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Effects of Famotidine on the Pharmacokinetics of Atazanavir When Coadministered to Participants With HIV Infection

Open-Label, Multiple-Dose, Drug Interaction Study to Assess the Effect of Famotidine on the Pharmacokinetics of Atazanavir in HIV-Infected Subjects Receiving Atazanavir With Ritonavir and Tenofovir

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01232127
Enrollment
25
Registered
2010-11-02
Start date
2011-02-28
Completion date
2011-06-30
Last updated
2012-08-31

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

Conditions

HIV

Brief summary

The purpose of this study is to assess the effects of famotidine, given twice daily, on atazanavir administered with ritonavir and tenofovir in HIV-infected participants.

Detailed description

This protocol was designed to compare the pharmacokinetic parameters of atazanavir administered as atazanavir/ritonavir, 400/100 mg once daily (QD), plus famotidine, 20 mg and 40 mg twice daily, with the parameters found at the usual clinical dose of atazanavir/ritonavir, 300/100 mg QD, without famotidine in HIV-infected participants receiving tenofovir disoproxil fumarate and at least 1 other nucleoside reverse transcriptase inhibitor.

Interventions

DRUGAtazanavir

Capsule, oral, 300 mg, once daily, 10 days

DRUGRitonavir

Capsule, oral, 100 mg, once daily, 10 days

Capsule, oral, 300 mg, once daily, 10 days

DRUGFamotidine (FAM)

Tablet, oral, 20 mg, twice daily, 7 days

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Masking
NONE

Eligibility

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

Inclusion criteria

Key inclusion criteria: * Males and females, 18 to 65 years of age, with HIV infection and a body mass index of 18.0 to 35.0 kg/m\^2 * HIV-infected participants receiving a treatment regimen containing only atazanavir/ritonavir, 300/100 mg once daily (QD) + tenofovir, 300 mg QD + at least 1 other nucleotide reverse transcriptase inhibitor continuously for at least 3 months prior to study day 1 * Plasma HIV RNA levels of \<50 copies/mL and a CD4 count \>200 cells/mm\^3. * No history of virologic failure on a protease inhibitor (PI), documented phenotypic PI resistance, or primary PI mutations, according to International AIDS Society recommendations * No documented phenotypic resistance to atazanavir or primary genotypic mutations causing resistance to atazanavir * Women of childbearing potential who were not nursing or pregnant and were using an acceptable method of contraception for at least 4 weeks before dosing, during the study, and for 8 weeks from the last dose of study drug. * Women with a negative pregnancy test result within 24 hours prior to dosing with study medication * Women not breastfeeding * Men willing or able to agree to practice barrier contraception for the duration of the study and at least 3 months after dosing. Key

Exclusion criteria

* Any history of CD4 cell count \<50 cells/mm\^3 * Previously documented phenotypic or genotypic resistance to any of the currently prescribed NRTIs * Any significant acute illness within 6 months of study day 1 or chronic medical illness unless stable or controlled by a nonprohibited medication * Any major surgery within 4 weeks of study day 1 * Any gastrointestinal surgery that could impact upon the absorption of any study drug * Inability to be venipunctured and/or tolerate venous access * History of Gilbert's syndrome, hemophilia, chronic pancreatitis, hypochlorhydria, achlorhydria, clinically relevant gastroesophageal reflux disease, hiatal hernia, or peptic/gastric ulcer disease * Intractable diarrhea (≥ 6 loose stools/day for at least 7 consecutive days) within 30 days prior to study day 1 * Recent (within 6 months prior to study day 1) drug or alcohol abuse * Evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, electrocardiogram (ECG) * Evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, ECG, or clinical laboratory determinations, which would not be expected for the extent of HIV disease * Any of the following on 12-lead ECG prior to dosing on study day 1, confirmed by repeat: PR ≥ 210 msec; QRS ≥ 120 msec; QT ≥ 500 msec; QTcF ≥ 450 msec * Second- or third-degree A-V block or clinically relevant ECG abnormalities * Positive urine screen for drugs of abuse at screening or prior to dosing without a valid prescription. Positive urine drug screen for cannabinoids with or without a prescription is not exclusionary * Creatinine clearance, as estimated by method of Cockcroft and Gault, less than 60 mL/min * Liver enzyme levels \> 3\* the upper limit of normal (ULN) prior to dosing on study day 1 * Total bilirubin level \>10\*ULN prior to study day 1 * Positive blood screen for hepatitis B surface antigen or hepatitis C antibody.

Design outcomes

Primary

MeasureTime frame
Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirDays 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and RitonavirDays 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and RitonavirDays 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.

