Nevirapine or Atazanavir/Ritonavir Given With Emtricitabine/Tenofovir in Human Immunodeficiency Virus (HIV)-1-infected Treatment Naive Adults
Primary Purpose
HIV Infections
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
nevirapine bid
nevirapine qd
atazanavir
Sponsored by

About this trial
This is an interventional treatment trial for HIV Infections
Eligibility Criteria
Inclusion criteria:
Inclusion Criteria:
- Signed informed consent in accordance with Good Clinical Practice (GCP) and local regulatory requirements prior to trial participation
- HIV-1-infected males or females >= 18 years of age with positive serology confirmed by Western blot
- No previous antiretroviral treatment (of more than 7 days)
- Males with CD4+ counts of < 400 cells/mm3 and females with CD4+ counts of < 250 cells/mm3
- NVP- and ATZ/r susceptibility based on HIV-1 genotypic resistance report
- Adequate renal function defined as a calculated creatinine clearance (CLCr) >= 50 ml/min according to the Cockcroft-Gault formula
- Karnofsky score >= 70
- Acceptable medical history, as assessed by the investigator
Exclusion criteria:
Exclusion Criteria:
- Active drug abuse or chronic alcoholism at the investigator's discretion
- Hepatic cirrhosis stage Child-Pugh B or C
Female patients of child-bearing potential who:
- have a positive serum pregnancy test at screening or during the study,
- are breast feeding,
- are planning to become pregnant,
- are not willing to use a barrier method of contraception, or are not willing to use methods of contraception other than ethinyl estradiol containing oral contraceptives
- Laboratory parameters Division of Acquired Immunodeficiency Syndrome (DAIDS) > grade 2 (triglycerides > DAIDS grade 3; total cholesterol no restrictions)
- Active hepatitis B or C disease, defined as HBsAg-positive or Hepatitis C-Virus-Ribo Nucleic Acid (HCV-RNA)- positive with Aspartate Transaminase/Alanine Transaminase (AST/ALT) > 2.5x Upper Limit of Normal (ULN) (DAIDS grade 1)
- Hypersensitivity to any ingredients of the test products
- Have therapy with nephrotoxic drugs (e.g., aminoglycosides, amphotericin B, vancomycin, cidofovir, foscarnet, cisplatin, pentamidine, tacrolimus, cyclosporine) or potential competitors of renal excretion (e.g., cidofovir, acyclovir, valacyclovir, ganciclovir, valganciclovir, probenecid, high-dose non-steroidal anti-inflammatory drugs (i.e., ibuprofen)) within 3 months prior to study screening or are expected to receive these during the study
- Patients who are receiving other concomitant treatments which are not permitted
- Use of other investigational medications within 30 days before study entry or during the trial
- Use of immunomodulatory drugs within 30 days before study entry or during the trial (e.g., interferon, cyclosporin, hydroxyurea, interleukin 2, chronic treatment with prednisone)
- Patients with Progressive Multifocal Leukoencephalopathy (PML), Visceral Kaposi's Sarcoma (KS), and/or any lymphoma
- Any AIDS defining illness that is unresolved, symptomatic or not stable on treatment for at least 12 weeks at screening visit
- Patients who are receiving systemic treatment for malignant disease
Sites / Locations
- 1100.1470.54004 Boehringer Ingelheim Investigational Site
- 1100.1470.54002 Boehringer Ingelheim Investigational Site
- 1100.1470.54003 Boehringer Ingelheim Investigational Site
- 1100.1470.54001 Boehringer Ingelheim Investigational Site
- 1100.1470.49001 Boehringer Ingelheim Investigational Site
- 1100.1470.49002 Boehringer Ingelheim Investigational Site
- 1100.1470.49003 Boehringer Ingelheim Investigational Site
- 1100.1470.49018 Boehringer Ingelheim Investigational Site
- 1100.1470.49014 Boehringer Ingelheim Investigational Site
- 1100.1470.49008 Boehringer Ingelheim Investigational Site
- 1100.1470.49036 Boehringer Ingelheim Investigational Site
- 1100.1470.49035 Boehringer Ingelheim Investigational Site
