Trial Outcomes & Findings for A Study of Saquinavir/Ritonavir in Liver-Impaired Patients With HIV Infection. (NCT NCT00435929)

NCT ID: NCT00435929

Last Updated: 2018-03-29

Results Overview

Area Under the Plasma Concentration-Time Curve (AUC) is a measure of the plasma concentration of the drug over time. It is used to characterize drug absorption. The pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the area under the plasma concentration-time curve from 0 to 12 hours after dosing (AUC (0-12h) of SQV and RTV The AUC (0-12hours) was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

16 participants

Primary outcome timeframe

Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post-dose on Day 14

Results posted on

2018-03-29

Participant Flow

The study was conducted from 12 September 2006 to 09 April 2009 at 3 sites in US and 2 in Canada.

Total 19 participants were screened. A total 9 participants with HIV infection with moderate liver disease (Group 2) and 7 participants with HIV infection with normal liver function (Group 1) were enrolled in the study. Participants in Group 1 were matched with those in Group 2 on the basis of age, gender, weight, and tobacco use.

Participant milestones

Participant milestones
Measure
Normal Liver Function
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Overall Study
STARTED
7
9
Overall Study
COMPLETED
7
9
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Saquinavir/Ritonavir in Liver-Impaired Patients With HIV Infection.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=9 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Total
n=16 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post-dose on Day 14

Population: Pharmacokinetic (PK) analysis population: All participants who adhered to the study protocol and had evaluable concentration data and PK parameters on Day 14.

Area Under the Plasma Concentration-Time Curve (AUC) is a measure of the plasma concentration of the drug over time. It is used to characterize drug absorption. The pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the area under the plasma concentration-time curve from 0 to 12 hours after dosing (AUC (0-12h) of SQV and RTV The AUC (0-12hours) was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Area Under the Plasma Concentration-Time Curve From Time of Administration to 12 Hours After Dosing (AUC 0-12h) of Saquinavir (SQV) and Ritonavir (RTV)
AUC for RTV
10985 ng*hr/mL
Standard Deviation 1723
9930 ng*hr/mL
Standard Deviation 5243
Area Under the Plasma Concentration-Time Curve From Time of Administration to 12 Hours After Dosing (AUC 0-12h) of Saquinavir (SQV) and Ritonavir (RTV)
AUC for SQV
28518 ng*hr/mL
Standard Deviation 20157
24332 ng*hr/mL
Standard Deviation 24700

PRIMARY outcome

Timeframe: Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post-dose on Day 14

Population: Pharmacokinetic (PK) analysis population: All participants who adhered to the study protocol and had evaluable concentration data and PK parameters on Day 14.

The plasma concentration (Cmax) is defined as maximum observed analyte concentration. The pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the maximum observed plasma concentration (C max) of SQV and Ritonavir RTV The Cmax was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Maximum Observed Plasma Concentration (Cmax) of SQV and RTV
Cmax of SQV
4300 ng/mL
Standard Deviation 2940
3610 ng/mL
Standard Deviation 3000
Maximum Observed Plasma Concentration (Cmax) of SQV and RTV
Cmax of RTV
1500 ng/mL
Standard Deviation 294
1460 ng/mL
Standard Deviation 690

SECONDARY outcome

Timeframe: Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post-dose on Day 14

Population: Pharmacokinetic (PK) analysis population: All participants who adhered to the study protocol and had evaluable concentration data and PK parameters on Day 14.

The Tmax is defined as actual sampling time to reach maximum observed analyte concentration. The Pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the time of maximum plasma concentration of SQV and RTV. The Tmax was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Time of Maximum Plasma Concentration (Tmax) of SQV and RTV
Tmax of SQV
5.00 hour
Standard Deviation 1.83
5.00 hour
Standard Deviation 2.38
Time of Maximum Plasma Concentration (Tmax) of SQV and RTV
Tmax of RTV
4.29 hour
Standard Deviation 1.50
4.07 hour
Standard Deviation 1.75

SECONDARY outcome

Timeframe: Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post-dose on Day 14

Population: Pharmacokinetic (PK) analysis population: All participants who adhered to the study protocol and had evaluable concentration data and PK parameters on Day 14.

Terminal half-life is the time measured for the plasma concentration to decrease by one half. The Pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the terminal half-life (T1/2) of SQV and RTV. The T1/2 was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Terminal Half-life (T1/2) of SQV and RTV
T1/2 of SQV
3.31 hour
Standard Deviation 0.823
4.10 hour
Standard Deviation 1.90
Terminal Half-life (T1/2) of SQV and RTV
T1/2 of RTV
3.80 hour
Standard Deviation 0.908
4.82 hour
Standard Deviation 2.82

SECONDARY outcome

Timeframe: Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post dose on Day 14

Population: Pharmacokinetic (PK) analysis population: All participants who adhered to the study protocol and had evaluable concentration data and PK parameters on Day 14.

