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Prospective Observational Epidemiologic Study of Maraviroc's Safety

AN INTERNATIONAL, MULTICENTER, PROSPECTIVE OBSERVATIONAL STUDY OF THE SAFETY OF MARAVIROC USED WITH OPTIMIZED BACKGROUND THERAPY IN TREATMENT-EXPERIENCED HIV-1 INFECTED PATIENTS

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00665561
Acronym
POEM
Enrollment
2500
Registered
2008-04-24
Start date
2008-03-31
Completion date
2019-02-14
Last updated
2022-10-18

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

Conditions

Human Immunodeficiency Virus

Keywords

Maraviroc, HIV-1, Safety, Non-interventional

Brief summary

The study will assess if use of maraviroc along with an optimized background regimen of antiretroviral drugs in usual clinical practice is as safe as using only an optimized regimen of antiretroviral drugs.

Detailed description

All patients meeting the study eligibility criteria at participating sites will be invited to participate.

Interventions

DRUGMaraviroc along with an optimized background antiretroviral drug regimen

Maraviroc prescribed per approved local label.

DRUGOptimized background antiretroviral drug regimen without maraviroc

Optimized background antiretroviral therapy prescribed per approved local label and treatment guidelines.

Sponsors

Pfizer
CollaboratorINDUSTRY
ViiV Healthcare
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Treatment experienced, HIV-1 infected patients * 18 years or older * Receive an approved assay for determination of HIV-1 tropism

Exclusion criteria

* Pregnant or lactating * Using CCR5 inhibitor other than maraviroc

Design outcomes

Primary

MeasureTime frameDescription
Density Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C AIDS -Defining Opportunistic InfectionsUp to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of centers for disease control and prevention category C acquired immunodeficiency syndrome (AIDS) -defining opportunistic infections was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and confidence interval (CI).
Density Rate Per 1000 Participant-Years for Incidence of Viral EncephalitisUp to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of viral encephalitis was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.
Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)Up to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of all malignancies as well as its types (categorized as: AIDS defining malignancies and non-AIDS defining malignancies) were reported. AIDS defining malignancies included malignancies due to any of these: cervical cancer, Kaposi's sarcoma or lymphoma; whereas all other malignancies (except AIDS-defining) were non-aids defining malignancies. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.
Density Rate Per 1000 Participant-Years for Incidence of Liver FailureUp to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of liver failure was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.
Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'Up to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible; where definite= an event had definitely occurred; possible =an event had possibly occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI. In this outcome measure, density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events) was reported.
Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'Up to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible + insufficient data) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible or insufficient data; where definite= an event had definitely occurred; possible =an event had possibly occurred; insufficient =insufficient data to determine whether an event had occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI. In this outcome measure, density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events + insufficient data) was reported.
Density Rate Per 1000 Participant-Years for Incidence of RhabdomyolysisUp to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of rhabdomyolysis was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.
Density Rate Per 1000 Participant-Years for Incidence of Death From Liver-Related CauseUp to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of death from liver-related cause was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.
Adjusted Density Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C Aids-Defining Opportunistic InfectionsUp to 5 years following enrollmentAdjusted density rate per 1000 participant-years for incidence of centers for disease control and prevention category c aids-defining opportunistic infections was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, propensity score (PS) quartile and imputed Framingham score (FS) as covariates in the model to obtain the adjusted rate and CI.
Density Rate Per 1000 Participant-Years for Incidence of Death Due to Any CauseUp to 5 years following enrollmentDensity rate per 1000 participant-years for incidence of death due to any cause was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.
Adjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)Up to 5 years following enrollmentAdjusted density rate per 1000 participant-years for incidence of all malignancies as well as its types (categorized as AIDS defining malignancies and non-AIDS defining malignancies) were reported. AIDS defining malignancies included malignancies due to any of these: cervical cancer, Kaposi's sarcoma or lymphoma; whereas all other malignancies (except AIDS-defining) were non-AIDS defining malignancies. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI.
Adjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'Up to 5 years following enrollmentAdjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible; where definite= an event had definitely occurred; possible =an event had possibly occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI. In this outcome measure, adjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events) was reported.
Adjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'Up to 5 years following enrollmentAdjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible + insufficient data) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible or insufficient data; where definite= an event had definitely occurred; possible =an event had possibly occurred; insufficient =insufficient data to determine whether an event had occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI. In this outcome measure, adjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events + insufficient data) was reported.
Adjusted Density Rate Per 1000 Participant-Years for Incidence of Death Due to Any CauseUp to 5 years following enrollmentAdjusted density rate per 1000 participant-years for incidence of death due to any cause was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI.
Percentage of Participants With All-Cause MortalityUp to 5 years following enrollmentAll-cause death was defined as the death due to any cause during the course of study.