- 1100.1470.49033 Boehringer Ingelheim Investigational Site
- 1100.1470.49016 Boehringer Ingelheim Investigational Site
- 1100.1470.49031 Boehringer Ingelheim Investigational Site
- 1100.1470.49037 Boehringer Ingelheim Investigational Site
- 1100.1470.49020 Boehringer Ingelheim Investigational Site
- 1100.1470.49038 Boehringer Ingelheim Investigational Site
- 1100.1470.49034 Boehringer Ingelheim Investigational Site
- 1100.1470.49000 Boehringer Ingelheim Investigational Site
- 1100.1470.49032 Boehringer Ingelheim Investigational Site
- 1100.1470.39001 Boehringer Ingelheim Investigational Site
- 1100.1470.39003 Boehringer Ingelheim Investigational Site
- 1100.1470.39012 Ospedale Sant'Anna
- 1100.1470.39006 Boehringer Ingelheim Investigational Site
- 1100.1470.39010 Boehringer Ingelheim Investigational Site
- 1100.1470.39004 Boehringer Ingelheim Investigational Site
- 1100.1470.39009 Boehringer Ingelheim Investigational Site
- 1100.1470.39007 Boehringer Ingelheim Investigational Site
- 1100.1470.55006 Boehringer Ingelheim Investigational Site
- 1100.1470.55004 Boehringer Ingelheim Investigational Site
- 1100.1470.55008 Boehringer Ingelheim Investigational Site
- 1100.1470.55001 Boehringer Ingelheim Investigational Site
- 1100.1470.55007 Boehringer Ingelheim Investigational Site
- 1100.1470.55003 Boehringer Ingelheim Investigational Site
- 1100.1470.48003 Boehringer Ingelheim Investigational Site
- 1100.1470.48001 Boehringer Ingelheim Investigational Site
- 1100.1470.48002 Boehringer Ingelheim Investigational Site
- 1100.1470.48004 Boehringer Ingelheim Investigational Site
- 1100.1470.35102 Boehringer Ingelheim Investigational Site
- 1100.1470.35101 Boehringer Ingelheim Investigational Site
- 1100.1470.35103 Boehringer Ingelheim Investigational Site
- 1100.1470.40001 Boehringer Ingelheim Investigational Site
- 1100.1470.40002 Boehringer Ingelheim Investigational Site
- 1100.1470.34013 Boehringer Ingelheim Investigational Site
- 1100.1470.34008 Boehringer Ingelheim Investigational Site
- 1100.1470.34002 Boehringer Ingelheim Investigational Site
- 1100.1470.34003 Boehringer Ingelheim Investigational Site
- 1100.1470.34009 Boehringer Ingelheim Investigational Site
- 1100.1470.34010 Boehringer Ingelheim Investigational Site
- 1100.1470.34012 Boehringer Ingelheim Investigational Site
- 1100.1470.34014 Boehringer Ingelheim Investigational Site
- 1100.1470.34015 Boehringer Ingelheim Investigational Site
- 1100.1470.34019 Boehringer Ingelheim Investigational Site
- 1100.1470.34007 Boehringer Ingelheim Investigational Site
- 1100.1470.34004 Boehringer Ingelheim Investigational Site
- 1100.1470.34006 Boehringer Ingelheim Investigational Site
- 1100.1470.34011 Boehringer Ingelheim Investigational Site
- 1100.1470.41004 Boehringer Ingelheim Investigational Site
- 1100.1470.41001 Boehringer Ingelheim Investigational Site
- 1100.1470.41003 Boehringer Ingelheim Investigational Site
- 1100.1470.41002 Boehringer Ingelheim Investigational Site
- 1100.1470.44004 Boehringer Ingelheim Investigational Site
- 1100.1470.44001 Boehringer Ingelheim Investigational Site
- 1100.1470.44002 Boehringer Ingelheim Investigational Site
- 1100.1470.44005 Boehringer Ingelheim Investigational Site
- 1100.1470.44006 Boehringer Ingelheim Investigational Site
- 1100.1470.44003 Boehringer Ingelheim Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Experimental
Active Comparator
Arm Label
NVP bid
NVP qd
ATZ/r
Arm Description
nevirapine (NVP) 200 mg BID in combination with emtricitabine (FTC) and tenofovir DF (TDF)
nevirapine (NVP) 400 mg QD in combination with emtricitabine (FTC) and tenofovir DF (TDF)
ritonavir-boosted atazanavir in combination with emtricitabine (FTC) and tenofovir DF (TDF)
Outcomes
Primary Outcome Measures
Treatment Response at Week 48
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 48 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 48.
