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Induction/Simplification With Atazanavir + Ritonavir + Abacavir/Lamivudine Fixed-Dose Combination In HIV-1 Infection

See Detailed Description

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00440947
Enrollment
515
Registered
2007-02-27
Start date
2007-03-31
Completion date
2010-07-31
Last updated
2012-03-22

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

Conditions

HIV Infection, Infection, Human Immunodeficiency Virus I

Keywords

NORVIR, ARIES, EPZICOM, REYATAZ, HIV, simplification, Antiretroviral-naive

Brief summary

This study was designed to test the efficacy, safety, tolerability and durability of the antiviral response between atazanavir (ATV) + ritonavir (/r) + abacavir/lamivudine(ABC/3TC) Fixed dose combination (FDC) each administered once daily (QD) for 36 weeks followed by randomization to either a simplification regimen of ATV or continuation of ATV +/r for an additional 48 weeks, each in combination with ABC/3TC in antiretroviral (ART)-naive, HIV-1 infected, HLA-B\*5701 negative subjects. All subjects who complete the 84-week study will be eligible to enter the treatment extension phase and continue for an additional 60 weeks. The purpose of this extension is to obtain longer term treatment data in subjects who have completed the 84-week study.

Detailed description

Safety and Efficacy of an Initial Regimen of Atazanavir (ATV) + Ritonavir (/r) + the Abacavir/Lamivudine Fixed-Dose Combination Tablet (ABC/3TC FDC) for 36 weeks followed by Simplification to Atazanavir with ABC/3TC FDC or Maintenance of the Initial Regimen for an Additional 48 weeks in Antiretroviral-Naive HIV-1 Infected HLA-B\*5701 Negative Subjects followed by an Optional 60-Week Treatment Extension Phase

Interventions

DRUGAbacavir (ABC)/lamivudine (3TC) + atazanavir (ATV) + ritonavir (/r)

Abacavir (ABC)/lamivudine (3TC) FDC + atazanavir (ATV)+ ritoanvir (/r) for 36weeks followed by ABC/3TC + ATV + /r for 48wks followed by optional treatment extension for 60 weeks on the same regimen

DRUGAbacavir (ABC)/lamivudine (3TC) + atazanavir (ATV)

Abacavir (ABC)/lamivudine (3TC) FDC + atazanavir (ATV) + ritonavir (/r) for 36 weeks followed by ABC/3TC + ATV for 48wks followed by optional treatment extension for 60 weeks on the same regimen

Sponsors

GlaxoSmithKline
CollaboratorINDUSTRY
ViiV Healthcare
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Subject is ≥ 18 years of age and has documented evidence of HIV-1 infection. (A female is eligible to enter and participate in this study if she is of: non child-bearing potential, child bearing potential with a negative pregnancy test and agrees to approved contraception methods, or agreement for complete abstinence.) * Subject is antiretroviral-naïve (defined as having ≤14 days of prior therapy with any NRTI and no prior therapy with either a PI or NNRTI). * Subject has plasma HIV-1 RNA ≥ 1,000 copies/mL by Roche COBAS AMPLICOR™ (Version 1.5) method at screening (if no other documentation of HIV infection is available, a positive result here may serve as documentation of HIV infection for this study). * Subject is willing and able to understand and provide written informed consent prior to participation in this study.

