Trial Outcomes & Findings for Switching From Efavirenz to Atazanavir/ Ritonavir in HIV-infected Subjects With Good Virologic Suppression (NCT NCT01194856)

NCT ID: NCT01194856

Last Updated: 2017-08-11

Results Overview

To examine the effect of switching from EFV- to ATV/r on limb fat in HIV-1 infected patients with established lipoatrophy, the primary objective of this trial will be to compare changes over 48 weeks in DEXA-measured limb fat between the EFV arm and ATV/r.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

1 participants

Primary outcome timeframe

48 weeks

Results posted on

2017-08-11

Participant Flow

Participant milestones

Participant milestones
Measure
Efavirenz 600 mg
Serving as the Control Arm - patients will maintain EFV-containing antiretroviral regimen Efavirenz: Maintain dosage - 600 mg orally QHS for 96 weeks
Arm B - Atazanavir/Ritonavir
Atazanavir 300 mg orally with Ritonavir 100 mg orally once daily for 96 wks Atazanavir/ritonavir: 300 mg orally once daily with Ritonavir 100mg orally once daily for 96 weeks
Overall Study
STARTED
1
0
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Switching From Efavirenz to Atazanavir/ Ritonavir in HIV-infected Subjects With Good Virologic Suppression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Efavirenz 600 mg
n=1 Participants
Serving as the Control Arm - patients will maintain EFV-containing antiretroviral regimen Efavirenz: Maintain dosage - 600 mg orally QHS for 96 weeks
Arm B - Atazanavir/Ritonavir
Atazanavir 300 mg orally with Ritonavir 100 mg orally once daily for 96 wks Atazanavir/ritonavir: 300 mg orally once daily with Ritonavir 100mg orally once daily for 96 weeks
Total
n=1 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: 48 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

To examine the effect of switching from EFV- to ATV/r on limb fat in HIV-1 infected patients with established lipoatrophy, the primary objective of this trial will be to compare changes over 48 weeks in DEXA-measured limb fat between the EFV arm and ATV/r.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 96 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

To examine the effect of switching from EFV- to ATV/r on limb fat in HIV-1 infected patients with established lipoatrophy, a secondary objective of this trial will be to compare changes over 96 weeks in DEXA-measured limb fat between the EFV arm and ARV/r.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 96 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

To examine the effect of switching from EFV to ATV/r on safety in HIV-1 infected patients, a secondary objective of this trial will be to compare changes over 96 weeks in CD4 cell count, HIV-1 RNA levels, and adverse events between the EFV arm and the ATV/r arm

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 96 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

To examine the effect of switching from EFV to ATV/r on fat mtDNA, mtRNA, and fat apoptosis in HIV-1 infected patients, a secondary objective of this trial will be to compare changes over 96 weeks in fat mtDNA, mt RNA levels and fat apoptosis between the EFV arm and ARV/r arm.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 96 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

To examine the effect of switching from EFV to ATV/r on lipids in HIV-1 infected patients, a secondary objective of this trial will be to compare changes over 96 weeks in fasting lipid levels between the EFV arm and ATV/r arm.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 96 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

To examine the effect of switching from EFV to ATV/r on glucose metabolism in HIV-1 infected patients, a secondary objective of this trial will be to compare changes over 96 weeks in fasting insulin, QUIKI and HOMA-IR between the EFV arm and the ATV/r arm

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 96 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

To examine the effect of switching from EFV to ATV/r on highly sensitive C-reactive protein (hs-CRP) in HIV-1 infected patients, a secondary objective of this trial will be to compare changes over 96 weeks in hs (highly sensitive) - CRP levels between the EFV arm and the ATV/r arm.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 96 weeks

Population: Data not collected for analysis due to low enrollment and participant discontinuation.

A secondary objective of this trial will be to correlate the changes in DEXA-measured limb fat with those of fat mtDNA, mtRNA levels and fat apoptosis

Outcome measures

Outcome data not reported

Adverse Events

Efavirenz 600 mg

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

Arm B - Atazanavir/Ritonavir

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Marisa Tungsiripat

Cleveland Clinic

Phone: 2164442037

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place