold Change in High Sensitivity C-reactive Protein (hsCRP) From Study Entry to Weeks 48 and 96
hsCRP was measured at study entry and weeks 48 and 96 (unit of measure ug/ml). Fold change from study entry to week 48 or week 96 was calculated as (week 48 value or week 96 value) / (study entry value). Results identified above or below the limit of quantification were imputed at the quantification limit of the respective assay. (NCT00851799)
Timeframe: Study entry, weeks 48 and 96
Intervention | Fold change (Median) |
---|
| Fold change from study entry to week 48 | Fold change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0.75 | 0.85 |
,Cohort B: RAL + FTC/TDF | 0.88 | 0.78 |
,Cohort C: DRV/RTV + FTC/TDF | 0.78 | 1.31 |
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Change in Fasting Glucose Level From Study Entry to Weeks 4, 24, 48 and 96
Glucose (unit of measure mg/dL) was measured at study entry and weeks 4, 24, 48 and 96; all results reflect measures captured from participants who reported fasting for at least 8 hours prior to assessment. Change was calculated as (fasting result during at week 4, 24, 48 or 96) - (fasting result at study entry). (NCT00851799)
Timeframe: Study entry, weeks 4, 24, 48 and 96
Intervention | mg/dL (Median) |
---|
| Change from study entry to week 4 | Change from study entry to week 24 | Change from study entry to week 48 | Change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 3 | 4 | 4 | 3 |
,Cohort B: RAL + FTC/TDF | 3 | 4 | 4 | 6 |
,Cohort C: DRV/RTV + FTC/TDF | 2 | 4 | 2 | 2 |
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Change in Fasting Calculated Low-density Lipoprotein Cholesterol (LDL-C) From Study Entry to Weeks 4, 24, 48 and 96
Calculated LDL-C (unit of measure mg/dL) was measured at study entry and weeks 4, 24, 48 and 96 from participants who reported fasting for at least 8 hours prior to assessment; all results were centrally laboratory tested in batch. Change in calculated LDL-C was calculated as (week 4, 24, 48 or 96 result) - (study entry result). (NCT00851799)
Timeframe: Study entry, weeks 4, 24, 48 and 96
Intervention | mg/dL (Median) |
---|
| Change from study entry to week 4 | Change from study entry to week 24 | Change from study entry to week 48 | Change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0 | 2 | 1 | 2 |
,Cohort B: RAL + FTC/TDF | -3 | -2 | -1 | -1 |
,Cohort C: DRV/RTV + FTC/TDF | 1 | 3 | 5 | 6 |
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Change in CD4+ T-cell Count From Study Entry to Weeks 24, 48, 96 and 144
Change was calculated as (CD4+ T-cell count at week 24, 48, 96, or 144) - (CD4+ T-cell count at study entry). (NCT00851799)
Timeframe: Study entry to weeks 24, 48, 96, and 144
Intervention | cell/mm^3 (Median) |
---|
| Change from study entry to week 24 | Change from study entry to week 48 | Change from study entry to week 96 | Change from study entry to week 144 |
---|
Cohort A: ATV/RTV + FTC/TDF | 161 | 209 | 280 | 305 |
,Cohort B: RAL + FTC/TDF | 133 | 191 | 247 | 279 |
,Cohort C: DRV/RTV + FTC/TDF | 118 | 194 | 248 | 227 |
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CD4+ T-cell Count at Study Entry and Weeks 24, 48, 96 and 144
The absolute levels of CD4+ T-cell counts (cells/mm^3) measured at study entry and weeks 24, 48, 96 and 144. (NCT00851799)
Timeframe: Study entry, weeks 24, 48, 96 and 144
Intervention | cell/mm^3 (Median) |
---|
| Study Entry | Week 24 | Week 48 | Week 96 | Week 144 |
---|
Cohort A: ATV/RTV + FTC/TDF | 350 | 509 | 573 | 634 | 658 |
,Cohort B: RAL + FTC/TDF | 343 | 445 | 496 | 569 | 613 |
,Cohort C: DRV/RTV + FTC/TDF | 355 | 464 | 528 | 567 | 560 |
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Percent Change in Visceral Abdominal Fat (VAT) From Study Entry to Week 96
Visceral abdominal fat (VAT) was evaluated by single slice abdominal computerized tomography scans at study entry and week 96. The percent change was calculated as as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | 10.7 |
Cohort B: RAL + FTC/TDF | 16.2 |
Cohort C: DRV/RTV + FTC/TDF | 9.5 |
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Percent Change in Trunk Fat From Study Entry to Week 96
Trunk fat was evaluated by dual-energy x-ray absorptiometry (DXA) scans at study entry and week 96. The percent change was calculated as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | 10.8 |
Cohort B: RAL + FTC/TDF | 13.5 |
Cohort C: DRV/RTV + FTC/TDF | 9.7 |
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Fold Change in Soluble CD14 From Study Entry to Weeks 48 and 96
Soluble CD14 was measured at study entry and weeks 48 and 96 (unit of measure ng/ml). Fold change from study entry to week 48 or week 96 was calculated as (week 48 value or week 96 value) / (study entry value). Results identified above or below the limit of quantification were imputed at the quantification limit of the respective assay. (NCT00851799)
Timeframe: Study entry, weeks 48 and 96
Intervention | Fold change (Median) |
---|
| Fold change from study entry to week 48 | Fold change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 1.01 | 0.98 |
,Cohort B: RAL + FTC/TDF | 0.91 | 0.90 |
,Cohort C: DRV/RTV + FTC/TDF | 1.00 | 0.98 |
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Percent Change in Total Limb Fat From Study Entry to Week 96
Total limb fat was evaluated by dual-energy x-ray absorptiometry (DXA) scans at study entry and week 96. The percent change was calculated as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | 9.8 |
Cohort B: RAL + FTC/TDF | 6.3 |
Cohort C: DRV/RTV + FTC/TDF | 7.9 |
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Percent Change in Subcutaneous Abdominal Fat (SAT) From Study Entry to Week 96
Subcutaneous abdominal fat (SAT) was evaluated by single slice abdominal computerized tomography scans at study entry and week 96. The percent change was calculated as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | 10.3 |
Cohort B: RAL + FTC/TDF | 11.8 |
Cohort C: DRV/RTV + FTC/TDF | 11.4 |
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Percent Change in Lean Mass From Study Entry to Week 96
Lean mass was evaluated by dual-energy x-ray absorptiometry (DXA) scans at study entry and week 96. The percent change was calculated as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | 1.8 |
Cohort B: RAL + FTC/TDF | 1.7 |
Cohort C: DRV/RTV + FTC/TDF | 0.1 |
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Percent Change in Bone Mineral Density (BMD) of the Total Body From Study Entry to Week 96
Bone mineral density (BMD) of the total body was evaluated by dual-energy x-ray absorptiometry (DXA) scans at study entry and study week 96. The percent change was calculated as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | -1.9 |
Cohort B: RAL + FTC/TDF | -0.9 |
Cohort C: DRV/RTV + FTC/TDF | -1.0 |
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Percent Change in Bone Mineral Density (BMD) of the Hip From Study Entry to Week 96
Bone mineral density (BMD) of the hip was evaluated by dual-energy x-ray absorptiometry (DXA) scans at study entry and study week 96. The percent change was calculated as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | -3.7 |
Cohort B: RAL + FTC/TDF | -2.2 |
Cohort C: DRV/RTV + FTC/TDF | -3.3 |
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Change in Brachial Artery (BA) Flow Mediated Dilation (FMD) From Study Entry to Week 24
"Brachial artery flow mediated dilation was measured by brachial artery reactivity tests. All results reflect measures captured from participants who reported fasting and not smoking for at least 8 hours prior to FMD assessments.~The change from study entry to week 24 in brachial artery FMD (%) was defined as the maximum FMD (%) calculated from resting heart rate (RH) 60 seconds and RH 90 seconds, relative to resting brachial artery diameter." (NCT00851799)
Timeframe: Study entry, week 24
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | -0.05 |
Cohort B: RAL + FTC/TDF | -0.27 |
Cohort C: DRV/RTV + FTC/TDF | 0.15 |
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Change in Absolute Flow Mediated Dilation (FMD) From Study Entry to Weeks 4, 24 and 48
The change in absolute FMD was defined as the maximum absolute FMD from the RH 60 and 90 second measurements, from study entry to weeks 4, 24, and 48 (unit of measure millimeters). All results reflect measures captured from participants who reported fasting and not smoking for at least 8 hours prior to FMD assessments. (NCT00851799)
Timeframe: Study entry, weeks 4, 24 and 48
Intervention | mm (Mean) |
---|
| Change from study entry to week 4 | Change from study entry to week 24 | Change from study entry to week 48 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0.002 | -0.002 | 0.002 |
,Cohort B: RAL + FTC/TDF | 0.012 | -0.004 | 0.005 |
,Cohort C: DRV/RTV + FTC/TDF | -0.005 | 0.008 | -0.001 |
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Fold Change in Soluble CD163 From Study Entry to Weeks 48 and 96
Soluble CD163 was measured at study entry and weeks 48 and 96 (unit of measure ng/ml). Fold change from study entry to week 48 or week 96 was calculated as (week 48 value or week 96 value) / (study entry value). Results identified above or below the limit of quantification were imputed at the quantification limit of the respective assay. (NCT00851799)
Timeframe: Study entry, weeks 48 and 96
Intervention | Fold change (Median) |
---|
| Fold change from study entry to week 48 | Fold change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0.54 | 0.51 |
,Cohort B: RAL + FTC/TDF | 0.62 | 0.56 |
,Cohort C: DRV/RTV + FTC/TDF | 0.61 | 0.58 |
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Percent Change in Bone Mineral Density (BMD) of the Lumber Spine From Study Entry to Week 96
Bone mineral density (BMD) of the lumber spine was evaluated by dual-energy x-ray absorptiometry (DXA) scans at study entry and study week 96. The percent change was calculated as ((week 96 value - study entry value) / study entry value)) x 100. (NCT00851799)
Timeframe: Study entry, week 96
Intervention | percent (Median) |
---|
Cohort A: ATV/RTV + FTC/TDF | -4.0 |
Cohort B: RAL + FTC/TDF | -1.6 |
Cohort C: DRV/RTV + FTC/TDF | -3.1 |
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Fold Change in Percent Expression of CD38+HLADR+ on CD8+ (Percent) From Study Entry to Weeks 24 and 96
Percent expression of CD38+HLADR+ on CD8+ was measured at study entry and weeks 24 and 96 (unit of measure percent). Fold change from study entry to week 24 or week 96 was calculated as (week 24 value or week 96 value) / (study entry value). (NCT00851799)
Timeframe: Study entry, weeks 24 and 96
Intervention | Fold change (Median) |
---|
| Fold change from study entry to week 24 | Fold change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0.51 | 0.35 |
,Cohort B: RAL + FTC/TDF | 0.56 | 0.36 |
,Cohort C: DRV/RTV + FTC/TDF | 0.59 | 0.38 |
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Fold Change in Percent Expression of CD38+HLADR+ on CD4+ (Percent) From Study Entry to Weeks 24 and 96
Percent expression of CD38+HLADR+ on CD4+ was measured at study entry and weeks 24 and 96 (unit of measure percent). Fold change from study entry to week 24 or week 96 was calculated as (week 24 value or week 96 value) / (study entry value). (NCT00851799)
Timeframe: Study entry, weeks 24 and 96
Intervention | Fold change (Median) |
---|
| Fold change from study entry to week 24 | Fold change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0.49 | 0.38 |
,Cohort B: RAL + FTC/TDF | 0.51 | 0.34 |
,Cohort C: DRV/RTV + FTC/TDF | 0.52 | 0.37 |
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Fold Change in Interleukin-6 (IL-6) From Study Entry to Weeks 48 and 96
IL-6 was measured at study entry and weeks 48 and 96 (unit of measure pg/ml). Fold change from study entry to week 48 or week 96 was calculated as (week 48 value or week 96 value) / (study entry value). Results identified above or below the limit of quantification were imputed at the quantification limit of the respective assay. (NCT00851799)
Timeframe: Study entry, weeks 48 and 96
Intervention | Fold change (Median) |
---|
| Fold change from study entry to week 48 | Fold change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0.62 | 0.89 |
,Cohort B: RAL + FTC/TDF | 0.71 | 0.82 |
,Cohort C: DRV/RTV + FTC/TDF | 0.75 | 0.89 |
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Change in Brachial Artery Flow Mediated Dilation (FMD) From Study Entry to Weeks 4 and 48
"Brachial artery flow mediated dilation was measured by brachial artery reactivity tests. All results reflect measures captured from participants who reported fasting and not smoking for at least 8 hours prior to FMD assessments.~The change from study entry to weeks 4 and 48 in brachial artery FMD (%) was defined as the maximum FMD (%) calculated from resting heart rate (RH) 60 seconds and RH 90 seconds, relative to resting brachial artery diameter." (NCT00851799)
Timeframe: Study entry, weeks 4 and 48
Intervention | percent (Mean) |
---|
| Change from study entry to week 4 | Change from study entry to week 48 |
---|
Cohort A: ATV/RTV + FTC/TDF | -0.04 | -0.04 |
,Cohort B: RAL + FTC/TDF | 0.22 | -0.08 |
,Cohort C: DRV/RTV + FTC/TDF | -0.15 | -0.11 |
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Fold Change in D-dimer From Study Entry to Weeks 48 and 96
D-dimer was measured at study entry and weeks 48 and 96 (unit of measure ug/ml). Fold change from study entry to week 48 or week 96 was calculated as (week 48 value or week 96 value) / (study entry value). Results identified above or below the limit of quantification were imputed at the quantification limit of the respective assay. (NCT00851799)
Timeframe: Study entry, weeks 48 and 96
Intervention | Fold change (Median) |
---|
| Fold change from study entry to week 48 | Fold change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 0.57 | 0.52 |
,Cohort B: RAL + FTC/TDF | 0.73 | 0.72 |
,Cohort C: DRV/RTV + FTC/TDF | 0.65 | 0.65 |
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Change in Fasting Triglyceride (TG) From Study Entry to Weeks 4, 24, 48 and 96
Triglyceride (TG, unit of measure mg/dL) was measured at study entry and weeks 4, 24, 48 and 96 from participants who reported fasting for at least 8 hours prior to assessment; all results were centrally laboratory tested in batch. Change in TG was calculated as (week 4, 24, 48 or 96 result) - (study entry result). (NCT00851799)
Timeframe: Study entry, weeks 4, 24, 48 and 96
Intervention | mg/dL (Median) |
---|
| Change from study entry to week 4 | Change from study entry to week 24 | Change from study entry to week 48 | Change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 14 | 6 | 9 | 10 |
,Cohort B: RAL + FTC/TDF | -12 | -16 | -13 | -7 |
,Cohort C: DRV/RTV + FTC/TDF | 15 | 2 | 8 | 0 |
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Change in Fasting Total Cholesterol (TC) From Study Entry to Weeks 4, 24, 48 and 96
Total cholesterol (TC, unit of measure mg/dL) was measured at study entry and weeks 4, 24, 48 and 96 from participants who reported fasting for at least 8 hours prior to assessment; all results were centrally laboratory tested in batch. Change in TC was calculated as (week 4, 24, 48 or 96 result) - (study entry result). (NCT00851799)
Timeframe: Study entry, weeks 4, 24, 48 and 96
Intervention | mg/dL (Median) |
---|
| Change from study entry to week 4 | Change from study entry to week 24 | Change from study entry to week 48 | Change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 4 | 9 | 8 | 12 |
,Cohort B: RAL + FTC/TDF | -7 | -4 | -1 | 1 |
,Cohort C: DRV/RTV + FTC/TDF | 3 | 7 | 12 | 14 |
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Change in Fasting Insulin Level From Study Entry to Weeks 4, 24, 48 and 96
Insulin (unit of measure uIU/dL) was measured at study entry and weeks 4, 24, 48 and 96; all results reflect measures captured from participants who reported fasting for at least 8 hours prior to assessment. Change was calculated as (fasting result during at week 4, 24, 48 or 96) - (fasting result at study entry). (NCT00851799)
Timeframe: Study entry, weeks 4, 24, 48 and 96
Intervention | uIU/dL (Median) |
---|
| Change from study entry to week 4 | Change from study entry to week 24 | Change from study entry to week 48 | Change from study entry to week 96 |
---|
Cohort A: ATV/RTV + FTC/TDF | 4.0 | 4.0 | 4.0 | 3.5 |
,Cohort B: RAL + FTC/TDF | 3.0 | 3.0 | 3.0 | 3.0 |
,Cohort C: DRV/RTV + FTC/TDF | 3.0 | 2.0 | 3.0 | 2.0 |
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Atazanavir Systemic Exposure During the Follicular Phase (Days 6-10 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Follicular phase starts on day 1 of the menstrual cycle when estrogen and progesterone levels are lowest. this lasts 14 days. Dose administration and PK would have been drawn on day 6, 7, 8, 9, or 10 after Day 1 (start of Follicular phase). (NCT00869960)
Timeframe: Between time of dosing to 24 hours after dose administration
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 23.9 |
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Atazanavir Systemic Exposure During the Luteal Phase (Days 20-25 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Luteal phase starts on day 14 of the menstrual cycle when estrogen and progesterone levels are beginning to increase. This lasts 14 days or until Day 1 of the Follicular phase. Dose administration and PK during the Luteal phase, would have been drawn on day 20, 21, 22, 23, 24 and 25 start of Follicular phase). (NCT00869960)
Timeframe: Between time of dosing to 24 hours after dose administration
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 22.4 |
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Ritonavir Systemic Exposure During the Follicular Phase (Days 6-10 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Follicular phase starts on day 1 of the menstrual cycle when estrogen and progesterone levels are lowest. this lasts 14 days. Dose administration and PK would have been drawn on day 6, 7, 8, 9, or 10 after Day 1 (start of Follicular phase). (NCT00869960)
Timeframe: Between time of dosing to 24 hours after dose administration
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 7.2 |
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Tenofovir Systemic Exposure During the Luteal Phase (Days 20-25 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Luteal phase starts on day 14 of the menstrual cycle when estrogen and progesterone levels are beginning to increase. This lasts 14 days or until Day 1 of the Follicular phase. Dose administration and PK during the Luteal phase, would have been drawn on day 20, 21, 22, 23, 24 and 25 start of Follicular phase). (NCT00869960)
Timeframe: between time of dosing tp 24 hours after dose administration
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 2.2 |
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Tenofovir Systemic Exposure During the Follicular Phase (Days 6-10 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Follicular phase starts on day 1 of the menstrual cycle when estrogen and progesterone levels are lowest. this lasts 14 days. Dose administration and PK would have been drawn on day 6, 7, 8, 9, or 10 after Day 1 (start of Follicular phase). (NCT00869960)
Timeframe: between time of dosing to 24 hours after dose administered
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 2.4 |
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Emtricitabine Systemic Exposure During the Luteal Phase (Days 20-25 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Luteal phase starts on day 14 of the menstrual cycle when estrogen and progesterone levels are beginning to increase. This lasts 14 days or until Day 1 of the Follicular phase. Dose administration and PK during the Luteal phase, would have been drawn on day 20, 21, 22, 23, 24 and 25 start of Follicular phase). (NCT00869960)
Timeframe: Between time of dosing to 24 hours after dose administration
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 10.2 |
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Ritonavir Systemic Exposure During the Luteal Phase (Days 20-25 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Luteal phase starts on day 14 of the menstrual cycle when estrogen and progesterone levels are beginning to increase. This lasts 14 days or until Day 1 of the Follicular phase. Dose administration and PK during the Luteal phase, would have been drawn on day 20, 21, 22, 23, 24 and 25 start of Follicular phase). (NCT00869960)
Timeframe: Between time of dosing to 24 hours after dose administration
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 6.7 |
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Emtricitabine Systemic Exposure During the Follicular Phase (Days 6-10 After Menses)
Systemic exposure determined by area under the concentration time curve was measured by blood drawn for PK assessment at the following times: 0 (time of dose), 0.5, 1, 2, 4,6, 8, 12 and 24 hours. The Follicular phase starts on day 1 of the menstrual cycle when estrogen and progesterone levels are lowest. this lasts 14 days. Dose administration and PK would have been drawn on day 6, 7, 8, 9, or 10 after Day 1 (start of Follicular phase). (NCT00869960)
Timeframe: Between time of dosing to 24 hours after dose administration
Intervention | mg*h/L (Mean) |
---|
Antiretroviral Therapy | 11.2 |
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Number of Subjects Who Had a Decrease in HIV RNA Per Million CD4+ T Cells in the Ileum
Number of subjects who had a decrease from week 0 to week 12 in unspliced cell-associated HIV RNA per million CD4+ T cells in the ileum (NCT00884793)
Timeframe: 12 weeks
Intervention | participants (Number) |
---|
Intensification Arm | 5 |
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Number of Subjects Who Experienced an Increase in CD4+ T Cells (as a % of All Cells) in the Ileum.
Number of subjects who experienced an increase in CD4+ T cells (as a % of all cells) in the ileum (by flow cytometry) from week 0 to week 12. (NCT00884793)
Timeframe: 12 weeks
Intervention | participants (Number) |
---|
Intensification Arm | 6 |
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Number of Subjects Who Experienced an Increase in CD4% in the Ileum.
