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Switching Nevirapine Immediate Release( IR) Based Regimen to Nevirapine Extended Release (XR) Based Regimen in Human Immunodeficiency Virus One (HIV-1) Infected Patients

An Open Label, Phase IIIb, Randomised Parallel Group Study to Assess the Efficacy and Safety of Switching HIV-1 Infected Patients Successfully Treated With a Nevirapine IR Based Regiment to Nevirapine XR 400 mg QD or Remaining on Nevirapine IR 200 mg BID Based Program

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00819052
Enrollment
445
Registered
2009-01-08
Start date
2008-12-31
Completion date
2012-01-31
Last updated
2014-11-10

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

Conditions

HIV Infections

Brief summary

The primary objective of this study is to demonstrate the efficacy of nevirapine extended release (NVP XR) based regimen for HIV-1 infected patients who were receiving nevirapine immediate release (NVP IR) based regimen for at least 18 prior weeks of therapy.

Interventions

Nevirapine XR

Nevirapine Immediate Release

Sponsors

Boehringer Ingelheim
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

HIV infected subjects treated with a Viramune based regimen. A subject that meets the following inclusion criteria will be eligible for participation in this study: 1. Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation. 2. HIV-1 infected males or females of at least 18 years. 3. Treatment with Viramune regimen for at least the preceding 18 weeks. 4. Background therapy with lamivudine/ abacavir(3TC/ABC) (Kivexa® in EU; Epzicom in US), emtricitabine/tenofovir( FTC/TDF) (Truvada) or lamivudine/zidovudine 3TC/AZT (Combivir®). 5. An HIV viral load \< 50 copies/mL in preceding 3 months. 6. An HIV viral load of \< 50 copies/mL at screening (Visit 1). 7. Acceptable screening laboratory values that indicate adequate baseline organ function with the following exceptions: alanine aminotrnasferase (ALT) and asparatate aminotransferase (AST) \< 2.5 × upper limit of normal (ULN) Division of Acquired Immunodeficiency Syndrome (DAIDS Grade 1). 8. Willingness to abstain from ingesting medications that are listed as contraindicated in the Summary of Product Characteristics (SPC) or package insert (or PI) or Investigator's Brochure during the study. 9. Karnofsky performance score of \< 70

Exclusion criteria

Subjects who meet one or more of the following criteria will be excluded from the study: 1. Current treatment with an HIV protease inhibitor 2. Participation in another trial or use of an investigational medicine within two months prior to Day 1 of this study 3. Female patients of child-bearing potential who: 1. Have a positive serum pregnancy test at screening. 2. Are breast feeding. 3. Are planning to become pregnant 4. Are not willing to use a double-barrier methods (simultaneous use of two different methods such as diaphragm with spermicidal substance and condom) of contraception, or require ethinyl estradiol administration. Barrier methods of contraception include diaphragm with spermicidal substance, condom for females, cervical caps and condoms.. 4. Laboratory parameters \> DAIDS grade 2 Coagulation prothrombin time (PT), partial thromboplastin time (PTT), International Normalized ratio (INR) Hematology (absolute platelets, white blood cells (WBC), absolute neutrophil count, hemoglobin) Biochemistry (total bilirubin, amylase, serum creatinine, fasting glucose, lactate, alkaline phosphatase) 5. Laboratory parameters \> DAIDS grade 3 Total triglycerides (total cholesterol no restriction) 6. Hypersensitivity to any ingredients of the test products 7. Active drug abuse or chronic alcoholism. 8. Hepatic cirrhosis stage Child-Pugh B or C 9. History of severe or acute illness within 60 days prior to Day 1, malignancy or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the trial 10. Inability to comply with protocol requirements

Design outcomes

Primary

MeasureTime frameDescription
Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Populationweek 24Primary endpoint was the number of patients with a sustained virologic response through week 24