Secondary Outcome Measures
Treatment Response at Week 48 (TLOVR Algorithm)
Treatment response is defined as a VL <50 copies/mL measured at two consecutive visits up to Week 48 and without subsequent rebound or change of ARV therapy up to Week 48, based on time to loss of virologic response (TLOVR) algorithm, as a sensitivity analysis for the primary analysis.
Proportion of Patients With VL < 50 Copies/ml
VL <50 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT) for the patient
Proportion of Patients With VL < 400 Copies/ml
VL <400 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT)
Change in CD4+ Count From Baseline
Change in CD4+ cell count from baseline among patients on treatment at each visit, with the final visit at Week 144 or EOT
Change in Framingham Score From Baseline
Change in the estimated risk of cardiovascular disease using the Framingham algorithm from baseline to after 48, 96 and 144 weeks, last observation carried forward (LOCF). The score is based on age, gender, systolic blood pressure, total cholesterol, high density lipoprotein cholesterol and smoking status. Scores range from 0 to 21 with higher scores indicating a greater risk.
Change in Mental Health Summary (MHS) Score From Baseline
Quality of life (QoL) assessment by change in MHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the Medical Outcomes Study HIV Health Survey (MOS-HIV), a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The MHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL.
Change in Physical Health Summary (PHS) Score From Baseline
QoL assessment by change in PHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the MOS-HIV, a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The PHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL.
Number of Patients Hospitalized
Cost effectiveness assessment by number of patients hospitalized
Non-scheduled Physician Visits
Cost effectiveness assessment by number of patients with non-scheduled physician visits
Genotypic Resistance Associated With Virologic Failure
Number of treatment-emergent drug-associated substitutions in patients with virological failure up to Week 48. The total number of genotypic mutations in those patients who were virologic failures is given, not the number of patients with mutations.
Treatment-emergent AIDS-defining Illness
Treatment-emergent AIDS-defining illness (tr.-emerg. AIDS-def.illness) including worsening during treatment
Treatment-emergent AIDS-defining Illness Leading to Death
Patients with an AIDS-defining illness leading to death broken out by treatment. Statistical analysis shows time to death from AIDS-defining illness.
Lipodystrophy
Number of patients with AE lipodystrophy
Serum Lipid Abnormalities
Number of patients with AE elevated serum lipids (i.e. hypercholesterolaemia)
Glycaemic Abnormalities
Number of patients with AE elevated serum glucose
Treatment Response at Week 96
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 96 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 96.
Treatment Response at Week 144
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 144 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 144.
Proportion of Patients With Virological Rebound With VL >=50 Copies/mL After CVR (Confirmed Virological Response) at Week 24, 48, 96, 144
The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL)
Proportion of Patients With Virological Rebound With VL >=400 Copies/mL After CVR at Week 24, 48, 96, 144
The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL)
Proportion of Patients With Virologic Failure at Week 48, 96, 144
Time to Treatment Response (First Confirmed VL<50 Copies/mL)
Time to treatment response was defined as the time from start of treatment until the first measurement of the first confirmed virological response
Time to Loss of Virologic Response (Rebound)
Time to loss of virologic response (TLOVR) was defined as the time from start of treatment to the first measurement showing VL ≥ 50 copies/mL in the first virologic rebound, after having a confirmed virological response.
Time to Treatment Failure
Treatment failure is defined as the occurrence of the first of at least one of the following events: early discontinuation of trial drug, change in ARV therapy, failure to achieve an HIV RNA count < 50 copies/mL up to Visit 10 (week 48) or loss of virologic response
Change in the Calculated Glomerular Filtration Rate (GFR) at Week 48, 96 and 144
Calculations based on the MDRD algorithm.
