Trial Outcomes & Findings for Safety, Tolerability and Pharmacokinetics of Efavirenz in HIV-Infected Children (NCT NCT00364793)
NCT ID: NCT00364793
Last Updated: 2014-04-29
Results Overview
Cmax and Cmin were derived from plasma concentrations versus time using a validated liquid chromatography tandem mass spectrometry method (LC-MS/MS). The lower limit of quantification (LLOQ) for EFV was 10.0 nanograms per milliliter (ng/mL) and the upper limit of quantification (ULOQ) was 8,000 ng/mL. Cmax and Cmin were recorded directly from experimental observations. Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters were summarized using geometric means. Cmax and Cmin were measured in ng/mL.
COMPLETED
PHASE1/PHASE2
56 participants
Week 2
2014-04-29
Participant Flow
This study initiated February 2007 and completed July 2013. All participants enrolled in countries where efavirenz (EFV) oral solution was not commercially available could remain on study until their 7th birthday or until they were able to swallow EFV capsules (whichever occurred first).
56 participants were enrolled but 19 were never treated. Reasons for not treating: 2 deaths, 1 lost to follow up, 6 other (not specified), 9 no longer met study criteria, 1 withdrew consent.
Participant milestones
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and emtricitabine (FTC) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
15
|
10
|
4
|
8
|
|
Overall Study
COMPLETED
|
7
|
5
|
0
|
5
|
|
Overall Study
NOT COMPLETED
|
8
|
5
|
4
|
3
|
Reasons for withdrawal
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and emtricitabine (FTC) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL); participants unable to meet the desired exposures using the oral solution, or those not able to tolerate the oral solution, used the capsule contents sprinkled on food. In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
|---|---|---|---|---|
|
Overall Study
Adverse Event
|
2
|
0
|
0
|
0
|
|
Overall Study
Death
|
1
|
0
|
1
|
0
|
|
Overall Study
Lack of Efficacy
|
3
|
3
|
1
|
1
|
|
Overall Study
Lost to Follow-up
|
1
|
0
|
2
|
0
|
|
Overall Study
Poor or non-compliance
|
1
|
1
|
0
|
1
|
|
Overall Study
No longer meets criteria
|
0
|
0
|
0
|
1
|
|
Overall Study
Withdrawal by Subject
|
0
|
1
|
0
|
0
|
Baseline Characteristics
Safety, Tolerability and Pharmacokinetics of Efavirenz in HIV-Infected Children
Baseline characteristics by cohort
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total
n=37 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
0.392 years
n=93 Participants
|
0.825 years
n=4 Participants
|
2.313 years
n=27 Participants
|
3.922 years
n=483 Participants
|
0.663 years
n=36 Participants
|
|
Sex: Female, Male
Female
|
6 Participants
n=93 Participants
|
0 Participants
n=4 Participants
|
1 Participants
n=27 Participants
|
6 Participants
n=483 Participants
|
13 Participants
n=36 Participants
|
|
Sex: Female, Male
Male
|
9 Participants
n=93 Participants
|
10 Participants
n=4 Participants
|
3 Participants
n=27 Participants
|
2 Participants
n=483 Participants
|
24 Participants
n=36 Participants
|
|
Race/Ethnicity, Customized
White
|
3 participants
n=93 Participants
|
9 participants
n=4 Participants
|
4 participants
n=27 Participants
|
8 participants
n=483 Participants
|
24 participants
n=36 Participants
|
|
Race/Ethnicity, Customized
Black or African American
|
7 participants
n=93 Participants
|
0 participants
n=4 Participants
|
0 participants
n=27 Participants
|
0 participants
n=483 Participants
|
7 participants
n=36 Participants
|
|
Race/Ethnicity, Customized
Asian
|
2 participants
n=93 Participants
|
0 participants
n=4 Participants
|
0 participants
n=27 Participants
|
0 participants
n=483 Participants
|
2 participants
n=36 Participants
|
|
Race/Ethnicity, Customized
Other
|
3 participants
n=93 Participants
|
1 participants
n=4 Participants
|
0 participants
n=27 Participants
|
0 participants
n=483 Participants
|
4 participants
n=36 Participants
|
|
Region of Enrollment
Panama
|
3 participants
n=93 Participants
|
0 participants
n=4 Participants
|
0 participants
n=27 Participants
|
1 participants
n=483 Participants
|
4 participants
n=36 Participants
|
|
Region of Enrollment
Mexico
|
2 participants
n=93 Participants
|
7 participants
n=4 Participants
|
3 participants
n=27 Participants
|
7 participants
n=483 Participants
|
19 participants
n=36 Participants
|
|
Region of Enrollment
Argentina
|
0 participants
n=93 Participants
|
3 participants
n=4 Participants
|
1 participants
n=27 Participants
|
0 participants
n=483 Participants
|
4 participants
n=36 Participants
|
|
Region of Enrollment
Thailand
|
2 participants
n=93 Participants
|
0 participants
n=4 Participants
|
0 participants
n=27 Participants
|
0 participants
n=483 Participants
|
2 participants
n=36 Participants
|
|
Region of Enrollment
South Africa
|
7 participants
n=93 Participants
|
0 participants
n=4 Participants
|
0 participants
n=27 Participants
|
0 participants
n=483 Participants
|
7 participants
n=36 Participants
|
|
Region of Enrollment
Colombia
|
1 participants
n=93 Participants
|
0 participants
n=4 Participants
|
0 participants
n=27 Participants
|
0 participants
n=483 Participants
|
1 participants
n=36 Participants
|
|
Human Immunodeficiency Virus (HIV) Ribonucleic acid (RNA) Viral Load (log10 c/mL)
|
5.88 log10 c/mL
n=93 Participants
|
5.88 log10 c/mL
n=4 Participants
|
5.88 log10 c/mL
n=27 Participants
|
5.26 log10 c/mL
n=483 Participants
|
5.88 log10 c/mL
n=36 Participants
|
|
HIV RNA Viral Load Category
< 30,000 copies/mL
|
3 participants
n=93 Participants
|
1 participants
n=4 Participants
|
0 participants
n=27 Participants
|
1 participants
n=483 Participants
|
5 participants
n=36 Participants
|
|
HIV RNA Viral Load Category
30,000 to <100,000 copies/mL
|
0 participants
n=93 Participants
|
1 participants
n=4 Participants
|
1 participants
n=27 Participants
|
2 participants
n=483 Participants
|
4 participants
n=36 Participants
|
|
HIV RNA Viral Load Category
100,000 to <500,000 copies/mL
|
2 participants
n=93 Participants
|
1 participants
n=4 Participants
|
0 participants
n=27 Participants
|
2 participants
n=483 Participants
|
5 participants
n=36 Participants
|
|
HIV RNA Viral Load Category
500,000 to <=750,000 copies/mL
|
1 participants
n=93 Participants
|
1 participants
n=4 Participants
|
0 participants
n=27 Participants
|
1 participants
n=483 Participants
|
3 participants
n=36 Participants
|
|
HIV RNA Viral Load Category
>750,000 copies/mL
|
9 participants
n=93 Participants
|
6 participants
n=4 Participants
|
3 participants
n=27 Participants
|
2 participants
n=483 Participants
|
20 participants
n=36 Participants
|
|
CD4 Cell Count (n=13, 9, 3, 7, 32)
|
1785 cells/mm^3
n=93 Participants
|
1569 cells/mm^3
n=4 Participants
|
517 cells/mm^3
n=27 Participants
|
540 cells/mm^3
n=483 Participants
|
1144 cells/mm^3
n=36 Participants
|
PRIMARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Cmax and Cmin were derived from plasma concentrations versus time using a validated liquid chromatography tandem mass spectrometry method (LC-MS/MS). The lower limit of quantification (LLOQ) for EFV was 10.0 nanograms per milliliter (ng/mL) and the upper limit of quantification (ULOQ) was 8,000 ng/mL. Cmax and Cmin were recorded directly from experimental observations. Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters were summarized using geometric means. Cmax and Cmin were measured in ng/mL.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Maximum Observed Plasma Concentration (Cmax) and Plasma Concentration 24 Hours Post-dose (Cmin) of EFV at Week 2 - Pharmacokinetic Evaluable Population
Cmin
|
391 ng/mL
Geometric Coefficient of Variation 141
|
445 ng/mL
Geometric Coefficient of Variation 57
|
648 ng/mL
Geometric Coefficient of Variation 75
|
1185 ng/mL
Geometric Coefficient of Variation 111
|
—
|
|
Maximum Observed Plasma Concentration (Cmax) and Plasma Concentration 24 Hours Post-dose (Cmin) of EFV at Week 2 - Pharmacokinetic Evaluable Population
Cmax
|
3790 ng/mL
Geometric Coefficient of Variation 76
|
1998 ng/mL
Geometric Coefficient of Variation 51
|
2167 ng/mL
Geometric Coefficient of Variation 68
|
2632 ng/mL
Geometric Coefficient of Variation 83
|
—
|
PRIMARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Plasma concentrations were obtained using a validated liquid chromatography tandem mass spectrometry method (LC-MS/MS). The lower limit of quantification (LLOQ) for EFV was 10.0 nanograms per milliliter (ng/mL) and the upper limit of quantification (ULOQ) was 8,000 ng/mL. AUC(TAU) was calculated by log- and linear trapezoidal summations. If a concentration was \< LLOQ at time TAU, the value of the concentration at time TAU was estimated using the quotient of the last quantifiable concentration and λ. Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters summarized using geometric means. AUC(TAU) was measured in micromolars\*time (µM•h).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Area Under the Plasma Concentration Time Curve (AUC) Over One Dosing Interval From Time Zero to 24 Hours Post-dose(TAU) at Week 2 - Pharmacokinetic Evaluable Population
|
129.5 µM•h
Geometric Coefficient of Variation 98
|
71.4 µM•h
Geometric Coefficient of Variation 49
|
93.8 µM•h
Geometric Coefficient of Variation 68
|
130.8 µM•h
Geometric Coefficient of Variation 98
|
—
|
PRIMARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Plasma concentrations of EFV were obtained using a validated liquid chromatography tandem mass spectrometry method (LC-MS/MS). The lower limit of quantification (LLOQ) for EFV was 10.0 nanograms per milliliter (ng/mL) and the upper limit of quantification (ULOQ) was 8,000 ng/mL. CLT/F was calculated by dividing the dose of EFV by AUC(TAU) of EFV. Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters were summarized using geometric means. CLT/F was measured in liters per hour (L/h).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Apparent Oral Clearance (CLT/F) of EFV at Week 2 - Pharmacokinetic Evaluable Population
|
9.54 L/h
Geometric Coefficient of Variation 63
|
19.69 L/h
Geometric Coefficient of Variation 85
|
13.16 L/h
Geometric Coefficient of Variation 58
|
9.11 L/h
Geometric Coefficient of Variation 73
|
—
|
PRIMARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Plasma concentrations of EFV were determined using a validated liquid chromatography tandem mass spectrometry method (LC-MS/MS). The lower limit of quantification (LLOQ) for EFV was 10.0 nanograms per milliliter (ng/mL) and the upper limit of quantification (ULOQ) was 8,000 ng/mL. CLT/F/kg was calculated by dividing CLT/F by body weight in kilograms (kg). Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters were summarized using geometric means. CLT/F/kg was measured in liters per hour per kilogram (L/h/kg).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Apparent Oral Clearance Adjusted for Body Weight (CLT/F/kg) of EFV at Week 2 - Pharmacokinetic Evaluable Population
|
2.07 L/h/kg
Geometric Coefficient of Variation 71
|
2.36 L/h/kg
Geometric Coefficient of Variation 84
|
1.44 L/h/kg
Geometric Coefficient of Variation 51
|
0.66 L/h/kg
Geometric Coefficient of Variation 72
|
—
|
SECONDARY outcome
Timeframe: Week 48Population: Treated participants, who received at least 1 dose of study drug (EFV), were analyzed. n=number of participants with available on-treatment data for analysis by each algorithm.
Algorithms: Confirmed Virologic Response (CVR) non-completer = failure (NC = F): participants were responders if they achieved confirmed HIV RNA \< 400 c/mL at Week 48; participants were failures if virologic rebound occurred at or before Week 48; therapy discontinued before Week 48; no response by Week 48, or missing HIV RNA at Week 48 and beyond. Virologic Response - Observed Cases (VR-OC): participants were responders according to a single on-treatment HIV RNA \< 400 c/mL closest to the planned Week 48 visit and within the predefined Week 48 visit window; those on treatment and missing their Week 48 measurement were responders only if previous and subsequent measurements to the Week 48 visit window were \< 400 c/mL; denominator was all who remained on treatment through Week 48. Snapshot: participants were responders according to the last on-treatment HIV RNA \< 400 c/mL in the predefined Week 48 visit window; denominator was all treated participants.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
The Number of Participants With Plasma HIV RNA < 400 Copies Per Milliliter (c/mL) at Week 48 as Analyzed by Different Algorithms - All Treated Participants
VR-OC n=9, 9, 3, 6, 27
|
7 participants
|
6 participants
|
3 participants
|
5 participants
|
21 participants
|
|
The Number of Participants With Plasma HIV RNA < 400 Copies Per Milliliter (c/mL) at Week 48 as Analyzed by Different Algorithms - All Treated Participants
SNAPSHOT n=15, 10, 4, 8, 37
|
7 participants
|
6 participants
|
3 participants
|
5 participants
|
21 participants
|
|
The Number of Participants With Plasma HIV RNA < 400 Copies Per Milliliter (c/mL) at Week 48 as Analyzed by Different Algorithms - All Treated Participants
CVR (NC=F) n=15, 10, 4, 8, 37
|
7 participants
|
6 participants
|
3 participants
|
5 participants
|
21 participants
|
SECONDARY outcome
Timeframe: Week 48Population: Treated participants, who received at least 1 dose of study drug (EFV), were analyzed. n=number of participants with available on-treatment data for analysis by each algorithm.
Algorithms: Confirmed Virologic Response (CVR) non-completer = failure (NC = F): participants were responders if they achieved confirmed HIV RNA \< 50 c/mL at Week 48; participants were failures if virologic rebound occurred at or before Week 48; therapy discontinued before Week 48; no response by Week 48, or missing HIV RNA at Week 48 and beyond. Virologic Response - Observed Cases (VR-OC): participants were responders according to a single on-treatment HIV RNA \< 50 c/mL closest to the planned Week 48 visit and within the predefined Week 48 visit window; those on treatment and missing their Week 48 measurement were responders only if previous and subsequent measurements to the Week 48 visit window were \< 50 c/mL; denominator was all who remained on treatment through Week 48. Snapshot: participants were responders according to the last on-treatment HIV RNA \< 50 c/mL in the predefined Week 48 visit window; denominator was all treated participants.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Week 48 as Analyzed by Different Algorithms - All Treated Participants
CVR (NC=F) n=15, 10, 4, 8, 37
|
6 participants
|
6 participants
|
2 participants
|
4 participants
|
18 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Week 48 as Analyzed by Different Algorithms - All Treated Participants
VR-OC n=9, 9, 3, 6, 27
|
6 participants
|
5 participants
|
2 participants
|
4 participants
|
17 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Week 48 as Analyzed by Different Algorithms - All Treated Participants
SNAPSHOT n=15, 10, 4, 8, 37
|
6 participants
|
5 participants
|
2 participants
|
4 participants
|
17 participants
|
SECONDARY outcome
Timeframe: Week 24Population: Treated participants, who received at least 1 dose of study drug (EFV), were analyzed. n=number of participants with available on-treatment data for analysis by each algorithm.
Algorithms: Confirmed Virologic Response (CVR) non-completer = failure (NC = F): participants were responders if they achieved confirmed HIV RNA \< 400 c/mL at Week 24; participants were failures if virologic rebound occurred at or before Week 24; therapy discontinued before Week 24; no response by Week 24, or missing HIV RNA at Week 24 and beyond. Virologic Response - Observed Cases (VR-OC): participants were responders according to a single on-treatment HIV RNA \< 400 c/mL closest to the planned Week 24 visit and within the predefined Week 24 visit window; those on treatment and missing their Week 24 measurement were responders only if previous and subsequent measurements to the Week 24 visit window were \< 400 c/mL; denominator was all who remained on treatment through Week 24.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
The Number of Participants With Plasma HIV RNA Levels < 400 c/mL at Week 24 as Analyzed by Different Algorithms - All Treated Participants
CVR (n=15, 10, 4, 8, 37)
|
8 participants
|
7 participants
|
4 participants
|
7 participants
|
26 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 400 c/mL at Week 24 as Analyzed by Different Algorithms - All Treated Participants
VR-OC(n=11,10 ,4, 7, 32)
|
8 participants
|
7 participants
|
4 participants
|
6 participants
|
25 participants
|
SECONDARY outcome
Timeframe: Week 24Population: Treated participants, who received at least 1 dose of study drug (EFV), were analyzed. n=number of participants with available on-treatment data for analysis by each algorithm.
