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Tipranavir/Ritonavir vs. Genotypically Defined Protease Inhibitor/Ritonavir in HIV Patients (RESIST-2)

Randomized, Open-label, Comparative Safety and Efficacy Study of Tipranavir Boosted With Low Dose Ritonavir (TPV/RTV) Versus Genotypically-defined Protease Inhibitor/Ritonavir (PI/RTV) in Multiple Antiretroviral Drug-experienced Patients (RESIST 2: Randomized Evaluation of Strategic Intervention in Multi-Drug Resistant Patients With Tipranavir)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00144170
Enrollment
882
Registered
2005-09-05
Start date
2003-02-28
Completion date
Unknown
Last updated
2014-07-02

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

Conditions

HIV Infections

Brief summary

The objective of this study is to demonstrate the safety and efficacy of tipranavir/ritonavir versus an active control arm in highly treatment experienced Human immunodeficiency virus-1 infected patients. Patients must have a viral load \> =1000 cells/mL, and genotype indicating at least one resistance conferring protease inhibitor-mutation as determined from a predefined panel of mutations. Any CD4+ count is acceptable.

Interventions

DRUGTipranavir (with low dose ritonavir)
DRUGComparator protease inhibitor(CPI)/low dose ritonavir(r)

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Intervention model
PARALLEL
Primary purpose
TREATMENT

Eligibility

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

Inclusion criteria

1. Signed informed consent prior to trial participation. 2. Human immunodeficiency virus-1 infected males or females \>=18 years of age. 3. Screening genotypic resistance report indicating both of the following: * at least one primary protease mutation at the following sites 30N, 46I/L, 48V, 50V, 82A/F/L/T, 84V or 90M , and * no more than two protease mutations on codons 33, 82, 84, or 90. 4. At least 3 consecutive months experience taking antiretrovirals from each of the classes of Nucleoside reverse transcriptase inhibitor(s), Non-nucleoside reverse transcriptase inhibitor(s), and Protease inhibitor(s) at some point in treatment history, * with at least 2 Protease inhibitor-based regimens (minimum 3 months of exposure of each), one of which must be part of the current regimen, and * current Protease inhibitor-based antiretroviral medication regimen for at least 3 months prior to randomisation. 5. Human immunodeficiency virus-1 viral load \>=1000 copies/mL at screening. 6. Acceptable screening laboratory values that indicate adequate baseline organ function. Laboratory values are considered to be acceptable if the following apply: * Total cholesterol \<=400 mg/dl or 10,36 mm/L. * Total triglycerides \<=750 mg/dl or 8,5 mm/L. * Alanine aminotransferase \<=3x upper limit of normal and aspartate aminotransferase \<=2.5x upper limit of normal. * Any Grade gamma-glutamyl transpeptidase is acceptable. * Any Grade creatinine kinase is acceptable as long as there is no concurrent myopathy. * All other laboratory test values \<= Grade 1(Division of Acquired immune deficiency syndrome, National Institute of Health grading scale). 7. Acceptable medical history, as assessed by the investigator, with chest X-ray and electrocardiogram within 1 year of study participation. 8. Willingness to abstain from ingesting substances during the study which may alter plasma study drug levels by interaction with the cytochrome P450 system. 9. A prior Acquired immune deficiency syndrome-defining event is acceptable as long as it has resolved or the patient has been on stable treatment for at least 2 months (Acquired immune deficiency syndrome related complex is acceptable).

Exclusion criteria

1. Antiretroviral medication naïve. 2. Patients on recent drug holiday, defined as off antiretroviral medications for at least 7 consecutive days within the last 3 months. 3. Alanine aminotransferase \>3x upper limit of normal and aspartate aminotransferase \>2.5x upper limit of normal at either screening visit. 4. Female patients of child-bearing potential who: * have a positive serum pregnancy test at screening or during the study, * are breast feeding * are planning to become pregnant, or * are not willing to use a barrier method of contraception, or * require ethinyl estradiol administration 5. Prior tipranavir use. 6. Use of investigational medications within 30 days before study entry or during the trial. (T-20 \[enfuvirtide\] and Tenofovir (Viread), investigational at the time of writing of this protocol, will be allowed.) 7. Use of immunomodulatory drugs within 30 days before study entry or during the trial (e.g. interferon, cyclosporin, hydroxyurea, interleukin 2). 8. Inability to adhere to the requirements of the protocol, including active substance abuse as assessed by the investigator. 9. In the opinion of the investigator, likely survival of less than 12 months because of underlying disease.