Number of subjects who experienced an increase from week 0 to week 12 in CD4+ T cells (as a % of T cells, by flow cytometry) in the ileum (NCT00884793)
Timeframe: 12 weeks
Intervention | participants (Number) |
---|
Intensification Arm | 5 |
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"Average Change in Activated (CD38+HLADR+) CD8+ T Cells in the Ileum"
Average of changes(week 0-week 12) in the % of CD8+ T cells that are CD38+HLA-DR+, by flow cytometry (NCT00884793)
Timeframe: 12 weeks
Intervention | percentage change (Mean) |
---|
Intensification Arm | -5.4 |
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Number of Patients With Virological Failure (Two Consecutive Measures of HIV-RNA Higher Than 50 Copies/mL or a Single Measure Higher Than 1000 Copies/mL) Within 48 Weeks at intention-to.Treat Analysis
(NCT00885482)
Timeframe: 48 weeks
Intervention | patients (Number) |
---|
Single Arm | 1 |
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Change From Baseline in CD4 Cell Count at Week 24
The change from baseline in CD4 cell count at Week 24 was analyzed. (NCT00892437)
Timeframe: Baseline to Week 24
Intervention | cells/μL (Mean) |
---|
ATV+COBI+FTC/TDF | 200 |
ATV+RTV+FTC/TDF | 202 |
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Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the missing = failure method. (NCT00892437)
Timeframe: Week 48
Intervention | percentage of participants (Number) |
---|
ATV+COBI+FTC/TDF | 82.0 |
ATV+RTV+FTC/TDF | 89.7 |
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Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 24
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 24 was analyzed using the missing = failure method, where participants with missing data were considered to have failed to achieve the endpoint. (NCT00892437)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
ATV+COBI+FTC/TDF | 84.0 |
ATV+RTV+FTC/TDF | 89.7 |
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Change From Baseline in HIV-1 RNA at Week 48
The change from baseline in log_10 HIV-1 RNA at Week 48 was analyzed. (NCT00892437)
Timeframe: Baseline to Week 48
Intervention | log_10 copies/mL (Mean) |
---|
ATV+COBI+FTC/TDF | -2.79 |
ATV+RTV+FTC/TDF | -2.96 |
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Change From Baseline in HIV-1 RNA at Week 24
The change from baseline in log_10 HIV-1 RNA at Week 24 was analyzed. (NCT00892437)
Timeframe: Baseline to Week 24
Intervention | log_10 copies/mL (Mean) |
---|
ATV+COBI+FTC/TDF | -2.80 |
ATV+RTV+FTC/TDF | -2.97 |
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Change From Baseline in CD4 Cell Count at Week 48
The change from baseline in CD4 cell count at Week 48 was analyzed. (NCT00892437)
Timeframe: Baseline to Week 48
Intervention | cells/μL (Mean) |
---|
ATV+COBI+FTC/TDF | 243 |
ATV+RTV+FTC/TDF | 213 |
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Pharmacokinetic Results of Atazanavir (ATV): Treatment B: ATV/Low-Dose Ritonavir (Rtv) 400/100 mg (Results for AUC24hr)
The table below shows pharmacokinetic (PK) results of atazanavir (ATV) when administered as ATV/ritonavir (rtv) 300/100 mg pretreatment (Reference) and when administered as ATV/rtv 400/100 mg at Week 2 after treatment (Test). Results are expressed as the area under the plasma concentration-time curve from time of intake to 24 hours after dosing (AUC24hr). (NCT00896051)
Timeframe: Day -1 (Reference); Week 2 (Test)
Intervention | ng.h/mL (Mean) |
---|
ATV/Rtv 300/100 mg (Reference) | 74210 |
ATV/Rtv 300/100 mg (Test) | 72220 |
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Pharmacokinetic Results of Etravirine (ETR) (Results for AUC12hr)
The table below shows pharmacokinetic (PK) results of ETR in the current study expressed as the area under the plasma concentration-time curve from time of intake to 12 hours after dosing (AUC12hr). (NCT00896051)
Timeframe: Week 2
Intervention | ng.h/mL (Mean) |
---|
ATV/Rtv 300/100 mg (Treatment A) | 7629 |
ATV/Rtv 400/100 mg (Treatment B) | 5171 |
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Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment A: Atazanavir (ATV)/Rtv 300/100 mg (Results for AUC24hr)
The table below shows the pharmacokinetic (PK) results of low-dose ritonavir (rtv) when administered as atazanavir (ATV)/rtv 300/100 mg pretreatment (Reference) and at Week 2 after treatment (Test). Results are expressed as the area under the plasma concentration-time curve from time of intake to 24 hours after dosing (AUC24hr). (NCT00896051)
Timeframe: Day -1 (Reference); Week 2 (Test)
Intervention | ng.h/ml (Mean) |
---|
ATV/Rtv 300/100 mg (Reference) | 12560 |
ATV/Rtv 300/100 mg (Test) | 11120 |
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Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment B: Atazanavir (ATV)/Rtv 400/100 mg (Results for AUC24hr)
The table below shows pharmacokinetic (PK) results of low-dose ritonavir (rtv) when administered as atazanavir (ATV)/ritonavir (rtv) 300/100 mg pretreatment (Reference) and when administered as ATV/rtv 400/100 mg at Week 2 after treatment (Test). Results are expressed as the area under the plasma concentration-time curve from time of intake to 24 hours after dosing (AUC24hr). (NCT00896051)
Timeframe: Day -1 (Reference); Week 2 (Test)
Intervention | ng.h/ml (Mean) |
---|
ATV/Rtv 300/100 mg (Reference) | 13880 |
ATV/Rtv 300/100 mg (Test) | 13660 |
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Pharmacokinetic Results of Atazanavir (ATV): Treatment A: ATV/Low-Dose Ritonavir (Rtv) 300/100 mg (Results for C0h, Cmin, and Cmax)
The table below shows pharmacokinetic (PK) results of atazanavir (ATZ) when administered as ATV/rtv 300/100 mg pretreatment (Reference) and at Week 2 after treatment (Test). Results are expressed as the predose plasma concentration (C0h), minimum plasma concentration (Cmin), and maximum plasma concentration (Cmax). (NCT00896051)
Timeframe: Day -1 (Pretreatment); Week 2 (Test)
Intervention | ng/ml (Mean) |
---|
| C0h, ng/ml (Reference, n=21; Test, n=19) | Cmin, ng/ml (Reference, n=20; Test, n=18) | Cmax, ng/ml (Reference, n=20; Test, n=19) |
---|
ATV/Rtv 300/100 mg (Reference) | 1339 | 1104 | 5652 |
,ATV/Rtv 300/100 mg (Test) | 845.7 | 758.6 | 5232 |
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Pharmacokinetic Results of Etravirine (ETR) (Results for C0h, Cmin, and Cmax)
The table below shows pharmacokinetic (PK) results of ETR in the current study expressed as the predose plasma concentration (C0h), minimum plasma concentration (Cmin) and maximum plasma concentration (Cmax). (NCT00896051)
Timeframe: Week 2
Intervention | ng/ml (Mean) |
---|
| C0h (Treatment B, n=19) | Cmin (Treatment A, n=16; Treatment B, n=18) | Cmax (Treatment A, n=18; Treatment B, n=18) |
---|
ATV/Rtv 300/100 mg (Treatment A) | 422.2 | 425.1 | 773.0 |
,ATV/Rtv 400/100 mg (Treatment B) | 316.6 | 286.5 | 628.7 |
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Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment A: Atazanavir (ATV)/Rtv 300/100 mg (Results for C0h, Cmin, and Cmax)
The table below shows the pharmacokinetic (PK) results of low-dose ritonavir (rtv) when administered as atazanavir (ATV)/rtv 300/100 mg pretreatment (Reference) and at Week 2 after treatment (Test). Results are expressed as the predose plasma concentration (C0h), minimum plasma concentration (Cmin), and maximum plasma concentration (Cmax). (NCT00896051)
Timeframe: Day -1 (Reference); Week 2 (Test)
Intervention | ng/ml (Mean) |
---|
| C0h, ng/ml (Reference, n=21; Test, n=19) | Cmin, ng/ml (Reference, n=20; Test, n=18) | Cmax, ng/ml (Reference, n=20; Test, n=19) |
---|
ATV/Rtv 300/100 mg (Reference) | 143.4 | 60.42 | 1834 |
,ATV/Rtv 300/100 mg (Test) | 102.5 | 43.97 | 1740 |
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Pharmacokinetic Results of Low-Dose Ritonavir (Rtv): Treatment B: Atazanavir (ATV)/Rtv 400/100 mg (Results for C0h, Cmin, and Cmax)
The table below shows pharmacokinetic (PK) results of low-dose ritonavir (rtv) when administered as atazanavir (ATV)/ritonavir (rtv) 300/100 mg pretreatment (Reference) and when administered as ATV/rtv 400/100 mg at Week 2 after treatment (Test). Results are expressed as the predose plasma concentration (C0h), minimum plasma concentration (Cmin), maximum plasma concentration (Cmax), and area under the plasma concentration-time curve from time of intake to 24 hours after dosing (AUC24hr). (NCT00896051)
Timeframe: Day -1 (Reference); Week 2 (Test)
Intervention | ng/ml (Mean) |
---|
| C0h, ng/ml (Reference, n=22; Test, n=20) | Cmin, ng/ml | Cmax, ng/ml (Reference, n=22) |
---|
ATV/Rtv 300/100 mg (Reference) | 109.2 | 64.70 | 1882 |
,ATV/Rtv 400/100 mg (Test) | 163.4 | 75.68 | 1847 |
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The Percentage of Participants With a Virologic Response (Plasma Viral Load < 50 Copies/mL) at Week 48 Using the Snapshot Analysis Method
The table below provides the results from the snapshot analysis method that includes the percentage of participants with virologic response (<50 copies/mL), the percentage of participants who were virologic failures (VF) (>50 copies/mL, discontinued prior to time X for reasons of VF or for other reasons, except for VF or adverse event, with a last viral load >50 copies/mL), and the percentage of participants with no viral load (VL) data available at Week 48. (NCT00896051)
Timeframe: Week 48
Intervention | Percentage of Participants (Number) |
---|
| Virologic Response | Virologic Failure | No VL Data Available |
---|
ATV/Rtv 300/100 mg (Treatment A) | 50.0 | 31.8 | 18.2 |
,ATV/Rtv 400/100 mg (Treatment B) | 45.5 | 36.4 | 18.2 |
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The Percentage of Participants With a Virologic Response Using the Non-Completing = Failure (NC=F) Imputation Method
The table below shows the percentage of participants per time point with a virologic response defined as having a plasma viral load (VL) <50 copies/mL, and with plasma VL <400 copies/mL using the Non-Completing = Failure (NC=F) imputation method (ie, participants who discontinued early were counted as nonresponders by having their VL values after discontinuation imputed with their Baseline value, thus resulting in a 0 change). (NCT00896051)
Timeframe: Baseline, Weeks 4, 12, 24, 48
Intervention | Percentage of Participants (Number) |
---|
| <50 copies/mL, Baseline | <50 copies/mL, Week 4 | <50 copies/mL, Week 12 | <50 copies/mL, Week 24 | <50 copies/mL, Week 48 | <400 copies/mL, Baseline | <400 copies/mL, Week 4 | <400 copies/mL, Week 12 | <400 copies/mL, Week 24 | <400 copies/mL, Week 48 |
---|
ATV/Rtv 300/100 mg (Treatment A) | 9.1 | 31.8 | 59.1 | 63.6 | 50.0 | 40.9 | 77.3 | 68.2 | 72.7 | 50.0 |
,ATV/Rtv 400/100 mg (Treatment B) | 9.1 | 36.4 | 59.1 | 63.6 | 45.5 | 40.9 | 77.3 | 81.8 | 72.7 | 59.1 |
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The Percentage of Participants With a Virologic Response Using the Time to Loss of Virologic Response (TLOVR) Imputation Method
The table below shows the percentage of participants with a virologic response defined as a viral load <50 Copies/mL and <400 Copies/mL per time point calculated using the time to loss of virologic response (TLOVR) imputation method. (NCT00896051)
Timeframe: Baseline, Weeks 4, 12, 24, 48
Intervention | Percentage of Particpants (Number) |
---|
| <50 copies/mL, Baseline | <50 copies/mL, Week 4 | <50 copies/mL, Week 12 | <50 copies/mL, Week 24 | <50 copies/mL, Week 48 | <400 copies/mL, Baseline | <400 copies/mL, Week 4 | <400 copies/mL, Week 12 | <400 copies/mL, Week 24 | <400 copies/mL, Week 48 |
---|
ATV/Rtv 300/100 mg (Treatment A) | 9.1 | 31.8 | 59.1 | 63.6 | 45.5 | 36.4 | 77.3 | 68.2 | 68.2 | 59.1 |
,ATV/Rtv 400/100 mg (Treatment A) | 4.5 | 36.4 | 54.5 | 59.1 | 50.0 | 40.9 | 77.3 | 86.4 | 68.2 | 54.5 |
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Time to Confirmed Virologic Response
The table below provides the time in days it took participants to reach a confirmed virologic response defined as a plasma viral load (VL) <50 copies/mL, and plasma VL <400 copies/mL analyzed according to the Time to Loss of Virologic Response (TLOVR) imputation method. (NCT00896051)
Timeframe: Prebaseline to Week 48
Intervention | Days (Median) |
---|
| Plasma VL < 50 copies/mL | Plasma VL < 400 copies/mL |
---|
ATV/Rtv 300/100 mg (Treatment A) | 71.0 | 28.0 |
,ATV/Rtv 400/100 mg (Treatment B) | 76.0 | 28.0 |
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Time to Virologic Failure
The table below shows the number of days to virologic failure defined as a plasma viral load (VL) > 50 copies/mL for participants who had been virologic responders (ie, having a plasma VL <50, and <400 copies/mL according to the time to loss of virologic response [TLOVR] imputation method). Time to virologic failure was the time to subsequent loss of virologic response, and the time was calculated from Prebaseline (Week -2). Participants who never achieved a virologic response were defined as nonresponders and counted as virologic failures on Day 1. (NCT00896051)
Timeframe: Prebaseline to Week 48
Intervention | Days (Median) |
---|
| Virologic Responders (Plasma VL < 50 copies/mL) | Virologic Responders (Plasma VL < 400 copies/mL) |
---|
ATV/Rtv 300/100 mg (Treatment A) | 318.0 | NA |
,ATV/Rtv 400/100 mg (Treatment B) | NA | NA |
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Change From Pre-Baseline in Log10 Viral Load Over Time
The table below shows the mean change from prebaseline over time in log10 (Copies/mL) plasma viral load using the Non-Completing = Failure (NC=F) imputation method. (NCT00896051)
Timeframe: Pre-Baseline, Baseline, Weeks 4, 12, 24, 48
Intervention | log10 (Copies/mL) (Mean) |
---|
| Baseline | Week 4 | Week 12 | Week 24 | Week 48 |
---|
ATV/Rtv 300/100 mg (Treatment A) | -1.4 | -1.9 | -1.7 | -1.8 | -1.4 |
,ATV/Rtv 400/100 mg (Treatment B) | -1.4 | -1.8 | -2.0 | -1.8 | -1.4 |
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Change From Prebaseline in CD4+ Cell Count Over Time
The table below shows the mean change from prebaseline over time in CD4+ cell count using the Non-Completing = Failure (NC=F) imputation method. (NCT00896051)
Timeframe: Prebaseline, Baseline, Weeks 4, 12, 24, 48
Intervention | CD4+ cell count (Mean) |
---|
| Baseline | Week 4 | Week 12 | Week 24 | Week 48 |
---|
ATV/Rtv 300/100 mg (Treatment A) | 16 | 55 | 31 | 54 | 105 |
,ATV/Rtv 400/100 mg (Treatment B) | 8 | 46 | 72 | 83 | 132 |
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Pharmacokinetic Results of Atazanavir (ATV): Treatment B: ATV/Low-Dose Ritonavir (Rtv) 400/100 mg (Results for C0h, Cmin, and Cmax)
The table below shows pharmacokinetic (PK) results of atazanavir (ATV) when administered as ATV/ritonavir (rtv) 300/100 mg pretreatment (Reference) and when administered as ATV/rtv 400/100 mg at Week 2 after treatment (Test). Results are expressed as the predose plasma concentration (C0h), minimum plasma concentration (Cmin), maximum plasma concentration (Cmax), and area under the plasma concentration-time curve from time of intake to 24 hours after dosing (AUC24hr). (NCT00896051)
Timeframe: Day -1 (Reference); Week 2 (Test)
Intervention | ng/ml (Mean) |
---|
| C0h, ng/ml (Reference, n=22; Test, n=20) | Cmin, ng/ml (Reference, n=21;Test, n=18) | Cmax, ng/ml (Reference, n=22; Test, n=20) |
---|
ATV/Rtv 300/100 mg (Reference) | 1898 | 1671 | 6419 |
,ATV/Rtv 400/100 mg (Test) | 1545 | 1107 | 6950 |
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Percentage of Participants With Undetectable Plasma Viral Load (VL) Values (<50 Copies/mL) at Week 48
The table below shows the percentage of participants wih undetectable plasma viral load (VL) values (<50 copies/mL) at Week 48 using the Non-Completing = Failure (NC=F) imputation method (ie, participants who discontinued early were counted as nonresponders by having their VL values after discontinuation imputed with their baseline value, thus resulting in a 0 change). (NCT00896051)
Timeframe: Week 48
Intervention | Percentage of Participants (Number) |
---|
ATV/Rtv 300/100 mg (Treatment A) | 50.0 |
ATV/Rtv 400/100 mg (Treatment B) | 45.5 |
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Pharmacokinetic Results of Atazanavir (ATV): Treatment A: ATV/Low-Dose Ritonavir (Rtv) 300/100 mg (Results for AUC24hr)
The table below shows pharmacokinetic (PK) results of atazanavir (ATZ) when administered as ATV/rtv 300/100 mg pretreatment (Reference) and at Week 2 after treatment (Test). Results are expressed as the area under the plasma concentration-time curve from time of intake to 24 hours after dosing (AUC24hr). (NCT00896051)
Timeframe: Day -1 (Pretreatment); Week 2 (Test)
Intervention | ng.h/mL (Mean) |
---|
ATV/Rtv 300/100 mg (Reference) | 60030 |
ATV/Rtv 300/100 mg (Test) | 55070 |
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Maintenance of Virologic Suppression
To evaluate and compare maintenance of virologic suppression with raltegravir (RAL) 400mg 2x daily plus atazanavir (ATV) dosed either as ATV/ritonavir (RTV)300/100mg 1x daily or ATV 300mg 2x daily in subjects with virologic suppression on a standard regimen of ATV/RTV plus Truvada. Virologic suppression is defined as HIV RNA < 40 copies/mL. (NCT00931801)
Timeframe: 48 weeks
Intervention | participants (Number) |
---|
| Virologic Response | Confirmed Virologic Failures | Withdrawal Due to AE; HIV RNA < 50 copies/mL | Other Withdrawal; HIV RNA < 50 copies/mL |
---|
Control Arm | 13 | 0 | 0 | 1 |
,Intervention Arm No.1 | 14 | 0 | 0 | 1 |
,Intervention Arm No.2 | 10 | 3 | 1 | 0 |
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Change in Quality of Life From Baseline to 48 Weeks of Study Treatment
Quality of Life was measured by self report using a standardized scale, where 0 is death and 100 is perfect health. The baseline measure was obtained prior to initiation of study treatment arm. The week 48 measure captures Quality of Life by self report at 48 weeks of study treatment. (NCT00931801)
Timeframe: baseline and 48 weeks
Intervention | units on a scale (Mean) |
---|
| Mean Quality of Life Score at Baseline | Mean Quality of Life Score at Week 48 | Change in Quality of Life |
---|
Control Arm | 92.9 | 90.5 | -2.5 |
,Intervention Arm No.1 | 77.4 | 78.2 | 0.8 |
,Intervention Arm No.2 | 82.5 | 81.3 | -1.3 |
,Total | 84.2 | 83.3 | -0.9 |
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The Change in Adherence to Study Treatment Arm From Baseline to Week 48
Adherence to study treatment reported as the percentage of doses of the prescribed treatment arm regimen taken, described by each subject through recall of dosing in the three days prior to the visit Baseline and Week 48 vistis. The change in adherence is reflected as the difference of the mean percentage of adherence per arm between Baseline and Week 48 visits. (NCT00931801)
Timeframe: Baseline and Week 48
Intervention | percentage of prescribed doses (Mean) |
---|
| 3 Day Adherence Recall at Baseline | 3 Day Adherence Recall at Week 48 | Change in 3 Day Adherence Recall |
---|
Control Arm | 100 | 100 | 0 |
,Intervention Arm No.1 | 97.5 | 97.5 | 0 |
,Intervention Arm No.2 | 96.7 | 95.0 | -1.7 |
,Total | 98.1 | 97.6 | -0.5 |
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The Difference in CD4 From Baseline to Week 48
Change in mean CD4 from Baseline to Week 48. (NCT00931801)
Timeframe: Baseline and Week 48
Intervention | cells/mm3 (Mean) |
---|
| CD4 at Baseline | CD4 at Week 48 | CD4 Change |
---|
Control Arm | 535.8 | 611.2 | 75.4 |
,Intervention Arm No.1 | 514.1 | 526.3 | 12.1 |
,Intervention Arm No.2 | 539.1 | 507.2 | -31.9 |
,Total | 528.3 | 549.3 | 21.0 |
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Viral Load
Number of participants with undetectable viral load (NCT00940771)
Timeframe: 4 weeks, 12 weeks, 24 weeks
Intervention | Participants (Count of Participants) |
---|
| Week 4 | Week 12 | Week 24 |
---|
Boosted Atazanavir | 10 | 9 | 9 |
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CD4 Count
(NCT00940771)
Timeframe: 4 Weeks, 12 weeks, 24 weeks
Intervention | cells/uL (Mean) |
---|
| Week 4 | Week 12 | Week 24 |
---|
Boosted Atazanavir | 1214.3 | 1151.9 | 1120.0 |
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Non-fasting Cholesterol
(NCT00940771)
Timeframe: 4 Weeks, 12 weeks, 24 weeks
Intervention | mg/dL (Mean) |
---|
| Week 4 | Week 12 | Week 24 |
---|
Boosted Atazanavir | 187.2 | 178.5 | 181.5 |
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Non-fasting Triglycerides
(NCT00940771)
Timeframe: 4 weeks, 12 weeks, 24 weeks
Intervention | mg/dL (Mean) |
---|
| Week 4 | Week 12 | Week 24 |
---|
Boosted Atazanavir | 240.5 | 195.5 | 193.3 |
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Area Under the Concentration Curve (in 1 Dosing Interval From Time 0 to 24 Hours Post Observed Dose) (AUC[TAU])of Atazanavir and Ritonavir
(NCT01099579)
Timeframe: At Week 2 at Hour 0 predose and at Hours 1.5, 2.5, 4, 6, 8, 12, and 24 postdose
Intervention | ng*h/mL (Geometric Mean) |
---|
| AUC(TAU) Atazanavir | AUC(TAU) Ritonavir (n=19, 18, 15) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 32503 | 17439 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 50305 | 20510 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 61485 | 13640 |
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Apparent Total Body Clearance Per Body Weight (CLT/F) Per Kilogram of Atazanavir and Ritonavir
Calculated as CLT/F divided by body weight (NCT01099579)
Timeframe: At Week 2
Intervention | L/h per kilogram (Geometric Mean) |
---|
| CLT/F per kilogram Atazanavir | CLT/F per kilogram Ritonavir (n=19, 18, 15) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 0.65 | 0.65 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 0.32 | 0.32 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 0.24 | 0.35 |
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Number of Participants With Laboratory Test Results With Worst Toxicity of Grade 3-4
ALT=alanine aminotransferase; SGPT=serum glutamic-pyruvic transaminase; AST=aspartate aminotransferase; SGOT=serum glutamic-oxaloacetic transaminase; ULN=upper limit of normal. Grading by the National Institute of Health Division of AIDs and World Health Organization criteria. Hemoglobin (g/dL): Grade (Gr)1=9.5-11.0; Gr 2=8.0-9.4; Gr 3=6.5-7.9; Gr 4=<6.5. Neutrophils, absolute (/mm^3): Gr 1=>=1000-<1500; Gr 2= >=750-<1000; Gr 3=>=500-<750; Gr 4=<500. ALT/SGPT (*ULN): Gr 1=1.25-2.5; Gr 2=2.6-5; Gr 3=5.1-10; Gr 4=>10. AST/SGOT (*ULN): Gr 1=1.25-2.5; Gr 2=2.6-5; Gr 3=5.1-10; Gr 4=>10. Alkaline phosphatase(*ULN): Gr 1=1.25-2.5; Gr 2=2.6-5: Gr 3=5.1-10; Gr 4=>10. Total bilirubin (*ULN): Gr 1=1.1-1; Gr 2=1.6-2.5; Gr 3=2.6-5; Gr 4=>5. Amylase (*ULN): Gr 1=1.10-39; Gr 2=1.40-2; Gr 3=2.10-5.0; Gr 4=>5.0. Lipase (*ULN): Gr 1=1.10-1.39: Gr 2=1.40-2; Gr 3=2.10-5.0; Gr 4=>5.0. Uric acid (mg/dL): Gr 1=7.5-10.0; Gr 2=10.1-12.0; Gr 3=12.1-15.0; Gr 4=>15. (NCT01099579)
Timeframe: After Day 1 to Week 48
Intervention | Participants (Number) |
---|
| Hemoglobin (n=20, 17, 15) | Neutrophils, absolute (n=20, 17, 15) | ALT/SGPT (n=20, 18, 15) | AST/SGOT (n=20, 18, 15) | Alkaline phosphatase (n=20, 18, 15) | Total bilirubin (n=20, 18, 15) | Amylase (n=20, 18, 15) | Lipase (n=20, 18, 15) | Uric acid n=20, 18, 15) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 2 | 3 | 5 | 1 | 0 | 2 | 8 | 0 | 0 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 3 | 2 | 0 | 0 | 1 | 0 | 5 | 1 | 0 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 0 | 0 | 1 | 0 | 0 | 3 | 1 | 1 | 1 |
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Electrocardiogram Changes From Baseline in PR Interval, QTC Bazett, and QTC Fridericia at Week 48
Electrocardiogram parameters were measured at baseline for QTC Bazett, QTC Fridericia, and PR interval. The mean change from baseline at week 48 is reported by arm in milliseconds. (NCT01099579)
Timeframe: From Baseline to Week 48
Intervention | Milliseconds (Mean) |
---|
| PR Interval | QTC Bazett | QTC Fridericia |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 4.9 | 1.7 | 7.9 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 12.0 | -3.2 | 13.2 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 6.2 | -4.2 | 4.8 |
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Mean CD4 Percent Changes From Baseline at Week 48 by Antiretroviral (ARV) Treatment Status
(NCT01099579)
Timeframe: From Baseline to Week 48
Intervention | Percentage of lymphocytes (Mean) |
---|
ARV-experienced | 4.3 |
ARV-naive | 9.8 |
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Mean CD4 Percent Changes From Baseline at Week 48 by Treatment/Weight
(NCT01099579)
Timeframe: From Baseline to Week 48
Intervention | Percentage of lymphocytes (Mean) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 6.1 |
Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 7.3 |
Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 8.8 |
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Mean Change From Baseline in HIV RNA Levels at Week 48 by Prior Antiretroviral (ARV) Treatment Status
(NCT01099579)
Timeframe: From Baseline to Week 48
Intervention | Log10 c/mL (Mean) |
---|
ARV-experienced | -2.53 |
ARV-naive | -2.81 |
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Mean Change From Baseline in HIV RNA Levels at Week 48 by Treatment/Weight
Participants who received at least 1 dose of atazanavir (ATV) and had an HIV RNA measurement on ATV powder at did not switch to the capsule formulation before Week 48 (NCT01099579)
Timeframe: From Baseline to Week 48
Intervention | Log10 c/mL (Mean) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | -2.61 |
Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | -2.93 |
Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | -2.40 |
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Apparent Total Body Clearance (CLT/F) of Atazanavir and Ritonavir
Calculated as dose divided by AUC(TAU). AUC(TAU)=area under the concentration-time curve in 1 dosing interval from time 0 to 24 hours post observed dose. (NCT01099579)
Timeframe: At Week 2
Intervention | L/h (Geometric Mean) |
---|
| CLT/F Atazanavir | CLT/F Ritonavir (n=19, 18, 15 |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 4.61 | 4.59 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 3.98 | 3.90 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 4.07 | 5.87 |
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Number of Participants With Centers for Disease Control (CDC) Class C AIDS Events
CDC Class C events are AIDS-defining events that include recurrent bacterial pneumonia (>=2 episodes in 12 months); candidiasis of the bronchi, trachea, lungs, or esophagus; invasive cervical carcinoma; disseminated or extrapulmonary coccidioidomycosis; extrapulmonary cryptococcosis; chronic intestinal cryptosporidiosis (>1 month); cytomegalovirus disease; HIV-related encephalopathy; herpes simplex: chronic ulcers, or bronchitis, pneumonitis, or esophagitis; disseminated or extrapulmonary histoplasmosis; chronic intestinal isosporiasis; Kaposi sarcoma; immunoblastic or primary brain Burkitt lymphoma; mycobacterium avium complex, kansasii, or tuberculosis; mycobacterium, other species; Pneumocystis carinii pneumonia; progressive multifocal leukoencephalopathy; Salmonella septicemia; recurrent toxoplasmosis of brain; HIV wasting syndrome (involuntary weight loss >10% of baseline body weight) with chronic diarrhea or chronic weakness and documented fever for ≥1 month. (NCT01099579)
Timeframe: From Day 1 to Week 48
Intervention | Participants (Number) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 1 |
Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 1 |
Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 0 |
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Number of Participants Who Acquired Phenotypic Resistance to Atazanavir or Atazanovir/Ritonavir
Criteria for resistance testing= meeting at least 1 of the following: <1 log10 drop from baseline in HIV RNA level by Week 16 and confirmed by a second HIV RNA level; an HIV RNA level >200 copies/mL after Week 24, confirmed by a second HIV RNA level; repeated HIV RNA levels ≥50 copies/mL after Week 48; an HIV RNA level ≥400 copies/mL confirmed by a second HIV RNA level of ≥400 copies/mL at any time in a participant who had previously achieved a plasma HIV RNA level <50 copies/mL; or discontinued due to lack of efficacy. Virologic failure was defined as an incomplete virologic response to therapy or as a viral rebound after the achievement of virologic suppression. The phenotypic resistance to a drug is defined as a fold change (ie, ratio of the 50% inhibitory concentration [IC50] of the clinical isolate to the IC50 of the reference strain) greater than the cut-off for reduced susceptibility. (NCT01099579)
Timeframe: After Day 1 to Week 48
Intervention | Participants (Number) |
---|
| Atazanavir | Ritonavir |
---|
ARV-experienced | 0 | 0 |
,ARV-naive | 0 | 0 |
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Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. (NCT01099579)
Timeframe: From Day 1 to Week 48
Intervention | Participants (Number) |
---|
| Deaths | SAEs | AEs leading to discontinuation |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 0 | 5 | 4 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 0 | 2 | 1 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 0 | 4 | 0 |
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Time to Maximum Observed Concentration (Tmax) of Atazanavir and Ritonavir
(NCT01099579)
Timeframe: At Week 2 at Hour 0 predose and at Hours 1.5, 2.5, 4, 6, 8, 12, and 24 postdose
Intervention | Hours (Median) |
---|
| Tmax Atazanavir | Tmax Ritonavir |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 1.58 | 1.8 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 1.97 | 2.9 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 4.0 | 4.0 |
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Percentage of Participants With HIV RNA Levels <50 c/mL and <400 c/mL at Week 48 by Treatment/Weight
The definition of virologic success included HIV RNA levels <50 c/mL or 400 c/mL at the Week 48 analysis window. . (NCT01099579)
Timeframe: At Week 48
Intervention | Percentage of participants (Number) |
---|
| HIV RNA levels <50 c/mL | HIV RNA levels <400 c/mL |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 47.6 | 66.7 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 68.4 | 73.7 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 71.4 | 85.7 |
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Percentage of Participants With HIV RNA Levels <50 c/mL and <400 c/mL at Week 48 by Prior Antiretroviral (ARV) Treatment Status
The definition of virologic success included HIV RNA levels <50 c/mL or <400 c/mL at the Week 48 analysis. (NCT01099579)
Timeframe: From Day 1 to Week 48
Intervention | Percentage of participants (Number) |
---|
| HIV RNA levels <50 c/mL | HIV RNA levels <400 c/mL |
---|
ARV-experienced | 56.3 | 65.6 |
,ARV-naive | 68.2 | 86.4 |
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Maximum Observed Concentration (Cmax) and Minimum Observed Concentration (Cmin) of Atazanavir and Ritonavir
(NCT01099579)
Timeframe: At Week 2 at Hour 0 predose and at Hours 1.5, 2.5, 4, 6, 8, 12, and 24 postdose
Intervention | ng/mL (Geometric Mean) |
---|
| Atazanavir Cmax | Atazanavir Cmin | Ritonavir Cmax (n=19, 18, 15) | Ritonavir Cmin (n=18, 16, 15) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 4131 | 336 | 2919 | 41.8 |
,Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 5197 | 572 | 2634 | 143 |
,Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 6172 | 698 | 1838 | 51.0 |
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CD4 Cell Count Changes From Baseline at Week 48 by Treatment/Weight
(NCT01099579)
Timeframe: From Baseline to Week 48
Intervention | Cells/mm^3 (Mean) |
---|
Atazanavir Powder, 150 mg/Ritonavir Oral Solution, 80 mg | 550.1 |
Atazanavir Powder, 200 mg/Ritonavir Oral Solution, 80 mg | 225.3 |
Atazanavir Powder, 250 mg/Ritonavir Oral Solution, 80 mg | 373.8 |
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CD4 Cell Count Changes From Baseline at Week 48 by Prior Antiretroviral (ARV) Treatment Status
(NCT01099579)
Timeframe: From Baseline to Week 48
Intervention | Cells/mm^3 (Mean) |
---|
ARV-experienced | 437.9 |
ARV-naive | 352.1 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 24 Visit: Observed, MD=F, and SNAPSHOT Analyses
The percentage of PAR with HIV-1 RNA virus <400 c/mL determined from blood samples drawn at Week 24 was tabulated by treatment arm with stratification by initial antiretroviral treatment using specific analysis methods. (NCT01102972)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
| Observed, n=181, 89 | M/D=F, n=199, 97 | SNAPSHOT, n=199, 97 |
---|
ABC/3TC + ATV | 98.9 | 88.9 | 89.4 |
,TDF/FTC + ATV/RTV | 98.9 | 88.7 | 89.7 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 48 Visit: Observed, MD=F, and SNAPSHOT Analyses
The percentage of PAR with HIV-1 RNA virus <400 c/mL determined from blood samples drawn at Week 48 was tabulated by treatment arm with stratification by initial antiretroviral treatment using specific analysis methods. (NCT01102972)
Timeframe: Week 48
Intervention | Percentage of participants (Number) |
---|
| Observed, n=169, 82 | M/D=F, n=199, 97 | SNAPSHOT, n=199, 97 |
---|
ABC/3TC + ATV | 96 | 81 | 82 |
,TDF/FTC + ATV/RTV | 100 | 82 | 85 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 c/mL at the Week 24 Visit: Observed, M/D=F, and SNAPSHOT Analyses
The percentage of PAR with HIV-1 RNA virus <50 c/mL determined from blood samples drawn through Week 24 was tabulated by treatment arm with stratification by initial antiretroviral treatment using specific analysis methods. (NCT01102972)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
| Observed, n=181, 89 | M/D=F, n=199, 97 | SNAPSHOT, n=199, 97 |
---|
ABC/3TC + ATV | 94.5 | 84.9 | 84.9 |
,TDF/FTC + ATV/RTV | 97.7 | 87.6 | 88.7 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 c/mL at the Week 48 Visit: TLOVR, Observed, M/D=F, and SNAPSHOT Analyses
The percentage of PAR with HIV-1 RNA virus <50 c/mL determined from blood samples drawn at Week 48 was tabulated by treatment arm with stratification by initial antiretroviral treatment using specific analysis methods. (NCT01102972)
Timeframe: Week 48
Intervention | Percentage of participants (Number) |
---|
| TLOVR, n=199, 97 | Observed, n=169, 82 | M/D=F, n=199, 97 | SNAPSHOT, n=199, 97 |
---|
ABC/3TC + ATV | 76.4 | 91.1 | 76.9 | 77.4 |
,TDF/FTC + ATV/RTV | 79.4 | 96.3 | 79.4 | 81.4 |
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Number of Confirmed Virologic Failure Participants (PAR) From Baseline Through Week 48 With the Indicated Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Tenofovir, Emtricitabine, Atazanavir, or Ritonavir
A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at Baseline. (NCT01102972)
Timeframe: From Baseline to Week 48
Intervention | participants (Number) |
---|
| HIV PAR with reduced abacavir susceptibility | HIV PAR with reduced lamivudine susceptibility | HIV PAR with reduced tenofovir susceptibility | HIV PAR with reduced emtricitabine susceptibility | HIV PAR with reduced atazanavir susceptibility | HIV PAR with reduced ritonavir susceptibility |
---|
ABC/3TC + ATV | 1 | 2 | 0 | 2 | 2 | 2 |
,TDF/FTC + ATV/RTV | 0 | 0 | 0 | 0 | 0 | 0 |
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Change From Baseline in Cholesterol/HDL Ratio at Week 48
A fasting blood sample was drawn to analyze for lipids. Change from Baseline was calculated as the Week 48 value minus the Baseline value for each parameter. (NCT01102972)
Timeframe: Baseline and Week 48
Intervention | ratio (Mean) |
---|
ABC/3TC + ATV | 0.00 |
TDF/FTC + ATV/RTV | 0.00 |
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Change From Baseline in Cholesterol/HDL Ratio at Week 24
A Fasting blood sample was drawn to analyze for lipids. Change from Baseline was calculated as the Week 24 value minus the Baseline value. (NCT01102972)
Timeframe: Baseline and Week 24
Intervention | ratio (Mean) |
---|
ABC/3TC + ATV | -0.20 |
TDF/FTC + ATV/RTV | -0.01 |
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Change From Baseline in CD4+ Cell Count at Week 48
Blood was drawn to analyze for CD4+ cell count. A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from Baseline was calculated as the Week 48 value minus the Baseline value. (NCT01102972)
Timeframe: Baseline and Week 48
Intervention | cells per cubic millimeter (mm^3) (Mean) |
---|
ABC/3TC + ATV | 95.8 |
TDF/FTC + ATV/RTV | 57.2 |
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Change From Baseline in CD4+ Cell Count at Week 24
Blood was drawn to analyze for CD4+ cell count. A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from Baseline was calculated as the Week 24 value minus the Baseline value. (NCT01102972)
