HIV Infections
Conditions
Keywords
HIV, Treatment Naive
Brief summary
The purpose of this study is to evaluate the safety, tolerability and antiviral effects of atazanavir (ATV) plus ritonavir (RTV) versus a combination drug of lopinavir (LPV) plus RTV. A combination drug containing tenofovir (TDF) and emtricitabine (FTC) will also be taken by participants in both arms.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV RNA ≥5000 c/ml
Exclusion criteria
* Any antiretroviral therapy within 30 days prior to screening; * Women of Childbearing potential (WOCBP) unwilling or unable to use an acceptable method to avoid pregnancy for the entire study and for up to 8 weeks after the study; * WOCBP using a prohibited contraceptive method * WOCBP who are pregnant or breastfeeding; * Women with a positive pregnancy test on enrollment or prior to study drug administration; * Presence of a newly diagnosed HIV-Related opportunistic infection or any medical condition requiring acute therapy at the time of enrollment; * Suspected primary (acute) HIV infection; * Prior antiviral therapy (\>30 days of NRTI and/or \>7 days of non-nucleoside reverse transcriptase inhibitor (NNRTI) or PI therapies) or any antiretroviral therapy within 30 days prior to screening; some exceptions are allowed for ARV therapy in use for Mother-to-child transmission; * Participants with Cushing's syndrome; * Untreated hypothyroidism or hyperthyroidism. A participant who is euthyroid on a stable replacement dose of thyroid hormone is acceptable provided the thyroid stimulating hormone (TSH) performed within 30 days of screening is within normal drug range; * Recent therapy with agents with significant systemic myelosuppressive, neurotoxic, pancreatotoxic, hepatotoxic or cytotoxic potential within 3 months of study start or expected need for such therapy at the time of enrollment; or therapy with methadone or ribavirin/interferons or treatment with neurotoxic drugs or drugs that affect CYP3A4; * Participants with obstructive liver disease; * Active alcohol or substance use sufficient, in the Investigator's opinion, to prevent adequate compliance with study therapy or to increase the risk of developing pancreatitis or chemical hepatitis; * Proven or suspected acute hepatitis in the 30 days prior to study entry; * Intractable diarrhea (≥6 loose stools/day for at least 7 consecutive days) within 30 days prior to study entry; * Inability to swallow capsules; * Active peripheral neuropathy; * Presence of cardiomyopathy (due to any cause) or any significant cardiovascular disease, such as unstable ischemic heart disease; * Known, clinically significant cardiac conduction system disease. * Baseline laboratory values measured within 2 weeks prior to initiating study drugs as follows: 1. calculated creatine clearance \<60 mL/min as estimated by the Cockcroft-Gault equation; 2. total serum lipase ≥ 1.4 times the upper limit of normal; 3. liver enzymes (AST, ALT) ≥ 5 times the upper limit of normal; 4. total serum bilirubin ≥ 1.5 times the upper limit of normal. * Hypersensitivity to any component of the formulation of study drug; * Prohibited therapies; * Any other clinical conditions or prior therapy that, in the opinion of the Investigator, would make the participant unsuitable for study or unable to comply with the dosing requirements; * Prisoners or participants who are compulsorily detained (involuntarily incarcerated) for treatment of either a psychiatric or physical (e.g., infectious disease) illness must not be enrolled into this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48 | Baseline (Day 1) and Week 48 | HIV RNA \< 50 c/mL is the most stringent measure of viral suppression (lowest threshold of assay) and indicates that a participant responded to treatment. |
| Maximum Plasma Concentration (Cmax) of ATV/RTV and LPV/RTV in the Presence of an Antiretroviral (ARV) Regimen Including TDF at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given every day (QD) and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given twice daily (BID) and TDF given QD. | Cmax was derived from plasma concentration versus time data. |
| Area Under the Concentration-time Curve, in One Dosing Interval [AUC(TAU)] of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | AUC(TAU) was derived from the plasma concentration versus time data. It was calculated from time 0 to 12 hours for LPV and RTV in the LPV/RTV regimen, 0-24 hours for ATV and RTV in the ATV/RTV regimen, and 0-24 hours for tenofovir in both regimens at Week 4. |
| Minimum Plasma Concentration (Cmin) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | Cmin was derived from the plasma concentration versus time data. |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | Tmax was derived from the plasma concentration versus time data. |
| Terminal Elimination Half-life (T-half) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | T-half was derived from the plasma concentration versus time data. |
| Protein Binding Adjusted Effective Concentration (EC-90) of ATV and LPV When Dosed With RTV at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | EC90/50=concentration of drug inducing 90%/50% of its maximal response. Protein binding adjusted EC90 for ATV and LPV were derived from phenotypically measured individual EC50 values at baseline using the following formula: Protein binding adjusted EC90 (ng/mL) = scale factor × molecular weight of the free base × EC50 micrometer(μM)/ unbound fraction (fu). Scale factor relates EC50 to EC90 (value of 3 and 2 for ATV and LPV, respectively); fu: estimated unbound fraction of ATV and LPV in vivo (0.14 and 0.02 for ATV and LPV respectively). |
| Inhibitory Quotient (IQ) of ATV and LPV When Dosed With RTV at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | IQ defined as Cmin at week 4 divided by protein binding adjusted EC90 values for the respective protease inhibitor (ATV or LPV) derived from individual participant clinical isolates. |
| Cmax of RTV at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | Cmax was derived from plasma concentration versus time data. |
| AUC (0-24) of RTV at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | AUC (0-24) was derived from plasma concentration versus time data. It was estimated as 2 times the AUC(TAU) based on 12-hour PK. |
| Cmin of RTV at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | Cmin was derived from plasma concentration versus time data. |
| Cmax of Tenofovir at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | Cmax was derived from plasma concentration versus time data. |
| Cmin of Tenofovir at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | Cmin was derived from plasma concentration versus time data. |
| AUC (TAU) of Tenofovir at Week 4 | Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD. | AUC (TAU) was derived from plasma concentration versus time data.It was calculated from time 0-24 hours for tenofovir in LPV/RPV and ATV/RTV regimen at Week 4. |
| Mean Change From Baseline in Trunk-to-Limb Fat Ratio as Measured by Dual Energy X-ray Absorptiometry (DEXA) at Week 96 | Baseline (Day 1) and Week 96. | Mean changes from baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement is associated with a decrease in values. |
| Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | Baseline visit | 19 genes of interest were selected from previous results or literature, and 34 SNPs were genotyped. Phenotype-Genotype analysis was performed using 31 of the SNPs. The genotypes of each SNP were further classified as either a minor allele carrier (MAC) group composed of heterozygous and rare homozygous genotypes, or wild type \[WT, common homozygous\]. |
| Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted (adj) p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. |
| Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. SAT and TAT were measured by computed tomography (CT). |
| Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT was measured by computed tomography (CT). |
| Mean Change From Baseline in VAT Associated With RETN_730 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT was measured by computed tomography (CT). |
| Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980 | Baseline (Day 1), Week 48, and Week 96. | The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT and TAT were measured by computed tomography (CT). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 | From Day 1 through Week 96 | AEs:new,untoward medical occurrences/worsening of pre-existing medical condition,drug-related or not.SAEs:any AE that:resulted in death;was life threatening;resulted in a persistent or significant disability/incapacity;resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was cancer;or overdose.Discontinuation from study was due either to an AE or was conducted at the investigator's discretion.AEs represented here include SAEs, which are not included in the AE count represented in the AE xml upload section. As such, these numbers may not match. |
| Mean Changes in Fasting Lipids at Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Mean change from baseline in fasting lipids at Week 96 was determined. |
| Mean Changes in Fasting Glucose at Week 96 | Baseline (Day 1) and Week 96 | Mean change from baseline in fasting glucose at Week 96 was determined. |
| Mean Changes in Fasting Insulin at Week 96 | Baseline (Day 1) and Week 96. | Mean change from baseline in fasting insulin at Week 96. |
| Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Hematology abnormalities were graded per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Hemoglobin: Grade 3: 6.5-7.9 g/dL, Grade 4: \<6.5 g/dL; Hematocrit: Grade 3: \>=19.5 - 24%, Grade 4: \<19.5%; platelet count: Grade 3: 20,000- 49, 999/ mm\^3, Grade 4: \<20,000/mm\^3; INR: Grade 3 Absolute Neutrophil Count (ANC): Grade 3: \>= 500 - \<750/mm\^3, Grade 4: \<500/mm\^3; PT: Grade 3: 1.51 - 3.0\*ULN, Grade 4: \>3\*ULN; WBC: Grade 3: \>=800 to \<1000/mm\^3, Grade 4: \<80/mm\^3. |
| Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Laboratory measurements marked as abnormal, as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria in serum enzymes were: CPK: Grade 3: 5.1 - 10.0 \* ULN, Grade 4: \>10\* ULN; Lipase: Grade 3: 2.10 - 5.0\* ULN, Grade 4: 5.0\* ULN. |
| Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Liver function tests abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), while albumin was graded as per NCI-CTCAE. Grade 3 and 4 criteria were: ALT, AST, alkaline phosphatase: Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; direct and total bilirubin: Grade 3: 2.6- 5\*ULN, Grade 4: \>5\*ULN, Albumin: Grade 3: \<2g/dL. |
| Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Renal function test abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: BUN: Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; Creatinine: Grade 3: 3.1 - 6\*ULN, Grade 4: \>6\*ULN; low phosphorous (hypophosphatemia): Grade 3: 1.0- 1.4 mg/dL, Grade 4: \<1.0mg/dL; high uric acid (hyperuricemia): Grade 3: 12.1 - 15.0 mg/dL, Grade 4: \>15.0 mg/dL. |
| Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Serum electrolytes abnormalities,graded per modified WHOcriteria.Ranges were:hypercarbia:Grade3:41-45milliequivalents(meq)/L,Grade4:\>45meq/L;hypocarbia:Grade3:10-14 meq/L,Grade4:\<10 meq/L;hypercalcemia:Grade3:12.6 - 13.5 mg/dL,Grade 4:\>13.5 mg/dL;hypocalcemia:6.1-6.9mg/dL,Grade4:\<6.1mg/dL;hyperchloremia:Grade 3: 121-125 meq/L,Grade4:\>125meq/L;hypochloremia:Grade 3:80-84 meq/L,Grade4:\<80meq/L;hyperkalemia:Grade3:6.6-7.0meq/L,Grade4:\>7.0meq/L;hypokalemia:Grade3:2.0-2.4 meq/L,Grade4:\<2.0meq/L;hypernatremia:Grade3:158-165 meq/L,Grade4:\>165meq/L;hyponatremia:Grade 3:116-122 meq/L,Grade 4:115 meq/L. |
| Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Laboratory measurements marked as abnormal, as per NCEP-ATP-III guided categories. The following definitions specify the criteria for MAs in fasting lipids: Total cholesterol: Grade 3: 240 - 300 mg/dL, Grade 4: \>=240 mg/dL, triglycerides: Grade 3: 200 - \<500 mg/dL, Grade 4: \>=500 mg/dL. |
| Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in fasting glucose: hypoglycemia: Grade 3: 30-39 mg/dL, Grade 4: \<30 mg/dL; hyperglycemia: 251-500 mg/dL, Grade 4: \>500 mg/dL. |
| Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96. | Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in urinalysis: Proteinuria: Grade 3: 4= or \>2-3.5 g loss/day, Grade 4: \>3.5 g loss/day. |
| Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | Baseline (Day 1) and Week 96. | Virologic failure participants defined as participants who were never suppressed (HIV RNA \< 400 c/mL) and on study through Week 48, or who rebounded to HIV RNA ≥ 400 c/mL, and those who discontinued due to insufficient viral load response using CVR (NC=F). IAS-USA=International AIDS Society-United States of America, PI=protease inhibitor, RTI=reverse transcription inhibitor, TAMS=Thymidine Analogue-Associated Mutations, NRTI=non-nucleotide reverse transcriptase inhibitor, M184/V= Methionine-to-valine mutation at position 184 (in reverse transcription \[RT\] gene), FC=fold change |
| Mean Change From Baseline in Trunk-to-limb Fat Ratio Measured by DEXA at Week 48 | DEXA scans were taken at Baseline (Day 1) and at Weeks 48. | Mean changes from baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement was associated with a decrease in values. |
| Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 | DEXA scans were performed at baseline (within 30 days of starting study treatment), and at Weeks 48. | The mean percent change from baseline in limb, trunk and total body fat was measured by DEXA. Limb fat: a physical sign of lipoatrophy, clinical improvement in limb fat is associated with a decrease in values. Trunk fat: a physical sign of lipohypertrophy, clinical improvement in trunk fat is associated with a decrease in values. Total body fat: association of many factors like trunk fat, limb fat, weight etc. Clinical improvement in total body fat cannot be predicted based solely an increase or decrease of these values. |
| Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 | Baseline (Day 1) and Week 96. | The mean percent change from baseline in limb, trunk and total body fat was measured by DEXA. Limb fat: a physical sign of lipoatrophy, clinical improvement in limb fat is associated with a decrease in values. Trunk fat: physical sign of lipohypertrophy, clinical improvement in trunk fat is associated with a decrease in values. Total body fat: association of many factors like trunk fat, limb fat, weight etc. Clinical improvement in total body fat cannot be predicted based solely an increase or decrease of these values. |
| Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA | Baseline (Day 1) and Week 96. | — |
| Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | DEXA scans were taken at Baseline (Day 1) and Week 48. | Mean percent change from baseline in BMD of arms, legs, trunk and total body was measured using DEXA, an X-ray scan technique. |
| Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Baseline (Day 1) and Week 96 | Mean percent change from baseline in BMD of arms, legs, trunk and total body was measured using DEXA, an X-ray scan technique. |
| Mean Change From Baseline in Body Weight at Week 96 | Baseline (Day 1) and Week 96 | Mean change from baseline in weight at Week 96 |
| Mean Change From Baseline in Body Weight at Week 48 | Baseline (Day 1) and Week 48 | Mean change from baseline in body weight at Week 48 was determined. |
| Mean Change From Baseline in BMI at Week 96 | Baseline (Day 1) and Week 96 | — |
| Mean Change From Baseline in Waist Circumference at Week 96 | Baseline (Day 1) and Week 96. | Mean change From baseline in waist circumference at Week 96 was determined. |
| Mean Change From Baseline in Waist Circumference at Week 48 | Baseline (Day 1) and Week 48 | Mean change from baseline in waist circumference at Week 48 was determined. |
| Mean Change in Fasting Glucose at Week 48 | Baseline (Day 1) and Week 48. | Mean change from baseline in fasting glucose at Week 48. |
| Mean Change From Baseline in BMI at Week 48 | Baseline (Day 1) and Week 48. | Mean change from baseline in BMI at Week 48 was determined. |
| Mean Change From Baseline in Waist-to-hip-ratio at Week 48 | Baseline (Day 1) and Week 48 | Mean change from baseline in waist-to-hip-ratio at Week 48 was determined. |
| Percentage of Participants With Lipoatrophy at Week 96 | Baseline (Day 1) and Week 96 | Lipoatrophy, redistribution of body fat was defined as \>= 20% decrease in limb fat. The percentage of participants with lipoatrophy from baseline was determined. |
| Mean Changes From Baseline in Body Weight at Week 96 | Physical examination was performed at Baseline (Day 1) and Weeks 48 and 96. | Mean change in body weight from baseline was determined. |
| Mean Change From Baseline in Waist-to-hip-ratio at Week 96 | Baseline (Day 1) and Week 96 | Mean change from baseline in waist-to-hip-ratio at Week 96 was determined. |
| Number of Participants With HIV RNA < 400 c/mL at Week 48 | Baseline (Day 1) and Week 48 | HIV RNA \< 400 c/mL is a less stringent measure of viral suppression (highest threshold of assay) and indicates that a participant responded to treatment. |
| Number of Participants With Confirmed Plasma HIV RNA < 400 c/mL at Week 48 (Defined by the Food and Drug Administration [FDA] Time to Loss of Virologic Response [TLOVR] Algorithm) | Baseline (Day 1) and Week 48 | TLOVR defines responders at Week 48 as participants with confirmed HIV RNA \<400 c/mL through Week 48 without intervening virologic rebound or treatment discontinuation. Virologic rebound is defined as confirmed on-treatment HIV RNA \<400 c/mL or last on-treatment HIV RNA \<400 c/mL followed by discontinuation. Participants are considered failures in this analysis if they experienced virologic rebound at or before Week 48, discontinued before Week 48, never responded by Week 48, never received study therapy or had missing HIV RNA at Week 48 and beyond. |
| Mean Change in Fasting Insulin at Week 48 | Baseline (Day 1) and Week 48. | Mean change from baseline in fasting insulin at Week 48. |
| Reduction of log10 HIV RNA Levels From Baseline to Week 48 | Baseline (Day 1) and Week 48 | Changes from baseline in log10 HIV RNA levels were calculated. |
| Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 48 | Baseline (Day 1) and Week 48. | Mean change from baseline in CD4 cell counts was determined. |
| Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Baseline (Day 1) and Week 48 | Participants with virologic failure are those who never suppressed (HIV RNA \<400 c/mL) and were on study through Week 48, or who rebounded to HIV RNA \>= 400 c/mL and those who discontinued due to insufficient viral load response. IAS=International AIDS Society, PI=protease inhibitor, RTI=reverse transcription inhibitor, TAMS=Thymidine Analogue-Associated Mutations, NRTI=non-nucleotide reverse transcriptase inhibitor, M184V= Methionine-to-valine mutation at position 184 (in reverse transcription \[RT\] gene), FC=fold change |
| Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | From baseline (Day 1) to Week 48. | AEs:new,untoward medical occurrences/worsening of pre-existing medical condition,drug-related or not.SAEs:any AE that:resulted in death;was life threatening;resulted in a persistent or significant disability/incapacity;resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was cancer;or overdose.Discontinuation from study was due either to an AE or was conducted at the investigator's discretion.AEs represented here include SAEs, which are not included in the AE count represented in the AE xml upload section. As such, these numbers may not match. |
| Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48. | Hematology abnormalities were graded per modified World Health Organization (WHO) criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Hemoglobin: Grade 3: 6.5-7.9 g/dL, Grade 4: \<6.5 g/dL; Hematocrit: Grade 3: \>=19.5 - 24%, Grade 4: \<19.5%; platelet count: Grade 3: 20,000- 49, 999/ mm\^3, Grade 4: \<20,000/mm\^3; INR: Grade 3 Absolute Neutrophil Count (ANC): Grade 3: \>= 500 - \<750/mm\^3, Grade 4: \<500/mm\^3; PT: Grade 3: 1.51 - 3.0\*ULN, Grade 4: \>3\*ULN; WBC: Grade 3: \>=800 to \<1000/mm\^3, Grade 4: \<80/mm\^3. |
| Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48 | At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48. | Laboratory measurements marked as abnormal, as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria in serum enzymes were: Creatine phosphokinase (CPK): Grade 3: 5.1 - 10.0 \* upper limit of normal (ULN), Grade 4: \>10\* ULN; Lipase: Grade 3: 2.10 - 5.0\* ULN, Grade 4: 5.0\* ULN. |
| Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48. | Liver function tests abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), while albumin was graded as per National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE). Grade 3 and 4 criteria were: alanine aminotransferase (ALT), aspartate aminotransferase(AST), alkaline phosphatase: Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; direct and total bilirubin: Grade 3: 2.6- 5\*ULN, Grade 4: \>5\*ULN, Albumin: Grade 3: \<2g/dL. |
| Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, and 48. | Renal function test abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Blood urea nitrogen (BUN): Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; Creatinine: Grade 3: 3.1 - 6\*ULN, Grade 4: \>6\*ULN; low phosphorous (hypophosphatemia): Grade 3: 1.0- 1.4 mg/dL, Grade 4: \<1.0mg/dL; high uric acid (hyperuricemia): Grade 3: 12.1 - 15.0 mg/dL, Grade 4: \>15.0 mg/dL. |
| Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48. | Serum electrolytes abnormalities,graded per modified WHOcriteria.Ranges were:hypercarbia:Grade3:41-45milliequivalents(meq)/L,Grade4:\>45meq/L;hypocarbia:Grade3:10-14 meq/L,Grade4:\<10 meq/L;hypercalcemia:Grade3:12.6 - 13.5 mg/dL,Grade 4:\>13.5 mg/dL;hypocalcemia:6.1-6.9mg/dL,Grade4:\<6.1mg/dL;hyperchloremia:Grade 3: 121-125 meq/L,Grade4:\>125meq/L;hypochloremia:Grade 3:80-84 meq/L,Grade4:\<80meq/L;hyperkalemia:Grade3:6.6-7.0meq/L,Grade4:\>7.0meq/L;hypokalemia:Grade3:2.0-2.4 meq/L,Grade4:\<2.0meq/L;hypernatremia:Grade3:158-165 meq/L,Grade4:\>165meq/L;hyponatremia:Grade 3:116-122 meq/L,Grade 4:115 meq/L. |
| Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48 | At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48. | Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in urinalysis: Proteinuria: Grade 3: 4= or \>2-3.5 g loss/day, Grade 4: \>3.5 g loss/day. |
| Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48 | At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48. | Laboratory measurements marked as abnormal, as per National Cholesterol Education Program (NCEP)- Adult Treatment Panel (ATP)-III guided categories. The following definitions specify the criteria for MAs in fasting lipids: Total cholesterol: Grade 3: 240 - 300 mg/dL, Grade 4: \>=240 mg/dL, triglycerides: Grade 3: 200 - \<500 mg/dL, Grade 4: \>=500 mg/dL. |
| Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48 | At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48. | Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in fasting glucose: hypoglycemia: Grade 3: 30-39 mg/dL, Grade 4: \<30 mg/dL; hyperglycemia: 251-500 mg/dL, Grade 4: \>500 mg/dL. |
| Mean Change in Weight From Baseline at Week 48 | Baseline (Day 1) and Week 48 | Mean change in body weight from baseline was determined. |
| Mean Change in Body Mass Index (BMI) in Participants at Week 48 | Baseline (Day 1) and Week 48 | Mean change in BMI from baseline at Week 48 was determined. |
| Mean Change in Fasting Lipid at Week 48 | Baseline (Day 1) and Week 48. | Mean change from baseline in fasting lipids, for fasting total cholesterol, LDL cholesterol, HDL cholesterol, non-HDL cholesterol, and triglycerides at Week 48 were determined. |
| Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Baseline (Day 1) and Week 24. | Medical Outcomes Study HIV Health Survey (MOS-HIV) is developed to assess a patient's health and functional status associated with HIV infection. The MOS-HIV questionnaire is applied to participants with adequate linguistic skills. The subscale and summary scores range from 0-100 with a higher score indicating better health. |
| Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Baseline (Day 1) and Week 48 | MOS-HIV is developed to assess a participant's health and functional status associated with HIV infection. The questionnaire is applied to participants with adequate linguistic skills and consists of 35 items. The questionnaire derives an overall health score and 10 subscale scores (health transitions, pain, physical functioning, role functioning, social functioning, cognitive functioning, mental health, energy/fatigue, health distress and quality of life).The subscale and summary scores range from 0-100 with a higher score indicating better health. |
| Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | IBS-QoL is administered at baseline (Day 1) and Week 4. | The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction. |
| Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | IBS-QoL is administered at baseline (Day 1) and Week 12. | The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction. |
| Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Baseline (Day 1) and Week 24 | The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction. |
| Number of Participants Who Adhered to Regimen as Measured by Multicenter AIDS Cohort Study Adherence Questionnaire (MACS) at Week 48 | Week 48 | The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Adherence to regimen was defined as taking 100% of medicine (all doses and numbers of pills as prescribed for each medicine). This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance. |
| Number of Participants With HIV RNA < 50 c/mL) at Week 96 | Baseline (Day 1) and Week 96 | HIV RNA \< 50 c/mL is the most stringent measure of viral suppression (lowest threshold of assay) and indicates that a participant has responded to treatment. |
| Number of Participants With HIV RNA < 400 c/mL) at Week 96 | Baseline (Day 1) and Week 96 | HIV RNA \<400 c/mL is a less stringent measure of viral suppression (highest threshold of assay) and indicates that a participant has responded to treatment. |
| Reduction of log10 HIV RNA Levels From Baseline at Week 96 | Baseline (Day 1) and Week 96 | Changes from baseline in log10 HIV RNA levels were calculated. |
| Mean Change From Baseline in CD4 Cell Count at Week 96 | Baseline (Day 1) and Week 96 | Mean change from baseline in CD4 count among treated participants was determined. |
Countries
Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Costa Rica, Dominican Republic, France, Germany, Guatemala, Hong Kong, Indonesia, Italy, Mexico, Netherlands, Panama, Peru, Portugal, Puerto Rico, Singapore, South Africa, Spain, Taiwan, Thailand, United Kingdom, United States
Participant flow
Pre-assignment details
Of 1057 HIV-infected participants, 174 participants were not randomized to receive study drug, the main reason being that they did not meet the study criteria (133/174; 76%). 441 randomized to ATV received any drug and 437 randomized to LPV received any drug. 438 and 440 participants randomized to ATV and LPV, respectively, received correct drug.
