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Clinical, Virological and Safety Outcomes of a Lopinavir/Ritonavir-Based Regimen in HIV-1 Infected Patients in Routine Clinical Use in China

Clinical, Virological and Safety Outcomes of a Lopinavir/Ritonavir-Based Regimen in HIV-1 Infected Patients in Routine Clinical Use in China: A Multicenter Post-Marketing Observational Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01074931
Enrollment
98
Registered
2010-02-24
Start date
2008-04-30
Completion date
2010-06-30
Last updated
2011-08-03

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

Conditions

HIV-1 Infections

Keywords

Lopinavir/ritonavir

Brief summary

This post-marketing observational study is conducted for obtaining data on clinical, biological and virological outcomes, compliance and tolerability of using a lopinavir/ritonavir (LPV/r) -containing regimen for the treatment of naïve or experienced patients infected with human immunodeficiency virus type 1 (HIV-1) in China. Although LPV/r is frequently used world-wide, the evaluation of the outcomes, compliance, and tolerance of anti-HIV strategies in real life is still a major challenge in the management of HIV-infected patients who are on a life-long therapy, especially in China. This study will help to develop effectiveness and safety profile of the lopinavir/ritonavir containing regimen in Chinese HIV-1 infected patients, provide more choices of anti-HIV-1 strategies to Chinese experts and benefits Chinese HIV-1 infected patients.

Detailed description

It is planned to enroll approximately 100 patients in total. This will be a multicenter post-marketing observational study in China mainland. Each patient will be observed during his/her lopinavir/ritonavir - containing treatment regimen for a maximum period of 18 months. If the physician decides to permanently discontinue lopinavir/ritonavir before the end of the planned observational period of 18 months, the reason for the discontinuation and the new treatment regimen prescribed will be documented. The next routine follow-up visit will be the termination visit for this patient in this study. This post-marketing observational study will be conducted in a prospective, single-arm, multicenter format. As this study is observational in nature, its follow-up is not interventional and is left to the judgment of each physician within the 18-month period, which defines the survey for each patient. For indicative purpose, follow-up of patients should enable approximately 4 patient visits during this period. These visits will take place at average intervals of 6 months, apart from the first visit following inclusion (usually at the end of the first 3 treatment months) and apart from visits required because of an intercurrent event. If treatment with lopinavir/ritonavir is discontinued, standard practice is to review the patient after a period of 3 months. For these reasons, the most likely visits are defined as V1, V2, V3, V4 although numbers and dates will depend only on the decision of the physician. As a result, failure to meet these suggested dates will not constitute a deviation of the protocol.

Interventions

Lopinavir/ritonavir(LPV/r) is an HIV protease inhibitor (PI) that is co-formulated with lopinavir and ritonavir. Lopinavir is an inhibitor of the HIV-1 and HIV-2 proteases. As co-formulated in LPV/r, ritonavir inhibits the CYP3A-mediated metabolism of lopinavir, thereby providing increased plasma levels of lopinavir. The assignment of the patient to a lopinavir/ritonavir - containing regimen is not decided in advance by this protocol but falls within current practice and the prescription of lopinavir/ritonavir is clearly separated from the decision to include the patient in this study.

Sponsors

Abbott
Lead SponsorINDUSTRY

Study design

Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Patients infected by HIV-1 who are over 18 years old * Patients who belong to one of the following cohorts: * Antiretroviral naïve patients * Antiretroviral experienced patients, irrespective to their immune and viral status and current antiretroviral therapy

Exclusion criteria

* Patients who have been treated with lopinavir/ritonavir * Patients who are being treated or will be treated with drugs at risk of interactions with lopinavir/ritonavir * Patients who are not tolerant to lopinavir/ritonavir * Patients who have uncontrolled AIDS defining disease * Patients participating in another clinical trial

