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

Phase 3
Completed
Conditions
HIV Infections
Interventions
Registration Number
NCT00819052
Lead Sponsor
Boehringer Ingelheim
Brief Summary

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

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
445
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NVP IRNevirapine IR200 mg orally twice a day (po BID)
NVP IRNevirapine XR200 mg orally twice a day (po BID)
NVP XRNevirapine XR400 mg orally once a day (po QD)
Primary Outcome Measures
NameTimeMethod
Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Populationweek 24

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

Secondary Outcome Measures
NameTimeMethod
Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Populationweek 0
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Populationbaseline, week 2
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Populationbaseline, week 24
Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Populationbaseline, week 24
Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Populationlast available visit, up to 144 weeks

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

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Populationbaseline, week 48
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Populationbaseline, week 60
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Populationbaseline, week 108
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Populationbaseline, week 144
Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144week 144

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

Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Populationweek 24

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

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Populationbaseline, week 4
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Populationbaseline, week 84
Trough Plasma ConcentrationDay 1 to week 48

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

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Populationbaseline, week 96
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Populationbaseline, last available visit (up to 144 weeks)
Change From Baseline in VL (HIV-1 Viral Load) at Each Visitweek 48, 60, 72, 84, 96, 108, 120, 132, 144, last available visit
Changes in Safety Parameters Related to Treatmentuntil week 144

Occurence of investigations related to treatment

Occurence of Rashes144 weeks

drug-related rashes by severity

Time to Loss of Virologic Response48 weeks

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

Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Populationweek 0 to 24
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Populationbaseline, week 12
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Populationbaseline, week 72
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Populationbaseline, week 120
Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Populationbaseline, week 132
Genotypic Resistance Associated With Virologic Failure48 weeks

Genotypic resistance associated with virologic failure.

This endpoint was not analysed due to lack of data.

Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Populationbaseline, week 8
Occurence of Hepatic Events144 weeks
New AIDS or AIDS-related Progression Event or Death144 weeks

Trial Locations

Locations (39)

1100.1526.1012 Boehringer Ingelheim Investigational Site

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Beverly Hills, California, United States

1100.1526.3306A Boehringer Ingelheim Investigational Site

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Bobigny, France

1100.1526.3304A Boehringer Ingelheim Investigational Site

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Nice cedex 3, France

1100.1526.4903 Boehringer Ingelheim Investigational Site

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Berlin, Germany

1100.1526.4911 Boehringer Ingelheim Investigational Site

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Hamburg, Germany

1100.1526.4403 Boehringer Ingelheim Investigational Site

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London, United Kingdom

1100.1526.3311A Boehringer Ingelheim Investigational Site

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Bordeaux, France

1100.1526.4402 Boehringer Ingelheim Investigational Site

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Tooting, London, United Kingdom

1100.1526.4906 Boehringer Ingelheim Investigational Site

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Düsseldorf, Germany

1100.1526.4902 Boehringer Ingelheim Investigational Site

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Berlin, Germany

1100.1526.4909 Boehringer Ingelheim Investigational Site

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Frankfurt, Germany

1100.1526.4915 Boehringer Ingelheim Investigational Site

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München, Germany

1100.1526.3312A Boehringer Ingelheim Investigational Site

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Le Kremlin-Bicêtre Cedex, France

1100.1526.3308A Boehringer Ingelheim Investigational Site

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Montpellier cedex 5, France

1100.1526.4904 Boehringer Ingelheim Investigational Site

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Bochum, Germany

1100.1526.4905 Boehringer Ingelheim Investigational Site

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Bonn, Germany

1100.1526.4912 Boehringer Ingelheim Investigational Site

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Hamburg, Germany

1100.1526.3301A Boehringer Ingelheim Investigational Site

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Lyon Cedex 3, France

1100.1526.3310A Boehringer Ingelheim Investigational Site

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Marseille cedex 9, France

1100.1526.4908 Boehringer Ingelheim Investigational Site

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Frankfurt/Main, Germany

1100.1526.3302A Boehringer Ingelheim Investigational Site

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Nantes, France

1100.1526.4913 Boehringer Ingelheim Investigational Site

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Hannover, Germany

1100.1526.4907 Boehringer Ingelheim Investigational Site

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Köln, Germany

1100.1526.4910 Boehringer Ingelheim Investigational Site

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Hamburg, Germany

1100.1526.4914 Boehringer Ingelheim Investigational Site

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Köln, Germany

1100.1526.4901 Boehringer Ingelheim Investigational Site

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Freiburg, Germany

1100.1526.4405 Boehringer Ingelheim Investigational Site

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London, United Kingdom

1100.1526.1013 Boehringer Ingelheim Investigational Site

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Los Angeles, California, United States

1100.1526.1002 Boehringer Ingelheim Investigational Site

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Miami, Florida, United States

1100.1526.1011 Boehringer Ingelheim Investigational Site

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Long Beach, California, United States

1100.1526.1014 Boehringer Ingelheim Investigational Site

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Beverly Hills, California, United States

1100.1526.1001 Boehringer Ingelheim Investigational Site

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Washington, District of Columbia, United States

1100.1526.1005 Boehringer Ingelheim Investigational Site

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Miami Beach, Florida, United States

1100.1526.1004 Boehringer Ingelheim Investigational Site

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Washington, District of Columbia, United States

1100.1526.1006 Boehringer Ingelheim Investigational Site

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Clearwater, Florida, United States

1100.1526.1003 Boehringer Ingelheim Investigational Site

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Berkley, Michigan, United States

1100.1526.1007 Boehringer Ingelheim Investigational Site

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Austin, Texas, United States

1100.1526.3307A Boehringer Ingelheim Investigational Site

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La Roche sur Yon, France

1100.1526.4404 Boehringer Ingelheim Investigational Site

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Manchester, United Kingdom

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