Exclusion criteria

* Subject is HLA-B\*5701 positive. * Subject testing positive for Hepatitis B or both Hepatitis B and Hepatitis C at screening (+ HbsAg) * Genotyping results performed at the screening indicate that the subject has any of the following mutations at the reverse transcriptase (RT) enzyme: K65R, L74V, or Y115F, or a combination of two or more thymidine analog mutations (M41L, D67N, K70R, K219Q or E) that include changes at either L210 or T215, or ≥ 3 of the following protease mutations associated with atazanavir resistance: D30, V32, M36, M46, I47, G48, I50, I54, A71, G73, V77, V82, I84, N88, and L90. * Women who are pregnant or breastfeeding. * Subject has an active or acute CDC Clinical Category C event at screening. Treatment for the acute event must have been completed at least 30 days prior to screening. * Subject is, in the opinion of the investigator, unable to complete the 84-week dosing period and protocol evaluations and assessments. * Subject has ongoing clinically relevant pancreatitis or clinically relevant hepatitis at screening. * Presence of a newly diagnosed HIV-related opportunistic infection or any medical condition requiring acute therapy at the time of enrollment. * Subject suffers from a serious medical condition, such as diabetes, congestive heart failure, cardiomyopathy or other cardiac dysfunction (including known, clinically significant cardiac conduction system disease, severe first degree atrioventricular block \[PR interval \> 0.26 seconds\], second or third-degree atrioventricular block), which in the opinion of the investigator would compromise the safety of the subject. * Subject has pre-existing mental, physical, or substance abuse disorder, which in the opinion of the investigator would interfere with the subject's ability to comply with the dosing schedule and protocol evaluations and assessments. * Subject has a history of inflammatory bowel disease or malignancy, intestinal ischemia, malabsorption, or other gastrointestinal dysfunction, which may interfere with drug absorption or render the subject unable to take oral medication. * Subject requires treatment with foscarnet, hydroxyurea or other agents with documented activity against HIV-1 in vitro within 28 days of study administration. * Subject requires treatment with immunomodulating agents (such as systemic corticosteroids, interleukins, vaccines, or interferons) within 28 days prior to screening, or subject had received an HIV-1 immunotherapeutic vaccine within 90 days prior to screening. Subjects using inhaled corticosteroids are eligible for enrollment. * Creatinine clearance \<50 mL/min via the Cockroft-Gault method \[Cockroft, 1976\]. * 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. * Hypersensitivity to any component of the study drugs. * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>5 times the upper limit of normal (ULN). * Total bilirubin \> 1.5 times the upper limit of normal (ULN). * Subject has any acute laboratory abnormality at screening, which, in the opinion of the investigator, would preclude the subject's participation in the study of an investigational compound. Any grade 4 laboratory abnormality would exclude a subject from study participation. * Subject requires treatment with radiation therapy or cytotoxic chemotherapeutic agents within 28 days prior to screening, or has an anticipated need for these agents within the study period. * Enrolled in one or more investigational drug protocols, which may have impacted HIV-1 RNA suppression. * Prisoners or subjects 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. * Subjects requiring concomitant administration of proton pump inhibitors. * Subjects who require treatment with the prohibited medications within 28 days of commencement of investigational product, or an anticipated need during the study. Eligibility Criteria for Treatment Extension Phase: -Subjects will be eligible to continue in the treatment extension phase (Weeks 84 to 144) if they have successfully completed the 84-week study.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 VisitWeek 84The percentage of PAR with HIV-1 RNA virus \<50 c/ml determined from a blood sample drawn at Week 84 was tabulated by treatment arm with stratification by baseline HIV-1 RNA (\<100,000 c/ml and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed viral load \<50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA \<50 c/ml, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 50 c/ml, or had an unconfirmed HIV RNA of at least 50 c/ml at last visit.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 VisitWeek 36The percentage of PAR with HIV-1 RNA virus \<50 c/ml from a Week 36 blood sample was tabulated. Per TLOVR algorithm, responders were PAR with confirmed viral load \<50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA \<50 c/ml, prematurely discontinued (DC) study or study medication (any reason), had confirmed rebound to \>=50 c/ml, or had an unconfirmed HIV RNA \>=50 c/ml at last visit. ITT-E observed analysis (Obs): all observed data. ITT-E M/D=F analysis: PAR with missing data/data collected after study medication DC were failures.
Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 VisitWeek 84A blood sample was drawn to determine the amount of HIV-1 RNA virus in c/ml at Week 84. The percentage of participants with HIV-1 RNA \<50 c/ml at Week 84 was tabulated. The secondary analysis methods were: Observed (Obs; uses all visits with data in the analysis period), and missing/discontinuation=failure (M/D=F) analyses. M/D=F: participants with missing data or data collected after study medication DC were considered failures.
Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 VisitWeek 144Percentage of PAR with HIV-1 RNA \<50 c/ml at Week 144 was tabulated; stratified by baseline HIV-1 RNA (\<100,000 and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV RNA \<50 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA \<50 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to \>=50 c/ml, or had an unconfirmed HIV RNA \>=50 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.
Percentage of Participants Who Achieved Plasma HIV-1 RNA <400 c/ml at the Week 36 VisitWeek 36The percentage of PAR with HIV-1 RNA virus \<400 c/ml from a Week 36 blood sample was tabulated. Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV RNA \<400 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved CF HIV RNA \<400 c/ml, prematurely discontinued (DC) study or study medication (Med; any reason), had CF rebound to \>=400 c/ml, or had an unconfirmed HIV RNA \>=400 c/ml at last visit. ITT-E observed analysis (Obs): all observed data. ITT-E M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.
Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 VisitWeek 84Percentage of PAR with HIV-1 RNA \<400 c/ml at Week 84 was tabulated; stratified by baseline HIV-1 RNA (\<100,000 and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV-RNA \<400 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA \<400 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to \>=400 c/ml, or had an unconfirmed HIV RNA \>=400 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.
Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 VisitWeek 144Percentage of PAR with HIV-1 RNA \<400 c/ml at Week 144 was tabulated; stratified by baseline HIV-1 RNA (\<100,000 and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV-RNA \<400 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA \<400 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to \>=400 c/ml, or had an unconfirmed HIV RNA \>=400 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.
Number of Participants Who Met the Protocol-defined Virologic Failure (PDVF) Criteria at Week 36Week 36The number of participants that failed to respond to therapy through 36 weeks on treatment, based on the protocol definition of virologic failure (PDVF), was tabulated. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA \<400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound \>=400 c/ml after achieving HIV-1 \<400 c/ml.
Number of Participants Who Met the PDVF Criteria at Week 84Week 84The number of participants that failed to respond to therapy from the time of treatment randomization through Week 84, based on the protocol definition of virologic failure (PDVF), was tabulated. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA \<400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound \>=400 c/ml after achieving HIV-1 \<400 c/ml.
Number of Participants Who Met the PDVF Criteria at Week 144Week 144The number of participants enrolled in the extension phase that failed to respond to therapy from Week 84 through Week 144, based on the protocol definition of virologic failure (PDVF) was tabulated,. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA \<400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound \>=400 c/ml after achieving HIV-1 \<400 c/ml.
Change From Baseline in HIV-1 RNA at Week 36Baseline and Week 36Change from baseline was calculated as the Week 36 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load.
Change From Baseline in HIV-1 RNA at Week 84Baseline and Week 84Change from baseline was calculated as the Week 84 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load.
Change From Baseline in HIV-1 RNA at Week 144Baseline and Week 144Change from baseline was calculated as the Week 144 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load.
Mean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized PhaseBaseline of Randomized PhaseThe mean age of participants randomized to treatment in the Randomized Phase was calculated at Baseline.
Change From Baseline in CD4+ Cell Count at Week 84Baseline and Week 84A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 84 value minus the baseline value. Blood was drawn to analyze for CD4+ cell count.
Change From Baseline in CD4+ Cell Count at Week 144Baseline and Week 144A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 144 value minus the baseline value. Blood was drawn to analyze for CD4+ cell count.
Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36Baseline through Week 36A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New resistance-associated mutations (defined by the International AIDS Society-USA guidelines) that developed at the time of failure were tabulated by drug class. PAR, participants; VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor.
Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84Randomization at Week 36 through Week 84A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New International AIDs Society-USA defined resistance mutations that developed at the time of failure were tabulated by drug class. VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor.
Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144Week 84 through Week 144A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New International AIDs Society-USA defined resistance mutations that developed at the time of failure were tabulated by drug class. VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor.
Number of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirBaseline through Week 36A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant.
Number of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirRandomization at Week 36 through Week 84A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant.
Number of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirWeek 84 through Week 144A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant.
Mean Percent Compliance at Week 36Week 36Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen.
Mean Percent Compliance at Week 84Week 84Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen.
Mean Percent Compliance at Week 144Week 144Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen.
Change From Baseline in CD4+ Cell Count at Week 36Baseline and Week 36Blood was drawn to analyze for CD4+ cell count. A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 36 value minus the baseline value.