Algorithms: Confirmed Virologic Response (CVR) non-completer = failure (NC = F): participants were responders if they achieved confirmed HIV RNA \< 50 c/mL at Week 24; participants were failures if virologic rebound occurred at or before Week 24; therapy discontinued before Week 24; no response by Week 24, or missing HIV RNA at Week 24 and beyond. Virologic Response - Observed Cases (VR-OC): participants were responders according to a single on-treatment HIV RNA \< 50 c/mL closest to the planned Week 24 visit and within the predefined Week 24 visit window; those on treatment and missing their Week 24 measurement were responders only if previous and subsequent measurements to the Week 24 visit window were \< 50 c/mL; denominator was all who remained on treatment through Week 24.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Week 24 as Analyzed by Different Algorithms - All Treated Participants
CVR (n=15, 10, 4, 8, 37)
|
4 participants
|
4 participants
|
3 participants
|
4 participants
|
15 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Week 24 as Analyzed by Different Algorithms - All Treated Participants
VR-OC (n=11, 10, 4, 7, 32)
|
5 participants
|
5 participants
|
2 participants
|
4 participants
|
16 participants
|
SECONDARY outcome
Timeframe: Baseline through Week 48Population: Treated participants who received at least 1 dose of study drug (EFV) and had an available baseline measurement were analyzed. n=number of participants with available data at both baseline and each specific week.
HIV RNA measured as log10 copies per milliliter (c/mL) plasma. HIV RNA values ≥ 1,000 c/mL were considered evidence of infection. A decrease in number of c/mL is an improvement for the participant. HIV RNA was first measured using the ultrasensitive and standard Roche Amplicor PCR, version 1.5, and then the method of measurement was switched to the COBAS AmpliPrep/COBAS TaqMan HIV IVD method. The Baseline visit was within 50 days after the screening visit and was prior to start of study medication (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=13 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=34 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Baseline (n=13,10,4,7,34)
|
5.88 log10 c/mL
Interval 5.12 to 5.92
|
5.88 log10 c/mL
Interval 5.32 to 5.88
|
5.88 log10 c/mL
Interval 5.38 to 5.88
|
5.50 log10 c/mL
Interval 4.64 to 5.88
|
5.88 log10 c/mL
Interval 4.97 to 5.88
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 4 (n=11, 8, 4, 6, 29)
|
-2.18 log10 c/mL
Inter-Quartile Range 0.372 • Interval -2.81 to -0.58
|
-2.49 log10 c/mL
Inter-Quartile Range 0.308 • Interval -2.86 to -1.86
|
-2.86 log10 c/mL
Inter-Quartile Range 0.160 • Interval -3.14 to -2.73
|
-3.04 log10 c/mL
Inter-Quartile Range 0.343 • Interval -3.24 to -2.25
|
-2.63 log10 c/mL
Inter-Quartile Range 0.195 • Interval -3.06 to -1.69
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 12 (n=10, 10, 3, 6, 29)
|
-2.48 log10 c/mL
Inter-Quartile Range 0.541 • Interval -4.0 to -1.33
|
-3.19 log10 c/mL
Inter-Quartile Range 0.431 • Interval -3.27 to -1.0
|
-4.02 log10 c/mL
Inter-Quartile Range 0.310 • Interval -4.18 to -3.18
|
-3.31 log10 c/mL
Inter-Quartile Range 0.362 • Interval -3.87 to -2.95
|
-3.14 log10 c/mL
Inter-Quartile Range 0.261 • Interval -3.87 to -1.63
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 24 (n=10, 9, 3, 7, 29)
|
-3.46 log10 c/mL
Inter-Quartile Range 0.610 • Interval -4.24 to -1.11
|
-3.92 log10 c/mL
Inter-Quartile Range 0.525 • Interval -4.18 to -2.03
|
-4.18 log10 c/mL
Inter-Quartile Range 0.585 • Interval -4.18 to -2.43
|
-2.95 log10 c/mL
Inter-Quartile Range 0.372 • Interval -4.18 to -2.12
|
-3.28 log10 c/mL
Inter-Quartile Range 0.278 • Interval -4.18 to -2.03
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 48 (n=9, 9, 3, 6, 27)
|
-2.92 log10 c/mL
Inter-Quartile Range 0.551 • Interval -4.18 to -1.67
|
-3.27 log10 c/mL
Inter-Quartile Range 0.469 • Interval -4.18 to -1.95
|
-3.27 log10 c/mL
Inter-Quartile Range 0.320 • Interval -4.18 to -3.18
|
-2.93 log10 c/mL
Inter-Quartile Range 0.622 • Interval -4.18 to -1.69
|
-3.18 log10 c/mL
Inter-Quartile Range 0.271 • Interval -4.18 to -1.69
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 32 (n=9, 9, 4, 6, 28)
|
-2.75 log10 c/mL
Inter-Quartile Range 0.547 • Interval -4.08 to -1.67
|
-3.28 log10 c/mL
Inter-Quartile Range 0.506 • Interval -4.18 to -1.96
|
-3.73 log10 c/mL
Inter-Quartile Range 0.276 • Interval -4.18 to -3.23
|
-2.93 log10 c/mL
Inter-Quartile Range 0.461 • Interval -4.18 to -1.69
|
-3.27 log10 c/mL
Inter-Quartile Range 0.259 • Interval -4.18 to -1.81
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 40 (n=7, 9, 4 ,6, 26)
|
-4.01 log10 c/mL
Inter-Quartile Range 0.434 • Interval -4.24 to -1.94
|
-4.17 log10 c/mL
Inter-Quartile Range 0.435 • Interval -4.18 to -3.28
|
-4.02 log10 c/mL
Inter-Quartile Range 0.236 • Interval -4.18 to -3.52
|
-2.93 log10 c/mL
Inter-Quartile Range 0.620 • Interval -4.18 to -0.87
|
-3.93 log10 c/mL
Inter-Quartile Range 0.240 • Interval -4.18 to -2.9
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 2 (n=12, 9, 4, 5, 30)
|
-1.89 log10 c/mL
Inter-Quartile Range 0.270 • Interval -2.6 to -0.93
|
-2.26 log10 c/mL
Inter-Quartile Range 0.278 • Interval -2.32 to -1.73
|
-2.42 log10 c/mL
Inter-Quartile Range 0.496 • Interval -3.38 to -2.11
|
-1.93 log10 c/mL
Inter-Quartile Range 0.277 • Interval -2.49 to -1.85
|
-2.11 log10 c/mL
Inter-Quartile Range 0.162 • Interval -2.51 to -1.36
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 8 (n=11, 10, 3, 7, 31)
|
-2.73 log10 c/mL
Inter-Quartile Range 0.412 • Interval -3.48 to -0.76
|
-2.91 log10 c/mL
Inter-Quartile Range 0.366 • Interval -3.27 to -1.54
|
-2.92 log10 c/mL
Inter-Quartile Range 0.070 • Interval -3.12 to -2.9
|
-3.27 log10 c/mL
Inter-Quartile Range 0.338 • Interval -4.05 to -2.59
|
-2.92 log10 c/mL
Inter-Quartile Range 0.209 • Interval -3.33 to -1.69
|
|
Log10 c/mL HIV RNA Changes From Baseline Through Week 48 - Treated Participants
Week 16 (n=10, 10, 4, 7, 31)
|
-2.72 log10 c/mL
Inter-Quartile Range 0.527 • Interval -4.18 to -1.67
|
-3.17 log10 c/mL
Inter-Quartile Range 0.496 • Interval -3.55 to -0.44
|
-4.11 log10 c/mL
Inter-Quartile Range 0.240 • Interval -4.18 to -3.61
|
-3.44 log10 c/mL
Inter-Quartile Range 0.326 • Interval -4.05 to -2.95
|
-3.27 log10 c/mL
Inter-Quartile Range 0.253 • Interval -4.05 to -1.94
|
SECONDARY outcome
Timeframe: Baseline to Weeks 24 and 48Population: Treated participants who received at least 1 dose of study drug (EFV) and had an available baseline measurement were analyzed. n=number of participants with available data at both baseline and each specific week.