Secondary

MeasureTime frameDescription
Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Populationweek 0
Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Populationweek 2Endpoint was the number of patients with a sustained virologic response through week 2
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Populationbaseline, week 2
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Populationbaseline, week 4
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Populationbaseline, week 8
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Populationbaseline, week 12
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Populationbaseline, week 24
Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Populationbaseline, week 24
Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Populationweek 48Endpoint was the number of patients with a sustained virologic response through week 48
Changes in Safety Parameters Related to Treatmentuntil week 144Occurence of investigations related to treatment
Occurence of Rashes144 weeksdrug-related rashes by severity
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Populationbaseline, week 48
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Populationbaseline, week 60
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Populationbaseline, week 72
Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Populationweek 0 to 24
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Populationbaseline, week 96
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Populationbaseline, week 108
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Populationbaseline, week 120
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Populationbaseline, week 132
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Populationbaseline, week 144
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Populationbaseline, last available visit (up to 144 weeks)
Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144week 144Endpoint was the number of patients with a sustained virologic response through week 144
Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 48, 60, 72, 84, 96, 108, 120, 132, 144, last available visit
Occurence of Hepatic Events144 weeks
New AIDS or AIDS-related Progression Event or Death144 weeks
Time to Loss of Virologic Response48 weeksKaplan-Meier Estimates of time to loss of virologic response defined as the time between the start of treatment and the time of treatment failure, up to and including the time when the last patient was on treatment for 48 weeks.
Genotypic Resistance Associated With Virologic Failure48 weeksGenotypic resistance associated with virologic failure. This endpoint was not analysed due to lack of data.
Trough Plasma ConcentrationDay 1 to week 48Trough plasma concentrations of Nevirapine at steady state after multiple oral administrations of Nevirapine treatments from day 1 (visit 2) to week 48 (visit 9).
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Populationbaseline, week 84

Countries

France, Germany, United Kingdom, United States

Participant flow

Pre-assignment details

Two patients were randomized, but have not been treated. They were excluded from the treated set.

Participants by arm

ArmCount
Nevirapine Immediate Release (NVP IR)
Nevirapine immediate release 200 mg tablets given twice daily
148
Nevirapine Extended Release (NVP XR)
Nevirapine extended release 400 mg tablets given once daily
295
Total443

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event05
Overall StudyDeath or events leading to death10
Overall StudyLack of Efficacy11
Overall StudyLost to Follow-up12
Overall StudyPregnancy12
Overall StudyProtocol Violation12
Overall StudyWithdrawal by Subject12

Baseline characteristics

CharacteristicNevirapine Immediate Release (NVP IR)Nevirapine Extended Release (NVP XR)Total
Age, Continuous47.6 years
STANDARD_DEVIATION 9.8
47.3 years
STANDARD_DEVIATION 9.6
47.4 years
STANDARD_DEVIATION 9.7
Age, Customized
18 to < 41 years
36 participants70 participants106 participants
Age, Customized
41 to < 56 years
79 participants168 participants247 participants
Age, Customized
56 to < 65 years
24 participants38 participants62 participants
Age, Customized
65 years or more
9 participants19 participants28 participants
Alcohol Status
Drinks - could interfere with trial
1 participants6 participants7 participants
Alcohol Status
Drinks - no interfere with trial
103 participants214 participants317 participants
Alcohol Status
Non drinker
44 participants75 participants119 participants
Race/Ethnicity, Customized
Asian
0 participants5 participants5 participants
Race/Ethnicity, Customized
Black
14 participants20 participants34 participants
Race/Ethnicity, Customized
Hispanic / Latino
132 Participants269 Participants401 Participants
Race/Ethnicity, Customized
Not Hispanic / Latino
16 Participants26 Participants42 Participants
Race/Ethnicity, Customized
White
134 participants270 participants404 participants
Region of Enrollment
Europe
102 participants197 participants299 participants
Region of Enrollment
North America
46 participants98 participants144 participants
Sex: Female, Male
Female
20 Participants49 Participants69 Participants
Sex: Female, Male
Male
128 Participants246 Participants374 Participants
Smoking History
Current smoker
43 participants97 participants140 participants
Smoking History
Ex-smoker
37 participants67 participants104 participants
Smoking History
Never smoked
68 participants131 participants199 participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
110 / 148244 / 295
serious
Total, serious adverse events
33 / 14873 / 295

Outcome results

Primary

Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Primary endpoint was the number of patients with a sustained virologic response through week 24

Time frame: week 24

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder137 participants
Nevirapine Immediate Release (NVP IR)Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder11 participants
Nevirapine Extended Release (NVP XR)Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder276 participants
Nevirapine Extended Release (NVP XR)Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder19 participants
95% CI: [-4.3, 6.2]Cochran's statistic
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Population

Time frame: baseline, last available visit (up to 144 weeks)

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and last visit (up to 144 weeks).