Design outcomes

Primary

MeasureTime frameDescription
Evolution of the HIV Viral ResponseMonth 3, 6, 12, 18The protocol recommended that HIV viral load tests be performed at baseline and each study visit. Test results indicate the number of HIV-1 ribonucleic acid (RNA) copies per milliliter (mL). The number of participants who underwent testing and had detectable levels (greater than 50 copies/mL) or undetectable levels (less than 50 copies/mL) are presented by subgroup. Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.
Evolution of CD4 CountMonth 3, 6, 12, 18The evolution of participants' CD4-positive (CD4+) T-lymphocyte counts after starting the lopinavir/ritonavir-containing regimen was to be assessed by measuring the number of CD4+ cells at baseline and each subsequent study visit. CD4+ count results are reported as the number of CD4+ cells per cubic millimeter (cmm). Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.
Evolution of the Tolerance IssuesMonth 3, 6, 12, 18At each study visit, treating physicians evaluated participants and used their clinical judgment to determine if they were tolerating the lopinavir/ritonavir-containing regimen. Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.

Secondary

MeasureTime frameDescription
Number of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination RegimenMonth 3, 6, 12, 18Visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The frequency with which each participant forgot to take their medication since the last visit and discontinuations of treatment and the reasons were documented at each visit and are summarized. The number of participants changing from lopinavir/ritonavir soft gel capsule to tablet are also presented. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month. Note: participants may have had multiple missed doses or therapy changes.
Adverse Events Observed and Development of Lipodystrophy Lesion and Their LocationsMonth 3, 6, 12, 18The types of adverse events reported are summarized. The presence of lipodystrophy (abnormal body fat distribution) and its location was to be recorded. However, due to an oversight, there was not a place to record the location of lipodystrophy on the case report form. Doctors used clinical judgment to rate lipodystrophy in treatment-experienced participants. Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.
The Duration on Treatment Until Development of an Adverse Event Leading to Treatment Discontinuation or Until Escape From TreatmentMonth 3, 6, 12, 18As so few participants withdrew from lopinavir/ritonavir treatment, durations of lopinavir/ritonavir therapy required for 25 percent, 50 percent and 75 percent of participants could not be established. The numbers of participants in each subgroup who discontinued from treatment due to an adverse event are presented.

Countries

China

Participant flow

Participants by arm

ArmCount
Lopinavir/Ritonavir Group
Adult participants with HIV-1 infection taking lopinavir/ritonavir
98
Total98

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath5
Overall StudyEconomic reasons1

Baseline characteristics

CharacteristicLopinavir/Ritonavir Group
Age at HIV-1 Diagnosis36.35 years
STANDARD_DEVIATION 10.89
Age Continuous39.86 years
STANDARD_DEVIATION 10.41
Antiretroviral Treatment within Previous 6 Months
No
8 Particpants
Antiretroviral Treatment within Previous 6 Months
Not reported
1 Particpants
Antiretroviral Treatment within Previous 6 Months
Yes
89 Particpants
Body Weight56.91 kilograms
STANDARD_DEVIATION 11.14
Lipodystrophy
Lipodystrophy not present
56 Participants
Lipodystrophy
Mild lipodystrophy present
30 Participants
Lipodystrophy
Moderate lipodystrophy present
11 Participants
Lipodystrophy
Severe lipodystrophy present
1 Participants
Other Chronic Diseases Present
No
67 participants
Other Chronic Diseases Present
Not reported
2 participants
Other Chronic Diseases Present
Yes
29 participants
Participant Classification
Treatment-experienced
90 Participants
Participant Classification
Treatment-naive
8 Participants
Region of Enrollment
China
98 participants
Sex: Female, Male
Female
27 Participants
Sex: Female, Male
Male
71 Participants
WHO Clinical Staging
Stage 1 (asymptomatic)
8 Participants
WHO Clinical Staging
Stage 2 (mild symptoms)
22 Participants
WHO Clinical Staging
Stage 3 (advanced symptoms)
32 Participants
WHO Clinical Staging
Stage 4 (severe symptoms)
36 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
1 / 98
serious
Total, serious adverse events
8 / 98

Outcome results

Primary

Evolution of CD4 Count

The evolution of participants' CD4-positive (CD4+) T-lymphocyte counts after starting the lopinavir/ritonavir-containing regimen was to be assessed by measuring the number of CD4+ cells at baseline and each subsequent study visit. CD4+ count results are reported as the number of CD4+ cells per cubic millimeter (cmm). Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.

Time frame: Month 3, 6, 12, 18

Population: Includes all participants taking at least one dose of lopinavir/ritonavir who had CD4+ count results at each particular time point.