Timeframe: Baseline and Week 24
Intervention | cells per cubic millimeter (mm^3) (Mean) |
---|
ABC/3TC + ATV | 47.7 |
TDF/FTC + ATV/RTV | 8.3 |
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Number of Participants Who Met the Protocol-defined Confirmed Viral Failure Criteria Through Week 48
The number of participants that failed to remain virologically suppressed from baseline through 48 weeks on treatment was assessed. Viral failure is defined per protocol as confirmed HIV-1 RNA >=400 c/mL. (NCT01102972)
Timeframe: From Baseline to Week 48
Intervention | participants (Number) |
---|
ABC/3TC + ATV | 4 |
TDF/FTC + ATV/RTV | 1 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 24 Visit: TLOVR Analysis
The percentage of PAR with HIV-1 RNA virus <400 c/mL determined from blood samples drawn at Week 24 was tabulated by treatment arm with stratification by initial antiretroviral treatment. Per TLOVR algorithm, responders were PAR with confirmed viral load <400 c/mL who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA <400 c/mL, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 400 c/mL, or had an unconfirmed HIV RNA of at least 400 c/mL at the last visit. (NCT01102972)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
ABC/3TC + ATV | 88.4 |
TDF/FTC + ATV/RTV | 86.6 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <400 c/mL at the Week 48 Visit: TLOVR Analysis
The percentage of PAR with HIV-1 RNA virus <400 c/mL determined from blood samples drawn at Week 48 was tabulated by treatment arm with stratification by initial antiretroviral treatment. Per TLOVR algorithm, responders were PAR with confirmed viral load <400 c/mL who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA <400 c/mL, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 400 c/mL, or had an unconfirmed HIV RNA of at least 400 c/mL at the last visit. (NCT01102972)
Timeframe: Week 48
Intervention | Percentage of participants (Number) |
---|
ABC/3TC + ATV | 81 |
TDF/FTC + ATV/RTV | 84 |
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Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c)/Milliliter (mL) at the Week 24 Visit: TLOVR Analysis
The percentage of PAR with HIV-1 RNA virus <50 c/mL determined from blood samples drawn at Week 24 was tabulated by treatment arm with stratification by initial antiretroviral treatment. Per TLOVR algorithm, responders were PAR with confirmed viral load <50 c/mL who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA <50 c/mL, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 50 c/mL, or had an unconfirmed HIV RNA of at least 50 c/mL at the last visit. (NCT01102972)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
ABC/3TC + ATV | 86.9 |
TDF/FTC + ATV/RTV | 86.6 |
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Change From Baseline in Fasting Triglycerides, Total Cholesterol, High-density Lipoprotein (HDL) Cholesterol, and Low-density Lipoprotein (LDL) Cholesterol at Week 24
Triglycerides, total cholesterol, HDL cholesterol, and LDL cholesterol levels were measured at Week 24. A Fasting blood sample was drawn to analyze for lipids. Change from Baseline was calculated as the Week 24 value minus the Baseline value for each parameter. (NCT01102972)
Timeframe: Baseline and Week 24
Intervention | milligrams per deciliter (mg/dL) (Mean) |
---|
| Triglycerides, n=170, 81 | Total cholesterol, n=170, 81 | HDL cholesterol, n=170, 81 | LDL cholesterol (Calculation), n=166, 80 |
---|
ABC/3TC + ATV | -17.23 | 4.49 | 4.50 | 3.34 |
,TDF/FTC + ATV/RTV | -4.35 | 0.14 | -0.20 | 0.94 |
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Change From Baseline in Fasting Triglycerides, Total Cholesterol, High-density Lipoprotein (HDL) Cholesterol, and Low-density Lipoprotein (LDL) Cholesterol at Week 48
Triglycerides, total cholesterol, HDL cholesterol, and LDL cholesterol levels were measured or calculated at Week 48. A fasting blood sample was drawn to analyze for lipids. Change from Baseline was calculated as the Week 48 value minus the Baseline value for each parameter. (NCT01102972)
Timeframe: Baseline and Week 48
Intervention | milligrams per deciliter (mg/dL) (Mean) |
---|
| Triglycerides, n=152, 76 | Total cholesterol, n=152, 76 | HDL cholesterol, n=152, 76 | LDL cholesterol (Calculation), n=148, 71 |
---|
ABC/3TC + ATV | -9.28 | 7.62 | 3.11 | 5.28 |
,TDF/FTC + ATV/RTV | 7.71 | 0.62 | 0.53 | -0.62 |
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Change From Baseline in HIV-1 RNA at Week 48
Change from Baseline was calculated as the Week 48 value minus the Baseline value. Blood was drawn to analyze for plasma HIV viral load. (NCT01102972)
Timeframe: Baseline and Week 48
Intervention | log10 copies/mL (Mean) |
---|
ABC/3TC + ATV | 0.071 |
TDF/FTC + ATV/RTV | -0.018 |
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Number of Confirmed Virologic Failure (VF) Participants (PAR) With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 24
A blood sample was drawn for particiapants with confirmed VF >=400 c/mL. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at Baseline. New resistance-associated viral mutations defined by the International Acquired Immunodeficiency Syndrome Society-United States of America guidelines present at the time of failure were tabulated by drug class. NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor. (NCT01102972)
Timeframe: From Baseline to Week 24
Intervention | participants (Number) |
---|
| PAR with treatment-emergent mutations | PAR with NRTI mutations | PAR with NNRTI mutations | PAR with major PI mutations | PAR with minor PI mutations |
---|
ABC/3TC + ATV | 2 | 1 | 1 | 1 | 2 |
,TDF/FTC + ATV/RTV | 1 | 0 | 0 | 0 | 1 |
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Number of Confirmed Virologic Failure (VF) Participants (PAR) With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 48
A blood sample was drawn for particiapants with confirmed VF >=400 c/mL. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at Baseline. New resistance-associated viral mutations defined by the International Acquired Immunodeficiency Syndrome Society-United States of America guidelines present at the time of failure were tabulated by drug class. NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor. (NCT01102972)
Timeframe: From Baseline to Week 48
Intervention | participants (Number) |
---|
| PAR with treatment-emergent mutations | PAR with NRTI mutations | PAR with major NNRTI mutations | PAR with major PI mutations | PAR with minor PI mutations |
---|
ABC/3TC + ATV | 4 | 2 | 1 | 2 | 4 |
,TDF/FTC + ATV/RTV | 1 | 0 | 0 | 0 | 1 |
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Number of Participants Who Experienced Death and/or Disease Progression
Death and clinical disease progression (as per CDC classification) were assessed from Baseline through Week 48. Disease progression is defined as progression from CDC Class A to B, Class A to C, or from Class B to C. AIDS CDC classifications are: Class A, Asymptomatic/lymphadenopathy/acute HIV; Class B, Symptomatic, not AIDS; Class C, AIDS indicator conditions. The CDC categorization of HIV/AIDS is based on the lowest documented CD4 cell count (Class A, >=500 cells per microliter [µl]; Class B, 200-499 cells/µl; Class C, <200 cells/µl) and on previously diagnosed HIV-related conditions. (NCT01102972)
Timeframe: From Baseline to Week 48
Intervention | participants (Number) |
---|
ABC/3TC + ATV | 0 |
TDF/FTC + ATV/RTV | 0 |
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Number of Participants Who Met the Protocol-defined Confirmed Viral Failure Criteria Through Week 24
The number of participants that failed to remain virologically suppressed through 24 weeks on treatment was assessed. Viral failure is defined per protocol as confirmed HIV-1 RNA >=400 c/mL. (NCT01102972)
Timeframe: From Baseline to Week 24
Intervention | participants (Number) |
---|
ABC/3TC + ATV | 2 |
TDF/FTC + ATV/RTV | 1 |
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Number of Confirmed Virologic Failure Participants (PAR) From Baseline Through Week 24 With the Indicated Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Tenofovir, Emtricitabine, Atazanavir, or Ritonavir
A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at Baseline. (NCT01102972)
Timeframe: From Baseline to Week 24
Intervention | participants (Number) |
---|
| HIV PAR with reduced abacavir susceptibility | HIV PAR with reduced lamivudine susceptibility | HIV PAR with reduced tenofovir susceptibility | HIV PAR with reduced emtricitabine susceptibility | HIV PAR with reduced atazanavir susceptibility | HIV PAR with reduced ritonavir susceptibility |
---|
ABC/3TC + ATV | 1 | 1 | 0 | 1 | 1 | 1 |
,TDF/FTC + ATV/RTV | 0 | 0 | 0 | 0 | 0 | 0 |
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Change From Baseline in HIV-1 RNA at Week 24
Change from Baseline was calculated as the Week 24 value minus the Baseline value. Blood was drawn to analyze for plasma HIV viral load. (NCT01102972)
Timeframe: Baseline and Week 24
Intervention | log10 copies/mL (Mean) |
---|
ABC/3TC + ATV | 0.014 |
TDF/FTC + ATV/RTV | 0.008 |
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Number of Participants With the Indicated Grade 2 to Grade 4 Adverse Events (AEs) Occurring at a Frequency of >=3% in Either Treatment Group
The National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 is a descriptive terminology that can be utilized for AE reporting. A grading (severity) scale is provided for each AE. Grade refers to the severity of the adverse event (AE). The CTCAE v3.0 displays Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1, mild AE; Grade 2, moderate AE; Grade 3, severe AE; Grade 4, life-threatening or disabling AE; Grade 5, death related to the AE. (NCT01102972)
Timeframe: From Baseline to Week 48
Intervention | participants (Number) |
---|
| Any Event | Upper respiratory tract infection | Diarrhoea | Depression | Back pain | Bronchitis | Insomnia | Muscle strain | Rash | Sinusitis | Muscle spasms |
---|
ABC/3TC + ATV | 90 | 11 | 7 | 6 | 4 | 4 | 6 | 3 | 6 | 2 | 2 |
,TDF/FTC + ATV/RTV | 44 | 7 | 4 | 3 | 3 | 3 | 0 | 3 | 0 | 4 | 3 |
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Number of Participants With the Indicated Grade 2 to Grade 4 Adverse Events (AEs) Occurring at a Frequency of >=3% in Either Treatment Group
The National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 is a descriptive terminology that can be utilized for AE reporting. A grading (severity) scale is provided for each AE. Grade refers to the severity of the adverse event (AE). The CTCAE v3.0 displays Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1, mild AE; Grade 2, moderate AE; Grade 3, severe AE; Grade 4, life-threatening or disabling AE; Grade 5, death related to the AE. (NCT01102972)
Timeframe: From Baseline to Week 24
Intervention | participants (Number) |
---|
| Upper respiratory tract infection | Diarrhoea | Bronchitis | Rash | Muscle strain | Muscle spasms | Sinusitis |
---|
ABC/3TC + ATV | 7 | 5 | 4 | 6 | 2 | 1 | 1 |
,TDF/FTC + ATV/RTV | 6 | 3 | 3 | 0 | 3 | 3 | 3 |
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Change From Baseline in CD4 Cell Count at Week 48
(NCT01108510)
Timeframe: Baseline to Week 48
Intervention | cells/μL (Mean) |
---|
ATV+COBI+FTC/TDF | 213 |
ATV+RTV+FTC/TDF | 219 |
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Change From Baseline in CD4 Cell Count at Week 192
(NCT01108510)
Timeframe: Baseline to Week 192
Intervention | cells/μL (Mean) |
---|
ATV+COBI+FTC/TDF | 350 |
ATV+RTV+FTC/TDF | 343 |
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Change From Baseline in CD4 Cell Count at Week 144
(NCT01108510)
Timeframe: Baseline to Week 144
Intervention | cells/μL (Mean) |
---|
ATV+COBI+FTC/TDF | 310 |
ATV+RTV+FTC/TDF | 332 |
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Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 96 was analyzed using the snapshot algorithm. (NCT01108510)
Timeframe: Week 96
Intervention | percentage of participants (Number) |
---|
ATV+COBI+FTC/TDF | 77.9 |
ATV+RTV+FTC/TDF | 79.3 |
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Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the prespecified time point within an allowed window of time, along with study drug discontinuation status. (NCT01108510)
Timeframe: Week 48
Intervention | percentage of participants (Number) |
---|
ATV+COBI+FTC/TDF | 85.2 |
ATV+RTV+FTC/TDF | 87.4 |
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Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 192
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 192 was analyzed using the snapshot algorithm. (NCT01108510)
Timeframe: Week 192
Intervention | percentage of participants (Number) |
---|
ATV+COBI+FTC/TDF | 71.6 |
ATV+RTV+FTC/TDF | 79.7 |
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Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 144
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 144 was analyzed using the snapshot algorithm. (NCT01108510)
Timeframe: Week 144
Intervention | percentage of participants (Number) |
---|
ATV+COBI+FTC/TDF | 72.1 |
ATV+RTV+FTC/TDF | 74.1 |
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Change From Baseline in CD4 Cell Count at Week 96
(NCT01108510)
Timeframe: Baseline to Week 96
Intervention | cells/μL (Mean) |
---|
ATV+COBI+FTC/TDF | 277 |
ATV+RTV+FTC/TDF | 287 |
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Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and Ritonavir
(NCT01232127)
Timeframe: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Intervention | ng/mL (Geometric Mean) |
---|
| Atazanavir Cmax | Atazanavir Ctrough | Ritonavir Cmax | Ritonavir Ctrough |
---|
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTI | 3512 | 496 | 1141 | 45.8 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20) | 4131 | 602 | 1148 | 49.2 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40) | 3322 | 494 | 1096 | 47.3 |
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Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and Ritonavir
(NCT01232127)
Timeframe: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Intervention | ng*h/mL (Geometric Mean) |
---|
| Atazanavir AUC | Ritonavir AUC |
---|
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTI | 32562 | 7317 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20) | 37894 | 7430 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40) | 31481 | 7052 |
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Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and Ritonavir
(NCT01232127)
Timeframe: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Intervention | Hours (Median) |
---|
| Atazanavir Tmax | Ritonavir Tmax |
---|
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTI | 3.0 | 4.0 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20) | 3.0 | 4.00 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40) | 3.0 | 4.0 |
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Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical Interest
An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. An SAE is any unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. (NCT01232127)
Timeframe: Days 1 through 25 (end of study), continuously, and at study discharge for those who discontinued prematurely.
Intervention | Participants (Number) |
---|
| Deaths | SAEs | AEs leading to discontinuation | AEs | AEs of clinical interest: Nausea | AEs of clinical interest: Diarrhea |
---|
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTI | 0 | 0 | 0 | 6 | 0 | 0 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20) | 0 | 0 | 0 | 7 | 2 | 3 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40) | 0 | 0 | 0 | 5 | 0 | 0 |
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Number of Participants With Abnormalities in Vital Signs
Vital signs include temperature, respiratory rate, seated blood pressure, and heart rate. (NCT01232127)
Timeframe: Days 1, 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Intervention | Participants (Number) |
---|
| Isolated decrease in heart rate | Sporadic respiration rate >16 bpm |
---|
All Treated | 2 | 11 |
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Number of Participants With Abnormalities in Laboratory Test Results
PreRX=pretreatment; ULN=upper limit of normal. Neutrophils, (absolute), low (10*3 c/uL): <0.85*PreRx, if PreRx <1.5; <1.5 if PreRx ≥1.5. Alanine aminotransferase, high (U/L): >1.25*PreRx if PreRx >ULN; >1.25*ULN if PreRx ≤ULN. Bilirubin, direct (mg/dL), high: >1.1*ULN if PreRx ≤ULN;> 1.1*ULN if PreRx is missing; >1.25*PreRx if PreRx >ULN. Bilirubin, total (mg/dL), high: >1.1*ULN if PreRx ≤ULN;> 1.1*ULN if PreRx is missing; >1.25*PreRx if PreRx >ULN. (NCT01232127)
Timeframe: Days 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Intervention | Participants (Number) |
---|
| WBC differential count (low) | Neutrophils (absolute) (low) | Alanine aminotransferase (high) | Aspartate aminotransferase (high) | Bilirubin, direct (high) | Bilirubin, total (high) |
---|
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTI | 1 | 0 | 0 | 0 | 1 | 3 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20) | 0 | 1 | 1 | 0 | 0 | 7 |
,Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40) | 0 | 0 | 0 | 1 | 0 | 5 |
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Number of Participants With Abnormalities in Electrocardiogram (ECG) Findings
ECG findings include heart rate, ECG intervals (including PR, QRS, QT, and corrections to QT using both Bazett's and Fridericia's formulae), and Investigator-identified ECG abnormalities. (NCT01232127)
Timeframe: Days 1 and 25 (end of study) and at study discharge for those who discontinued prematurely.
Intervention | Participants (Number) |
---|
| Nonspecific ST/T wave abnormality | Short PR interval |
---|
All Treated | 1 | 1 |
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Number of Participants With Genotypable/Phenotypable Isolates, Emergent Genotypic Substitutions in Patients With Genotypable Isolates, and Phenotypic Resistance in Patients With Phenotypable Isolates at Week 48
Viral genotypic and phenotypic resistance profiles were assessed for virologic rebound (HIV-1 RNA level ≥40 c/mL). Only patients with HIV-1 RNA levels ≥500 c/mL met the criteria for resistance testing. Genotypic substitutions at baseline were summarized for virologic rebound. The genotypic resistance profile presented patients with genotypable isolates, those with protease inhibitor substitutions from genotypable isolates, those with integrase substitutions from genotypable isolates, and those with selected reverse transcriptase substitutions from genotypable isolates using the most current version of the International AIDS Society-USA list and Stanford HIV Drug Resistance Database. Newly emergent genotypic substitutions were summarized analogously for virologic rebound without baseline phenotypic resistance to atazanavir, ritonavir, or raltegravir, using all on-treatment isolates. pts=patients (NCT01332227)
Timeframe: Day 1 to Week 48
Intervention | Participants (Number) |
---|
| Genotypable (GI)/phenotypable isolates (PI) | Emergent genotypic substitutions in GI pts (n=5,0) | Phenotypic resistance in PI pts (n=5,0) |
---|
Atazanavir/Ritonavir + Raltegravir | 5 | 5 | 1 |
,Atazanavir/Ritonavir + Tenofovir/Emtricitabine | 0 | 0 | 0 |
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Number of Participants With Genotypable/Phenotypable Isolates, Emergent Genotypic Substitutions in Patients With Genotypable Isolates, and Phenotypic Resistance in Patients With Phenotypable Isolates at Week 24
Viral genotypic and phenotypic resistance profiles were assessed for virologic rebound (HIV-1 RNA level ≥40 c/mL). Only patients with HIV-1 RNA levels ≥500 c/mL met the criteria for resistance testing. Genotypic substitutions at baseline were summarized for virologic rebound. The genotypic resistance profile presented patients with genotypable isolates, those with protease inhibitor substitutions from genotypable isolates, those with integrase substitutions from genotypable isolates, and those with selected reverse transcriptase substitutions from genotypable isolates using the most current version of the International AIDS Society-USA list and Stanford HIV Drug Resistance Database. Newly emergent genotypic substitutions were summarized analogously for virologic rebound without baseline phenotypic resistance to atazanavir, ritonavir, or raltegravir, using all on-treatment isolates. pts=patients (NCT01332227)
Timeframe: Day 1 to Week 24
Intervention | Participants (Number) |
---|
| Genotypable (GI)/phenotypable isolates (PI) | Emergent genotypic substitutions in GI pts (n=4,0) | Phenotypic resistance in PI pts (n=4,0) |
---|
Atazanavir/Ritonavir + Raltegravir | 4 | 4 | 1 |
,Atazanavir/Ritonavir + Tenofovir/Emtricitabine | 0 | 0 | 0 |
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Mean Changes in Fasting Lipid Levels From Baseline to Week 48
LD=low-density lipoprotein; HDL=high-density lipoprotein. (NCT01332227)
Timeframe: From Baseline to Week 48
Intervention | mg/dL (Mean) |
---|
| Fasting total cholesterol | Fasting LDL cholesterol | Fasting HDL cholesterol | Fasting non-HDL cholesterol | Fasting triglycerides |
---|
Atazanavir/Ritonavir + Raltegravir | 11.7 | 7.7 | 2.7 | 9.0 | 14.7 |
,Atazanavir/Ritonavir + Tenofovir/Emtricitabine | -10.2 | -5.4 | -0.3 | -9.8 | -17.6 |
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Percentage of Participants With HIV-1 RNA Level <40 c/mL at Week 48
Percentages of patients with HIV-1 RNA levels <40 c/mL were summarized at each scheduled visit. Longitudinal plots were created to display proportion versus visit week through Weeks 24 and 48 with error bars representing 95% confidence intervals. (NCT01332227)
Timeframe: From Day 1 to Week 48
Intervention | Percentage of participants (Number) |
---|
Atazanavir/Ritonavir + Raltegravir | 69.4 |
Atazanavir/Ritonavir + Tenofovir/Emtricitabine | 86.5 |
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Percentage of Participants With HIV-1 RNA Level <40 c/mL at Week 24
HIV-1 RNA level was measured with the Abbott m2000rt® polymerase chain reaction assay. Response rates were assessed using an intent-to-treat algorithm, with numerator representing patients meeting the response criteria, and denominator representing all randomized patients. Randomized patients not meeting the criteria for treatment failure (eg, discontinuation of study therapy or virologic rebound at or before Week 24) were considered responders. Virologic rebound was defined as 2 consecutive on-treatment HIV-1 RNA levels ≥40 c/mL or the last on-treatment HIV-1 RNA level ≥40 c/mL followed by discontinuation. Patients who experienced treatment failure or had missing Week 24 HIV-1 RNA levels were considered failures. RNA=ribonucleic acid; HIV=human immunodeficiency virus. (NCT01332227)
Timeframe: From Day 1 to Week 24
Intervention | Percentage of participants (Number) |
---|
Atazanavir/Ritonavir + Raltegravir | 80.6 |
Atazanavir/Ritonavir + Tenofovir/Emtricitabine | 94.6 |
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Number of Participants With Virologic Rebound at Weeks 24 and 48
Viral genotypic and phenotypic resistance profiles were assessed for virologic rebound (HIV-1 RNA level ≥40 c/mL). Only patients with HIV-1 RNA levels ≥500 c/mL met the criteria for resistance testing. Genotypic substitutions at baseline were summarized for virologic rebound. The genotypic resistance profile presented patients with genotypable isolates, those with protease inhibitor substitutions from genotypable isolates, those with integrase substitutions from genotypable isolates, and those with selected reverse transcriptase substitutions from genotypable isolates using the most current version of the International AIDS Society-USA list and Stanford HIV Drug Resistance Database. Newly emergent genotypic substitutions were summarized analogously for virologic rebound without baseline phenotypic resistance to atazanavir, ritonavir, or raltegravir, using all on-treatment isolates. (NCT01332227)
Timeframe: Day 1 to Weeks 28 and 48
Intervention | Participants (Number) |
---|
| Week 24: Virologic rebound | Week 48: Virologic rebound |
---|
Atazanavir/Ritonavir + Raltegravir | 7 | 9 |
,Atazanavir/Ritonavir + Tenofovir/Emtricitabine | 1 | 1 |
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CD4 Cell Count Changes From Baseline on ATV Powder
CD4 cell count change from baseline using observed values (NCT01335698)
Timeframe: Baseline to Weeks 24 and 48
Intervention | Cells/mm^3 (Mean) |
---|
| Week 24 |
---|
Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 67.8 |
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CD4 Cell Count Changes From Baseline on ATV Powder
CD4 cell count change from baseline using observed values (NCT01335698)
Timeframe: Baseline to Weeks 24 and 48
Intervention | Cells/mm^3 (Mean) |
---|
| Week 24 | Week 48 |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 218.7 | -409.8 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 247.1 | 400.0 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 246.1 | 335.4 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 145.8 | 213.0 |
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Mean Change From Baseline in CD4 Percent on ATV Powder
Change in CD4 percent using observed values (NCT01335698)
Timeframe: Baseline to Weeks 24 and 48
Intervention | Percent Change (Mean) |
---|
| Week 24 |
---|
Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 4.0 |
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Mean Change From Baseline in HIV RNA on ATV Powder
Human immunodeficiency virus ribonucleic acid (HIV RNA) change from baseline using observed values (NCT01335698)
Timeframe: Baseline to Weeks 24 and 48
Intervention | Log copies per millileter (Mean) |
---|
| Week 24 | Week 48 |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | -2.10 | -2.31 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | -2.69 | -2.91 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | -3.07 | -4.06 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | -2.66 | -2.70 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | -2.24 | -3.97 |
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Number of Participants With A Center of Disease Control and Prevention (CDC) Class C AIDS Event on ATV Powder
The CDC disease staging system assesses the severity of HIV disease by CD4 cell counts and by the presence of specific HIV-related conditions. CD4 counts are classified as 1: ≥500 cells/µL, 2: 200-499 cells/µL, and 3: <200 cells/µL. Children with HIV infection are also classified in each of several categories. Category N: Not symptomatic. Category A: Mildly symptomatic. Category B: Moderately symptomatic. Category C: Severely symptomatic. (NCT01335698)
Timeframe: Day one to week 300 (approximately 22-Jan-2018)
Intervention | Participants (Number) |
---|
| Pulmonary tuberculosis | Lymph node tuberculosis | Tuberculosis | Oropharyngeal Candidiasis |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 2 | 0 | 0 | 1 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 1 | 0 | 0 | 0 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 0 | 0 | 0 | 0 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 0 | 1 | 1 | 0 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 0 | 0 | 0 | 0 |
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Number of Participants With Emergent Genotypic Substitutions on ATV Powder Through Week 48
Newly emergent substitutions are on-treatment substitutions that were not detected at baseline.Viral rebound in the resistance analysis was defined as: Less than a 1 log10 drop from baseline in plasma HIV RNA level by Week 16, confirmed by a second plasma HIV RNA level redrawn within 2 and 4 weeks from original sample. Or, a plasma HIV RNA level >200 c/mL after Week 24, confirmed by a second plasma HIV RNA level redrawn within 2 and 4 weeks from original sample. Or, repeated plasma HIV RNA level ≥50 c/mL after Week 48. Viral rebound was defined as a plasma HIV RNA level ≥400 c/mL at any time in a patient who had previously achieved a plasma HIV RNA level <50 c/mL. Or, a plasma HIV RNA level ≥50 c/mL and <1,000 c/mL followed by a return to virologic suppression was considered a viral blip and not a viral rebound. NRTI=nucleoside reverse transcriptase inhibitor (NCT01335698)
Timeframe: Baseline through Week 48
Intervention | Participants (Number) |
---|
| Any PI substitutions | Any IAS-USA PI substitutions | Any select RT substitutions | NRTI |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 4 | 1 | 2 | 1 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 4 | 2 | 2 | 2 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 0 | 0 | 1 | 1 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 3 | 0 | 1 | 1 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 0 | 0 | 0 | 0 |
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Number of Participants With HIV RNA <50 Copies/mL and <400 Copies/mL in the Week 24 Atazanavir Powder Cohort and the Eligible Week 48 Atazanavir Powder Cohort
Virologic success includes patients with HIV RNA <50 copies/mL. Two cohorts were assessed: The Atazanavir Powder Cohort=patients who received treatment and did not switch to capsule before analysis Week 24 or before their HIV RNA Week 24 assessment, and the Eligible Week 48 Atazanavir Powder Cohort=patients who initiated study treatment at least 48 weeks before last person last visit and did not switch to capsule before analysis Week 48 or before their HIV RNA Week 48 assessment. (NCT01335698)
Timeframe: Day 1 of treatment to weeks 24 and 48
Intervention | Participants (Number) |
---|
| Week 24: HIV RNA<50 copies/mL | Week 24: HIV RNA<400 copies/mL | Week 48: HIV RNA<50 copies/mL | Week 48:HIV RNA<400 copies/mL |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 10 | 15 | 11 | 14 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 10 | 15 | 6 | 14 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 2 | 5 | 0 | 1 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 19 | 24 | 18 | 22 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 5 | 6 | 1 | 1 |
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Number of Participants With Laboratory Test Results Meeting the Criteria for Grade 3-4 Abnormality on ATV Powder
Criteria of the Division of AIDS for grading the severity of adult and pediatric adverse events as follows: Grade (Gr) 1=mild; Gr 2=moderate; Gr 3=severe; Gr 4=potentially life-threatening. Neutrophils (absolute) (adult and infants >7 days): Gr 1=1.000-1300/mm^3; Gr 2=750-999 mm^3; Gr 3=500-749 mm^3; Gr 4= <500 mm^3. Alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase: Gr 1=1.25-2.5*upper limit of normal (ULN); Gr 2=2.6-5.0*ULN; Gr 3=5.1-10.0*ULN; Gr 4= >10.0*ULN. Bilirubin, total (adults and infants >14 days): Gr 1=1.1-1.5*ULN; Gr 2=1.6-2.5*ULN; Gr 3=2.6-5.0*ULN; Gr 4= >5.0*ULN. Lipase: Gr 1=1.1-1.5*ULN; Gr 2=1.6-3.0*ULN; Gr 3=3.1-5.0*ULN; Gr 4= >5.0*ULN. Bicarbonate, serum low: Gr 1=16.0 mEq/L-5.0*ULN. (NCT01335698)
Timeframe: Day one to week 300 (approximately 22-Jan-2018)
Intervention | Participants (Number) |
---|
| Neutrophils (absolute) | Alanine aminotransferase | Aspartate aminotransferase | Alkaline phosphatase | Total bilirubin | Amylase | Lipase | Bicarbonate | Albumin | Calcium, High | Chloride, Low | Total Cholesterol, Fasting | LDL Cholesterol, Fasting | Glucose, Fasting, Low |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 0 | 4 | 2 | 1 | 4 | 15 | 3 | 2 | 1 | 0 | 0 | 0 | 0 | 0 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 4 | 1 | 1 | 1 | 10 | 6 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 0 | 1 | 0 | 2 | 1 | 7 | 2 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 6 | 2 | 0 | 0 | 5 | 6 | 2 | 0 | 1 | 1 | 1 | 0 | 0 | 0 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 0 | 0 | 0 | 0 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants Who Died and With Adverse Events (AEs) Leading to Discontinuation, Hyperbilirubinemia, Jaundice, First-degree Arterioventricular Block, Tachycardia, and Rash on ATV Powder
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. (NCT01335698)
Timeframe: Day one to week 300 (approximately 22-Jan-2018)
Intervention | Participants (Number) |
---|
| Deaths | AEs leading to discontinuation | Hyperbilirubinemia related adverse events | Jaundice | Atrioventricular block, first degree | Tachycardia | Rash |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 0 | 3 | 2 | 0 | 0 | 0 | 3 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 0 | 2 | 9 | 3 | 0 | 1 | 4 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 0 | 2 | 0 | 0 | 0 | 0 | 0 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 0 | 2 | 7 | 3 | 1 | 0 | 5 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
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Mean Change From Baseline in CD4 Percent on ATV Powder
Change in CD4 percent using observed values (NCT01335698)
Timeframe: Baseline to Weeks 24 and 48
Intervention | Percent Change (Mean) |
---|
| Week 24 | Week 48 |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 5.1 | 2.8 |
,Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 5.4 | 8.9 |
,Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 6.3 | 7.5 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | -0.3 | 1.0 |
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Area Under the Concentration-Time Curve [AUC(TAU)]
To describe the PK profile of ATV powder formulation with RTV in pediatric subjects weighing 25 - < 35 kg and/or 6 to < 11 years of age and for the new 5 - < 10 kg cohort (200 mg ATV and 80 mg RTV) in terms of ATV AUC (NCT01335698)
Timeframe: Baseline to Week 2
Intervention | ng.h./mL (Mean) |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 49387.12 |
Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 59671.80 |
Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 56356.00 |
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Maximum Observed Plasma Concentration (Cmax)
To describe the PK profile of ATV powder formulation with RTV in pediatric subjects weighing 25 - < 35 kg and/or 6 to < 11 years of age and for the new 5 - < 10 kg cohort (200 mg ATV and 80 mg RTV) in terms of ATV Cmax (NCT01335698)
Timeframe: Baseline to Week 2
Intervention | ng/mL (Mean) |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 5776.70 |
Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 5644.12 |
Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 4893.75 |
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Minimum Plasma Concentration (Cmin)
To describe the PK profile of ATV powder formulation with RTV in pediatric subjects weighing 25 - < 35 kg and/or 6 to < 11 years of age and for the new 5 - < 10 kg cohort (200 mg ATV and 80 mg RTV) in terms of ATV Cmin (NCT01335698)
Timeframe: Baseline to Week 2
Intervention | ng/mL (Mean) |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 718.90 |
Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 857.06 |
Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 1030.64 |
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Number of Participants Who Experienced a SAE on ATV Powder
SAE= any of the the following: is life-threatening (defined as an event in which the subject was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe), requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is an important medical event (defined as a medical event(s) that may not be immediately life threatening or result in death or hospitalization but, based upon appropriate medical and scientific judgment, may jeopardize the subject or may require intervention [eg, medical, surgical] to prevent one of the other serious outcomes listed in the definition above.) Examples of such events include, but are not limited to, intensive treatment in an emergency room or at home for allergic bronchospasm; blood dyscrasias or convulsions that do not result in hospitalization (NCT01335698)
Timeframe: Day one to week 300 (approximately 22-Jan-2018)
Intervention | participants (Number) |
---|
Atazanavir, 150 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 6 |
Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 5 to <10 kg) | 3 |
Atazanavir, 200 mg + Ritonavir, 80 mg (Weight: 10 to <15 kg) | 8 |
Atazanavir, 250 mg + Ritonavir, 80 mg (Weight: 15 to <25 kg) | 8 |
Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: 25 to <35 kg) | 0 |
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Proportions of Subjects Experiencing Virologic Failure by Randomized Treatment Arm
For the purposes of the study, virologic failure is defined as either regimen change for any reason, or plasma viral load >400 copies/mL on 2 consecutive measurements >2 weeks apart. (NCT01351740)
Timeframe: at or before 48 weeks.
