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Trial of Maraviroc (UK-427,857) in Combination With Optimized Background Therapy Versus Optimized Background Therapy Alone for the Treatment of HIV-1 Infected Subjects

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of a Novel CCR5 Antagonist, UK-427,857, in Combination With Optimized Background Therapy Versus Optimized Background Therapy Alone for the Treatment of Antiretroviral-Experienced HIV-1 Infected Subjects.

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00098306
Acronym
MOTIVATE 1
Enrollment
601
Registered
2004-12-07
Start date
2004-11-30
Completion date
2011-04-30
Last updated
2012-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV Infections

Brief summary

Maraviroc (UK-427,857), a selective and reversible CCR5 coreceptor antagonist, has been shown to be active in vitro against a wide range of clinical isolates (including those resistant to existing classes). In HIV-1 infected patients, maraviroc (UK-427,857) given as monotherapy for 10 days reduced HIV-1 viral load by up to 1.6 log, consistent with currently available agents. Safety and toleration have been studied in over 400 subjects for up to 28 days at 300 mg twice daily. No significant effects were seen on the QTc interval. The purpose of this study is to evaluate the antiretroviral activity of maraviroc (UK-427,857) in HIV infected, treatment experienced patients who are failing their current antiretroviral regimen and are infected with R5-tropic virus exclusively. This study will involve more than 100 centers from the US and Canada to achieve a total randomized subject population of 500 subjects. Patients will be randomly (2:2:1) assigned to one of three groups: Optimized Background Therapy \[OBT (3-6 drugs based on treatment history and resistance testing)\] + maraviroc (UK-427,857) 150 mg taken once daily, OBT + maraviroc (UK-427,857) 150 mg taken twice daily, or OBT alone. The study will enroll over approximately a 9 month period with 48 weeks of treatment. This may be extended for an additional year depending on the results at 48 weeks. Physical examinations will be performed at study entry, weeks 4, 8, 12, 16, 20, 24, 32, 40, and 48. Blood samples will also be taken at study entry, weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, and 48. Additionally, blood samples will be drawn twice, at least 30 minutes apart, at weeks 2 and 24 for maraviroc (UK-427,857) pharmacokinetic analysis. As part of this clinical study a blood sample will also be taken for non-anonymized pharmacogenetic analysis. Patients will undergo a 12-lead electrocardiogram at study entry, weeks 24 and 48.

Interventions

Maraviroc was given either once or twice per day with the dose adjusted according to the optimized background therapy

Maraviroc was given either once or twice per day with the dose adjusted according to the optimized background therapy

DRUGPlacebo

Patients will be randomly (2:2:1) assigned to one of three groups: Optimized Background Therapy \[OBT (3-6 drugs based on treatment history and resistance testing)\] + maraviroc (UK-427,857) 150 mg taken once daily, OBT + maraviroc (UK-427,857) 150 mg taken twice daily, or OBT alone.

Sponsors

Pfizer
CollaboratorINDUSTRY
ViiV Healthcare
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Men or women at least 16 years of age (or minimum age as determined by local regulatory authorities) * HIV-1 RNA viral load of greater than or equal to 5,000 copies/mL * Stable pre-study antiretroviral regimen, or on no antiretroviral agents, for at least 4 weeks * Documented genotypic or phenotypic resistance to three of the four antiretroviral drug classes, OR, Antiretroviral-class experience greater than or equal to 6 months (sequential or cumulative) with at least three of the following: One nucleoside or nucleotide reverse transcriptase inhibitor, one non-nucleoside reverse transcriptase inhibitor, two protease inhibitors (excluding low-dose ritonavir) and/or enfuvirtide * Be willing to remain on randomized treatment without any changes or additions to the OBT regimen, except for toxicity management or upon meeting criteria for treatment failure * A negative urine pregnancy test at the baseline visit for Women of Child Bearing Potential (WOCBP) * Effective barrier contraception for WOCBP and males

Exclusion criteria

* Patients requiring treatment with more than 6 antiretroviral agents (excluding low-dose ritonavir) * Prior treatment with maraviroc (UK-427,857) or another experimental HIV entry inhibitor for more than 14 days * Suspected or documented active, untreated HIV-1 related opportunistic infection (OI) or other condition requiring acute therapy * Treatment for an active opportunistic infection, or unexplained temperature \>38.5 degrees Celsius for 7 consecutive days * Active alcohol or substance abuse sufficient, in the Investigator's judgement, to prevent adherence to study medication and/or follow up * Lactating women, or planned pregnancy during the trial period * Significant renal insufficiency * Previous therapy with a potentially myelosuppressive, neurotoxic, hepatoxic and/or cytotoxic agent within 30 days prior to randomization or the expected need for such therapy during the study period * Documented or suspected acute hepatitis or pancreatitis within 30 days prior to randomization * Significantly elevated liver enzymes or cirrhosis * Significant neutropenia, anemia or thrombocytopenia * Malabsorption or an inability to tolerate oral medications * Symptomatic postural hypotension or severe cardiovascular or cerebrovascular disease * Certain medications * Malignancy requiring parenteral chemotherapy that must be continued for the duration of the trial * X4- or dual/mixed-tropic virus or repeated assay failure * Any other clinical condition that, in the Investigator's judgement, would potentially compromise study compliance or the ability to evaluate safety/efficacy

Design outcomes

Primary

MeasureTime frameDescription
Log 10-transformed Human Immunodeficiency Virus Ribonucleic Acid (HIV-1 RNA) Levels at BaselineBaselineBaseline value calculated as average of pre-dose measurements collected at screening, randomization, and immediately pre-dose.
Change From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 24Baseline and Week 24Change from baseline in log 10-transformed plasma viral load (HIV-1 RNA) levels (log10 copies/mL). Baseline value calculated as average of pre-dose measurements collected at screening, randomization, and immediately pre-dose.
Change From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 48Baseline and Week 48Change from baseline in log 10-transformed plasma viral load (HIV-1 RNA) levels (log10 copies/mL). Baseline value calculated as average of pre-dose measurements collected at screening, randomization and immediately pre-dose.