Proportion of Patients With >= DAIDS Grade 2 Laboratory Abnormalities
Proportion of Patients Reporting Rash of Any Severity
Proportion of Patients reporting rash of any severity
Proportion of Patients Reporting Hepatic Events of Any Severity
Proportion of Patients reporting hepatic events of any severity
Proportion of Patients Reporting CNS (Central Nervous System) Side Effects of Any Severity
Proportion of Patients reporting CNS (central nervous system) side effects of any severity
Change of Cholesterol Values From Baseline to Week 48, 96, 144
Changes frombaseline in total cholesterol, LDL-cholesterol(LDL-c) and HDL
Changes of Apolipoprotein Values From Baseline to Week 48, 96, 144
Changes frombaseline apolipoprotein A1 & B
Change of hsCRP From Baseline to Week 48, 96, 144
Change of hsCRP from baseline to week 48, 96, 144
Change of Total Triglycerides From Baseline to Week 48, 96, 144
Change of total triglycerides from baseline to week 48, 96, 144
Change of Total Cholesterol to HDL-cholesterol Ratio From Baseline to Week 48, 96, 144
Change of Total cholesterol to HDL-cholesterol ratio from baseline to week 48, 96, 144
Full Information
NCT ID
NCT00389207
First Posted
October 17, 2006
Last Updated
December 9, 2013
Sponsor
Boehringer Ingelheim
1. Study Identification
Unique Protocol Identification Number
NCT00389207
Brief Title
Nevirapine or Atazanavir/Ritonavir Given With Emtricitabine/Tenofovir in Human Immunodeficiency Virus (HIV)-1-infected Treatment Naive Adults
Official Title
Randomized, Open Label Study Evaluating the Lipid Profile Difference and Efficacy of a Combined Therapy Including Tenofovir, Emtricitabine + Atazanavir / r or NVP in Naive HIV - 1 Infected Patients.
Study Type
Interventional
2. Study Status
Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
October 2006 (undefined)
Primary Completion Date
February 2011 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boehringer Ingelheim
4. Oversight
5. Study Description
Brief Summary
Primary purpose of this study is to compare the efficacy and safety of two different nevirapine (Viramune) dosing regimens (once daily (QD) and twice daily (BID) application) and of atazanavir/ritonavir (Reyataz/Norvir), all on an emtricitabine/tenofovir disoproxil fumarate (DF) (Truvada) background. Patients will receive either nevirapine (NVP) 200 mg twice daily, or NVP 400 mg once daily , or ritonavir-boosted atazanavir (ATZ/r), all in combination with emtricitabine (FTC) and tenofovir DF (TDF).
All patients receiving NVP will start at 200 mg once daily for 2 weeks, because it has been demonstrated that this lead-in dosing regimen reduces the frequency of NVP-induced rash. At Visit 3 (Week 2), patients increase the NVP dose to either 200 mg twice daily or to 400 mg once daily. Patients receiving ATZ/r will be treated with ATZ 300 mg once daily, boosted by 100 mg ritonavir (RTV) once daily. Background antiretroviral therapy for all patients consists of one tablet of Truvada. Treatment duration is 48 weeks (primary endpoint) with an extension to 144 weeks. Patients may also participate in the metabolic sub-study, comparing NVP and ATZ/r for signs and symptoms of lipodystrophy and serum lipid/glycaemic abnormalities.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
576 (Actual)
8. Arms, Groups, and Interventions
Arm Title
NVP bid
Arm Type
Active Comparator
Arm Description
nevirapine (NVP) 200 mg BID in combination with emtricitabine (FTC) and tenofovir DF (TDF)
Arm Title
NVP qd
Arm Type
Experimental
Arm Description
nevirapine (NVP) 400 mg QD in combination with emtricitabine (FTC) and tenofovir DF (TDF)
Arm Title
ATZ/r
Arm Type
Active Comparator
Arm Description
ritonavir-boosted atazanavir in combination with emtricitabine (FTC) and tenofovir DF (TDF)
Intervention Type
Drug
Intervention Name(s)
nevirapine bid
Intervention Description
nevirapine twice daily
Intervention Type
Drug
Intervention Name(s)
nevirapine qd
Intervention Description
nevirapine once daily
Intervention Type
Drug
Intervention Name(s)
atazanavir
Intervention Description
atazanavir once daily
Primary Outcome Measure Information:
Title
Treatment Response at Week 48
Description
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 48 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 48.
Time Frame
From baseline to Week 48
Secondary Outcome Measure Information:
Title
Treatment Response at Week 48 (TLOVR Algorithm)
Description
Treatment response is defined as a VL <50 copies/mL measured at two consecutive visits up to Week 48 and without subsequent rebound or change of ARV therapy up to Week 48, based on time to loss of virologic response (TLOVR) algorithm, as a sensitivity analysis for the primary analysis.
Time Frame
From baseline to Week 48
Title
Proportion of Patients With VL < 50 Copies/ml
Description
VL <50 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT) for the patient
Time Frame
From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT
Title
Proportion of Patients With VL < 400 Copies/ml
Description
VL <400 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT)
Time Frame
From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT
Title
Change in CD4+ Count From Baseline
Description
Change in CD4+ cell count from baseline among patients on treatment at each visit, with the final visit at Week 144 or EOT
Time Frame
From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT
Title
Change in Framingham Score From Baseline
Description
Change in the estimated risk of cardiovascular disease using the Framingham algorithm from baseline to after 48, 96 and 144 weeks, last observation carried forward (LOCF). The score is based on age, gender, systolic blood pressure, total cholesterol, high density lipoprotein cholesterol and smoking status. Scores range from 0 to 21 with higher scores indicating a greater risk.
