Phase 3
Completed N=883
BMS-Reyataz Study in Treatment in Naive Subjects to Compare the Efficacy and Safety Between Boosted Reyataz and Kaletra When in Combination With Fixed Dose Truvada
Source: ClinicalTrials.gov NCT00272779 ↗Enrolled (actual)
883
Serious AEs
12.4%
Results posted
May 2011
Primary outcomePrimary: Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48 — 343; 338 Participants
Summary
The purpose of this study is to evaluate the safety, tolerability and antiviral effects of atazanavir (ATV) plus ritonavir (RTV) versus a combination drug of lopinavir (LPV) plus RTV. A combination drug containing tenofovir (TDF) and emtricitabine (FTC) will also be taken by participants in both arms.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Human-immunodeficiency Virus- Ribonucleic Acid (HIV-RNA) < 50 Copies (c)/mL at Week 48 |
343; 338 | — |
| PRIMARY Maximum Plasma Concentration (Cmax) of ATV/RTV and LPV/RTV in the Presence of an Antiretroviral (ARV) Regimen Including TDF at Week 4 |
2897; 10654 | — |
| PRIMARY Area Under the Concentration-time Curve, in One Dosing Interval [AUC(TAU)] of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
28605; 90945 | — |
| PRIMARY Minimum Plasma Concentration (Cmin) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
526.4; 5944 | — |
| PRIMARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
3.00; 4.00 | — |
| PRIMARY Terminal Elimination Half-life (T-half) of ATV/RTV and LPV/RTV in the Presence of an ARV Regimen Including TDF at Week 4 |
10.31; 13.89 | — |
| PRIMARY Protein Binding Adjusted Effective Concentration (EC-90) of ATV and LPV When Dosed With RTV at Week 4 |
19.01; 162.7 | — |
| PRIMARY Inhibitory Quotient (IQ) of ATV and LPV When Dosed With RTV at Week 4 |
27.33; 35.91 | — |
| PRIMARY Cmax of RTV at Week 4 |
959.8; 657.4 | — |
| PRIMARY AUC (0-24) of RTV at Week 4 |
6724; 8011 | — |
| PRIMARY Cmin of RTV at Week 4 |
50.52; 179.0 | — |
| PRIMARY Cmax of Tenofovir at Week 4 |
352.0; 380.7 | — |
| PRIMARY Cmin of Tenofovir at Week 4 |
72.46; 84.98 | — |
| PRIMARY AUC (TAU) of Tenofovir at Week 4 |
3272; 3675 | — |
| PRIMARY Mean Change From Baseline in Trunk-to-Limb Fat Ratio as Measured by Dual Energy X-ray Absorptiometry (DEXA) at Week 96 |
0.05; 0.00 | — |
| PRIMARY Number of Participants With Single Nucleotide Polymorphisms (SNPs) Included in Genotype-Phenotype Analysis |
164; 35; 182; 16; 126; 71 | — |
| PRIMARY Mean Change From Baseline in Fasting Non-High Density Lipoprotein (HDL) Cholesterol Associated With RETN_097 |
12.50; 26.98; 13.23; 52.28 | 0.0847 |
| PRIMARY Mean Change From Baseline in Fasting Triglycerides Associated With RETN_097 |
21.41; 68.06; 27.21; 157.87 | 0.0058 sig |
| PRIMARY Mean Change From Baseline in Fasting Triglycerides Associated With RETN_2265 |
19.61; 65.83; 28.70; 148.95 | 0.0058 sig |
| PRIMARY Mean Change From Baseline in Fasting Triglycerides Associated With RETN_598 |
20.23; 61.66; 25.78; 123.28 | 0.0253 sig |
| PRIMARY Mean Change From Baseline in Fasting Triglycerides Associated With APOE_C130R |
23.27; 70.71; 13.92; 131.56 | 0.1173 |
| PRIMARY Mean Change From Baseline in Fasting Triglycerides Associated With RETN_734 |
23.35; 75.12; 21.16; 155.28 | 0.1173 |
| PRIMARY Mean Change From Baseline in Fasting Plasminogen Activator Inhibitor (PAI)-1 Associated With APOE_R176C |
5.98; 7.30; -117.27; -5.94 | 0.1847 |
| PRIMARY Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Associated With IL6_5309 |
