Trial Outcomes & Findings for Antiretroviral Regimens Containing Raltegravir for Prophylaxis of Mother-to-child-transmission of HIV Infection (NCT NCT01854762)

NCT ID: NCT01854762

Last Updated: 2024-10-15

Results Overview

Number of participants presenting with PVL\<50 copies/mL at delivery

Recruitment status

TERMINATED

Study phase

PHASE2/PHASE3

Target enrollment

33 participants

Primary outcome timeframe

2, 4, 6 weeks and at delivery

Results posted on

2024-10-15

Participant Flow

Participant milestones

Participant milestones
Measure
Raltegravir
Patients in raltegravir group received the standard dose of one 400 mg tablet twice a day, in combination with zidovudine 300 mg plus lamivudine 150 mg, in a co-formulated pill, twice a day.
Lopinavir/Ritonavir
Participants in lopinavir/ritonavir group received two tablets containing lopinavir 200 mg plus ritonavir 100 mg twice a day, plus one zidovudine 300 mg plus lamivudine 150 mg co-formulated pill, twice a day.
Overall Study
STARTED
17
16
Overall Study
COMPLETED
17
16
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Antiretroviral Regimens Containing Raltegravir for Prophylaxis of Mother-to-child-transmission of HIV Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Raltegravir
n=17 Participants
Use of Raltegravir plus backbone treatment for pregnant women Raltegravir: a raltegravir-based antiretroviral regimen (AZT+3TC+Raltegravir) will be administered for intervention arm patients (AZT+3TC will be administered in a fixed combination of AZT 300mg +3TC 150 mg, BID. Raltegravir will be administered in a dosis of 1 400 mg pill BID).
Lopinavir/Ritonavir
n=16 Participants
Use of standard PI treatment (Lopinavir/r) plus backbone treatment for pregnant women Lopinavir/Ritonavir: The second arm (comparator)patients will use a regimen composed by AZT+3TC (same dosis/schedule of active arm)+ LPV 200mg combined with rtv 50 mg, 2 pills BID
Total
n=33 Participants
Total of all reporting groups
Age, Continuous
26.7 years
n=5 Participants
26.7 years
n=7 Participants
26.7 years
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
16 Participants
n=7 Participants
33 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
white
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Black/mixed
17 Participants
n=5 Participants
14 Participants
n=7 Participants
31 Participants
n=5 Participants
Region of Enrollment
Brazil
17 participants
n=5 Participants
16 participants
n=7 Participants
33 participants
n=5 Participants
Mean Plasma HIV-1 Viral load
12859 copies/mL
n=5 Participants
21143 copies/mL
n=7 Participants
15309 copies/mL
n=5 Participants
Mean CD4 count
497 cells/mL
n=5 Participants
532 cells/mL
n=7 Participants
509 cells/mL
n=5 Participants
Mean haemoglobin
10.7 g/dL
n=5 Participants
10.7 g/dL
n=7 Participants
10.7 g/dL
n=5 Participants
Gestational age
32.7 weeks
n=5 Participants
32.5 weeks
n=7 Participants
32.5 weeks
n=5 Participants

PRIMARY outcome

Timeframe: 2, 4, 6 weeks and at delivery

Population: Frequency of PVL\<50 copies/mL at delivery

Number of participants presenting with PVL\<50 copies/mL at delivery

Outcome measures

Outcome measures
Measure
Raltegravir
n=17 Participants
Patients in raltegravir group received the standard dose of one 400 mg tablet twice a day, in combination with zidovudine 300 mg plus lamivudine 150 mg, in a co-formulated pill, twice a day.
Lopinavir/Ritonavir
n=16 Participants
Participants in lopinavir/ritonavir group received two tablets containing lopinavir 200 mg plus ritonavir 100 mg twice a day, plus one zidovudine 300 mg plus lamivudine 150 mg co-formulated pill, twice a day.
HIV Viral Load at Delivery
Frequency of VL<50 at delivery
13 Participants
4 Participants
HIV Viral Load at Delivery
Frequency of VL<50 at 2 weeks
7 Participants
1 Participants
HIV Viral Load at Delivery
Frequency of VL<50 at 4 weeks
9 Participants
2 Participants
HIV Viral Load at Delivery
Frequency of VL<50 at 6 weeks
10 Participants
4 Participants

SECONDARY outcome

Timeframe: 2, 4, 6 weeks and at delivery

Population: Overall frequency od Adverse events

Frequency of clinical and laboratory abnormalities by arm

Outcome measures

Outcome measures
Measure
Raltegravir
n=17 Participants
Patients in raltegravir group received the standard dose of one 400 mg tablet twice a day, in combination with zidovudine 300 mg plus lamivudine 150 mg, in a co-formulated pill, twice a day.
Lopinavir/Ritonavir
n=16 Participants
Participants in lopinavir/ritonavir group received two tablets containing lopinavir 200 mg plus ritonavir 100 mg twice a day, plus one zidovudine 300 mg plus lamivudine 150 mg co-formulated pill, twice a day.
Overall Adverse Events up to Delivery
4 adverse events
10 adverse events

SECONDARY outcome

Timeframe: 4 weeks after delivery

Detectable plasma HIV-1 RNA viral load at 4 weeks after delivery

Outcome measures

Outcome measures
Measure
Raltegravir
n=17 Participants
Patients in raltegravir group received the standard dose of one 400 mg tablet twice a day, in combination with zidovudine 300 mg plus lamivudine 150 mg, in a co-formulated pill, twice a day.
Lopinavir/Ritonavir
n=16 Participants
Participants in lopinavir/ritonavir group received two tablets containing lopinavir 200 mg plus ritonavir 100 mg twice a day, plus one zidovudine 300 mg plus lamivudine 150 mg co-formulated pill, twice a day.
Number of Children Infected With HIV
0 Participants
0 Participants

Adverse Events

Raltegravir

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

Lopinavir/Ritonavir

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Raltegravir
n=17 participants at risk
Patients in raltegravir group received the standard dose of one 400 mg tablet twice a day, in combination with zidovudine 300 mg plus lamivudine 150 mg, in a co-formulated pill, twice a day.
Lopinavir/Ritonavir
n=16 participants at risk
Participants in lopinavir/ritonavir group received two tablets containing lopinavir 200 mg plus ritonavir 100 mg twice a day, plus one zidovudine 300 mg plus lamivudine 150 mg co-formulated pill, twice a day.
Gastrointestinal disorders
diarrhea
0.00%
0/17 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported
31.2%
5/16 • Number of events 5 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported
Gastrointestinal disorders
nausea
0.00%
0/17 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported
31.2%
5/16 • Number of events 5 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported
General disorders
headache
0.00%
0/17 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported
18.8%
3/16 • Number of events 3 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported
General disorders
miscelaneous
23.5%
4/17 • Number of events 4 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported
62.5%
10/16 • Number of events 13 • AE data were collected from baseline to delivery time (up to 8 weeks)
clinical AE and laboratory AE were assessed at 2, 4 and 6 weeks and at delivery. The total number of adverse events leadinbg up to delivery, are reported

Additional Information

Dr. Carlos Brites

Fundação Bahiana de Infectologia / Universidade Federal da Bahia

Phone: 5571992329552

Results disclosure agreements

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