Participants by arm
| Arm | Count |
|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD Participants were administered an oral dose of Atazanavir (ATV) 300 mg and ritonavir (RTV) 100 mg once daily along with food. Doses were taken 24 hours apart at the same time as fixed dose combination tenofovir (TDF) 300 mg plus emtricitabine (FTC) 200 mg once daily. | 440 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD Participants were administered lopinavir (LPV) 400 mg or ritonavir (RTV) 100 mg twice daily along with food. Doses were taken approximately 12 hours apart while tenofovir (TDF) 300 mg once daily and emtricitabine (FTC) 200 mg once daily was administered at the same time as 1 of the 2 daily doses of LPV/RTV. | 443 |
| Total | 883 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Baseline Through Week 48 | Adverse event before Week 48 | 10 | 14 |
| Baseline Through Week 48 | Adverse event on/after Week 48 | 1 | 1 |
| Baseline Through Week 48 | Chose different site before wk 48 | 0 | 1 |
| Baseline Through Week 48 | Continuing treatment | 385 | 368 |
| Baseline Through Week 48 | Death before Week 48 | 4 | 4 |
| Baseline Through Week 48 | Death on/after Week 48 | 1 | 1 |
| Baseline Through Week 48 | Lack of efficacy before Week 48 | 5 | 8 |
| Baseline Through Week 48 | Lack of efficacy on/after Week 48 | 7 | 1 |
| Baseline Through Week 48 | Lost to follow-up before Week 48 | 6 | 6 |
| Baseline Through Week 48 | Lost to follow-up on/after Week 48 | 0 | 3 |
| Baseline Through Week 48 | Never treated | 2 | 3 |
| Baseline Through Week 48 | No longer meets criteria before Week 48 | 1 | 0 |
| Baseline Through Week 48 | No longer meets criteria on/after Wk 48 | 2 | 2 |
| Baseline Through Week 48 | Participant's decision before wk 48 | 0 | 1 |
| Baseline Through Week 48 | Poor/non compliance before Week 48 | 6 | 9 |
| Baseline Through Week 48 | Poor/non compliance on/after Week | 2 | 2 |
| Baseline Through Week 48 | Pregnancy before Week 48 | 2 | 2 |
| Baseline Through Week 48 | Pregnancy on/after Week 48 | 1 | 2 |
| Baseline Through Week 48 | Viral load rebound before Week 48 | 1 | 0 |
| Baseline Through Week 48 | Withdrew consent before Week 48 | 4 | 13 |
| Baseline Through Week 48 | Withdrew consent on/after Week 48 | 0 | 2 |
| Baseline Through Week 96 | Adverse event before Week 96 | 13 | 22 |
| Baseline Through Week 96 | Changed address before Week 96 | 0 | 1 |
| Baseline Through Week 96 | Continuing on treatment | 61 | 38 |
| Baseline Through Week 96 | Death before Week 96 | 6 | 5 |
| Baseline Through Week 96 | Lack of efficacy before Week 96 | 16 | 10 |
| Baseline Through Week 96 | Lost to follow-up at Week 96 | 1 | 0 |
| Baseline Through Week 96 | Lost to follow up before Week 96 | 10 | 13 |
| Baseline Through Week 96 | Never treated | 2 | 3 |
| Baseline Through Week 96 | No longer meets criteria before Week 96 | 4 | 3 |
| Baseline Through Week 96 | Participant Imprisoned before Week 96 | 1 | 0 |
| Baseline Through Week 96 | Poor/non compliance at Week 96] | 2 | 0 |
| Baseline Through Week 96 | Poor/non compliance before Week 96 | 12 | 16 |
| Baseline Through Week 96 | Pregnancy at Week 96 | 1 | 0 |
| Baseline Through Week 96 | Pregnancy before Week 96 | 5 | 7 |
| Baseline Through Week 96 | Withdrew consent before Week 96 | 5 | 18 |
Baseline characteristics
| Characteristic | LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Total | ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD |
|---|---|---|---|
| Age Continuous | 37 years STANDARD_DEVIATION 10 | 36 years STANDARD_DEVIATION 9.6 | 36 years STANDARD_DEVIATION 9.1 |
| Race/Ethnicity, Customized Asian | 41 participants | 83 participants | 42 participants |
| Race/Ethnicity, Customized Black or African American | 80 participants | 163 participants | 83 participants |
| Race/Ethnicity, Customized Hispanic/Latino | 6 participants | 13 participants | 7 participants |
| Race/Ethnicity, Customized Mestizo | 68 participants | 139 participants | 71 participants |
| Race/Ethnicity, Customized Mixed race | 27 participants | 57 participants | 30 participants |
| Race/Ethnicity, Customized White | 221 participants | 428 participants | 207 participants |
| Sex: Female, Male Female | 139 Participants | 277 Participants | 138 Participants |
| Sex: Female, Male Male | 304 Participants | 606 Participants | 302 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 355 / 441 | 370 / 437 |
| serious Total, serious adverse events | 61 / 441 | 48 / 437 |
Outcome results
Area Under the Concentration-time Curve, in One Dosing Interval [AUC(TAU)] of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
AUC(TAU) was derived from the plasma concentration versus time data. It was calculated from time 0 to 12 hours for LPV and RTV in the LPV/RTV regimen, 0-24 hours for ATV and RTV in the ATV/RTV regimen, and 0-24 hours for tenofovir in both regimens at Week 4.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Area Under the Concentration-time Curve, in One Dosing Interval [AUC(TAU)] of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 28605 ng*h/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Area Under the Concentration-time Curve, in One Dosing Interval [AUC(TAU)] of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 90945 ng*h/mL |
AUC (0-24) of RTV at Week 4
AUC (0-24) was derived from plasma concentration versus time data. It was estimated as 2 times the AUC(TAU) based on 12-hour PK.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | AUC (0-24) of RTV at Week 4 | 6724 ng*h/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | AUC (0-24) of RTV at Week 4 | 8011 ng*h/mL |
AUC (TAU) of Tenofovir at Week 4
AUC (TAU) was derived from plasma concentration versus time data.It was calculated from time 0-24 hours for tenofovir in LPV/RPV and ATV/RTV regimen at Week 4.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | AUC (TAU) of Tenofovir at Week 4 | 3272 ng*h/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | AUC (TAU) of Tenofovir at Week 4 | 3675 ng*h/mL |
Cmax of RTV at Week 4
Cmax was derived from plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Cmax of RTV at Week 4 | 959.8 ng/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Cmax of RTV at Week 4 | 657.4 ng/mL |
Cmax of Tenofovir at Week 4
Cmax was derived from plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Cmax of Tenofovir at Week 4 | 352.0 ng/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Cmax of Tenofovir at Week 4 | 380.7 ng/mL |
Cmin of RTV at Week 4
Cmin was derived from plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Cmin of RTV at Week 4 | 50.52 ng/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Cmin of RTV at Week 4 | 179.0 ng/mL |
Cmin of Tenofovir at Week 4
Cmin was derived from plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Cmin of Tenofovir at Week 4 | 72.46 ng/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Cmin of Tenofovir at Week 4 | 84.98 ng/mL |
Inhibitory Quotient (IQ) of ATV and LPV When Dosed With RTV at Week 4
IQ defined as Cmin at week 4 divided by protein binding adjusted EC90 values for the respective protease inhibitor (ATV or LPV) derived from individual participant clinical isolates.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Inhibitory Quotient (IQ) of ATV and LPV When Dosed With RTV at Week 4 | 27.33 ng/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Inhibitory Quotient (IQ) of ATV and LPV When Dosed With RTV at Week 4 | 35.91 ng/mL |
Maximum Plasma Concentration (Cmax) of ATV/RTV and LPV/RTV in the Presence of an Antiretroviral (ARV) Regimen Including TDF at Week 4
Cmax was derived from plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given every day (QD) and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given twice daily (BID) and TDF given QD.
Population: All participants who completed the intensive pharmacokinetic (PK) study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Maximum Plasma Concentration (Cmax) of ATV/RTV and LPV/RTV in the Presence of an Antiretroviral (ARV) Regimen Including TDF at Week 4 | 2897 nanogram(ng)/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Maximum Plasma Concentration (Cmax) of ATV/RTV and LPV/RTV in the Presence of an Antiretroviral (ARV) Regimen Including TDF at Week 4 | 10654 nanogram(ng)/mL |
Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted (adj) p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097 | Fasting Non-HDL Cholesterol: RETN_097 WT | 12.50 mg/dL | Standard Error 2.82 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097 | Fasting Non-HDL Cholesterol: RETN_097 MAC | 13.23 mg/dL | Standard Error 5.56 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097 | Fasting Non-HDL Cholesterol: RETN_097 WT | 26.98 mg/dL | Standard Error 2.96 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097 | Fasting Non-HDL Cholesterol: RETN_097 MAC | 52.28 mg/dL | Standard Error 6.67 |
Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C | Fasting PAI-1: APOE_R176C WT | 5.98 ng/dL | Standard Error 8.85 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C | Fasting PAI-1: APOE_R176C WT | -117.27 ng/dL | Standard Error 37.3 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C | Fasting PAI-1: APOE_R176C WT | 7.30 ng/dL | Standard Error 9.9 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C | Fasting PAI-1: APOE_R176C WT | -5.94 ng/dL | Standard Error 38.5 |
Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R | Fasting Triglycerides: APOE_C130R WT | 23.27 mg/dL | Standard Error 8.33 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R | Fasting Triglycerides: APOE_C130R MAC | 13.92 mg/dL | Standard Error 26 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R | Fasting Triglycerides: APOE_C130R WT | 70.71 mg/dL | Standard Error 9.52 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R | Fasting Triglycerides: APOE_C130R MAC | 131.56 mg/dL | Standard Error 19.3 |
Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097 | Fasting Triglycerides: RETN_097 WT | 21.41 mg/dL | Standard Error 8.6 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097 | Fasting Triglycerides: RETN_097 MAC | 27.21 mg/dL | Standard Error 16.9 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097 | Fasting Triglycerides: RETN_097 WT | 68.06 mg/dL | Standard Error 9.01 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097 | Fasting Triglycerides: RETN_097 MAC | 157.87 mg/dL | Standard Error 20.4 |
Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265 | Fasting Triglycerides: RETN_2265 WT | 19.61 mg/dL | Standard Error 9.17 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265 | Fasting Triglycerides: RETN_2265 MAC | 28.70 mg/dL | Standard Error 14.5 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265 | Fasting Triglycerides: RETN_2265 WT | 65.83 mg/dL | Standard Error 9.36 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265 | Fasting Triglycerides: RETN_2265 MAC | 148.95 mg/dL | Standard Error 18.3 |
Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598 | Fasting Triglycerides: RETN_598 WT | 20.23 mg/dL | Standard Error 10.2 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598 | Fasting Triglycerides: RETN_598 MAC | 25.78 mg/dL | Standard Error 12.2 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598 | Fasting Triglycerides: RETN_598 WT | 61.66 mg/dL | Standard Error 10.5 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598 | Fasting Triglycerides: RETN_598 MAC | 123.28 mg/dL | Standard Error 14.2 |
Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734 | Fasting Triglycerides: RETN_734 WT | 23.35 mg/dL | Standard Error 8.67 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734 | Fasting Triglycerides: RETN_734 MAC | 21.16 mg/dL | Standard Error 20.4 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734 | Fasting Triglycerides: RETN_734 WT | 75.12 mg/dL | Standard Error 8.94 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734 | Fasting Triglycerides: RETN_734 MAC | 155.28 mg/dL | Standard Error 27 |
Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309 | Fasting TNF-alpha: IL6_5309 MAC | 6.01 pg/mL | Standard Error 1.47 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309 | Fasting TNF-alpha: IL6_5309 WT | -1.19 pg/mL | Standard Error 2.24 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309 | Fasting TNF-alpha: IL6_5309 MAC | 1.41 pg/mL | Standard Error 1.51 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309 | Fasting TNF-alpha: IL6_5309 WT | -2.68 pg/mL | Standard Error 2.68 |
Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair.