Secondary

MeasureTime frameDescription
Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestDays 1 through 25 (end of study), continuously, and at study discharge for those who discontinued prematurely.An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. An SAE is any unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization.
Number of Participants With Abnormalities in Laboratory Test ResultsDays 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.PreRX=pretreatment; ULN=upper limit of normal. Neutrophils, (absolute), low (10\*3 c/uL): \<0.85\*PreRx, if PreRx \<1.5; \<1.5 if PreRx ≥1.5. Alanine aminotransferase, high (U/L): \>1.25\*PreRx if PreRx \>ULN; \>1.25\*ULN if PreRx ≤ULN. Bilirubin, direct (mg/dL), high: \>1.1\*ULN if PreRx ≤ULN;\> 1.1\*ULN if PreRx is missing; \>1.25\*PreRx if PreRx \>ULN. Bilirubin, total (mg/dL), high: \>1.1\*ULN if PreRx ≤ULN;\> 1.1\*ULN if PreRx is missing; \>1.25\*PreRx if PreRx \>ULN.
Number of Participants With Abnormalities in Vital SignsDays 1, 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.Vital signs include temperature, respiratory rate, seated blood pressure, and heart rate.
Number of Participants With Abnormalities in Electrocardiogram (ECG) FindingsDays 1 and 25 (end of study) and at study discharge for those who discontinued prematurely.ECG findings include heart rate, ECG intervals (including PR, QRS, QT, and corrections to QT using both Bazett's and Fridericia's formulae), and Investigator-identified ECG abnormalities.

Countries

Germany, United Kingdom

Participant flow

Participants by arm

ArmCount
All Treated25
Total25

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Period 1: Days 1-10Discontinued due to dosing error100

Baseline characteristics

CharacteristicAll Treated
Age39.8 Years
Age, Customized
65 years and older
0 Participants
Age, Customized
Younger than 65 years
25 Participants
CD4 Absolute Count584.8 Cells/μL
STANDARD_DEVIATION 194.09
CD4 Percent of Total32.1 Percent of participants
STANDARD_DEVIATION 7.1
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
5 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
20 Participants
Sex: Female, Male
Female
1 Participants
Sex: Female, Male
Male
24 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
4 / 256 / 251 / 24
serious
Total, serious adverse events
0 / 250 / 250 / 24

Outcome results

Primary

Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and Ritonavir

Time frame: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.

Population: Participants who received study drug and had adequate PK profiles.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTIArea Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and RitonavirAtazanavir AUC32562 ng*h/mLGeometric Coefficient of Variation 37.7
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTIArea Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and RitonavirRitonavir AUC7317 ng*h/mLGeometric Coefficient of Variation 35.6
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and RitonavirAtazanavir AUC37894 ng*h/mLGeometric Coefficient of Variation 40.7
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and RitonavirRitonavir AUC7430 ng*h/mLGeometric Coefficient of Variation 32.4
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and RitonavirAtazanavir AUC31481 ng*h/mLGeometric Coefficient of Variation 48.8
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and RitonavirRitonavir AUC7052 ng*h/mLGeometric Coefficient of Variation 36.7
Primary

Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and Ritonavir

Time frame: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.

Population: Participants who received study drug and had adequate PK profiles.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTIMaximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirRitonavir Cmax1141 ng/mLGeometric Coefficient of Variation 30.5
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTIMaximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirRitonavir Ctrough45.8 ng/mLGeometric Coefficient of Variation 58.7
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTIMaximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirAtazanavir Cmax3512 ng/mLGeometric Coefficient of Variation 35.4
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTIMaximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirAtazanavir Ctrough496 ng/mLGeometric Coefficient of Variation 50.9
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirRitonavir Cmax1148 ng/mLGeometric Coefficient of Variation 29.8
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirAtazanavir Ctrough602 ng/mLGeometric Coefficient of Variation 60.3
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirRitonavir Ctrough49.2 ng/mLGeometric Coefficient of Variation 66.8
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirAtazanavir Cmax4131 ng/mLGeometric Coefficient of Variation 37.7
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirRitonavir Ctrough47.3 ng/mLGeometric Coefficient of Variation 53.4
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirAtazanavir Cmax3322 ng/mLGeometric Coefficient of Variation 45.2
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirAtazanavir Ctrough494 ng/mLGeometric Coefficient of Variation 59.4
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and RitonavirRitonavir Cmax1096 ng/mLGeometric Coefficient of Variation 36.1
Primary

Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and Ritonavir

Time frame: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.

Population: Participants who received study drug and had adequate PK profiles.