Countries

Canada, Puerto Rico, United States

Participant flow

Recruitment details

Participants (PAR) were recruited at 66 centers in the United States of America and Canada. HIV-RNA, human immunodeficiency virus-ribonucleic acid; ml, milliliters.

Pre-assignment details

The study had a 36-week Non-randomized Induction Phase, followed by an 84-week Randomized Phase. All PAR completing 84 weeks were eligible to enter an optional 60-week extension phase (EP); some PAR chose not to continue in the EP. PAR whose HIV-RNA wasn't \<50 copies/ml before Week 36 weren't allowed to randomize at Week 36 and were withdrawn.

Participants by arm

ArmCount
ABC/3TC + ATV/r
All participants starting the Induction Phase: ABC 600 mg/3TC 300 mg FDC tablet QD plus ATV 300 mg QD + /r 100 mg QD during the first 36 weeks of the study (planned interim analysis)
515
Total515

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
36-Week Induction PhaseAdverse Event160000
36-Week Induction PhaseFleeing Police; Outstanding Warrants10000
36-Week Induction PhaseGenotype Had Exclusionary Mutations10000
36-Week Induction PhaseIncarceration30000
36-Week Induction PhaseInsufficient Viral Load Response110000
36-Week Induction PhaseKaposi Lesions Requiring Chemotherapy10000
36-Week Induction PhaseLost to Follow-up160000
36-Week Induction PhaseNon-compliance100000
36-Week Induction PhasePregnancy10000
36-Week Induction PhaseProtocol-defined Virologic Failure50000
36-Week Induction PhaseTook Exclusionary Medications10000
36-Week Induction PhaseWithdrawal by Subject70000
48-Week Randomization PhaseAdverse Event02500
48-Week Randomization PhaseIncarceration03000
48-Week Randomization PhaseLost to Follow-up02800
48-Week Randomization PhaseNon-compliance03400
48-Week Randomization PhasePhysician Decision02000
48-Week Randomization PhasePregnancy00100
48-Week Randomization PhaseProtocol-defined Virologic Failure01100
48-Week Randomization PhaseProtocol Violation00100
48-Week Randomization PhaseTrying to Get Pregnant01000
48-Week Randomization PhaseWithdrawal by Subject02400
Optional 60-Week Extension PhaseAdverse Event00013
Optional 60-Week Extension PhaseInsufficient Viral Load Response00011
Optional 60-Week Extension PhaseLost to Follow-up00099
Optional 60-Week Extension PhaseNon-compliance00011
Optional 60-Week Extension PhaseOther00010
Optional 60-Week Extension PhaseParticipant Moved00011
Optional 60-Week Extension PhaseParticipant Remained in Cuba00001
Optional 60-Week Extension PhasePhysician Decision00001
Optional 60-Week Extension PhasePregnancy00030
Optional 60-Week Extension PhaseProtocol-defined Virologic Failure00032
Optional 60-Week Extension PhaseProtocol Violation00010
Optional 60-Week Extension PhaseSponsor Request00011
Optional 60-Week Extension PhaseSponsor Terminated Site00033
Optional 60-Week Extension PhaseWithdrawal by Subject00043

