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A Phase 2B Multicenter, Randomized, Comparative Trial Of UK-453,061 Versus Etravirine In Combination With Darunavir/Ritonavir And A Nucleos(t)Ide Reverse Transcriptase Inhibitor For The Treatment Of Antiretroviral Experienced HIV-1 Infected Subjects With Evidence Of NNRTI Resistant HIV-1

A Phase 2b Multicenter, Randomized, Comparative Trial Of Uk-453,061 Versus Etravirine In Combination With Darunavir/Ritonavir And A Nucleotide/Nucleoside Reverse Transcriptase Inhibitor For The Treatment Of Antiretroviral Experienced Hiv-1 Infected Subjects With Evidence Of Nnrti Resistant Hiv-1

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00823979
Enrollment
105
Registered
2009-01-16
Start date
2009-03-25
Completion date
2012-10-18
Last updated
2018-12-04

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

Conditions

HIV-1

Keywords

HIV-1 NNRTI Treatment Experienced, may have Protease inhibitor experience

Brief summary

This is a 96 week study to determine if UK- 453,061 in combination with Darunavir /ritonavir and a Nucleos(t)ide Reverse Transcriptase inhibitor is as efficacious, safe and tolerable as etravirine in combination with Darunavir /ritonavir and a Nucleos(t)ide Reverse Transcriptase inhibitor in HIV-1 infected patients who have been previously treated with antiretroviral drugs and have NNRTI resistance mutations.

Detailed description

The trial was terminated on 12 April, 2012 due to lack of efficacy at the Week 24 analysis. The decision to terminate the trial was not based on any safety concerns.

Interventions

DRUGUK-453,061 Dose 1

UK 453,061 750 mg QD + one optimized NRTI + darunavir/ritonavir.

DRUGUK-453,061 Dose 2

UK 453,061 1000 mg QD + one optimized NRTI + darunavir/ritonavir.

DRUGEtravirine

Etravirine 200 mg BID + one optimized NRTI + darunavir/ritonavir.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Male or female at least 18 years of age available for a follow-up period of at least 96 weeks. * HIV 1 RNA viral load of greater then 500 copies/mL. * Negative urine pregnancy test.

Exclusion criteria

* Suspected or documented active, untreated HIV-1 related opportunistic infection or other condition requiring acute therapy at the time of randomization. * Subjects with acute Hepatitis B and/or C within 30 days of randomization. * Previous use of Darunavir or etravirine

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24Week 24Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).

Secondary

MeasureTime frameDescription
Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 24, 48, 96Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Baseline, Week 24, 48, 96Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5). For the log10 scale, all the HIV-1 RNA levels were log10 transformed prior to the average calculations. Baseline value calculated as average of measurements collected prior to and including Day 1 pre-dose.
Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Week 24, 48, 96TAD was calculated as (area under the curve of HIV-1 RNA levels \[log10 copies/mL\] from baseline to the time point of interest divided by time period in weeks) minus baseline HIV-1 RNA level (log10 copies/mL). Baseline value calculated as average of measurements collected at prior to and including Day 1 pre-dose. Due to early termination of the study decision was made not to derive TAD results for Week 96.
Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96Week 24, 48, 96TLOVR50 response (50 denotes lower limit of quantification \[LLOQ\] of assay=50 copies/mL): compliment to TLOVR50 failure. TLOVR50 failure based on observed HIV-1 RNA levels and failure events (death; permanent discontinuation of drug; lost to follow-up; new ARV drug; met treatment failure \[TF\] criteria). TF: an increase of at least (\>=)3 times the baseline plasma HIV-1 RNA level at Week 2 or thereafter; failure to achieve HIV-1 RNA level \<50 copies/mL at Week 24; starting at Week 2, an increase in HIV-1 RNA level to detectable levels (\>50 copies/mL); HIV-1 RNA \<1 log10 decrease from baseline at Week 4 or thereafter. TF were confirmed by second measurement \>=14 days after first. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Baseline, Week 24, 48, 96Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96Weeks 48, 96Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
Number of Participants With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Resistance-Associated Mutations (RAMs) and/or Phenotypic Susceptibility at Time of Treatment Failure Through Week 48Baseline through Week 48Genotypic and phenotypic resistance to NNRTIs based on International Acquired Immunodeficiency Syndrome (AIDS) Society, United States of America (IAS-USA) RAM guidelines were evaluated using Monogram Biosciences PhenoSenseGT Assay at Baseline. This was then repeated for all participants with HIV-1 viral load \>500 copies/mL at treatment failure, up to Week 48.
Number of Participants With Laboratory Test AbnormalitiesBaseline up to Week 48 or early terminationLaboratory analysis included blood chemistry, hematology and urinalysis.
Population Pharmacokinetics (PK) of LersivirineWeeks 2, 4, 8, 12, 16, 24, 32, 40, 48Data for this Outcome Measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.
Lersivirine Success Percentage With Reference to Median Minimum Observed Plasma Concentration (Cmin)Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48Simple quartile exposure analysis of success rate (viral load \<50 copies/mL) versus median Cmin assesses the exposure response relationship. Percentage of participants with HIV-1 RNA level \<50 copies/mL at median Cmin quartile were planned to be reported.
Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Baseline, Week 24, 48, 96Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.

