Trial Outcomes & Findings for Atorvastatin on Biomarkers of Inflammation, Coagulopathy, Angiogenesis & T-cells (NCT NCT01351025)

NCT ID: NCT01351025

Last Updated: 2021-08-03

Results Overview

IL-6 (Interleukin 6) in log10 pg/mL: Difference between \[change from week 24 to week 44\] and \[change from baseline to week 20\] (i.e. \[week 44 - week 24\] - \[week 20 - baseline\])

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

98 participants

Primary outcome timeframe

baseline, week 20, week 24, and week 44

Results posted on

2021-08-03

Participant Flow

A5275 opened under version 1.0 on April 7, 2011, and the first participant was randomized on April 14, 2011. Accrual to the study closed on May 31, 2013, with a total of 98 participants enrolled at 31 sites.

Four enrolled participants did not start study treatment (3 from arm A and 1 from arm B) due to enrollment error and noncompliance. These 4 participants were not included in the study efficacy or safety analyses.

Participant milestones

Participant milestones
Measure
Arm A: Atorvastatin / Placebo
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Week 0 - 20
STARTED
46
48
Week 0 - 20
COMPLETED
43
47
Week 0 - 20
NOT COMPLETED
3
1
Week 20 - 24
STARTED
43
47
Week 20 - 24
COMPLETED
43
47
Week 20 - 24
NOT COMPLETED
0
0
Week 24 - 44
STARTED
43
47
Week 24 - 44
COMPLETED
42
43
Week 24 - 44
NOT COMPLETED
1
4
Week 44 - 48
STARTED
42
43
Week 44 - 48
COMPLETED
42
43
Week 44 - 48
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm A: Atorvastatin / Placebo
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Week 0 - 20
Lost to Follow-up
2
1
Week 0 - 20
Withdrawal by Subject
1
0
Week 24 - 44
Lost to Follow-up
0
2
Week 24 - 44
Site closed
0
1
Week 24 - 44
unable to get to clinic
1
1

Baseline Characteristics

Atorvastatin on Biomarkers of Inflammation, Coagulopathy, Angiogenesis & T-cells

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A: Atorvastatin / Placebo
n=46 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=48 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Total
n=94 Participants
Total of all reporting groups
Age, Continuous
47 years
n=5 Participants
50 years
n=7 Participants
48 years
n=5 Participants
Age, Customized
18-29 Years
3 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants
Age, Customized
30-39 Years
9 participants
n=5 Participants
6 participants
n=7 Participants
15 participants
n=5 Participants
Age, Customized
40-49 Years
16 participants
n=5 Participants
16 participants
n=7 Participants
32 participants
n=5 Participants
Age, Customized
50-59 Years
14 participants
n=5 Participants
21 participants
n=7 Participants
35 participants
n=5 Participants
Age, Customized
>=60 Years
4 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
13 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
35 Participants
n=7 Participants
64 Participants
n=5 Participants
Race/Ethnicity, Customized
White non-Hispanic
10 participants
n=5 Participants
13 participants
n=7 Participants
23 participants
n=5 Participants
Race/Ethnicity, Customized
Black non-Hispanic
21 participants
n=5 Participants
22 participants
n=7 Participants
43 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic (regardless of race)
14 participants
n=5 Participants
13 participants
n=7 Participants
27 participants
n=5 Participants
Race/Ethnicity, Customized
Asian, Pacific Islander
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
United States
46 participants
n=5 Participants
48 participants
n=7 Participants
94 participants
n=5 Participants
HIV-1 RNA
< assay lower limit
46 participants
n=5 Participants
47 participants
n=7 Participants
93 participants
n=5 Participants
HIV-1 RNA
>= assay lower limit
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
CD4 count
587 cells/mm^3
n=5 Participants
545 cells/mm^3
n=7 Participants
552 cells/mm^3
n=5 Participants

PRIMARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: The primary analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

IL-6 (Interleukin 6) in log10 pg/mL: Difference between \[change from week 24 to week 44\] and \[change from baseline to week 20\] (i.e. \[week 44 - week 24\] - \[week 20 - baseline\])