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679 | Fasting TNF-alpha: RS11030679 WT | 7.58 pg/mL | Standard Error 1.72 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679 | Fasting TNF-alpha: RS11030679 MAC | 0.02 pg/mL | Standard Error 1.72 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679 | Fasting TNF-alpha: RS11030679 WT | -0.13 pg/mL | Standard Error 1.73 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679 | Fasting TNF-alpha: RS11030679 MAC | 1.27 pg/mL | Standard Error 2 |
Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. SAT and TAT were measured by computed tomography (CT).
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980 | SAT-to-TAT Ratio: CCDC122_5980 WT | 0.03 cm^2 | Standard Error 0.01 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980 | SAT-to-TAT Ratio: CCDC122_5980 MAC | 0.11 cm^2 | Standard Error 0.02 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980 | SAT-to-TAT Ratio: CCDC122_5980 WT | 0.03 cm^2 | Standard Error 0.02 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980 | SAT-to-TAT Ratio: CCDC122_5980 MAC | 0.02 cm^2 | Standard Error 0.02 |
Mean Change From Baseline in Trunk-to-Limb Fat Ratio as Measured by Dual Energy X-ray Absorptiometry (DEXA) at Week 96
Mean changes from baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement is associated with a decrease in values.
Time frame: Baseline (Day 1) and Week 96.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Trunk-to-Limb Fat Ratio as Measured by Dual Energy X-ray Absorptiometry (DEXA) at Week 96 | 0.05 Ratio | Standard Error 0.015 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Trunk-to-Limb Fat Ratio as Measured by Dual Energy X-ray Absorptiometry (DEXA) at Week 96 | 0.00 Ratio | Standard Error 0.015 |
Mean Change From Baseline in VAT Associated With RETN_730
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT was measured by computed tomography (CT).
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT Associated With RETN_730 | VAT: RETN_730 WT | -2.95 cm^2 | Standard Error 6.1 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT Associated With RETN_730 | VAT: RETN_730 MAC | 23.29 cm^2 | Standard Error 6.52 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT Associated With RETN_730 | VAT: RETN_730 WT | 13.69 cm^2 | Standard Error 8.03 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT Associated With RETN_730 | VAT: RETN_730 MAC | -1.05 cm^2 | Standard Error 7.61 |
Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT and TAT were measured by computed tomography (CT).
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980 | VAT-to-TAT Ratio: CCDA122_5980 WT | -0.03 cm^2 | Standard Error 0.01 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980 | VAT-to-TAT Ratio: CCDA122_5980 MAC | -0.11 cm^2 | Standard Error 0.02 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980 | VAT-to-TAT Ratio: CCDA122_5980 WT | -0.03 cm^2 | Standard Error 0.02 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980 | VAT-to-TAT Ratio: CCDA122_5980 MAC | -0.02 cm^2 | Standard Error 0.02 |
Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842
The change-from-baseline was defined as the difference between the averages of post-treatment time points (Weeks 48 and 96) and baseline. Association analysis for each SNP was performed using a minor allele carrier (MAC) composed of heterozygous and rare homozygous genotypes, and wild type (WT, common homozygous). False discovery rate (FDR)-adjusted p-values were calculated for each phenotype-genotype pair. VAT was measured by computed tomography (CT).
Time frame: Baseline (Day 1), Week 48, and Week 96.
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. No additional multiple testing adjustment was applied for the number of phenotypes being analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842 | VAT: BRUNOL_1842 WT | 23.45 cm^2 | Standard Error 6.55 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842 | VAT: BRUNOL_1842 MAC | -3.20 cm^2 | Standard Error 6.18 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842 | VAT: BRUNOL_1842 WT | 10.38 cm^2 | Standard Error 7.13 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842 | VAT: BRUNOL_1842 MAC | -1.76 cm^2 | Standard Error 9.32 |
Minimum Plasma Concentration (Cmin) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
Cmin was derived from the plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Minimum Plasma Concentration (Cmin) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 526.4 ng/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Minimum Plasma Concentration (Cmin) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 5944 ng/mL |
Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48
HIV RNA \< 50 c/mL is the most stringent measure of viral suppression (lowest threshold of assay) and indicates that a participant responded to treatment.
Time frame: Baseline (Day 1) and Week 48
Population: Intent-to-treat (ITT) analysis. Participants received treatment assignment from the central randomization center. In this analysis, participants who did not complete the study were counted as having failed to respond to treatment. Participants who discontinued prior to obtaining Week 48 HIV RNA levels were categorized under non-completers.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48 | 343 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48 | 338 Participants |
Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis
19 genes of interest were selected from previous results or literature, and 34 SNPs were genotyped. Phenotype-Genotype analysis was performed using 31 of the SNPs. The genotypes of each SNP were further classified as either a minor allele carrier (MAC) group composed of heterozygous and rare homozygous genotypes, or wild type \[WT, common homozygous\].
Time frame: Baseline visit
Population: Participants with both genotypes and phenotypes available in the metabolic substudy. Phenotypes used in this analysis were from 3 time points: baseline (Week 0), Week 48, and Week 96. The Hardy-Weinberg Equilibrium test was used to check for the genotype quality. All SNPs passed the quality check.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_097 WT | 164 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_097 MAC | 35 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | APOE_R176C WT | 182 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | APOE_R176C MAC | 16 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | CCDC122_5980 WT | 126 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | CCDC122_5980 MAC | 71 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | IL6_5309 WT | 57 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | IL6_5309 MAC | 141 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RS11030679 WT | 112 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RS11030679 MAC | 87 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | APOE_C130R WT | 169 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | APOE_C130R MAC | 30 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_2265 WT | 146 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_2265 MAC | 53 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_598 WT | 119 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_598 MAC | 80 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_734 WT | 175 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_734 MAC | 22 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | BRUNOL_1842 WT | 121 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | BRUNOL_1842 MAC | 77 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_730 WT | 99 participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis | RETN_730 MAC | 100 participants |
Protein Binding Adjusted Effective Concentration (EC-90) of ATV and LPV When Dosed With RTV at Week 4
EC90/50=concentration of drug inducing 90%/50% of its maximal response. Protein binding adjusted EC90 for ATV and LPV were derived from phenotypically measured individual EC50 values at baseline using the following formula: Protein binding adjusted EC90 (ng/mL) = scale factor × molecular weight of the free base × EC50 micrometer(μM)/ unbound fraction (fu). Scale factor relates EC50 to EC90 (value of 3 and 2 for ATV and LPV, respectively); fu: estimated unbound fraction of ATV and LPV in vivo (0.14 and 0.02 for ATV and LPV respectively).
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Protein Binding Adjusted Effective Concentration (EC-90) of ATV and LPV When Dosed With RTV at Week 4 | 19.01 ng/mL |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Protein Binding Adjusted Effective Concentration (EC-90) of ATV and LPV When Dosed With RTV at Week 4 | 162.7 ng/mL |
Terminal Elimination Half-life (T-half) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
T-half was derived from the plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Terminal Elimination Half-life (T-half) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 10.31 Hr | Standard Deviation 3.32 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Terminal Elimination Half-life (T-half) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 13.89 Hr | Standard Deviation 14.48 |
Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4
Tmax was derived from the plasma concentration versus time data.
Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 Hrs post dosing with ATV/RTV and TDF all given QD and at predose, 1, 2, 3, 4, 6, 8, 12 Hrs post dosing with LPV/RTV given BID and TDF given QD.
Population: All participants who completed the intensive PK study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 3.00 Hr |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 | 4.00 Hr |
Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL)
The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction.
Time frame: IBS-QoL is administered at baseline (Day 1) and Week 4.
Population: As treated participants with evaluable baseline IBS-QOL. The 'n' is signifying those participants were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Dysphoria (317, 325) | 3.3 Units on Scale | Standard Error 0.79 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Food avoidance (319, 329) | 4.0 Units on Scale | Standard Error 1.03 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Body image (321, 329) | 1.6 Units on Scale | Standard Error 0.71 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Social reaction (316, 327) | 1.9 Units on Scale | Standard Error 0.76 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Interference with activity (319, 327) | 3.1 Units on Scale | Standard Error 0.86 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Sexual (320, 329) | 3.7 Units on Scale | Standard Error 1.06 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Health worry (319, 330) | 6.0 Units on Scale | Standard Error 0.96 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Relationships (321, 328) | 1.2 Units on Scale | Standard Error 0.72 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Overall (306, 316) | 3.2 Units on Scale | Standard Error 0.71 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Relationships (321, 328) | -0.6 Units on Scale | Standard Error 0.75 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Overall (306, 316) | -0.7 Units on Scale | Standard Error 0.66 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Dysphoria (317, 325) | -0.1 Units on Scale | Standard Error 0.75 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Interference with activity (319, 327) | -1.9 Units on Scale | Standard Error 0.79 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Body image (321, 329) | -1.3 Units on Scale | Standard Error 0.68 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Health worry (319, 330) | 2.0 Units on Scale | Standard Error 0.99 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Food avoidance (319, 329) | -1.7 Units on Scale | Standard Error 1.07 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Social reaction (316, 327) | -0.8 Units on Scale | Standard Error 0.71 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) | Sexual (320, 329) | -0.1 Units on Scale | Standard Error 1.02 |
Mean Change From Baseline in BMI at Week 48
Mean change from baseline in BMI at Week 48 was determined.
Time frame: Baseline (Day 1) and Week 48.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in BMI at Week 48 | 1.5 kg/m^2 | Standard Error 0.19 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in BMI at Week 48 | 1.1 kg/m^2 | Standard Error 0.23 |
Mean Change From Baseline in BMI at Week 96
Mean change From baseline in BMI at Week 96 was determined.
Time frame: Baseline (Day 1) and Week 96
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in BMI at Week 96 | 2.0 kg/m^2 | Standard Error 0.26 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in BMI at Week 96 | 1.2 kg/m^2 | Standard Error 0.28 |
Mean Change From Baseline in BMI at Week 96
Time frame: Baseline (Day 1) and Week 96
Population: Safety analyses of the treatment period are based on treated population with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in BMI at Week 96 | 1.6 kg/m^2 | Standard Error 0.13 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in BMI at Week 96 | 1.0 kg/m^2 | Standard Error 0.11 |
Mean Change From Baseline in Body Weight at Week 48
Mean change from baseline in body weight at Week 48 was determined.
Time frame: Baseline (Day 1) and Week 48
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Body Weight at Week 48 | 4 kg | Standard Error 0.5 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Body Weight at Week 48 | 3 kg | Standard Error 0.7 |
Mean Change From Baseline in Body Weight at Week 96
Mean change from baseline in weight at Week 96
Time frame: Baseline (Day 1) and Week 96
Population: Safety analyses of the treatment period are based on treated population with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Body Weight at Week 96 | 5 kg | Standard Error 0.4 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Body Weight at Week 96 | 3 kg | Standard Error 0.3 |
Mean Change From Baseline in CD4 Cell Count at Week 96
Mean change from baseline in CD4 count among treated participants was determined.