Secondary

MeasureTime frameDescription
Percentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mLWeek 24 and 48
Cluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at BaselineBaselineBaseline value calculated as average of pre-dose measurements collected at screening and immediately pre-dose.
Change From Baseline in CD4 Cell Count at Week 24 and 48Baseline, Week 24 and 48Change from baseline in CD4 cell count measured as cells/µL. Baseline value calculated as the average of pre-dose measurements collected at screening and immediately pre-dose.
Change From Baseline in CD8 Cell Count at Week 24 and 48Baseline, Week 24 and 48Change from baseline in CD8 cell count measured as cells/µL. Baseline value calculated as the average of pre-dose measurements collected at screening and immediately pre-dose.
Time to Virological FailureWeek 48Time to virologic failure based on observed HIV-1 RNA levels and failure events (death;permanent discontinuation of drug;lost to follow-up \[LTFU\];new anti-retroviral drug added \[except background drug change to drug of same class\];or on open label for early non-response or rebound). Failure:at Time 0 if level not \<400 copies/mL(2 consecutive visits) before events or last available visit;at time of earliest event if level \<400 copies/mL(2 consecutive visits);failure if level \>=400 copies/mL(2 consecutive visits) or 1 visit \>=400 copies/mL followed by permanent discontinuation of drug or LTFU.
Time-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA LevelsBaseline to Week 24 and Week 48TAD from baseline was calculated as area under the curve of HIV-1 RNA load (log10 copies/mL) divided by time period minus baseline HIV-1 RNA load (log10 copies/mL). Baseline value calculated as the average of pre-dose measurements collected at screening, randomization, and immediately pre-dose.
Percentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mLWeek 24 and 48
Number of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Screening and time of failure through week 24Number of participants with GSS and PSS were used as surrogates for assessing genotype and phenotype. Genotypic and phenotypic resistance to PIs, NRTIs and NNRTIs were evaluated at screening and time of treatment failure analyzed through week 24 visit, by Monogram Biosciences PhenoSense GT assay. Score was determined for each drug in OBT, giving 1: drug 'sensitive'/'susceptible' and 0: 'resistant'. GSS and PSS score range:0 to \>3. Genotypic enfuvirtide value was used for PSS, no phenotypic enfuvirtide was recorded.
Number of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Screening and time of failure through week 48Number of participants with GSS and PSS were used as surrogates for assessing genotype and phenotype. Genotypic and phenotypic resistance to PIs, NRTIs and NNRTIs were evaluated at screening and time of treatment failure analyzed through week 48 visit, by Monogram Biosciences PhenoSense GT assay. Score was determined for each drug in OBT, giving 1: drug 'sensitive'/'susceptible' and 0: 'resistant'. GSS and PSS score range:0 to \>3. Genotypic enfuvirtide value was used for PSS, no phenotypic enfuvirtide was recorded.
Number of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline and time of failure through week 24Number of participants per tropism status (C-X-C chemokine receptor 5 {CCR5} \[R5\], C-X-C chemokine receptor type 4 {CXCR4} \[X4\], Dual/mixed \[DM\], or Non-reportable/Non-phenotypable \[NR/NP\]) at baseline and time of treatment failure analyzed through week 24 visit. Treatment failure defined as discontinuation due to insufficient clinical response. HIV-1 RNA viral load \<500 copies/mL categorized as below lower limit of quantification (BLQ). The assessment for time of treatment failure was defined as the last on treatment assessment.
Number of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline and time of failure through week 48Number of participants per tropism status (R5, X4, DM, or NR/NP) at baseline and time of treatment failure analyzed through week 48 visit. Treatment failure defined as insufficient clinical response. HIV-1 RNA viral load \<500 copies/mL categorized as BLQ. The assessment for time of treatment failure was defined as the last on treatment assessment.
Change From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningBaseline, Week 24 and Week 48Association between baseline resistance and virological response was assessed as change in viral load by OSS at screening. OSS categorized as 0, 1, 2, \>3 (maximum value of 6) and calculated as the sum of the net assessment of in-vitro phenotypic and genotypic susceptibility using a binary scoring system (0= resistant, 1= sensitive or susceptible) for each antiretroviral agent in OBT. Higher scores indicate greater susceptibility. Baseline value is the average of the values from screening, randomization and immediately pre-dose.
Number of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningScreeningNumber of participants with GSS and PSS were used as surrogates for assessing genotype and phenotype. Genotypic and phenotypic resistance to protease inhibitors(PIs), nucleoside reverse transcriptase inhibitors(NRTIs), non-nucleoside reverse transcriptase inhibitors(NNRTIs) were evaluated at screening (not at baseline), by Monogram Biosciences PhenoSense genotyping (GT) assay. Score was determined for each drug in OBT, giving 1:drug 'sensitive'/'susceptible' and 0:'resistant'. GSS and PSS score range:0 to \>3. Genotypic enfuvirtide value was used for PSS, no phenotypic enfuvirtide was recorded.
Percentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From BaselineWeek 24 and 48
Percentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From BaselineWeek 24 and 48