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and [Change From Baseline to Week 20] in log10 IL-6
-0.08 log10 pg/mL
Interval -0.32 to 0.22
-0.08 log10 pg/mL
Interval -0.28 to 0.12

PRIMARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: The primary analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

CD4+ T-cell activation percent (% CD38+/DR+ of CD4+): Difference between \[change from week 24 to week 44\] and \[change from baseline to week 20\] (i.e. \[week 44 - week 24\] - \[week 20 - baseline\])

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=31 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and [Change From Baseline to Week 20] in CD4+ T-cell Activation Percent
-0.20 percent
Interval -5.0 to 2.2
0.60 percent
Interval -2.9 to 2.4

PRIMARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: The primary analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

D-dimer in log10 ng/mL: Difference between \[change from week 24 to week 44\] and \[change from baseline to week 20\] (i.e. \[week 44 - week 24\] - \[week 20 - baseline\])

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and [Change From Baseline to Week 20] in log10 D-dimer
-0.02 log10 ng/mL
Interval -0.13 to 0.14
0.00 log10 ng/mL
Interval -0.18 to 0.08

PRIMARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: The primary analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

CD8+ T-cell activation percent (% CD38+/DR+ of CD8+): Difference between \[change from week 24 to week 44\] and \[change from baseline to week 20\] (i.e. \[week 44 - week 24\] - \[week 20 - baseline\])

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=31 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and [Change From Baseline to Week 20] in CD8+ T-cell Activation Percent
1.10 percent
Interval -4.4 to 5.8
-1.15 percent
Interval -4.9 to 3.9

SECONDARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: This analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

Monocyte chemoattractant protein-1 (MCP-1/CCL2) is one of the key chemokines that regulate migration and infiltration of monocytes/macrophages. Difference between \[change from week 24 to week 44\] and change from \[baseline to week 20\] is defined as \[week 44 - week 24\] - \[week 20 - baseline\].

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and Change From [Baseline to Week 20] in MCP-1 (log10 Transformed)
0.03 log10 pg/ml
Interval -0.09 to 0.13
-0.04 log10 pg/ml
Interval -0.1 to 0.06

SECONDARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: This analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

IFN-gamma-inducible protein 10 (IP-10 or CXCL10) is a chemokine secreted from cells stimulated with type I and II IFNs and LPS, is also a chemoattractant for activated T cells. Difference between \[change from week 24 to week 44\] and change from \[baseline to week 20\] is defined as \[week 44 - week 24\] - \[week 20 - baseline\].

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and Change From [Baseline to Week 20] in IP-10 (log10 Transformed)
-0.03 log10 pg/ml
Interval -0.1 to 0.14
-0.04 log10 pg/ml
Interval -0.09 to 0.06

SECONDARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: This analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

Cluster of differentiation 40 (CD40L) is a costimulatory protein found on antigen presenting cells and is required for their activation. Difference between \[change from week 24 to week 44\] and change from \[baseline to week 20\] is defined as \[week 44 - week 24\] - \[week 20 - baseline\].

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and Change From [Baseline to Week 20] in CD40L (log10 Transformed)
0.01 log10 pg/ml
Interval -0.18 to 0.2
-0.03 log10 pg/ml
Interval -0.17 to 0.08

SECONDARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: This analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

Soluble cluster of differentiation 14 (sCD14) is a human gene. Difference between \[change from week 24 to week 44\] and change from \[baseline to week 20\] is defined as \[week 44 - week 24\] - \[week 20 - baseline\].

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and Change From [Baseline to Week 20] in sCD14 (log10 Transformed)
0.00 log10 ng/ml
Interval -0.04 to 0.08
0.00 log10 ng/ml
Interval -0.08 to 0.09

SECONDARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: This analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

P-selectin is a protein that in humans encoded by the SELP gene. P-selectin functions as a cell adhesion molecule (CAM) on the surfaces of activated endothelial cells, which line the inner surface of blood vessels, and activated platelets. Difference between \[change from week 24 to week 44\] and change from \[baseline to week 20\] is defined as \[week 44 - week 24\] - \[week 20 - baseline\].

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and Change From [Baseline to Week 20] in P-selectin (log10 Transformed)
0.01 log10 ng/ml
Interval -0.1 to 0.17
-0.06 log10 ng/ml
Interval -0.14 to 0.05

SECONDARY outcome

Timeframe: baseline, week 20, week 24, and week 44

Population: This analysis was as-treated, limited to participants who had data for baseline, week 20, week 24, and week 44, and remained on study treatment through week 44 (allowing treatment interruption \< 4 weeks), and did not use prohibited medications or have virologic failure during the course of the study.

CD163 (Cluster of Differentiation 163) is a protein that in humans encoded by the CD163 gene; and sCD163 is soluble CD163. Difference between \[change from week 24 to week 44\] and change from \[baseline to week 20\] is defined as \[week 44 - week 24\] - \[week 20 - baseline\].

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=34 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=36 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Difference Between [Change From Week 24 to Week 44] and Change From [Baseline to Week 20] in sCD163 (log10 Transformed)
-0.04 log10 ng/ml
Interval -0.12 to 0.05
0.03 log10 ng/ml
Interval -0.06 to 0.15

SECONDARY outcome

Timeframe: week 0 to week 24

Population: participants who started study treatment

Safety endpoints are defined as grade ≥ 2 signs and symptoms, laboratory abnormalities, AST/ALT \> 3 X ULN, and adverse events prior to study treatment cross-over (baseline to week 24). The DAIDS Adverse Event (AE) Grading Table, Version 1.0, December 2004 (Clarification, August 2009) was used for grading of AEs.

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=46 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=48 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Number of Participants With Safety Endpoints Before Study Treatment Cross-over (Baseline to Week 24)
20 participants
22 participants

SECONDARY outcome

Timeframe: week 24 to week 48

Population: participants who crossed over study treatment at week 24

Safety endpoints are defined as grade ≥ 2 signs and symptoms, laboratory abnormalities, AST/ALT \> 3 X ULN, and adverse events after study treatment cross-over (week 24 to week 48). The DAIDS Adverse Event (AE) Grading Table, Version 1.0, December 2004 (Clarification, August 2009) was used for grading of AEs.

Outcome measures

Outcome measures
Measure
Arm A: Atorvastatin / Placebo
n=41 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period. At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period. atorvastatin: 10 mg daily for 4 weeks, if no symptoms or lab findings suggestive of atorvastatin toxicity, dose increase to 20 mg daily from week 4 - week 20
Arm B: Placebo / Atorvastatin
n=43 Participants
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period. At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period. atorvastatin: Starting at week 24, 10 mg daily for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, 20 mg daily from week 28- week 44.
Number of Participants With Safety Endpoints After Study Treatment Cross-over (Week 24 to Week 48)
20 participants
14 participants

Adverse Events

Arm A: Atorvastatin / Placebo Before Cross-over (Week 0 - 24)

Serious events: 4 serious events
Other events: 37 other events
Deaths: 0 deaths

Arm B: Placebo / Atorvastatin Before Cross-over (Week 0 - 24)

Serious events: 3 serious events
Other events: 44 other events
Deaths: 0 deaths

Arm A: Atorvastatin / Placebo After Cross-over (Week 24 - 48)

Serious events: 0 serious events
Other events: 30 other events
Deaths: 0 deaths

Arm B: Placebo / Atorvastatin After Cross-over (Week 24 - 48)

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm A: Atorvastatin / Placebo Before Cross-over (Week 0 - 24)
n=46 participants at risk
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period.
Arm B: Placebo / Atorvastatin Before Cross-over (Week 0 - 24)
n=48 participants at risk
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period.
Arm A: Atorvastatin / Placebo After Cross-over (Week 24 - 48)
n=41 participants at risk
At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period.
Arm B: Placebo / Atorvastatin After Cross-over (Week 24 - 48)
n=43 participants at risk
At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period.
General disorders
Chest discomfort
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Infections and infestations
Campylobacter gastroenteritis
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Infections and infestations
Tooth abscess
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Infections and infestations
Urinary tract infection
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.1%
1/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.00%
0/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.1%
1/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Psychiatric disorders
Depression
0.00%
0/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.1%
1/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Renal and urinary disorders
Nephrolithiasis
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).