ArmMeasureGroupValue (MEAN)Dispersion
Lopinavir/Ritonavir: Treatment-naiveEvolution of CD4 CountCD4+ count at Visit 1136.67 cells per cmmStandard Deviation 85.2
Lopinavir/Ritonavir: Treatment-naiveEvolution of CD4 CountCD4+ count at Visit 3200.00 cells per cmmStandard Deviation 112.56
Lopinavir/Ritonavir: Treatment-naiveEvolution of CD4 CountCD4+ count at Visit 2200.57 cells per cmmStandard Deviation 123.25
Lopinavir/Ritonavir: Treatment-naiveEvolution of CD4 CountCD4+ count at Visit 4239.00 cells per cmmStandard Deviation 124.4
Lopinavir/Ritonavir: Treatment-naiveEvolution of CD4 CountCD4+ count at Baseline101.00 cells per cmmStandard Deviation 107.94
Lopinavir/Ritonavir: Treatment-experiencedEvolution of CD4 CountCD4+ count at Visit 4413.77 cells per cmmStandard Deviation 209.96
Lopinavir/Ritonavir: Treatment-experiencedEvolution of CD4 CountCD4+ count at Baseline249.03 cells per cmmStandard Deviation 196.4
Lopinavir/Ritonavir: Treatment-experiencedEvolution of CD4 CountCD4+ count at Visit 1285.96 cells per cmmStandard Deviation 164.05
Lopinavir/Ritonavir: Treatment-experiencedEvolution of CD4 CountCD4+ count at Visit 2317.10 cells per cmmStandard Deviation 180.26
Lopinavir/Ritonavir: Treatment-experiencedEvolution of CD4 CountCD4+ count at Visit 3378.56 cells per cmmStandard Deviation 198.35
Primary

Evolution of the HIV Viral Response

The protocol recommended that HIV viral load tests be performed at baseline and each study visit. Test results indicate the number of HIV-1 ribonucleic acid (RNA) copies per milliliter (mL). The number of participants who underwent testing and had detectable levels (greater than 50 copies/mL) or undetectable levels (less than 50 copies/mL) are presented by subgroup. Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.

Time frame: Month 3, 6, 12, 18

Population: All participants who took at least one dose of lopinavir/ritonavir and had HIV viral load testing.

ArmMeasureGroupValue (NUMBER)
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load detectable at Baseline0 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load detectable at Visit 10 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load detectable at Visit 20 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load detectable at Visit 30 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load detectable at Visit 40 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load undetectable at Baseline1 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load undetectable at Visit 10 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load undetectable at Visit 20 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load undetectable at Visit 31 participant
Lopinavir/Ritonavir: Treatment-naiveEvolution of the HIV Viral ResponseViral load undetectable at Visit 40 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load undetectable at Visit 239 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load detectable at Baseline51 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load undetectable at Baseline15 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load detectable at Visit 13 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load undetectable at Visit 425 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load detectable at Visit 212 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load undetectable at Visit 122 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load detectable at Visit 35 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load undetectable at Visit 347 participant
Lopinavir/Ritonavir: Treatment-experiencedEvolution of the HIV Viral ResponseViral load detectable at Visit 45 participant
Primary

Evolution of the Tolerance Issues

At each study visit, treating physicians evaluated participants and used their clinical judgment to determine if they were tolerating the lopinavir/ritonavir-containing regimen. Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.

Time frame: Month 3, 6, 12, 18

Population: All participants taking at least one dose of lopinavir/ritonavir.

ArmMeasureGroupValue (NUMBER)
Lopinavir/Ritonavir: Treatment-naiveEvolution of the Tolerance IssuesLopinavir/ritonavir not tolerated at Visit 12 Participants
Lopinavir/Ritonavir: Treatment-naiveEvolution of the Tolerance IssuesLopinavir/ritonavir not tolerated at Visit 20 Participants
Lopinavir/Ritonavir: Treatment-naiveEvolution of the Tolerance IssuesLopinavir/ritonavir not tolerated at Visit 30 Participants
Lopinavir/Ritonavir: Treatment-naiveEvolution of the Tolerance IssuesLopinavir/ritonavir not tolerated at Visit 40 Participants
Secondary

Adverse Events Observed and Development of Lipodystrophy Lesion and Their Locations

The types of adverse events reported are summarized. The presence of lipodystrophy (abnormal body fat distribution) and its location was to be recorded. However, due to an oversight, there was not a place to record the location of lipodystrophy on the case report form. Doctors used clinical judgment to rate lipodystrophy in treatment-experienced participants. Study visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month.