Baseline characteristics

CharacteristicABC/3TC + ATV/r
Age Continuous38.3 Years
STANDARD_DEVIATION 10.03
Median Baseline CD4+ Cell Count199 cells per cubic millimeter
Median Baseline HIV-1 RNA Level5.076 log10 copies/ml
Number of participants with the indicated Baseline CD4+ Cell Count
CD4+ cells >=200
256 participants
Number of participants with the indicated Baseline CD4+ Cell Count
CD4+ cells <50
69 participants
Number of participants with the indicated Baseline CD4+ Cell Count
CD4+ cells 50-<200
190 participants
Number of participants with the indicated baseline HIV-RNA level
HIV-1 RNA <100,000
227 participants
Number of participants with the indicated baseline HIV-RNA level
HIV-1 RNA 100,000-<250,000
143 participants
Number of participants with the indicated baseline HIV-RNA level
HIV-1 RNA 250,000-<500,000
73 participants
Number of participants with the indicated baseline HIV-RNA level
HIV-1 RNA >=500,000
72 participants
Number of participants with the indicated Center for Disease Control (CDC) Classification
AIDS
65 participants
Number of participants with the indicated Center for Disease Control (CDC) Classification
Asymptomatic HIV Infection
353 participants
Number of participants with the indicated Center for Disease Control (CDC) Classification
Symptomatic (non-AIDS) condition
97 participants
Race/Ethnicity, Customized
African American/African Heritage
167 participants
Race/Ethnicity, Customized
American Indian or Alaskan Native
9 participants
Race/Ethnicity, Customized
Asian - Central/South Asian Heritage
4 participants
Race/Ethnicity, Customized
Asian - East Asian Heritage
3 participants
Race/Ethnicity, Customized
Asian - Japanese Heritage
1 participants
Race/Ethnicity, Customized
Asian - South East Asian Heritage
3 participants
Race/Ethnicity, Customized
Mixed Race
6 participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 participants
Race/Ethnicity, Customized
White - Arabic/North African Heritage
5 participants
Race/Ethnicity, Customized
White - White/Caucasian/European Heritage
316 participants
Sex: Female, Male
Female
86 Participants
Sex: Female, Male
Male
429 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
237 / 515116 / 210123 / 209123 / 189130 / 180
serious
Total, serious adverse events
39 / 51522 / 21022 / 20924 / 18924 / 180

Outcome results

Primary

Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 Visit

The percentage of PAR with HIV-1 RNA virus \<50 c/ml determined from a blood sample drawn at Week 84 was tabulated by treatment arm with stratification by baseline HIV-1 RNA (\<100,000 c/ml and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed viral load \<50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA \<50 c/ml, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 50 c/ml, or had an unconfirmed HIV RNA of at least 50 c/ml at last visit.

Time frame: Week 84

Population: Intent-to-Treat (ITT)-Exposed Population, Randomized Phase: all PAR exposed to at least one dose of study medication during the Randomized Phase of the study. The primary analysis method was time to loss of virologic response (TLOVR) for the proportion of PAR with HIV-1 RNA \<50 c/ml at Week 84 in the Simplification arm and Continuation arms

ArmMeasureValue (NUMBER)
ABC/3TC + ATV: Randomized PhasePercentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 Visit86 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 Visit81 percentage of participants
p-value: 0.1495% CI: [-1.8, 12.5]Cochran-Mantel-Haenszel
Secondary

Change From Baseline in CD4+ Cell Count at Week 144

A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 144 value minus the baseline value. Blood was drawn to analyze for CD4+ cell count.

Time frame: Baseline and Week 144

Population: ITT-Extension Population, Extension Phase. Observed Population. Participants withdrew as the study progressed; participants could only be included in the analysis if they had completed a Week 144 visit and had a cell count obtained during that visit period.

ArmMeasureValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseChange From Baseline in CD4+ Cell Count at Week 144317.7 cells/millimeters cubed (mm^3)Standard Deviation 161.98
ABC/3TC + ATV/r: Randomized PhaseChange From Baseline in CD4+ Cell Count at Week 144325.1 cells/millimeters cubed (mm^3)Standard Deviation 178.29
Secondary

Change From Baseline in CD4+ Cell Count at Week 36

Blood was drawn to analyze for CD4+ cell count. A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 36 value minus the baseline value.

Time frame: Baseline and Week 36

Population: ITT-E Population, Induction Phase. Observed Population. Participants withdrew as the study progressed; participants could only be included in the analysis if they had completed a Week 36 visit and had a cell count obtained during that visit period.

ArmMeasureValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseChange From Baseline in CD4+ Cell Count at Week 36185.4 cells/millimeters cubed (mm^3)Standard Deviation 121.84
Secondary

Change From Baseline in CD4+ Cell Count at Week 84

A CD4+ cell is a T lymphocyte that carries the CD4 antigen. Immunologic response was assessed by CD4+ counts. Change from baseline was calculated as the Week 84 value minus the baseline value. Blood was drawn to analyze for CD4+ cell count.

Time frame: Baseline and Week 84

Population: ITT-E Population, Randomized Phase. Observed Population. Participants withdrew as the study progressed; participants could only be included in the analysis if they had completed a Week 84 visit and had a cell count obtained during that visit period.

ArmMeasureValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseChange From Baseline in CD4+ Cell Count at Week 84265.7 cells/millimeters cubed (mm^3)Standard Deviation 157.65
ABC/3TC + ATV/r: Randomized PhaseChange From Baseline in CD4+ Cell Count at Week 84282.9 cells/millimeters cubed (mm^3)Standard Deviation 150.49
Secondary

Change From Baseline in HIV-1 RNA at Week 144

Change from baseline was calculated as the Week 144 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load.

Time frame: Baseline and Week 144

Population: ITT-Extension Population, Extension Phase. Observed Population. Participants withdrew as the study progressed; participants could only be included in the analysis if they had completed a Week 144 visit and had a viral load result obtained during that visit period.

ArmMeasureValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseChange From Baseline in HIV-1 RNA at Week 144-3.291 log10 c/mlStandard Deviation 0.675
ABC/3TC + ATV/r: Randomized PhaseChange From Baseline in HIV-1 RNA at Week 144-3.239 log10 c/mlStandard Deviation 0.835
Secondary

Change From Baseline in HIV-1 RNA at Week 36

Change from baseline was calculated as the Week 36 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load.

Time frame: Baseline and Week 36

Population: ITT-E Population, Induction Phase. Observed Population. Participants could only be included in the analysis if they had completed a Week 36 visit and had a viral load result obtained during that visit period.

ArmMeasureValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseChange From Baseline in HIV-1 RNA at Week 36-3.241 log10 c/mlStandard Deviation 0.775
Secondary

Change From Baseline in HIV-1 RNA at Week 84

Change from baseline was calculated as the Week 84 value minus the baseline value. Blood was drawn to analyze for plasma HIV viral load.

Time frame: Baseline and Week 84

Population: ITT-E Population, Randomized Phase. Observed Population. Participants withdrew as the study progressed; participants could only be included in the analysis if they had completed a Week 84 visit and had a viral load result obtained during that visit period.

ArmMeasureValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseChange From Baseline in HIV-1 RNA at Week 84-3.261 log10 c/mlStandard Deviation 0.681
ABC/3TC + ATV/r: Randomized PhaseChange From Baseline in HIV-1 RNA at Week 84-3.270 log10 c/mlStandard Deviation 0.698
Secondary

Mean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized Phase

The mean age of participants randomized to treatment in the Randomized Phase was calculated at Baseline.

Time frame: Baseline of Randomized Phase

Population: ITT-E Population: all participants exposed to at least one dose of study medication during the Randomized Simplification Phase

ArmMeasureValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseMean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized Phase37.5 yearsStandard Deviation 10.23
ABC/3TC + ATV/r: Randomized PhaseMean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized Phase39.7 yearsStandard Deviation 9.71
Secondary

Mean Percent Compliance at Week 144

Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen.

Time frame: Week 144

Population: ITT-Extension Population, Extension Phase. Participants with an unknown number of pills returned (including those whose pill bottles were not returned) were not included in this analysis.

ArmMeasureGroupValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 144Ritonavir93.3 percent complianceStandard Deviation 11.07
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 144Atazanavir99.1 percent complianceStandard Deviation 4.54
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 144Abacavir/Lamivudine92.0 percent complianceStandard Deviation 12.65
ABC/3TC + ATV/r: Randomized PhaseMean Percent Compliance at Week 144Ritonavir90.1 percent complianceStandard Deviation 14.58
ABC/3TC + ATV/r: Randomized PhaseMean Percent Compliance at Week 144Atazanavir91.4 percent complianceStandard Deviation 13.99
ABC/3TC + ATV/r: Randomized PhaseMean Percent Compliance at Week 144Abacavir/Lamivudine90.1 percent complianceStandard Deviation 15.35
Secondary

Mean Percent Compliance at Week 36

Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen.

