Trial Outcomes & Findings for Safety & Efficacy of Dual Therapy With Raltegravir/Lamivudine (NCT NCT02284035)

NCT ID: NCT02284035

Last Updated: 2025-07-20

Results Overview

Proportion of patients free of therapeutic failure at week 24. Therapeutic failure includes virological failure, change in treatment for any reason, consent withdrawal, loss to follow-up or death

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

75 participants

Primary outcome timeframe

24 weeks

Results posted on

2025-07-20

Participant Flow

A total of 75 participants were enrolled and randomized. One participant assigned to the Raltegravir/Lamivudine arm withdrew consent before starting treatment and was excluded from the analysis. As a result, 74 participants initiated treatment.

Participant milestones

Participant milestones
Measure
Group 1 Raltegravir / 3TC (MK0518B)
Raltegravir / 3TC (MK0518B ) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Overall Study
STARTED
49
25
Overall Study
COMPLETED
47
20
Overall Study
NOT COMPLETED
2
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety & Efficacy of Dual Therapy With Raltegravir/Lamivudine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1 Raltegravir / 3TC (MK0518B)
n=49 Participants
Raltegravir / 3TC (MK0518B ) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Total
n=74 Participants
Total of all reporting groups
Age, Continuous
50 years
STANDARD_DEVIATION 12 • n=5 Participants
50 years
STANDARD_DEVIATION 13 • n=7 Participants
50 years
STANDARD_DEVIATION 12 • n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
4 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
37 Participants
n=5 Participants
21 Participants
n=7 Participants
58 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
49 Participants
n=5 Participants
24 Participants
n=7 Participants
73 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 weeks

Population: A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.

Proportion of patients free of therapeutic failure at week 24. Therapeutic failure includes virological failure, change in treatment for any reason, consent withdrawal, loss to follow-up or death

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=49 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Proportion of Patients Free of Therapeutic Failure
No events
47 Participants
20 Participants
Proportion of Patients Free of Therapeutic Failure
Lost to follow up
0 Participants
2 Participants
Proportion of Patients Free of Therapeutic Failure
Pregnancy
1 Participants
0 Participants
Proportion of Patients Free of Therapeutic Failure
Stops treatment
0 Participants
2 Participants
Proportion of Patients Free of Therapeutic Failure
Virological faiulure
0 Participants
1 Participants
Proportion of Patients Free of Therapeutic Failure
Stops study medical decision
1 Participants
0 Participants

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Composite measure

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients were not performed a DEXA during the study

Composite measure

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=46 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Body Fat Composition
Baseline extremities fat percentage
54.13 percentage of fat weight
Standard Deviation 19.44
49.43 percentage of fat weight
Standard Deviation 21.26
Changes in Body Fat Composition
Baseline total fat percentage
28.50 percentage of fat weight
Standard Deviation 7.62
27.54 percentage of fat weight
Standard Deviation 8.75
Changes in Body Fat Composition
Week 24 extremities fat percentage
54.09 percentage of fat weight
Standard Deviation 17.68
50.21 percentage of fat weight
Standard Deviation 23.77
Changes in Body Fat Composition
Week 24 total fat percentage
28.84 percentage of fat weight
Standard Deviation 7.23
28.78 percentage of fat weight
Standard Deviation 9.55

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients vitamine D determination was not available

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=45 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=24 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Plasma 25-OH Vitamin D Levels
Baseline
17.4 ng/mL
Standard Deviation 9.0
16.7 ng/mL
Standard Deviation 9.6
Changes in Plasma 25-OH Vitamin D Levels
week 24
29.5 ng/mL
Standard Deviation 15.1
26.5 ng/mL
Standard Deviation 17.2

SECONDARY outcome

Timeframe: 24 weeks

Composite measure

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients did not complete the questionnaire

The Pittsburgh Quality Index (PSQI) is an effective instrument used to measure the quality and patterns of sleep in adults. It differentiates "poor" from "good" sleep quality by measuring seven áreas (components): subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medications, and daytime dysfunction over the last month. The posible range of the scale is from 0 to 21 points. The greater the score the poorest is the sleep quality.