Countries

Canada, United States

Participant flow

Participants by arm

ArmCount
Maraviroc QD
Maraviroc 150 or 300 milligrams (mg) tablet orally once daily (QD) in the evening, dose adjusted according to the other prescribed drugs taken by participants as part of optimized background therapy (OBT) selected according to local standard of care (3 to 6 drugs based on resistance testing, treatment history and safety considerations). Placebo matched to maraviroc tablet orally in the morning.
232
Maraviroc BID
Maraviroc 150 or 300 mg tablet orally twice daily (BID) in the morning and evening, dose adjusted according to the other prescribed drugs taken by participants as part of OBT selected according to local standard of care (3 to 6 drugs based on resistance testing, treatment history and safety considerations).
235
Placebo
Placebo matched to maraviroc tablet orally BID in the morning and evening, in combination with OBT (3 to 6 drugs based on resistance testing, treatment history and safety considerations).
118
Total585

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Double BlindAdverse Event111060000
Double BlindDeath1410000
Double BlindLack of Efficacy4334170000
Double BlindOngoing at cut-off date151166720000
Double BlindParticipant defaulted1918110000
Double BlindRandomized, not treated9520000
Double BlindUn-specified73110000
Observational PhaseDeath0000054
Observational PhaseParticipant defaulted000003418
Observational PhaseUn-specified0000074
Open LabelAdverse Event0002000
Open LabelDeath0004000
Open LabelLack of Efficacy00013000
Open LabelOngoing at cut-off date0002696200
Open LabelParticipant defaulted00024000
Open LabelUn-specified00015000

Baseline characteristics

CharacteristicTotalMaraviroc QDMaraviroc BIDPlacebo
Age, Customized
18 to 24 years
1 participants1 participants0 participants0 participants
Age, Customized
25 to 34 years
22 participants10 participants7 participants5 participants
Age, Customized
35 to 44 years
253 participants97 participants108 participants48 participants
Age, Customized
45 to 54 years
228 participants93 participants90 participants45 participants
Age, Customized
55 to 64 years
73 participants26 participants28 participants19 participants
Age, Customized
Greater than or equal to 65 years
8 participants5 participants2 participants1 participants
Age, Customized
Less than 18 years
0 participants0 participants0 participants0 participants
Sex: Female, Male
Female
57 Participants22 Participants23 Participants12 Participants
Sex: Female, Male
Male
528 Participants210 Participants212 Participants106 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
170 / 232192 / 23589 / 11819 / 3270 / 620 / 2500 / 81
serious
Total, serious adverse events
42 / 23253 / 23520 / 11833 / 3270 / 620 / 2500 / 81

Outcome results

Primary

Change From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 24

Change from baseline in log 10-transformed plasma viral load (HIV-1 RNA) levels (log10 copies/mL). Baseline value calculated as average of pre-dose measurements collected at screening, randomization, and immediately pre-dose.

Time frame: Baseline and Week 24

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. Missing values for viral load at week 24 have been imputed as baseline value for the participants who discontinued and as Last observation carried forward (LOCF) for participants who did not discontinue.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Maraviroc QDChange From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 24-1.818 log10 copies/mLStandard Error 0.092
Maraviroc BIDChange From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 24-1.952 log10 copies/mLStandard Error 0.0913
PlaceboChange From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 24-1.030 log10 copies/mLStandard Error 0.1287
Comparison: The difference between the treatment least square means (LS means) adjusted for the randomization strata was presented in addition to 2-sided 97.5% confidence interval (CI) as an adjustment for multiplicity using a Bonferroni correction. Negative value favors maraviroc over placebo.97.5% CI: [-1.141, -0.435]
Comparison: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 97.5% CI as an adjustment for multiplicity using a Bonferroni correction. Negative value favors maraviroc over placebo.97.5% CI: [-1.275, -0.57]
Primary

Change From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 48

Change from baseline in log 10-transformed plasma viral load (HIV-1 RNA) levels (log10 copies/mL). Baseline value calculated as average of pre-dose measurements collected at screening, randomization and immediately pre-dose.

Time frame: Baseline and Week 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. Missing values for viral load at week 48 have been imputed as the baseline value for participants who discontinued and as LOCF for participants who did not discontinue.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Maraviroc QDChange From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 48-1.656 log10 copies/mLStandard Error 0.0949
Maraviroc BIDChange From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 48-1.824 log10 copies/mLStandard Error 0.0942
PlaceboChange From Baseline in Log 10-transformed HIV-1 RNA Levels at Week 48-0.803 log10 copies/mLStandard Error 0.1329
Comparison: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 97.5% CI as an adjustment for multiplicity using a Bonferroni correction. Negative value favors maraviroc over placebo.97.5% CI: [-1.217, -0.489]
Comparison: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 97.5% CI as an adjustment for multiplicity using a Bonferroni correction. Negative value favors maraviroc over placebo.97.5% CI: [-1.385, -0.658]
Primary

Log 10-transformed Human Immunodeficiency Virus Ribonucleic Acid (HIV-1 RNA) Levels at Baseline

Baseline value calculated as average of pre-dose measurements collected at screening, randomization, and immediately pre-dose.