Intervention | Participants (Count of Participants) |
---|
Switch | 2 |
Continuation | 6 |
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Proportions of Subjects in Each Randomized Treatment Arm With Atazanavir Trough Levels Below 150ng/mL
Therapeutic drug monitoring (TDM) to determine atazanavir trough plasma level will be performed once on all subjects at 4-8 weeks (NCT01351740)
Timeframe: 1 month (4-8 weeks)
Intervention | Participants (Count of Participants) |
---|
Switch | 14 |
Continuation | 3 |
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Number of Participants With Newly-emergent Genotypic Substitutions at Week 24
Participants who administered antiretroviral (ARV) with virologic failure (VF) were assessed. Genotypic substitution included assessment of Reverse Transcriptase (RT) substitution, Protease Inhibitor (PI) substitution and Integrase RAL substitution as per International Acquired Immune Deficiency Syndrome (AIDS) Society-USA (IAS-USA) list. ITT-E Resistance Tested through Week 24 population included participants who met the criteria for Resistance testing, and the confirmatory value or value at discontinuation occurred at or before the end of the Week 24 Snapshot analysis window. The criteria for resistance tested was participant who had virologic failure or met the following criteria a) Participants who achieved viral suppression (plasma HIV-1 RNA < 50 c/mL) and have confirmed plasma HIV-1 RNA >= 400 c/mL at any time during the study. b) Participants who were discontinued before achieving viral suppression (plasma HIV-1 RNA < 50 c/mL) after Week 8 with last plasma HIV-1 RNA >=400 c/mL. (NCT01384734)
Timeframe: Up to Week 24
Intervention | Participants (Count of Participants) |
---|
| PI substitution | RT substitution | Integrase substitution |
---|
ATV/r/RAL/TDF | 0 | 0 | 0 |
,FTR 1200 mg QD/RAL/TDF | 0 | 1 | 1 |
,FTR 400 mg BID/RAL/TDF | 0 | 0 | 0 |
,FTR 600 mg QD/RAL/TDF | 0 | 0 | 1 |
,FTR 800 mg BID/RAL/TDF | 0 | 0 | 0 |
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Maximum Decrease From Monotherapy Baseline in log10 Plasma HIV-1 RNA
Maximum decrease from monotherapy Baseline in log10 plasma HIV-1 RNA during monotherapy to assess the antiviral activity of temsavir following administration of selected doses of FTR administered orally to HIV-1-infected participants for 7 days. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment. Change from Baseline was calculated as value at indicated time point minus Baseline value. The data for monotherapy nadir has been presented where nadir represents the maximum decrease from Baseline. (NCT01384734)
Timeframe: Baseline and up to Day 8 of the monotherapy period
Intervention | log10 c/mL (Mean) |
---|
FTR 400 mg BID/RAL/TDF | -0.770 |
FTR 800 mg BID/RAL/TDF | -1.524 |
FTR 600 mg QD/RAL/TDF | -1.250 |
FTR 1200 mg QD/RAL/TDF | -1.399 |
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Percentage of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) < 50 Copies Per Milliliter (c/mL) at Week 24
Percentage of participants with plasma HIV 1 RNA < 50 c/mL at Week 24 using the Food and Drug Administration (FDA) snapshot algorithm was assessed to evaluate the antiviral activity. Treatment comparisons were not performed as this was an estimation study. Response rates were tabulated by treatment arm with exact Clopper-Pearson binomial 95 percentage confidence intervals (CI). Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the snapshot window of the visit of interest. Intent-To-Treat-Exposed (ITT-E) Population includes all randomized participants who received at least one dose of study treatment. (NCT01384734)
Timeframe: Week 24
Intervention | Percentage of Participants (Number) |
---|
FTR 400 mg BID/RAL/TDF | 80 |
FTR 800 mg BID/RAL/TDF | 69 |
FTR 600 mg QD/RAL/TDF | 76 |
FTR 1200 mg QD/RAL/TDF | 72 |
ATV/r/RAL/TDF | 75 |
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Maximum Change From Baseline in Inhibitory Concentration at 50% (IC50) Fold Change Among Participants With VF at Week 24
Virologic failure is defined clinically as confirmed plasma HIV-1 RNA >= 50 copies/mL at Week 24 or later or virologic rebound defined as confirmed HIV-1 RNA >=50 copies/mL at any time after prior confirmed suppression to <50 copies/mL OR confirmed >1 log10 copies/mL increase in HIV-1 RNA at any time above nadir level where nadir was >= 50 copies/mL . The phenotypic resistance to a drug is defined as a fold change (i.e, ratio of the IC50 of the clinical isolate to the IC50 of the reference strain) greater than the cut-off for reduced susceptibility. Maximum change from Baseline in Temsavir IC50 fold change based on all on-treatment values has been presented. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment and those values are absolute values. Change from Baseline was calculated as value at indicated time point minus Baseline value. Only those participants available at the specified time points were analyzed. (NCT01384734)
Timeframe: Baseline and up to Week 24
Intervention | IC50 Fold Change (Mean) |
---|
FTR 400 mg BID/RAL/TDF | -2.350 |
FTR 800 mg BID/RAL/TDF | 1014.748 |
FTR 600 mg QD/RAL/TDF | 101.627 |
FTR 1200 mg QD/RAL/TDF | 39.030 |
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Change From Baseline in IC50 Fold Change Among Participants With VF at Week 96
Virologic failure is defined clinically as confirmed plasma HIV-1 RNA >= 50 copies/mL at Week 24 or later or virologic rebound defined as confirmed HIV-1 RNA >=50 copies/mL at any time after prior confirmed suppression to <50 copies/mL OR confirmed >1 log10 copies/mL increase in HIV-1 RNA at any time above nadir level where nadir was >= 50 copies/mL. The phenotypic resistance to a drug is defined as a fold change (i.e, ratio of the IC50 of the clinical isolate to the IC50 of the reference strain) greater than the cut-off for reduced susceptibility. Maximum change from Baseline in Temsavir IC50 fold change based on all on-treatment values has been presented. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment and those values are absolute values. Change from Baseline was calculated as value at indicated time point minus Baseline value. Only those participants available at the specified time points were analyzed. (NCT01384734)
Timeframe: Baseline and up to Week 96
Intervention | IC50 Fold Change (Mean) |
---|
FTR 400 mg BID/RAL/TDF | 25.480 |
FTR 800 mg BID/RAL/TDF | 419.901 |
FTR 600 mg QD/RAL/TDF | 46.351 |
FTR 1200 mg QD/RAL/TDF | 777.818 |
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Change From Baseline in IC50 Fold Change Among Participants With VF at Week 48
Virologic failure is defined clinically as confirmed plasma HIV-1 RNA >= 50 copies/mL at Week 24 or later or later or virologic rebound defined as confirmed HIV-1 RNA >=50 copies/mL at any time after prior confirmed suppression to <50 copies/mL OR confirmed >1 log10 copies/mL increase in HIV-1 RNA at any time above nadir level where nadir was >= 50 copies/mL. The phenotypic resistance to a drug is defined as a fold change (i.e, ratio of the IC50 of the clinical isolate to the IC50 of the reference strain) greater than the cut-off for reduced susceptibility. Maximum change from Baseline in Temsavir IC50 fold change based on all on-treatment values has been presented. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment and those values are absolute values. Change from Baseline was calculated as value at indicated time point minus Baseline value. Only those participants available at the specified time points were analyzed. (NCT01384734)
Timeframe: Baseline and up to Week 48
Intervention | IC50 Fold Change (Mean) |
---|
FTR 400 mg BID/RAL/TDF | -2.624 |
FTR 800 mg BID/RAL/TDF | 586.776 |
FTR 600 mg QD/RAL/TDF | 81.729 |
FTR 1200 mg QD/RAL/TDF | 449.092 |
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Percentage of Participants With Plasma HIV-1 RNA < 50 c/mL at Day 8 of the Monotherapy Period
Percentage of participants with plasma HIV 1 RNA < 50 c/mL at Baseline of combination therapy was assessed to evaluate the antiviral activity of four doses of FTR. Baseline of combination therapy was the Day 1 of the combination therapy. Virologic success or failure was determined using the non-missing viral load value at Baseline of combination therapy. The assessment closest to the window target Study Day was used for the analysis. Only those participants with data available at the specified time points were analyzed. (NCT01384734)
Timeframe: Up to Day 8 of the monotherapy period
Intervention | Percentage of Participants (Number) |
---|
FTR 400 mg BID/RAL/TDF | 0 |
FTR 800 mg BID/RAL/TDF | 0 |
FTR 600 mg QD/RAL/TDF | 0 |
FTR 1200 mg QD/RAL/TDF | 11 |
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Change From Baseline in CD4+ T-cell Count
Blood was collected and CD4+ cell count assessment by flow cytometery was carried out at Baseline (Day 1), Weeks 24, 48 and 96 to evaluate the immunological activity of multiple doses of BMS-663068/GSK3684934. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment and those values are absolute values. Change from Baseline was calculated as value at indicated time point minus Baseline value. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT01384734)
Timeframe: Baseline and Weeks 24, 48 and 96
Intervention | Cells per cubic millimeter (Mean) |
---|
| Week 24, n=41, 38, 48, 42, 40 | Week 48, n=43, 34, 43, 41, 41 | Week 96, n=42, 28, 35, 28, 31 |
---|
ATV/r/RAL/TDF | 119.4 | 178.7 | 250.1 |
,FTR 1200 mg QD/RAL/TDF | 124.5 | 155.4 | 211.7 |
,FTR 400 mg BID/RAL/TDF | 134.3 | 199.1 | 264.6 |
,FTR 600 mg QD/RAL/TDF | 109.5 | 140.5 | 175.7 |
,FTR 800 mg BID/RAL/TDF | 111.0 | 158.7 | 210.8 |
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Change From Monotherapy Baseline in CD4+ and CD8+ T-cell Proportion During Monotherapy
Blood was collected and CD4+ and CD8+ proportion assessment was done by flow cytometery and was carried out at Baseline (Day 1) to evaluate the immunological activity of multiple doses of FTR. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment and the values are absolute values. Change from Baseline was calculated as value at indicated time point minus Baseline value. Only those participants with data available at the specified time points were analyzed. (NCT01384734)
Timeframe: Baseline and Day 8
Intervention | cells per cubic millimeter (Mean) |
---|
| CD4+ | CD8+ |
---|
FTR 1200 mg QD/RAL/TDF | 0.014 | -0.021 |
,FTR 400 mg BID/RAL/TDF | -0.005 | -0.003 |
,FTR 600 mg QD/RAL/TDF | 0.008 | -0.009 |
,FTR 800 mg BID/RAL/TDF | 0.023 | -0.040 |
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Change From Monotherapy Baseline in Cluster of Differentiation (CD)4+ and CD8+ T-cell Counts During Monotherapy
Blood was collected and CD4+ and CD8+ cell count assessment was done by flow cytometery and was carried out at Baseline (Day 1) to evaluate the immunological activity of multiple doses of FTR. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment and the values are absolute values. Change from Baseline was calculated as value at indicated time point minus Baseline value. Only those participants with data available at the specified time points were analyzed. (NCT01384734)
Timeframe: Baseline and Day 8
Intervention | cells per cubic millimeter (Mean) |
---|
| CD4+ | CD8+ |
---|
FTR 1200 mg QD/RAL/TDF | 63.4 | 67.6 |
,FTR 400 mg BID/RAL/TDF | 58.4 | 134.2 |
,FTR 600 mg QD/RAL/TDF | 71.8 | 188.0 |
,FTR 800 mg BID/RAL/TDF | 134.8 | 216.3 |
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Change From Monotherapy Baseline in log10 HIV RNA of the Monotherapy Period
Change from monotherapy Baseline in log10 HIV RNA to assess the antiviral activity of temsavir following administration of selected doses of FTR administered orally to HIV-1-infected participants for 7 days. Baseline is defined as the last non-missing value on or before the date of first dose of study treatment. Change from Baseline was calculated as value at indicated time point minus Baseline value. ITT-E Monotherapy Population comprised of participants that were randomized and participated in the monotherapy sub-study and received at least one dose of FTR Monotherapy. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT01384734)
Timeframe: Baseline and up to Day 8 of the monotherapy period
Intervention | log10 c/mL (Mean) |
---|
| Day 2, n=7, 5, 10, 9 | Day 5, n=7, 4, 10, 10 | Day 6, n=7, 5, 10, 10 | Day 7, n=6, 5, 10, 10 | Day 8, n=6, 4, 9, 9 |
---|
FTR 1200 mg QD/RAL/TDF | 0.126 | -0.767 | -1.053 | -1.198 | -1.470 |
,FTR 400 mg BID/RAL/TDF | 0.220 | -0.340 | -0.530 | -0.556 | -0.691 |
,FTR 600 mg QD/RAL/TDF | 0.126 | -0.593 | -0.822 | -1.086 | -1.218 |
,FTR 800 mg BID/RAL/TDF | 0.149 | -0.811 | -1.082 | -1.443 | -1.372 |
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Number of Participants With Newly-emergent Genotypic Substitutions at Week 48
Participants who administered ARV with VF were assessed. Genotypic substitution included assessment of RT substitution, PI substitution and Integrase RAL substitution as per IAS-USA list. ITT-E Resistance Tested through Week 48 population included participants who met the criteria for Resistance testing, and the confirmatory value or value at discontinuation occurred at or before the end of the Week 48 Snapshot analysis window. The criteria for resistance tested was participant who had virologic failure or the following criteria a) Participants who achieved viral suppression (plasma HIV-1 RNA < 50 c/mL) and have confirmed plasma HIV-1 RNA >= 400 c/mL at any time during the study. b) Participants who were discontinued before achieving viral suppression (plasma HIV-1 RNA < 50 c/mL) after Week 8 with last plasma HIV-1 RNA >=400 c/mL. (NCT01384734)
Timeframe: Up to Week 48
Intervention | Participants (Count of Participants) |
---|
| PI substitution | RT substitution | Integrase substitution |
---|
ATV/r/RAL/TDF | 0 | 0 | 0 |
,FTR 1200 mg QD/RAL/TDF | 1 | 2 | 2 |
,FTR 400 mg BID/RAL/TDF | 1 | 0 | 1 |
,FTR 600 mg QD/RAL/TDF | 0 | 0 | 1 |
,FTR 800 mg BID/RAL/TDF | 0 | 0 | 1 |
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Number of Participants With Newly-emergent Genotypic Substitutions at Week 96
Participants who administered ARV with VF were assessed. Genotypic substitution included assessment of RT substitution, PI substitution and Integrase RAL substitution as per IAS-USA list. ITT-E Resistance Tested through Week 96 population included participants who met the criteria for Resistance testing, and the confirmatory value or value at discontinuation occurred at or before the end of the Week 96 Snapshot analysis window. The criteria for resistance tested was participants with virologic failure or the following criteria a) Participants who achieved viral suppression (plasma HIV-1 RNA < 50 c/mL) and have confirmed plasma HIV-1 RNA >= 400 c/mL at any time during the study. b) Participants who were discontinued before achieving viral suppression (plasma HIV-1 RNA < 50 c/mL) after Week 8 with last plasma HIV-1 RNA >=400 c/mL. (NCT01384734)
Timeframe: Up to Week 96
Intervention | Participants (Count of Participants) |
---|
| PI substitution | RT substitution | Integrase RAL substitution |
---|
ATV/r/RAL/TDF | 0 | 1 | 0 |
,FTR 1200 mg QD/RAL/TDF | 2 | 2 | 3 |
,FTR 400 mg BID/RAL/TDF | 3 | 2 | 2 |
,FTR 600 mg QD/RAL/TDF | 2 | 2 | 1 |
,FTR 800 mg BID/RAL/TDF | 1 | 1 | 2 |
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Number of Participants With SAE and Discontinuation Due to AEs During Monotherapy Period
Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or suspected transmission of an infectious agent via the study drug were categorized as SAE. AEs leading to discontinuation of study therapy were also reported as safety assessment. (NCT01384734)
Timeframe: Up to Day 8 of the monotherapy period
Intervention | Participants (Count of Participants) |
---|
| SAE | AEs leading to discontinuation |
---|
FTR 1200 mg QD/RAL/TDF | 0 | 0 |
,FTR 400 mg BID/RAL/TDF | 0 | 0 |
,FTR 600 mg QD/RAL/TDF | 0 | 0 |
,FTR 800 mg BID/RAL/TDF | 0 | 0 |
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Number of Participants With SAE and Discontinuation Due to AEs During Primary Study
Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or suspected transmission of an infectious agent via the study drug were categorized as SAE. AEs leading to discontinuation of study therapy were also reported as safety assessment. Safety Population comprised of participants who received at least one dose of study treatment. Summaries of SAEs and AEs leading to discontinuation or withdrawal through Week X (where X = 48 or 96) included AEs with onset on or after the start of study treatment (i.e. study date of first study treatment intake) up to and including the end of the Week 48 and 96 visit snapshot window. (NCT01384734)
Timeframe: Weeks 48 and 96
Intervention | Participants (Count of Participants) |
---|
| SAE, Week 48 | SAE, Week 96 | AEs leading to discontinuation, Week 48 | AEs leading to discontinuation, Week 96 |
---|
ATV/r/RAL/TDF | 5 | 7 | 3 | 5 |
,FTR 1200 mg QD/RAL/TDF | 2 | 4 | 1 | 2 |
,FTR 400 mg BID/RAL/TDF | 3 | 5 | 1 | 1 |
,FTR 600 mg QD/RAL/TDF | 4 | 6 | 0 | 0 |
,FTR 800 mg BID/RAL/TDF | 5 | 7 | 2 | 2 |
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Number of Participants With Serious Adverse Events (SAE) and Discontinuation Due to AEs up to Week 24
Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or suspected transmission of an infectious agent via the study drug were categorized as SAE. AEs leading to discontinuation of study therapy were also reported as safety assessment. Safety population included all participants who received at least one dose of study treatment. Summaries of SAEs and AEs leading to discontinuation or withdrawal through Week 24 included AEs with onset on or after the start of study treatment (i.e. study date of first study treatment intake) up to and including the end of the Week 24 visit snapshot window. (NCT01384734)
Timeframe: Up to Week 24
Intervention | Participants (Count of Participants) |
---|
| SAE | AEs leading to discontinuation |
---|
ATV/r/RAL/TDF | 5 | 2 |
,FTR 1200 mg QD/RAL/TDF | 2 | 1 |
,FTR 400 mg BID/RAL/TDF | 3 | 1 |
,FTR 600 mg QD/RAL/TDF | 4 | 0 |
,FTR 800 mg BID/RAL/TDF | 4 | 2 |
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Percentage of Participants With Plasma HIV-1 RNA < 50 c/mL at Primary Study
Percentage of participants with plasma HIV 1 RNA < 50 c/mL at Weeks 48 and 96 using the FDA snapshot algorithm was assessed to evaluate the antiviral activity. Treatment comparisons were not performed as this was an estimation study. Response rates were tabulated by treatment arm with exact Clopper-Pearson binomial 95 percentage CI. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the snapshot window of the visit of interest. (NCT01384734)
Timeframe: Weeks 48 and 96
Intervention | Percentage of Participants (Number) |
---|
| Week 48 | Week 96 |
---|
ATV/r/RAL/TDF | 71 | 57 |
,FTR 1200 mg QD/RAL/TDF | 68 | 58 |
,FTR 400 mg BID/RAL/TDF | 82 | 78 |
,FTR 600 mg QD/RAL/TDF | 69 | 63 |
,FTR 800 mg BID/RAL/TDF | 61 | 49 |
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Day 7 Atazanavir Oral Clearance
Measure atazanavir oral clearance in genetically-determined CYP3A5 expressors versus CYP3A5 non-expressors (NCT01388543)
Timeframe: Day 7
Intervention | L/h/kg (Geometric Mean) |
---|
CYP3A5 Expressors | .25 |
CYP3A5 Non-expressors | .18 |
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Number of Participants Who Died and With Adverse Events (AEs) and Serious Adverse Events (SAEs)
(NCT01404572)
Timeframe: Study Day 1
Intervention | Participants (Number) |
---|
| Deaths | AEs | SAEs |
---|
Atazanavir, 15 mg/5 mL, With 10% Aspartame | 0 | 0 | 0 |
,Atazanavir, 15 mg/5 mL, With 4.2% Aspartame | 0 | 0 | 0 |
,Atazanavir, 15 mg/5 mL, With 4.2% Aspartame + 0.53% Sucralose | 0 | 0 | 0 |
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Change in Brachial Artery Diameter
The primary endpoint is the difference in the change in brachial artery diameter in response to a flow stimulus at visit 2 and 3. It is anticipated that a response will occur following atazanavir therapy compared with baseline. The principal secondary endpoints are the serum measures of oxidant stress and antioxidant capacity. (NCT01421355)
Timeframe: Day 0 and Day 4
Intervention | percentage of dilation (Mean) |
---|
Atazanavir 300 mg BID | -0.93 |
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Proportion of Patients With Treatment Failure (TF)
Proportion of patients with treatment failure defined as having one of the following events: confirmed viral rebound (CVR) or treatment discontinuation for any cause. CVR was established when 2 consecutive viral load values (HIV-1 RNA)>50 copies/mL occurred within 2 weeks during follow-up. In case of CVR, patients treated with atazanavir/ritonavir monotherapy had to re-introduce their previous 2NRTIs (re-intensification) and, if not suppressed (HIV-1 RNA <50 copies /ml) after 12 weeks, discontinued from the study. Re-intensification was considered as treatment failure in the primary analysis conducted according to the intention-to-treat principle (intention-to-treat analysis with re-intensification equal failure, ITT=Failure) while it was not in the secondary analysis (intention-to-treat analysis with re-intensification equal success, ITT=Success). (NCT01511809)
Timeframe: Up to week 48
Intervention | percentage of patients (Number) |
---|
| ITT=Failure analysis | ITT=Success analysis |
---|
Atazanavir/Ritonavir Monotherapy | 27.5 | 7.9 |
,Atazanavir/Ritonavir Triple Therapy | 15.4 | 15.4 |
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AUC Norethindrone
0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose on Day 21 (NCT01667978)
Timeframe: following 21 days of continuous ingestion
Intervention | ng*h/mL (Mean) |
---|
Protease Inhibitor | 37.81 |
Control | 25.21 |
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Number of Participants With Laboratory Test Results Meeting the Criteria for Abnormal, Grades 1-4
Hematocrit (%): Grade (Gr) 1= ≥28.5- <31.5; Gr 2= ≥24- <28.5; Gr 3= ≥19.5- <24; Gr 4= <19.5. Hemoglobin (g/dL): Grade (Gr)1=8.5-10.0; Gr 2=7.5-8.4; Gr 3=6.50-7.4; Gr 4= <6.5. Platelets (/mm^3): Gr 1=100,000-124,999; Gr 2=50,000-99,999; Gr 3=25,000-49,999; Gr 4= <25,000. White blood cells (/mm^3): Gr 1=2000-2500; Gr 2=1500-1999; Gr 3=1000-1499; Gr 4= <1000. Neutrophils (/mm^3): Gr 1=1000-1500; Gr 2= ≥750-1000; Gr 3= ≥500-750; Gr 4= <500. Alanine transaminase (ALT), alkaline phosphatase (ALP), aspartate transaminase (AST) (*upper limit of normal [ULN]): Gr 1=1.5-2.5; Gr 2=2.6-5.0; Gr 3=5.1-10.0; Gr 4= >10.0. Total bilirubin (adult and pediatric >14 days) (*ULN): Gr 1=1.1-1.5; Gr 2=1.6-2.5; Gr 3=2.6-5.0; Gr 4= >5.0. Albumin (g/dL): Gr 1= 3.1- 5. Lipase (*ULN): Gr 1=1.1-1.5; Gr 2=1.6-3.0; Gr 3=3.1-5.0; Gr 4= >5.0. (NCT01691794)
Timeframe: After first dose to last dose plus 30 days (assessed up to February 2017, approximately 42 months)
Intervention | Participants (Number) |
---|
| Hematocrit | Hemoglobin | Platelets | White blood cells | Neutrophils+bands (absolute) | ALT | AST | ALP | Total bilirubin | Albumin | Amylase | Lipase |
---|
Atazanavir, 150 mg + Ritonavir, 100 mg (Weight: 15 to <20 kg) | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 3 | 2 | 2 | 0 |
,Atazanavir, 200 mg + Ritonavir, 100 mg (Weight: 20 to <40 kg) | 3 | 5 | 0 | 3 | 13 | 6 | 6 | 11 | 26 | 15 | 27 | 15 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: ≥40 kg) | 0 | 0 | 1 | 0 | 4 | 9 | 5 | 12 | 17 | 6 | 14 | 8 |
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Number of Participants With Laboratory Test Results Meeting the Criteria for Abnormal, Grades 1-4 (Continued)
Blood urea nitrogen (*upper limit of normal [ULN]): Grade (Gr) 1=1.25-2.5; Gr 2=2.6-5.0; Gr 3=5.1-10; Gr 4= >10. Uric acid (mg/dL): Gr 1=7.5-10.0; Gr 2=10.1-12; Gr 3=12.1-15.0; Gr 4= >15.0. Bicarbonate (mEqL): Gr 1= 19.0-21.0; Gr 2=15.0-18.0; Gr 3=41-45; Gr 4= >45. Calcium, low (mg/dL): Gr 1=7.8-8.4; Gr 2=7.0-7.7; Gr 3=6.1-6.9; Gr 4= <6.1.Potassium (mEq/L), high: Gr 1=5.6-6.0; Gr 2=6.1-6.5; Gr 3=6.6-7.0; Gr 4= >7.0. Potassium (mEq/L), low: Gr 1=3.1-3.4; Gr 2=2.5-2.9; Gr 3=2.0-2.4; Gr 4= <2.0. Sodium (mEq/L), low: Gr 1=130-135; Gr 2=125-129; Gr 3=121-124; Gr 4= <1. Total cholesterol, fasting (mg/dL): Gr 1=200-239; Gr 2=240-300; Gr 3= >300; Gr 4=Not applicable (NA). Low-density lipoprotein (LDL) cholesterol, fasting (mg/dL): Gr 1=130-159; Gr 2=160-190; Gr 3= >190; Gr 4= NA. Glucose, low (mg/dL): Gr 1= 55-64; Gr 2=40-54; Gr 3=30-39; Gr 4= <30. Glucose, fasting (mg/dL): Gr 1=110-125; Gr 2=126-250; Gr 3=251-500; Gr 4 >500. (NCT01691794)
Timeframe: After first dose to last dose plus 30 days (assessed up to February 2017, approximately 42 months)
Intervention | Participants (Number) |
---|
| Blood urea nitrogen | Uric acid | Bicarbonate, low | Calcium, low | Potassium, high | Potassium, low | Total cholesterol, fasting (n=3, 31, 21) | Sodium, low | LDL cholesterol, fasting (n=3, 31, 21) | Glucose, low (n=1, 11, 9) | Glucose, fasting, high (3, 31, 22) | Calcium, high | Chloride, high | Chloride, low | Glucose, Non-Fasting, High | Sodium, high | Creatinine | Triglycerides, fasting |
---|
Atazanavir, 150 mg + Ritonavir, 100 mg (Weight: 15 to <20 kg) | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Atazanavir, 200 mg + Ritonavir, 100 mg (Weight: 20 to <40 kg) | 3 | 2 | 29 | 2 | 2 | 2 | 10 | 13 | 7 | 3 | 3 | 2 | 0 | 0 | 0 | 1 | 1 | 0 |
,Atazanavir, 300 mg + Ritonavir, 100 mg (Weight: ≥40 kg) | 0 | 3 | 17 | 3 | 1 | 0 | 6 | 0 | 3 | 0 | 1 | 0 | 2 | 0 | 0 | 1 | 0 | 0 |
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Time to Maximum Decline in Log 10 HIV-1 RNA - Part B
Antiviral activity of BMS-955176 was estimated by measuring the plasma HIV-1 RNA levels in the HIV-1 infected participants. Time to maximum decline in the plasma HIV-1 RNA levels were measured in the participants infected with HIV-1 clade B and C. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 42
Intervention | Hours (Median) |
---|
Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 624 |
Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 636.05 |
Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 588 |
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 636.05 |
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Area Under The Plasma Concentration - Time Curve Over the Dosing Interval (AUC([Tau]) - Part A and C
AUC(tau) was defined as the area under the plasma concentration - time curve over the dosing interval. (NCT01803074)
Timeframe: Pre-dose Day 1 and Day 10
Intervention | Nanogram*hour/milliliter (Geometric Mean) |
---|
| Day 1 | Day 10 |
---|
Part A-Group 1: BMS-955176 (5 mg) | 1151.062 | 2720.237 |
,Part A-Group 10: BMS-955176 (120 mg) | 21872.72 | 44182.4 |
,Part A-Group 2: BMS-955176 (10 mg) | 2869.626 | 5168.553 |
,Part A-Group 3: BMS-955176 (20 mg) | 5132.951 | 11751.82 |
,Part A-Group 4: BMS-955176 (40 mg) | 10088.23 | 22984.83 |
,Part A-Group 9: BMS-955176 (80 mg) | 17057.26 | 39341.11 |
,Part C-Group 13: BMS-955176 (120 mg) | 26753.74 | 53972.71 |
,Part C-Group 8: BMS-955176 (40 mg) | 10936.9 | 25556.64 |
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Area Under The Plasma Concentration - Time Curve Over the Dosing Interval (AUC[Tau]) - Part B
AUC(tau) was defined as the area under the plasma concentration - time curve over the dosing interval. (NCT01803074)
Timeframe: Pre-dose Day 1 and Day 28
Intervention | Nanogram*hour/milliliter (Geometric Mean) |
---|
| Day 1 | Day 28 |
---|
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 24478.35 | 59915.72 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 12147.23 | 31406.32 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 12954.8 | 34225.08 |
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Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Counts - Part A and C
Change in the CD4+ and CD8+ cell counts from Baseline were measured in the participants infected with HIV-1 clade B and C who received BMS-955176 + ATV or BMS-955176 + ATV + RTV therapy. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 24
Intervention | Cells/microliter (Mean) |
---|
| CD4+ | CD8+ |
---|
Part A-Group 1: BMS-955176 (5 mg) | -21.8 | -95 |
,Part A-Group 10: BMS-955176 (120 mg) | -56.7 | -161.3 |
,Part A-Group 2: BMS-955176 (10 mg) | 14.6 | -8.3 |
,Part A-Group 3: BMS-955176 (20 mg) | -70.1 | -107.4 |
,Part A-Group 4: BMS-955176 (40 mg) | -23.6 | -57.3 |
,Part A-Group 9: BMS-955176 (80 mg) | -43.8 | -194.6 |
,Part C-Group 13: BMS-955176 (120 mg) | 24.5 | -155.8 |
,Part C-Group 8: BMS-955176 (40 mg) | -53.7 | -214.4 |
,Placebo Clade B | -77.3 | -93.1 |
,Placebo Clade C | 18 | -136.3 |
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Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Counts - Part B
Change in the CD4+ and CD8+ cell counts from Baseline were measured in the participants infected with HIV-1 clade B and C who received BMS-955176 + ATV or BMS-955176 + ATV + RTV therapy. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 42
Intervention | Cells/microliter (Mean) |
---|
| CD4+ | CD8+ |
---|
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | -89 | -147 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | -133.2 | -442.8 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | -106.4 | -466.1 |
,Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 33 | -216.3 |
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Maximum Observed Plasma Concentrations (Cmax) - Part A and C
Cmax was defined as the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. (NCT01803074)
Timeframe: Pre-dose Day 1 and Day 10
Intervention | Nanogram/milliliter (Geometric Mean) |
---|
| Day 1 | Day 10 |
---|
Part A-Group 1: BMS-955176 (5 mg) | 79.376 | 170.778 |
,Part A-Group 10: BMS-955176 (120 mg) | 1515.389 | 2809.671 |
,Part A-Group 2: BMS-955176 (10 mg) | 201.498 | 337.379 |
,Part A-Group 3: BMS-955176 (20 mg) | 349.466 | 705.073 |
,Part A-Group 4: BMS-955176 (40 mg) | 791.317 | 1476.166 |
,Part A-Group 9: BMS-955176 (80 mg) | 1155.448 | 2466.447 |
,Part C-Group 13: BMS-955176 (120 mg) | 1907.747 | 3377.967 |