-1.19; -2.68; 6.01; 1.41 | 0.1833 |
| PRIMARY Mean Change From Baseline in Fasting Tumor Necrosis Factor (TNF)-Alpha Asssociated With RS11030679 |
7.58; -0.13; 0.02; 1.27 | 0.1833 |
| PRIMARY Mean Change From Baseline in Subcutaneous Adipose Tissue (SAT)-To-Trunk Adipose Tissue (TAT) Ratio Associated With CCDC122_5980 |
0.03; 0.03; 0.11; 0.02 | 0.1694 |
| PRIMARY Mean Change From Baseline in Visceral Adipose Tissue (VAT) Associated With BRUNOL_1842 |
23.45; 10.38; -3.20; -1.76 | 0.1335 |
| PRIMARY Mean Change From Baseline in VAT Associated With RETN_730 |
-2.95; 13.69; 23.29; -1.05 | 0.1335 |
| PRIMARY Mean Change From Baseline in VAT-to-TAT Ratio Associated With CCDA122_5980 |
-0.03; -0.03; -0.11; -0.02 | 0.1696 |
| SECONDARY Number of Participants With HIV RNA < 400 c/mL at Week 48 |
377; 365 | — |
| SECONDARY Number of Participants With Confirmed Plasma HIV RNA < 400 c/mL at Week 48 (Defined by the Food and Drug Administration [FDA] Time to Loss of Virologic Response [TLOVR] Algorithm) |
377; 363 | — |
| SECONDARY Reduction of log10 HIV RNA Levels From Baseline to Week 48 |
-3.09; -3.13 | — |
| SECONDARY Mean Change From Baseline in Cluster of Differentiation 4 (CD4) Cell Count at Week 48 |
203; 219 | — |
| SECONDARY Treatment Emergent Resistance in Isolates From Participants With Virologic Failure at Week 48 |
27; 26; 17; 15; 18; 16 | — |
| SECONDARY Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced AEs Leading to Discontinuation Through Week 48 |
6; 6; 51; 42; 400; 399 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Hematology Through Week 48: Hemoglobin, Hematocrit, Platelet Count, International Normalized Ratio (INR), Neutrophils, Prothrombin Time (PT) and White Blood Cells (WBC) |
0; 6; 2; 6; 6; 11 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Serum Enzymes Levels Through Week 48 |
22; 20; 6; 6 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 48 |
8; 6; 9; 2; 0; 0 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 48 |
0; 0; 1; 1; 0; 1 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Electrolytes Through Week 48 |
0; 0; 1; 7; 0; 0 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 48 |
4; 3; 3; 1 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Fasting Lipids Through Week 48 |
30; 77; 2; 15 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Fasting Glucose Through Week 48 |
1; 1; 0; 0 | — |
| SECONDARY Mean Change in Weight From Baseline at Week 48 |
4.0; 2.0 | — |
| SECONDARY Mean Change in Body Mass Index (BMI) in Participants at Week 48 |
1.3; 0.8 | — |
| SECONDARY Mean Change in Fasting Lipid at Week 48 |
19; 38; 9; 12; 10; 26 | — |
| SECONDARY Mean Change in Fasting Glucose at Week 48 |
2; 0 | — |
| SECONDARY Mean Change in Fasting Insulin at Week 48 |
2.5; 0.2 | — |
| SECONDARY Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 24 |
4.1; 3.3; 5.3; 4.8; 15.2; 13.0 | — |
| SECONDARY Mean Change From Baseline in Quality of Life as Measured by the Medical Outcomes Survey - Human Immunodeficiency Virus (MOS-HIV) at Week 48 |
3.8; 3.3; 6.0; 5.6; 15.6; 13.7 | — |
| SECONDARY Mean Change From Baseline (BL) in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 4 (IBS-QoL) |
3.2; -0.7; 3.3; -0.1; 3.1; -1.9 | — |
| SECONDARY Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 12 (IBS-QoL) |
4.6; 0.2; 4.7; 1.2; 5.1; -0.4 | — |
| SECONDARY Mean Change From Baseline in Quality of Life as Measured by the Impact of Gastro-intestinal Toxicity at Week 24 Using the Irritable Bowel Syndrome Quality of Life (IBS-QoL) |