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Population71.9 cells/cubic millimeterStandard Deviation 157.1
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Population165.9 cells/cubic millimeterStandard Deviation 302.5
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Population80.9 cells/cubic millimeterStandard Deviation 163.5
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 108

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 108.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Population72.4 cells/cubic millimeterStandard Deviation 160.4
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Population117.4 cells/cubic millimeterStandard Deviation 151.3
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Population73.5 cells/cubic millimeterStandard Deviation 151
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 120

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 120.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Population79.5 cells/cubic millimeterStandard Deviation 168.4
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Population90.0 cells/cubic millimeterStandard Deviation 151
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Population66.6 cells/cubic millimeterStandard Deviation 182.3
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 12

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants who had CD4 count at baseline and week 12.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Population22.3 cells/cubic millimeterStandard Deviation 152.9
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Population-10.2 cells/cubic millimeterStandard Deviation 118.5
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 132

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 132.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Population58.8 cells/cubic millimeterStandard Deviation 153.6
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Population124.8 cells/cubic millimeterStandard Deviation 158.7
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Population70.8 cells/cubic millimeterStandard Deviation 146.7
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 144

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 144.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Population85.3 cells/cubic millimeterStandard Deviation 151.6
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Population205.6 cells/cubic millimeterStandard Deviation 388.6
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Population82.7 cells/cubic millimeterStandard Deviation 157.4
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 24

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants who had CD4 count at baseline and week 24.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Population50.4 cells/cubic millimeterStandard Deviation 162.8
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Population45.7 cells/cubic millimeterStandard Deviation 137.6
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 2

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants who had CD4 count at baseline and week 2.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Population3.7 cells/cubic millimeterStandard Deviation 115.2
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Population-4.7 cells/cubic millimeterStandard Deviation 107.7
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 48

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 48.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Population77.8 cells/cubic millimeterStandard Deviation 142.8
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Population139.8 cells/cubic millimeterStandard Deviation 126.9
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Population52.7 cells/cubic millimeterStandard Deviation 143.5
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 4

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants who had CD4 count at baseline and week 4.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Population0.8 cells/cubic millimeterStandard Deviation 110.8
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Population-15.4 cells/cubic millimeterStandard Deviation 114.1
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 60

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 60.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Population51.1 cells/cubic millimeterStandard Deviation 138.1
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Population11.5 cells/cubic millimeterStandard Deviation 138.4
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Population55.1 cells/cubic millimeterStandard Deviation 136.5
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 72

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 72.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Population61.3 cells/cubic millimeterStandard Deviation 128.6
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Population77.9 cells/cubic millimeterStandard Deviation 109.5
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Population67.4 cells/cubic millimeterStandard Deviation 141.5
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 84

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 84.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Population80.3 cells/cubic millimeterStandard Deviation 156.5
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Population134.6 cells/cubic millimeterStandard Deviation 214.2
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Population55.0 cells/cubic millimeterStandard Deviation 130.9
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 8

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants who had CD4 count at baseline and week 8.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Population-18.6 cells/cubic millimeterStandard Deviation 122.9
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Population-24.4 cells/cubic millimeterStandard Deviation 117.6
Secondary

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 96

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants with CD4 counts at baseline and week 96.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Population55.1 cells/cubic millimeterStandard Deviation 156.7
Nevirapine Extended Release (NVP XR)Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Population55.4 cells/cubic millimeterStandard Deviation 80.7
Nevirapine XR After Week 48Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Population60.2 cells/cubic millimeterStandard Deviation 130.3
Secondary

Change From Baseline in VL (HIV-1 Viral Load) at Each Visit

Time frame: week 48, 60, 72, 84, 96, 108, 120, 132, 144, last available visit

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment, Observed Cases.

ArmMeasureGroupValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 84 (N=125, 8, 268)2798.8 copies/mLStandard Deviation 31301
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 132 (121, 7, 252)10.2 copies/mLStandard Deviation 78.7
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 60 (N=130, 12, 274)11004.4 copies/mLStandard Deviation 125415
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 96 (N=124, 9, 263)0.2 copies/mLStandard Deviation 17.7
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 72 (N=129, 9, 271)1747.0 copies/mLStandard Deviation 19806
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 108 (N=125, 8, 260)53.1 copies/mLStandard Deviation 574.2
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitlast available visit(N=130,13,276)4472.6 copies/mLStandard Deviation 36357
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 144 (N=121, 7, 250)1.0 copies/mLStandard Deviation 24.5
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 120 (N=121, 8, 257)3.5 copies/mLStandard Deviation 42.7
Nevirapine Immediate Release (NVP IR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 48 (N=130, 12, 275)48.4 copies/mLStandard Deviation 536.9
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 120 (N=121, 8, 257)0.4 copies/mLStandard Deviation 1.1
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 132 (121, 7, 252)4.0 copies/mLStandard Deviation 10.6
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 144 (N=121, 7, 250)0.0 copies/mLStandard Deviation 0
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 72 (N=129, 9, 271)0.0 copies/mLStandard Deviation 0
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitlast available visit(N=130,13,276)86.4 copies/mLStandard Deviation 211
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 84 (N=125, 8, 268)4.1 copies/mLStandard Deviation 11.7
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 96 (N=124, 9, 263)0.0 copies/mLStandard Deviation 0
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 108 (N=125, 8, 260)0.0 copies/mLStandard Deviation 0
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 60 (N=130, 12, 274)94.1 copies/mLStandard Deviation 218.5
Nevirapine Extended Release (NVP XR)Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 48 (N=130, 12, 275)58.4 copies/mLStandard Deviation 202.3
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitlast available visit(N=130,13,276)4103.2 copies/mLStandard Deviation 66822
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 48 (N=130, 12, 275)-4.3 copies/mLStandard Deviation 67.6
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 60 (N=130, 12, 274)-1.8 copies/mLStandard Deviation 69.4
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 72 (N=129, 9, 271)-4.9 copies/mLStandard Deviation 68.2
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 84 (N=125, 8, 268)4140.1 copies/mLStandard Deviation 67801
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 108 (N=125, 8, 260)-3.5 copies/mLStandard Deviation 70.6
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 120 (N=121, 8, 257)-2.3 copies/mLStandard Deviation 71
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 132 (121, 7, 252)-1.8 copies/mLStandard Deviation 79
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 144 (N=121, 7, 250)-4.6 copies/mLStandard Deviation 70.9
Nevirapine XR After Week 48Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 96 (N=124, 9, 263)168.4 copies/mLStandard Deviation 1974.7
Secondary

Changes in Safety Parameters Related to Treatment

Occurence of investigations related to treatment

Time frame: until week 144

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentBlood triglycerides increased1 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentLiver function test abnormal1 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentBlood amylase increased1 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentBlood glucose increased0 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentGamma-glutamyltransferase increased0 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentBlood lacate dehydrogenase increased0 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentAspartate aminotransferase increased0 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentNeutrophil count decreased0 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentLipase increased1 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentTransaminases increased0 participants
Nevirapine Immediate Release (NVP IR)Changes in Safety Parameters Related to TreatmentAlanine aminotransferase increased1 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentTransaminases increased1 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentAlanine aminotransferase increased4 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentAspartate aminotransferase increased2 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentBlood amylase increased0 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentBlood triglycerides increased0 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentGamma-glutamyltransferase increased2 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentLipase increased0 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentLiver function test abnormal0 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentBlood glucose increased1 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentBlood lacate dehydrogenase increased1 participants
Nevirapine Extended Release (NVP XR)Changes in Safety Parameters Related to TreatmentNeutrophil count decreased1 participants
Secondary

Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Population

Time frame: baseline, week 24

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment.The population was restricted to participants who had CD4 count at baseline and week 24.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Population50.74 cells/cubic millimeterStandard Error 12.7072
Nevirapine Extended Release (NVP XR)Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Population46.10 cells/cubic millimeterStandard Error 9.2053
p-value: 0.758795% CI: [-34.34, 25.05]ANCOVA
Secondary

Genotypic Resistance Associated With Virologic Failure

Genotypic resistance associated with virologic failure. This endpoint was not analysed due to lack of data.