A CD4 cell is an antigenic marker of helper/inducer T cells. These cells were counted during the hematology cell counts performed during a Complete Blood Cell count (CBC) performed by the Central Laboratory. CD4 are measured as number of cells per millimeters to the third power (cells/mm\^3). An increase from baseline in the number of CD4 cells is an improvement. The Baseline visit was within 50 days after the screening visit and was prior to start of study medication (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=9 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=6 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=28 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
CD4 Cell Count Change From Baseline at Weeks 24 and 48 - Treated Participants
Baseline (n=10, 9, 3, 6, 28)
|
1518 cells/mm^3
Interval 829.0 to 2202.0
|
1569 cells/mm^3
Interval 1149.0 to 2284.0
|
517 cells/mm^3
Interval 129.0 to 558.0
|
413 cells/mm^3
Interval 23.0 to 688.0
|
1144 cells/mm^3
Interval 529.0 to 1930.0
|
|
CD4 Cell Count Change From Baseline at Weeks 24 and 48 - Treated Participants
Week 24 (n=6, 7, 3, 6, 22)
|
259 cells/mm^3
Inter-Quartile Range 410.8 • Interval -180.0 to 840.0
|
82 cells/mm^3
Inter-Quartile Range 330 • Interval -436.0 to 669.0
|
31 cells/mm^3
Inter-Quartile Range 818.3 • Interval 15.0 to 2478.0
|
283 cells/mm^3
Inter-Quartile Range 195.2 • Interval 146.0 to 452.0
|
177 cells/mm^3
Inter-Quartile Range 185.3 • Interval 15.0 to 669.0
|
|
CD4 Cell Count Change From Baseline at Weeks 24 and 48 - Treated Participants
Week 48 (n=7, 8, 2, 5, 22)
|
-258 cells/mm^3
Inter-Quartile Range 401.5 • Interval -1313.0 to 606.0
|
346 cells/mm^3
Inter-Quartile Range 381.8 • Interval -622.0 to 846.0
|
971 cells/mm^3
Inter-Quartile Range 956.0 • Interval 15.0 to 1927.0
|
284 cells/mm^3
Inter-Quartile Range 296.8 • Interval 215.0 to 330.0
|
196 cells/mm^3
Inter-Quartile Range 220.8 • Interval -258.0 to 721.0
|
SECONDARY outcome
Timeframe: Baseline to Weeks 24 and 48Population: Treated participants who received at least 1 dose of study drug (EFV) and had an available baseline measurement were analyzed. n=number of participants with available data at both baseline and each specific week.
A CD4 cell is an antigenic marker of helper/inducer T cells. These cells were counted during the hematology cell counts performed during a Complete Blood Cell count (CBC) performed by the Central Laboratory. CD4 are measured as number of cells per millimeter to the third power (cells/mm\^3). Percent of CD4 cells is the number of CD4 cells per total number of cells measured\*100. An increase in the percent of CD4 cells is an improvement. The Baseline visit was within 50 days after the screening visit and was prior to start of study medication (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=9 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=5 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=24 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Percent of CD4 Cells Change From Baseline at Weeks 24 and 48 - Treated Participants
Baseline (n=7, 9, 3, 5, 24)
|
28 percentage of CD4 cells
Interval 17.0 to 40.0
|
26 percentage of CD4 cells
Interval 25.0 to 28.0
|
12 percentage of CD4 cells
Interval 5.0 to 20.0
|
7 percentage of CD4 cells
Interval 2.0 to 23.0
|
24 percentage of CD4 cells
Interval 14.0 to 28.0
|
|
Percent of CD4 Cells Change From Baseline at Weeks 24 and 48 - Treated Participants
Week 48 (n=5, 8, 2, 5, 20)
|
5 percentage of CD4 cells
Inter-Quartile Range 4.5 • Interval -2.0 to 7.0
|
4 percentage of CD4 cells
Inter-Quartile Range 3.5 • Interval -4.0 to 11.0
|
8 percentage of CD4 cells
Inter-Quartile Range 8.9 • Interval -1.0 to 17.0
|
11 percentage of CD4 cells
Inter-Quartile Range 2.9 • Interval 9.0 to 12.0
|
6 percentage of CD4 cells
Inter-Quartile Range 2.1 • Interval -1.0 to 13.0
|
|
Percent of CD4 Cells Change From Baseline at Weeks 24 and 48 - Treated Participants
Week 24 (n=3, 7, 3, 5, 18)
|
14 percentage of CD4 cells
Inter-Quartile Range 12.0 • Interval -19.0 to 19.0
|
2 percentage of CD4 cells
Inter-Quartile Range 2.8 • Interval 0.0 to 14.0
|
9 percentage of CD4 cells
Inter-Quartile Range 3.2 • Interval -1.0 to 9.0
|
10 percentage of CD4 cells
Inter-Quartile Range 4.2 • Interval 9.0 to 16.0
|
9 percentage of CD4 cells
Inter-Quartile Range 2.3 • Interval 0.0 to 14.0
|
SECONDARY outcome
Timeframe: Baseline to Week 96Population: All categories except one analyzed treated participants, who received at least 1 dose of study drug (EFV). One category analyzed enrolled participants who were not treated and cannot be assigned to a group.
Center for Disease Control and Prevention (CDC) classification of Class C events used to define acquired immunodeficiency syndrome (AIDS): include pneumocystis pneumonia, pneumonia, pulmonary tuberculosis. AE=new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug. AE Severity: Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4= Potentially Life-threatening or disabling (Division of AIDs Table, published December 2004). Baseline=within 50 days post screening, prior to start of study drug. 2 categories for death presented (on-treatment and enrolled/not treated).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
Deaths (Enrolled Participants, Not treated)
|
2 participants
|
0 participants
|
0 participants
|
0 participants
|
2 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
AE (All Grades,Treated Participants)
|
13 participants
|
9 participants
|
4 participants
|
6 participants
|
32 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
Grade 3 - 4 AEs (Treated Participants)
|
4 participants
|
2 participants
|
3 participants
|
1 participants
|
10 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
Related AE (All Grades,Treated Participants)
|
8 participants
|
5 participants
|
4 participants
|
4 participants
|
21 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
Death (Treated Participants)
|
1 participants
|
0 participants
|
1 participants
|
0 participants
|
2 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
SAE (Treated Participants)
|
8 participants
|
5 participants
|
4 participants
|
3 participants
|
20 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
Grade 2 - 4 AEs (Treated Participants)
|
11 participants
|
7 participants
|
4 participants
|
5 participants
|
27 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
Discontinued due to AE (Treated Participants)
|
2 participants
|
0 participants
|
0 participants
|
0 participants
|
2 participants
|
|
Number of Participants With On-Treatment Adverse Events (AEs), Related Adverse Events, Serious Adverse Events (SAEs), Death, Discontinuation Due to Adverse Events, and CDC Class C AIDS Events
CDC Class C AIDS event (Treated Participants)
|
1 participants
|
1 participants
|
0 participants
|
0 participants
|
2 participants
|
SECONDARY outcome
Timeframe: Baseline to Week 96Population: Treated participants, who received at least 1 dose of study drug (EFV) were analyzed. n=number of treated participants with available on-treatment data (laboratory measurements).
Abnormalities were determined from laboratory measurements analyzed at the central or local laboratory. Division of AIDS Table (DAIDS) for Grading Severity of Adult and Pediatric AEs version (v) Dec 2004. Upper limit of normal (ULN): lower limit of normal (LLN), alanine transaminase (ALT); aspartate aminotransferase (AST); alkaline phosphatase (ALP). ALT Grade (Gr) 1: 1.25 to 2.5\*ULN; Gr 2: 2.6 to 5.0\*ULN; Gr 3: 5.1 to 10.0\*ULN; Gr 4: \>10.0\*ULN. AST Gr 1: 1.25 to 2.5\*ULN; Gr 2: 2.6 to 5.0\*ULN; Gr 3: 5.1 to 10.0\*ULN; Gr 4: \>10.0\*ULN. Total bilirubin Gr 1: 1.25 to 1.5\*ULN; Gr 2: 1.6 to 2.5\*ULN; Gr 3: 2.6 to 5.0\*ULN; Gr 4: \>5.0\*ULN. ALP (U/L) Gr 1: 1.25 to 2.5\*ULN, Gr 2: 2.6 to 5.0\*ULN, Gr 3: 5.1 to 10.0\*ULN, Gr 4: \>10.0\*ULN. Albumin (low) Gr 1: 3 grams per deciliter (g/dL) to \<LLN ; Gr 2: 2.0-2.9 g/dL; Gr 3: \< 2 g/dL. Gr 4: Not applicable. Baseline visit was within 50 days after the screening visit and was prior to start of study medication (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Number of Participants With Liver Function Test Laboratory Abnormalities - Treated Population
Albumin (n=12, 10, 4, 7, 33)
|
0 participants
|
0 participants
|
1 participants
|
0 participants
|
1 participants
|
|
Number of Participants With Liver Function Test Laboratory Abnormalities - Treated Population
ALP (n=12, 10, 4, 7, 33)
|
8 participants
|
2 participants
|
2 participants
|
5 participants
|
17 participants
|
|
Number of Participants With Liver Function Test Laboratory Abnormalities - Treated Population
AST (n=12, 10, 4, 7, 33)
|
8 participants
|
1 participants
|
1 participants
|
0 participants
|
10 participants
|
|
Number of Participants With Liver Function Test Laboratory Abnormalities - Treated Population
ALT (n=12, 10, 4, 7, 33)
|
7 participants
|
3 participants
|
2 participants
|
0 participants
|
12 participants
|
SECONDARY outcome
Timeframe: Baseline to Week 96Population: Treated participants, who received at least 1 dose of study drug (EFV) were analyzed. n=number of treated participants with available on-treatment data (laboratory measurements).
