HIV-1
Conditions
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
UK 453,061 750 mg QD + one optimized NRTI + darunavir/ritonavir.
UK 453,061 1000 mg QD + one optimized NRTI + darunavir/ritonavir.
Etravirine 200 mg BID + one optimized NRTI + darunavir/ritonavir.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24 | Week 24 | Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 24, 48, 96 | Plasma 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 96 | Baseline, Week 24, 48, 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-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Week 24, 48, 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. |
| Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96 | Week 24, 48, 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. |
| Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Baseline, 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. |
| Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96 | Weeks 48, 96 | Plasma 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 48 | Baseline 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. |
| Number of Participants With Laboratory Test Abnormalities | Baseline up to Week 48 or early termination | Laboratory analysis included blood chemistry, hematology and urinalysis. |
| Population Pharmacokinetics (PK) of Lersivirine | Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48 | 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. |
| Lersivirine Success Percentage With Reference to Median Minimum Observed Plasma Concentration (Cmin) | Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48 | 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. |
| Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Baseline, 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. |
Countries
Brazil, Germany, Italy, Malaysia, Poland, Portugal, Puerto Rico, South Africa, Spain, Taiwan, Ukraine, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 97 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 2 | 4 |
| Overall Study | Lack of Efficacy | 13 | 16 | 9 |
| Overall Study | Lost to Follow-up | 2 | 1 | 0 |
| Overall Study | Other | 2 | 0 | 1 |
| Overall Study | Pregnancy | 0 | 1 | 0 |
| Overall Study | Protocol Violation | 1 | 1 | 0 |
| Overall Study | Randomized but not Treated | 4 | 3 | 1 |
| Overall Study | Study Terminated by Sponsor | 5 | 5 | 7 |
| Overall Study | Withdrawal by Subject | 2 | 3 | 2 |
Baseline characteristics
| Characteristic | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg | Total |
|---|---|---|---|---|
| Age, Continuous | 41.1 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 Participants | 18 Participants | 18 Participants | 51 Participants |
| Sex: Female, Male Male | 16 Participants | 14 Participants | 16 Participants | 46 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 27 / 31 | 25 / 32 | 32 / 34 |
| serious Total, serious adverse events | 1 / 31 | 4 / 32 | 1 / 34 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Lersivirine 750 mg | Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24 | 48.4 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24 | 43.8 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24 | 67.6 percentage of participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Baseline | 247 cells per microliter (cells/mcL) | Standard Deviation 143 |
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 24 | 98 cells per microliter (cells/mcL) | Standard Deviation 140 |
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 48 | 122 cells per microliter (cells/mcL) | Standard Deviation 148 |
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 96 | 148 cells per microliter (cells/mcL) | Standard Deviation 177 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 96 | 89 cells per microliter (cells/mcL) | Standard Deviation 152 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Baseline | 259 cells per microliter (cells/mcL) | Standard Deviation 187 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 48 | 74 cells per microliter (cells/mcL) | Standard Deviation 128 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 24 | 66 cells per microliter (cells/mcL) | Standard Deviation 111 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 96 | 184 cells per microliter (cells/mcL) | Standard Deviation 197 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 24 | 110 cells per microliter (cells/mcL) | Standard Deviation 108 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Change at Week 48 | 128 cells per microliter (cells/mcL) | Standard Deviation 127 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96 | Baseline | 227 cells per microliter (cells/mcL) | Standard Deviation 146 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Baseline | 16.1 percentage of total lymphocytes | Standard Deviation 8.7 |
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 24 | 3.0 percentage of total lymphocytes | Standard Deviation 4 |
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 48 | 4.6 percentage of total lymphocytes | Standard Deviation 5.3 |
| Lersivirine 750 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 96 | 5.4 percentage of total lymphocytes | Standard Deviation 6.1 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 96 | 4.2 percentage of total lymphocytes | Standard Deviation 4.9 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Baseline | 15.0 percentage of total lymphocytes | Standard Deviation 8.8 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 48 | 4.0 percentage of total lymphocytes | Standard Deviation 4.1 |
| Lersivirine 1000 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 24 | 3.7 percentage of total lymphocytes | Standard Deviation 3.6 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 96 | 6.2 percentage of total lymphocytes | Standard Deviation 6.2 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 24 | 3.7 percentage of total lymphocytes | Standard Deviation 3.2 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Change at Week 48 | 4.4 percentage of total lymphocytes | Standard Deviation 3.8 |