Time frame: Baseline

Population: Full analysis set (FAS) included all the randomized participants who had taken at least one dose of the study medication.

ArmMeasureValue (MEAN)Dispersion
Maraviroc QDLog 10-transformed Human Immunodeficiency Virus Ribonucleic Acid (HIV-1 RNA) Levels at Baseline4.854 log10 copies/milliliter(log10 copies/mL)Standard Deviation 0.641
Maraviroc BIDLog 10-transformed Human Immunodeficiency Virus Ribonucleic Acid (HIV-1 RNA) Levels at Baseline4.861 log10 copies/milliliter(log10 copies/mL)Standard Deviation 0.614
PlaceboLog 10-transformed Human Immunodeficiency Virus Ribonucleic Acid (HIV-1 RNA) Levels at Baseline4.840 log10 copies/milliliter(log10 copies/mL)Standard Deviation 0.556
Secondary

Change From Baseline in CD4 Cell Count at Week 24 and 48

Change from baseline in CD4 cell count measured as cells/µL. Baseline value calculated as the average of pre-dose measurements collected at screening and immediately pre-dose.

Time frame: Baseline, Week 24 and 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. 'N' (number of participants analyzed) signifies participants evaluable for this measure. Missing values were imputed using LOCF.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Maraviroc QDChange From Baseline in CD4 Cell Count at Week 24 and 48Week 24106.63 cells/µLStandard Error 7.255
Maraviroc QDChange From Baseline in CD4 Cell Count at Week 24 and 48Week 48112.53 cells/µLStandard Error 7.39
Maraviroc BIDChange From Baseline in CD4 Cell Count at Week 24 and 48Week 24111.08 cells/µLStandard Error 7.148
Maraviroc BIDChange From Baseline in CD4 Cell Count at Week 24 and 48Week 48122.44 cells/µLStandard Error 7.284
PlaceboChange From Baseline in CD4 Cell Count at Week 24 and 48Week 2452.14 cells/µLStandard Error 10.14
PlaceboChange From Baseline in CD4 Cell Count at Week 24 and 48Week 4853.97 cells/µLStandard Error 10.341
Comparison: Week 24: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [30.07, 78.92]
Comparison: Week 24: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [34.63, 83.26]
Comparison: Week 48: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [33.66, 83.46]
Comparison: Week 48: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [43.69, 93.25]
Secondary

Change From Baseline in CD8 Cell Count at Week 24 and 48

Change from baseline in CD8 cell count measured as cells/µL. Baseline value calculated as the average of pre-dose measurements collected at screening and immediately pre-dose.

Time frame: Baseline, Week 24 and 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. 'N' (number of participants analyzed) signifies participants evaluable for this measure. Missing values were imputed using LOCF.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Maraviroc QDChange From Baseline in CD8 Cell Count at Week 24 and 48Week 24283.48 cells/µLStandard Error 30.206
Maraviroc QDChange From Baseline in CD8 Cell Count at Week 24 and 48Week 48198.00 cells/µLStandard Error 28.962
Maraviroc BIDChange From Baseline in CD8 Cell Count at Week 24 and 48Week 24302.33 cells/µLStandard Error 29.745
Maraviroc BIDChange From Baseline in CD8 Cell Count at Week 24 and 48Week 48220.40 cells/µLStandard Error 28.532
PlaceboChange From Baseline in CD8 Cell Count at Week 24 and 48Week 24-0.74 cells/µLStandard Error 42.198
PlaceboChange From Baseline in CD8 Cell Count at Week 24 and 48Week 48-15.34 cells/µLStandard Error 40.503
Comparison: Week 24: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [182.51, 385.92]
Comparison: Week 24: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [201.9, 404.23]
Comparison: Week 48: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [115.77, 310.92]
Comparison: Week 48: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Positive value favors maraviroc over placebo.95% CI: [138.68, 332.8]
Secondary

Change From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at Screening

Association between baseline resistance and virological response was assessed as change in viral load by OSS at screening. OSS categorized as 0, 1, 2, \>3 (maximum value of 6) and calculated as the sum of the net assessment of in-vitro phenotypic and genotypic susceptibility using a binary scoring system (0= resistant, 1= sensitive or susceptible) for each antiretroviral agent in OBT. Higher scores indicate greater susceptibility. Baseline value is the average of the values from screening, randomization and immediately pre-dose.

Time frame: Baseline, Week 24 and Week 48

Population: FAS; 'N' (number of participants analyzed) is signifying those participants who were evaluable for this measure. 'n' is number of participants with given OSS score at screening for each treatment arm at particular time-point. LOCF was used to impute missing values.