Abnormalities were determined from measurements analyzed at central or local laboratory. DAIDS Grading Severity of Adult and Pediatric AEs v Dec 2004. Total Cholesterol (fasting) Gr 1: 170 - 199 mg/dL; Gr 2: 200 - 300 mg/dL; Gr 3 \>300 mg/dL; Gr 4 Not Applicable(NA). LDL cholesterol, fasting: Gr 1: 110-129 mg/dL; Gr 2: 130-189 mg/dL; Gr 3 \>=190 mg/dL; Gr 4 NA. Triglycerides, fasting: Gr 1: NA; Gr 2 500-750 mg/dL; Gr 3: 751-1,200 mg/dL; Gr 4: \>1,200 mg/dL. Glucose, serum, high, fasting and (non-fasting): Gr 1: 110 - 125 (116-160) mg/dL; Gr 2: 126-250 (161- 250) mg/dL; Gr 3: 251-500 (251-500) mg/dL; Gr 4: \>500 (\> 500) mg/dL. Glucose, serum, low, \>=1 month of age (\<1 month): Gr 1: 55-64 (50-54) mg/dL; Gr 2: 40-54 (40-49) mg/dL; Gr 3: 30-39 (30-39) mg/dL; Gr 4: \<30 (\<30) mg/dL. Baseline: within 50 days after the screening visit and was prior to start of study medication (Week 1). Only those in 4th arm were old enough to fast prior to testing; other arms did not have fasting samples taken.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Number of Participants With Lipid and Glucose Laboratory Abnormalities - Treated Participants
Glucose High (n=11,10,3,0,24)
|
1 participants
|
0 participants
|
0 participants
|
NA participants
only fasting samples taken
|
1 participants
|
|
Number of Participants With Lipid and Glucose Laboratory Abnormalities - Treated Participants
Glucose Low (n=11,10,3,0,24)
|
2 participants
|
1 participants
|
0 participants
|
NA participants
only fasting samples taken
|
3 participants
|
|
Number of Participants With Lipid and Glucose Laboratory Abnormalities - Treated Participants
Glucose High Fasting (n=0,0,0,7,7)
|
NA participants
too young to fast, samples not taken
|
NA participants
too young to fast, samples not taken
|
NA participants
too young to fast, samples not taken
|
1 participants
|
1 participants
|
|
Number of Participants With Lipid and Glucose Laboratory Abnormalities - Treated Participants
LDL cholesterol (n=9,10,4,0,23)
|
0 participants
|
4 participants
|
0 participants
|
NA participants
only fasting samples taken
|
4 participants
|
|
Number of Participants With Lipid and Glucose Laboratory Abnormalities - Treated Participants
Total Cholesterol (n=9,10,4,0,23)
|
2 participants
|
4 participants
|
1 participants
|
NA participants
only fasting samples taken
|
7 participants
|
|
Number of Participants With Lipid and Glucose Laboratory Abnormalities - Treated Participants
Total Cholesterol Fasting (n=0,0,0,7,7)
|
NA participants
too young to fast, samples not taken
|
NA participants
too young to fast, samples not taken
|
NA participants
too young to fast, samples not taken
|
1 participants
|
1 participants
|
|
Number of Participants With Lipid and Glucose Laboratory Abnormalities - Treated Participants
LDL cholesterol fasting (n=0,0,0,7,7)
|
NA participants
too young to fast, samples not taken
|
NA participants
too young to fast, samples not taken
|
NA participants
too young to fast, samples not taken
|
1 participants
|
1 participants
|
SECONDARY outcome
Timeframe: Baseline to Week 96Population: Treated participants, who received at least 1 dose of study drug (EFV) were analyzed. n=number of treated participants with available on-treatment data (laboratory measurements).
Central/local laboratory. DAIDS v 2004. Bicarbonate, low: Gr 1: 16 milliequivalents per liter (mEq/L) - \< LLN; Gr 2: 11.0-15.9 mEq/L; Gr 3: 8.0-10.9 mEq/L; Gr 4: \<8.0 mEq/L; calcium, high Gr 1: 10.6-11.5 mg/dL; Gr 2: 11.6-12.5 mg/dL; Gr 3 12.6-13.5 mg/dL; Gr 4: \>13.5 mg/dL; calcium, low Gr1: 7.8-8.4 mg/dL; Gr2: 7.0-7.7 mg/dL; Gr3: 6.1-6.9 mg/dL; Gr 4: \<6.1 mg/dL; creatinine Gr1: 1.1-1.3\*ULN; Gr 2: 1.4-1.8\*ULN; Gr 3: 1.9-3.4\*ULN; Gr 4: \>=3.5\*ULN; lipase Gr 1: 1.1-1.5\*ULN; Gr 2: 1.6-3.0\*ULN; Gr 3: 3.1-5.0\*ULN; Gr 4: \>5.0\*ULN; potassium high (low) Gr 1: 5.6-6.0 (3.0-3.4) mEq/L; Gr 2: 6.1-6.5 (2.5-2.9) mEq/L; Gr 3: 6.6-7.0 (2.0-2.4) mEq/L; Gr 4: \>7.0 (\<2.0) mEq/L; sodium, high (low) Gr 1: 146-150 (130-135) mEq/L; Gr 2: 151-154 (125-129) mEq/L; Gr 3: 155-159 (121-124) mEq/L; Gr 4: \>=160 (\<=120) mEq/L; uric acid Gr 1: 7.5-10.0 mg/dL; Gr 2: 10.1-12.0 mg/dL; Gr 3: 12.1-15.0 mg/dL; Gr 4: \>15.0 mg/dL. Baseline within 50 days post screening, prior to start of study medication.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Sodium High (n=12, 10, 4, 7, 33)
|
1 participants
|
1 participants
|
0 participants
|
1 participants
|
3 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Uric Acid (n=12, 10, 4, 7, 33)
|
0 participants
|
1 participants
|
1 participants
|
0 participants
|
2 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Calcium High (n= 12, 10, 4, 7, 33)
|
0 participants
|
2 participants
|
0 participants
|
1 participants
|
3 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Lipase Total (n= 12, 10, 4, 7, 33)
|
1 participants
|
0 participants
|
0 participants
|
2 participants
|
3 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Bicarbonate, low (n=12, 10, 4, 7, 33)
|
10 participants
|
9 participants
|
4 participants
|
5 participants
|
28 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Sodium, low (n=12, 10, 4, 7, 33)
|
5 participants
|
4 participants
|
2 participants
|
4 participants
|
15 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Calcium Low (n= 12, 10, 4, 7, 33)
|
0 participants
|
4 participants
|
1 participants
|
1 participants
|
6 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Potassium High (n= 12, 10, 4, 7, 33)
|
5 participants
|
4 participants
|
0 participants
|
0 participants
|
9 participants
|
|
Number of Participants With Serum Chemistry Abnormalities - Treated Participants
Potassium Low (n= 12, 10, 4, 7, 33)
|
1 participants
|
0 participants
|
1 participants
|
1 participants
|
3 participants
|
SECONDARY outcome
Timeframe: Baseline to Week 96Population: Treated participants, who received at least 1 dose of study drug (EFV) were analyzed. n=number of treated participants with available on-treatment data (laboratory measurements).
Abnormalities were determined from laboratory measurements analyzed at the central or local laboratory. DAIDS DAIDS Grading Severity of Adult and Pediatric AEs v Dec 2004. Hemoglobin Gr 1: 8.5-10.0 g/dL; Gr 2: 7.5-8.4 g/dL; Gr 3: 6.50-7.4 g/dL; Gr 4: \<6.5 g/dL; Platelets, decreased: Gr 1: 100.000-124.999\*10\^9/L; Gr 2: 50.000-99.999\*10\^9/L; Gr 3: 25.000-49.999\*10\^9/L; Gr 4: \<25.000\*10\^9/L; White blood cell count (WBC) decreased Gr 1: 2.000-2.500\*10\^9/L; Gr 2: 1.500-1.999\*10\^9/L; Gr 3: 1.000-1.499\*10\^9/L; Gr 4: \<1.000\*10\^9/L. Baseline visit was within 50 days post screening and was prior to start of study drug (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Number of Participants With Hematologic Abnormalities - Treated Participants
Hemoglobin (n=11, 10, 4, 7, 32)
|
4 participants
|
5 participants
|
2 participants
|
1 participants
|
12 participants
|
|
Number of Participants With Hematologic Abnormalities - Treated Participants
Platelet (n=11, 10, 4, 7, 32)
|
1 participants
|
1 participants
|
0 participants
|
0 participants
|
2 participants
|
|
Number of Participants With Hematologic Abnormalities - Treated Participants
Neutrophils (n=11, 10, 4, 7, 32)
|
7 participants
|
2 participants
|
0 participants
|
1 participants
|
10 participants
|
SECONDARY outcome
Timeframe: Baseline to Week 48Population: Participants who met the definition of virologic failure per protocol (PP): n=6 ; in addition, those who rebounded on treatment with plasma HIV RNA \> 10,000 c/mL but samples were not obtained within specified 35 day limit were included (not PP): n=5; participants with virologic failure and with samples available for analysis of virus changes:n=11.