| Etravirine 200 mg | Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96 | Baseline | 14.6 percentage of total lymphocytes | Standard Deviation 8.3 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lersivirine 750 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 48 | -1.30 log10 copies/mL | Standard Deviation 1.64 |
| Lersivirine 750 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 96 | -0.69 log10 copies/mL | Standard Deviation 1.39 |
| Lersivirine 750 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Baseline | 4.28 log10 copies/mL | Standard Deviation 0.99 |
| Lersivirine 750 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 24 | -1.53 log10 copies/mL | Standard Deviation 1.58 |
| Lersivirine 1000 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 48 | -1.08 log10 copies/mL | Standard Deviation 1.48 |
| Lersivirine 1000 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 24 | -1.89 log10 copies/mL | Standard Deviation 1.46 |
| Lersivirine 1000 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 96 | -0.36 log10 copies/mL | Standard Deviation 1 |
| Lersivirine 1000 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Baseline | 4.76 log10 copies/mL | Standard Deviation 0.82 |
| Etravirine 200 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 96 | -0.96 log10 copies/mL | Standard Deviation 1.49 |
| Etravirine 200 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Baseline | 4.59 log10 copies/mL | Standard Deviation 0.79 |
| Etravirine 200 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 24 | -2.32 log10 copies/mL | Standard Deviation 1.21 |
| Etravirine 200 mg | Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Change at Week 48 | -2.06 log10 copies/mL | Standard Deviation 1.42 |
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.
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Lersivirine 750 mg | Number of Participants With Laboratory Test Abnormalities | 27 participants |
| Lersivirine 1000 mg | Number of Participants With Laboratory Test Abnormalities | 30 participants |
| Etravirine 200 mg | Number of Participants With Laboratory Test Abnormalities | 33 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Lersivirine 750 mg | 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 | 5 participants |
| Lersivirine 1000 mg | 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 | 3 participants |
| Etravirine 200 mg | 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 | 1 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Lersivirine 750 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 48 (n=31, 32, 34) | 41.9 percentage of participants |
| Lersivirine 750 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 24 (n=31, 32, 34) | 54.8 percentage of participants |
| Lersivirine 750 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 96 (n=28, 28, 27) | 25.0 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 48 (n=31, 32, 34) | 34.4 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 24 (n=31, 32, 34) | 50.0 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 96 (n=28, 28, 27) | 14.3 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 24 (n=31, 32, 34) | 79.4 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 96 (n=28, 28, 27) | 37.0 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96 | Week 48 (n=31, 32, 34) | 70.6 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Lersivirine 750 mg | Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96 | Week 48 (n=31, 32, 34) | 41.9 percentage of participants |
| Lersivirine 750 mg | Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96 | Week 96 (n=28, 28, 27) | 25.0 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96 | Week 48 (n=31, 32, 34) | 31.3 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96 | Week 96 (n=28, 28, 27) | 14.3 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96 | Week 48 (n=31, 32, 34) | 61.8 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96 | Week 96 (n=28, 28, 27) | 37.0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Lersivirine 750 mg | Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96 | Week 24 | 48.4 percentage of participants |
| Lersivirine 750 mg | Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96 | Week 48 | 41.9 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96 | Week 24 | 43.8 percentage of participants |
| Lersivirine 1000 mg | Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96 | Week 48 | 28.1 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96 | Week 24 | 67.6 percentage of participants |
| Etravirine 200 mg | Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96 | Week 48 | 55.9 percentage of participants |
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
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lersivirine 750 mg | Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Week 24 | -1.46 log10 copies/mL | Standard Deviation 1.12 |
| Lersivirine 750 mg | Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Week 48 | -1.28 log10 copies/mL | Standard Deviation 1.39 |
| Lersivirine 1000 mg | Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Week 24 | -1.72 log10 copies/mL | Standard Deviation 1.11 |
| Lersivirine 1000 mg | Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Week 48 | -1.19 log10 copies/mL | Standard Deviation 1.35 |
| Etravirine 200 mg | Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Week 24 | -2.10 log10 copies/mL | Standard Deviation 0.92 |
| Etravirine 200 mg | Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96 | Week 48 | -1.89 log10 copies/mL | Standard Deviation 1.27 |