Time frame: Week 36

Population: ITT-E Population, Induction Phase. Participants with an unknown number of pills returned (including those whose pill bottles were not returned) were not included in this analysis.

ArmMeasureGroupValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 36Abacavir/Lamivudine92.2 percent complianceStandard Deviation 13.05
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 36Ritonavir92.3 percent complianceStandard Deviation 12.15
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 36Atazanavir92.7 percent complianceStandard Deviation 12.5
Secondary

Mean Percent Compliance at Week 84

Percent compliance is defined as the total number of pills taken divided by the total number of pills prescribed. The total number of pills taken was calculated by subtracting any returned pills from the total number of pills that were dispensed to each participant during this period. Compliance was calculated for each medication in the regimen.

Time frame: Week 84

Population: ITT-E Population, Randomized Phase. Participants with an unknown number of pills returned (including those whose pill bottles were not returned) were not included in this analysis.

ArmMeasureGroupValue (MEAN)Dispersion
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 84Abacavir/Lamivudine92.0 percent complianceStandard Deviation 11.62
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 84Ritonavir92.9 percent complianceStandard Deviation 11.64
ABC/3TC + ATV: Randomized PhaseMean Percent Compliance at Week 84Atazanavir98.9 percent complianceStandard Deviation 5.32
ABC/3TC + ATV/r: Randomized PhaseMean Percent Compliance at Week 84Abacavir/Lamivudine91.2 percent complianceStandard Deviation 13.49
ABC/3TC + ATV/r: Randomized PhaseMean Percent Compliance at Week 84Ritonavir91.5 percent complianceStandard Deviation 12.23
ABC/3TC + ATV/r: Randomized PhaseMean Percent Compliance at Week 84Atazanavir92.4 percent complianceStandard Deviation 11.89
Secondary

Number of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir

A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant.

Time frame: Baseline through Week 36

Population: Participants in the ITT-E Population (Induction Phase) who met the confirmed virologic failure (CVF) criteria with paired baseline and virologic failure phenotypic evaluations. One participant met CVF criteria at Week 36 and was randomized; these results are included in both the Week 36 and the Randomization through Week 84 results.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced abacavir susceptibility0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced lamivudine susceptibility1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced atazanavir susceptibility0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Baseline Through Week 36 With Treatment-emergent Reductions in Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced ritonavir susceptibility0 participants
Secondary

Number of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir

A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant.

Time frame: Randomization at Week 36 through Week 84

Population: Participants in the ITT-E population (Randomized Phase) who met the confirmed virologic failure (CVF) criteria with paired baseline and virologic failure phenotypic evaluations. One participant met CVF criteria at Week 36 and was randomized; these results are included in both the Week 36 and the Randomization through Week 84 results.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced abacavir susceptibility0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced lamivudine susceptibility1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced atazanavir susceptibility0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced ritonavir susceptibility0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced ritonavir susceptibility0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced abacavir susceptibility0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced atazanavir susceptibility0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Randomization at Week 36 Through Week 84 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced lamivudine susceptibility0 participants
Secondary

Number of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or Ritonavir

A blood sample was drawn for participants failing to respond to therapy, and changes in drug susceptibility for HIV isolated from the participants for each drug used in the study were assessed. For each participant, the changes in drug susceptibility detected by phenotypic assay in virus from the sample collected at the time of failure was compared with drug susceptibility in the virus from the blood sample at baseline. PAR, participant.

Time frame: Week 84 through Week 144

Population: Participants in the ITT-Extension Population (Extension Phase) who met the confirmed virologic failure criteria with paired baseline and virologic failure phenotypic evaluations

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced abacavir susceptibility0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced lamivudine susceptibility1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced atazanavir susceptibility0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced ritonavir susceptibility0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced ritonavir susceptibility1 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced abacavir susceptibility1 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced atazanavir susceptibility1 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants From Week 84 Through Week 144 With Treatment-emergent Reductions in HIV Susceptibility to Abacavir, Lamivudine, Atazanavir, or RitonavirPAR with reduced lamivudine susceptibility1 participants
Secondary

Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36

A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New resistance-associated mutations (defined by the International AIDS Society-USA guidelines) that developed at the time of failure were tabulated by drug class. PAR, participants; VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor.

Time frame: Baseline through Week 36

Population: Participants in the ITT-E Population (Induction Phase) who met the confirmed virologic failure (CVF) criteria with paired baseline and virologic failure genotypic evaluations. One participant met CVF criteria at Week 36 and was randomized; these results are included in both the Week 36 and the Randomization through Week 84 results.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36PAR with paired genotypes at baseline and VF15 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36PAR with treatment-emergent mutations6 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36PAR with NRTI mutations4 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36PAR with NNRTI mutations1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36PAR with major PI mutations0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Baseline Through Week 36PAR with minor PI mutations2 participants
Secondary

Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84

A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New International AIDs Society-USA defined resistance mutations that developed at the time of failure were tabulated by drug class. VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor.

