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Phase 3 Completed N=883 Randomized Treatment

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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