Cmin is the minimum blood plasma concentration that a drug achieves. The Pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the minimum observed plasma concentration (C min) of SQV and RTV The Cmin was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Minimum Observed Plasma Concentration (Cmin) of SQV and RTV
Cmin of SQV
965 ng/mL
Standard Deviation 920
834 ng/mL
Standard Deviation 870
Minimum Observed Plasma Concentration (Cmin) of SQV and RTV
Cmin of RTV
399 ng/mL
Standard Deviation 172
418 ng/mL
Standard Deviation 300

SECONDARY outcome

Timeframe: Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post dose on Day 14

Population: Pharmacokinetic (PK) analysis population: All participants who adhered to the study protocol and had evaluable concentration data and PK parameters on Day 14.

The CL/F is the oral clearance; that is clearance based on oral bioavailability. The Pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the plasma clearance after oral administration (CL/F)of SQV and RTV The CL/F was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Plasma Clearance After Oral Administration (CL/F) of SQV and RTV
CL/F of SQV
47.052 L/hr
Standard Deviation 20.254
84.416 L/hr
Standard Deviation 68.645
Plasma Clearance After Oral Administration (CL/F) of SQV and RTV
CL/F of RTV
9.289 L/hr
Standard Deviation 1.392
12.568 L/hr
Standard Deviation 5.885

SECONDARY outcome

Timeframe: Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post dose on Day 14

Population: Pharmacokinetic (PK) analysis population: All participants who adhered to the study protocol and had evaluable concentration data and PK parameters on Day 14.

Vd is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. The pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the Vd of SQV and RTV The Vd was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Volume of Distribution (Vd) of SQV and RTV
Vd of SQV
213.294 Litres
Standard Deviation 95.048
464.049 Litres
Standard Deviation 334.460
Volume of Distribution (Vd) of SQV and RTV
Vd of RTV
50.232 Litres
Standard Deviation 11.888
102.585 Litres
Standard Deviation 112.579

SECONDARY outcome

Timeframe: Screening (Day -35 to -1), pre-dose on Day 8, Day 14 and at follow up (Day 28-Day 35)

Population: PD analysis population: All participants who received at least 1 dose of the study medication and had at least 1 pharmacodynamic (PD) measure were included in the PD analysis population.

The pharmacodynamic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the cluster of differentiation 4 (CD4) count in participants in each group.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=7 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Cluster of Differentiation 4 (CD4 ) Count
Screening; n=7, 9
540.000 cells/cubic millimeter
Standard Deviation 218.187
451.444 cells/cubic millimeter
Standard Deviation 249.011
Cluster of Differentiation 4 (CD4 ) Count
Day 8;n=6, 9
638.500 cells/cubic millimeter
Standard Deviation 254.358
558.000 cells/cubic millimeter
Standard Deviation 243.994
Cluster of Differentiation 4 (CD4 ) Count
Day 14;n=7, 9
683.571 cells/cubic millimeter
Standard Deviation 250.160
566.333 cells/cubic millimeter
Standard Deviation 257.484
Cluster of Differentiation 4 (CD4 ) Count
Follow up; n=6, 8
692.500 cells/cubic millimeter
Standard Deviation 150.045
567.625 cells/cubic millimeter
Standard Deviation 261.947

SECONDARY outcome

Timeframe: Up to Day 35

Population: Safety population: All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety analysis.

Laboratory parameters specified in Clinical Operating Guidelines (COG) were summarized. AIDS Clinical Trial Group (ACTG) and American Heart Association (AHA) criteria were used to grade COG laboratory test values. Laboratory parameters for which an increase to Grade 3 (G3) or Grade 4 (G4) occurred are presented in the table below.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=9 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
ASAT (SGOT), (Hyper) G3
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
ASAT (SGOT), (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Alkaline Phosphatase, (Hyper) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Alkaline Phosphatase, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
ALAT (SGPT), (Hyper) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
ALAT (SGPT), (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Direct Bilirubin, (Hyper) G3
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Direct Bilirubin, (Hyper) G4
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Creatinine, (Hyper) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Creatinine, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Albumin, (Hypo) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Albumin, (Hypo) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Prothrombin Time seconds(Hyper) G3
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Prothrombin Time seconds (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Creatine Kinase, (Hyper) G3
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Creatine Kinase, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Cholesterol, (Hyper) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Cholesterol, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Triglycerides, (Hyper) G3
2 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Triglycerides, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Calcium, (Hypo) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Calcium, (Hypo) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Potassium, (Hypo) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Potassium, (Hypo) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Sodium, (Hypo) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Sodium, (Hypo) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Platelets, (Hypo) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Platelets, (Hypo) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Neutrophils, (Hypo) G3
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Neutrophils, (Hypo) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Fasting Glucose, (Hyper) G3
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Fasting Glucose, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Amylase, (Hyper) G3
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Amylase, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Uric Acid, (Hyper) G3
0 participants
2 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Uric Acid, (Hyper) G4
0 participants
0 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Proteinuria 0 to 4+, (Hyper) G3
0 participants
1 participants
Number of Participants With the Indicated Grade 3 and Grade 4 Laboratory Parameters
Proteinuria 0 to 4+, (Hyper) G4
0 participants
0 participants

SECONDARY outcome

Timeframe: Up to Day 35

Population: Safety population: All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety analysis.