At baseline, treatment-naïve screened by genotype; treatment-experienced screened by genotype and phenotype. Genotypic resistance: presence of substitutions in reverse transcriptase (RT) gene and/or presence of mutations that confer resistance to nucleoside reverse transcriptase inhibitor class. Phenotype resistance: FTC: \> 3.1\* the 50% inhibitory concentration (IC50) of the control strain; EFV: \> 3.3\* IC50 ; ddI: \> 2.6\*IC50. Virologic failure: \<1 log10 decrease in HIV RNA from Week 16 on; confirmatory HIV RNA within 14-35 days; HIV RNA \> 10,000 c/mL with prior value \< 400 c/mL; confirmatory HIV RNA 14-35 days. Monogram Biosciences Phenosense™ assay ( EFV and FTC: biologic cutoffs=3 and 3.5, respectively; ddI: clinical cutoff: lower limit=1.39; upper limit = 2.2.); VircoTYPE™ HIV-1 v 4.3.01( EFV, FTC: biologic cutoffs=3.3 and 3.1, respectively;ddI: clinical cutoff: lower limit = 0.9; upper limit = 2.6. No genotypic/phenotypic changes in presence of virologic failure=no resistance.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=5 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=1 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=1 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=11 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Number of Treated Participants With Resistance Associated Genotypic and Phenotypic Changes in Viruses - Participants With Virologic Failure, Lack of Suppression or Viral Load Rebound
Lack of suppression with Changes (PP)
|
2 participants
|
1 participants
|
0 participants
|
0 participants
|
3 participants
|
|
Number of Treated Participants With Resistance Associated Genotypic and Phenotypic Changes in Viruses - Participants With Virologic Failure, Lack of Suppression or Viral Load Rebound
Viral Load Rebound with Changes(PP)
|
1 participants
|
1 participants
|
0 participants
|
0 participants
|
2 participants
|
|
Number of Treated Participants With Resistance Associated Genotypic and Phenotypic Changes in Viruses - Participants With Virologic Failure, Lack of Suppression or Viral Load Rebound
Viral Failure with Changes (outside 35 day limit)
|
0 participants
|
3 participants
|
1 participants
|
1 participants
|
5 participants
|
SECONDARY outcome
Timeframe: Baseline to Week 48Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles at Week 2 were analyzed. n=number of participants with AUC\<110 µM•h and number of participants with AUC\>=110 µM•h.
PK parameters were evaluated 2 weeks post start of dosing. Based on observed AUC, measured in micromoles (μM)\*h, dosing was increased, remained the same, or decreased at next visit to achieve the desired AUC (110-380 μM\*h). Number of participants who became resistant was categorized by those who required additional dosing after Week 2 (AUC\<110 μM\*h) and those who did not. AUC: derived from plasma concentration of EFV versus time. Plasma concentrations for determination of AUC were obtained using a validated LC-MS/MS method. LLOQ for EFV = 10.0 ng/mL and ULOQ = 8,000 ng/mL. AUC calculated by log- and linear trapezoidal summations. Genotypic resistance=presence of substitutions in the RT gene and/or presence of mutations that confer resistance to entire nucleoside reverse transcriptase inhibitor class. Phenotypic resistance=EFV: \> 3.3\* IC50 of control strain. Assays: Monogram Biosciences Phenosense™ GT (EFV biologic cutoff=3) and VircoTYPE™ HIV-1 v 4.3.01( EFV biologic cutoff=3.3).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=12 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=33 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Number of Participants With Acquisition of Resistance to EFV Categorized by AUC Relationship - Evaluable Pharmacokinetic Population
Resistant; AUC>=110 µM•h(n=10,3,2,4,19)
|
2 participants
|
2 participants
|
0 participants
|
0 participants
|
4 participants
|
|
Number of Participants With Acquisition of Resistance to EFV Categorized by AUC Relationship - Evaluable Pharmacokinetic Population
Resistant; AUC<110 µM•h(n=2,7,2,3,14)
|
1 participants
|
3 participants
|
1 participants
|
1 participants
|
6 participants
|
SECONDARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Cmax and Cmin were derived from plasma concentration versus time. Plasma concentrations for ddI were determined using a validated LC/MS/MS assay. All reportable Cmin values were \<LLOQ in all age groups except \>=6 months to \< 2 years (Group 2); LLOQ/2 was imputed for those summary statistics;in Group 2, 9 of 10 Cmin values were \<LLOQ; LLOQ/2 was imputed for those samples for summary statistics. The lower limit of quantification (LLOQ) for ddI was 2.50 nanograms per milliliter (ng/mL). Cmax and Cmin were recorded directly from experimental observations. Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters were summarized using geometric means. Cmax and Cmin were measured in ng/mL.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=12 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=6 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Cmax and Cmin of Didanosine (ddI) at Week 2 - Pharmacokinetic Evaluable Population
Cmax (n=12, 10, 4, 6)
|
850 ng/mL
Geometric Coefficient of Variation 48
|
1193 ng/mL
Geometric Coefficient of Variation 39
|
356 ng/mL
Geometric Coefficient of Variation 69
|
376 ng/mL
Geometric Coefficient of Variation 93
|
—
|
|
Cmax and Cmin of Didanosine (ddI) at Week 2 - Pharmacokinetic Evaluable Population
Cmin (n=4, 10, 4, 3)
|
1.25 ng/mL
Geometric Coefficient of Variation 0
|
1.54 ng/mL
Geometric Coefficient of Variation 132
|
1.25 ng/mL
Geometric Coefficient of Variation 0
|
1.25 ng/mL
Geometric Coefficient of Variation 0
|
—
|
SECONDARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Plasma concentrations were obtained using a validated LC-MS/MS at Week 2. The lower limit of quantification (LLOQ) for ddI was 2.50 nanograms per milliliter (ng/mL). AUC(TAU) was calculated by log- and linear trapezoidal summations. If a concentration was \< LLOQ at time TAU, the value of the concentration at time TAU was estimated using the quotient of the last quantifiable concentration and λ. Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters summarized using geometric means. AUC(TAU) was measured in nanograms\*time per milliliter (ng•h/mL).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
AUC (TAU) of Didanosine (ddI) at Week 2 - Pharmacokinetic Evaluable Population
|
1445 ng•h/mL
Geometric Coefficient of Variation 76
|
2848 ng•h/mL
Geometric Coefficient of Variation 53
|
1038 ng•h/mL
Geometric Coefficient of Variation 54
|
1000 ng•h/mL
Geometric Coefficient of Variation 41
|
—
|
SECONDARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Plasma concentrations for ddI were determined using a validated LC/MS/MS assay. The LLOQ for ddI was 2.50 nanograms per milliliter (ng/mL). CLT/F was calculated by dividing the dose of ddI by AUC(TAU) of ddI. Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters were summarized using geometric means. CLT/F was measured in liters per hour (L/h).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
CLT/F of Didanosine (ddI) at Week 2 - Pharmacokinetic Evaluable Population
|
40.7 L/h
Geometric Coefficient of Variation 110
|
35.6 L/h
Geometric Coefficient of Variation 42
|
113.9 L/h
Geometric Coefficient of Variation 111
|
143.0 L/h
Geometric Coefficient of Variation 53
|
—
|
SECONDARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Plasma concentrations for ddI were determined using a validated LC/MS/MS assay. The LLOQ for ddI was 2.50 nanograms per milliliter (ng/mL). CLT/F/kg was calculated by dividing CLT/F by body weight in kilograms (kg). Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the pharmacokinetic parameters were summarized using geometric means. CLT/F/kg was measured in liters per hour per kilogram (L/h/kg).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
CLT/F/kg of Didanosine (ddI) at Week 2 - Pharmacokinetic Evaluable Population
|
7.88 L/h/kg
Geometric Coefficient of Variation 85
|
4.26 L/h/kg
Geometric Coefficient of Variation 30
|
11.36 L/h/kg
Geometric Coefficient of Variation 116
|
10.34 L/h/kg
Geometric Coefficient of Variation 70
|
—
|
SECONDARY outcome
Timeframe: Week 2Population: All participants who received at least one dose of study drug (EFV) and had adequate pharmacokinetic (PK) profiles were analyzed.
Plasma concentrations for ddI were determined using a validated LC/MS/MS assay. The LLOQ for ddI was 2.50 nanograms per milliliter (ng/mL). Blood samples were collected before study drug administration and at 0.5, 1, 3, 5, 8, and 24 hours after study drug administration from an indwelling catheter or by direct venipuncture and the T-HALF was summarized using a mean. Terminal elimination plasma half-life=ln2 divided by K where K is the absolute value of the slope of the terminal phase of the plasma profile as determined by log-linear regression of at least three data points. T-HALF was measured in hours (h).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Terminal Phase Elimination Half-life (T-HALF) in Didanosine (ddI) at Week 2 - Pharmacokinetic Evaluable Population
|
0.92 h
Standard Deviation 0.1374
|
1.41 h
Standard Deviation 0.859
|
1.73 h
Standard Deviation 1.007
|
1.14 h
Standard Deviation 0.214
|
—
|
SECONDARY outcome
Timeframe: Weeks 60, 72, 84, and 96Population: Treated participants, who received at least 1 dose of study drug (EFV) were analyzed. n=number of treated participants with available on-treatment data at each specific week.