Time frame: Baseline (Day 1) and Week 96
Population: Efficacy analyses of the treatment period are based on as-randomized population with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in CD4 Cell Count at Week 96 | 268 cells/mm^3 | Standard Error 7.6 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in CD4 Cell Count at Week 96 | 290 cells/mm^3 | Standard Error 8.7 |
Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 48
Mean change from baseline in CD4 cell counts was determined.
Time frame: Baseline (Day 1) and Week 48.
Population: All treated participants with data for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 48 | 203 c/mm^3 | Standard Error 7.1 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 48 | 219 c/mm^3 | Standard Error 7.2 |
Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL)
The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction.
Time frame: IBS-QoL is administered at baseline (Day 1) and Week 12.
Population: As treated participants with evaluable baseline IBS-QOL. The 'n' is signifying those participants were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Dysphoria (308, 319) | 4.7 Units on Scale | Standard Error 0.79 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Food avoidance (316, 322) | 5.6 Units on Scale | Standard Error 0.95 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Body image (316, 321) | 2.1 Units on Scale | Standard Error 0.69 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Social reaction (311, 316) | 3.3 Units on Scale | Standard Error 0.73 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Interference with activity (310, 320) | 5.1 Units on Scale | Standard Error 0.83 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Sexual (317, 321) | 4.7 Units on Scale | Standard Error 1.11 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Health worry (312, 320) | 7.9 Units on Scale | Standard Error 1.02 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Relationships (313, 320) | 3.5 Units on Scale | Standard Error 0.75 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Overall (301. 310) | 4.6 Units on Scale | Standard Error 0.69 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Relationships (313, 320) | 0.0 Units on Scale | Standard Error 0.99 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Overall (301. 310) | 0.2 Units on Scale | Standard Error 0.89 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Dysphoria (308, 319) | 1.2 Units on Scale | Standard Error 0.94 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Interference with activity (310, 320) | -0.4 Units on Scale | Standard Error 0.96 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Body image (316, 321) | -0.1 Units on Scale | Standard Error 0.85 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Health worry (312, 320) | 3.6 Units on Scale | Standard Error 1.23 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Food avoidance (316, 322) | -0.6 Units on Scale | Standard Error 1.25 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Social reaction (311, 316) | -0.4 Units on Scale | Standard Error 0.95 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) | Sexual (317, 321) | -0.4 Units on Scale | Standard Error 1.19 |
Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL)
The IBS-QoL questionnaire has 34 items and an overall score and 8 subscale scores: dysphoria,interference with activity,body image,health worry, food avoidance,social reaction,sexual, and relationships. Overall and subscores transformed to a 0-100 scale (0=lowest score, 100=highest possible score). Scores between these values represent the percentage of the total possible score achieved. Higher scores=better IBS-related QoL. A 14-point change from BL in IBS-QoL score in women with moderate to severe functional bowel disorders is a minimally important difference based on pain and satisfaction.
Time frame: Baseline (Day 1) and Week 24
Population: As treated participants with evaluable baseline IBS-QOL. The 'n' is signifying those participants were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Dysphoria (295, 298) | 4.4 Units on a scale | Standard Error 0.84 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Food avoidance (299, 300) | 5.6 Units on a scale | Standard Error 1.14 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Body image (299, 300) | 1.8 Units on a scale | Standard Error 0.8 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Social reaction (295, 297) | 3.2 Units on a scale | Standard Error 0.8 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Interference with activity (294, 297) | 4.4 Units on a scale | Standard Error 0.92 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Sexual (299, 299) | 4.3 Units on a scale | Standard Error 1.2 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Health worry (297, 300) | 7.5 Units on a scale | Standard Error 0.99 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Relationships (297, 297) | 3.3 Units on a scale | Standard Error 0.89 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Overall (290, 289) | 4.3 Units on a scale | Standard Error 0.77 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Relationships (297, 297) | 1.2 Units on a scale | Standard Error 1 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Overall (290, 289) | 1.4 Units on a scale | Standard Error 0.88 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Dysphoria (295, 298) | 1.8 Units on a scale | Standard Error 0.97 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Interference with activity (294, 297) | 0.0 Units on a scale | Standard Error 1.04 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Body image (299, 300) | 1.1 Units on a scale | Standard Error 0.84 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Health worry (297, 300) | 5.3 Units on a scale | Standard Error 1.18 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Food avoidance (299, 300) | 0.4 Units on a scale | Standard Error 1.29 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Social reaction (295, 297) | 0.4 Units on a scale | Standard Error 0.92 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) | Sexual (299, 299) | 0.8 Units on a scale | Standard Error 1.15 |
Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24
Medical Outcomes Study HIV Health Survey (MOS-HIV) is developed to assess a patient's health and functional status associated with HIV infection. The MOS-HIV questionnaire is applied to participants with adequate linguistic skills. The subscale and summary scores range from 0-100 with a higher score indicating better health.
Time frame: Baseline (Day 1) and Week 24.
Population: As-treated participants with evaluable baseline MOS-HIV . The 'n' is signifying those participants who were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Overall Health Perception Subscale (325, 320) | 15.2 Units on Scale | Standard Error 1.31 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Pain Subscale (327, 325) | 7.4 Units on Scale | Standard Error 1.37 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Role Function Subscale (325, 325) | 10.6 Units on Scale | Standard Error 1.72 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Mental Health Subscale (325, 326) | 6.4 Units on Scale | Standard Error 1.09 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Mental Health Summary (317, 314) | 5.3 Units on Scale | Standard Error 0.5 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Energy/Fatigue Subscale (323, 326) | 7.1 Units on Scale | Standard Error 1.16 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Social Function Subscale (327, 322) | 8.5 Units on Scale | Standard Error 1.54 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Health Distress Subscale (323, 326) | 14.4 Units on Scale | Standard Error 1.29 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Physical Function Subscale (324, 325) | 7.6 Units on Scale | Standard Error 1.25 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Quality of Life Subscale (327, 326) | 9.9 Units on Scale | Standard Error 1.32 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Cognitive Function Subscale (326, 324) | 5.6 Units on Scale | Standard Error 1.11 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Health Transition Subscale (327, 326) | 13.1 Units on Scale | Standard Error 1.64 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Physical Health Summary (317, 314) | 4.1 Units on Scale | Standard Error 0.46 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Health Transition Subscale (327, 326) | 10.7 Units on Scale | Standard Error 1.55 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Physical Health Summary (317, 314) | 3.3 Units on Scale | Standard Error 0.46 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Mental Health Summary (317, 314) | 4.8 Units on Scale | Standard Error 0.52 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Overall Health Perception Subscale (325, 320) | 13.0 Units on Scale | Standard Error 1.41 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Physical Function Subscale (324, 325) | 5.0 Units on Scale | Standard Error 1.3 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Role Function Subscale (325, 325) | 6.5 Units on Scale | Standard Error 1.61 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Social Function Subscale (327, 322) | 7.1 Units on Scale | Standard Error 1.49 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Cognitive Function Subscale (326, 324) | 3.0 Units on Scale | Standard Error 0.94 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Pain Subscale (327, 325) | 8.6 Units on Scale | Standard Error 1.23 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Mental Health Subscale (325, 326) | 7.4 Units on Scale | Standard Error 1.08 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Energy/Fatigue Subscale (323, 326) | 7.5 Units on Scale | Standard Error 1.14 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Health Distress Subscale (323, 326) | 13.9 Units on Scale | Standard Error 1.3 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 | Quality of Life Subscale (327, 326) | 7.1 Units on Scale | Standard Error 1.29 |
Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48
MOS-HIV is developed to assess a participant's health and functional status associated with HIV infection. The questionnaire is applied to participants with adequate linguistic skills and consists of 35 items. The questionnaire derives an overall health score and 10 subscale scores (health transitions, pain, physical functioning, role functioning, social functioning, cognitive functioning, mental health, energy/fatigue, health distress and quality of life).The subscale and summary scores range from 0-100 with a higher score indicating better health.
Time frame: Baseline (Day 1) and Week 48
Population: Participants analyzed are as-treated participants with evaluable baseline MOS-HIV. The 'n' is signifying those participants who were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Health Transition Subscale (308, 300) | 11.0 Units on Scale | Standard Error 1.63 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Physical Health Summary (296, 287) | 3.8 Units on Scale | Standard Error 0.5 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Mental Health Summary (296, 287) | 6.0 Units on Scale | Standard Error 0.54 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Overall Health Perception Subscale (305, 297) | 15.6 Units on Scale | Standard Error 1.53 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Physical Function Subscale (303, 298) | 5.8 Units on Scale | Standard Error 1.28 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Role Function Subscale (307, 298) | 8.5 Units on Scale | Standard Error 1.75 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Social Function Subscale (308, 295) | 9.2 Units on Scale | Standard Error 1.48 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Cognitive Function Subscale (307, 300) | 4.8 Units on Scale | Standard Error 1.25 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Pain Subscale (308, 297) | 8.3 Units on Scale | Standard Error 1.39 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Mental Health Subscale (306, 300) | 8.3 Units on Scale | Standard Error 1.21 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Energy/Fatigue Subscale (304, 300) | 8.4 Units on Scale | Standard Error 1.25 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Health Distress Subscale (304, 300) | 14.3 Units on Scale | Standard Error 1.39 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Quality of Life Subscale (308, 300) | 12.9 Units on Scale | Standard Error 1.39 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Energy/Fatigue Subscale (304, 300) | 7.9 Units on Scale | Standard Error 1.21 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Cognitive Function Subscale (307, 300) | 5.6 Units on Scale | Standard Error 1.05 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Physical Health Summary (296, 287) | 3.3 Units on Scale | Standard Error 0.49 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Quality of Life Subscale (308, 300) | 8.4 Units on Scale | Standard Error 1.34 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Mental Health Summary (296, 287) | 5.6 Units on Scale | Standard Error 0.54 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Pain Subscale (308, 297) | 8.0 Units on Scale | Standard Error 1.39 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Overall Health Perception Subscale (305, 297) | 13.7 Units on Scale | Standard Error 1.51 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Health Distress Subscale (304, 300) | 15.0 Units on Scale | Standard Error 1.36 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Physical Function Subscale (303, 298) | 5.3 Units on Scale | Standard Error 1.24 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Mental Health Subscale (306, 300) | 8.7 Units on Scale | Standard Error 1.1 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Role Function Subscale (307, 298) | 8.1 Units on Scale | Standard Error 1.75 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Health Transition Subscale (308, 300) | 8.8 Units on Scale | Standard Error 1.64 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 | Social Function Subscale (308, 295) | 7.4 Units on Scale | Standard Error 1.66 |
Mean Change From Baseline in Trunk-to-limb Fat Ratio Measured by DEXA at Week 48
Mean changes from baseline in trunk-to-limb fat ratio as measured by DEXA, an x-ray scan used to measure bone mineral density. Clinical improvement was associated with a decrease in values.
Time frame: DEXA scans were taken at Baseline (Day 1) and at Weeks 48.
Population: As-treated participants (with values for this parameter)in the lipodystrophy substudy who participated in the substudy and signed the informed consent for the substudy.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Trunk-to-limb Fat Ratio Measured by DEXA at Week 48 | 0.04 Ratio | Standard Error 0.013 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Trunk-to-limb Fat Ratio Measured by DEXA at Week 48 | -0.02 Ratio | Standard Error 0.014 |
Mean Change From Baseline in Waist Circumference at Week 48
Mean change from baseline in waist circumference at Week 48 was determined.
Time frame: Baseline (Day 1) and Week 48
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist Circumference at Week 48 | 4 cm | Standard Error 0.6 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist Circumference at Week 48 | 2 cm | Standard Error 0.7 |
Mean Change From Baseline in Waist Circumference at Week 96
Mean change From baseline in waist circumference at Week 96 was determined.
Time frame: Baseline (Day 1) and Week 96.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist Circumference at Week 96 | 6 cm | Standard Error 0.8 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist Circumference at Week 96 | 2 cm | Standard Error 0.8 |
Mean Change From Baseline in Waist-to-hip-ratio at Week 48
Mean change from baseline in waist-to-hip-ratio at Week 48 was determined.