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=46 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=22 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Sleep Quality (Pittsburgh Sleep Quality Index)
Baseline score
5 score on a scale
Standard Deviation 3.5
4.7 score on a scale
Standard Deviation 3.1
Changes in Sleep Quality (Pittsburgh Sleep Quality Index)
Week 24 score
4.8 score on a scale
Standard Deviation 3.1
5.1 score on a scale
Standard Deviation 3.5

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients did not complete the questionnaire

Patients were asked to complete the Morisky-Green questionnaire: Some people forget to take their medication as prescribed. How often does it happen to you? (Always/often/sometimes/rarely/never) Some people forget some taking of the medication or change the prescribed schedule / take to adapt it to their own needs. How often do you do it? (Always/often/sometimes/rarely/never) Some people stop taking their medications as prescribed when they feel better. How often do you do it? (Always/often/sometimes/rarely/never) Some people stop taking their medications as prescribed when they feel worse. How often do you do it? (Always/often/sometimes/rarely/never) Only if patients answered never to each four questions, they were considered adherent; if not, non adherent.

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=49 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Adherence in Both Treatment Arms (Morisky-Green Test)
Baseline · Adherent
19 Participants
11 Participants
Changes in Adherence in Both Treatment Arms (Morisky-Green Test)
Baseline · Non adherent
29 Participants
13 Participants
Changes in Adherence in Both Treatment Arms (Morisky-Green Test)
Baseline · Not evaluated/ Lost follow Up
1 Participants
1 Participants
Changes in Adherence in Both Treatment Arms (Morisky-Green Test)
Week 24 · Adherent
19 Participants
14 Participants
Changes in Adherence in Both Treatment Arms (Morisky-Green Test)
Week 24 · Non adherent
27 Participants
5 Participants
Changes in Adherence in Both Treatment Arms (Morisky-Green Test)
Week 24 · Not evaluated/ Lost follow Up
3 Participants
6 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients have not performed all the protocol determinations

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=49 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Total Cholesterol
Baseline
189 mg/dl
Standard Deviation 46
187 mg/dl
Standard Deviation 44
Changes in Total Cholesterol
Week 24
190 mg/dl
Standard Deviation 45
186 mg/dl
Standard Deviation 37

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients did not performed all the determinations

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=49 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in HDL Cholesterol
Baseline
48 mg/dl
Standard Deviation 15
46 mg/dl
Standard Deviation 13
Changes in HDL Cholesterol
Week 24
49 mg/dl
Standard Deviation 14
45 mg/dl
Standard Deviation 15

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients did not perform all the determinations

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=45 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=22 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in LDL Cholesterol
Baseline
120 mg/dl
Standard Deviation 39
115 mg/dl
Standard Deviation 29
Changes in LDL Cholesterol
Week 24
119 mg/dl
Standard Deviation 40
118 mg/dl
Standard Deviation 33

SECONDARY outcome

Timeframe: 24 weeks

Population: All patients did not perform all the determinations

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=49 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Triglycerides
Baseline
98.5 mg/dl
Standard Deviation 49.9
112.0 mg/dl
Standard Deviation 53.0
Changes in Triglycerides
Week 24
97.7 mg/dl
Standard Deviation 44.8
100.9 mg/dl
Standard Deviation 37.3

SECONDARY outcome

Timeframe: 24 weeks

Population: Not all the patients performed the DEXA

DEXA

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=47 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Bone Mineral Density
Baseline
1166.1 gr/cm^2
Standard Deviation 100.9
1211.6 gr/cm^2
Standard Deviation 79.6
Changes in Bone Mineral Density
Week 24
1183.0 gr/cm^2
Standard Deviation 98.5
1247.4 gr/cm^2
Standard Deviation 80.9

SECONDARY outcome

Timeframe: 24 weeks

Population: Some patients did not performed this determination

Outcome measures

Outcome measures
Measure
Group 1 Raltegravir / 3TC (MK0518B
n=19 Participants
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=7 Participants
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Changes in Urine Beta-2-microglobulin/Creatinine Ratio
Baseline
672.8 mg/g
Standard Deviation 773.3
595.3 mg/g
Standard Deviation 948.7
Changes in Urine Beta-2-microglobulin/Creatinine Ratio
Week 24
275.7 mg/g
Standard Deviation 227.2
788.5 mg/g
Standard Deviation 1587.3