Virologic Response - Observed Cases (VR-OC): participants were responders at a specific week according to a single on-treatment HIV RNA \< 400 c/mL closest to the planned visit and within the predefined visit window; those on treatment and missing their specific week measurement were responders only if previous and subsequent measurements to that week visit window were \< 400 c/mL; denominator was all who remained on treatment through the specific week.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
The Number of Participants With Plasma HIV RNA Levels < 400 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 60 (n=7, 8, 3, 4, 22)
|
7 participants
|
6 participants
|
2 participants
|
4 participants
|
19 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 400 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 72 (n=7, 7, 2, 4, 20)
|
7 participants
|
5 participants
|
1 participants
|
4 participants
|
17 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 400 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 84 (n=7, 7, 2, 4, 20)
|
7 participants
|
5 participants
|
1 participants
|
4 participants
|
17 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 400 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 96 (n=7, 6, 2, 4, 19)
|
7 participants
|
5 participants
|
1 participants
|
4 participants
|
17 participants
|
SECONDARY outcome
Timeframe: Weeks 60, 72, 84, and 96Population: Treated participants, who received at least 1 dose of study drug (EFV) were analyzed. n=number of treated participants with available on-treatment data at each specific week.
Virologic Response - Observed Cases (VR-OC): participants were responders at a specific week according to a single on-treatment HIV RNA \< 50 c/mL closest to the planned visit and within the predefined visit window; those on treatment and missing their specific week measurement were responders only if previous and subsequent measurements to that week visit window were \< 50 c/mL; denominator was all who remained on treatment through the specific week.
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=15 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=8 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=37 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 84 (n=7, 7, 2, 4, 20)
|
7 participants
|
5 participants
|
1 participants
|
3 participants
|
16 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 60 (n=7, 8, 3, 4, 22)
|
4 participants
|
5 participants
|
2 participants
|
3 participants
|
14 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 72 (n=7, 7, 2, 4, 20)
|
7 participants
|
5 participants
|
1 participants
|
4 participants
|
17 participants
|
|
The Number of Participants With Plasma HIV RNA Levels < 50 c/mL at Weeks 60, 72, 84 and 96 (Observed Cases) - All Treated Participants
Week 96 (n=7, 6, 2, 4, 19)
|
6 participants
|
5 participants
|
0 participants
|
4 participants
|
15 participants
|
SECONDARY outcome
Timeframe: Baseline through Weeks 60, 72, 84, and 96Population: Treated participants who received at least 1 dose of study drug (EFV) were analyzed. n=number of participants with available data at both baseline and each specific week on treatment.
HIV RNA measured as log10 copies per milliliter (c/mL) plasma. HIV RNA values ≥ 1,000 c/mL were considered evidence of infection. A decrease in number of c/mL is an improvement for the participant. HIV RNA was first measured using the ultrasensitive and standard Roche Amplicor PCR, version 1.5, and then the method of measurement was switched to the COBAS AmpliPrep/COBAS TaqMan HIV IVD method. The Baseline visit was within 50 days after the screening visit and was prior to start of study medication (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=13 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=4 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=34 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Log10 c/mL HIV RNA Changes From Baseline at Weeks 60, 72, 84 and 96 - Treated Participants
Baseline (n=13,10,4,7,34)
|
5.88 log10 c/mL
Interval 5.12 to 5.92
|
5.88 log10 c/mL
Interval 5.32 to 5.88
|
5.88 log10 c/mL
Interval 5.38 to 5.88
|
5.50 log10 c/mL
Interval 4.64 to 5.88
|
5.88 log10 c/mL
Interval 4.97 to 5.88
|
|
Log10 c/mL HIV RNA Changes From Baseline at Weeks 60, 72, 84 and 96 - Treated Participants
Week 72 (n=7, 6, 1, 3, 17)
|
-4.08 log10 c/mL
Inter-Quartile Range 0.438 • Interval -4.24 to -1.94
|
-2.75 log10 c/mL
Inter-Quartile Range 0.603 • Interval -418.0 to -1.83
|
-3.20 log10 c/mL
Inter-Quartile Range NA • Interval -3.2 to -3.2
|
-4.18 log10 c/mL
Inter-Quartile Range 0.410 • Interval -4.18 to -2.95
|
-3.45 log10 c/mL
Inter-Quartile Range 0.290 • Interval -4.18 to -2.21
|
|
Log10 c/mL HIV RNA Changes From Baseline at Weeks 60, 72, 84 and 96 - Treated Participants
Week 84 (n=7, 7, 2, 4, 20)
|
-4.08 log10 c/mL
Inter-Quartile Range 0.438 • Interval -4.24 to -1.94
|
-3.28 log10 c/mL
Inter-Quartile Range 0.563 • Interval -4.18 to -1.54
|
-2.18 log10 c/mL
Inter-Quartile Range 1.022 • Interval -3.2 to -1.16
|
-3.51 log10 c/mL
Inter-Quartile Range 0.583 • Interval -4.13 to 2.32
|
-3.37 log10 c/mL
Inter-Quartile Range 0.283 • Interval -4.18 to -1.81
|
|
Log10 c/mL HIV RNA Changes From Baseline at Weeks 60, 72, 84 and 96 - Treated Participants
Week 96 (n=7, 6, 2, 4, 19)
|
-3.82 log10 c/mL
Inter-Quartile Range 0.423 • Interval -4.18 to -1.94
|
-3.73 log10 c/mL
Inter-Quartile Range 0.686 • Interval -4.18 to -1.19
|
-2.15 log10 c/mL
Inter-Quartile Range 0.848 • Interval -2.99 to -1.3
|
-3.57 log10 c/mL
Inter-Quartile Range 0.597 • Interval -4.18 to -2.32
|
-3.45 log10 c/mL
Inter-Quartile Range 0.296 • Interval -4.18 to -1.69
|
|
Log10 c/mL HIV RNA Changes From Baseline at Weeks 60, 72, 84 and 96 - Treated Participants
Week 60 (n=7, 8, 3, 4, 22)
|
-3.92 log10 c/mL
Inter-Quartile Range 0.458 • Interval -418.0 to -1.94
|
-3.44 log10 c/mL
Inter-Quartile Range 0.539 • Interval -4.18 to -1.46
|
-3.26 log10 c/mL
Inter-Quartile Range 0.322 • Interval -4.18 to -3.18
|
-3.48 log10 c/mL
Inter-Quartile Range 0.575 • Interval -4.1 to -2.32
|
-3.50 log10 c/mL
Inter-Quartile Range 0.259 • Interval -4.18 to -1.94
|
SECONDARY outcome
Timeframe: Baseline to Weeks 60, 72, 84, and 96Population: Treated participants who received at least 1 dose of study drug (EFV) were analyzed. n=number of participants with available data at both baseline and each specific week on treatment.
A CD4 cell is an antigenic marker of helper/inducer T cells. These cells were counted during the hematology cell counts performed during a Complete Blood Cell count (CBC) performed by the Central Laboratory. CD4 are measured as number of cells per millimeters to the third power (cells/mm\^3). An increase from baseline in the number of CD4 cells is an improvement. The Baseline visit was within 50 days after the screening visit and was prior to start of study medication (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=10 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=9 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=6 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=28 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
CD4 Cell Count Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Baseline (n=10,9,3,6,28)
|
1518 cells/mm^3
Interval 829.0 to 2202.0
|
1569 cells/mm^3
Interval 1149.0 to 2284.0
|
517 cells/mm^3
Interval 129.0 to 558.0
|
413 cells/mm^3
Interval 23.0 to 688.0
|
1144 cells/mm^3
Interval 529.0 to 1930.0
|
|
CD4 Cell Count Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 60 (n=6, 6, 2,3,17)
|
-870 cells/mm^3
Interval -1331.0 to -315.0
|
-914 cells/mm^3
Interval -1509.0 to 725.0
|
580 cells/mm^3
Interval -11.0 to 1171.0
|
676 cells/mm^3
Interval 506.0 to 887.0
|
-315 cells/mm^3
Interval -1331.0 to 676.0
|
|
CD4 Cell Count Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 72 (n=5, 7, 1, 3, 16)
|
-1178 cells/mm^3
Interval -1422.0 to -588.0
|
234 cells/mm^3
Interval -1540.0 to 624.0
|
-50 cells/mm^3
Interval -50.0 to -50.0
|
620 cells/mm^3
Interval 619.0 to 811.0
|
92 cells/mm^3
Interval -1300.0 to 620.0
|
|
CD4 Cell Count Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 84 (n=6, 7, 1, 3, 17)
|
-937 cells/mm^3
Interval -1331.0 to -155.0
|
59 cells/mm^3
Interval -1416.0 to 316.0
|
101 cells/mm^3
Interval 101.0 to 101.0
|
497 cells/mm^3
Interval 339.0 to 722.0
|
59 cells/mm^3
Interval -1304.0 to 334.0
|
|
CD4 Cell Count Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 96 (n=6, 6, 1, 3, 16)
|
-834 cells/mm^3
Interval -1437.0 to -176.0
|
-43 cells/mm^3
Interval -1291.0 to 222.0
|
402 cells/mm^3
Interval 402.0 to 402.0
|
744 cells/mm^3
Interval 295.0 to 1243.0
|
-40 cells/mm^3
Interval -1185.0 to 314.0
|
SECONDARY outcome
Timeframe: Baseline to Weeks 60, 72, 84, and 96Population: Treated participants who received at least 1 dose of study drug (EFV) were analyzed. n=number of participants with available data at both baseline and each specific week on treatment.