Time frame: Randomization at Week 36 through Week 84

Population: Participants in the ITT-E Population (Randomized Phase) who met the confirmed virologic failure (CVF) criteria with paired baseline and virologic failure genotypic evaluations. One participant met CVF criteria at Week 36 and was randomized; these results are included in both the Week 36 and the Randomization through Week 84 results.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with paired genotypes at baseline and VF1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with treatment-emergent mutations1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with NRTI mutations1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with NNRTI mutations0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with major PI mutations0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with minor PI mutations0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with major PI mutations0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with paired genotypes at baseline and VF7 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with NNRTI mutations0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with treatment-emergent mutations2 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with minor PI mutations2 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Randomization at Week 36 Through Week 84PAR with NRTI mutations0 participants
Secondary

Number of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144

A blood sample was drawn for participants failing to respond to therapy, and the mutations present in the virus were identified. For each participant, the mutations found at the time of failure were compared with any mutations found in the blood sample at baseline. New International AIDs Society-USA defined resistance mutations that developed at the time of failure were tabulated by drug class. VF, virologic failure; NRTI, nucleoside reverse transcriptase inhibitor; NNRTI, non-nucleoside reverse transcriptase inhibitor; PI, protease inhibitor.

Time frame: Week 84 through Week 144

Population: Participants in the ITT-Extension Population (Extension Phase) who met the confirmed virologic failure criteria with paired baseline and virologic failure genotypic evaluations.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with NNRTI mutations0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with NRTI mutations0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with major PI mutations0 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with treatment-emergent mutations2 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with minor PI mutations2 participants
ABC/3TC + ATV: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with paired genotypes at baseline and VF5 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with minor PI mutations1 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with paired genotypes at baseline and VF5 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with NRTI mutations1 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with NNRTI mutations0 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with major PI mutations1 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Confirmed Virologic Failure Participants With Treatment-emergent HIV Genotypic Resistance in Reverse Transcriptase and Protease From Week 84 Through Week 144PAR with treatment-emergent mutations1 participants
Secondary

Number of Participants Who Met the PDVF Criteria at Week 144

The number of participants enrolled in the extension phase that failed to respond to therapy from Week 84 through Week 144, based on the protocol definition of virologic failure (PDVF) was tabulated,. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA \<400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound \>=400 c/ml after achieving HIV-1 \<400 c/ml.

Time frame: Week 144

Population: ITT-Extension Population, Extension Phase. TLOVR.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 144Protocol-defined virologic failure5 participants
ABC/3TC + ATV: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 144Confirmed rebound after achieving <400 c/ml5 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 144Protocol-defined virologic failure6 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 144Confirmed rebound after achieving <400 c/ml6 participants
Secondary

Number of Participants Who Met the PDVF Criteria at Week 84

The number of participants that failed to respond to therapy from the time of treatment randomization through Week 84, based on the protocol definition of virologic failure (PDVF), was tabulated. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA \<400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound \>=400 c/ml after achieving HIV-1 \<400 c/ml.

Time frame: Week 84

Population: ITT-Exposed Population, Randomized Phase. TLOVR. One participant met PDVF criteria at Week 36 and was included in the Week 36 PDVF but had been randomized; this participant is therefore also included in this PDVF tabulation.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 84Protocol-defined virologic failure1 participants
ABC/3TC + ATV: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 84Confirmed rebound after achieving <400 c/ml1 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 84Protocol-defined virologic failure7 participants
ABC/3TC + ATV/r: Randomized PhaseNumber of Participants Who Met the PDVF Criteria at Week 84Confirmed rebound after achieving <400 c/ml7 participants
Secondary

Number of Participants Who Met the Protocol-defined Virologic Failure (PDVF) Criteria at Week 36

The number of participants that failed to respond to therapy through 36 weeks on treatment, based on the protocol definition of virologic failure (PDVF), was tabulated. PDVF was defined as (a) failure to achieve plasma HIV-1 RNA \<400 c/ml by Week 30 or (b) confirmed HIV-1 RNA rebound \>=400 c/ml after achieving HIV-1 \<400 c/ml.

Time frame: Week 36

Population: ITT-E Population, Induction Phase

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhaseNumber of Participants Who Met the Protocol-defined Virologic Failure (PDVF) Criteria at Week 36Protocol-defined virologic failure15 participants
ABC/3TC + ATV: Randomized PhaseNumber of Participants Who Met the Protocol-defined Virologic Failure (PDVF) Criteria at Week 36Failure to achieve <400 c/ml by Week 305 participants
ABC/3TC + ATV: Randomized PhaseNumber of Participants Who Met the Protocol-defined Virologic Failure (PDVF) Criteria at Week 36Confirmed rebound after achieving <400 c/ml10 participants
Secondary

Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 Visit

Percentage of PAR with HIV-1 RNA \<400 c/ml at Week 144 was tabulated; stratified by baseline HIV-1 RNA (\<100,000 and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV-RNA \<400 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA \<400 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to \>=400 c/ml, or had an unconfirmed HIV RNA \>=400 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.