ArmMeasureGroupValue (MEAN)Dispersion
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 0 (n= 29, 27, 19)-0.945 log10copies/mLStandard Deviation 0.905
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 1 (n= 76, 86, 21)-1.911 log10copies/mLStandard Deviation 1.229
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 2 (n= 51, 65, 38)-2.093 log10copies/mLStandard Deviation 1.3402
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS >=3 (n= 68, 53, 35)-2.536 log10copies/mLStandard Deviation 1.1599
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS= Missing (n= 4, 3, 3)-2.070 log10copies/mLStandard Deviation 1.3832
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 0 (n= 29, 27, 19)-0.876 log10copies/mLStandard Deviation 0.8448
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 1 (n= 77, 86, 20)-1.843 log10copies/mLStandard Deviation 1.2452
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 2 (n= 51, 64, 38)-2.146 log10copies/mLStandard Deviation 1.4208
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS >=3 (n= 67, 54, 36)-2.427 log10copies/mLStandard Deviation 1.3136
Maraviroc QDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS= Missing (n= 4, 3, 3)-2.106 log10copies/mLStandard Deviation 1.4461
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS >=3 (n= 67, 54, 36)-2.634 log10copies/mLStandard Deviation 1.1628
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 0 (n= 29, 27, 19)-1.524 log10copies/mLStandard Deviation 1.331
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 0 (n= 29, 27, 19)-1.419 log10copies/mLStandard Deviation 1.3042
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS= Missing (n= 4, 3, 3)-3.075 log10copies/mLStandard Deviation 0.5705
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 1 (n= 76, 86, 21)-1.895 log10copies/mLStandard Deviation 1.395
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS= Missing (n= 4, 3, 3)-2.698 log10copies/mLStandard Deviation 1.2056
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 2 (n= 51, 64, 38)-2.182 log10copies/mLStandard Deviation 1.1096
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 2 (n= 51, 65, 38)-2.220 log10copies/mLStandard Deviation 1.09
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 1 (n= 77, 86, 20)-1.868 log10copies/mLStandard Deviation 1.4078
Maraviroc BIDChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS >=3 (n= 68, 53, 35)-2.672 log10copies/mLStandard Deviation 1.1836
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 2 (n= 51, 64, 38)-1.147 log10copies/mLStandard Deviation 0.9681
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS >=3 (n= 68, 53, 35)-2.471 log10copies/mLStandard Deviation 0.92
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS= Missing (n= 4, 3, 3)-0.530 log10copies/mLStandard Deviation 0.1726
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 0 (n= 29, 27, 19)-0.088 log10copies/mLStandard Deviation 0.4541
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS >=3 (n= 67, 54, 36)-2.205 log10copies/mLStandard Deviation 1.087
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS 1 (n= 77, 86, 20)-0.262 log10copies/mLStandard Deviation 0.7048
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 0 (n= 29, 27, 19)-0.083 log10copies/mLStandard Deviation 0.472
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 48; Screening OSS= Missing (n= 4, 3, 3)-0.370 log10copies/mLStandard Deviation 0.1471
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 1 (n= 76, 86, 21)-0.350 log10copies/mLStandard Deviation 0.784
PlaceboChange From Baseline in Viral Load at Week 24 and Week 48 by Overall Susceptibility Score (OSS) at ScreeningWeek 24; Screening OSS 2 (n= 51, 65, 38)-1.251 log10copies/mLStandard Deviation 1.08
Secondary

Cluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at Baseline

Baseline value calculated as average of pre-dose measurements collected at screening and immediately pre-dose.

Time frame: Baseline

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. 'N' (number of participants analyzed) signifies participants evaluable for this measure.

ArmMeasureGroupValue (MEAN)Dispersion
Maraviroc QDCluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at BaselineCD4187.5 cells per microliter (cells/µL)Standard Deviation 149.88
Maraviroc QDCluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at BaselineCD8941.1 cells per microliter (cells/µL)Standard Deviation 556.53
Maraviroc BIDCluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at BaselineCD4176.5 cells per microliter (cells/µL)Standard Deviation 143.93
Maraviroc BIDCluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at BaselineCD8880.1 cells per microliter (cells/µL)Standard Deviation 547.19
PlaceboCluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at BaselineCD4178.5 cells per microliter (cells/µL)Standard Deviation 127.09
PlaceboCluster of Differentiation 4 (CD4) and Cluster of Differentiation 8 (CD8) Cell Count at BaselineCD8880.4 cells per microliter (cells/µL)Standard Deviation 489.28
Secondary

Number of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24

Number of participants per tropism status (C-X-C chemokine receptor 5 {CCR5} \[R5\], C-X-C chemokine receptor type 4 {CXCR4} \[X4\], Dual/mixed \[DM\], or Non-reportable/Non-phenotypable \[NR/NP\]) at baseline and time of treatment failure analyzed through week 24 visit. Treatment failure defined as discontinuation due to insufficient clinical response. HIV-1 RNA viral load \<500 copies/mL categorized as below lower limit of quantification (BLQ). The assessment for time of treatment failure was defined as the last on treatment assessment.

Time frame: Baseline and time of failure through week 24

Population: FAS; 'N' (number of participants analyzed) is signifying those participants who experienced treatment failure, defined as discontinuation due to insufficient response and had tropism assessment at baseline.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: R510 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: X46 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: DM18 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: NR/NP1 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: R50 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: X41 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: DM3 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: NR/NP1 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: DM19 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: DM4 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: NR/NP3 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: R50 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: X44 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: R510 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: X45 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: NR/NP1 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: DM1 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: X40 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: R544 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: R5; Treatment failure: NR/NP3 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: DM1 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: X41 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: R51 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 24Baseline: DM; Treatment failure: NR/NP0 participants
Secondary

Number of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48

Number of participants per tropism status (R5, X4, DM, or NR/NP) at baseline and time of treatment failure analyzed through week 48 visit. Treatment failure defined as insufficient clinical response. HIV-1 RNA viral load \<500 copies/mL categorized as BLQ. The assessment for time of treatment failure was defined as the last on treatment assessment.

Time frame: Baseline and time of failure through week 48

Population: FAS; 'N' (number of participants analyzed) is signifying those participants who experienced treatment failure, defined as discontinuation due to insufficient response and had tropism assessment at baseline.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: X42 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: DM4 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: NR/NP2 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: R516 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: X46 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: DM19 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: NR/NP1 participants
Maraviroc QDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: R50 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: NR/NP1 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: NR/NP3 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: R515 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: X47 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: DM22 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: X44 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: DM5 participants
Maraviroc BIDNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: R50 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: NR/NP0 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: DM1 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: X41 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: R549 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: NR/NP3 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: DM3 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: R5, Treatment failure: X40 participants
PlaceboNumber of Participants Per Tropism Status at Baseline and at the Time of Treatment Failure Through Week 48Baseline: DM, Treatment failure: R52 participants
Secondary

Number of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48

Number of participants with GSS and PSS were used as surrogates for assessing genotype and phenotype. Genotypic and phenotypic resistance to PIs, NRTIs and NNRTIs were evaluated at screening and time of treatment failure analyzed through week 48 visit, by Monogram Biosciences PhenoSense GT assay. Score was determined for each drug in OBT, giving 1: drug 'sensitive'/'susceptible' and 0: 'resistant'. GSS and PSS score range:0 to \>3. Genotypic enfuvirtide value was used for PSS, no phenotypic enfuvirtide was recorded.

Time frame: Screening and time of failure through week 48

Population: FAS; 'N' (number of participants analyzed) is signifying those participants who experienced treatment failure defined as discontinuation due to discontinuation due to insufficient response. 'n' is number of participants who were evaluable for the given change in GSS and PSS score for each arm group respectively.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 0 (n= 44 ,52, 55)26 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -3 (n= 44 ,52, 55)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -2 (n= 44 ,52, 55)5 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -1 (n= 44 ,52, 55)12 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by less than -3 (n= 44 ,52, 55)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 1 (n= 44 ,52, 55)1 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 2 (n= 44 ,52, 55)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 3 (n= 44 ,52, 55)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by greater than 3 (n= 44 ,52, 55)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by less than -3 (n= 44 , 52, 53)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -3 (n= 44 , 52, 53)4 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -2 (n= 44 , 52, 53)6 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -1 (n= 44 , 52, 53)13 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 0 (n= 44 , 52, 53)17 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 1 (n= 44 , 52, 53)3 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 2 (n= 44 , 52, 53)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 3 (n= 44 , 52, 53)1 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by greater than 3 (n= 44 , 52, 53)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by greater than 3 (n= 44 , 52, 53)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by less than -3 (n= 44 ,52, 55)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by less than -3 (n= 44 , 52, 53)1 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -1 (n= 44 , 52, 53)21 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -3 (n= 44 ,52, 55)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 1 (n= 44 , 52, 53)3 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 2 (n= 44 , 52, 53)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -2 (n= 44 ,52, 55)1 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -3 (n= 44 , 52, 53)1 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 3 (n= 44 , 52, 53)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -1 (n= 44 ,52, 55)17 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by greater than 3 (n= 44 ,52, 55)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 0 (n= 44 , 52, 53)23 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 0 (n= 44 ,52, 55)31 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 3 (n= 44 ,52, 55)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -2 (n= 44 , 52, 53)3 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 1 (n= 44 ,52, 55)2 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 2 (n= 44 ,52, 55)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 1 (n= 44 ,52, 55)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 2 (n= 44 ,52, 55)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 3 (n= 44 ,52, 55)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 1 (n= 44 , 52, 53)4 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by greater than 3 (n= 44 ,52, 55)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by greater than 3 (n= 44 , 52, 53)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by less than -3 (n= 44 , 52, 53)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -3 (n= 44 , 52, 53)3 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 2 (n= 44 , 52, 53)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -2 (n= 44 , 52, 53)6 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by less than -3 (n= 44 ,52, 55)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -3 (n= 44 ,52, 55)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by -1 (n= 44 , 52, 53)12 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -2 (n= 44 ,52, 55)2 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by -1 (n= 44 ,52, 55)15 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in GSS by 0 (n= 44 ,52, 55)33 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 0 (n= 44 , 52, 53)26 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure at Week 48Change in PSS by 3 (n= 44 , 52, 53)0 participants
Secondary

Number of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24

Number of participants with GSS and PSS were used as surrogates for assessing genotype and phenotype. Genotypic and phenotypic resistance to PIs, NRTIs and NNRTIs were evaluated at screening and time of treatment failure analyzed through week 24 visit, by Monogram Biosciences PhenoSense GT assay. Score was determined for each drug in OBT, giving 1: drug 'sensitive'/'susceptible' and 0: 'resistant'. GSS and PSS score range:0 to \>3. Genotypic enfuvirtide value was used for PSS, no phenotypic enfuvirtide was recorded.