ArmMeasureGroupValue (MEDIAN)
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTITime of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and RitonavirAtazanavir Tmax3.0 Hours
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTITime of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and RitonavirRitonavir Tmax4.0 Hours
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and RitonavirAtazanavir Tmax3.0 Hours
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and RitonavirRitonavir Tmax4.00 Hours
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and RitonavirAtazanavir Tmax3.0 Hours
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and RitonavirRitonavir Tmax4.0 Hours
Secondary

Number of Participants With Abnormalities in Electrocardiogram (ECG) Findings

ECG findings include heart rate, ECG intervals (including PR, QRS, QT, and corrections to QT using both Bazett's and Fridericia's formulae), and Investigator-identified ECG abnormalities.

Time frame: Days 1 and 25 (end of study) and at study discharge for those who discontinued prematurely.

Population: Participants who received study drug and were evaluable.

ArmMeasureGroupValue (NUMBER)
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Electrocardiogram (ECG) FindingsNonspecific ST/T wave abnormality1 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Electrocardiogram (ECG) FindingsShort PR interval1 Participants
Secondary

Number of Participants With Abnormalities in Laboratory Test Results

PreRX=pretreatment; ULN=upper limit of normal. Neutrophils, (absolute), low (10\*3 c/uL): \<0.85\*PreRx, if PreRx \<1.5; \<1.5 if PreRx ≥1.5. Alanine aminotransferase, high (U/L): \>1.25\*PreRx if PreRx \>ULN; \>1.25\*ULN if PreRx ≤ULN. Bilirubin, direct (mg/dL), high: \>1.1\*ULN if PreRx ≤ULN;\> 1.1\*ULN if PreRx is missing; \>1.25\*PreRx if PreRx \>ULN. Bilirubin, total (mg/dL), high: \>1.1\*ULN if PreRx ≤ULN;\> 1.1\*ULN if PreRx is missing; \>1.25\*PreRx if PreRx \>ULN.

Time frame: Days 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.

Population: Participants who received study drug and were evaluable.

ArmMeasureGroupValue (NUMBER)
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Laboratory Test ResultsWBC differential count (low)1 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Laboratory Test ResultsNeutrophils (absolute) (low)0 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Laboratory Test ResultsAlanine aminotransferase (high)0 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Laboratory Test ResultsAspartate aminotransferase (high)0 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Laboratory Test ResultsBilirubin, direct (high)1 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Laboratory Test ResultsBilirubin, total (high)3 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Abnormalities in Laboratory Test ResultsBilirubin, total (high)7 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Abnormalities in Laboratory Test ResultsWBC differential count (low)0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Abnormalities in Laboratory Test ResultsAspartate aminotransferase (high)0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Abnormalities in Laboratory Test ResultsBilirubin, direct (high)0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Abnormalities in Laboratory Test ResultsNeutrophils (absolute) (low)1 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Abnormalities in Laboratory Test ResultsAlanine aminotransferase (high)1 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Abnormalities in Laboratory Test ResultsNeutrophils (absolute) (low)0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Abnormalities in Laboratory Test ResultsAlanine aminotransferase (high)0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Abnormalities in Laboratory Test ResultsBilirubin, total (high)5 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Abnormalities in Laboratory Test ResultsAspartate aminotransferase (high)1 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Abnormalities in Laboratory Test ResultsWBC differential count (low)0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Abnormalities in Laboratory Test ResultsBilirubin, direct (high)0 Participants
Secondary

Number of Participants With Abnormalities in Vital Signs

Vital signs include temperature, respiratory rate, seated blood pressure, and heart rate.

Time frame: Days 1, 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.

Population: Participants who received study drug and were evaluable.

ArmMeasureGroupValue (NUMBER)
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Vital SignsIsolated decrease in heart rate2 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Abnormalities in Vital SignsSporadic respiration rate >16 bpm11 Participants
Secondary

Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical Interest

An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. An SAE is any unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization.

Time frame: Days 1 through 25 (end of study), continuously, and at study discharge for those who discontinued prematurely.

Population: Participants who received study drug and were evaluable.

ArmMeasureGroupValue (NUMBER)
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs of clinical interest: Nausea0 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestSAEs0 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs of clinical interest: Diarrhea0 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs leading to discontinuation0 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs6 Participants
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTINumber of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestDeaths0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestDeaths0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs of clinical interest: Nausea2 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs7 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs leading to discontinuation0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs of clinical interest: Diarrhea3 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestSAEs0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs of clinical interest: Diarrhea0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestDeaths0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestSAEs0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs5 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs of clinical interest: Nausea0 Participants
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical InterestAEs leading to discontinuation0 Participants

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