Time frame: Month 3, 6, 12, 18

Population: The adverse event population includes all participants who took at least one dose of lopinavir/ritonavir (98). Lipodystrophy evaluations were performed in treatment-experienced participants (90), not treatment-naive participants (8).

ArmMeasureGroupValue (NUMBER)
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their LocationsSerious adverse events8 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their LocationsLipodystrophy: Visit 1 evaluation90 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsa) Improved24 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsb) Unchanged65 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsc) Worsened1 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their LocationsLipodystrophy: Visit 2 evaluation88 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsa) Improved8 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsb) Unchanged78 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsc) Worsened2 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their LocationsLipodystrophy: Visit 3 evaluation87 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsa) Improved8 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsc) Worsened0 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their LocationsLipodystrophy: Visit 4 evaluation84 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsa) Improved9 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsb) Unchanged75 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsc) Worsened0 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their LocationsNon-serious adverse events1 Participants
Lopinavir/Ritonavir: Treatment-naiveAdverse Events Observed and Development of Lipodystrophy Lesion and Their Locationsb) Unchanged79 Participants
Secondary

Number of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimen

Visits were to occur at approximately 3, 6, 12, and 18 months after starting treatment. The frequency with which each participant forgot to take their medication since the last visit and discontinuations of treatment and the reasons were documented at each visit and are summarized. The number of participants changing from lopinavir/ritonavir soft gel capsule to tablet are also presented. The exact dates of each visit depended on the physician's judgment, so data are reported for Visits 1 through 4 rather than by month. Note: participants may have had multiple missed doses or therapy changes.

Time frame: Month 3, 6, 12, 18

Population: All participants who took at least one dose of lopinavir/ritonavir.

ArmMeasureGroupValue (NUMBER)
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination RegimenTotal Missed Doses49 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimena) Missed doses reported at Visit 19 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimenb) Missed doses reported at Visit 213 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimenc) Missed doses reported at Visit 317 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimend) Missed doses reported at Visit 410 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination RegimenDiscontinued lopinavir/ritonavir therapy6 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimena) Discontinued due to serious adverse event5 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimenb) Discontinued due to economic reasons1 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination RegimenInterrupted lopinavir/ritonavir therapy4 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimenb) Required treatment with prohibited medication1 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimenc) Away because of work1 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimena) Switch from capsule to tablet at Visit 135 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimenb) Switch from capsule to tablet at Visit 212 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimenc) Switch from capsule to tablet at Visit 34 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimend) Switch from capsule to tablet at Visit 40 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination Regimena) Interrupted due to adverse event2 Participants
Lopinavir/Ritonavir: Treatment-naiveNumber of Participants Who Missed Doses, Interrupt or Discontinue Regimen, and Experience Changes in Dosage or of Combination RegimenTherapy change: Switch from capsule to tablet51 Participants
Secondary

The Duration on Treatment Until Development of an Adverse Event Leading to Treatment Discontinuation or Until Escape From Treatment

As so few participants withdrew from lopinavir/ritonavir treatment, durations of lopinavir/ritonavir therapy required for 25 percent, 50 percent and 75 percent of participants could not be established. The numbers of participants in each subgroup who discontinued from treatment due to an adverse event are presented.

Time frame: Month 3, 6, 12, 18

Population: All participants who took at least one dose of lopinavir/ritonavir.

ArmMeasureValue (NUMBER)
Lopinavir/Ritonavir: Treatment-naiveThe Duration on Treatment Until Development of an Adverse Event Leading to Treatment Discontinuation or Until Escape From Treatment1 Participants
Lopinavir/Ritonavir: Treatment-experiencedThe Duration on Treatment Until Development of an Adverse Event Leading to Treatment Discontinuation or Until Escape From Treatment5 Participants

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