,Part C-Group 8: BMS-955176 (40 mg) | 793.569 | 1560.122 |
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Maximum Observed Plasma Concentrations (Cmax) - Part B
Cmax was defined as the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. (NCT01803074)
Timeframe: Pre-dose Day 1 and Day 28
Intervention | Nanogram/milliliter (Geometric Mean) |
---|
| Day 1 | Day 28 |
---|
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 1493.336 | 3159.181 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 695.596 | 1667.817 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 770.975 | 1852 |
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Number of Participants With Abnormal Changes in Physical Examination
Participants with abnormal changes in physical examination is presented. (NCT01803074)
Timeframe: Day 1 to end of the study (Day 42)
Intervention | Participants (Count of Participants) |
---|
| Height | Weight | Body mass index |
---|
Part A-Group 1: BMS-955176 (5 mg) | 0 | 0 | 0 |
,Part A-Group 10: BMS-955176 (120 mg) | 0 | 0 | 0 |
,Part A-Group 2: BMS-955176 (10 mg) | 0 | 0 | 0 |
,Part A-Group 3: BMS-955176 (20 mg) | 0 | 0 | 0 |
,Part A-Group 4: BMS-955176 (40 mg) | 0 | 0 | 0 |
,Part A-Group 9: BMS-955176 (80 mg) | 0 | 0 | 0 |
,Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 0 | 0 | 0 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 0 | 0 | 0 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 0 | 0 | 0 |
,Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 0 | 0 | 0 |
,Part C-Group 13: BMS-955176 (120 mg) | 0 | 0 | 0 |
,Part C-Group 8: BMS-955176 (40 mg) | 0 | 0 | 0 |
,Placebo Clade B | 0 | 0 | 0 |
,Placebo Clade C | 0 | 0 | 0 |
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Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG)
Participants with out of range ECG intervals were summarized. Criteria used to determine ECG results that are outside of a pre-specified range: PR (milliseconds [msec]): Value >200; QRS (msec): Value >120; QT (msec): Value >500 or change from Baseline >30; corrected QT interval Fridericia's formula (QTcF) (msec): Value >450 or change from Baseline >30. (NCT01803074)
Timeframe: Day 1 to end of the study (Day 42)
Intervention | Participants (Count of Participants) |
---|
| PR > 200 msec | QRS > 120 msec | QT > 500 msec | QTcB > 450 msec | QTcF > 450 msec |
---|
Part A-Group 1: BMS-955176 (5 mg) | 1 | 0 | 0 | 0 | 0 |
,Part A-Group 10: BMS-955176 (120 mg) | 2 | 0 | 0 | 0 | 0 |
,Part A-Group 2: BMS-955176 (10 mg) | 1 | 0 | 0 | 0 | 0 |
,Part A-Group 3: BMS-955176 (20 mg) | 1 | 0 | 0 | 0 | 1 |
,Part A-Group 4: BMS-955176 (40 mg) | 0 | 0 | 0 | 0 | 0 |
,Part A-Group 9: BMS-955176 (80 mg) | 0 | 0 | 0 | 0 | 0 |
,Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 1 | 0 | 0 | 0 | 0 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 0 | 1 | 0 | 0 | 0 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 1 | 0 | 0 | 0 | 0 |
,Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 1 | 0 | 0 | 0 | 0 |
,Part C-Group 13: BMS-955176 (120 mg) | 0 | 0 | 0 | 0 | 0 |
,Part C-Group 8: BMS-955176 (40 mg) | 1 | 0 | 0 | 0 | 0 |
,Placebo Clade B | 0 | 0 | 0 | 0 | 0 |
,Placebo Clade C | 0 | 0 | 0 | 1 | 0 |
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Number of Participants With Clinically Significant Changes in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Systolic BP (millimeter of mercury [mmHg]): value >140 and change from Baseline >20, or value <90 and change from Baseline <-20; Diastolic BP (mmHg): value >90 and change from Baseline >10, or value <55 and change from Baseline <-10. (NCT01803074)
Timeframe: Day 1 to end of the study (Day 42)
Intervention | Participants (Count of Participants) |
---|
| SBP | DBP |
---|
Part A-Group 1: BMS-955176 (5 mg) | 0 | 0 |
,Part A-Group 10: BMS-955176 (120 mg) | 0 | 0 |
,Part A-Group 2: BMS-955176 (10 mg) | 0 | 1 |
,Part A-Group 3: BMS-955176 (20 mg) | 0 | 1 |
,Part A-Group 4: BMS-955176 (40 mg) | 0 | 0 |
,Part A-Group 9: BMS-955176 (80 mg) | 0 | 0 |
,Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 0 | 1 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 0 | 0 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 1 | 1 |
,Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 0 | 0 |
,Part C-Group 13: BMS-955176 (120 mg) | 0 | 0 |
,Part C-Group 8: BMS-955176 (40 mg) | 0 | 1 |
,Placebo Clade B | 0 | 1 |
,Placebo Clade C | 0 | 0 |
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Number of Participants With Clinically Significant Grade 3/4 Laboratory Abnormalities From Baseline
Laboratory abnormalities were determined and graded using the Division of Acquired Immune Deficiency Syndrome (AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, version 1.0, December 2004. (NCT01803074)
Timeframe: Day 1 to up to end of the study (Day 42)
Intervention | Participants (Count of Participants) |
---|
| Neutrophils (Absolute) | Bilirubin (Total) |
---|
Part A-Group 1: BMS-955176 (5 mg) | 0 | 0 |
,Part A-Group 10: BMS-955176 (120 mg) | 1 | 0 |
,Part A-Group 2: BMS-955176 (10 mg) | 0 | 0 |
,Part A-Group 3: BMS-955176 (20 mg) | 0 | 0 |
,Part A-Group 4: BMS-955176 (40 mg) | 0 | 0 |
,Part A-Group 9: BMS-955176 (80 mg) | 0 | 0 |
,Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 1 | 0 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 0 | 2 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 0 | 5 |
,Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 0 | 3 |
,Part C-Group 13: BMS-955176 (120 mg) | 0 | 0 |
,Part C-Group 8: BMS-955176 (40 mg) | 0 | 0 |
,Placebo Clade B | 0 | 0 |
,Placebo Clade C | 0 | 0 |
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Percent Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Percent - Part A and C
Percent Change in the CD4+ and CD8+ cell counts from Baseline were measured in the participants infected with HIV-1 clade B and C who received BMS-955176 + ATV or BMS-955176 + ATV + RTV therapy. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 24
Intervention | Percent change (Mean) |
---|
| CD4+ | CD8+ |
---|
Part A-Group 1: BMS-955176 (5 mg) | 2.33 | 1.17 |
,Part A-Group 10: BMS-955176 (120 mg) | 0.29 | -2.29 |
,Part A-Group 2: BMS-955176 (10 mg) | 0.29 | 0.43 |
,Part A-Group 3: BMS-955176 (20 mg) | -1.29 | 0 |
,Part A-Group 4: BMS-955176 (40 mg) | 0.86 | 1 |
,Part A-Group 9: BMS-955176 (80 mg) | 2.13 | -0.25 |
,Part C-Group 13: BMS-955176 (120 mg) | 3.17 | -4.25 |
,Part C-Group 8: BMS-955176 (40 mg) | 0.5 | 0 |
,Placebo Clade B | -0.22 | 1.75 |
,Placebo Clade C | 2.75 | -1.33 |
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Percent Change From Baseline in Cluster of Differentiation (CD) 4+ and CD8+ Lymphocyte Percent - Part B
Percent Change in the CD4+ and CD8+ cell counts from Baseline were measured in the participants infected with HIV-1 clade B and C who received BMS-955176 + ATV or BMS-955176 + ATV + RTV therapy. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 42
Intervention | Percent change (Mean) |
---|
| CD4+ | CD8+ |
---|
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | -0.75 | -1.25 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 2.4 | -2.8 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 3.25 | -6.25 |
,Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 4.75 | -3.75 |
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Plasma Concentration 24 Hours Post-Dose (C24) - Part A and C
C24 was defined as the plasma concentration of BMS-955176 at 24 hours post-dose. (NCT01803074)
Timeframe: 24 hours post-dose
Intervention | Nanogram/milliliter (Geometric Mean) |
---|
| Day 1 | Day 10 |
---|
Part A-Group 1: BMS-955176 (5 mg) | 34.946 | 81.642 |
,Part A-Group 10: BMS-955176 (120 mg) | 624.745 | 1288.985 |
,Part A-Group 2: BMS-955176 (10 mg) | 79.002 | 138.775 |
,Part A-Group 3: BMS-955176 (20 mg) | 154.5 | 325.934 |
,Part A-Group 4: BMS-955176 (40 mg) | 286.268 | 713.077 |
,Part A-Group 9: BMS-955176 (80 mg) | 482.349 | 1150.397 |
,Part C-Group 13: BMS-955176 (120 mg) | 865.867 | 1691.306 |
,Part C-Group 8: BMS-955176 (40 mg) | 339.173 | 779.438 |
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Plasma Concentration 24 Hours Post-Dose (C24) - Part B
C24 was defined as the plasma concentration of BMS-955176 at 24 hours post-dose. (NCT01803074)
Timeframe: 24 hours post-dose
Intervention | Nanogram/milliliter (Geometric Mean) |
---|
| Day 1 | Day 28 |
---|
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 899.364 | 2010.679 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 462.312 | 1099.313 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 520.048 | 1163.177 |
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Time to Reach Maximum Plasma Concentration (Tmax) - Part A and C
Time to reach the maximum plasma concentration was directly determined from concentration time data. (NCT01803074)
Timeframe: Pre-dose Day 1 and Day 10
Intervention | Hours (Median) |
---|
| Day 1 | Day 10 |
---|
Part A-Group 1: BMS-955176 (5 mg) | 3 | 3 |
,Part A-Group 10: BMS-955176 (120 mg) | 3 | 2.5 |
,Part A-Group 2: BMS-955176 (10 mg) | 2.51 | 3 |
,Part A-Group 3: BMS-955176 (20 mg) | 3 | 4 |
,Part A-Group 4: BMS-955176 (40 mg) | 4 | 3 |
,Part A-Group 9: BMS-955176 (80 mg) | 3.5 | 3 |
,Part C-Group 13: BMS-955176 (120 mg) | 3.53 | 3 |
,Part C-Group 8: BMS-955176 (40 mg) | 3.5 | 3 |
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Time to Reach Maximum Plasma Concentration (Tmax) - Part B
Tmax was directly determined from concentration time data. (NCT01803074)
Timeframe: Pre-dose Day 1 and Day 28
Intervention | Hours (Median) |
---|
| Day 1 | Day 28 |
---|
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 5 | 4.5 |
,Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 5.01 | 4.5 |
,Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 5.05 | 5 |
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Apparent Total Body Clearance: Part A and C
Apparent total body clearance was derived by non-compartmental methods, using a validated pharmacokinetic (PK) analysis program: KineticaTM 5.0 within eToolbox (version 2.7). (NCT01803074)
Timeframe: Baseline (Day 1) to Day 10
Intervention | Milliliters/minute (Geometric Mean) |
---|
Part A-Group 1: BMS-955176 (5 mg) | 30.635 |
Part A-Group 2: BMS-955176 (10 mg) | 32.246 |
Part A-Group 3: BMS-955176 (20 mg) | 28.364 |
Part A-Group 4: BMS-955176 (40 mg) | 29.005 |
Part A-Group 9: BMS-955176 (80 mg) | 33.892 |
Part A-Group 10: BMS-955176 (120 mg) | 45.267 |
Part C-Group 8: BMS-955176 (40 mg) | 26.086 |
Part C-Group 13: BMS-955176 (120 mg) | 37.056 |
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Average Observed Plasma Concentration at Steady State (Css-avg): Part A and C
Css-avg was calculated by the quotient of AUC(TAU) and the dosing interval (24 h). Css-avg was derived by non-compartmental methods, using a validated pharmacokinetic (PK) analysis program: KineticaTM 5.0 within eToolbox (version 2.7). (NCT01803074)
Timeframe: Baseline (Day 1) to Day 10
Intervention | Nanogram/milliliter (Geometric Mean) |
---|
Part A-Group 1: BMS-955176 (5 mg) | 113.326 |
Part A-Group 2: BMS-955176 (10 mg) | 215.111 |
Part A-Group 3: BMS-955176 (20 mg) | 489.507 |
Part A-Group 4: BMS-955176 (40 mg) | 956.222 |
Part A-Group 9: BMS-955176 (80 mg) | 1639.471 |
Part A-Group 10: BMS-955176 (120 mg) | 1841.413 |
Part C-Group 8: BMS-955176 (40 mg) | 1065.435 |
Part C-Group 13: BMS-955176 (120 mg) | 2256.793 |
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Change in Plasma Log10 HIV-1 Ribonucleic Acid (RNA) Levels From Baseline to Day 11
Antiviral activity of BMS-955176 was estimated by measuring the plasma HIV-1 RNA levels in the HIV-1 infected participants. Change in the plasma HIV-1 RNA levels were measured in the participants infected with HIV-1 clade B and C who received BMS-955176 monotherapy. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) and Day 11 after the final dose with BMS-955176
Intervention | Log10 copies per milliliter (c/mL) (Mean) |
---|
Part A-Group 1: BMS-955176 (5 mg) | -0.138 |
Part A-Group 2: BMS-955176 (10 mg) | -0.567 |
Part A-Group 3: BMS-955176 (20 mg) | -0.889 |
Part A-Group 4: BMS-955176 (40 mg) | -1.279 |
Part A-Group 9: BMS-955176 (80 mg) | -1.339 |
Part A-Group 10: BMS-955176 (120 mg) | -1.326 |
Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | -1.216 |
Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | -1.431 |
Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | -1.544 |
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | -1.521 |
Part C-Group 8: BMS-955176 (40 mg) | -1.29 |
Part C-Group 13: BMS-955176 (120 mg) | -0.938 |
Placebo Clade B | 0.118 |
Placebo Clade C | -0.172 |
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Degree of Fluctuation (DF): Part A and C
DF was calculated as the difference between Cmax and Cmin divided by Css-avg. DF was derived by non-compartmental methods, using a validated pharmacokinetic (PK) analysis program: KineticaTM 5.0 within eToolbox (version 2.7). (NCT01803074)
Timeframe: Baseline (Day 1) to Day 10
Intervention | Ratio (Geometric Mean) |
---|
Part A-Group 1: BMS-955176 (5 mg) | 0.766 |
Part A-Group 2: BMS-955176 (10 mg) | 0.912 |
Part A-Group 3: BMS-955176 (20 mg) | 0.758 |
Part A-Group 4: BMS-955176 (40 mg) | 0.78 |
Part A-Group 9: BMS-955176 (80 mg) | 0.779 |
Part A-Group 10: BMS-955176 (120 mg) | 0.818 |
Part C-Group 8: BMS-955176 (40 mg) | 0.723 |
Part C-Group 13: BMS-955176 (120 mg) | 0.727 |
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Maximum Decline From Baseline in Log10 HIV-1 RNA - Part A and C
Antiviral activity of BMS-955176 was estimated by measuring the plasma HIV-1 RNA levels in the HIV-1 infected participants. Maximum decline from Baseline in the plasma HIV-1 RNA levels were measured in the participants infected with HIV-1 clade B and C. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 24
Intervention | Log10 copies/mL (Median) |
---|
Part A-Group 1: BMS-955176 (5 mg) | -0.498 |
Part A-Group 2: BMS-955176 (10 mg) | -0.976 |
Part A-Group 3: BMS-955176 (20 mg) | -1.115 |
Part A-Group 4: BMS-955176 (40 mg) | -1.701 |
Part A-Group 9: BMS-955176 (80 mg) | -1.555 |
Part A-Group 10: BMS-955176 (120 mg) | -1.654 |
Part C-Group 8: BMS-955176 (40 mg) | -1.352 |
Part C-Group 13: BMS-955176 (120 mg) | -1.257 |
Placebo Clade B | -0.381 |
Placebo Clade C | -0.419 |
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Maximum Decline From Baseline in Log10 HIV-1 RNA - Part B
Antiviral activity of BMS-955176 was estimated by measuring the plasma HIV-1 RNA levels in the HIV-1 infected participants. Maximum decline from Baseline in the plasma HIV-1 RNA levels were measured in the participants infected with HIV-1 clade B and C. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 42
Intervention | Log10 copies/mL (Median) |
---|
Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | -1.858 |
Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | -2.202 |
Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | -2.39 |
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | -2.228 |
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Number of Participants With Clinically Significant Changes in Heart Rate
Heart rate was measured after the participants had been seated quietly for at least 5 minutes. Criteria used to determine heart rate that are outside of a pre-specified range, where changes from Baseline are based on matched postural positions and are calculated as parameter value - Baseline parameter value: Value >100 and change from Baseline > 30, or Value < 55 and change from Baseline < -15. (NCT01803074)
Timeframe: Day 1 to end of the study (Day 42)
Intervention | Participants (Count of Participants) |
---|
Part A-Group 1: BMS-955176 (5 mg) | 0 |
Part A-Group 2: BMS-955176 (10 mg) | 0 |
Part A-Group 3: BMS-955176 (20 mg) | 0 |
Part A-Group 4: BMS-955176 (40 mg) | 0 |
Part A-Group 9: BMS-955176 (80 mg) | 0 |
Part A-Group 10: BMS-955176 (120 mg) | 0 |
Part B-Group 5: BMS-955176 (40 mg) + Atazanavir | 0 |
Part B-Group 6: BMS-955176 (40 mg) + Atazanavir + Ritonavir | 0 |
Part B-Group 7: Atazanavir+Ritonavir+Tenofovir+Emtricitabine | 1 |
Part B-Group 12: BMS-955176 (80 mg) + Atazanavir | 0 |
Part C-Group 8: BMS-955176 (40 mg) | 0 |
Part C-Group 13: BMS-955176 (120 mg) | 2 |
Placebo Clade B | 1 |
Placebo Clade C | 0 |
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Plasma Half-life: Part A and C
Half-life of the terminal log-linear phase, (T-half), was calculated as natural logarithm of 2 (ln2)/λ, where λ is the absolute value of the slope of the terminal log-linear phase. T-half was derived by non-compartmental methods, using a validated pharmacokinetic (PK) analysis program: KineticaTM 5.0 within eToolbox (version 2.7). (NCT01803074)
Timeframe: Baseline (Day 1) to Day 10
Intervention | Hours (Median) |
---|
Part A-Group 1: BMS-955176 (5 mg) | 32.134 |
Part A-Group 2: BMS-955176 (10 mg) | 31.967 |
Part A-Group 3: BMS-955176 (20 mg) | 27.382 |
Part A-Group 4: BMS-955176 (40 mg) | 33.475 |
Part A-Group 9: BMS-955176 (80 mg) | 29.171 |
Part A-Group 10: BMS-955176 (120 mg) | 34.574 |
Part C-Group 8: BMS-955176 (40 mg) | 31.565 |
Part C-Group 13: BMS-955176 (120 mg) | 35.278 |
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Time to Maximum Decline in Log 10 HIV-1 RNA - Part A and C
Antiviral activity of BMS-955176 was estimated by measuring the plasma HIV-1 RNA levels in the HIV-1 infected participants. Time to maximum decline in the plasma HIV-1 RNA levels were measured in the participants infected with HIV-1 clade B and C. Baseline was Day 1. Change from Baseline was post-Baseline individual values minus Baseline values. (NCT01803074)
Timeframe: Baseline (Day 1) up to Day 24
Intervention | Hours (Median) |
---|
Part A-Group 1: BMS-955176 (5 mg) | 168 |
Part A-Group 2: BMS-955176 (10 mg) | 216 |
Part A-Group 3: BMS-955176 (20 mg) | 203.9 |
Part A-Group 4: BMS-955176 (40 mg) | 240.15 |
Part A-Group 9: BMS-955176 (80 mg) | 204 |
Part A-Group 10: BMS-955176 (120 mg) | 240.2 |
Part C-Group 8: BMS-955176 (40 mg) | 228.05 |
Part C-Group 13: BMS-955176 (120 mg) | 215.8 |
Placebo Clade B | 216.2 |
Placebo Clade C | 132.05 |
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Accumulation Index (AI): Part A and C
Accumulation index was calculated by dividing the AUC(tau) or Cmax or C24 of BMS-955176 on Day 10 by the AUC(TAU) or Cmax or C24, respectively, of BMS-955176 on Day 1. (NCT01803074)
Timeframe: Baseline and Day 10
Intervention | Ratio (Geometric Mean) |
---|
| Cmax | C24 | AUC |
---|
Part A-Group 1: BMS-955176 (5 mg) | 2.152 | 2.336 | 2.363 |
,Part A-Group 10: BMS-955176 (120 mg) | 1.854 | 2.063 | 2.02 |
,Part A-Group 2: BMS-955176 (10 mg) | 1.674 | 1.757 | 1.801 |
,Part A-Group 3: BMS-955176 (20 mg) | 2.018 | 2.11 | 2.289 |
,Part A-Group 4: BMS-955176 (40 mg) | 1.856 | 2.491 | 2.278 |
,Part A-Group 9: BMS-955176 (80 mg) | 2.135 | 2.385 | 2.306 |
,Part C-Group 13: BMS-955176 (120 mg) | 1.771 | 1.953 | 2.017 |
,Part C-Group 8: BMS-955176 (40 mg) | 1.966 | 2.298 | 2.337 |
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Maximum Observed Plasma Concentration (Cmax) of Cobicistat
Blood samples for testing plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. Cmax was derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (1,2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24 hours postdose)
Intervention | ng/mL (Geometric Mean) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 1321 |
Treatment B: Atazanavir/Cobicistat FDC | 1348 |
Treatment C: Atazanavir + Cobicistat Coadministered | 952 |
Treatment D: Atazanavir/Cobicistat FDC | 1033 |
Treatment E: Atazanavir/Cobicistat FDC | 1060 |
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Apparent Terminal Half-life (T-HALF) of Atazanavir
Blood samples for testing plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. T-HALF was derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (predose and at 1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24, 30, and 36 hours postdose); Days 3, 10, 17, 24, and 31 (48 hours postdose)
Intervention | Hours (Mean) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 7.54 |
Treatment B: Atazanavir/Cobicistat FDC | 7.50 |
Treatment C: Atazanavir + Cobicistat Coadministered | 7.25 |
Treatment D: Atazanavir/Cobicistat FDC | 7.21 |
Treatment E: Atazanavir/Cobicistat FDC | 7.14 |
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Maximum Observed Plasma Concentration (Cmax) of Atazanavir
Blood samples for plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. Cmax was derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (predose and at 1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24, 30, and 36 hours postdose); Days 3, 10, 17, 24, and 31 (48 hours postdose)
Intervention | ng/mL (Geometric Mean) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 3832 |
Treatment B: Atazanavir/Cobicistat FDC | 4104 |
Treatment C: Atazanavir + Cobicistat Coadministered | 2585 |
Treatment D: Atazanavir/Cobicistat FDC | 2941 |
Treatment E: Atazanavir/Cobicistat FDC | 2545 |
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Observed Concentration at 24 Hours (C24) of Atazanavir
Blood samples for plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. C24 was derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (predose and at 1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24, 30, and 36 hours postdose); Days 3, 10, 17, 24, and 31 (48 hours postdose)
Intervention | ng/mL (Geometric Mean) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 416 |
Treatment B: Atazanavir/Cobicistat FDC | 449 |
Treatment C: Atazanavir + Cobicistat Coadministered | 295 |
Treatment D: Atazanavir/Cobicistat FDC | 337 |
Treatment E: Atazanavir/Cobicistat FDC | 398 |
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T-HALF of Cobicistat
Blood samples for testing plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. T-HALF was derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (1,2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24 hours postdose)
Intervention | Hours (Mean) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 4.34 |
Treatment B: Atazanavir/Cobicistat FDC | 4.33 |
Treatment C: Atazanavir + Cobicistat Coadministered | 4.23 |
Treatment D: Atazanavir/Cobicistat FDC | 4.09 |
Treatment E: Atazanavir/Cobicistat FDC | 4.27 |
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Time of Maximum Observed Concentration (Tmax) of Atazanavir
Blood samples for plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. Tmax was derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (predose and at 1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24, 30, and 36 hours postdose); Days 3, 10, 17, 24, and 31 (48 hours postdose)
Intervention | Hours (Median) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 3.00 |
Treatment B: Atazanavir/Cobicistat FDC | 2.50 |
Treatment C: Atazanavir + Cobicistat Coadministered | 2.00 |
Treatment D: Atazanavir/Cobicistat FDC | 2.00 |
Treatment E: Atazanavir/Cobicistat FDC | 3.54 |
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Time of Maximum Observed Concentration (Tmax) of Cobicistat
Blood samples for testing plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. Tmax was derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (1,2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24 hours postdose)
Intervention | Hours (Median) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 2.52 |
Treatment B: Atazanavir/Cobicistat FDC | 2.52 |
Treatment C: Atazanavir + Cobicistat Coadministered | 2.00 |
Treatment D: Atazanavir/Cobicistat FDC | 2.00 |
Treatment E: Atazanavir/Cobicistat FDC | 4.00 |
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Area Under the Concentration Curve From Time 0 to Time of Last Quantifiable Concentration (AUC[0-T]) and Area Under the Concentration Curve From Time 0 to Infinity (AUC[INF]) of Cobicistat
Blood samples for testing plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. AUC(0-T) and AUC(INF) were derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (1,2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24 hours postdose)
Intervention | ng*h/mL (Geometric Mean) |
---|
| AUC(0-T) | AUC(INF) (n=63, 62, 63, 63, 28) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 8738 | 9045 |
,Treatment B: Atazanavir/Cobicistat FDC | 8866 | 9178 |
,Treatment C: Atazanavir + Cobicistat Coadministered | 6541 | 7884 |
,Treatment D: Atazanavir/Cobicistat FDC | 7204 | 7408 |
,Treatment E: Atazanavir/Cobicistat FDC | 7916 | 8298 |
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Area Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of Last Quantifiable Concentration (AUC[0-T]) and From Time 0 to Infinity (AUC[INF]) for Atazanavir
Blood samples for plasma concentrations were obtained at predose and at specific timepoints up to 48 hours after dosing on Days 1, 8, 15, 22, and 29. AUC(0-T) and AUC(INF) were derived from plasma concentration versus time data. (NCT01837719)
Timeframe: Days 1, 8, 15, 22, and 29 (predose and at 1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 16 hours postdose); Days 2, 9, 16, 23, and 30 (24, 30, and 36 hours postdose); Days 3, 10, 17, 24, and 31 (48 hours postdose)
Intervention | ng*h/mL (Geometric Mean) |
---|
| AUC(0-T) | AUC(0-INF) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 32775 | 33523 |
,Treatment B: Atazanavir/Cobicistat FDC | 34905 | 35673 |
,Treatment C: Atazanavir + Cobicistat Coadministered | 25017 | 25547 |
,Treatment D: Atazanavir/Cobicistat FDC | 27875 | 28378 |
,Treatment E: Atazanavir/Cobicistat FDC | 25873 | 26510 |
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Number of Participants Who Died and With Serious Adverse Events (SAEs)
An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant who receives an investigational product and that does not necessarily have a causal relationship with this treatment. An AE can be any unfavorable and unintended sign (such as an abnormal laboratory finding), symptom, or disease temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE is any untoward medical occurrence that at any dose results in death; is life-threatening; or requires or prolongs inpatient hospitalization. (NCT01837719)
Timeframe: On Day 24 or 31
Intervention | Participants (Number) |
---|
| Deaths | SAEs |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 0 | 0 |
,Treatment B: Atazanavir/Cobicistat FDC | 0 | 0 |
,Treatment C: Atazanavir + Cobicistat Coadministered | 0 | 0 |
,Treatment D: Atazanavir/Cobicistat FDC | 0 | 0 |
,Treatment E: Atazanavir/Cobicistat FDC | 0 | 0 |
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Number of Participants With Marked Abnormalities in Results of Clinical Laboratory Tests
LLN=lower limit of normal; ULN=upper limit of normal; preRx=pretreatment; h=high; hpf=high power field. Abnormal criteria: Leukocytes, low (*10^3 c/uL): <0.85*preRx if preRxULN. Neutrophils, low (*10^3 c/uL): <0.85*preRx if preRx<1.5; <1.5 if preRx=missing; <1.5 if preRx ≥1.5. Bilirubin, h (mg/dL): >1.1* ULN if preRx≤ULN; >1.1*ULN if preRx=missing; >1.25*preRx if preRx>ULN. Bilirubin, h (mg/dL): >1.1* ULN if preRx≤ULN; >1.1*ULN if preRx=missing; >1.25*preRx if preRx>ULN. Blood, urine, h: ≥2*preRx if preRx≥1; ≥2 if preRx <1; ≥2 if preRx=missing. RBCs/WBCs, h (hpf): ≥2 if preRx=missing ≥2 if preRx<2 ≥4 if preRx ≥2. Creatine kinase, h (U/L): >1.5*preRx if preRx>ULN; >1.5*ULN if preRx≤ULN; >1.5*ULN if preRx=missing; AST, h (U/L): >1.25* preRx if preRx>ULN; >1.25*ULN if preRx≤ULN; >1.25*ULN if preRx=missing. Lactate dehydrogenase, h (U/L): >1.25*ULN if preRx≤ULN; >1.25*ULN if preRx=missing; >1.5*preRx if preRx>ULN. (NCT01837719)
Timeframe: At Screening and on Days -1,4, 11, 18, and 31 (study discharge)
Intervention | Participants (Number) |
---|
| Leukocytes (low) | Neutrophils, absolute (low) | Bilirubin, total (high) | Bilirubin, direct | Blood, urine (high) | Red blood cells (RBC), urine (high) | White blood cells (WBC), urine (high) | Creatine kinase (high) | Aspartate aminotransferase (AST) (high) | Lactate dehydrogenase (high) |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 3 | 2 | 1 | 0 | 1 | 1 | 2 | 0 | 0 | 0 |
,Treatment B: Atazanavir/Cobicistat FDC | 2 | 4 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
,Treatment C: Atazanavir + Cobicistat Coadministered | 3 | 3 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 |
,Treatment D: Atazanavir/Cobicistat FDC | 1 | 2 | 3 | 1 | 1 | 0 | 3 | 0 | 0 | 0 |
,Treatment E: Atazanavir/Cobicistat FDC | 1 | 1 | 4 | 1 | 1 | 1 | 2 | 0 | 0 | 0 |
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Number of Participants With Out-of-range Intervals on Electrocardiogram (ECG) Findings
A 12-lead ECG was recorded at predose and 4 hours post dose at screening, Days -1, 1, 8 15, 22, 29 and study discharge. ECGs were recorded after the patient had been supine for at least 5 minutes. All ECG readings post dosing (including unscheduled) were included. (NCT01837719)
Timeframe: At screening; on Day -1; predose and 4 hours postdose on Days 1, 18, 15, 22, and 29; and at study discharge (Day 31)
Intervention | Participants (Number) |
---|
| PR interval >210 msec | QRS interval >120 msec | QT interval >500 msec | QTcF>450 msec |
---|
Treatment A: Atazanavir + Cobicistat Coadministered | 0 | 1 | 0 | 1 |
,Treatment B: Atazanavir/Cobicistat FDC | 0 | 1 | 0 | 0 |
,Treatment C: Atazanavir + Cobicistat Coadministered | 0 | 0 | 0 | 0 |
,Treatment D: Atazanavir/Cobicistat FDC | 1 | 0 | 0 | 0 |
,Treatment E: Atazanavir/Cobicistat FDC | 0 | 0 | 0 | 0 |
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ATV PK Parameter Cmax Determined Based on ATV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the ATV PK parameter Cmax obtained from both sampling periods, before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Cmax defines maximum concentration observed within the first 8 hours of the 24 hour dosing interval. (NCT01903031)
Timeframe: Intensive ATV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | ng/mL (Median) |
---|
| Cmax day 0 | Cmax day 21 |
---|
NuvaRing With ATV/r Plus TDF ≥1 NRTIs | 4291.0 | 3583.0 |
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Ethinyl Estradiol Concentrations Obtained on Study Days 7 and 14.