Time frame: Baseline (Day 1) and Week 48
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist-to-hip-ratio at Week 48 | 0.02 ratio | Standard Error 0.008 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist-to-hip-ratio at Week 48 | 0.01 ratio | Standard Error 0.008 |
Mean Change From Baseline in Waist-to-hip-ratio at Week 96
Mean change from baseline in waist-to-hip-ratio at Week 96 was determined.
Time frame: Baseline (Day 1) and Week 96
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist-to-hip-ratio at Week 96 | 0.02 ratio | Standard Error 0.006 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change From Baseline in Waist-to-hip-ratio at Week 96 | 0.01 ratio | Standard Error 0.08 |
Mean Change in Body Mass Index (BMI) in Participants at Week 48
Mean change in BMI from baseline at Week 48 was determined.
Time frame: Baseline (Day 1) and Week 48
Population: Safety analyses of the treatment period are based on treated population, who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Body Mass Index (BMI) in Participants at Week 48 | 1.3 kg/m^2 | Standard Error 0.1 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Body Mass Index (BMI) in Participants at Week 48 | 0.8 kg/m^2 | Standard Error 0.1 |
Mean Change in Fasting Glucose at Week 48
Mean change from baseline in fasting glucose at Week 48.
Time frame: Baseline (Day 1) and Week 48.
Population: Safety analyses of the treatment period are based on treated population with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Glucose at Week 48 | 2 mg/dL | Standard Error 0.6 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Glucose at Week 48 | 0 mg/dL | Standard Error 1.3 |
Mean Change in Fasting Insulin at Week 48
Mean change from baseline in fasting insulin at Week 48.
Time frame: Baseline (Day 1) and Week 48.
Population: Safety analyses of the treatment period are based on treated population with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Insulin at Week 48 | 2.5 micro units (µU)/mL | Standard Error 0.52 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Insulin at Week 48 | 0.2 micro units (µU)/mL | Standard Error 0.38 |
Mean Change in Fasting Lipid at Week 48
Mean change from baseline in fasting lipids, for fasting total cholesterol, LDL cholesterol, HDL cholesterol, non-HDL cholesterol, and triglycerides at Week 48 were determined.
Time frame: Baseline (Day 1) and Week 48.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting Non-HDL Cholesterol (n=371, 335) | 10 milligrams/deciliter (mg/dL) | Standard Error 1.5 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting HDL Cholesterol (n=371, 335) | 9 milligrams/deciliter (mg/dL) | Standard Error 0.6 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting LDL Cholesterol (n=372, 335) | 12 milligrams/deciliter (mg/dL) | Standard Error 1.4 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting Triglycerides (n=373, 337) | 20 milligrams/deciliter (mg/dL) | Standard Error 4 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting total Cholesterol (n=373, 337) | 19 milligrams/deciliter (mg/dL) | Standard Error 1.6 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting Triglycerides (n=373, 337) | 70 milligrams/deciliter (mg/dL) | Standard Error 5.7 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting total Cholesterol (n=373, 337) | 38 milligrams/deciliter (mg/dL) | Standard Error 1.8 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting HDL Cholesterol (n=371, 335) | 12 milligrams/deciliter (mg/dL) | Standard Error 0.6 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting Non-HDL Cholesterol (n=371, 335) | 26 milligrams/deciliter (mg/dL) | Standard Error 1.7 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Fasting Lipid at Week 48 | Fasting LDL Cholesterol (n=372, 335) | 18 milligrams/deciliter (mg/dL) | Standard Error 1.5 |
Mean Change in Weight From Baseline at Week 48
Mean change in body weight from baseline was determined.
Time frame: Baseline (Day 1) and Week 48
Population: Safety analyses of the treatment period are based on treated population, who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Weight From Baseline at Week 48 | 4.0 kg | Standard Error 0.3 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Change in Weight From Baseline at Week 48 | 2.0 kg | Standard Error 0.3 |
Mean Changes From Baseline in Body Weight at Week 96
Mean change in body weight from baseline was determined.
Time frame: Physical examination was performed at Baseline (Day 1) and Weeks 48 and 96.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes From Baseline in Body Weight at Week 96 | 6 kg | Standard Error 0.7 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes From Baseline in Body Weight at Week 96 | 3 kg | Standard Error 0.8 |
Mean Changes in Fasting Glucose at Week 96
Mean change from baseline in fasting glucose at Week 96 was determined.
Time frame: Baseline (Day 1) and Week 96
Population: Safety analyses of the treatment period are based on treated population with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Glucose at Week 96 | 4.0 mg/dL | Standard Error 1.2 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Glucose at Week 96 | 1.0 mg/dL | Standard Error 1.4 |
Mean Changes in Fasting Insulin at Week 96
Mean change from baseline in fasting insulin at Week 96.
Time frame: Baseline (Day 1) and Week 96.
Population: Safety analyses of the treatment period are based on treated population with values for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Insulin at Week 96 | 0.1 µU/mL | Standard Error 0.47 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Insulin at Week 96 | -0.8 µU/mL | Standard Error 0.43 |
Mean Changes in Fasting Lipids at Week 96
Mean change from baseline in fasting lipids at Week 96 was determined.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting Non-HDL Cholesterol (n=341, 291) | 13.0 mg/dL | Standard Error 1.6 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting HDL Cholesterol (n=341, 291) | 7.0 mg/dL | Standard Error 0.6 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting LDL Cholesterol (n=342, 291) | 12.0 mg/dL | Standard Error 1.5 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting Triglycerides (n=342, 291) | 16.0 mg/dL | Standard Error 4.4 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting total Cholesterol (n=342, 291) | 20 mg/dL | Standard Error 1.8 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting Triglycerides (n=342, 291) | 63.0 mg/dL | Standard Error 5.4 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting total Cholesterol (n=342, 291) | 37 mg/dL | Standard Error 1.8 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting HDL Cholesterol (n=341, 291) | 10.0 mg/dL | Standard Error 0.7 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting Non-HDL Cholesterol (n=341, 291) | 27.0 mg/dL | Standard Error 1.7 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Changes in Fasting Lipids at Week 96 | Fasting LDL Cholesterol (n=342, 291) | 17.0 mg/dL | Standard Error 1.5 |
Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96
Mean percent change from baseline in BMD of arms, legs, trunk and total body was measured using DEXA, an X-ray scan technique.
Time frame: Baseline (Day 1) and Week 96
Population: As-treated participants in the lipodystrophy substudy who participated in the substudy and signed the informed consent for the substudy.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Both Arms | -1 g/cm^2 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Both Legs | -2 g/cm^2 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Trunk | -3 g/cm^2 |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Total Body | -3 g/cm^2 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Total Body | -4 g/cm^2 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Both Arms | -2 g/cm^2 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Trunk | -5 g/cm^2 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 | Bone Mineral Density of Both Legs | -3 g/cm^2 |
Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48
Mean percent change from baseline in BMD of arms, legs, trunk and total body was measured using DEXA, an X-ray scan technique.
Time frame: DEXA scans were taken at Baseline (Day 1) and Week 48.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Both Arms | -1 grams/ centimeters ^2 (g/cm^2) |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Both Legs | -2 grams/ centimeters ^2 (g/cm^2) |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Trunk | -4 grams/ centimeters ^2 (g/cm^2) |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Total Body | -2 grams/ centimeters ^2 (g/cm^2) |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Total Body | -3 grams/ centimeters ^2 (g/cm^2) |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Both Arms | -1 grams/ centimeters ^2 (g/cm^2) |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Trunk | -4 grams/ centimeters ^2 (g/cm^2) |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 | Bone Mineral Density of Both Legs | -2 grams/ centimeters ^2 (g/cm^2) |
Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48
The mean percent change from baseline in limb, trunk and total body fat was measured by DEXA. Limb fat: a physical sign of lipoatrophy, clinical improvement in limb fat is associated with a decrease in values. Trunk fat: a physical sign of lipohypertrophy, clinical improvement in trunk fat is associated with a decrease in values. Total body fat: association of many factors like trunk fat, limb fat, weight etc. Clinical improvement in total body fat cannot be predicted based solely an increase or decrease of these values.
Time frame: DEXA scans were performed at baseline (within 30 days of starting study treatment), and at Weeks 48.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 | Trunk Fat | 26 Percentage |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 | Limb Fat | 22 Percentage |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 | Total Body Fat | 23 Percentage |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 | Trunk Fat | 16 Percentage |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 | Limb Fat | 17 Percentage |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 | Total Body Fat | 15 Percentage |
Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96
The mean percent change from baseline in limb, trunk and total body fat was measured by DEXA. Limb fat: a physical sign of lipoatrophy, clinical improvement in limb fat is associated with a decrease in values. Trunk fat: physical sign of lipohypertrophy, clinical improvement in trunk fat is associated with a decrease in values. Total body fat: association of many factors like trunk fat, limb fat, weight etc. Clinical improvement in total body fat cannot be predicted based solely an increase or decrease of these values.
Time frame: Baseline (Day 1) and Week 96.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 | Trunk Fat | 34 Percentage |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 | Limb Fat | 27 Percentage |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 | Total Body Fat | 29 Percentage |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 | Trunk Fat | 16 Percentage |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 | Limb Fat | 15 Percentage |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 | Total Body Fat | 15 Percentage |
Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA
Time frame: Baseline (Day 1) and Week 96.
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA | VAT-to-TAT Ratio (n = 95,68) | -0.04 Ratio |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA | VAT-to-SAT Ratio (n = 95, 68) | -0.22 Ratio |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA | Trunk-to-Limb Fat Ratio (n = 106, 71) | 0.05 Ratio |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA | VAT-to-TAT Ratio (n = 95,68) | -0.02 Ratio |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA | VAT-to-SAT Ratio (n = 95, 68) | -0.09 Ratio |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA | Trunk-to-Limb Fat Ratio (n = 106, 71) | 0.00 Ratio |
Number of Participants Who Adhered to Regimen as Measured by Multicenter AIDS Cohort Study Adherence Questionnaire (MACS) at Week 48
The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Adherence to regimen was defined as taking 100% of medicine (all doses and numbers of pills as prescribed for each medicine). This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance.
Time frame: Week 48
Population: The 'n' is signifying those participants who were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Adhered to Regimen as Measured by Multicenter AIDS Cohort Study Adherence Questionnaire (MACS) at Week 48 | 330 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Adhered to Regimen as Measured by Multicenter AIDS Cohort Study Adherence Questionnaire (MACS) at Week 48 | 316 Participants |
Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48
AEs:new,untoward medical occurrences/worsening of pre-existing medical condition,drug-related or not.SAEs:any AE that:resulted in death;was life threatening;resulted in a persistent or significant disability/incapacity;resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was cancer;or overdose.Discontinuation from study was due either to an AE or was conducted at the investigator's discretion.AEs represented here include SAEs, which are not included in the AE count represented in the AE xml upload section. As such, these numbers may not match.
Time frame: From baseline (Day 1) to Week 48.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | Deaths | 6 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | AEs | 400 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | AEs leading to discontinuation | 11 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | Other SAEs | 51 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | AEs leading to discontinuation | 15 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | Deaths | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | Other SAEs | 42 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 | AEs | 399 Participants |
Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96
AEs:new,untoward medical occurrences/worsening of pre-existing medical condition,drug-related or not.SAEs:any AE that:resulted in death;was life threatening;resulted in a persistent or significant disability/incapacity;resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was cancer;or overdose.Discontinuation from study was due either to an AE or was conducted at the investigator's discretion.AEs represented here include SAEs, which are not included in the AE count represented in the AE xml upload section. As such, these numbers may not match.
Time frame: From Day 1 through Week 96
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 | Deaths | 6 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 | Serious Adverse Events (SAEs) | 63 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 | Adverse Events (AEs) leading to discontinuation | 13 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 | Deaths | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 | Serious Adverse Events (SAEs) | 50 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 | Adverse Events (AEs) leading to discontinuation | 22 Participants |
Number of Participants With Confirmed Plasma HIV RNA < 400 c/mL at Week 48 (Defined by the Food and Drug Administration [FDA] Time to Loss of Virologic Response [TLOVR] Algorithm)
TLOVR defines responders at Week 48 as participants with confirmed HIV RNA \<400 c/mL through Week 48 without intervening virologic rebound or treatment discontinuation. Virologic rebound is defined as confirmed on-treatment HIV RNA \<400 c/mL or last on-treatment HIV RNA \<400 c/mL followed by discontinuation. Participants are considered failures in this analysis if they experienced virologic rebound at or before Week 48, discontinued before Week 48, never responded by Week 48, never received study therapy or had missing HIV RNA at Week 48 and beyond.
Time frame: Baseline (Day 1) and Week 48
Population: Efficacy analyses of the treatment period are based on randomized population.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Confirmed Plasma HIV RNA < 400 c/mL at Week 48 (Defined by the Food and Drug Administration [FDA] Time to Loss of Virologic Response [TLOVR] Algorithm) | 377 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Confirmed Plasma HIV RNA < 400 c/mL at Week 48 (Defined by the Food and Drug Administration [FDA] Time to Loss of Virologic Response [TLOVR] Algorithm) | 363 Participants |
Number of Participants With HIV RNA < 400 c/mL at Week 48
HIV RNA \< 400 c/mL is a less stringent measure of viral suppression (highest threshold of assay) and indicates that a participant responded to treatment.
Time frame: Baseline (Day 1) and Week 48
Population: Efficacy analyses of the treatment period are based on randomized population. In this analysis, participants who did not complete the study are counted as having failed to respond to treatment. Participants who discontinued prior to obtaining Week 48 HIV RNA levels were categorized under Non-completers.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With HIV RNA < 400 c/mL at Week 48 | 377 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With HIV RNA < 400 c/mL at Week 48 | 365 Participants |
Number of Participants With HIV RNA < 400 c/mL) at Week 96
HIV RNA \<400 c/mL is a less stringent measure of viral suppression (highest threshold of assay) and indicates that a participant has responded to treatment.
Time frame: Baseline (Day 1) and Week 96
Population: Efficacy analyses of the treatment period are based on randomized population. In this analysis, participants who did not complete the study are counted as having failed to respond to treatment. Participants who discontinued prior to obtaining Week 96 HIV RNA levels were categorized under Non-completers.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With HIV RNA < 400 c/mL) at Week 96 | 350 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With HIV RNA < 400 c/mL) at Week 96 | 330 Participants |
Number of Participants With HIV RNA < 50 c/mL) at Week 96
HIV RNA \< 50 c/mL is the most stringent measure of viral suppression (lowest threshold of assay) and indicates that a participant has responded to treatment.
Time frame: Baseline (Day 1) and Week 96
Population: Efficacy analyses of the treatment period are based on randomized population. In this analysis, participants who did not complete the study are counted as having failed to respond to treatment. Participants who discontinued prior to obtaining Week 96 HIV RNA levels were categorized under Non-completers.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With HIV RNA < 50 c/mL) at Week 96 | 327 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With HIV RNA < 50 c/mL) at Week 96 | 302 Participants |
Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96
Serum electrolytes abnormalities,graded per modified WHOcriteria.Ranges were:hypercarbia:Grade3:41-45milliequivalents(meq)/L,Grade4:\>45meq/L;hypocarbia:Grade3:10-14 meq/L,Grade4:\<10 meq/L;hypercalcemia:Grade3:12.6 - 13.5 mg/dL,Grade 4:\>13.5 mg/dL;hypocalcemia:6.1-6.9mg/dL,Grade4:\<6.1mg/dL;hyperchloremia:Grade 3: 121-125 meq/L,Grade4:\>125meq/L;hypochloremia:Grade 3:80-84 meq/L,Grade4:\<80meq/L;hyperkalemia:Grade3:6.6-7.0meq/L,Grade4:\>7.0meq/L;hypokalemia:Grade3:2.0-2.4 meq/L,Grade4:\<2.0meq/L;hypernatremia:Grade3:158-165 meq/L,Grade4:\>165meq/L;hyponatremia:Grade 3:116-122 meq/L,Grade 4:115 meq/L.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypercarbia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypocarbia (n = 435, 431) | 4 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypercalcemia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypocalcemia (n = 435, 431) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hyperchloremia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypochloremia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hyperkalemia (n = 435, 430) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypokalemia (n = 435, 430) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypernatremia (n = 435, 431) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hyponatremia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypokalemia (n = 435, 430) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypercarbia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypochloremia (n = 435, 431) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypocarbia (n = 435, 431) | 8 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hyponatremia (n = 435, 431) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypercalcemia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hyperkalemia (n = 435, 430) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypocalcemia (n = 435, 431) | 4 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hypernatremia (n = 435, 431) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 | Hyperchloremia (n = 435, 431) | 0 Participants |
Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48
Serum electrolytes abnormalities,graded per modified WHOcriteria.Ranges were:hypercarbia:Grade3:41-45milliequivalents(meq)/L,Grade4:\>45meq/L;hypocarbia:Grade3:10-14 meq/L,Grade4:\<10 meq/L;hypercalcemia:Grade3:12.6 - 13.5 mg/dL,Grade 4:\>13.5 mg/dL;hypocalcemia:6.1-6.9mg/dL,Grade4:\<6.1mg/dL;hyperchloremia:Grade 3: 121-125 meq/L,Grade4:\>125meq/L;hypochloremia:Grade 3:80-84 meq/L,Grade4:\<80meq/L;hyperkalemia:Grade3:6.6-7.0meq/L,Grade4:\>7.0meq/L;hypokalemia:Grade3:2.0-2.4 meq/L,Grade4:\<2.0meq/L;hypernatremia:Grade3:158-165 meq/L,Grade4:\>165meq/L;hyponatremia:Grade 3:116-122 meq/L,Grade 4:115 meq/L.
Time frame: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypercarbia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypocarbia (n = 435, 431) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypercalcemia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypocalcemia (n = 435, 431) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hyperchloremia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypochloremia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hyperkalemia (n = 435, 430) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypokalemia (n = 435, 430) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypernatremia (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hyponatremia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypokalemia (n = 435, 430) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypercarbia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypochloremia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypocarbia (n = 435, 431) | 7 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hyponatremia (n = 435, 431) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypercalcemia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hyperkalemia (n = 435, 430) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypocalcemia (n = 435, 431) | 4 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hypernatremia (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 | Hyperchloremia (n = 435, 431) | 0 Participants |
Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in fasting glucose: hypoglycemia: Grade 3: 30-39 mg/dL, Grade 4: \<30 mg/dL; hyperglycemia: 251-500 mg/dL, Grade 4: \>500 mg/dL.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96 | Hyperglycemia (n = 434, 428) | 3 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96 | Hypoglycemia (n = 434, 428) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96 | Hyperglycemia (n = 434, 428) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96 | Hypoglycemia (n = 434, 428) | 0 Participants |
Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in fasting glucose: hypoglycemia: Grade 3: 30-39 mg/dL, Grade 4: \<30 mg/dL; hyperglycemia: 251-500 mg/dL, Grade 4: \>500 mg/dL.
Time frame: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48 | Hyperglycemia (n = 434, 428) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48 | Hypoglycemia (n = 434, 428) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48 | Hyperglycemia (n = 434, 428) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48 | Hypoglycemia (n = 434, 428) | 0 Participants |
Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96
Laboratory measurements marked as abnormal, as per NCEP-ATP-III guided categories. The following definitions specify the criteria for MAs in fasting lipids: Total cholesterol: Grade 3: 240 - 300 mg/dL, Grade 4: \>=240 mg/dL, triglycerides: Grade 3: 200 - \<500 mg/dL, Grade 4: \>=500 mg/dL.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96 | Total Cholesterol (n = 434, 428) | 47 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96 | Triglycerides (n = 434, 428) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96 | Total Cholesterol (n = 434, 428) | 108 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96 | Triglycerides (n = 434, 428) | 18 Participants |
Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48
Laboratory measurements marked as abnormal, as per National Cholesterol Education Program (NCEP)- Adult Treatment Panel (ATP)-III guided categories. The following definitions specify the criteria for MAs in fasting lipids: Total cholesterol: Grade 3: 240 - 300 mg/dL, Grade 4: \>=240 mg/dL, triglycerides: Grade 3: 200 - \<500 mg/dL, Grade 4: \>=500 mg/dL.
Time frame: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48 | Total Cholesterol (n = 434, 428) | 30 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48 | Triglycerides (n = 434, 428) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48 | Total Cholesterol (n = 434, 428) | 77 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48 | Triglycerides (n = 434, 428) | 15 Participants |
Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96
Hematology abnormalities were graded per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Hemoglobin: Grade 3: 6.5-7.9 g/dL, Grade 4: \<6.5 g/dL; Hematocrit: Grade 3: \>=19.5 - 24%, Grade 4: \<19.5%; platelet count: Grade 3: 20,000- 49, 999/ mm\^3, Grade 4: \<20,000/mm\^3; INR: Grade 3 Absolute Neutrophil Count (ANC): Grade 3: \>= 500 - \<750/mm\^3, Grade 4: \<500/mm\^3; PT: Grade 3: 1.51 - 3.0\*ULN, Grade 4: \>3\*ULN; WBC: Grade 3: \>=800 to \<1000/mm\^3, Grade 4: \<80/mm\^3.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | INR (n= 435, 431) | 7 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Platelets ( n= 433, 431) | 5 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Hemoglobin (n= 434, 431) | 3 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Prothrombin time (n = 435, 431) | 9 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Neutrophils (n = 434, 431) | 21 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | WBC (n = 434, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Hematocrit (n= 434, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | WBC (n = 434, 431) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Hematocrit (n= 434, 431) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Hemoglobin (n= 434, 431) | 7 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | INR (n= 435, 431) | 18 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Neutrophils (n = 434, 431) | 7 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Platelets ( n= 433, 431) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 | Prothrombin time (n = 435, 431) | 24 Participants |
Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC)
Hematology abnormalities were graded per modified World Health Organization (WHO) criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Hemoglobin: Grade 3: 6.5-7.9 g/dL, Grade 4: \<6.5 g/dL; Hematocrit: Grade 3: \>=19.5 - 24%, Grade 4: \<19.5%; platelet count: Grade 3: 20,000- 49, 999/ mm\^3, Grade 4: \<20,000/mm\^3; INR: Grade 3 Absolute Neutrophil Count (ANC): Grade 3: \>= 500 - \<750/mm\^3, Grade 4: \<500/mm\^3; PT: Grade 3: 1.51 - 3.0\*ULN, Grade 4: \>3\*ULN; WBC: Grade 3: \>=800 to \<1000/mm\^3, Grade 4: \<80/mm\^3.
Time frame: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | INR (n= 435, 431) | 6 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Platelets ( n= 433, 430) | 5 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Hemoglobin (n= 434, 431) | 2 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | PT (n = 435, 431) | 6 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Neutrophils (n = 434, 431) | 14 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | WBC (n = 434, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Hematocrit (n= 434, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | WBC (n = 434, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Hematocrit (n= 434, 431) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Hemoglobin (n= 434, 431) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | INR (n= 435, 431) | 11 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Neutrophils (n = 434, 431) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | Platelets ( n= 433, 430) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) | PT (n = 435, 431) | 16 Participants |
Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48
Liver function tests abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), while albumin was graded as per National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE). Grade 3 and 4 criteria were: alanine aminotransferase (ALT), aspartate aminotransferase(AST), alkaline phosphatase: Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; direct and total bilirubin: Grade 3: 2.6- 5\*ULN, Grade 4: \>5\*ULN, Albumin: Grade 3: \<2g/dL.