Abnormal Vital signs included are high and low Pulse rate (PR), high and how Temperature (Temp), high and low Systolic Blood Pressure (SBP) and high and low Diastolic Blood Pressure (DBP). Vital signs (SBP, DBP, PR,Temp) were measured after participants were in a semi-supine position for at least 5 minutes.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=9 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Number Participants With Abnormal Vital Signs
High-DBP
0 participants
0 participants
Number Participants With Abnormal Vital Signs
High PR
0 participants
0 participants
Number Participants With Abnormal Vital Signs
Low PR
0 participants
0 participants
Number Participants With Abnormal Vital Signs
High Temp
0 participants
0 participants
Number Participants With Abnormal Vital Signs
Low Temp
0 participants
0 participants
Number Participants With Abnormal Vital Signs
High-SBP
1 participants
1 participants
Number Participants With Abnormal Vital Signs
Low-SBP
0 participants
0 participants
Number Participants With Abnormal Vital Signs
Low-DBP
1 participants
2 participants

SECONDARY outcome

Timeframe: Up to Day 35

Population: Safety population: All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety analysis.

Abnormal ECG findings included are high and low Heart Rate (HRT), high and low PQ/PR interval (PQ/PR), high and low QRS interval (QRS), high and low QT interval (QT), high and low QTCB interval (QTcB), high and low QTcF interval (QTcF), high and low RR interval (RR), high and low T Wave, high and low U Wave, high and low ECG. The 12 Lead ECG was recorded after participants were in a semi-supine position for at least 5 minutes. Only participants with abnormal ECG findings are presented in the table below.

Outcome measures

Outcome measures
Measure
Normal Liver Function
n=7 Participants
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=9 Participants
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- HRT ECG ; n=7, 9
1 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- HRT ECG; n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- PQ (PR); n=7, 9
0 participants
1 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- PQ (PR); n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- QRS; n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- QRS; n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- QT; n=7, 9
0 participants
2 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- QT; n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- QTcB; n=5, 8
0 participants
2 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- QTcB; n=5, 8
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- QTcF; n=5, 8
0 participants
2 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- QTcF; n=5, 8
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- RR; n=5, 8
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- RR; n=5, 8
1 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- T WAVE; n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- T WAVE; n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- U WAVE; n=1, 0
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- U WAVE; n=1, 0
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
HIGH- ECG; n=7, 9
0 participants
0 participants
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
LOW- ECG; n=7, 9
0 participants
0 participants

Adverse Events

Normal Liver Function

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Moderate Hepatic Impairment

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Normal Liver Function
n=7 participants at risk
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=9 participants at risk
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.

Other adverse events

Other adverse events
Measure
Normal Liver Function
n=7 participants at risk
Participants with human immunodeficiency virus (HIV) infection and with normal liver function receiving saquinavir (SQV)/ritonavir (RTV) 1000/100 mg orally twice a day (BID) for 14 days.
Moderate Hepatic Impairment
n=9 participants at risk
Participants with HIV infection and with moderate hepatic impairment receiving SQV/RTV 1000/100 mg orally BID for 14 days.
Gastrointestinal disorders
Diarrhoea
42.9%
3/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Gastrointestinal disorders
Nausea
14.3%
1/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
33.3%
3/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
22.2%
2/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Gastrointestinal disorders
Abdominal distension
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Gastrointestinal disorders
Dyspepsia
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Gastrointestinal disorders
Flatulence
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Gastrointestinal disorders
Vomiting
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
General disorders
Fatigue
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
33.3%
3/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
General disorders
Oedema Peripheral
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
General disorders
Pain
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Infections and infestations
Influenza
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Infections and infestations
Nasopharyngitis
14.3%
1/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
0.00%
0/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Hepatobiliary disorders
Jaundice
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Hepatobiliary disorders
Liver Tenderness
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Nervous system disorders
Headache
0.00%
0/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
11.1%
1/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
Renal and urinary disorders
Micturition Urgency
14.3%
1/7 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.
0.00%
0/9 • Up to Day 35
All participants who received at least 1 dose of study medication (whether or not they were withdrawn prematurely) and had safety follow-up data were included in safety population. .All AE's and SAE's were collected following the first dose, as well as those that started prior to dosing and worsened on or after the first dose.

Additional Information

F. Hoffmann-La Roche AG

Roche Trial Information Hotline

Phone: +41 61 6878333

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER