Trial Outcomes & Findings for Genetics and HIV-1 Protease Inhibitors (NCT NCT01388543)

NCT ID: NCT01388543

Last Updated: 2019-11-19

Results Overview

Measure atazanavir oral clearance in genetically-determined CYP3A5 expressors versus CYP3A5 non-expressors

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

31 participants

Primary outcome timeframe

Day 7

Results posted on

2019-11-19

Participant Flow

Participant milestones

Participant milestones
Measure
CYP3A5 Expressors
A pre-screening genetic test determines CYP3A5 expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
CYP3A5 Non-expressors
A pre-screening genetic test determines CYP3A5 non-expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
Day 7, Primary End Point
STARTED
15
16
Day 7, Primary End Point
COMPLETED
15
16
Day 7, Primary End Point
NOT COMPLETED
0
0
Day 14
STARTED
15
16
Day 14
COMPLETED
14
12
Day 14
NOT COMPLETED
1
4

Reasons for withdrawal

Reasons for withdrawal
Measure
CYP3A5 Expressors
A pre-screening genetic test determines CYP3A5 expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
CYP3A5 Non-expressors
A pre-screening genetic test determines CYP3A5 non-expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
Day 14
Adverse Event
1
4

Baseline Characteristics

Genetics and HIV-1 Protease Inhibitors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CYP3A5 Expressors
n=15 Participants
A pre-screening genetic test determines CYP3A5 expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
CYP3A5 Non-expressors
n=16 Participants
A pre-screening genetic test determines CYP3A5 non-expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
Total
n=31 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
16 Participants
n=7 Participants
31 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Race/Ethnicity, Customized
African American
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
4 Participants
n=5 Participants
9 Participants
n=7 Participants
13 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 7

Measure atazanavir oral clearance in genetically-determined CYP3A5 expressors versus CYP3A5 non-expressors

Outcome measures

Outcome measures
Measure
CYP3A5 Expressors
n=15 Participants
A pre-screening genetic test determines CYP3A5 expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
CYP3A5 Non-expressors
n=16 Participants
A pre-screening genetic test determines CYP3A5 non-expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
Day 7 Atazanavir Oral Clearance
.25 L/h/kg
Interval 0.2 to 0.3
.18 L/h/kg
Interval 0.15 to 0.22

Adverse Events

CYP3A5 Expressor

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

CYP3A5 Non-expressors

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
CYP3A5 Expressor
n=15 participants at risk
A pre-screening genetic test determines CYP3A5 expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
CYP3A5 Non-expressors
n=16 participants at risk
A pre-screening genetic test determines CYP3A5 expressor status Atazanavir: Atazanavir 400mg once daily for 7 days followed by atazanavir 300mg plus ritonavir 100mg for 7 days
Skin and subcutaneous tissue disorders
Rash
6.7%
1/15 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
0.00%
0/16 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
Hepatobiliary disorders
Abnormal Lab- albumin
0.00%
0/15 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
6.2%
1/16 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
General disorders
Unspecified viral syndrome-not study related
0.00%
0/15 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
6.2%
1/16 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
Hepatobiliary disorders
Abnormal Lab- Aspartate transaminase (AST)
0.00%
0/15 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
6.2%
1/16 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
Endocrine disorders
Abnormal Lab- Amylase
0.00%
0/15 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf
6.2%
1/16 • Time of consenting to study exit (Day 14 or earlier)
AEs were graded per the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, V1.0 Aug 2009 (US Dept HHS, NIH, NIAID) Available from: http://rsc.tech-res.com/docs/default-source/safety/table\_for\_grading\_severity\_of\_adult\_pediatric\_adverse\_events.pdf

Additional Information

Dr. Peter Anderson

University of Colorado | Skaggs School of Pharmacy and Pharmaceutical Sciences

Phone: 3037246128

Results disclosure agreements

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