This evaluates the effect of EFV and ATV/r on ethinyl estradiol by measuring ethinyl estradiol concentrations on all three study arms 7 and 14 days after NuvaRing administration. The assay lower limit of quantification for ethinyl estradiol was 5 pg/mL; values < 5 were assigned a value of half the lower limit (ie, 2.5 pg/mL). (NCT01903031)
Timeframe: Study days 7 and 14
Intervention | pg/mL (Median) |
---|
| Concentration at Day 7 | Concentration at Day 14 |
---|
NuvaRing and no ART | 18.05 | 19.70 |
,NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 15.70 | 16.55 |
,NuvaRing With EFV Plus ≥2 NRTIs | 9.98 | 10.50 |
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Etonogestrel Concentrations Obtained on Study Days 7 and 14
This evaluates the effect of EFV and ATV/r on etonogestrel by measuring etonogestrel concentrations on all three study arms 7 and 14 days after NuvaRing administration. The assay lower limit of quantification for etonogestrel was 250 pg/mL; values < 250 were assigned a value of half the lower limit (ie, 125 pg/mL). (NCT01903031)
Timeframe: Study days 7 and 14
Intervention | pg/mL (Median) |
---|
| Concentration at Day 7 | Concentration at Day 14 |
---|
NuvaRing and no ART | 1970.00 | 2070.00 |
,NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 3250.00 | 3530.00 |
,NuvaRing With EFV Plus ≥2 NRTIs | 427.00 | 437.00 |
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Proportion of Participants With Plasma HIV-1 RNA Levels <40 Copies/mL
This evaluates the short-term impact of Nuvaring on virologic suppression in participants who have been administered Nuvaring alone or together with EFV or ATV/r by measuring proportion of participants with plasma HIV-1 RNA levels <40 copies/mL at study day 0 (before vaginal ring placement) and study day 21 (three weeks after vaginal ring placement). An FDA-approved HIV-1 RNA assay was required. (NCT01903031)
Timeframe: Study day 0 and study day 21
Intervention | proportion of participants (Number) |
---|
| Proportion with HIV-1 RNA <40 copies/mL at day 0 | Proportion with HIV-1 RNA <40 copies/mL at day 21 |
---|
NuvaRing and no ART | 0.22 | 0.17 |
,NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 0.89 | 0.85 |
,NuvaRing With EFV Plus ≥2 NRTIs | 0.93 | 0.85 |
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RTV PK Parameter Cmin Determined Based on RTV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the PK parameter Cmin of RTV before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Cmin defines minimum concentration observed within the first 8 hours of the 24 hour dosing interval. (NCT01903031)
Timeframe: Intensive RTV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement)
Intervention | ng/mL (Median) |
---|
| Cmin day 0 | Cmin day 21 |
---|
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 70.0 | 51.9 |
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Ritonavir (RTV) PK Parameter AUC(0-24h) Calculated Based on Intensive RTV PK Samples Obtained From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the PK parameter AUC(0-24h) of RTV before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. AUC(0-24h) defines area under the concentration-time curve over the period of 24 hours (pre-dose concentration was used to impute concentration at 24h). (NCT01903031)
Timeframe: Intensive RTV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement)
Intervention | h*ng/mL (Median) |
---|
| AUC0-24h day 0 | AUC0-24h day 21 |
---|
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 10740.0 | 7210.7 |
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RTV PK Parameter CLss/F Determined Based on RTV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the PK parameter CLss/F of RTV before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. CLss/F defines apparent oral clearance. (NCT01903031)
Timeframe: Intensive RTV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement)
Intervention | hour (Median) |
---|
| CLss/F day 0 | CLss/F day 21 |
---|
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 9.3 | 13.9 |
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RTV PK Parameter Tmax Determined Based on RTV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the PK parameter Tmax of RTV before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Tmax defines time to maximum concentration since dose is initiated. (NCT01903031)
Timeframe: Intensive RTV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement)
Intervention | hour (Median) |
---|
| Tmax day 0 | Tmax day 21 |
---|
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 3.0 | 3.0 |
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ATV PK Parameter CLss/F Determined Based on ATV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the ATV PK parameter CLss/F obtained from both sampling periods, before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. CLss/f defines apparent oral clearance. (NCT01903031)
Timeframe: Intensive ATV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | L/h (Median) |
---|
| CLss/F day 0 | CLss/F day 21 |
---|
NuvaRing With ATV/r Plus TDF ≥1 NRTIs | 6.8 | 8.2 |
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ATV PK Parameter Cmin Determined Based on ATV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the ATV PK parameter Cmin obtained from both sampling periods, before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Cmin defines minimum concentration observed within the first 8 hours of the 24 hour dosing interval. (NCT01903031)
Timeframe: Intensive ATV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | ng/mL (Median) |
---|
| Cmin day 0 | Cmin day 21 |
---|
NuvaRing With ATV/r Plus TDF ≥1 NRTIs | 796.7 | 599.4 |
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ATV PK Parameter AUC(0-24h) Calculated Based on Intensive Atazanavir (ATV) PK Samples Obtained From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the PK parameter AUC(0-24h) of ATV before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. AUC(0-24h) defines area under the concentration-time curve over the period of 24 hours (pre-dose concentration was used to impute concentration at 24h). (NCT01903031)
Timeframe: Intensive ATV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement)
Intervention | h*ng/mL (Median) |
---|
| AUC0-24h day 0 | AUC0-24h day 21 |
---|
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 44313.7 | 36764.7 |
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Etonogestrel Concentrations at Study Day 21
This evaluates the effect of EFV and ATV/r on etonogestrel by measuring etonogestrel concentrations on all three study arms 21 days after NuvaRing administration. The pharmacokinetic (PK) blood sample for measurement of etonogestrel on study day 21 was taken before the NuvaRing was removed. The assay lower limit of quantification for etonogestrel was 250 pg/mL; values < 250 were assigned a value of half the lower limit (ie, 125 pg/mL). (NCT01903031)
Timeframe: Day 21
Intervention | pg/mL (Median) |
---|
NuvaRing and no ART | 1860.00 |
NuvaRing With EFV Plus ≥2 NRTIs | 429.00 |
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 3290.00 |
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Ethinyl Estradiol Concentrations at Study Day 21
This evaluates the effect of EFV and ATV/r on ethinyl estradiol by measuring ethinyl estradiol concentrations on all three study arms 21 days after NuvaRing administration. The PK blood sample for measurement of ethinyl estradiol on study day 21 was taken before the NuvaRing was removed. The assay lower limit of quantification for ethinyl estradiol was 5 pg/mL ; values < 5 were assigned a value of half the lower limit (ie, 2.5 pg/mL). (NCT01903031)
Timeframe: Day 21
Intervention | pg/mL (Median) |
---|
NuvaRing and no ART | 21.30 |
NuvaRing With EFV Plus ≥2 NRTIs | 11.40 |
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 16.05 |
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EFV PK Parameter Minimum Plasma Concentration (Cmin) Determined Based on EFV Levels From Individual Participants Enrolled in Arm B
This evaluates the effect of NuvaRing on the EFV PK parameter Cmin obtained from both sampling periods, before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Cmin defines minimum concentration observed within the first 8 hours of the 24 hour dosing interval. (NCT01903031)
Timeframe: Intensive EFV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | ng/mL (Median) |
---|
| Cmin day 0 | Cmin day 21 |
---|
NuvaRing With EFV Plus ≥2 NRTIs | 2121.5 | 1766.0 |
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ATV PK Parameter Time to Cmax (Tmax) Determined Based on ATV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the ATV PK parameter Tmax obtained from both sampling periods, before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Tmax defines time to maximum concentration since dose is initiated. (NCT01903031)
Timeframe: Intensive ATV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | hour (Median) |
---|
| Tmax day 0 | Tmax day 21 |
---|
NuvaRing With ATV/r Plus TDF ≥1 NRTIs | 2.9 | 3.0 |
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EFV PK Parameter Area Under the Concentration-Time Curve (AUC0-24hours) Calculated Based on Intensive EFV PK Samples Obtained From Individual Participants Enrolled in Arm B
This evaluates the effect of NuvaRing on the PK parameter AUC(0-24h) of EFV before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. AUC(0-24h) defines area under the concentration-time curve over the period of 24 hours (pre-dose concentration was used to impute concentration at 24h). (NCT01903031)
Timeframe: Intensive EFV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | h*ng/mL (Median) |
---|
| AUC0-24h day 0 | AUC0-24h day 21 |
---|
NuvaRing With EFV Plus ≥2 NRTIs | 68949.1 | 57795.9 |
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EFV PK Parameter Clearance (CLss/F) Determined Based on EFV Levels From Individual Participants Enrolled in Arm B
This evaluates the effect of NuvaRing on the EFV PK parameter CLss/F obtained from both sampling periods, before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. CLss/F defines apparent oral clearance (NCT01903031)
Timeframe: Intensive EFV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | L/h (Median) |
---|
| CLss/F day 0 | CLss/F day 21 |
---|
NuvaRing With EFV Plus ≥2 NRTIs | 8.7 | 10.4 |
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EFV PK Parameter Maximum Plasma Concentration (Cmax) Determined Based on EFV Levels From Individual Participants Enrolled in Arm B
This evaluates the effect of NuvaRing on the EFV PK parameter Cmax obtained from both sampling periods, before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Cmax defines maximum concentration observed within the first 8 hours of the 24 hour dosing interval. (NCT01903031)
Timeframe: Intensive EFV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement).
Intervention | ng/mL (Median) |
---|
| Cmax day 0 | Cmax day 21 |
---|
NuvaRing With EFV Plus ≥2 NRTIs | 4541.0 | 3786.0 |
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RTV PK Parameter Cmax Determined Based on RTV Levels From Individual Participants Enrolled in Arm C
This evaluates the effect of NuvaRing on the PK parameter Cmax of RTV before NuvaRing placement (at study day 0) and three weeks later (on study day 21), prior to NuvaRing removal. Cmax defines maximum concentration observed within the first 8 hours of the 24 hour dosing interval. (NCT01903031)
Timeframe: Intensive RTV PK samples at pre-dose, 1, 3, 4, 5, and 8 hours post-dose on study day 0 (before vaginal ring placement) and on study day 21 (3 weeks after vaginal ring placement)
Intervention | ng/mL (Median) |
---|
| Cmax day 0 | Cmax day 21 |
---|
NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 1437.0 | 1063.0 |
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Proportion of Participants With Progesterone Levels Greater Than 5 ng/mL.
This evaluates alterations in progesterone levels due to the potential PK interaction between NuvaRing and the ARVs EFV and ATV/r by examining progesterone levels at study days 0 (before vaginal ring placement), 7, 14, and 21 (before vaginal ring removal), and study day 28, without regard to menstrual cycle status at study entry. (NCT01903031)
Timeframe: Study days 0, 7, 14, 21 and 28
Intervention | proportion of participants (Number) |
---|
| Proportion with progesterone >5 at day 0 | Proportion with progesterone >5 at day 7 | Proportion with progesterone >5 at day 14 | Proportion with progesterone >5 at day 21 | Proportion with progesterone >5 at day 28 |
---|
NuvaRing and no ART | 0.08 | 0.08 | 0.00 | 0.00 | 0.00 |
,NuvaRing With ATV/r Plus TDF and ≥1 NRTIs | 0.25 | 0.08 | 0.00 | 0.00 | 0.00 |
,NuvaRing With EFV Plus ≥2 NRTIs | 0.04 | 0.24 | 0.04 | 0.00 | 0.00 |
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Absolute Values in CD4+ Cell Count at Indicated Timepoints-Continuation Phase
Absolute values in CD4+ cell count were assessed at indicated time points. (NCT01910402)
Timeframe: Week 96 and Week 432
Intervention | Cells per cubic millimeter (Mean) |
---|
| Week 96, n=99 | Week 432, n=3 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 635.3 | 553.0 |
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Absolute Values in CD4+ Cell Count at Indicated Timepoints-Randomized Phase
Absolute values in CD4+ cell count were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Cells per cubic millimeter (Mean) |
---|
| Baseline (Day 1), n=248, 247 | Week 4, n=245, 237 | Week 12, n=236, 224 | Week 24, n=226, 210 | Week 36, n=219, 204 | Week 48, n=208, 191 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 380.3 | 455.1 | 506.2 | 542.5 | 569.2 | 608.5 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 369.7 | 465.0 | 509.5 | 563.8 | 592.8 | 608.8 |
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Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase
Absolute Values in plasma HIV-1 RNA were assessed at indicated time points. (NCT01910402)
Timeframe: Week 96 and Week 432
Intervention | Log10 copies/mL (Mean) |
---|
| Week 96, n=99 | Week 432, n=3 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 1.591 | 1.590 |
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Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase
Absolute Values in plasma HIV-1 RNA were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Log10 copies/mL (Mean) |
---|
| Baseline (Day 1), n=248, 247 | Week 4, n=245, 238 | Week 12, n=236, 226 | Week 24, n=225, 212 | Week 36, n=221, 204 | Week 48, n=207, 192 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 4.441 | 2.516 | 1.908 | 1.710 | 1.658 | 1.657 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 4.481 | 1.895 | 1.748 | 1.724 | 1.666 | 1.619 |
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Bone Specific Alkaline Phosphatase, Osteocalcin, Procollagen 1 N-terminal Propeptide, Type 1 Collagen C-Telopeptide, Vitamin D Ratio of Week 48 Results Over Baseline
Bone markers were assessed at indicated timepoints. Bone specific alkaline phosphatase (BSAP), osteocalcin and procollagen 1 N-terminal propeptide (PTP), Type 1 Collagen C-Telopeptide, vitamin D ratio of Week 48 results over Baseline is calculated. Bone biomarkers were analyzed based on log transformed data. Estimates of adjusted mean and difference were calculated from an Analysis of covariance (ANCOVA) model adjusting for age, baseline viral load Baseline CD4+ cell count, Baseline biomarker level, body mass index category, smoking status and baseline Vitamin D use. Adjusted mean of log-transformed change from Baseline are transformed back to Week 48/Baseline ratio for each treatment group. Adjusted difference of log-transformed change from Baseline between treatment groups is transformed back to the ratio of Week 48/Baseline ratio in DTG/ABC/3TC FDC to ATV+RTV+TDF/FTC FDC. (NCT01910402)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Ratio (Number) |
---|
| BSAP, n=202, 183 | PTP, n=202, 184 | Osteocalcin, n=194, 178 | Type 1 Collagen C-Telopeptide, n=202, 184 | Vitamin D, n=206, 186 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 1.629 | 1.752 | 2.039 | 1.918 | 1.158 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 1.188 | 1.214 | 1.282 | 1.257 | 0.987 |
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Change From Baseline at Week 48 in SF-12 Total Score, MCS and PCS
The 12-Item Short Form Health Survey (SF-12) is 12 item abbreviated form of SF-36 survey. SF-12 questions make up 8 scales: Physical Functioning, Role Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role Emotional, Mental Health. SF-12 is a self-reported outcome measure assessing psychological wellness and the impact of health on an individual's everyday life. SF-12 total score ranges from 20 to 60 and higher score indicate a higher level of functioning. SF-12 total score was calculated by a clinician scoring 12-question survey filled by participants. Transformed physical component summary score (PCS) and transformed mental component summary score (MCS) are derived using the sum of all 12 items and scored onto a 0-100 scale such that a higher score indicates a better health state and better functioning. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Score on a scale (Mean) |
---|
| Total Score, Week 48, n=205, 192 | MCS, Week 48, n=205, 192 | PCS, Week 48, n=205, 192 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 0.1 | 2.329 | 1.444 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0.0 | 2.397 | 1.905 |
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Change From Baseline in Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Creatine Kinase at Indicated Time Points
Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, creatine kinase is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | International units per liter (Mean) |
---|
| Alanine aminotransferase, Week 4, n= 245, 237 | Alanine aminotransferase, Week 12, n= 236, 226 | Alanine aminotransferase, Week 24, n= 225, 212 | Alanine aminotransferase, Week 36, n= 219, 204 | Alanine aminotransferase, Week 48, n= 208, 192 | Alkaline phosphatase, Week 4, n= 245, 237 | Alkaline phosphatase, Week 12, n= 236, 226 | Alkaline phosphatase, Week 24, n= 225, 212 | Alkaline phosphatase, Week 36, n= 219, 204 | Alkaline phosphatase, Week 48, n= 208, 192 | Aspartate aminotransferase, Week 4, n= 244, 237 | Aspartate aminotransferase, Week 12, n= 236, 226 | Aspartate aminotransferase, Week 24, n= 224, 212 | Aspartate aminotransferase, Week 36, n= 219, 204 | Aspartate aminotransferase, Week 48, n= 208, 192 | Creatine Kinase, Week 4, n= 245, 237 | Creatine Kinase, Week 12, n= 236, 226 | Creatine Kinase, Week 24, n= 225, 212 | Creatine Kinase, Week 36, n= 219, 204 | Creatine Kinase, Week 48, n= 208, 192 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -3.4 | -2.3 | -3.7 | -5.3 | -1.5 | 9.4 | 15.1 | 22.4 | 20.4 | 21.9 | -3.6 | -4 | -5.1 | -6.5 | -3.7 | 35.6 | 7.3 | 5.8 | 7.2 | 3.8 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -3.3 | -5.2 | -5.4 | -4.9 | -5.7 | -1.5 | -2.1 | 0.5 | 0.6 | 2.9 | -3.3 | -6.2 | -6.3 | -6.4 | -7.5 | -0.3 | 6.9 | 10.3 | 11.9 | 23.8 |
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Change From Baseline in Albumin at Indicated Timepoints
Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in albumin is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Grams per liter (Mean) |
---|
| Week 4, n= 245, 237 | Week 12, n= 236, 226 | Week 24, n= 225, 212 | Week 36, n= 219, 204 | Week 48, n= 208, 192 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -0.5 | 0.1 | 0.8 | 0.6 | 1.3 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0.1 | 0.5 | 1.4 | 1.4 | 1.7 |
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Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes at Indicated Time Points
Hematology parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in basophils, eosinophils, lymphocytes, monocytes is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | 10^9 cells per liter (Mean) |
---|
| Basophils, Week 4, n= 241, 234 | Basophils, Week 12, n= 228, 216 | Basophils, Week 24, n= 221, 208 | Basophils, Week 36, n= 214, 203 | Basophils, Week 48, n= 206, 189 | Eosinophils, Week 4, n= 241, 234 | Eosinophils, Week 12, n= 228, 216 | Eosinophils, Week 24, n= 221, 208 | Eosinophils, Week 36, n= 214, 203 | Eosinophils, Week 48, n= 206, 189 | Lymphocytes, Week 4, n= 241, 234 | Lymphocytes, Week 12, n= 228, 216 | Lymphocytes, Week 24, n= 221, 208 | Lymphocytes, Week 36, n= 214, 203 | Lymphocytes, Week 48, n= 206, 189 | Monocytes, Week 4, n= 241, 234 | Monocytes, Week 12, n= 228, 216 | Monocytes, Week 24, n= 221, 208 | Monocytes, Week 36, n= 214, 203 | Monocytes, Week 48, n= 206, 189 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 0.003 | 0.003 | 0.003 | 0.003 | 0.006 | 0.021 | -0.001 | 0.005 | 0.014 | 0.007 | 0.119 | 0.156 | 0.192 | 0.178 | 0.261 | -0.015 | -0.031 | -0.015 | -0.028 | -0.024 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0.003 | 0.002 | 0.004 | 0.004 | 0.005 | 0.040 | 0.037 | 0.028 | 0.048 | 0.030 | 0.208 | 0.257 | 0.317 | 0.362 | 0.359 | -0.001 | -0.010 | 0.008 | -0.006 | 0.001 |
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Change From Baseline in Bilirubin and Creatinine at Indicated Timepoints
Clinical chemistry parameters were assessed at Baseline (Day 1), Weeks 4, 12, 24, 36 and 48. Change from Baseline in bilirubin and creatinine are summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Micromoles per liter (Mean) |
---|
| Bilirubin, Week 4, n= 244, 237 | Bilirubin, Week 12, n= 236, 226 | Bilirubin, Week 24, n= 225, 212 | Bilirubin, Week 36, n= 219, 204 | Bilirubin, Week 48, n= 208, 192 | Creatinine, Week 4, n= 245, 237 | Creatinine, Week 12, n= 236, 226 | Creatinine, Week 24, n= 225, 212 | Creatinine, Week 36, n= 219, 204 | Creatinine, Week 48, n= 208, 192 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 27.2 | 22.8 | 25 | 23.8 | 23.7 | 4.89 | 5.83 | 5.8 | 5.37 | 5.86 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -0.8 | -0.6 | -0.2 | -0.2 | -0.3 | 8.4 | 9.2 | 9.16 | 10.08 | 9.29 |
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Change From Baseline in Bone Specific Alkaline Phosphatase, Osteocalcin and Procollagen 1 N-terminal Propeptide at Indicated Timepoints
Bone markers were assessed at Baseline (Day 1), Weeks 24, 48. Change from Baseline in bone specific alkaline phosphatase (BSAP), osteocalcin and procollagen 1 N-terminal propeptide (PTP) is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Weeks 24 and 48
Intervention | Micrograms per liter (Mean) |
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| BSAP, Week 24, n=219, 207 | BSAP, Week 48, n=202, 184 | Osteocalcin, Week 24, n=209, 197 | Osteocalcin, Week 48, n=194, 178 | PTP, Week 24, n=223, 206 | PTP, Week 48, n=205, 186 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 6.00 | 7.60 | 14.38 | 16.30 | 32.0 | 34.1 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 1.33 | 2.64 | 3.73 | 5.15 | 10.1 | 11.2 |
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Change From Baseline in Carbon Dioxide, Electrolytes, Lipids, Glucose, Urea at Indicated Time Points
Clinical chemistry parameters were assessed at Baseline (Day 1), Weeks 4, 12, 24, 36 and 48. Change from Baseline in carbon dioxide, electrolytes (chloride, hyperkalemia, hypernatremia, hypokalemia, hyponatremia, phosphate, potassium, sodium), lipids (cholesterol [CHLS], high density lipoprotein [HDL] CHLS direct, low density lipoprotein (LDL) CHLS calculation, LDL CHLS direct, triglycerides), glucose (hyperglycaemia, hypoglycaemia) and urea are summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. Laboratory parameters were assessed in Safety Population which comprised of all participants who received at least one dose of study treatment. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Millimoles per liter (Mean) |
---|
| Carbon Dioxide, Week 4, n= 244, 237 | Carbon Dioxide, Week 12, n= 236, 226 | Carbon Dioxide, Week 24, n= 224, 212 | Carbon Dioxide, Week 36, n= 219, 204 | Carbon Dioxide, Week 48, n= 208, 192 | Chloride, Week 4, n= 245, 237 | Chloride, Week 12, n= 236, 226 | Chloride, Week 24, n= 225, 212 | Chloride, Week 36, n= 219, 204 | Chloride, Week 48, n= 208, 192 | CHLS, Week 4, n= 1, 3 | CHLS, Week 12, n= 224, 221 | CHLS, Week 24, n= 218, 201 | CHLS, Week 36, n= 205, 191 | CHLS, Week 48, n= 195, 175 | Glucose, Week 12, n= 226, 224 | Glucose, Week 24, n= 219, 204 | Glucose, Week 36, n= 211, 196 | Glucose, Week 48, n= 197, 180 | HDL CHLS, Direct, Week 4, n= 1, 3 | HDL CHLS, Direct, Week 12, n= 224, 221 | HDL CHLS, Direct, Week 24, n= 218, 201 | HDL CHLS, Direct, Week 36, n= 205, 191 | HDL CHLS, Direct, Week 48, n= 195, 175 | Hyperglycaemia, Week 12, n= 226, 224 | Hyperglycaemia, Week 24, n= 219, 204 | Hyperglycaemia, Week 36, n= 211, 196 | Hyperglycaemia, Week 48, n= 197, 180 | Hyperkalemia, Week 4, n= 244, 237 | Hyperkalemia, Week 12, n= 236, 226 | Hyperkalemia, Week 24, n= 224, 212 | Hyperkalemia, Week 36, n= 219, 204 | Hyperkalemia, Week 48, n= 208, 192 | Hypernatremia, Week 4, n= 245, 237 | Hypernatremia, Week 12, n= 236, 226 | Hypernatremia, Week 24, n= 225, 212 | Hypernatremia, Week 36, n= 219, 204 | Hypernatremia, Week 48, n= 208, 192 | Hypoglycaemia, Week 12, n= 226, 224 | Hypoglycaemia, Week 24, n= 219, 204 | Hypoglycaemia, Week 36, n= 211, 196 | Hypoglycaemia, Week 48, n= 197, 180 | Hypokalemia, Week 4, n= 244, 237 | Hypokalemia, Week 12, n= 236, 226 | Hypokalemia, Week 24, n= 224, 212 | Hypokalemia, Week 36, n= 219, 204 | Hypokalemia, Week 48, n= 208, 192 | Hyponatremia, Week 4, n= 245, 237 | Hyponatremia, Week 12, n= 236, 226 | Hyponatremia, Week 24, n= 225, 212 | Hyponatremia, Week 36, n= 219, 204 | Hyponatremia, Week 48, n= 208, 192 | LDL CHLS Calculation, Week 4, n= 1, 3 | LDL CHLS Calculation, Week 12, n= 221, 219 | LDL CHLS Calculation, Week 24, n= 213, 201 | LDL CHLS Calculation, Week 36, n= 201, 188 | LDL CHLS Calculation, Week 48, n= 190, 175 | LDL CHLS, Direct, Week 12, n= 0, 1 | Phosphate, Week 4, n= 245, 237 | Phosphate, Week 12, n= 236, 226 | Phosphate, Week 24, n= 225, 212 | Phosphate, Week 36, n= 219, 204 | Phosphate, Week 48, n= 208, 192 | Potassium, Week 4, n= 244, 237 | Potassium, Week 12, n= 236, 226 | Potassium, Week 24, n= 224, 212 | Potassium, Week 36, n= 219, 204 | Potassium, Week 48, n= 208, 192 | Sodium, Week 4, n= 245, 237 | Sodium, Week 12, n= 236, 226 | Sodium, Week 24, n= 225, 212 | Sodium, Week 36, n= 219, 204 | Sodium, Week 48, n= 208, 192 | Triglycerides, Week 4, n= 1, 3 | Triglycerides, Week 12, n= 224, 221 | Triglycerides, Week 24, n= 218, 201 | Triglycerides, Week 36, n= 205, 191 | Triglycerides, Week 48, n= 195, 175 | Urea, Week 4, n= 245, 237 | Urea, Week 12, n= 236, 226 | Urea, Week 24, n= 225, 212 | Urea, Week 36, n= 219, 204 | Urea, Week 48, n= 208, 192 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 0.6 | 0.8 | 0.3 | 0.6 | 0.4 | -0.5 | 0.2 | -0.1 | 0 | 0 | -0.017 | -0.058 | -0.001 | 0 | 0.109 | 0.22 | 0.26 | 0.34 | 0.24 | 0 | 0.005 | 0.053 | 0.036 | 0.081 | 0.22 | 0.26 | 0.34 | 0.24 | 0.12 | 0.1 | 0.06 | 0.13 | 0.04 | -0.5 | 0.1 | 0.2 | 0.2 | 0.5 | 0.22 | 0.26 | 0.34 | 0.24 | 0.12 | 0.1 | 0.06 | 0.13 | 0.04 | -0.5 | 0.1 | 0.2 | 0.2 | 0.5 | -0.123 | -0.14 | -0.111 | -0.099 | -0.021 | -0.44 | -0.032 | 0.026 | 0.026 | 0.009 | 0 | 0.12 | 0.1 | 0.06 | 0.13 | 0.04 | -0.5 | 0.1 | 0.2 | 0.2 | 0.5 | 0.237 | 0.167 | 0.125 | 0.157 | 0.107 | 0.1 | 0.16 | 0.12 | -0.03 | 0.02 |
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Change From Baseline in Carbon Dioxide, Electrolytes, Lipids, Glucose, Urea at Indicated Time Points
