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Safety of EVG+RTV Administered With Other Antiretroviral Agents for the Treatment of HIV-1 Infection

Phase 2
Completed
Conditions
HIV Infections
Interventions
Drug: ARV regimen
Registration Number
NCT00445146
Lead Sponsor
Gilead Sciences
Brief Summary

The main objective of this study is to observe the long-term safety of elvitegravir (EVG) boosted with ritonavir (RTV) in combination with other antiretroviral (ARV) agents in participants who have completed a prior EVG+RTV treatment study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
192
Inclusion Criteria
  • Completion of a prior EVG+RTV treatment study without treatment-limiting toxicity.
  • Males and females of childbearing potential must agree to utilize effective contraception methods.
  • Ability to understand and sign a written informed consent form.
Exclusion Criteria
  • Females who are pregnant or breastfeeding.
  • Participation in any other clinical trial without prior approval from the Sponsor.
  • Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the subject unsuitable for the study.
  • Subjects receiving ongoing therapy with contraindicated drugs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
EVG+RTVARV regimenEVG 85 mg or 150 mg + RTV + ARV regimen Participants receiving lopinavir/ritonavir (LPV/r) or atazanavir/ritonavir (ATV/r) as part of their ARV regimen will receive EVG 85 mg and all other participants will receive EVG 150 mg. Some participants may receive EVG 300 mg during the course of protocol amendment 2.
EVG+RTVEVGEVG 85 mg or 150 mg + RTV + ARV regimen Participants receiving lopinavir/ritonavir (LPV/r) or atazanavir/ritonavir (ATV/r) as part of their ARV regimen will receive EVG 85 mg and all other participants will receive EVG 150 mg. Some participants may receive EVG 300 mg during the course of protocol amendment 2.
EVG+RTVRTVEVG 85 mg or 150 mg + RTV + ARV regimen Participants receiving lopinavir/ritonavir (LPV/r) or atazanavir/ritonavir (ATV/r) as part of their ARV regimen will receive EVG 85 mg and all other participants will receive EVG 150 mg. Some participants may receive EVG 300 mg during the course of protocol amendment 2.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Experiencing Any Treatment-Emergent Study Dug-Related Adverse EventUp to Week 408 plus 30 days
Secondary Outcome Measures
NameTimeMethod
Alanine Aminotransferase (ALT) at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants Experiencing Any Treatment-Emergent Laboratory AbnormalityUp to Week 408 plus 30 days

Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. The most severe graded abnormality from all tests was counted for each participant.

Alkaline Phosphatase at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants Experiencing Treatment-Emergent Adverse EventsUp to Week 408 plus 30 days

Adverse events (AEs) occurring during treatment and for 30 days following the last dose of study drug were summarized across the participant population. A participant was counted once if they had a qualifying event.

Red Blood Cell (RBC) Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Baseline and at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants Experiencing Any Marked Treatment-Emergent Laboratory AbnormalityUp to Week 408 plus 30 days

A 'marked abnormality' was defined as a shift from grade 0 (or missing) at baseline to at least grade 3 postbaseline; or grade 1 at baseline to grade 4 postbaseline.

Hemoglobin at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
White Blood Cell (WBC) Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Platelet Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Aspartate Aminotransferase (AST) at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
HIV-1 RNA at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Baseline and at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
CD4 Cell Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Incidence of MortalityUp to Week 408 plus 30 days

The percentage of participants who died was summarized.

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