Time frame: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | ALT (n= 435, 431) | 8 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | AST (n = 435, 430) | 9 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Albumin (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Alkaline Phosphatase (n= 435, 430) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Direct Bilirubin (n = 435, 430) | 37 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Total Bilirubin (n = 435, 431) | 146 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Direct Bilirubin (n = 435, 430) | 4 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | ALT (n= 435, 431) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Alkaline Phosphatase (n= 435, 430) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | AST (n = 435, 430) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Total Bilirubin (n = 435, 431) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 | Albumin (n = 435, 431) | 0 Participants |
Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96
Liver function tests abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), while albumin was graded as per NCI-CTCAE. Grade 3 and 4 criteria were: ALT, AST, alkaline phosphatase: Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; direct and total bilirubin: Grade 3: 2.6- 5\*ULN, Grade 4: \>5\*ULN, Albumin: Grade 3: \<2g/dL.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | ALT (n= 435, 431) | 11 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | Alkaline Phosphatase (n= 435, 430) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | AST (n = 435, 430) | 11 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | Total Bilirubin (n = 435, 431) | 192 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | Albumin (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | Total Bilirubin (n = 435, 431) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | ALT (n= 435, 431) | 7 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | Albumin (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | Alkaline Phosphatase (n= 435, 430) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 | AST (n = 435, 430) | 5 Participants |
Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48
Renal function test abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: Blood urea nitrogen (BUN): Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; Creatinine: Grade 3: 3.1 - 6\*ULN, Grade 4: \>6\*ULN; low phosphorous (hypophosphatemia): Grade 3: 1.0- 1.4 mg/dL, Grade 4: \<1.0mg/dL; high uric acid (hyperuricemia): Grade 3: 12.1 - 15.0 mg/dL, Grade 4: \>15.0 mg/dL.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | BUN (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | Phosphorus (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | Creatinine (n = 435, 431) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | Uric acid (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | Creatinine (n = 435, 431) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | BUN (n = 435, 431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | Uric acid (n = 435, 431) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 | Phosphorus (n = 435, 431) | 1 Participants |
Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96
Renal function test abnormalities were graded as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria were: BUN: Grade 3: 5.1- 10\*ULN, Grade 4: \>10\*ULN; Creatinine: Grade 3: 3.1 - 6\*ULN, Grade 4: \>6\*ULN; low phosphorous (hypophosphatemia): Grade 3: 1.0- 1.4 mg/dL, Grade 4: \<1.0mg/dL; high uric acid (hyperuricemia): Grade 3: 12.1 - 15.0 mg/dL, Grade 4: \>15.0 mg/dL.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | BUN (n = 435,431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | Phosphorous (n = 435, 431) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | Creatine (n = 435, 431) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | Uric acid (n = 435, 431) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | Creatine (n = 435, 431) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | BUN (n = 435,431) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | Uric acid (n = 435, 431) | 4 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 | Phosphorous (n = 435, 431) | 1 Participants |
Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96
Laboratory measurements marked as abnormal, as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria in serum enzymes were: CPK: Grade 3: 5.1 - 10.0 \* ULN, Grade 4: \>10\* ULN; Lipase: Grade 3: 2.10 - 5.0\* ULN, Grade 4: 5.0\* ULN.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96 | CPK (n=435, 430) | 34 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96 | Lipase (n=435, 430) | 9 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96 | CPK (n=435, 430) | 28 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96 | Lipase (n=435, 430) | 9 Participants |
Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48
Laboratory measurements marked as abnormal, as per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe). Grade 3 and 4 criteria in serum enzymes were: Creatine phosphokinase (CPK): Grade 3: 5.1 - 10.0 \* upper limit of normal (ULN), Grade 4: \>10\* ULN; Lipase: Grade 3: 2.10 - 5.0\* ULN, Grade 4: 5.0\* ULN.
Time frame: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population.The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48 | CPK (n = 435, 430) | 22 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48 | Lipase (n = 435, 430) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48 | CPK (n = 435, 430) | 20 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48 | Lipase (n = 435, 430) | 6 Participants |
Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in urinalysis: Proteinuria: Grade 3: 4= or \>2-3.5 g loss/day, Grade 4: \>3.5 g loss/day.
Time frame: At Screening (Day -30), Baseline (Day 1), Week 4, 12, 24, 36, and 48.
Population: Safety analyses of the treatment period are based on treated population. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48 | Glycosuria (n = 434, 431) | 4 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48 | Proteinuria (n = 434, 431) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48 | Glycosuria (n = 434, 431) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48 | Proteinuria (n = 434, 431) | 1 Participants |
Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96
Laboratory measurements marked as abnormal, per modified WHO criteria (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = very severe), at any study time point. The following Grade 3 and 4 definitions specify the criteria for MAs in urinalysis: Proteinuria: Grade 3: 4= or \>2-3.5 g loss/day, Grade 4: \>3.5 g loss/day.
Time frame: At screening (Day -30), baseline (Day 1), Week 4, 12, 24, 36, 48, 60, 72, 84 and 96.
Population: Safety analyses of the treatment period are based on treated population.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96 | Proteinuria (n = 434, 431) | 5 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96 | Glycosuria (n = 434, 431) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96 | Glycosuria (n = 434, 431) | 5 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96 | Proteinuria (n = 434, 431) | 6 Participants |
Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96
Virologic failure participants defined as participants who were never suppressed (HIV RNA \< 400 c/mL) and on study through Week 48, or who rebounded to HIV RNA ≥ 400 c/mL, and those who discontinued due to insufficient viral load response using CVR (NC=F). IAS-USA=International AIDS Society-United States of America, PI=protease inhibitor, RTI=reverse transcription inhibitor, TAMS=Thymidine Analogue-Associated Mutations, NRTI=non-nucleotide reverse transcriptase inhibitor, M184/V= Methionine-to-valine mutation at position 184 (in reverse transcription \[RT\] gene), FC=fold change
Time frame: Baseline (Day 1) and Week 96.
Population: Resistance analysis are based on randomized population. 2 subjects with baseline phenotypic resistance to ATV/RTV are excluded. Paired baseline and on-study HIV samples tested for genotypic resistance and phenotypic resistance. n signifies the number of participants evaluable for each parameter.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | Virologic Failure, Week 96 (HIV RNA >= 400 c/mL) | 28 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | Paired Genotypes (n = 28, 29) | 26 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | Paired Phenotypes (n= 28, 29) | 25 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | IAS-USA major PI substitutions (n = 26, 26) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | IAS-USA minor PI substitutions (n = 26, 26) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI polymorphisms without IAS-USA (n=26, 26) | 11 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI phenotypic resistance (ATV/RTV FC >5.2 (25, 23) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI phenotypic resistance (LPV/RTV FC>9 (25,23) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI phenotypic resistance (Other PIs [25, 23]) | 3 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | NRTI substitutions (TAMS [26, 26]) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | NRTI substitutions (M184I/V [26, 26]) | 5 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | RTI phenotypic resistance (FC [n = 25, 23]) | 5 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | RTI phenotypic resistance (TDF [n = 25, 23]) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | RTI phenotypic resistance (Other NRTI [n =25, 23]) | 5 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | NRTI substitutions (M184I/V [26, 26]) | 7 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | Virologic Failure, Week 96 (HIV RNA >= 400 c/mL) | 29 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI phenotypic resistance (LPV/RTV FC>9 (25,23) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | Paired Genotypes (n = 28, 29) | 26 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | RTI phenotypic resistance (TDF [n = 25, 23]) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | Paired Phenotypes (n= 28, 29) | 23 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI phenotypic resistance (Other PIs [25, 23]) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | IAS-USA major PI substitutions (n = 26, 26) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | RTI phenotypic resistance (FC [n = 25, 23]) | 5 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | IAS-USA minor PI substitutions (n = 26, 26) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | NRTI substitutions (TAMS [26, 26]) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI polymorphisms without IAS-USA (n=26, 26) | 14 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | RTI phenotypic resistance (Other NRTI [n =25, 23]) | 6 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 | PI phenotypic resistance (ATV/RTV FC >5.2 (25, 23) | 0 Participants |
Percentage of Participants With Lipoatrophy at Week 96
Lipoatrophy, redistribution of body fat was defined as \>= 20% decrease in limb fat. The percentage of participants with lipoatrophy from baseline was determined.
Time frame: Baseline (Day 1) and Week 96
Population: As-treated participants in the lipodystrophy substudy who participated and signed the informed consent for the substudy, and who had values for this parameter.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Percentage of Participants With Lipoatrophy at Week 96 | 5 percentage of participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Percentage of Participants With Lipoatrophy at Week 96 | 7 percentage of participants |
Reduction of log10 HIV RNA Levels From Baseline at Week 96
Changes from baseline in log10 HIV RNA levels were calculated.
Time frame: Baseline (Day 1) and Week 96
Population: Efficacy analyses of the treatment period are based on as-randomized population with values for this parameter. log10 HIV RNA changes from baseline were summarized at Week 96 using observed values.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Reduction of log10 HIV RNA Levels From Baseline at Week 96 | -3.21 c/mL | Standard Error 0.034 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Reduction of log10 HIV RNA Levels From Baseline at Week 96 | -3.19 c/mL | Standard Error 0.036 |
Reduction of log10 HIV RNA Levels From Baseline to Week 48
Changes from baseline in log10 HIV RNA levels were calculated.
Time frame: Baseline (Day 1) and Week 48
Population: All treated participants with data for this parameter.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Reduction of log10 HIV RNA Levels From Baseline to Week 48 | -3.09 c/mL | Standard Error 0.042 |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Reduction of log10 HIV RNA Levels From Baseline to Week 48 | -3.13 c/mL | Standard Error 0.037 |
Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48
Participants with virologic failure are those who never suppressed (HIV RNA \<400 c/mL) and were on study through Week 48, or who rebounded to HIV RNA \>= 400 c/mL and those who discontinued due to insufficient viral load response. IAS=International AIDS Society, PI=protease inhibitor, RTI=reverse transcription inhibitor, TAMS=Thymidine Analogue-Associated Mutations, NRTI=non-nucleotide reverse transcriptase inhibitor, M184V= Methionine-to-valine mutation at position 184 (in reverse transcription \[RT\] gene), FC=fold change
Time frame: Baseline (Day 1) and Week 48
Population: Paired baseline and on-study HIV samples tested for genotypic resistance and phenotypic resistance. The 'n' is signifying those participants who received study drug and were evaluated for this measure at the timepoint for each group respectively.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Paired Phenotypes (n= 27, 26) | 18 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | PI phenotypic resistance (LPV/RTV FC >9 (n=18, 16) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI phenotypic resistance, TDF FC >1.4(n = 18, 16) | 0 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | PI phenotypic resistance (Other PIs )(n=18, 16) | 4 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | IAS-defined major PI substitutions (n = 17, 15) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI Substitutions , TAMS (n= 17,15) | 1 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Paired Genotypes (n = 27, 26) | 17 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI Substitutions , M184V (n = 17,15) | 3 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Other IAS-defined PI substitutions (n = 17, 15) | 6 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI phenotypic resistance, FTC FC>3.5 (n = 18, 16) | 4 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Virologic Failure, Week 48 (HIV RNA >= 400 c/mL) | 27 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI phenotypic resistance, Other NRTIs(n = 18, 16) | 5 Participants |
| ATV 300 mg QD + RTV 100 mg QD + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | PI phenotypic resistance (ATV/RTV FC>5.2 (n=18,16) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI phenotypic resistance, Other NRTIs(n = 18, 16) | 5 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Virologic Failure, Week 48 (HIV RNA >= 400 c/mL) | 26 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Paired Genotypes (n = 27, 26) | 15 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Paired Phenotypes (n= 27, 26) | 16 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | IAS-defined major PI substitutions (n = 17, 15) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | Other IAS-defined PI substitutions (n = 17, 15) | 2 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | PI phenotypic resistance (ATV/RTV FC>5.2 (n=18,16) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | PI phenotypic resistance (LPV/RTV FC >9 (n=18, 16) | 0 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | PI phenotypic resistance (Other PIs )(n=18, 16) | 4 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI Substitutions , TAMS (n= 17,15) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI Substitutions , M184V (n = 17,15) | 3 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI phenotypic resistance, TDF FC >1.4(n = 18, 16) | 1 Participants |
| LPV 400mg BID + RTV 100mg BID + TDF 300 mg QD + FTC 200 mg QD | Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 | RTI phenotypic resistance, FTC FC>3.5 (n = 18, 16) | 3 Participants |