Design outcomes

Primary

MeasureTime frameDescription
Treatment Response at Week 48after 48 weeks of treatmentPatients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Time to Treatment Failure Through 48 Weeks of Treatmentafter 48 weeks of treatmentTime to treatment failure is defined as 0 for patients who never achieve TR otherwise time to treatment failure is the earliest time of death, discontinuation of the study drug or introduction of a new anti-retroviral drug to the regimen if it is not solely related to either toxicity or intolerance clearly attributable to a background, or the first of two consecutive visits with Log(baseline Viral Load) - Log(on-treatment Viral Load) \< 1.

Secondary

MeasureTime frameDescription
Treatment Response at Week 4week 4Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 8week 8Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 16week 16Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 24Week 24Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 32week 32Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 40week 40Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 64week 64Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 72week 72Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 80week 80Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 88week 88Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Treatment Response at Week 96after 96 weeks of treatmentPatients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Time to Treatment Failure Through 96 Weeks of Treatmentafter 96 weeks of treatmentTime to treatment failure is defined as 0 for patients who never achieve TR otherwise time to treatment failure is the earliest time of death, discontinuation of the study drug or introduction of a new anti-retroviral drug to the regimen if it is not solely related to either toxicity or intolerance clearly attributable to a background, or the first of two consecutive visits with Log(baseline Viral Load) - Log(on-treatment Viral Load) \< 1.
Time to Confirmed Virologic Failure Through 48 Weeks of Treatmentafter 48 weeks of treatmentTime to virologic failure is defined as the time from the start of treatment to the last measurement where the Log(baseline viral load)-Log(on-treatment viral load)\>1 before a 2 consecutive measurements where Log(baseline viral load)-Log(on-treatment viral load)\<1.
Time to Confirmed Virologic Failure Through 96 Weeks of Treatmentafter 96 weeks of treatmentTime to virologic failure is defined as the time from the start of treatment to the last measurement where the Log(baseline viral load)-Log(on-treatment viral load)\>1 before a 2 consecutive measurements where Log(baseline viral load)-Log(on-treatment viral load)\<1.
Virologic Response at Week 72Week 72Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic ResponseWeek 2 through Week 96 (at any point during trial)Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 2Week 2Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 4week 4Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 8week 8Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 16week 16Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 24week 24Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 32week 32Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 40week 40Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 48week 48Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 56week 56Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 64week 64Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 80Week 80Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 88Week 88Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Virologic Response at Week 96Week 96Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1
Median Change From Baseline in Viral Load (Week 2)Baseline to Week 2
Median Change From Baseline in Viral Load (Week 4)Baseline to Week 4
Median Change From Baseline in Viral Load (Week 8)Baseline to Week 8
Median Change From Baseline in Viral Load (Week 16)Baseline to Week 16
Median Change From Baseline in Viral Load (Week 24)Baseline to Week 24
Median Change From Baseline in Viral Load (Week 32)Baseline to Week 32
Median Change From Baseline in Viral Load (Week 40)Baseline to Week 40
Median Change From Baseline in Viral Load (Week 48)Baseline to Week 48
Median Change From Baseline in Viral Load (Week 56)Baseline to Week 56
Median Change From Baseline in Viral Load (Week 64)Baseline to Week 64
Median Change From Baseline in Viral Load (Week 72)Baseline to Week 72
Median Change From Baseline in Viral Load (Week 80)Baseline to Week 80
Median Change From Baseline in Viral Load (Week 88)Baseline to Week 88
Median Change From Baseline in Viral Load (Week 96)Baseline to Week 96
Virologic Response at Viral Load Nadir During Study Treatment Through 96 WeeksWeek 2 through Week 96 (at any point during trial)Virologic response defined as Viral Load\<400 copies/mL
Mean Change From Baseline in CD4+ Cell Count (Week 2)Baseline to Week 2
Mean Change From Baseline in CD4+ Cell Count (Week 4)Baseline to Week 4
Mean Change From Baseline in CD4+ Cell Count (Week 8)Baseline to Week 8
Mean Change From Baseline in CD4+ Cell Count (Week 16)Baseline to Week 16
Mean Change From Baseline in CD4+ Cell Count (Week 24)Baseline to Week 24
Mean Change From Baseline in CD4+ Cell Count (Week 32)Baseline to Week 32
Mean Change From Baseline in CD4+ Cell Count (Week 40)Baseline to Week 40
Mean Change From Baseline in CD4+ Cell Count (Week 48)Baseline to Week 48
Mean Change From Baseline in CD4+ Cell Count (Week 56)Baseline to Week 56
Treatment Response at Week 56week 56Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound
Mean Change From Baseline in CD4+ Cell Count (Week 72)Baseline to Week 72
Mean Change From Baseline in CD4+ Cell Count (Week 80)Baseline to Week 80
Mean Change From Baseline in CD4+ Cell Count (Week 88)Baseline to Week 88
Mean Change From Baseline in CD4+ Cell Count (Week 96)Baseline to Week 96
Time to New Centers for Disease Control (CDC) Class C Progression Event or Death.up to 75 weeks of treatmentTime to death or occurrence of AIDS-defining condition according to the US Centers for Disease Control and Prevention case definition. The median and quartiles are underestimated since more than 92% of the observations (in both treatment arms) were censored and the estimation was restricted to the largest observed event time.
Mean Change From Baseline in CD4+ Cell Count (Week 64)Baseline to Week 64
Treatment Response at Week 2week 2Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Countries