Time frame: 48 weeks

Population: All patients in the treated set who experienced virologic failure.

Secondary

Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Time frame: week 0 to 24

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 0 to <21 proportion of participants
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 2 to <41 proportion of participants
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 4 to <80.993 proportion of participants
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 8 to <120.973 proportion of participants
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 12 to <160.959 proportion of participants
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 16 to <200.946 proportion of participants
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 20 to <240.946 proportion of participants
Nevirapine Immediate Release (NVP IR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 24 to <280.946 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 24 to <280.942 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 0 to <21 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 12 to <160.966 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 2 to <40.986 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 20 to <240.946 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 4 to <80.98 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 16 to <200.953 proportion of participants
Nevirapine Extended Release (NVP XR)Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationInterval Week 8 to <120.973 proportion of participants
Secondary

New AIDS or AIDS-related Progression Event or Death

Time frame: 144 weeks

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)New AIDS or AIDS-related Progression Event or Deathnew AIDS or AIDS related progression1 participants
Nevirapine Immediate Release (NVP IR)New AIDS or AIDS-related Progression Event or Deathdeath2 participants
Nevirapine Extended Release (NVP XR)New AIDS or AIDS-related Progression Event or Deathnew AIDS or AIDS related progression2 participants
Nevirapine Extended Release (NVP XR)New AIDS or AIDS-related Progression Event or Deathdeath2 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 8

Time frame: week 8

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder146 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder2 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder290 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder5 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 24

Time frame: week 24

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder140 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder8 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder285 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder10 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 2

Time frame: week 2

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder148 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder0 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder292 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder3 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 4

Time frame: week 4

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder146 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder2 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder291 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder4 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 12

Time frame: week 12

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder143 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder5 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationResponder289 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set PopulationNon responder6 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 120

Time frame: week 120

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 120.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder112 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder9 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder7 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder1 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder235 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder23 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 48

Time frame: week 48

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants present at week 48.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder125 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder5 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder11 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder1 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder268 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder8 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 60

Time frame: week 60

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 60.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder122 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder8 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder9 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder3 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder253 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder21 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 72

Time frame: week 72

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 72.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder124 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder6 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder9 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder0 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder265 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder6 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 84

Time frame: week 84

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 84.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder118 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder7 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder7 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder1 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder244 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder24 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 96

Time frame: week 96

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 96.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder117 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder7 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder9 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder0 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder242 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder21 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 108

Time frame: week 108

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 108.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder119 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder6 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder8 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder1 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder247 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder13 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 132

Time frame: week 132

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 132.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder115 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder6 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder6 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder1 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder238 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder14 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response through week 144

Time frame: week 144

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at week 144.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder115 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder6 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder7 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder0 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder238 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder12 participants
Secondary

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

Endpoint was the number of patients with a sustained virologic response at their last available visit

Time frame: last available visit, up to 144 weeks

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to patients present at last visit (up to 144 weeks).

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder121 participants
Nevirapine Immediate Release (NVP IR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder9 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder11 participants
Nevirapine Extended Release (NVP XR)Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder2 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationResponder261 participants
Nevirapine XR After Week 48Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set PopulationNon responder15 participants
Secondary

Occurence of Hepatic Events

Time frame: 144 weeks

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment.

ArmMeasureValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Occurence of Hepatic Events0 participants
Nevirapine Extended Release (NVP XR)Occurence of Hepatic Events1 participants
Secondary

Occurence of Rashes

drug-related rashes by severity

Time frame: 144 weeks

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Occurence of Rashesrash Grade 2 moderate0 participants
Nevirapine Immediate Release (NVP IR)Occurence of Rashesrash Grade 1 mild0 participants
Nevirapine Immediate Release (NVP IR)Occurence of Rashesrash Grade 3 severe0 participants
Nevirapine Immediate Release (NVP IR)Occurence of Rashesrash Grade 4 potential life-threatening0 participants
Nevirapine Extended Release (NVP XR)Occurence of Rashesrash Grade 4 potential life-threatening0 participants
Nevirapine Extended Release (NVP XR)Occurence of Rashesrash Grade 1 mild1 participants
Nevirapine Extended Release (NVP XR)Occurence of Rashesrash Grade 2 moderate1 participants
Nevirapine Extended Release (NVP XR)Occurence of Rashesrash Grade 3 severe0 participants
Secondary

Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144

Endpoint was the number of patients with a sustained virologic response through week 144

Time frame: week 144

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants present at week 144.

ArmMeasureGroupValue (NUMBER)
Nevirapine Immediate Release (NVP IR)Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144Responder121 participants
Nevirapine Immediate Release (NVP IR)Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144No Responder0 participants
Nevirapine Extended Release (NVP XR)Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144Responder7 participants
Nevirapine Extended Release (NVP XR)Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144No Responder0 participants
Nevirapine XR After Week 48Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144Responder250 participants
Nevirapine XR After Week 48Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144No Responder0 participants
Secondary

Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Population

Time frame: week 0

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment. The population was restricted to participants who had CD4 count at baseline.

ArmMeasureValue (MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Population569.7 cells/cubic millimeterStandard Deviation 215.6
Nevirapine Extended Release (NVP XR)Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Population557.7 cells/cubic millimeterStandard Deviation 213.2
Secondary

Time to Loss of Virologic Response

Kaplan-Meier Estimates of time to loss of virologic response defined as the time between the start of treatment and the time of treatment failure, up to and including the time when the last patient was on treatment for 48 weeks.

Time frame: 48 weeks

Population: Full Analysis Set (FAS) includes all participants randomized to treatment and confirmed to have taken at least one dose of treatment.

ArmMeasureValue (MEDIAN)
Nevirapine Immediate Release (NVP IR)Time to Loss of Virologic Response393 days
Nevirapine Extended Release (NVP XR)Time to Loss of Virologic Response391 days
Secondary

Trough Plasma Concentration

Trough plasma concentrations of Nevirapine at steady state after multiple oral administrations of Nevirapine treatments from day 1 (visit 2) to week 48 (visit 9).

Time frame: Day 1 to week 48

Population: All patients with evaluable PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationDay 1 (N=146, 0)3720 ng/mLGeometric Coefficient of Variation 65.4
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationWeek 2 (N=107, 229)3650 ng/mLGeometric Coefficient of Variation 38.1
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationWeek 4 (N=103, 234)3720 ng/mLGeometric Coefficient of Variation 36.6
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationWeek 8 (N=110, 225)4080 ng/mLGeometric Coefficient of Variation 38.2
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationWeek 12 (N=103, 223)4170 ng/mLGeometric Coefficient of Variation 41.1
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationWeek 24 (N=103, 212)4080 ng/mLGeometric Coefficient of Variation 36.9
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationWeek 36 (N=103, 215)4370 ng/mLGeometric Coefficient of Variation 40.6
Nevirapine Immediate Release (NVP IR)Trough Plasma ConcentrationWeek 48 (N=101, 213)3960 ng/mLGeometric Coefficient of Variation 41.8
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationWeek 48 (N=101, 213)3650 ng/mLGeometric Coefficient of Variation 45
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationDay 1 (N=146, 0)NA ng/mL
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationWeek 12 (N=103, 223)3590 ng/mLGeometric Coefficient of Variation 50.2
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationWeek 2 (N=107, 229)3270 ng/mLGeometric Coefficient of Variation 57.6
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationWeek 36 (N=103, 215)3930 ng/mLGeometric Coefficient of Variation 41.5
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationWeek 4 (N=103, 234)3230 ng/mLGeometric Coefficient of Variation 49
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationWeek 24 (N=103, 212)3750 ng/mLGeometric Coefficient of Variation 41.8
Nevirapine Extended Release (NVP XR)Trough Plasma ConcentrationWeek 8 (N=110, 225)3650 ng/mLGeometric Coefficient of Variation 46.1

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