Trial Outcomes & Findings for Observational Non-interventional Study (Anwendungsbeobachtung) With Aptivus® (Tipranavir) in HIV-infected Patients. (NCT NCT00531206)

NCT ID: NCT00531206

Last Updated: 2014-04-07

Results Overview

The safety and tolerability of the observed antiretroviral therapy were based on the Adverse Events (AEs) and Serious Adverse Events (SAEs) reported in the case report forms.

Recruitment status

COMPLETED

Target enrollment

65 participants

Primary outcome timeframe

52 weeks

Results posted on

2014-04-07

Participant Flow

Participant milestones

Participant milestones
Measure
Aptivus® in Combination With Low-dose Norvir®
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Overall Study
STARTED
65
Overall Study
COMPLETED
45
Overall Study
NOT COMPLETED
20

Reasons for withdrawal

Reasons for withdrawal
Measure
Aptivus® in Combination With Low-dose Norvir®
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Overall Study
Adverse Event related
5
Overall Study
Lack of Efficacy
2
Overall Study
Lost to Follow-up
5
Overall Study
including non-related adverse events
8

Baseline Characteristics

Observational Non-interventional Study (Anwendungsbeobachtung) With Aptivus® (Tipranavir) in HIV-infected Patients.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Age, Continuous
45.9 Years
STANDARD_DEVIATION 8.8 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
59 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

The safety and tolerability of the observed antiretroviral therapy were based on the Adverse Events (AEs) and Serious Adverse Events (SAEs) reported in the case report forms.

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Adverse Events
23 Number of patients with adverse events

SECONDARY outcome

Timeframe: Baseline and 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Log10 change from baseline in viral load over time

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Change in Viral Load
change from baseline to month 1 (4 weeks)
-1.56 log10 copies/ml
Interval -1.94 to -0.54
Change in Viral Load
change from baseline to month 3 (12 weeks)
-1.70 log10 copies/ml
Interval -2.47 to -0.48
Change in Viral Load
change from baseline to month 6 (24 weeks)
-1.42 log10 copies/ml
Interval -2.59 to -0.45
Change in Viral Load
change from baseline to month 9 (36 weeks)
-1.42 log10 copies/ml
Interval -2.94 to -0.71
Change in Viral Load
change from baseline to month 12 (52 weeks)
-1.45 log10 copies/ml
Interval -2.42 to -0.54

SECONDARY outcome

Timeframe: Baseline and 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Change from baseline in CD4+ count over time

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
CD4+ Cell Count
change from baseline to month 1 (4 weeks)
30.50 cells/mm3
Interval -17.0 to 85.5
CD4+ Cell Count
change from baseline to month 3 (12 weeks)
43.50 cells/mm3
Interval -4.5 to 144.5
CD4+ Cell Count
change from baseline to month 6 (24 weeks)
39.50 cells/mm3
Interval 0.0 to 144.0
CD4+ Cell Count
change from baseline to month 9 (36 weeks)
63.00 cells/mm3
Interval 13.0 to 155.0
CD4+ Cell Count
change from baseline to month 12 (52 weeks)
36.00 cells/mm3
Interval -5.0 to 191.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Investigator's opinion of patient's general condition (quality of life)

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Subjective Well-being
good general condition
23 participants
Subjective Well-being
moderate general condition
35 participants
Subjective Well-being
bad general condition
7 participants
Subjective Well-being
missing
0 participants

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

The safety and tolerability of the observed antiretroviral therapy were based on the Adverse Events (AEs) and Serious Adverse Events (SAEs) reported in the case report forms.

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Serious Adverse Events
3 Number of patients

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

The safety and tolerability of the observed antiretroviral therapy were based on the Adverse Events (AEs) and Serious Adverse Events (SAEs) reported in the case report forms.

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Deaths
1 Number of patients

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

The safety and tolerability of the observed antiretroviral therapy were based on the Adverse Events (AEs) and Serious Adverse Events (SAEs) reported in the case report forms.

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Discontinuations Due to an Adverse Event
6 Number of patients

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

The safety and tolerability of the observed antiretroviral therapy were based on the Adverse Events (AEs) and Serious Adverse Events (SAEs) reported in the case report forms.