4.3; 1.4; 4.4; 1.8; 4.4; 0.0 | — |
| SECONDARY Number of Participants Who Adhered to Regimen as Measured by Multicenter AIDS Cohort Study Adherence Questionnaire (MACS) at Week 48 |
330; 316 | — |
| SECONDARY Number of Participants With HIV RNA < 50 c/mL) at Week 96 |
327; 302 | — |
| SECONDARY Number of Participants With HIV RNA < 400 c/mL) at Week 96 |
350; 330 | — |
| SECONDARY Reduction of log10 HIV RNA Levels From Baseline at Week 96 |
-3.21; -3.19 | — |
| SECONDARY Mean Change From Baseline in CD4 Cell Count at Week 96 |
268; 290 | — |
| SECONDARY Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation Through Week 96 |
6; 6; 63; 50; 13; 22 | — |
| SECONDARY Mean Changes in Fasting Lipids at Week 96 |
20; 37; 7.0; 10.0; 13.0; 27.0 | — |
| SECONDARY Mean Changes in Fasting Glucose at Week 96 |
4.0; 1.0 | — |
| SECONDARY Mean Changes in Fasting Insulin at Week 96 |
0.1; -0.8 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Hematology: Hemoglobin, Hematocrit, Platelet Count, INR, Neutrophils, PT and WBC Through Week 96 |
0; 6; 3; 7; 7; 18 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Serum Enzyme Levels Through Week 96 |
34; 28; 9; 9 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Liver Function Test Through Week 96 |
11; 7; 11; 5; 0; 0 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Renal Function Test Through Week 96 |
0; 0; 1; 2; 0; 1 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Electrolytes Level Through Week 96 |
0; 0; 4; 8; 0; 0 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Fasting Lipids Level Through Week 96 |
47; 108; 3; 18 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Fasting Glucose Levels Through Week 96 |
3; 2; 1; 0 | — |
| SECONDARY Number of Participants With Laboratory Abnormalities in Urinalysis Through Week 96 |
6; 5; 5; 6 | — |
| SECONDARY Number of Participants With Virologic Failure Showing Treatment Emergent Resistance Through Week 96 |
28; 29; 26; 26; 25; 23 | — |
| SECONDARY Mean Change From Baseline in Trunk-to-limb Fat Ratio Measured by DEXA at Week 48 |
0.04; -0.02 | — |
| SECONDARY Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 48 |
26; 16; 22; 17; 23; 15 | — |
| SECONDARY Mean Percent Changes From Baseline in Limb, Trunk and Total Body Fat Measured by DEXA at Week 96 |
34; 16; 27; 15; 29; 15 | — |
| SECONDARY Median Changes From Baseline at Week 96 in VAT-to-TAT, VAT-to-SAT and, Trunk-to-limb Fat Ratio Measured by Computed Tomography (CT)/DEXA |
-0.04; -0.02; -0.22; -0.09; 0.05; 0.00 | — |
| SECONDARY Mean Percent Changes From Baseline in Bone Mineral Density (BMD) Measured by DEXA at Week 48 |
-1; -1; -2; -2; -4; -4 | — |
| SECONDARY Mean Percent Changes From Baseline in BMD Measured by DEXA at Week 96 |
-1; -2; -2; -3; -3; -5 | — |
| SECONDARY Mean Change From Baseline in Body Weight at Week 96 |
5; 3 | — |
| SECONDARY Mean Change From Baseline in Body Weight at Week 48 |
4; 3 | — |
| SECONDARY Mean Change From Baseline in BMI at Week 96 |
2.0; 1.2 | — |
| SECONDARY Mean Change From Baseline in Waist Circumference at Week 96 |
6; 2 | — |
| SECONDARY Mean Change From Baseline in Waist Circumference at Week 48 |
4; 2 | — |
| SECONDARY Mean Change From Baseline in Waist-to-hip-ratio at Week 96 |
0.02; 0.01 | — |
| SECONDARY Mean Change From Baseline in BMI at Week 48 |
1.5; 1.1 | — |
| SECONDARY Mean Change From Baseline in Waist-to-hip-ratio at Week 48 |