Time frame: Week 144

Population: ITT-Extension Population, Extension Phase

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 VisitTLOVR84 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 VisitObs99 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 VisitM/D=F84 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 VisitM/D=F82 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 VisitTLOVR80 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 144 VisitObs97 percentage of participants
Secondary

Percentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 Visit

Percentage of PAR with HIV-1 RNA \<400 c/ml at Week 84 was tabulated; stratified by baseline HIV-1 RNA (\<100,000 and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV-RNA \<400 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA \<400 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to \>=400 c/ml, or had an unconfirmed HIV RNA \>=400 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.

Time frame: Week 84

Population: ITT-E Population, Randomized Phase

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 VisitTLOVR92 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 VisitObs99 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 VisitM/D=F92 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 VisitTLOVR86 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 VisitObs98 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved HIV-1 RNA <400 c/ml at the Week 84 VisitM/D=F87 percentage of participants
Secondary

Percentage of Participants Who Achieved Plasma HIV-1 RNA <400 c/ml at the Week 36 Visit

The percentage of PAR with HIV-1 RNA virus \<400 c/ml from a Week 36 blood sample was tabulated. Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV RNA \<400 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved CF HIV RNA \<400 c/ml, prematurely discontinued (DC) study or study medication (Med; any reason), had CF rebound to \>=400 c/ml, or had an unconfirmed HIV RNA \>=400 c/ml at last visit. ITT-E observed analysis (Obs): all observed data. ITT-E M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.

Time frame: Week 36

Population: ITT-E Population, Induction Phase

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <400 c/ml at the Week 36 VisitTLOVR82 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <400 c/ml at the Week 36 VisitObs98 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <400 c/ml at the Week 36 VisitM/D=F84 percentage of participants
Secondary

Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 Visit

Percentage of PAR with HIV-1 RNA \<50 c/ml at Week 144 was tabulated; stratified by baseline HIV-1 RNA (\<100,000 and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed (CF) HIV RNA \<50 c/ml who had not met any non-responder (NR) criterion. NR were PAR who never achieved CF HIV RNA \<50 c/ml, prematurely discontinued (DC) study or study medication (Med), had CF rebound to \>=50 c/ml, or had an unconfirmed HIV RNA \>=50 c/ml at last visit. Observed analysis (Obs): all observed data. M/D=F analysis: PAR with missing data/data collected after study Med DC were failures.

Time frame: Week 144

Population: ITT-Extension Population, Extension Phase: all participants exposed to at least one dose of study medication during the Extension Phase of the study

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 VisitTLOVR77 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 VisitObs95 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 VisitM/D=F80 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 VisitTLOVR73 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 VisitObs92 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 144 VisitM/D=F78 percentage of participants
Secondary

Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 Visit

The percentage of PAR with HIV-1 RNA virus \<50 c/ml from a Week 36 blood sample was tabulated. Per TLOVR algorithm, responders were PAR with confirmed viral load \<50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA \<50 c/ml, prematurely discontinued (DC) study or study medication (any reason), had confirmed rebound to \>=50 c/ml, or had an unconfirmed HIV RNA \>=50 c/ml at last visit. ITT-E observed analysis (Obs): all observed data. ITT-E M/D=F analysis: PAR with missing data/data collected after study medication DC were failures.

Time frame: Week 36

Population: ITT-E Population, Induction Phase: all participants exposed to at least one dose of study medication during the Induction Phase of the study

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 VisitTLOVR80 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 VisitObs88 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 VisitM/D=F77 percentage of participants
Secondary

Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 Visit

A blood sample was drawn to determine the amount of HIV-1 RNA virus in c/ml at Week 84. The percentage of participants with HIV-1 RNA \<50 c/ml at Week 84 was tabulated. The secondary analysis methods were: Observed (Obs; uses all visits with data in the analysis period), and missing/discontinuation=failure (M/D=F) analyses. M/D=F: participants with missing data or data collected after study medication DC were considered failures.

Time frame: Week 84

Population: ITT-E Population, Randomized Phase. The secondary analysis methods were Observed (Obs) and missing/discontinuation=failure (M/D=F) analyses.

ArmMeasureGroupValue (NUMBER)
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 VisitObs92 percentage of participants
ABC/3TC + ATV: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 VisitM/D=F85 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 VisitObs92 percentage of participants
ABC/3TC + ATV/r: Randomized PhasePercentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 VisitM/D=F82 percentage of participants

Source: ClinicalTrials.gov · Data processed: Apr 1, 2026