Time frame: Screening and time of failure through week 24

Population: FAS; 'N' (number of participants analyzed) is signifying those participants who experienced treatment failure defined as discontinuation due to insufficient response. 'n' is number of participants who were evaluable for the given change in GSS and PSS score for each arm group respectively.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 0 (n= 35 ,40, 47)23 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -3 (n= 35 ,40, 47)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -2 (n= 35 ,40, 47)3 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -1 (n= 35 ,40, 47)9 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by less than -3 (n= 35 ,40, 47)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 1 (n= 35 ,40, 47)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 2 (n= 35 ,40, 47)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 3 (n= 35 ,40, 47)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by greater than 3 (n= 35 ,40, 47)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by less than -3 (n= 35 ,40, 45)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -3 (n= 35 ,40, 45)4 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -2 (n= 35 ,40, 45)4 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -1 (n= 35 ,40, 45)10 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 0 (n= 35 ,40, 45)15 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 1 (n= 35 ,40, 45)2 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 2 (n= 35 ,40, 45)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 3 (n= 35 ,40, 45)0 participants
Maraviroc QDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by greater than 3 (n= 35 ,40, 45)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by less than -3 (n= 35 ,40, 45)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by less than -3 (n= 35 ,40, 47)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 1 (n= 35 ,40, 45)3 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by greater than 3 (n= 35 ,40, 45)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -3 (n= 35 ,40, 47)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 2 (n= 35 ,40, 45)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -1 (n= 35 ,40, 45)18 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -2 (n= 35 ,40, 47)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -3 (n= 35 ,40, 45)1 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by greater than 3 (n= 35 ,40, 47)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -1 (n= 35 ,40, 47)13 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 3 (n= 35 ,40, 47)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 3 (n= 35 ,40, 45)0 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 0 (n= 35 ,40, 47)26 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -2 (n= 35 ,40, 45)1 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 0 (n= 35 ,40, 45)17 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 1 (n= 35 ,40, 47)1 participants
Maraviroc BIDNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 2 (n= 35 ,40, 47)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 1 (n= 35 ,40, 47)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 2 (n= 35 ,40, 47)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 3 (n= 35 ,40, 47)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 1 (n= 35 ,40, 45)2 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by greater than 3 (n= 35 ,40, 47)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by greater than 3 (n= 35 ,40, 45)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by less than -3 (n= 35 ,40, 45)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -3 (n= 35 ,40, 45)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 2 (n= 35 ,40, 45)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 0 (n= 35 ,40, 45)25 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -2 (n= 35 ,40, 45)4 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by less than -3 (n= 35 ,40, 47)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -3 (n= 35 ,40, 47)0 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -2 (n= 35 ,40, 47)1 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by -1 (n= 35 ,40, 45)12 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by -1 (n= 35 ,40, 47)11 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in GSS by 0 (n= 35 ,40, 47)32 participants
PlaceboNumber of Participants With Change in GSS and PSS From Screening at the Time of Treatment Failure Through Week 24Change in PSS by 3 (n= 35 ,40, 45)0 participants
Secondary

Number of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at Screening

Number of participants with GSS and PSS were used as surrogates for assessing genotype and phenotype. Genotypic and phenotypic resistance to protease inhibitors(PIs), nucleoside reverse transcriptase inhibitors(NRTIs), non-nucleoside reverse transcriptase inhibitors(NNRTIs) were evaluated at screening (not at baseline), by Monogram Biosciences PhenoSense genotyping (GT) assay. Score was determined for each drug in OBT, giving 1:drug 'sensitive'/'susceptible' and 0:'resistant'. GSS and PSS score range:0 to \>3. Genotypic enfuvirtide value was used for PSS, no phenotypic enfuvirtide was recorded.

Time frame: Screening

Population: FAS included all the randomized participants who had taken at least one dose of the study medication.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 052 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 182 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 238 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: greater than or equal to 357 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: missing3 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 025 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 170 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 251 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: greater than or equal to 383 participants
Maraviroc QDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: missing3 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: greater than or equal to 366 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 059 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 024 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: missing1 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 180 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: missing3 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 269 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 248 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 173 participants
Maraviroc BIDNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: greater than or equal to 347 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 235 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: greater than or equal to 334 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: missing3 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 017 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: greater than or equal to 345 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: 118 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 031 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningPSS: missing3 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 129 participants
PlaceboNumber of Participants With Genotypic Susceptibility Scores (GSS) and Phenotypic Susceptibility Score (PSS) at ScreeningGSS: 221 participants
Secondary

Percentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL

Time frame: Week 24 and 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. Missing data was imputed as failure which was defined as not meeting the criteria of less than 400 copies/mL of HIV-1 RNA levels.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mLWeek 2454.7 percentage of participants
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mLWeek 4850.9 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mLWeek 2460.4 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mLWeek 4857.5 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mLWeek 2431.4 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mLWeek 4822.0 percentage of participants
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (less than \[\<\] 100,000 or greater than or equal to \[\>=\] 100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio greater than (\>) 1 favors maraviroc.p-value: <0.000195% CI: [1.78, 4.67]Regression, Logistic
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.26, 5.95]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.36, 6.64]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [3.04, 8.59]Regression, Logistic
Secondary

Percentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From Baseline

Time frame: Week 24 and 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. Missing data was imputed as failure which was defined as not meeting the criteria of less than 400 copies/mL or with at least 0.5 log10 decrease from baseline of HIV-1 RNA levels.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From BaselineWeek 2467.7 percentage of participants
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From BaselineWeek 4859.9 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From BaselineWeek 2469.4 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From BaselineWeek 4864.3 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From BaselineWeek 2445.8 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 0.5 log10 Decrease From BaselineWeek 4835.6 percentage of participants
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [1.63, 4.13]Regression, Logistic
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [1.79, 4.54]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [1.83, 4.67]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.08, 5.32]Regression, Logistic
Secondary

Percentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From Baseline

Time frame: Week 24 and 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. Missing data was imputed as failure which was defined as not meeting the criteria of less than 400 copies/mL or with at least 1.0 log10 decrease from baseline of HIV-1 RNA levels.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From BaselineWeek 2464.7 percentage of participants
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From BaselineWeek 4857.8 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From BaselineWeek 2467.7 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From BaselineWeek 4863.0 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From BaselineWeek 2438.1 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 400 Copies/mL or With at Least 1.0 log10 Decrease From BaselineWeek 4831.4 percentage of participants
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [1.92, 4.88]Regression, Logistic
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.22, 5.68]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.05, 5.31]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.5, 6.51]Regression, Logistic
Secondary

Percentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mL

Time frame: Week 24 and 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. Missing data was imputed as failure which was defined as not meeting the criteria of less than 50 copies/mL of HIV-1 RNA levels.

ArmMeasureGroupValue (NUMBER)
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mLWeek 2442.2 percentage of participants
Maraviroc QDPercentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mLWeek 4841.8 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mLWeek 2448.5 percentage of participants
Maraviroc BIDPercentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mLWeek 4846.8 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mLWeek 4816.1 percentage of participants
PlaceboPercentage of Participants With HIV-1 RNA Levels Less Than 50 Copies/mLWeek 2424.6 percentage of participants
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: 0.000695% CI: [1.46, 4.04]Regression, Logistic
Comparison: Week 24: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [1.9, 5.23]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.32, 7.25]Regression, Logistic
Comparison: Week 48: Two-sided 95% CI was presented for the odds ratios between treatment groups with placebo as the comparator. CIs were calculated using the Wald-approximation. Logistic model with treatment, screening HIV concentrations (\<100,000 or \>=100,000), enfuvirtide use (Yes or No) as covariates was used. Odds ratio \>1 favors maraviroc.p-value: <0.000195% CI: [2.82, 8.77]Regression, Logistic
Secondary

Time-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA Levels

TAD from baseline was calculated as area under the curve of HIV-1 RNA load (log10 copies/mL) divided by time period minus baseline HIV-1 RNA load (log10 copies/mL). Baseline value calculated as the average of pre-dose measurements collected at screening, randomization, and immediately pre-dose.

Time frame: Baseline to Week 24 and Week 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication. Missing data imputed as 0 for participants who discontinued and through last available observation for participants who did not discontinue.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Maraviroc QDTime-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA LevelsWeek 24-1.636 log10 copies/mLStandard Error 0.0789
Maraviroc QDTime-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA LevelsWeek 48-1.556 log10 copies/mLStandard Error 0.0876
Maraviroc BIDTime-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA LevelsWeek 24-1.741 log10 copies/mLStandard Error 0.0783
Maraviroc BIDTime-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA LevelsWeek 48-1.720 log10 copies/mLStandard Error 0.087
PlaceboTime-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA LevelsWeek 24-0.939 log10 copies/mLStandard Error 0.1103
PlaceboTime-Averaged Difference (TAD) From Baseline in log10 Transformed HIV-1 RNA LevelsWeek 48-0.788 log10 copies/mLStandard Error 0.1227
Comparison: Week 24: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Negative value favors maraviroc over placebo.95% CI: [-0.961, -0.432]
Comparison: Week 24: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Negative value favors maraviroc over placebo.95% CI: [-1.065, -0.538]
Comparison: Week 48: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Negative value favors maraviroc over placebo.95% CI: [-1.061, -0.474]
Comparison: Week 48: The difference between the treatment LS means adjusted for the randomization strata was presented in addition to 2-sided 95% CI. Negative value favors maraviroc over placebo.95% CI: [-1.225, -0.638]
Secondary

Time to Virological Failure

Time to virologic failure based on observed HIV-1 RNA levels and failure events (death;permanent discontinuation of drug;lost to follow-up \[LTFU\];new anti-retroviral drug added \[except background drug change to drug of same class\];or on open label for early non-response or rebound). Failure:at Time 0 if level not \<400 copies/mL(2 consecutive visits) before events or last available visit;at time of earliest event if level \<400 copies/mL(2 consecutive visits);failure if level \>=400 copies/mL(2 consecutive visits) or 1 visit \>=400 copies/mL followed by permanent discontinuation of drug or LTFU.

Time frame: Week 48

Population: FAS included all the randomized participants who had taken at least one dose of the study medication.

ArmMeasureValue (MEDIAN)
Maraviroc QDTime to Virological Failure344.00 days
Maraviroc BIDTime to Virological FailureNA days
PlaceboTime to Virological Failure0.00 days
Comparison: P-value was calculated using Log rank test controlling for the effect of the randomization strata. Hazard ratio calculated by fitting a Cox proportional hazards model including treatment group and randomization strata. Hazard ratio \<1 favors maraviroc.p-value: <0.000195% CI: [0.34, 0.6]Log Rank
Comparison: P-value was calculated using Log rank test controlling for the effect of the randomization strata. Hazard ratio calculated by fitting a Cox proportional hazards model including treatment group and randomization strata. Hazard ratio \<1 favors maraviroc.p-value: <0.000195% CI: [0.28, 0.5]Log Rank

Source: ClinicalTrials.gov · Data processed: Apr 4, 2026