Countries

Brazil, Germany, Italy, Malaysia, Poland, Portugal, Puerto Rico, South Africa, Spain, Taiwan, Ukraine, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Lersivirine 750 mg
Lersivirine (UK-453,061) 250 milligram (mg) 3 tablets equivalent to lersivirine 750 mg and 1 placebo tablet matched to lersivirine 250 mg tablet, orally once daily up to 96 weeks in combination with 1 optimized nucleoside reverse transcriptase inhibitors (NRTI) as per individual prescribing information, darunavir 600 mg tablet orally twice daily and ritonavir 100 mg tablet or capsule orally twice daily.
31
Lersivirine 1000 mg
Lersivirine (UK-453,061) 250 mg 4 tablets equivalent to lersivirine 1000 mg, orally once daily up to 96 weeks in combination with 1 optimized NRTI as per individual prescribing information, darunavir 600 mg tablet orally twice daily and ritonavir 100 mg tablet or capsule orally twice daily.
32
Etravirine 200 mg
Etravirine 100 mg 2 tablets equivalent to etravirine 200 mg, orally twice daily up to 96 weeks in combination with 1 optimized NRTI as per individual prescribing information, darunavir 600 mg tablet orally twice daily and ritonavir 100 mg tablet or capsule orally twice daily.
34
Total97

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event024
Overall StudyLack of Efficacy13169
Overall StudyLost to Follow-up210
Overall StudyOther201
Overall StudyPregnancy010
Overall StudyProtocol Violation110
Overall StudyRandomized but not Treated431
Overall StudyStudy Terminated by Sponsor557
Overall StudyWithdrawal by Subject232

Baseline characteristics

CharacteristicLersivirine 750 mgLersivirine 1000 mgEtravirine 200 mgTotal
Age, Continuous41.1 years
STANDARD_DEVIATION 8.9
40.0 years
STANDARD_DEVIATION 8.7
41.9 years
STANDARD_DEVIATION 9.1
41.0 years
STANDARD_DEVIATION 8.9
Sex: Female, Male
Female
15 Participants18 Participants18 Participants51 Participants
Sex: Female, Male
Male
16 Participants14 Participants16 Participants46 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
27 / 3125 / 3232 / 34
serious
Total, serious adverse events
1 / 314 / 321 / 34

Outcome results

Primary

Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24

Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).

Time frame: Week 24

Population: ITT population. Participants who died, discontinued, lost to follow-up, switched/changed dose of anti-retro viral (ARV) drug not allowed by protocol, had missing plasma HIV-1 RNA data at 24 weeks were considered to have plasma HIV-1 RNA \>=50 copies/mL and were referred to as failure.

ArmMeasureValue (NUMBER)
Lersivirine 750 mgPercentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 2448.4 percentage of participants
Lersivirine 1000 mgPercentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 2443.8 percentage of participants
Etravirine 200 mgPercentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 2467.6 percentage of participants
Secondary

Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96

Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.