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome data not reported

Adverse Events

Group 1 Raltegravir / 3TC (MK0518B)

Serious events: 3 serious events
Other events: 12 other events
Deaths: 1 deaths

Group 2 Standard Combination Therapy

Serious events: 3 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1 Raltegravir / 3TC (MK0518B)
n=49 participants at risk
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 participants at risk
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Blood and lymphatic system disorders
Altered blood test
2.0%
1/49 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
0.00%
0/25 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate Neoplasia
2.0%
1/49 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
0.00%
0/25 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Blood and lymphatic system disorders
hilar adenopathies and anemia
0.00%
0/49 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
4.0%
1/25 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Melanoma
0.00%
0/49 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
4.0%
1/25 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Musculoskeletal and connective tissue disorders
Hernia
2.0%
1/49 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
0.00%
0/25 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Pregnancy, puerperium and perinatal conditions
Pregnancy
2.0%
1/49 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
0.00%
0/25 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Infections and infestations
febrile syndrome
0.00%
0/49 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
4.0%
1/25 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Gastrointestinal disorders
diarrhea
0.00%
0/49 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
4.0%
1/25 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.

Other adverse events

Other adverse events
Measure
Group 1 Raltegravir / 3TC (MK0518B)
n=49 participants at risk
Raltegravir / 3TC (MK0518B ) (50 patients) Raltegravir/3TC: MK0518B (Raltegravir/3TC) (300mg/150mg) twice daily, administered orally in the 300/150 mg film-coated tablets according to instructions in the prescribing information.
Group 2 Standard Combination Therapy
n=25 participants at risk
NNRTI-Based Regimen: • EFV/TDF/FTC PI-Based Regimens: ATV/r + TDF/FTC or DRV/r + TDF/FTC INSTI-Based Regimens: DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC NNRTI-Based Regimens: EFV plus ABC/3TC or RPV/TDF/FTC PI-Based Regimen: ATV/r plus ABC/3TC PI-Based Regimens: DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC INSTI-Based Regimen: RAL plus ABC/3TC And other ART regimens EFV/TDF/FTC: standard combination therapy ATV/r + TDF/FTC or DRV/r + TDF/FTC DTG+ABC/3TC DTG+TDF/FTC EVG/cobi/TDF/FTC RAL+TDF/FTC EFV plus ABC/3TC or RPV/TDF/FTC ATV/r plus ABC/3TC DRV/r + ABC/3TC or LPV/r + ABC/3TC or LPV/r + TDF/FTC RAL plus ABC/3TC Other ART regimens
Infections and infestations
Amigdalitis
6.1%
3/49 • Number of events 3 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
4.0%
1/25 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Psychiatric disorders
Ansiety
0.00%
0/49 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
12.0%
3/25 • Number of events 3 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Gastrointestinal disorders
Diarrhea
2.0%
1/49 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
8.0%
2/25 • Number of events 2 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Psychiatric disorders
Insomnia
8.2%
4/49 • Number of events 4 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
0.00%
0/25 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Infections and infestations
Lues
2.0%
1/49 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
12.0%
3/25 • Number of events 3 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Gastrointestinal disorders
Dizziness
6.1%
3/49 • Number of events 3 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
4.0%
1/25 • Number of events 1 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
Infections and infestations
Common cold
6.1%
3/49 • Number of events 3 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.
0.00%
0/25 • 6 months
An adverse event (AE) is any untoward occurrence to the health of a patient or clinical trial subject treated with a medicinal product and which does not necessarily have a causal relationship with this treatment. A total of 75 subjects were randomized. However, in the RAL/3TC group (n=50), one subject was excluded due to consent withdrawal prior to the initiation of medication and therefore did not complete the Baseline (randomization) visit.

Additional Information

Dr. Esteban Martínez

Hospital Clinic of Barcelona

Phone: +34 93 227 54 00

Results disclosure agreements

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