Countries

Belgium, Brazil, Canada, France, Germany, Greece, Italy, Puerto Rico, Spain, United Kingdom, United States

Participant flow

Pre-assignment details

Study was conducted at multiple sites between 31 March 2008 and 14 February 2019.

Participants by arm

ArmCount
Maraviroc Exposed
Human immunodeficiency virus- 1( HIV-1) infected, treatment-experienced adult participants, who were prescribed with maraviroc along with an optimized background antiretroviral therapy (OBT) regimen (in usual clinical practice following the approved local label of maraviroc), were included in this study and were observed in this study for an observation period of up to 5 years following enrollment.
1,316
Maraviroc Unexposed
HIV-1 infected, treatment-experienced adult participants, who were not prescribed with maraviroc but with OBT regimen (in usual clinical practice following the approved local label of maraviroc), were included in this study and were observed in this study for an observation period of up to 5 years following enrollment.
1,130
Total2,446

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath recorded on subject summary pages7575
Overall StudyDoes not meet entrance criteria1921
Overall StudyLost to Follow-up203264
Overall StudyOther123108
Overall StudySite closed80
Overall StudyWithdrawal by Subject7465
Overall StudyWithdrawn due to pregnancy01

Baseline characteristics

CharacteristicMaraviroc ExposedMaraviroc UnexposedTotal
Age, Continuous46.8 years
STANDARD_DEVIATION 9.3
44.3 years
STANDARD_DEVIATION 10
45.6 years
STANDARD_DEVIATION 9.7
Race/Ethnicity, Customized
Asian
13 Participants7 Participants20 Participants
Race/Ethnicity, Customized
Black
271 Participants390 Participants661 Participants
Race/Ethnicity, Customized
Other
48 Participants48 Participants96 Participants
Race/Ethnicity, Customized
Unspecified
1 Participants1 Participants2 Participants
Race/Ethnicity, Customized
White
983 Participants684 Participants1667 Participants
Sex: Female, Male
Female
275 Participants265 Participants540 Participants
Sex: Female, Male
Male
1041 Participants865 Participants1906 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
75 / 1,31679 / 1,130
other
Total, other adverse events
111 / 1,31634 / 1,130
serious
Total, serious adverse events
435 / 1,316352 / 1,130

Outcome results

Primary

Adjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)

Adjusted density rate per 1000 participant-years for incidence of all malignancies as well as its types (categorized as AIDS defining malignancies and non-AIDS defining malignancies) were reported. AIDS defining malignancies included malignancies due to any of these: cervical cancer, Kaposi's sarcoma or lymphoma; whereas all other malignancies (except AIDS-defining) were non-AIDS defining malignancies. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureGroupValue (NUMBER)
Maraviroc ExposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)All Malignancies12.49 events per 1000 participant-years
Maraviroc ExposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)AIDS defining Malignancies2.31 events per 1000 participant-years
Maraviroc ExposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)Non-AIDS defining Malignancies9.87 events per 1000 participant-years
Maraviroc UnexposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)Non-AIDS defining Malignancies9.86 events per 1000 participant-years
Maraviroc UnexposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)All Malignancies13.54 events per 1000 participant-years
Maraviroc UnexposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)AIDS defining Malignancies3.31 events per 1000 participant-years
Comparison: All malignancies: Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted RR and CI.95% CI: [0.64, 1.33]
Comparison: AIDS defining malignancies: Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted RR and CI.95% CI: [0.32, 1.52]
Comparison: Non-AIDS defining malignancies: Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted RR and CI.95% CI: [0.66, 1.52]
Primary

Adjusted Density Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C Aids-Defining Opportunistic Infections

Adjusted density rate per 1000 participant-years for incidence of centers for disease control and prevention category c aids-defining opportunistic infections was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, propensity score (PS) quartile and imputed Framingham score (FS) as covariates in the model to obtain the adjusted rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C Aids-Defining Opportunistic Infections22.36 events per 1000 participant-years
Maraviroc UnexposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C Aids-Defining Opportunistic Infections28.70 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted RR and CI.95% CI: [0.61, 0.99]
Primary

Adjusted Density Rate Per 1000 Participant-Years for Incidence of Death Due to Any Cause

Adjusted density rate per 1000 participant-years for incidence of death due to any cause was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Death Due to Any Cause14.39 events per 1000 participant-years
Maraviroc UnexposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Death Due to Any Cause15.64 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted RR and CI.95% CI: [0.66, 1.28]
Primary

Adjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'

Adjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible; where definite= an event had definitely occurred; possible =an event had possibly occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI. In this outcome measure, adjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events) was reported.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'2.08 events per 1000 participant-years
Maraviroc UnexposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'3.37 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted RR and CI.95% CI: [0.35, 1.1]
Primary

Adjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'

Adjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible + insufficient data) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible or insufficient data; where definite= an event had definitely occurred; possible =an event had possibly occurred; insufficient =insufficient data to determine whether an event had occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted rate and CI. In this outcome measure, adjusted density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events + insufficient data) was reported.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'5.65 events per 1000 participant-years
Maraviroc UnexposedAdjusted Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'5.99 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with treatment as the main effect, PS quartile and imputed FS as covariates in the model to obtain the adjusted RR and CI.95% CI: [0.59, 1.52]
Primary

Density Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)

Density rate per 1000 participant-years for incidence of all malignancies as well as its types (categorized as: AIDS defining malignancies and non-AIDS defining malignancies) were reported. AIDS defining malignancies included malignancies due to any of these: cervical cancer, Kaposi's sarcoma or lymphoma; whereas all other malignancies (except AIDS-defining) were non-aids defining malignancies. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureGroupValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)All Malignancies12.87 events per 1000 participant-years
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)AIDS defining Malignancies2.31 events per 1000 participant-years
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)Non-AIDS defining Malignancies10.56 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)All Malignancies13.69 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)AIDS defining Malignancies3.71 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of All Malignancies (AIDS Defining Malignancies and Non-AIDS Defining Malignancies)Non-AIDS defining Malignancies9.98 events per 1000 participant-years
Comparison: All Malignancies: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.66, 1.33]
Comparison: AIDS defining Malignancies: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.29, 1.31]
Comparison: Non-AIDS defining Malignancies: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.71, 1.58]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C AIDS -Defining Opportunistic Infections

Density rate per 1000 participant-years for incidence of centers for disease control and prevention category C acquired immunodeficiency syndrome (AIDS) -defining opportunistic infections was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and confidence interval (CI).

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C AIDS -Defining Opportunistic Infections22.28 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Centers for Disease Control and Prevention Category C AIDS -Defining Opportunistic Infections41.77 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude risk ratio (RR) and CI.95% CI: [0.42, 0.67]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Death Due to Any Cause

Density rate per 1000 participant-years for incidence of death due to any cause was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Death Due to Any Cause14.41 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Death Due to Any Cause18.33 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.57, 1.08]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Death From Liver-Related Cause

Density rate per 1000 participant-years for incidence of death from liver-related cause was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Death From Liver-Related Cause0.77 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Death From Liver-Related Cause1.16 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.18, 2.47]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Liver Failure

Density rate per 1000 participant-years for incidence of liver failure was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Liver Failure2.50 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Liver Failure2.55 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.44, 2.18]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'

Density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible; where definite= an event had definitely occurred; possible =an event had possibly occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI. In this outcome measure, density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events) was reported.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'4.80 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible'5.34 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.51, 1.59]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'

Density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (definite + possible + insufficient data) was reported. Events of myocardial infarction or ischemia were adjudicated as definite or possible or insufficient data; where definite= an event had definitely occurred; possible =an event had possibly occurred; insufficient =insufficient data to determine whether an event had occurred. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI. In this outcome measure, density rate per 1000 participant-years for incidence of myocardial infarction or ischemia (which included sum of definite + possible events + insufficient data) was reported.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'8.26 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Myocardial Infarction or Ischemia: Events Adjudicated as 'Definite' or 'Possible' or 'Insufficient Data'7.43 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.7, 1.76]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Rhabdomyolysis

Density rate per 1000 participant-years for incidence of rhabdomyolysis was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Rhabdomyolysis0.77 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Rhabdomyolysis0.70 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.25, 4.93]
Primary

Density Rate Per 1000 Participant-Years for Incidence of Viral Encephalitis

Density rate per 1000 participant-years for incidence of viral encephalitis was reported. Density rate was calculated as the number of events (n) per 1000 participant-years at risk. Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude rate and CI.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedDensity Rate Per 1000 Participant-Years for Incidence of Viral Encephalitis0.38 events per 1000 participant-years
Maraviroc UnexposedDensity Rate Per 1000 Participant-Years for Incidence of Viral Encephalitis0.46 events per 1000 participant-years
Comparison: Poisson regressions were fit to the categorical events with only treatment in the model to obtain the crude RR and CI.95% CI: [0.12, 5.88]
Primary

Percentage of Participants With All-Cause Mortality

All-cause death was defined as the death due to any cause during the course of study.

Time frame: Up to 5 years following enrollment

Population: Safety analysis set included all participants who were enrolled in the study.

ArmMeasureValue (NUMBER)
Maraviroc ExposedPercentage of Participants With All-Cause Mortality5.7 Percentage of participants
Maraviroc UnexposedPercentage of Participants With All-Cause Mortality7.0 Percentage of participants
p-value: 0.622595% CI: [0.66, 1.28]Regression, Cox

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