Argentina, Austria, Belgium, Brazil, Denmark, France, Germany, Greece, Ireland, Italy, Mexico, Netherlands, Portugal, Spain, Sweden, Switzerland, United Kingdom

Participant flow

Recruitment details

The discrepancy with enrollment number in the protocol section is due to 16 patients not treated. (7 from TPV/r and 9 from CPI/r). These patients were not included in any analyses or results.

Participants by arm

ArmCount
Tipranavir(TPV)/Low Dose Ritonavir(r)435
Comparitor Protease Inhibitor(CPI)/Low Dose Ritonavir(r)428
Total863

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event8441
Overall StudyLost to Follow-up510
Overall StudyOther reason not defined above211316
Overall StudyProtocol Violation2316
Overall StudyWithdrawal by Subject2913

Baseline characteristics

CharacteristicTipranavir(TPV)/Low Dose Ritonavir(r)Comparitor Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Total
Age, Continuous42.5 years
STANDARD_DEVIATION 8.4
42.9 years
STANDARD_DEVIATION 8
42.7 years
STANDARD_DEVIATION 8.2
Sex: Female, Male
Female
84 Participants64 Participants148 Participants
Sex: Female, Male
Male
351 Participants364 Participants715 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
359 / 438270 / 428
serious
Total, serious adverse events
123 / 43889 / 428

Outcome results

Primary

Time to Treatment Failure Through 48 Weeks of Treatment

Time to treatment failure is defined as 0 for patients who never achieve TR otherwise time to treatment failure is the earliest time of death, discontinuation of the study drug or introduction of a new anti-retroviral drug to the regimen if it is not solely related to either toxicity or intolerance clearly attributable to a background, or the first of two consecutive visits with Log(baseline Viral Load) - Log(on-treatment Viral Load) \< 1.

Time frame: after 48 weeks of treatment

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Time to Treatment Failure Through 48 Weeks of Treatment112 Days
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Time to Treatment Failure Through 48 Weeks of Treatment0 Days
p-value: 0.0001Log Rank
Primary

Treatment Response at Week 48

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: after 48 weeks of treatment

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 4834.5 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 4815 percentage of participants
p-value: 0.000195% CI: [12.9, 24]Cochran-Mantel-Haenszel
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 16)

Time frame: Baseline to Week 16

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 16)57 Cells/mm3Standard Deviation 90
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 16)25 Cells/mm3Standard Deviation 77
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 2)

Time frame: Baseline to Week 2

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 2)26 Cells/mm3Standard Deviation 65
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 2)13 Cells/mm3Standard Deviation 56
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 24)

Time frame: Baseline to Week 24

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 24)51 Cells/mm3Standard Deviation 97
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 24)21 Cells/mm3Standard Deviation 81
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 32)

Time frame: Baseline to Week 32

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 32)46 Cells/mm3Standard Deviation 102
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 32)17 Cells/mm3Standard Deviation 87
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 4)

Time frame: Baseline to Week 4

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 4)39 Cells/mm3Standard Deviation 77
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 4)19 Cells/mm3Standard Deviation 64
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 40)

Time frame: Baseline to Week 40

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 40)47 Cells/mm3Standard Deviation 99
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 40)19 Cells/mm3Standard Deviation 87
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 48)

Time frame: Baseline to Week 48

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 48)43 Cells/mm3Standard Deviation 109
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 48)16 Cells/mm3Standard Deviation 92
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 56)

Time frame: Baseline to Week 56

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 56)39 Cells/mm3Standard Deviation 113
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 56)16 Cells/mm3Standard Deviation 95
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 64)