Other adverse events

Other adverse events
Measure
Arm A: Atorvastatin / Placebo Before Cross-over (Week 0 - 24)
n=46 participants at risk
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated atorvastatin at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at the week 4 visit. At week 20, atorvastatin was stopped for a 4-week washout period.
Arm B: Placebo / Atorvastatin Before Cross-over (Week 0 - 24)
n=48 participants at risk
At study entry (week 0), participants continued the entry boosted PI-based antiretroviral regimen (not provided by the study) and initiated placebo for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the dose of placebo was doubled at the week 4 visit. At week 20, the placebo was stopped for a 4-week washout period.
Arm A: Atorvastatin / Placebo After Cross-over (Week 24 - 48)
n=41 participants at risk
At week 24, placebo was started for 4 weeks. If no symptoms or lab findings suggestive of toxicity were found, the placebo dose was doubled at week 28. At week 44, the placebo was stopped to allow for another 4-week washout period.
Arm B: Placebo / Atorvastatin After Cross-over (Week 24 - 48)
n=43 participants at risk
At week 24, atorvastatin was started at a daily dose of 10 mg for 4 weeks. If no symptoms or lab findings suggestive of atorvastatin toxicity were found, the dose of atorvastatin was increased to 20 mg daily at week 28. At week 44, atorvastatin was stopped to allow for another 4-week washout period.
General disorders
Fatigue
4.3%
2/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
10.4%
5/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
7.3%
3/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Alanine aminotransferase abnormal
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
6.2%
3/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Alanine aminotransferase increased
8.7%
4/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
6.2%
3/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
7.3%
3/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Aspartate aminotransferase increased
8.7%
4/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.1%
1/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
7.3%
3/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood alkaline phosphatase increased
8.7%
4/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.1%
1/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.3%
1/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood bicarbonate decreased
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
10.4%
5/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.3%
1/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood bilirubin increased
41.3%
19/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
50.0%
24/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
19.5%
8/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
46.5%
20/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood cholesterol increased
26.1%
12/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
47.9%
23/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
36.6%
15/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
9.3%
4/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood creatinine increased
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
16.7%
8/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
4.9%
2/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
16.3%
7/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood glucose decreased
8.7%
4/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
10.4%
5/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
7.3%
3/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
4.7%
2/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood glucose increased
6.5%
3/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
18.8%
9/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
17.1%
7/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
14.0%
6/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Blood potassium decreased
6.5%
3/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
6.2%
3/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
7.3%
3/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.3%
1/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Low density lipoprotein increased
15.2%
7/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
37.5%
18/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
19.5%
8/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Investigations
Platelet count decreased
6.5%
3/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
4.2%
2/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
4.9%
2/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Musculoskeletal and connective tissue disorders
Back pain
6.5%
3/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
4.2%
2/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.4%
1/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
2.3%
1/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Musculoskeletal and connective tissue disorders
Pain in extremity
2.2%
1/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
9.8%
4/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
9.3%
4/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Nervous system disorders
Headache
8.7%
4/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
4.2%
2/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
Respiratory, thoracic and mediastinal disorders
Cough
6.5%
3/46 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
8.3%
4/48 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/41 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).
0.00%
0/43 • Week 0 to week 24 (before cross-over) and week 24 to week 48 (after cross-over)
Wk 0-24 and Wk 24-48 summaries included participants started study rx and participants remained on study rx at wk24, respectively. Protocol required reporting of signs/symptoms/lab values of Gr 2+, events led to a change in study rx, and new diagnoses identified by the ACTG criteria. See DAIDS AE Grading Table v.1, Dec04 (Clarification Aug09).

Additional Information

ACTG Clinicaltrials.gov Coordinator

ACTG Network Coordinating Center, Social and Scientific Systems, Inc.

Phone: 301-628-3313

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 five (5) business days for abstracts, to preserve U.S. or foreign patent or other intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER