Trial Outcomes & Findings for A Phase II/III Trial of Lopinavir/Ritonavir Dosed According to the WHO Pediatric Weight Band Dosing Guidelines (NCT NCT01172535)

NCT ID: NCT01172535

Last Updated: 2021-11-05

Results Overview

Area under the curve over 24 hours (AUC0-24), as determined by a non-compartmental analysis of 12-hour pharmacokinetic sampling for lopinavir/ritonavir

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

97 participants

Primary outcome timeframe

Measured at 4 weeks of treatment prior to the observed dose and at 2, 4, 6, 8, and 12 hours post-dose

Results posted on

2021-11-05

Participant Flow

There were 97 participants enrolled from 19 clinical sites in four countries. There were 57 participants on the liquid formulation and 40 on tablet. Accrual took place from May 20, 2011 through June 19, 2013.

HIV-infected infants and children ≥3 to \<25 kg had to be LPV/r-treatment naïve. Children ≥10 kg had to demonstrate ability and willingness to swallow tablets. Participants were stratified by weight and drug formulation (liquid vs. tablet).

Participant milestones

Participant milestones
Measure
Lopinavir/Ritonavir
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Overall Study
STARTED
97
Overall Study
COMPLETED
89
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Lopinavir/Ritonavir
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Overall Study
Death
3
Overall Study
Withdrawal by Subject
2
Overall Study
Lost to Follow-up
1
Overall Study
Ineligible at study entry
1
Overall Study
Unwilling to adhere to study requirement
1

Baseline Characteristics

A Phase II/III Trial of Lopinavir/Ritonavir Dosed According to the WHO Pediatric Weight Band Dosing Guidelines

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lopinavir/Ritonavir
n=97 Participants
Participants receiving lopinavir/ritonavirr, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Age, Continuous
2.5 years
n=5 Participants
Sex: Female, Male
Female
54 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
31 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
42 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
24 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
37 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
39 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
14 Participants
n=5 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
Region of Enrollment
Brazil
32 participants
n=5 Participants
Region of Enrollment
South Africa
23 participants
n=5 Participants
Region of Enrollment
Thailand
37 participants
n=5 Participants
HIV RNA (copies/mL) at study entry
5.2 log copies/mL
n=5 Participants
CD4% at study entry
24.2 percentage of total lymphocytes
n=5 Participants

PRIMARY outcome

Timeframe: Measured at 4 weeks of treatment prior to the observed dose and at 2, 4, 6, 8, and 12 hours post-dose

Population: Participants having complete pharmacokinetics data at week 4

Area under the curve over 24 hours (AUC0-24), as determined by a non-compartmental analysis of 12-hour pharmacokinetic sampling for lopinavir/ritonavir

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=81 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Lopinovir/Ritonavir Area Under the Concentration-time Curve (AUC0-24)
196 mcg*hr/mL
Interval 177.0 to 217.0

PRIMARY outcome

Timeframe: Measured at 4 weeks of treatment prior to the observed dose and at 2, 4, 6, 8, and 12 hours post-dose

Population: Participants having complete pharmacokinetics data at week 4

Maximum concentration of lopinavir/ritonavir, as determined by analysis of 12-hour pharmacokinetic sampling

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=81 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Maximum Concentration of Lopinavir/Ritonavir (Cmax)
11.25 mcg/mL
Interval 10.24 to 12.35

PRIMARY outcome

Timeframe: Measured at 4 weeks of treatment prior to the observed dose and at 2, 4, 6, 8, and 12 hours post-dose

Population: Participants having complete pharmacokinetics data at week 4

Minimum concentration of lopinavir/ritonavir, as determined by analysis of 12-hour pharmacokinetic sampling

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=81 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Minimum Concentration of Lopinavir/Ritonavir (Cmin)
2.47 mcg/mL
Interval 1.52 to 4.02

PRIMARY outcome

Timeframe: Measured at 4 weeks of treatment prior to the observed dose and at 2, 4, 6, 8, and 12 hours post-dose

Population: Participants having complete pharmacokinetics data at week 4

Clearance of lopinavir/ritonavir, as determined by analysis of 12-hour pharmacokinetic sampling

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=81 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Clearance of Lopinavir/Ritonavir (CL/F)
0.15 L/h/kg
Interval 0.13 to 0.17

PRIMARY outcome

Timeframe: Measured at 4 weeks of treatment prior to the observed dose and at 2, 4, 6, 8, and 12 hours post-dose

Population: Participants with complete pharmacokinetics data at week 4

Proportion of participants with an AUC less that 10% of adults (AUC0-24 \<104 mcg\*hr/mL)

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=81 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Proportion of Participants With an AUC of Less Than 10% of Adults
0.15 proportion of participants
Interval 0.09 to 0.23

PRIMARY outcome

Timeframe: Measured at study visits through end of study (weeks 2, 4, 12, 24)

Population: All participants

Adverse events were graded by the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 1.0, dated December, 2004, Clarification August 2009, which is available on the RSC web site (http://rsc.tech-res.com/safetyandpharmacovigilance/). Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening, Grade 5 = death

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=97 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Number of Participants Experiencing Adverse Events of Grade 3 or 4
32 participants

PRIMARY outcome

Timeframe: Measured at study completion (week 24)

Population: All participants

Participants were considered to have tolerated medication if they did not stop treatment before the 24 week PK visit for any reason other than completing treatment or death not related to treatment.

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=97 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Proportion of Participants Tolerating LPV/r
0.93 proportion of participants
Interval 0.86 to 0.97

SECONDARY outcome

Timeframe: Measured at week 4, week 12, and study completion (week 24)

Population: Participants bringing medication to be measured at the study visit

Adherence, defined as proportion of doses taken (note: proportion could be greater than 1.0 for reasons such as tablets having to be taken twice due to first one being spit out or imprecise measurement of liquid doses)

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=62 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
n=59 Participants
Participants bringing medication to be measured at study week 12
Week 24
n=59 Participants
Participants bringing medication to be measured at study week 24
Adherence
1.00 Proportion of expected doses taken
Interval 0.97 to 1.1
0.99 Proportion of expected doses taken
Interval 0.88 to 1.01
1.00 Proportion of expected doses taken
Interval 0.91 to 1.01

SECONDARY outcome

Timeframe: Measured at entry and study completion (week 24)

Population: Participants with data from both study entry and the week 24 study visit

Having HIV viral load \<400 copies/mL at the week 24 visit

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=79 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Treatment Efficacy (HIV Viral Load)
0.72 proportion of participants
Interval 0.61 to 0.82

SECONDARY outcome

Timeframe: Measured at entry and study completion (week 24)

Population: Participants with data from both study entry and the week 24 study visit

Having CD4%≥25 at the week 24 visit.

Outcome measures

Outcome measures
Measure
Lopinavir/Ritonavir
n=83 Participants
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Week 12
Participants bringing medication to be measured at study week 12
Week 24
Participants bringing medication to be measured at study week 24
Treatment Efficacy (CD4%)
0.71 proportion of participants
Interval 0.6 to 0.81

Adverse Events

LPV/r

Serious events: 20 serious events
Other events: 96 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LPV/r
n=97 participants at risk
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Blood and lymphatic system disorders
Neutropenia
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Cardiac disorders
Cardiomyopathy
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
General disorders
Drowning
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Bronchitis
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Gastroenteritis
2.1%
2/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Herpes zoster
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Immune reconstitution inflammatory syndrome associated tuberculosis
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Influenza
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Measles
2.1%
2/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Pneumonia
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Pneumonia bacterial
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Pneumonia respiratory syncytial viral
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Amylase increased
3.1%
3/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Metabolism and nutrition disorders
Hyperamylasaemia
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Metabolism and nutrition disorders
Hyperkalaemia
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Metabolism and nutrition disorders
Hypokalaemia
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Skin and subcutaneous tissue disorders
Rash
1.0%
1/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.

Other adverse events

Other adverse events
Measure
LPV/r
n=97 participants at risk
Participants receiving lopinavir/ritonavir, dosed according to World Health Organization (WHO) pediatric weight band dosing guidelines, in addition to two nucleoside reverse transcriptase inhibitors (NRTIs) chosen by their doctors.
Infections and infestations
Pneumonia bacterial
7.2%
7/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Alanine aminotransferase abnormal
5.2%
5/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Alanine aminotransferase increased
18.6%
18/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Amylase abnormal
40.2%
39/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Aspartate aminotransferase increased
18.6%
18/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood bicarbonate decreased
55.7%
54/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood calcium decreased
11.3%
11/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood calcium increased
25.8%
25/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood cholesterol increased
19.6%
19/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Blood and lymphatic system disorders
Lymphadenopathy
8.2%
8/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Eye disorders
Conjunctival pallor
5.2%
5/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Eye disorders
Eye discharge
8.2%
8/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Gastrointestinal disorders
Diarrhoea
34.0%
33/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Gastrointestinal disorders
Vomiting
30.9%
30/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
General disorders
Pyrexia
43.3%
42/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Hepatobiliary disorders
Hepatomegaly
9.3%
9/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Immune system disorders
Immune reconstitution inflammatory syndrome
5.2%
5/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Bronchitis
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Gastroenteritis
13.4%
13/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Impetigo
7.2%
7/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Oral candidiasis
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Infections and infestations
Pharyngitis
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood glucose decreased
19.6%
19/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood glucose increased
9.3%
9/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood magnesium decreased
10.3%
10/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood phosphorus decreased
8.2%
8/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood potassium decreased
7.2%
7/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood potassium increased
14.4%
14/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Blood sodium decreased
59.8%
58/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Breath sounds abnormal
7.2%
7/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Haemoglobin decreased
41.2%
40/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Neutrophil count decreased
25.8%
25/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Investigations
Platelet count decreased
7.2%
7/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Metabolism and nutrition disorders
Decreased appetite
5.2%
5/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Cough
49.5%
48/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
8.2%
8/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
10.3%
10/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.2%
5/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Productive cough
12.4%
12/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Rales
7.2%
7/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
44.3%
43/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Rhonchi
11.3%
11/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Use of accessory respiratory muscles
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Respiratory, thoracic and mediastinal disorders
Wheezing
7.2%
7/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Skin and subcutaneous tissue disorders
Dry skin
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Skin and subcutaneous tissue disorders
Papule
13.4%
13/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Skin and subcutaneous tissue disorders
Rash
18.6%
18/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Skin and subcutaneous tissue disorders
Skin exfoliation
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.
Skin and subcutaneous tissue disorders
Skin lesion
6.2%
6/97 • From entry until off-study (week 24)
Expedited adverse event (AE) reporting followed Intensive Division of AIDS (DAIDS) Reporting Level, which included Aes resulting in death, significant disabilities, requiring hospitalization, and ≥grade 3 Aes defined by the "DAIDS Table for Grading the Severity of Adult and Pediatric Aes", V1.0, 12/2004.

Additional Information

Melissa Allen, Director, IMPAACT Operations Center

Family Health International (FHI 360)

Phone: (919) 405-1429

Results disclosure agreements

  • Principal investigator is a sponsor employee In accordance with the Clinical Trials Agreement between NIAID (DAIDS) and company collaborators, NIAID (DAIDS) provides companies with a copy of any abstract, press release, or manuscript prior to submission for publication with sufficient time for company review and comment. The publication/other disclosure can be delayed for up to 30 additional business days for manuscripts and seven (7) business days for abstracts, to preserve U.S. or foreign patent or other intellectual property rights
  • Publication restrictions are in place

Restriction type: OTHER