Time frame: Baseline to Week 64

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 64)42 Cells/mm3Standard Deviation 125
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 64)13 Cells/mm3Standard Deviation 92
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 72)

Time frame: Baseline to Week 72

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 72)42 Cells/mm3Standard Deviation 129
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 72)18 Cells/mm3Standard Deviation 105
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 8)

Time frame: Baseline to Week 8

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 8)52 Cells/mm3Standard Deviation 85
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 8)25 Cells/mm3Standard Deviation 76
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 80)

Time frame: Baseline to Week 80

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 80)39 Cells/mm3Standard Deviation 125
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 80)19 Cells/mm3Standard Deviation 112
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 88)

Time frame: Baseline to Week 88

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 88)41 Cells/mm3Standard Deviation 138
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 88)19 Cells/mm3Standard Deviation 109
Secondary

Mean Change From Baseline in CD4+ Cell Count (Week 96)

Time frame: Baseline to Week 96

Population: Full Analysis Set having baseline CD4 (FAS CD4), included all randomized patients treated with at least one dose of study medication having baseline CD4 count

ArmMeasureValue (MEAN)Dispersion
Tipranavir(TPV)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 96)41 Cells/mm3Standard Deviation 132
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Mean Change From Baseline in CD4+ Cell Count (Week 96)20 Cells/mm3Standard Deviation 111
Secondary

Median Change From Baseline in Viral Load (Week 16)

Time frame: Baseline to Week 16

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 16)-1.03 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 16)-0.3 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 2)

Time frame: Baseline to Week 2

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 2)-1.27 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 2)-0.56 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 24)

Time frame: Baseline to Week 24

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 24)-0.69 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 24)-0.21 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 32)

Time frame: Baseline to Week 32

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 32)-0.63 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 32)-0.24 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 4)

Time frame: Baseline to Week 4

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 4)-1.47 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 4)-0.42 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 40)

Time frame: Baseline to Week 40

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 40)-0.65 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 40)-0.2 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 48)

Time frame: Baseline to Week 48

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 48)-0.65 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 48)-0.2 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 56)

Time frame: Baseline to Week 56

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 56)-0.64 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 56)-0.22 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 64)

Time frame: Baseline to Week 64

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 64)-0.63 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 64)-0.21 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 72)

Time frame: Baseline to Week 72

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 72)-0.52 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 72)-0.2 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 8)

Time frame: Baseline to Week 8

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 8)-1.4 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 8)-0.33 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 80)

Time frame: Baseline to Week 80

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 80)-0.55 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 80)-0.2 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 88)

Time frame: Baseline to Week 88

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 88)-0.56 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 88)-0.2 Log(Copies/mL)
Secondary

Median Change From Baseline in Viral Load (Week 96)

Time frame: Baseline to Week 96

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 96)-0.56 Log(Copies/mL)
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Median Change From Baseline in Viral Load (Week 96)-0.2 Log(Copies/mL)
Secondary

Time to Confirmed Virologic Failure Through 48 Weeks of Treatment

Time to virologic failure is defined as the time from the start of treatment to the last measurement where the Log(baseline viral load)-Log(on-treatment viral load)\>1 before a 2 consecutive measurements where Log(baseline viral load)-Log(on-treatment viral load)\<1.

Time frame: after 48 weeks of treatment

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Time to Confirmed Virologic Failure Through 48 Weeks of Treatment117 Days
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Time to Confirmed Virologic Failure Through 48 Weeks of Treatment0 Days
p-value: 0.0001Log Rank
Secondary

Time to Confirmed Virologic Failure Through 96 Weeks of Treatment

Time to virologic failure is defined as the time from the start of treatment to the last measurement where the Log(baseline viral load)-Log(on-treatment viral load)\>1 before a 2 consecutive measurements where Log(baseline viral load)-Log(on-treatment viral load)\<1.

Time frame: after 96 weeks of treatment

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Time to Confirmed Virologic Failure Through 96 Weeks of Treatment117 Days
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Time to Confirmed Virologic Failure Through 96 Weeks of Treatment0 Days
p-value: 0.0001Log Rank
Secondary

Time to New Centers for Disease Control (CDC) Class C Progression Event or Death.

Time to death or occurrence of AIDS-defining condition according to the US Centers for Disease Control and Prevention case definition. The median and quartiles are underestimated since more than 92% of the observations (in both treatment arms) were censored and the estimation was restricted to the largest observed event time.