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Adverse Events Related to Therapy With Tipranavir/Ritonavir Based on Investigator's Opinion
7 Number of patients

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Number of Anti-retroviral Medications Taken in Combination With Tipranavir/Ritonavir
< 6
30 participants
Number of Anti-retroviral Medications Taken in Combination With Tipranavir/Ritonavir
6 - 10
15 participants
Number of Anti-retroviral Medications Taken in Combination With Tipranavir/Ritonavir
11 - 15
16 participants
Number of Anti-retroviral Medications Taken in Combination With Tipranavir/Ritonavir
> 15
3 participants
Number of Anti-retroviral Medications Taken in Combination With Tipranavir/Ritonavir
missing
1 participants

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Use of Lipid Lowering Agents During the Study
No
59 participants
Use of Lipid Lowering Agents During the Study
Yes
6 participants

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Body Mass Index Class (Kilograms/Square Meter)
Low (< 18)
2 participants
Body Mass Index Class (Kilograms/Square Meter)
Normal (18 - 30)
62 participants
Body Mass Index Class (Kilograms/Square Meter)
High (> 30)
0 participants
Body Mass Index Class (Kilograms/Square Meter)
missing
1 participants

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Total Cholesterol Over Time
Month 6 (n=48)
213.0 mg/dl
Interval 189.3 to 240.0
Total Cholesterol Over Time
Month 9 (n=37)
217.0 mg/dl
Interval 177.0 to 235.0
Total Cholesterol Over Time
Month 12 (n=35)
216.0 mg/dl
Interval 177.9 to 232.0
Total Cholesterol Over Time
Month 1 (n=42)
213.0 mg/dl
Interval 179.0 to 233.0
Total Cholesterol Over Time
Month 3 (n=41)
214.0 mg/dl
Interval 175.0 to 229.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
High Density Lipoprotein (HDL) Cholesterol Over Time
Month 1 (n=28)
38.0 mg/dl
Interval 35.5 to 47.0
High Density Lipoprotein (HDL) Cholesterol Over Time
Month 3 (n=29)
39.0 mg/dl
Interval 35.0 to 45.0
High Density Lipoprotein (HDL) Cholesterol Over Time
Month 6 (n=32)
39.5 mg/dl
Interval 34.6 to 47.0
High Density Lipoprotein (HDL) Cholesterol Over Time
Month 9 (n=28)
39.0 mg/dl
Interval 33.5 to 48.0
High Density Lipoprotein (HDL) Cholesterol Over Time
Month 12 (n=27)
37.0 mg/dl
Interval 33.0 to 53.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Low Density Lipoprotein (HDL) Cholesterol Over Time
Month 1 (n=23)
120.0 mg/dl
Interval 88.0 to 147.0
Low Density Lipoprotein (HDL) Cholesterol Over Time
Month 3 (n=25)
123.0 mg/dl
Interval 99.0 to 134.0
Low Density Lipoprotein (HDL) Cholesterol Over Time
Month 6 (n=29)
125.0 mg/dl
Interval 110.0 to 147.0
Low Density Lipoprotein (HDL) Cholesterol Over Time
Month 9 (n=26)
117.5 mg/dl
Interval 98.0 to 132.0
Low Density Lipoprotein (HDL) Cholesterol Over Time
Month 12 (n=23)
122.0 mg/dl
Interval 102.0 to 138.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Triglycerides Over Time
Month 1 (n=38)
237.5 mg/dl
Interval 143.0 to 479.0
Triglycerides Over Time
Month 3 (n=39)
256.9 mg/dl
Interval 160.0 to 361.0
Triglycerides Over Time
Month 9 (n=33)
283.4 mg/dl
Interval 186.0 to 330.0
Triglycerides Over Time
Month 12 (n=32)
265.5 mg/dl
Interval 171.0 to 458.5
Triglycerides Over Time
Month 6 (n=46)
246.0 mg/dl
Interval 190.0 to 361.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Alanine Aminotransferase (ALT) Over Time
Month 1 (n=52)
33.0 international units/liter
Interval 25.7 to 48.5
Alanine Aminotransferase (ALT) Over Time
Month 3 (n=49)
31.0 international units/liter
Interval 24.0 to 50.0
Alanine Aminotransferase (ALT) Over Time
Month 6 (n=55)
37.0 international units/liter
Interval 27.0 to 51.0
Alanine Aminotransferase (ALT) Over Time
Month 9 (n=41)
34.0 international units/liter
Interval 28.0 to 53.0
Alanine Aminotransferase (ALT) Over Time
Month 12 (n=42)
37.5 international units/liter
Interval 29.0 to 54.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Aspartate Aminotransferase (ALT) Over Time
Month 1 (n=54)
34.5 international units/liter
Interval 25.0 to 55.0
Aspartate Aminotransferase (ALT) Over Time
Month 3 (n=50)
33.5 international units/liter
Interval 23.0 to 55.0
Aspartate Aminotransferase (ALT) Over Time
Month 6 (n=57)
40.0 international units/liter
Interval 25.0 to 62.0
Aspartate Aminotransferase (ALT) Over Time
Month 9 (n=44)
44.0 international units/liter
Interval 27.0 to 62.0
Aspartate Aminotransferase (ALT) Over Time
Month 12 (n=42)
37.5 international units/liter
Interval 29.0 to 53.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Gamma-glutamyl Transpeptidase (GGT) Over Time
Month 1 (n=54)
72.0 international units/liter
Interval 41.0 to 121.0
Gamma-glutamyl Transpeptidase (GGT) Over Time
Month 3 (n=49)
72.0 international units/liter
Interval 50.0 to 164.0
Gamma-glutamyl Transpeptidase (GGT) Over Time
Month 6 (n=57)
72.0 international units/liter
Interval 56.0 to 154.0
Gamma-glutamyl Transpeptidase (GGT) Over Time
Month 9 (n=44)
76.0 international units/liter
Interval 48.0 to 128.0
Gamma-glutamyl Transpeptidase (GGT) Over Time
Month 12 (n=43)
68.0 international units/liter
Interval 50.0 to 104.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Creatinine Over Time
Month 1 (n=43)
0.90 mg/dl
Interval 0.8 to 1.0
Creatinine Over Time
Month 3 (n=46)
0.90 mg/dl
Interval 0.8 to 1.01
Creatinine Over Time
Month 6 (n=49)
0.90 mg/dl
Interval 0.8 to 1.0
Creatinine Over Time
Month 9 (n=35)
0.90 mg/dl
Interval 0.8 to 1.07
Creatinine Over Time
Month 12 (n=33)
0.90 mg/dl
Interval 0.8 to 1.0

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Total Bilirubin Over Time
Month 1 (n=39)
0.42 mg/dl
Interval 0.34 to 0.6
Total Bilirubin Over Time
Month 3 (n=38)
0.40 mg/dl
Interval 0.33 to 0.6
Total Bilirubin Over Time
Month 6 (n=43)
0.50 mg/dl
Interval 0.38 to 0.6
Total Bilirubin Over Time
Month 9 (n=31)
0.50 mg/dl
Interval 0.4 to 0.6
Total Bilirubin Over Time
Month 12 (n=32)
0.40 mg/dl
Interval 0.36 to 0.51

SECONDARY outcome

Timeframe: 52 weeks

Population: Full Analysis Set (FAS), all patients entered and treated

Outcome measures

Outcome measures
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 Participants
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Alkaline Phosphatase Over Time
Month 1 (n=33)
90.0 international units/liter
Interval 76.0 to 111.0
Alkaline Phosphatase Over Time
Month 3 (n=38)
92.5 international units/liter
Interval 76.0 to 103.5
Alkaline Phosphatase Over Time
Month 12 (n=43)
92.5 international units/liter
Interval 76.2 to 108.5
Alkaline Phosphatase Over Time
Month 6 (n=26)
87.5 international units/liter
Interval 80.0 to 114.0
Alkaline Phosphatase Over Time
Month 9 (n=24)
86.5 international units/liter
Interval 79.0 to 118.0

Adverse Events

Aptivus® in Combination With Low-dose Norvir®

Serious events: 3 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 participants at risk
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
General disorders
Death
1.5%
1/65 • 52 weeks
Investigations
Transaminases increased
1.5%
1/65 • 52 weeks
Vascular disorders
Pulmonary embolism
1.5%
1/65 • 52 weeks

Other adverse events

Other adverse events
Measure
Aptivus® in Combination With Low-dose Norvir®
n=65 participants at risk
Aptivus® in combination with low-dose Norvir® and optimised backbone therapy
Gastrointestinal disorders
Nausea
6.2%
4/65 • 52 weeks

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim Pharmaceuticals

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract.
  • Publication restrictions are in place

Restriction type: OTHER