Clinical chemistry parameters were assessed at Baseline (Day 1), Weeks 4, 12, 24, 36 and 48. Change from Baseline in carbon dioxide, electrolytes (chloride, hyperkalemia, hypernatremia, hypokalemia, hyponatremia, phosphate, potassium, sodium), lipids (cholesterol [CHLS], high density lipoprotein [HDL] CHLS direct, low density lipoprotein (LDL) CHLS calculation, LDL CHLS direct, triglycerides), glucose (hyperglycaemia, hypoglycaemia) and urea are summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. Laboratory parameters were assessed in Safety Population which comprised of all participants who received at least one dose of study treatment. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Millimoles per liter (Mean) |
---|
| Carbon Dioxide, Week 4, n= 244, 237 | Carbon Dioxide, Week 12, n= 236, 226 | Carbon Dioxide, Week 24, n= 224, 212 | Carbon Dioxide, Week 36, n= 219, 204 | Carbon Dioxide, Week 48, n= 208, 192 | Chloride, Week 4, n= 245, 237 | Chloride, Week 12, n= 236, 226 | Chloride, Week 24, n= 225, 212 | Chloride, Week 36, n= 219, 204 | Chloride, Week 48, n= 208, 192 | CHLS, Week 4, n= 1, 3 | CHLS, Week 12, n= 224, 221 | CHLS, Week 24, n= 218, 201 | CHLS, Week 36, n= 205, 191 | CHLS, Week 48, n= 195, 175 | Glucose, Week 12, n= 226, 224 | Glucose, Week 24, n= 219, 204 | Glucose, Week 36, n= 211, 196 | Glucose, Week 48, n= 197, 180 | HDL CHLS, Direct, Week 4, n= 1, 3 | HDL CHLS, Direct, Week 12, n= 224, 221 | HDL CHLS, Direct, Week 24, n= 218, 201 | HDL CHLS, Direct, Week 36, n= 205, 191 | HDL CHLS, Direct, Week 48, n= 195, 175 | Hyperglycaemia, Week 12, n= 226, 224 | Hyperglycaemia, Week 24, n= 219, 204 | Hyperglycaemia, Week 36, n= 211, 196 | Hyperglycaemia, Week 48, n= 197, 180 | Hyperkalemia, Week 4, n= 244, 237 | Hyperkalemia, Week 12, n= 236, 226 | Hyperkalemia, Week 24, n= 224, 212 | Hyperkalemia, Week 36, n= 219, 204 | Hyperkalemia, Week 48, n= 208, 192 | Hypernatremia, Week 4, n= 245, 237 | Hypernatremia, Week 12, n= 236, 226 | Hypernatremia, Week 24, n= 225, 212 | Hypernatremia, Week 36, n= 219, 204 | Hypernatremia, Week 48, n= 208, 192 | Hypoglycaemia, Week 12, n= 226, 224 | Hypoglycaemia, Week 24, n= 219, 204 | Hypoglycaemia, Week 36, n= 211, 196 | Hypoglycaemia, Week 48, n= 197, 180 | Hypokalemia, Week 4, n= 244, 237 | Hypokalemia, Week 12, n= 236, 226 | Hypokalemia, Week 24, n= 224, 212 | Hypokalemia, Week 36, n= 219, 204 | Hypokalemia, Week 48, n= 208, 192 | Hyponatremia, Week 4, n= 245, 237 | Hyponatremia, Week 12, n= 236, 226 | Hyponatremia, Week 24, n= 225, 212 | Hyponatremia, Week 36, n= 219, 204 | Hyponatremia, Week 48, n= 208, 192 | LDL CHLS Calculation, Week 4, n= 1, 3 | LDL CHLS Calculation, Week 12, n= 221, 219 | LDL CHLS Calculation, Week 24, n= 213, 201 | LDL CHLS Calculation, Week 36, n= 201, 188 | LDL CHLS Calculation, Week 48, n= 190, 175 | LDL CHLS, Direct, Week 24, n= 1, 0 | LDL CHLS, Direct, Week 36, n= 1, 0 | Phosphate, Week 4, n= 245, 237 | Phosphate, Week 12, n= 236, 226 | Phosphate, Week 24, n= 225, 212 | Phosphate, Week 36, n= 219, 204 | Phosphate, Week 48, n= 208, 192 | Potassium, Week 4, n= 244, 237 | Potassium, Week 12, n= 236, 226 | Potassium, Week 24, n= 224, 212 | Potassium, Week 36, n= 219, 204 | Potassium, Week 48, n= 208, 192 | Sodium, Week 4, n= 245, 237 | Sodium, Week 12, n= 236, 226 | Sodium, Week 24, n= 225, 212 | Sodium, Week 36, n= 219, 204 | Sodium, Week 48, n= 208, 192 | Triglycerides, Week 4, n= 1, 3 | Triglycerides, Week 12, n= 224, 221 | Triglycerides, Week 24, n= 218, 201 | Triglycerides, Week 36, n= 205, 191 | Triglycerides, Week 48, n= 195, 175 | Urea, Week 4, n= 245, 237 | Urea, Week 12, n= 236, 226 | Urea, Week 24, n= 225, 212 | Urea, Week 36, n= 219, 204 | Urea, Week 48, n= 208, 192 |
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DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -0.4 | -0.2 | -0.5 | 0 | -0.6 | 0.6 | 1 | 0.7 | 0.9 | 0.7 | -0.1 | 0.298 | 0.317 | 0.33 | 0.447 | 0.3 | 0.17 | 0.17 | 0.18 | -0.1 | 0.182 | 0.201 | 0.204 | 0.231 | 0.3 | 0.17 | 0.17 | 0.18 | -0.01 | 0.03 | -0.04 | 0.03 | -0.04 | 0 | 0.7 | 0.6 | 0.9 | 0.6 | 0.3 | 0.17 | 0.17 | 0.18 | -0.01 | 0.03 | -0.04 | 0.03 | -0.04 | 0 | 0.7 | 0.6 | 0.9 | 0.6 | 0.08 | 0.125 | 0.111 | 0.112 | 0.213 | -0.64 | -0.23 | 0 | 0.02 | 0.021 | 0.029 | 0.016 | -0.01 | 0.03 | -0.04 | 0.03 | -0.04 | 0 | 0.7 | 0.6 | 0.9 | 0.6 | -0.18 | -0.04 | 0.036 | 0.037 | 0.018 | -0.04 | 0.08 | 0.03 | 0.08 | 0.1 |
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Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Continuation Phase
Change from Baseline in cluster of differentiation 4(CD4+) cell count were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 96, Week 432
Intervention | Cells per cubic millimeter (Mean) |
---|
| Week 96, n=99 | Week 432, n=3 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 286.5 | 254.7 |
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Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Randomized Phase
Change from Baseline in cluster of differentiation 4 (CD4+) cell count were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Cells per cubic millimeter (Mean) |
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| Week 4, n=245, 237 | Week 12, n=236, 224 | Week 24, n=226, 210 | Week 36, n=219, 204 | Week 48, n=208, 191 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 73.7 | 124.4 | 163.0 | 191.4 | 230.7 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 94.9 | 143.8 | 200.6 | 230.7 | 248.8 |
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Change From Baseline in Creatinine Clearance at Indicated Time Points
Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in creatinine clearance is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Milliliter per minute (Mean) |
---|
| Week 4, n= 245, 237 | Week 12, n= 236, 226 | Week 24, n= 225, 212 | Week 36, n= 219, 204 | Week 48, n= 208, 192 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -7.5 | -7 | -9.1 | -7.5 | -7.7 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -16.3 | -17.3 | -16.2 | -16.8 | -15.9 |
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Change From Baseline in Erythrocyte Mean Corpuscular Volume at Indicated Time Points
Hematology parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in erythrocyte mean corpuscular volume (EMCV) is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Femtoliter (Mean) |
---|
| Week 4, n= 243, 234 | Week 12, n= 233, 220 | Week 24, n= 225, 211 | Week 36, n= 218, 203 | Week 48, n= 207, 190 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 0.5 | 1.9 | 3.1 | 3.1 | 3.7 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0.9 | 3.4 | 5.5 | 6.0 | 7.1 |
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Change From Baseline in Hematocrit Count at Indicated Time Points
Hematology parameters were assessed at Baseline (Day 1), Weeks 4, 12, 24, 36 and 48. Change from Baseline in hematocrit is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Proportion of red blood cells in blood (Mean) |
---|
| Week 4, n= 243, 234 | Week 12, n= 233, 220 | Week 24, n= 225, 211 | Week 36, n= 218, 203 | Week 48, n= 207, 190 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -0.0042 | 0.0000 | 0.0051 | 0.0062 | 0.0107 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0.0003 | 0.0081 | 0.0157 | 0.0167 | 0.0212 |
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Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase
Change from the Baseline in plasma HIV-1 RNA were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 96 and Week 432
Intervention | Log10 copies/mL (Mean) |
---|
| Week 96, n=99 | Week 432, n=3 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | -2.911 | -3.107 |
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Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase
Change from the Baseline in plasma HIV-1 RNA were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Log10 copies/mL (Mean) |
---|
| Week 4, n=245, 238 | Week 12, n=236, 226 | Week 24, n=225, 212 | Week 36, n=221, 204 | Week 48, n=207, 192 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -1.923 | -2.541 | -2.726 | -2.772 | -2.752 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -2.591 | -2.756 | -2.789 | -2.838 | -2.874 |
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Change From Baseline in Total CHLS/HDL CHLS Ratio at Indicated Timepoints
Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in Total CHLS/HDL CHLS ratio is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Ratio (Mean) |
---|
| Week 4, n= 1, 4 | Week 12, n= 233, 223 | Week 24, n= 224, 209 | Week 36, n= 212, 198 | Week 48, n= 207, 186 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 0.2159 | -0.1092 | -0.1922 | -0.1433 | -0.1444 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0.1264 | -0.2736 | -0.3098 | -0.3286 | -0.2886 |
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Change From Baseline in Type I Collagen C-telopeptides at Indicated Timepoints
Bone markers were assessed at Baseline (Day 1), Weeks 24, 48. Change from Baseline in Type I collagen C-telopeptides (T-1 CCT) is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Weeks 24 and 48
Intervention | Nanograms per liter (Mean) |
---|
| Week 24, n=221, 207 | Week 48, n=202, 185 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 272.4 | 267.9 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 89.8 | 75.9 |
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Change From Baseline in Urine Albumin Creatinine Ratio at Indicated Time Points
Change from Baseline in urine albumin creatinine ratio at Week 24 and Week 48 is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 24 and Week 48
Intervention | milligrams per millimole (Mean) |
---|
| Week 24, n= 179, 186 | Week 48, n= 170, 164 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -1.03 | -0.10 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -1.15 | -0.68 |
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Change From Baseline in Vitamin D, Vitamin D2 and Vitamin D3 at Week 24 and Week 48
Bone markers were assessed at Baseline (Day 1), Weeks 24, 48. Change from Baseline in vitamin D, vitamin D2 and vitamin D3 is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Weeks 24 and 48
Intervention | Nanomoles per liter (Mean) |
---|
| Vitamin D, Week 24, n=223, 208 | Vitamin D, Week 48, n=206, 186 | Vitamin D2, Week 24, n=223, 208 | Vitamin D2, Week 48, n=206, 186 | Vitamin D3, Week 24, n=223, 208 | Vitamin D3, Week 48, n=206, 186 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 16.3 | 8.9 | 1.0 | 0.9 | 15.2 | 7.9 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 1.8 | -1.9 | 0.3 | 0.1 | 1.5 | -1.9 |
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HIVTSQs Total Score at Indicated Timepoints
The HIV treatment satisfaction questionnaire (HIVTSQ) is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g. convenience, flexibility. The HIVTSQ items are summed up to produce a treatment satisfaction total score (0 to 60) and an individual satisfaction rating for each item (0 to 6) and two subscales: general satisfaction/clinical and lifestyle/ease subscales. The higher the score, the greater the improvement in treatment satisfaction as compared to the past few weeks. A smaller score represents a decline in treatment satisfaction compared to the past few weeks. Statistical analysis was performed based on Wilcoxon rank sum test. (NCT01910402)
Timeframe: Weeks 4, 12, 24 and 48
Intervention | Score on a scale (Mean) |
---|
| Week 4, n=243, 239 | Week 12, n=236, 226 | Week 24, n=225, 211 | Week 48, n=206, 191 |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 51.9 | 53.6 | 54.3 | 55.4 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 54.0 | 56.1 | 56.8 | 57.0 |
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Number of Participants With AEs by Maximum Toxicity-Continuation Phase
Number of participants with Grade 1-4 AEs were assessed in Continuation Phase. AEs are categorized into following grades as per The Division of Aqcuired Immuno Deficiency Syndrome (AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. (NCT01910402)
Timeframe: From Weeks 48 to 432
Intervention | Participants (Count of Participants) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 32 | 48 | 7 | 6 |
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Number of Participants With AEs by Maximum Toxicity-Randomized Phase
Number of participants with Grade 1-4 AEs by maximum toxicity were assessed from the start of study treatment and until end of the Randomization phase. AEs are categorized into following grades as per The Division of Aqcuired Immuno Deficiency Syndrome (AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. (NCT01910402)
Timeframe: Up to Week 48
Intervention | Participants (Count of Participants) |
---|
| Grade 1 | Grade 2 | Grade 3 | Grade 4 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 60 | 91 | 37 | 9 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 79 | 94 | 18 | 3 |
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Number of Participants With Any Adverse Events (AEs), and Serious Adverse Events (SAEs)-Randomized Phase
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or other events that may jeopardize the participant or may require medical or surgical intervention to prevent one of the outcome listed above, liver injury and impaired liver function and grade 4 laboratory abnormalities. Number of participants with any AEs, and SAEs have been presented. (NCT01910402)
Timeframe: Up to Week 48
Intervention | Participants (Count of Participants) |
---|
| Any AEs | Any SAEs |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 197 | 20 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 195 | 12 |
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Number of Participants With Any AEs, and SAEs in Continuation Phase
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or other events that may jeopardize the participant or may require medical or surgical intervention to prevent one of the outcome listed above, liver injury and impaired liver function and grade 4 laboratory abnormalities. Number of participants with any AEs, and SAEs have been presented. (NCT01910402)
Timeframe: From Weeks 48 to 432
Intervention | Participants (Count of Participants) |
---|
| Any AEs | Any SAEs |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 93 | 13 |
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Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Continuation Phase
Number of participants with grades 1-4 emergent chemistry toxicities were assessed in Continuation Phase. Chemistry toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hyperglycaemia, hypernatremia, hypoglycaemia, hypokalemia, hyponatremia, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, carbon dioxide, cholesterol, creatine kinase, creatinine, LDL cholesterol calculation, LDL cholesterol direct, lipase, phosphate, potassium, sodium, triglycerides and glucose. (NCT01910402)
Timeframe: From Weeks 48 to 432
Intervention | Participants (Count of Participants) |
---|
| Hyperglycaemia, Grade 1, n=143 | Hyperglycaemia, Grade 2, n=143 | Hyperglycaemia, Grade 3, n=143 | Hyperglycaemia, Grade 4, n=143 | Hypernatremia, Grade 1, n=146 | Hypernatremia, Grade 2, n=146 | Hypernatremia, Grade 3, n=146 | Hypernatremia, Grade 4, n=146 | Hypoglycaemia, Grade 1, n=143 | Hypoglycaemia, Grade 2, n=143 | Hypoglycaemia, Grade 3, n=143 | Hypoglycaemia, Grade 4, n=143 | Hypokalemia, Grade 1, n=146 | Hypokalemia, Grade 2, n=146 | Hypokalemia, Grade 3, n=146 | Hypokalemia, Grade 4, n=146 | Hyponatremia, Grade 1, n=146 | Hyponatremia, Grade 2, n=146 | Hyponatremia, Grade 3, n=146 | Hyponatremia, Grade 4, n=146 | Alanine aminotransferase, Grade 1, n=146 | Alanine aminotransferase, Grade 2, n=146 | Alanine aminotransferase, Grade 3, n=146 | Alanine aminotransferase, Grade 4, n=146 | Alkaline phosphatase, Grade 1, n=146 | Alkaline phosphatase, Grade 2, n=146 | Alkaline phosphatase, Grade 3, n=146 | Alkaline phosphatase, Grade 4, n=146 | Aspartate aminotransferase, Grade 1, n=146 | Aspartate aminotransferase, Grade 2, n=146 | Aspartate aminotransferase, Grade 3, n=146 | Aspartate aminotransferase, Grade 4, n=146 | Bilirubin, Grade 1, n=146 | Bilirubin, Grade 2, n=146 | Bilirubin, Grade 3, n=146 | Bilirubin, Grade 4, n=146 | Carbon dioxide, Grade 1, n=146 | Carbon dioxide, Grade 2, n=146 | Carbon dioxide, Grade 3, n=146 | Carbon dioxide, Grade 4, n=146 | Cholesterol, Grade 1, n=71 | Cholesterol, Grade 2, n=71 | Cholesterol, Grade 3, n=71 | Cholesterol, Grade 4, n=71 | Creatine kinase, Grade 1, n=146 | Creatine kinase, Grade 2, n=146 | Creatine kinase, Grade 3, n=146 | Creatine kinase, Grade 4, n=146 | Creatinine, Grade 1, n=146 | Creatinine, Grade 2, n=146 | Creatinine, Grade 3, n=146 | Creatinine, Grade 4, n=146 | LDL cholesterol calculation, Grade 1, n=70 | LDL cholesterol calculation, Grade 2, n=70 | LDL cholesterol calculation, Grade 3, n=70 | LDL cholesterol calculation, Grade 4, n=70 | LDL cholesterol direct, Grade 1, n=2 | LDL cholesterol direct, Grade 2, n=2 | LDL cholesterol direct, Grade 3, n=2 | LDL cholesterol direct, Grade 4, n=2 | Lipase, Grade 1, n=146 | Lipase, Grade 2, n=146 | Lipase, Grade 3, n=146 | Lipase, Grade 4, n=146 | Phosphate, Grade 1, n=146 | Phosphate, Grade 2, n=146 | Phosphate, Grade 3, n=146 | Phosphate, Grade 4, n=146 | Potassium, Grade 1, n=146 | Potassium, Grade 2, n=146 | Potassium, Grade 3, n=146 | Potassium, Grade 4, n=146 | Sodium, Grade 1, n=146 | Sodium, Grade 2, n=146 | Sodium, Grade 3, n=146 | Sodium, Grade 4, n=146 | Triglycerides, Grade 1, n=71 | Triglycerides, Grade 2, n=71 | Triglycerides, Grade 3, n=71 | Triglycerides, Grade 4, n=71 | Glucose, Grade 1, n=143 | Glucose, Grade 2, n=143 | Glucose, Grade 3, n=143 | Glucose, Grade 4, n=143 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 24 | 9 | 3 | 0 | 2 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 13 | 0 | 0 | 0 | 36 | 0 | 0 | 0 | 7 | 3 | 0 | 2 | 5 | 0 | 0 | 0 | 10 | 2 | 0 | 2 | 4 | 1 | 3 | 0 | 58 | 7 | 0 | 0 | 9 | 9 | 3 | 0 | 6 | 1 | 1 | 1 | 5 | 0 | 0 | 1 | 5 | 8 | 2 | 0 | 1 | 0 | 0 | 0 | 9 | 6 | 1 | 1 | 2 | 15 | 2 | 0 | 13 | 0 | 0 | 0 | 37 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 24 | 9 | 3 | 1 |
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Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Randomized Phase
Number of participants with Grade 1-4 emergent chemistry toxicities were assessed from the start of study treatment and end of Randomized Phase. Chemistry toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hyperglycaemia, hyperkalemia, hypernatremia, hypoglycaemia, hypokalemia, hyponatremia, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, carbon dioxide, cholesterol, creatine kinase, creatinine, LDL cholesterol calculation, LDL cholesterol direct, lipase, phosphate, potassium, sodium, triglycerides and glucose. (NCT01910402)
Timeframe: Up to Week 48
Intervention | Participants (Count of Participants) |
---|
| Hyperglycaemia, Grade 1 | Hyperglycaemia, Grade 2 | Hyperglycaemia, Grade 3 | Hyperglycaemia, Grade 4 | Hyperkalemia, Grade 1 | Hyperkalemia, Grade 2 | Hyperkalemia, Grade 3 | Hyperkalemia, Grade 4 | Hypernatremia, Grade 1 | Hypernatremia, Grade 2 | Hypernatremia, Grade 3 | Hypernatremia, Grade 4 | Hypoglycaemia, Grade 1 | Hypoglycaemia, Grade 2 | Hypoglycaemia, Grade 3 | Hypoglycaemia, Grade 4 | Hypokalemia, Grade 1 | Hypokalemia, Grade 2 | Hypokalemia, Grade 3 | Hypokalemia, Grade 4 | Hyponatremia, Grade 1 | Hyponatremia, Grade 2 | Hyponatremia, Grade 3 | Hyponatremia, Grade 4 | Alanine aminotransferase, Grade 1 | Alanine aminotransferase, Grade 2 | Alanine aminotransferase, Grade 3 | Alanine aminotransferase, Grade 4 | Albumin, Grade 1 | Albumin, Grade 2 | Albumin, Grade 3 | Albumin, Grade 4 | Alkaline phosphatase, Grade 1 | Alkaline phosphatase, Grade 2 | Alkaline phosphatase, Grade 3 | Alkaline phosphatase, Grade 4 | Aspartate aminotransferase, Grade 1 | Aspartate aminotransferase, Grade 2 | Aspartate aminotransferase, Grade 3 | Aspartate aminotransferase, Grade 4 | Bilirubin, Grade 1 | Bilirubin, Grade 2 | Bilirubin, Grade 3 | Bilirubin, Grade 4 | Carbon dioxide, Grade 1 | Carbon dioxide, Grade 2 | Carbon dioxide, Grade 3 | Carbon dioxide, Grade 4 | Cholesterol, Grade 1 | Cholesterol, Grade 2 | Cholesterol, Grade 3 | Cholesterol, Grade 4 | Creatine kinase, Grade 1 | Creatine kinase, Grade 2 | Creatine kinase, Grade 3 | Creatine kinase, Grade 4 | Creatinine, Grade 1 | Creatinine, Grade 2 | Creatinine, Grade 3 | Creatinine, Grade 4 | LDL cholesterol calculation, Grade 1 | LDL cholesterol calculation, Grade 2 | LDL cholesterol calculation, Grade 3 | LDL cholesterol calculation, Grade 4 | LDL cholesterol direct, Grade 1 | LDL cholesterol direct, Grade 2 | LDL cholesterol direct, Grade 3 | LDL cholesterol direct, Grade 4 | Lipase, Grade 1 | Lipase, Grade 2 | Lipase, Grade 3 | Lipase, Grade 4 | Phosphate, Grade 1 | Phosphate, Grade 2 | Phosphate, Grade 3 | Phosphate, Grade 4 | Potassium, Grade 1 | Potassium, Grade 2 | Potassium, Grade 3 | Potassium, Grade 4 | Sodium, Grade 1 | Sodium, Grade 2 | Sodium, Grade 3 | Sodium, Grade 4 | Triglycerides, Grade 1 | Triglycerides, Grade 2 | Triglycerides, Grade 3 | Triglycerides, Grade 4 | Glucose, Grade 1 | Glucose, Grade 2 | Glucose, Grade 3 | Glucose, Grade 4 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 11 | 9 | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 1 | 0 | 0 | 19 | 0 | 0 | 0 | 57 | 0 | 0 | 0 | 7 | 4 | 2 | 0 | 2 | 2 | 0 | 0 | 14 | 1 | 0 | 0 | 7 | 4 | 2 | 0 | 52 | 86 | 57 | 5 | 54 | 3 | 0 | 0 | 31 | 9 | 2 | 0 | 5 | 1 | 0 | 1 | 7 | 3 | 0 | 0 | 21 | 9 | 2 | 0 | 1 | 0 | 0 | 0 | 7 | 3 | 2 | 1 | 11 | 9 | 2 | 0 | 19 | 1 | 0 | 0 | 57 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 15 | 10 | 3 | 0 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 17 | 16 | 4 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 6 | 3 | 1 | 0 | 17 | 1 | 0 | 0 | 44 | 1 | 0 | 0 | 5 | 6 | 1 | 1 | 3 | 0 | 0 | 0 | 3 | 2 | 0 | 0 | 12 | 4 | 1 | 1 | 2 | 0 | 0 | 0 | 65 | 4 | 0 | 0 | 52 | 28 | 4 | 0 | 3 | 1 | 3 | 0 | 3 | 0 | 1 | 0 | 38 | 13 | 7 | 0 | 3 | 1 | 0 | 0 | 12 | 5 | 3 | 0 | 5 | 7 | 1 | 0 | 18 | 1 | 0 | 0 | 45 | 1 | 0 | 0 | 0 | 5 | 2 | 0 | 22 | 19 | 4 | 1 |
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Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Continuation Phase
Number of participants with Grade 1-4 emergent hematology toxicities were assessed in Continuation Phase. Hematology toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hemoglobin, leukocytes, neutrophils and platelets. (NCT01910402)
Timeframe: From Weeks 48 to 432
Intervention | Participants (Count of Participants) |
---|
| Hemoglobin, Grade 1 | Hemoglobin, Grade 2 | Hemoglobin, Grade 3 | Hemoglobin, Grade 4 | Leukocytes, Grade 1 | Leukocytes, Grade 2 | Leukocytes, Grade 3 | Leukocytes, Grade 4 | Neutrophils, Grade 1 | Neutrophils, Grade 2 | Neutrophils, Grade 3 | Neutrophils, Grade 4 | Platelets, Grade 1 | Platelets, Grade 2 | Platelets, Grade 3 | Platelets, Grade 4 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 5 | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 10 | 2 | 1 | 1 | 3 | 1 | 0 | 0 |
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Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Randomized Phase
Number of participants with Grade 1-4 emergent hematology toxicities were assessed from the start of study treatment and end of Randomized Phase. Hematology toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hemoglobin, leukocytes, neutrophils and platelets. (NCT01910402)
Timeframe: Up to Week 48
Intervention | Participants (Count of Participants) |
---|
| Hemoglobin, Grade 1 | Hemoglobin, Grade 2 | Hemoglobin, Grade 3 | Hemoglobin, Grade 4 | Leukocytes, Grade 1 | Leukocytes, Grade 2 | Leukocytes, Grade 3 | Leukocytes, Grade 4 | Neutrophils, Grade 1 | Neutrophils, Grade 2 | Neutrophils, Grade 3 | Neutrophils, Grade 4 | Platelets, Grade 1 | Platelets, Grade 2 | Platelets, Grade 3 | Platelets, Grade 4 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 21 | 3 | 1 | 0 | 6 | 2 | 0 | 0 | 12 | 9 | 2 | 1 | 1 | 2 | 0 | 0 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 7 | 2 | 1 | 0 | 5 | 1 | 0 | 0 | 15 | 7 | 0 | 1 | 6 | 0 | 1 | 0 |
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Number of Participants With Post-Baseline HIV-1 Disease Progression for DTG 50 mg/ABC 600 mg/3TC 300 mg QD (Randomized + Continuation Phase)
Number of participants with post-Baseline HIV-1disease progression were assessed during study period. The CDC Classification System for HIV Infection is the medical classification system used by the United States Centers for Disease Control and Prevention (CDC) to classify HIV disease and infection. The clinical categories of HIV infection are defined as follows: Category A: Mildly symptomatic, Category B: Moderately symptomatic, Category C: Severely symptomatic. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Only those participants available at the specified time points were analyzed. Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT population. (NCT01910402)
Timeframe: Up to week 432
Intervention | Participants (Count of Participants) |
---|
| CDC Class A to CDC Class C | CDC Class B to CDC Class C | CDC Class C to new CDC Class C | CDC Class A, B or C to Death |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD | 6 | 1 | 0 | 2 |
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Number of Participants With Post-Baseline HIV-1 Disease Progression-Randomized Phase
Number of participants with post-Baseline HIV-1disease progression were assessed during study period. The CDC Classification System for HIV Infection is the medical classification system used by the United States Centers for Disease Control and Prevention (CDC) to classify HIV disease and infection. The clinical categories of HIV infection are defined as follows: Category A: Mildly symptomatic, Category B: Moderately symptomatic, Category C: Severely symptomatic. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Only those participants available at the specified time points were analyzed. Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT population. (NCT01910402)
Timeframe: Up to week 48
Intervention | Participants (Count of Participants) |
---|
| CDC Class A to CDC Class C | CDC Class B to CDC Class C | CDC Class C to new CDC Class C | CDC Class A, B or C to Death |
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ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 4 | 2 | 0 | 1 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 5 | 1 | 0 | 1 |
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Number of Participants With Treatment Emergent Resistances for ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200mg QD (Randomized Phase)
Number of participants, who meet confirmed virologic withdrawal criteria, with treatment emergent genotypic resistance to integrase strand transfer inhibitor (INSTI), Non-nucleoside reverse transcriptase inhibitor (NNRTI), nucleoside reverse transcriptase inhibitor (NRTI), protease inhibitors (PI) will be summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. On-treatment Genotypic Resistance Population comprised of all participants in the ITTE population with available On-treatment genotypic resistance data at the time confirmed virologic withdrawal criterion was met. (NCT01910402)
Timeframe: Up to week 48
Intervention | Participants (Count of Participants) |
---|
| INSTI; n= 3 | NNRTI; n=4 | NRTI; n=4 | PI; n=4 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200mg QD-Randomized Phase | 1 | 0 | 1 | 0 |
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Number of Participants With Treatment Emergent Resistances for DTG 50 mg/ABC 600 mg/3TC 300 mg QD (Randomized + Continuation Phase)
Number of participants, who meet confirmed virologic withdrawal criteria, with treatment emergent genotypic resistance to integrase strand transfer inhibitor (INSTI), Non-nucleoside reverse transcriptase inhibitor (NNRTI), nucleoside reverse transcriptase inhibitor (NRTI), protease inhibitors (PI) will be summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. On-treatment Genotypic Resistance Population comprised of all participants in the ITTE population with available On-treatment genotypic resistance data at the time confirmed virologic withdrawal criterion was met. (NCT01910402)