Time frame: up to 75 weeks of treatment

Population: Safety Set (SAF), included all patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Time to New Centers for Disease Control (CDC) Class C Progression Event or Death.528 Days
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Time to New Centers for Disease Control (CDC) Class C Progression Event or Death.332 Days
p-value: 0.1026Log Rank
Secondary

Time to Treatment Failure Through 96 Weeks of Treatment

Time to treatment failure is defined as 0 for patients who never achieve TR otherwise time to treatment failure is the earliest time of death, discontinuation of the study drug or introduction of a new anti-retroviral drug to the regimen if it is not solely related to either toxicity or intolerance clearly attributable to a background, or the first of two consecutive visits with Log(baseline Viral Load) - Log(on-treatment Viral Load) \< 1.

Time frame: after 96 weeks of treatment

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (MEDIAN)
Tipranavir(TPV)/Low Dose Ritonavir(r)Time to Treatment Failure Through 96 Weeks of Treatment115 Days
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Time to Treatment Failure Through 96 Weeks of Treatment0 Days
p-value: 0.0001Log Rank
Secondary

Treatment Response at Week 16

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 16

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 1647.1 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 1619.9 percentage of participants
p-value: 0.000195% CI: [20.5, 32.6]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 2

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 2

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 251 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 225.9 percentage of participants
p-value: 0.000195% CI: [18.6, 31.1]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 24

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: Week 24

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 2440.9 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 2418.0 percentage of participants
p-value: 0.000195% CI: [16.2, 27.9]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 32

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 32

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 3237.2 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 3217.3 percentage of participants
p-value: 0.000195% CI: [13.3, 24.7]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 4

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 4

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 459.1 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 429.9 percentage of participants
p-value: 0.000195% CI: [22.5, 35.1]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 40

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 40

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 4036.3 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 4016.6 percentage of participants
p-value: 0.000195% CI: [13, 24.4]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 56

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 56

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 5632.6 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 5614.5 percentage of participants
p-value: 0.000195% CI: [11.7, 22.7]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 64

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 64

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 6431 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 6413.3 percentage of participants
p-value: 0.000195% CI: [11.7, 22.4]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 72

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 72

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 7230.1 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 7212.1 percentage of participants
p-value: 0.000195% CI: [12, 22.5]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 8

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 8

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 854.3 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 824.5 Percentage of participants
p-value: 0.000195% CI: [23.2, 35.7]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 80

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 80

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 8028.5 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 8011.4 percentage of participants
p-value: 0.000195% CI: [11.2, 21.5]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 88

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: week 88

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 8827.8 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 8811 percentage of participants
p-value: 0.000195% CI: [11.1, 21.3]Cochran-Mantel-Haenszel
Secondary

Treatment Response at Week 96

Patients who experienced treatment response. Treatment response (TR) is defined as two consecutive VL ≥ 1 log10 below baseline without discontinuation of study drug, change in anti-retroviral background, or rebound

Time frame: after 96 weeks of treatment

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Treatment Response at Week 9626.2 percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Treatment Response at Week 9610 percentage of participants
p-value: 0.000195% CI: [10.6, 20.6]Cochran-Mantel-Haenszel
Secondary

Virologic Response

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 2 through Week 96 (at any point during trial)

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response36.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response16.8 Percentage of participants
Secondary

Virologic Response

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: Week 2 through Week 96 (at any point during trial)

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response75.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response48.6 Percentage of participants
Secondary

Virologic Response at Viral Load Nadir During Study Treatment Through 96 Weeks

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 2 through Week 96 (at any point during trial)

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Viral Load Nadir During Study Treatment Through 96 Weeks52.2 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Viral Load Nadir During Study Treatment Through 96 Weeks25.7 Percentage of participants
Secondary

Virologic Response at Week 16

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 16

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 1620.5 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 1610.5 Percentage of participants
Secondary

Virologic Response at Week 16

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 16

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 1647.1 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 1620.8 Percentage of participants
Secondary

Virologic Response at Week 16

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 16

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 1635.2 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 1617.5 Percentage of participants
Secondary

Virologic Response at Week 2

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 2

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 20.9 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 21.4 Percentage of participants
Secondary

Virologic Response at Week 2

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: Week 2

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 260.5 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 236 Percentage of participants
Secondary

Virologic Response at Week 2

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 2

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 214.5 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 28.2 Percentage of participants
Secondary

Virologic Response at Week 24

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 24

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 2432.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 2415.4 Percentage of participants
Secondary

Virologic Response at Week 24

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 24

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 2442.8 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 2419.2 Percentage of participants
Secondary

Virologic Response at Week 24

Viral Load \< 50 copies/mL

Time frame: Week 24

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 2421.1 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 2411.9 Percentage of participants
Secondary

Virologic Response at Week 32

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 32

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 3232.4 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 3216.1 Percentage of participants
Secondary

Virologic Response at Week 32

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 32

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 3238.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 3219.4 Percentage of participants
Secondary

Virologic Response at Week 32

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 32

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 3222.1 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 3212.1 Percentage of participants
Secondary

Virologic Response at Week 4

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 4

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 426.2 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 415.2 Percentage of participants
Secondary

Virologic Response at Week 4

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 4

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 44.4 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 43.5 Percentage of participants
Secondary

Virologic Response at Week 4

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 4

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 462.3 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 433.4 Percentage of participants
Secondary

Virologic Response at Week 40

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 40

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 4022.3 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 4011.9 Percentage of participants
Secondary

Virologic Response at Week 40

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 40

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 4037 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 4017.3 Percentage of participants
Secondary

Virologic Response at Week 40

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 40

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 4031.5 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 4015 Percentage of participants
Secondary

Virologic Response at Week 48

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 48

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 4822.8 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 4810.5 Percentage of participants
Secondary

Virologic Response at Week 48

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 48

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 4836.8 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 4816.6 Percentage of participants
Secondary

Virologic Response at Week 48

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 48

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 4830.1 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 4813.6 Percentage of participants
Secondary

Virologic Response at Week 56

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 56

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 5630.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 5612.4 Percentage of participants
Secondary

Virologic Response at Week 56

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 56

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 5635.2 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 5615.2 Percentage of participants
Secondary

Virologic Response at Week 56

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 56

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 5622.5 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 568.9 Percentage of participants
Secondary

Virologic Response at Week 64

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 64

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 6433.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 6414 Percentage of participants
Secondary

Virologic Response at Week 64

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 64

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 6428.7 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 6412.1 Percentage of participants
Secondary

Virologic Response at Week 64

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 64

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 6421.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 648.2 Percentage of participants
Secondary

Virologic Response at Week 72

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: Week 72

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 7232.2 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 7213.8 Percentage of participants
Secondary

Virologic Response at Week 72

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 72

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 7221.1 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 728.2 Percentage of participants
Secondary

Virologic Response at Week 72

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 72

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 7228 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 7211.4 Percentage of participants
Secondary

Virologic Response at Week 8

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 8

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 833.3 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 817.5 Percentage of participants
Secondary

Virologic Response at Week 8

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: week 8

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 856.3 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 826.6 Percentage of participants
Secondary

Virologic Response at Week 8

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 8

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 811 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 86.8 Percentage of participants
Secondary

Virologic Response at Week 80

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 80

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 8021.8 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 808.9 Percentage of participants
Secondary

Virologic Response at Week 80

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: Week 80

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 8032.6 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 8013.6 Percentage of participants
Secondary

Virologic Response at Week 80

Virologic response defined as Viral Load\<400 copies/mL

Time frame: Week 80

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 8028.7 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 8011 Percentage of participants
Secondary

Virologic Response at Week 88

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: Week 88

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 8831 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 8812.1 Percentage of participants
Secondary

Virologic Response at Week 88

Virologic response defined as Viral Load\<400 copies/mL

Time frame: week 88

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 8827.8 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 8811.2 Percentage of participants
Secondary

Virologic Response at Week 88

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 88

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 8820.7 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 888.9 Percentage of participants
Secondary

Virologic Response at Week 96

Virologic response defined as Viral Load\<400 copies/mL

Time frame: week 96

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 9627.1 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 9610.3 Percentage of participants
Secondary

Virologic Response at Week 96

Virologic response defined as Viral Load\<50 copies/mL

Time frame: Week 96

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 9620 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 968.9 Percentage of participants
Secondary

Virologic Response at Week 96

Virologic response is defined as: Log(baseline viral load (VL))-Log(on-treatment VL)\>=1

Time frame: Week 96

Population: Full Analysis Set (FAS), included all randomized patients treated with at least one dose of study medication

ArmMeasureValue (NUMBER)
Tipranavir(TPV)/Low Dose Ritonavir(r)Virologic Response at Week 9630.1 Percentage of participants
Comparator Protease Inhibitor(CPI)/Low Dose Ritonavir(r)Virologic Response at Week 9611.4 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Apr 11, 2026