Time frame: Baseline, Week 24, 48, 96

Population: ITT population included all randomized participants who received at least 1 dose of study drug. Missing values were imputed using LOCF. Participants with missing baseline or no CD4+ count available on treatment imputed as no or zero change from baseline.

ArmMeasureGroupValue (MEAN)Dispersion
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Baseline247 cells per microliter (cells/mcL)Standard Deviation 143
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 2498 cells per microliter (cells/mcL)Standard Deviation 140
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 48122 cells per microliter (cells/mcL)Standard Deviation 148
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 96148 cells per microliter (cells/mcL)Standard Deviation 177
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 9689 cells per microliter (cells/mcL)Standard Deviation 152
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Baseline259 cells per microliter (cells/mcL)Standard Deviation 187
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 4874 cells per microliter (cells/mcL)Standard Deviation 128
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 2466 cells per microliter (cells/mcL)Standard Deviation 111
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 96184 cells per microliter (cells/mcL)Standard Deviation 197
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 24110 cells per microliter (cells/mcL)Standard Deviation 108
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Change at Week 48128 cells per microliter (cells/mcL)Standard Deviation 127
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96Baseline227 cells per microliter (cells/mcL)Standard Deviation 146
Secondary

Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96

Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.

Time frame: Baseline, Week 24, 48, 96

Population: ITT population included all randomized participants who received at least 1 dose of study drug. Missing values were imputed using LOCF. Participants with missing baseline or no CD4+ count available on treatment imputed as no or zero change from baseline.

ArmMeasureGroupValue (MEAN)Dispersion
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Baseline16.1 percentage of total lymphocytesStandard Deviation 8.7
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 243.0 percentage of total lymphocytesStandard Deviation 4
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 484.6 percentage of total lymphocytesStandard Deviation 5.3
Lersivirine 750 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 965.4 percentage of total lymphocytesStandard Deviation 6.1
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 964.2 percentage of total lymphocytesStandard Deviation 4.9
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Baseline15.0 percentage of total lymphocytesStandard Deviation 8.8
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 484.0 percentage of total lymphocytesStandard Deviation 4.1
Lersivirine 1000 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 243.7 percentage of total lymphocytesStandard Deviation 3.6
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 966.2 percentage of total lymphocytesStandard Deviation 6.2
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 243.7 percentage of total lymphocytesStandard Deviation 3.2
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Change at Week 484.4 percentage of total lymphocytesStandard Deviation 3.8
Etravirine 200 mgChange From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96Baseline14.6 percentage of total lymphocytesStandard Deviation 8.3
Secondary

Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96

Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5). For the log10 scale, all the HIV-1 RNA levels were log10 transformed prior to the average calculations. Baseline value calculated as average of measurements collected prior to and including Day 1 pre-dose.

Time frame: Baseline, Week 24, 48, 96

Population: ITT population. Participant discontinued before a visit of interest: value imputed as zero; not discontinued but observation is missing: last observation carried forward (LOCF) imputation used; missing baseline or no HIV-1 RNA level assessment: value imputed as zero.

ArmMeasureGroupValue (MEAN)Dispersion
Lersivirine 750 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 48-1.30 log10 copies/mLStandard Deviation 1.64
Lersivirine 750 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 96-0.69 log10 copies/mLStandard Deviation 1.39
Lersivirine 750 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Baseline4.28 log10 copies/mLStandard Deviation 0.99
Lersivirine 750 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 24-1.53 log10 copies/mLStandard Deviation 1.58
Lersivirine 1000 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 48-1.08 log10 copies/mLStandard Deviation 1.48
Lersivirine 1000 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 24-1.89 log10 copies/mLStandard Deviation 1.46
Lersivirine 1000 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 96-0.36 log10 copies/mLStandard Deviation 1
Lersivirine 1000 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Baseline4.76 log10 copies/mLStandard Deviation 0.82
Etravirine 200 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 96-0.96 log10 copies/mLStandard Deviation 1.49
Etravirine 200 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Baseline4.59 log10 copies/mLStandard Deviation 0.79
Etravirine 200 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 24-2.32 log10 copies/mLStandard Deviation 1.21
Etravirine 200 mgChange From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Change at Week 48-2.06 log10 copies/mLStandard Deviation 1.42
Secondary

Lersivirine Success Percentage With Reference to Median Minimum Observed Plasma Concentration (Cmin)

Simple quartile exposure analysis of success rate (viral load \<50 copies/mL) versus median Cmin assesses the exposure response relationship. Percentage of participants with HIV-1 RNA level \<50 copies/mL at median Cmin quartile were planned to be reported.