Timeframe: Up to week 432
Intervention | Participants (Count of Participants) |
---|
| INSTI; n= 6 | NNRTI; n=8 | NRTI; n=8 | PI; n=8 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD | 0 | 1 | 1 | 0 |
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Percentage of Participants With Plasma HIV-1 RNA <50 and <400 c/mL Over Time-Randomized Phase
Percentage of participants with plasma HIV-1 RNA <50 and <400 c/mL were assessed at Baseline, Weeks 4, 12, 24 , 36 and 48 using the Snapshot algorithm (Missing, Switch or Discontinuation = Failure). The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Percentage values are rounded off. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Percentage of participants (Number) |
---|
| HIV-1 RNA <50 c/mL, Baseline (Day 1) | HIV-1 RNA <50 c/mL, Week 4 | HIV-1 RNA <50 c/mL, Week 12 | HIV-1 RNA <50 c/mL, Week 24 | HIV-1 RNA <50 c/mL, Week 36 | HIV-1 RNA <50 c/mL, Week 48 | HIV-1 RNA <400 c/mL, Baseline (Day 1) | HIV-1 RNA <400 c/mL, Week 4 | HIV-1 RNA <400 c/mL, Week 12 | HIV-1 RNA <400 c/mL, Week 24 | HIV-1 RNA <400 c/mL, Week 36 | HIV-1 RNA <400 c/mL, Week 48 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 0 | 13 | 49 | 77 | 77 | 71 | 1 | 54 | 84 | 82 | 81 | 76 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0 | 64 | 81 | 85 | 85 | 82 | 1 | 90 | 91 | 88 | 86 | 83 |
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Percentage of Participants With Plasma HIV-1 RNA <50 c/mL in Continuation Phase
Plasma samples were collected for quantitative analysis of HIV-1 RNA. Percentage of participants with plasma HIV-1 RNA <50 c/mL were reported. Percentage values are rounded off. (NCT01910402)
Timeframe: Week 96 and Week 432
Intervention | Percentage of participants (Number) |
---|
| Week 96, n=99 | Week 432, n=3 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 100 | 100 |
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Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48 by Subgroups
Percentage of participants with plasma HIV-1 RNA <50 copies/mL at Week 48 by subgroups (age, race, country, Baseline plasma HIV-1 RNA [BPHR], Baseline CD4+ cell count [BCCC], Baseline Centers for Disease Control and Prevention [CDC] category and HIV-1 subtype) were assessed using the Snapshot algorithm (Missing, Switch or Discontinuation = Failure). Analysis was performed using a stratified analysis with CMH weights, adjusting for Baseline plasma HIV-1 RNA ( =100,000 c/mL) and CD4+ cell count (=<350 cells/mm^3 or >350 cells/mm^3). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT population. Percentage values are rounded off. (NCT01910402)
Timeframe: Week 48
Intervention | Percentage of participants (Number) |
---|
| Age, <50 Years, n=212, 212 | Age, >=50 Years, n=36, 35 | Race, White, n=115, 107 | Race, Non-White, n=133,140 | Race, African-American/African Heritage, n=102,108 | Non-African-American/African Heritage, n=146, 139 | BPHR, <1000, n=5, 10 | BPHR, 1000 to <10,000, n=66, 62 | BPHR, 10,000 to <50,000, n=83, 81 | BPHR, 50,000 to <=100,000, n=25, 28 | BPHR, >100,000, n=69, 66 | BCCC, <200, n=64, 49 | BCCC, >=200, n=184, 198 | BCCC, <50, n=9, 15 | BCCC, 50 to <200, n=55, 34 | BCCC, 200 to <350, n=66, 74 | BCCC, 350 to <500, n=56, 65 | BCCC, >=500, n=62, 59 | CDC category, A, n=210, 208 | CDC category, B, n=27, 30 | CDC category, C, n=11, 9 | HIV-1 subtype: B vs Non-B, B, n=95, 111 | HIV-1 subtype: B vs Non-B, non-B, n=140, 131 | Argentina, n=24, 20 | Canada, n=11, 9 | France, n=7, 8 | Italy, n=17, 11 | Mexico, n=6, 5 | Portugal, n=4, 5 | Russia, n=28, 22 | South Africa, n=33, 33 | Spain, n=23, 31 | Thailand, n=19, 21 | USA, n=62, 69 | United Kingdom, n=14, 11 |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 80 | 92 | 86 | 78 | 74 | 88 | 60 | 83 | 84 | 80 | 80 | 81 | 82 | 67 | 84 | 89 | 79 | 77 | 81 | 81 | 91 | 80 | 84 | 92 | 91 | 100 | 88 | 100 | 75 | 89 | 67 | 70 | 95 | 74 | 93 |
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Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48 by Subgroups
Percentage of participants with plasma HIV-1 RNA <50 copies/mL at Week 48 by subgroups (age, race, country, Baseline plasma HIV-1 RNA [BPHR], Baseline CD4+ cell count [BCCC], Baseline Centers for Disease Control and Prevention [CDC] category and HIV-1 subtype) were assessed using the Snapshot algorithm (Missing, Switch or Discontinuation = Failure). Analysis was performed using a stratified analysis with CMH weights, adjusting for Baseline plasma HIV-1 RNA ( =100,000 c/mL) and CD4+ cell count (=<350 cells/mm^3 or >350 cells/mm^3). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT population. Percentage values are rounded off. (NCT01910402)
Timeframe: Week 48
Intervention | Percentage of participants (Number) |
---|
| Age, <50 Years, n=212, 212 | Age, >=50 Years, n=36, 35 | Race, White, n=115, 107 | Race, Non-White, n=133,140 | Race, African-American/African Heritage, n=102,108 | Non-African-American/African Heritage, n=146, 139 | BPHR, <1000, n=5, 10 | BPHR, 1000 to <10,000, n=66, 62 | BPHR, 10,000 to <50,000, n=83, 81 | BPHR, 50,000 to <=100,000, n=25, 28 | BPHR, >100,000, n=69, 66 | BCCC, <200, n=64, 49 | BCCC, >=200, n=184, 198 | BCCC, <50, n=9, 15 | BCCC, 50 to <200, n=55, 34 | BCCC, 200 to <350, n=66, 74 | BCCC, 350 to <500, n=56, 65 | BCCC, >=500, n=62, 59 | CDC category, A, n=210, 208 | CDC category, B, n=27, 30 | CDC category, C, n=11, 9 | HIV-1 subtype: B vs Non-B, B, n=95, 111 | HIV-1 subtype: B vs Non-B, non-B, n=140, 131 | Argentina, n=24, 20 | Canada, n=11, 9 | France, n=7, 8 | Italy, n=17, 11 | Mexico, n=6, 5 | Portugal, n=4, 5 | Puerto Rico, n=0, 2 | Russia, n=28, 22 | South Africa, n=33, 33 | Spain, n=23, 31 | Thailand, n=19, 21 | USA, n=62, 69 | United Kingdom, n=14, 11 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 71 | 74 | 80 | 64 | 67 | 75 | 80 | 77 | 74 | 64 | 64 | 69 | 72 | 60 | 74 | 73 | 74 | 68 | 71 | 77 | 56 | 69 | 73 | 80 | 89 | 75 | 64 | 60 | 60 | 100 | 82 | 76 | 77 | 52 | 67 | 64 |
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Change From Baseline in Erythrocytes at Indicated Time Points
Hematology parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in erythrocytes is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | 10^12 cells per liter (Mean) |
---|
| Week 4, n= 243, 234 | Week 12, n= 233, 220 | Week 24, n= 225, 211 | Week 36, n= 218, 203 | Week 48, n= 207, 190 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -0.07 | -0.09 | -0.09 | -0.08 | -0.05 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -0.04 | -0.07 | -0.08 | -0.10 | -0.10 |
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Change From Baseline in TC/HDL Ratio at Week 48
Change from Baseline in mean total cholesterol (TC)/HDL ratio is summarized at Week 48. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. Adjusted mean is the estimated mean change from Baseline in fasted TC/HDL at Week 48 in each arm calculated from a model adjusted for the following covariates: treatment, Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, age and triglycerides/HDL at Baseline. Participants on lipid lowering therapy at Baseline were excluded from analysis. Measurements collected after a participant initiates lipid lowering therapy were set to missing. Missing values were imputed using multiple imputation under a multivariate normal model adjusting for Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, fasted triglycerides and TC/HDL ratio at Baseline, Week 12 and Week 36. (NCT01910402)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Ratio (Least Squares Mean) |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -0.264 |
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -0.158 |
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Change From Baseline in Lipase at Indicated Timepoints
Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in lipase is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. (NCT01910402)
Timeframe: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Intervention | Units per liter (Mean) |
---|
| Week 4, n= 245, 237 | Week 12, n= 236, 226 | Week 24, n= 225, 212 | Week 36, n= 219, 204 | Week 48, n= 208, 192 |
---|
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | -1.3 | -2.1 | -6 | -6.3 | -7.8 |
,DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | -1.2 | -2.2 | -6 | -6.3 | -6.5 |
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Change From Baseline in Triglycerides at Week 48
Change from Baseline in mean triglycerides is summarized at Week 48. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. Adjusted mean is the estimated mean change from Baseline in fasted triglycerides at Week 48 in each arm calculated from a model adjusted for the following covariates: treatment, Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, age and triglycerides at Baseline. Participants on lipid lowering therapy at Baseline were excluded from analysis. Measurements collected after a participant initiates lipid lowering therapy were set to missing. Missing values were imputed using multiple imputation under a multivariate normal model adjusting for Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, fasted triglycerides and TC/HDL ratio at Baseline, Week 12 and Week 36. (NCT01910402)
Timeframe: Baseline (Day 1) and Week 48
Intervention | Millimoles per liter (Least Squares Mean) |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 0.045 |
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 0.070 |
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Number of Participants Who Withdrew From Treatment Due to AEs-Continuation Phase
An AE is defined as any untoward medical occurrence in a participant temporally associated with the use of a medicinal product (MP), whether or not considered related to the MP. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of an MP. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, is an important medical event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in the above definition, or is associated with liver injury and impaired liver function. (NCT01910402)
Timeframe: From Weeks 48 to 432
Intervention | Participants (Count of Participants) |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Continuation Phase | 4 |
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Number of Participants Who Withdrew From Treatment Due to AEs-Randomized Phase
An AE is defined as any untoward medical occurrence in a participant temporally associated with the use of a medicinal product (MP), whether or not considered related to the MP. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of an MP. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, is an important medical event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in the above definition, or is associated with liver injury and impaired liver function. (NCT01910402)
Timeframe: Up to Week 48
Intervention | Participants (Count of Participants) |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 10 |
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 17 |
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Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48
Percentage of participants with plasma human immunodeficiency virus type 1(HIV-1) ribonucleic acid (RNA) <50 copies per milliliter (c/mL) were assessed at Week 48 using the Snapshot algorithm. Analysis was performed using a stratified analysis with Cochran-Mantel-Haenszel (CMH) weights, adjusting for Baseline plasma HIV-1 RNA ( =100,000 c/mL) and CD4+ cell count (=<350 cells per millimeter cube (cells/mm^3) or >350 cells/mm^3). Intent-to-Treat Exposed (ITT-E) Population comprised of all randomized participants who received at least one dose of study medication. Percentage values are rounded off. (NCT01910402)
Timeframe: Week 48
Intervention | Percentage of participants (Number) |
---|
DTG 50 mg/ABC 600 mg/3TC 300 mg QD-Randomized Phase | 82 |
ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200 mg QD-Randomized Phase | 71 |
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Part 2: Change From Baseline in Plasma log10 HIV-1 RNA (Copies/mL) at Week 48
(NCT01967940)
Timeframe: Baseline; Week 48
Intervention | log10 copies/mL (Mean) |
---|
Part 2 E/C/F/TAF + ATV | -3.04 |
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Part 1: Change From Baseline in Plasma log10 HIV-1 RNA (Copies/mL) at Day 10
(NCT01967940)
Timeframe: Baseline; Day 10
Intervention | log10 copies/mL (Mean) |
---|
Part 1 Sentinel Cohort TAF | -0.72 |
Part 1 Randomized Cohort TAF | -0.70 |
Part 1 Randomized Cohort Placebo | -0.04 |
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Part 1: Percentage of Participants With Plasma HIV-1 RNA Decreases From Baseline Exceeding 0.5 log10 at Day 10
(NCT01967940)
Timeframe: Day 10
Intervention | percentage of participants (Number) |
---|
Part 1 Sentinel Cohort TAF | 58.3 |
Part 1 Randomized Cohort TAF | 60.7 |
Part 1 Randomized Cohort Placebo | 0 |
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Part 2: Change From Baseline in CD4+ Cell Count at Week 24
(NCT01967940)
Timeframe: Baseline; Week 24
Intervention | cells/μL (Mean) |
---|
Part 2 E/C/F/TAF + ATV | 76 |
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Part 2: Change From Baseline in CD4+ Cell Count at Week 48
(NCT01967940)
Timeframe: Baseline; Week 48
Intervention | cells/μL (Mean) |
---|
Part 2 E/C/F/TAF + ATV | 125 |
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Part 2: Change From Baseline in CD4+ Percentage at Week 24
(NCT01967940)
Timeframe: Baseline; Week 24
Intervention | percentage change (Mean) |
---|
Part 2 E/C/F/TAF + ATV | 4.4 |
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Part 2: Change From Baseline in CD4+ Percentage at Week 48
(NCT01967940)
Timeframe: Baseline; Week 48
Intervention | percentage change (Mean) |
---|
Part 2 E/C/F/TAF + ATV | 5.7 |
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Part 2: Change From Baseline in Plasma log10 HIV-1 RNA (Copies/mL) at Week 24
(NCT01967940)
Timeframe: Baseline; Week 24
Intervention | log10 copies/mL (Mean) |
---|
Part 2 E/C/F/TAF + ATV | -2.96 |
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Part 2: Percentage of Participants With Plasma HIV-1 RNA < 400 Copies/mL as Defined by the FDA Snapshot Analysis at Week 24
The percentage of participants with HIV-1 RNA < 400 copies/mL at Week 24 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01967940)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 94.6 |
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Part 2: Percentage of Participants With Plasma HIV-1 RNA < 400 Copies/mL as Defined by the FDA Snapshot Analysis at Week 48
The percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01967940)
Timeframe: Week 48
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 97.3 |
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Part 2: Percentage of Participants With Plasma HIV-1 RNA < 50 Copies/mL as Defined by the FDA Snapshot Analysis at Week 24
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 24 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01967940)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 86.5 |
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Part 2: Percentage of Participants With Plasma HIV-1 RNA < 50 Copies/mL as Defined by the FDA Snapshot Analysis at Week 48
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01967940)
Timeframe: Week 48
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 97.3 |
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Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Any Treatment-Emergent Adverse Event Through Week 24
(NCT01967940)
Timeframe: Up to Week 24
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 75.7 |
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Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Any Treatment-Emergent Adverse Event Through Week 48
(NCT01967940)
Timeframe: Up to Week 48
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 81.1 |
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Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Grade 3 or 4 Laboratory Abnormalities Through Week 24
(NCT01967940)
Timeframe: Up to Week 24
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 37.8 |
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Part 2: Safety of E/C/F/TAF STR Plus ATV in Participants Who Switched From a Failing Regimen as Assessed by the Percentage of Participants Experiencing Grade 3 or 4 Laboratory Abnormalities Through Week 48
(NCT01967940)
Timeframe: Up to Week 48
Intervention | percentage of participants (Number) |
---|
Part 2 E/C/F/TAF + ATV | 48.6 |
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Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)
Glomerular Filtration Rate (eGFR) was estimated from the Modification of Diet in Renal Disease (MDRD)-6 equation. The MDRD-6 equation = 198 × [serum creatinine(mg/dL)]^-0.858 × [age]-0.167 × [0.822 if patient is female] × [1.178 if patient is black] × [serum urea nitrogen concentration (mg/dL)]^-0.293 × [urine urea nitrogen excretion (g/d)]^0.249. (NCT02116660)
Timeframe: Baseline and Week 48
Intervention | mL/min (Mean) |
---|
Raltegravir Plus Nevirapine Plus Lamivudine | -1.1 |
Protease Inhibitor/Ritonavir Plus Tenofovir/Emtricitabine | -5.5 |
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HIV-1 RNA Viral Load
Percentage of subjects who have plasma HIV-1 RNA levels <400 cps/ml after 24 weeks of follow-up following a switch to DRV/r monotherapy versus continuing triple therapy containing 2 NRTIs + LPV/r (or ATV/r) (FDA Snapshot method). The FDA 'Snapshot' algorithm evaluates HIV RNA response using only the results at the week 24 time-point which also means that rebound at earlier time-points are not classified as treatment failure, unless it lead to discontinuation prior to the week 48. (NCT02155101)
Timeframe: 24 weeks
Intervention | Participants (Count of Participants) |
---|
ART With 2 NRTIs Plus LPV/r (or ATV/r) | 37 |
Darunavir | 72 |
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HIV-1 RNA Viral Load
"Percentage of subjects who have plasma HIV-1 RNA levels <50 cps/ml after 24 weeks of follow-up following a switch to DRV/r monotherapy versus continuing triple therapy containing 2 NRTIs + LPV/r (or ATV/r), using the FDA Time to Loss of Virologic Response method. The FDA 'Snapshot' algorithm evaluates HIV RNA response using only the results at the week 24 time-point which also means that rebound at earlier time-points are not classified as treatment failure, unless it lead to discontinuation prior to the week 48." (NCT02155101)
Timeframe: 24 weeks
Intervention | Participants (Count of Participants) |
---|
ART With 2 NRTIs Plus LPV/r (or ATV/r) | 36 |
Darunavir | 62 |
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HIV-1 RNA Viral Load
"Percentage of subjects who have plasma HIV-1 RNA levels <50 cps/ml after 12 weeks of follow-up following a switch to DRV/r monotherapy versus continuing triple therapy containing 2 NRTIs + LPV/r (or ATV/r), using the FDA Time to Loss of Virologic Response method. The FDA 'Snapshot' algorithm evaluates HIV RNA response using only the results at the week 12 time-point which also means that rebound at earlier time-points are not classified as treatment failure, unless it lead to discontinuation prior to the week 48." (NCT02155101)
Timeframe: 12 weeks
Intervention | Participants (Count of Participants) |
---|
ART With 2 NRTIs Plus LPV/r (or ATV/r) | 35 |
Darunavir | 73 |
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Change From Baseline in Percentage of CD4+ Cells Over Time-Stage 1
The percentage of CD4+ cells was assessed using flow cytometry. Baseline is the last value on or before the start of study treatment. Change from Baseline was calculated as the value at specified visit minus the Baseline value. NA indicates data was not available. The standard deviation could not be calculated as a single participant was analyzed at the specified time point. (NCT02386098)
Timeframe: Baseline and up to Week 72
Intervention | Percentage of CD4+ cells (Mean) |
---|
| Week 4; n=37, 33 | Week 8; n=36, 30 | Week 12; n=35, 32 | Week 16; n=34, 31 | Week 24; n=31, 28 | Week 32; n=23, 22 | Week 40; n=20, 15 | Week 48; n=7, 9 | Week 60; n=4, 2 | Week 72; n=1, 1 |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 1.94 | 1.80 | 3.41 | 3.14 | 4.71 | 4.13 | 5.38 | 7.09 | 7.95 | 12.50 |
,Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 1.82 | 1.69 | 2.88 | 3.66 | 4.72 | 4.81 | 5.38 | 7.16 | 10.05 | 10.70 |
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Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation (AELD)-Stage 1
An SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening; requires inpatient hospitalization or causes prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; or medical events that may jeopardize the participant or require intervention (medical or surgical) to prevent one of the outcomes mentioned before. The number of participants with SAEs and AELDs are presented. (NCT02386098)
Timeframe: Up to Week 96
Intervention | Participants (Count of Participants) |
---|
| SAEs | AELD |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 4 | 2 |
,Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 3 | 1 |
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Percentage of Participants With HIV-1 RNA <200 c/mL at Weeks 24, 48 and 96-Stage 1
Blood samples were collected for quantitative analysis of plasma HIV-1 RNA. Response was assessed using the last plasma HIV-1 RNA value in the predefined visit window to classify a participant's response status. The percentage of responders with HIV-1 RNA <200 c/mL at Weeks 24, 48 and 96 using mITT Population (observed) which consisted of participants in the mITT Population excluding participants who had no HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (October 10, 2016) is presented. The study was terminated early during the primary end point analysis of Stage 1; hence, data was not collected for Week 96 analysis. (NCT02386098)
Timeframe: Weeks 24, 48 and 96
Intervention | Percentage of participants (Number) |
---|
| Week 24; n=32, 29 | Week 48; n=8, 9 |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 93.8 | 100 |
,Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 89.7 | 100 |
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Number of Participants With Occurrence of New Acquired Immunodeficiency Syndrome (AIDS) Defining Events-Stage 1
The occurrence of new AIDS defining events that is, Centers for Disease Control (CDC) Class C events in participants is presented. (NCT02386098)
Timeframe: Up to Week 96
Intervention | Participants (Count of Participants) |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 1 |
Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 0 |
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Percentage of Participants With Plasma Human Immunodeficiency Virus-1 (HIV-1) Ribonucleic Acid (RNA) <40 Copies Per Milliliter (c/mL) at Week 24-Stage 1
Blood samples were collected for quantitative analysis of plasma HIV-1 RNA. Percentage of participants with plasma HIV-1 RNA <40 c/mL at Week 24 was assessed using the Food and Drug Administration (FDA) snapshot algorithm which used the last on-treatment plasma HIV-1 RNA measurement, within an FDA-specified visit window (18 to 30 weeks), to determine response. Analysis was performed on the modified intent to treat (mITT) Population which comprised of all randomized participants who received atleast one dose of BMS-955176 or TDF. (NCT02386098)
Timeframe: Week 24
Intervention | Percentage of participants (Number) |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 73.7 |
Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 60.0 |
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Change From Baseline in Cluster of Differentiation 4+ (CD4+) Cell Count Over Time-Stage 1
The CD4+ cell count was assessed using flow cytometry. Baseline is the last value on or before the start of study treatment. Change from Baseline was calculated as the value at specified visit minus the Baseline value. NA indicates data was not available. The standard deviation could not be calculated as a single participant was analyzed at the specified time point. (NCT02386098)
Timeframe: Baseline and up to Week 72
Intervention | Cells per microliter (Mean) |
---|
| Week 4; n=37, 33 | Week 8; n=36, 30 | Week 12; n=35, 32 | Week 16; n=34, 31 | Week 24; n=31, 28 | Week 32; n=23, 22 | Week 40; n=20, 15 | Week 48; n=7, 9 | Week 60; n=4, 2 | Week 72; n=1, 1 |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 57.6 | 77.6 | 90.4 | 83.2 | 127.2 | 90.0 | 139.5 | 125.0 | 127.0 | 0.0 |
,Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 26.7 | 53.7 | 115.1 | 93.8 | 109.5 | 122.1 | 137.1 | 175.1 | 158.5 | 171.0 |
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Change From Baseline in Logarithm to the Base 10 (log10) HIV-1 RNA Over Time-Stage 1
Blood samples were collected for analysis of HIV-1 RNA. Baseline is the last value on or before the start of study treatment. Change from Baseline was calculated as the value at specified visit minus the Baseline value. Change from Baseline in plasma HIV-1 RNA (log10) is summarized over time for the mITT Population using observed values, which excluded participants without HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016). NA indicates data was not available. The standard deviation could not be calculated as a single participant was analyzed at the specified time point. (NCT02386098)
Timeframe: Baseline and up to Week 72
Intervention | log10 c/mL (Mean) |
---|
| Week 2; n=10, 5 | Week 4; n=37, 33 | Week 8; n=37, 30 | Week 12; n=36, 32 | Week 16; n=34, 32 | Week 24; n=32, 29 | Week 32; n=23, 23 | Week 40; n=21, 15 | Week 48; n=8, 9 | Week 60; n=4, 3 | Week 72; n=1, 1 |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | -4.232 | -4.400 | -4.103 | -4.394 | -4.402 | -4.220 | -4.381 | -4.366 | -4.508 | -5.037 | -3.326 |
,Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | -4.050 | -3.922 | -4.145 | -4.113 | -4.074 | -4.079 | -3.364 | -4.400 | -4.680 | -4.977 | -5.713 |
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Percentage of Participants With Plasma HIV-1 RNA <40 c/mL at Weeks 48 and 96-Stage 1
Blood samples were collected for quantitative analysis of plasma HIV-1 RNA. Response was assessed using the last plasma HIV-1 RNA value in the predefined visit window to classify a participant's response status. The percentage of responders with HIV-1 RNA <40 c/mL at Weeks 48 and 96 using mITT Population (observed) which consisted of participants in the mITT Population excluding participants who had no HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (October 10, 2016) is presented. The study was terminated early during the primary end point analysis of Stage 1; hence, data was not collected for Week 96 analysis. (NCT02386098)
Timeframe: Weeks 48 and 96
Intervention | Percentage of participants (Number) |
---|
| Week 48; n=8, 9 |
---|
Stage 1: BMS-955176 120 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 75.0 |
,Stage 1: TDF 300 mg QD+ATV/r 300/100 mg QD+DTG 50 mg QD | 66.7 |
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Change in Plasma Total Antioxidant Capacity
The investigators will evaluate plasma total antioxidant capacity at study entry and then after 28 days, with the change between the two measurements being the secondary endpoint. (NCT03019783)
Timeframe: 4 weeks
Intervention | micromolar (Mean) |
---|
Remains on Baseline HIV Regimen | -21 |
Atazanavir Switch | 219 |
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