0.02; 0.01 | — |
| SECONDARY Percentage of Participants With Lipoatrophy at Week 96 |
5; 7 | — |
| SECONDARY Mean Changes From Baseline in Body Weight at Week 96 |
6; 3 | — |
Eligibility Criteria
Inclusion Criteria
- HIV RNA ≥5000 c/ml
Exclusion Criteria
- Any antiretroviral therapy within 30 days prior to screening;
- Women of Childbearing potential (WOCBP) unwilling or unable to use an acceptable method to avoid pregnancy for the entire study and for up to 8 weeks after the study;
- WOCBP using a prohibited contraceptive method
- WOCBP who are pregnant or breastfeeding;
- Women with a positive pregnancy test on enrollment or prior to study drug administration;
- Presence of a newly diagnosed HIV-Related opportunistic infection or any medical condition requiring acute therapy at the time of enrollment;
- Suspected primary (acute) HIV infection;
- Prior antiviral therapy (>30 days of NRTI and/or >7 days of non-nucleoside reverse transcriptase inhibitor (NNRTI) or PI therapies) or any antiretroviral therapy within 30 days prior to screening; some exceptions are allowed for ARV therapy in use for Mother-to-child transmission;
- Participants with Cushing's syndrome;
- Untreated hypothyroidism or hyperthyroidism. A participant who is euthyroid on a stable replacement dose of thyroid hormone is acceptable provided the thyroid stimulating hormone (TSH) performed within 30 days of screening is within normal drug range;
- Recent therapy with agents with significant systemic myelosuppressive, neurotoxic, pancreatotoxic, hepatotoxic or cytotoxic potential within 3 months of study start or expected need for such therapy at the time of enrollment; or therapy with methadone or ribavirin/interferons or treatment with neurotoxic drugs or drugs that affect CYP3A4;
- Participants with obstructive liver disease;
- Active alcohol or substance use sufficient, in the Investigator's opinion, to prevent adequate compliance with study therapy or to increase the risk of developing pancreatitis or chemical hepatitis;
- Proven or suspected acute hepatitis in the 30 days prior to study entry;
- Intractable diarrhea (≥6 loose stools/day for at least 7 consecutive days) within 30 days prior to study entry;
- Inability to swallow capsules;
- Active peripheral neuropathy;
- Presence of cardiomyopathy (due to any cause) or any significant cardiovascular disease, such as unstable ischemic heart disease;
- Known, clinically significant cardiac conduction system disease.
- Baseline laboratory values measured within 2 weeks prior to initiating study drugs as follows:
- calculated creatine clearance <60 mL/min as estimated by the Cockcroft-Gault equation;
- total serum lipase ≥ 1.4 times the upper limit of normal;
- liver enzymes (AST, ALT) ≥ 5 times the upper limit of normal;
- total serum bilirubin ≥ 1.5 times the upper limit of normal.
- Hypersensitivity to any component of the formulation of study drug;
- Prohibited therapies;
- Any other clinical conditions or prior therapy that, in the opinion of the Investigator, would make the participant unsuitable for study or unable to comply with the dosing requirements;
- Prisoners or participants who are compulsorily detained (involuntarily incarcerated) for treatment of either a psychiatric or physical (e.g., infectious disease) illness must not be enrolled into this study.
Data sourced from ClinicalTrials.gov (NCT00272779). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.