Time frame: Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48

Population: Due to the sparsity of the data, the ability to interpret the pharmacokinetic/pharmacodynamic (PK/PD) results was limited, thus the data was not reported.

Secondary

Number of Participants With Laboratory Test Abnormalities

Laboratory analysis included blood chemistry, hematology and urinalysis.

Time frame: Baseline up to Week 48 or early termination

Population: Safety analysis set included all randomized participants who received at least 1 dose of study medication. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

ArmMeasureValue (NUMBER)
Lersivirine 750 mgNumber of Participants With Laboratory Test Abnormalities27 participants
Lersivirine 1000 mgNumber of Participants With Laboratory Test Abnormalities30 participants
Etravirine 200 mgNumber of Participants With Laboratory Test Abnormalities33 participants
Secondary

Number of Participants With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Resistance-Associated Mutations (RAMs) and/or Phenotypic Susceptibility at Time of Treatment Failure Through Week 48

Genotypic and phenotypic resistance to NNRTIs based on International Acquired Immunodeficiency Syndrome (AIDS) Society, United States of America (IAS-USA) RAM guidelines were evaluated using Monogram Biosciences PhenoSenseGT Assay at Baseline. This was then repeated for all participants with HIV-1 viral load \>500 copies/mL at treatment failure, up to Week 48.

Time frame: Baseline through Week 48

Population: Virology analysis set included a subset of participants from TLOVR50 failures who had valid genotypic or phenotypic susceptibility testing result and with plasma HIV-1 RNA \>500 copies/mL at baseline and treatment failure.

ArmMeasureValue (NUMBER)
Lersivirine 750 mgNumber of Participants With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Resistance-Associated Mutations (RAMs) and/or Phenotypic Susceptibility at Time of Treatment Failure Through Week 485 participants
Lersivirine 1000 mgNumber of Participants With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Resistance-Associated Mutations (RAMs) and/or Phenotypic Susceptibility at Time of Treatment Failure Through Week 483 participants
Etravirine 200 mgNumber of Participants With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Resistance-Associated Mutations (RAMs) and/or Phenotypic Susceptibility at Time of Treatment Failure Through Week 481 participants
Secondary

Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96

Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).

Time frame: Week 24, 48, 96

Population: ITT population. Participants who died,discontinued,lost to follow-up,switched/changed dose of ARV drug not allowed by protocol,had missing plasma HIV-1 RNA data at 24, 48, 96 weeks were considered to have plasma HIV-1 RNA \>=400 copies/mL and referred to as failure. n=participants evaluable at specified time point for each arm group, respectively.

ArmMeasureGroupValue (NUMBER)
Lersivirine 750 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 48 (n=31, 32, 34)41.9 percentage of participants
Lersivirine 750 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 24 (n=31, 32, 34)54.8 percentage of participants
Lersivirine 750 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 96 (n=28, 28, 27)25.0 percentage of participants
Lersivirine 1000 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 48 (n=31, 32, 34)34.4 percentage of participants
Lersivirine 1000 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 24 (n=31, 32, 34)50.0 percentage of participants
Lersivirine 1000 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 96 (n=28, 28, 27)14.3 percentage of participants
Etravirine 200 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 24 (n=31, 32, 34)79.4 percentage of participants
Etravirine 200 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 96 (n=28, 28, 27)37.0 percentage of participants
Etravirine 200 mgPercentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96Week 48 (n=31, 32, 34)70.6 percentage of participants
Secondary

Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96

Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).

Time frame: Weeks 48, 96

Population: ITT population. Participants who died, discontinued,lost to follow-up,switched/changed dose of ARV drug not allowed by protocol,had missing plasma HIV-1 RNA data at 48, 96 weeks were considered to have plasma HIV-1 RNA \>=50 copies/mL and were referred to as failure. n=participants evaluable at specified time point for each arm group, respectively.