A CD4 cell is an antigenic marker of helper/inducer T cells. These cells were counted during the hematology cell counts performed during a Complete Blood Cell count (CBC) performed by the Central Laboratory. CD4 are measured as number of cells per millimeter to the third power (cells/mm\^3). Percent of CD4 cells is the number of CD4 cells per total number of cells measured\*100. An increase in the percent of CD4 cells is an improvement. The Baseline visit was within 50 days after the screening visit and was prior to start of study medication (Week 1).
Outcome measures
| Measure |
EFV+ddI+FTC in Infants >=3 Months to < 6 Months
n=7 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Infants >=6 Months to < 2 Years
n=9 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 2 Years to < 3 Years
n=3 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
EFV+ddI+FTC in Children >= 3 Years to <= 6 Years
n=5 Participants
EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
Total Participants
n=24 Participants
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years.
|
|---|---|---|---|---|---|
|
Percent of CD4 Cells Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 84 (n=3,7,1,3,14)
|
-3 percentage of CD4 cells
Interval -22.0 to 21.0
|
8 percentage of CD4 cells
Interval 0.0 to 11.0
|
2 percentage of CD4 cells
Interval 2.0 to 2.0
|
12 percentage of CD4 cells
Interval 5.0 to 34.0
|
7 percentage of CD4 cells
Interval 0.0 to 12.0
|
|
Percent of CD4 Cells Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 60 (n=3,6,2,3,14)
|
10 percentage of CD4 cells
Interval -9.0 to 13.0
|
3 percentage of CD4 cells
Interval -5.0 to 5.0
|
7 percentage of CD4 cells
Interval -1.0 to 15.0
|
13 percentage of CD4 cells
Interval 9.0 to 26.0
|
7 percentage of CD4 cells
Interval -1.0 to 13.0
|
|
Percent of CD4 Cells Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 72 (n=2,7,1,3,13)
|
-14 percentage of CD4 cells
Interval -17.0 to -10.0
|
1 percentage of CD4 cells
Interval -5.0 to 13.0
|
-1 percentage of CD4 cells
Interval -1.0 to -1.0
|
12 percentage of CD4 cells
Interval 11.0 to 26.0
|
1 percentage of CD4 cells
Interval -5.0 to 12.0
|
|
Percent of CD4 Cells Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Week 96 (n=3,6,1,3,13)
|
-2 percentage of CD4 cells
Interval -19.0 to 6.0
|
7 percentage of CD4 cells
Interval 3.0 to 10.0
|
15 percentage of CD4 cells
Interval 15.0 to 15.0
|
14 percentage of CD4 cells
Interval 14.0 to 28.0
|
7 percentage of CD4 cells
Interval 3.0 to 14.0
|
|
Percent of CD4 Cells Change From Baseline at Weeks 60, 72, 84, and 96 - Treated Participants
Baseline (n=7,9,3,5,24)
|
28 percentage of CD4 cells
Interval 17.0 to 40.0
|
26 percentage of CD4 cells
Interval 25.0 to 28.0
|
12 percentage of CD4 cells
Interval 5.0 to 20.0
|
7 percentage of CD4 cells
Interval 2.0 to 23.0
|
24 percentage of CD4 cells
Interval 14.0 to 28.0
|
Adverse Events
EFV+ddI+FTC in All Participants
Serious adverse events
| Measure |
EFV+ddI+FTC in All Participants
n=37 participants at risk
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years who received study drug. EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
|
|---|---|
|
Skin and subcutaneous tissue disorders
Eczema
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Oral herpes
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Bacterial infection
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Bronchiolitis
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Nervous system disorders
Epilepsy
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Appendicitis perforated
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Bovine tuberculosis
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Herpes zoster
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Mastoiditis
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Varicella
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Viral upper respiratory tract infection
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Viral rash
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Nervous system disorders
Febrile convulsion
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Pneumonia
|
21.6%
8/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Gastroenteritis
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
General disorders
Mass
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Otitis media
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Bronchial hyperreactivity
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Impetigo
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Lymph node tuberculosis
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Pneumocystis jiroveci pneumonia
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Asthma
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Gastrointestinal disorders
Intestinal perforation
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Blood and lymphatic system disorders
Neutropenia
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Oral candidiasis
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Respiratory syncytial virus bronchiolitis
|
2.7%
1/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
Other adverse events
| Measure |
EFV+ddI+FTC in All Participants
n=37 participants at risk
All participants across all age groups, ie greater than, equal to 3 months to less than, equal to 6 years who received study drug. EFV (efavirenz) was administered in accordance with weight-based dosing nomograms and included one of the following preparations in a once a day (QD) dose: EFV capsules (50 and 200 mg) contents mixed with formula or a small amount of food vehicle (eg, yogurt, applesauce, or grape jelly), or oral solution (30 mg/mL). In addition, the following 2 drugs were administered: ddI (didanosine) (Pediatric Powder for Oral Solution or capsules of enteric-coated beads): 240 mg/m\^2 QD; maximum daily dose of 400 mg and FTC (emtricitabine) (solution or tablets) 6 mg/kg QD; maximum daily dose of 240 mg.
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|---|---|
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Gastrointestinal disorders
Abdominal pain
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Acarodermatitis
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Blood and lymphatic system disorders
Anaemia
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Injury, poisoning and procedural complications
Arthropod bite
|
13.5%
5/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Dermatitis
|
10.8%
4/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Dermatitis atopic
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Papule
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Gastrointestinal disorders
Vomiting
|
18.9%
7/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Bronchitis
|
13.5%
5/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Injury, poisoning and procedural complications
Head injury
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Investigations
Lymph node palpable
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Nasopharyngitis
|
35.1%
13/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Gastrointestinal disorders
Nausea
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Pharyngotonsillitis
|
10.8%
4/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Productive cough
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Prurigo
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
General disorders
Pyrexia
|
24.3%
9/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Skin exfoliation
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Viral rhinitis
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Candida nappy rash
|
13.5%
5/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Dermatitis diaper
|
13.5%
5/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Dermatosis
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Herpes zoster
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Mastoiditis
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Nasal obstruction
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Otitis media acute
|
10.8%
4/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Pharyngitis
|
27.0%
10/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Sinusitis
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Gastrointestinal disorders
Steatorrhoea
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Varicella
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Viral upper respiratory tract infection
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Gastrointestinal disorders
Dental caries
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Influenza
|
16.2%
6/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Rhinitis
|
16.2%
6/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Seborrhoeic dermatitis
|
10.8%
4/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Tonsillitis
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Investigations
Blood alkaline phosphatase increased
|
18.9%
7/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Metabolism and nutrition disorders
Decreased appetite
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Pneumonia
|
10.8%
4/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Gastrointestinal disorders
Diarrhoea
|
51.4%
19/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Gastroenteritis
|
18.9%
7/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Metabolism and nutrition disorders
Hyperkalaemia
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Otitis media
|
18.9%
7/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Gastrointestinal disorders
Stomatitis
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Eye disorders
Conjunctivitis
|
10.8%
4/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
10.8%
4/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Ear infection
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Impetigo
|
13.5%
5/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Blood and lymphatic system disorders
Lymphadenopathy
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Otitis media chronic
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Urticaria
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Blood and lymphatic system disorders
Neutropenia
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Oral candidiasis
|
8.1%
3/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Otitis externa
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
General disorders
Product taste abnormal
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Rash
|
5.4%
2/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
|
Infections and infestations
Upper respiratory tract infection
|
27.0%
10/37 • 96 Weeks (Last patient, last visit).
Participants who received at least one dose of study drug.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
- Publication restrictions are in place
Restriction type: OTHER