ArmMeasureGroupValue (NUMBER)
Lersivirine 750 mgPercentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96Week 48 (n=31, 32, 34)41.9 percentage of participants
Lersivirine 750 mgPercentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96Week 96 (n=28, 28, 27)25.0 percentage of participants
Lersivirine 1000 mgPercentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96Week 48 (n=31, 32, 34)31.3 percentage of participants
Lersivirine 1000 mgPercentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96Week 96 (n=28, 28, 27)14.3 percentage of participants
Etravirine 200 mgPercentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96Week 48 (n=31, 32, 34)61.8 percentage of participants
Etravirine 200 mgPercentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96Week 96 (n=28, 28, 27)37.0 percentage of participants
Secondary

Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96

TLOVR50 response (50 denotes lower limit of quantification \[LLOQ\] of assay=50 copies/mL): compliment to TLOVR50 failure. TLOVR50 failure based on observed HIV-1 RNA levels and failure events (death; permanent discontinuation of drug; lost to follow-up; new ARV drug; met treatment failure \[TF\] criteria). TF: an increase of at least (\>=)3 times the baseline plasma HIV-1 RNA level at Week 2 or thereafter; failure to achieve HIV-1 RNA level \<50 copies/mL at Week 24; starting at Week 2, an increase in HIV-1 RNA level to detectable levels (\>50 copies/mL); HIV-1 RNA \<1 log10 decrease from baseline at Week 4 or thereafter. TF were confirmed by second measurement \>=14 days after first. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.

Time frame: Week 24, 48, 96

Population: ITT.Participants who died,discontinued,lost to follow-up,switched/changed dose of ARV drug not allowed by protocol,had missing plasma HIV-1 RNA data at 24,48 weeks were considered to have plasma HIV-1 RNA\>=50 copies/mL;were referred as failure. Due to early termination of study,decision was made not to derive TLOVR50 responder analysis for Week 96.

ArmMeasureGroupValue (NUMBER)
Lersivirine 750 mgPercentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96Week 2448.4 percentage of participants
Lersivirine 750 mgPercentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96Week 4841.9 percentage of participants
Lersivirine 1000 mgPercentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96Week 2443.8 percentage of participants
Lersivirine 1000 mgPercentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96Week 4828.1 percentage of participants
Etravirine 200 mgPercentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96Week 2467.6 percentage of participants
Etravirine 200 mgPercentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96Week 4855.9 percentage of participants
Secondary

Population Pharmacokinetics (PK) of Lersivirine

Data for this Outcome Measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.

Time frame: Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48

Secondary

Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96

TAD was calculated as (area under the curve of HIV-1 RNA levels \[log10 copies/mL\] from baseline to the time point of interest divided by time period in weeks) minus baseline HIV-1 RNA level (log10 copies/mL). Baseline value calculated as average of measurements collected at prior to and including Day 1 pre-dose. Due to early termination of the study decision was made not to derive TAD results for Week 96.

Time frame: Week 24, 48, 96

Population: ITT population. Participant discontinued before a visit of interest: TAD imputed as zero; not discontinued but observation was missing at visit: TAD to the last non-missing timepoint; not discontinued and missing values between baseline and visit: ignore missing values; missing baseline or no HIV-1 RNA level assessment: TAD imputed as zero.

ArmMeasureGroupValue (MEAN)Dispersion
Lersivirine 750 mgTime-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Week 24-1.46 log10 copies/mLStandard Deviation 1.12
Lersivirine 750 mgTime-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Week 48-1.28 log10 copies/mLStandard Deviation 1.39
Lersivirine 1000 mgTime-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Week 24-1.72 log10 copies/mLStandard Deviation 1.11
Lersivirine 1000 mgTime-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Week 48-1.19 log10 copies/mLStandard Deviation 1.35
Etravirine 200 mgTime-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Week 24-2.10 log10 copies/mLStandard Deviation 0.92
Etravirine 200 mgTime-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96Week 48-1.89 log10 copies/mLStandard Deviation 1.27

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