Time Frame
From baseline to Weeks 48, 96 and 144/EOT
Title
Change in Mental Health Summary (MHS) Score From Baseline
Description
Quality of life (QoL) assessment by change in MHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the Medical Outcomes Study HIV Health Survey (MOS-HIV), a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The MHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL.
Time Frame
From baseline to Weeks 48, 96 and 144/EOT
Title
Change in Physical Health Summary (PHS) Score From Baseline
Description
QoL assessment by change in PHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the MOS-HIV, a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The PHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL.
Time Frame
From baseline to Weeks 48, 96 and 144/EOT
Title
Number of Patients Hospitalized
Description
Cost effectiveness assessment by number of patients hospitalized
Time Frame
From baseline to Week 24, Week 24 to 48, Week 48 to 96, and Week 96 to 144/EOT
Title
Non-scheduled Physician Visits
Description
Cost effectiveness assessment by number of patients with non-scheduled physician visits
Time Frame
From baseline to Week 24, Week 24 to 48, Week 48 to 96, and Week 96 to 144/EOT
Title
Genotypic Resistance Associated With Virologic Failure
Description
Number of treatment-emergent drug-associated substitutions in patients with virological failure up to Week 48. The total number of genotypic mutations in those patients who were virologic failures is given, not the number of patients with mutations.
Time Frame
From baseline to Week 48
Title
Treatment-emergent AIDS-defining Illness
Description
Treatment-emergent AIDS-defining illness (tr.-emerg. AIDS-def.illness) including worsening during treatment
Time Frame
From baseline to Week 144
Title
Treatment-emergent AIDS-defining Illness Leading to Death
Description
Patients with an AIDS-defining illness leading to death broken out by treatment. Statistical analysis shows time to death from AIDS-defining illness.
Time Frame
From baseline to Week 144
Title
Lipodystrophy
Description
Number of patients with AE lipodystrophy
Time Frame
From baseline to Week 144
Title
Serum Lipid Abnormalities
Description
Number of patients with AE elevated serum lipids (i.e. hypercholesterolaemia)
Time Frame
From baseline to Week 144
Title
Glycaemic Abnormalities
Description
Number of patients with AE elevated serum glucose
Time Frame
From baseline to Week 144
Title
Treatment Response at Week 96
Description
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 96 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 96.
Time Frame
From baseline to Week 96
Title
Treatment Response at Week 144
Description
Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 144 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 144.
Time Frame
From baseline to Week 144
Title
Proportion of Patients With Virological Rebound With VL >=50 Copies/mL After CVR (Confirmed Virological Response) at Week 24, 48, 96, 144
Description
The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL)
Time Frame
at Week 24, 48, 96, 144
Title
Proportion of Patients With Virological Rebound With VL >=400 Copies/mL After CVR at Week 24, 48, 96, 144
Description
The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL)
Time Frame
at Week 24, 48, 96, 144
Title
Proportion of Patients With Virologic Failure at Week 48, 96, 144
Time Frame
at Week 48, 96, 144
Title
Time to Treatment Response (First Confirmed VL<50 Copies/mL)
Description
Time to treatment response was defined as the time from start of treatment until the first measurement of the first confirmed virological response
Time Frame
baseline to week 144
Title
Time to Loss of Virologic Response (Rebound)
Description
Time to loss of virologic response (TLOVR) was defined as the time from start of treatment to the first measurement showing VL ≥ 50 copies/mL in the first virologic rebound, after having a confirmed virological response.
Time Frame
Baseline to week 144
Title
Time to Treatment Failure
Description
Treatment failure is defined as the occurrence of the first of at least one of the following events: early discontinuation of trial drug, change in ARV therapy, failure to achieve an HIV RNA count < 50 copies/mL up to Visit 10 (week 48) or loss of virologic response
Time Frame
baseline to week 144
Title
Change in the Calculated Glomerular Filtration Rate (GFR) at Week 48, 96 and 144
Description
Calculations based on the MDRD algorithm.
Time Frame
From baseline to Week 48, 96, 144
Title
Proportion of Patients With >= DAIDS Grade 2 Laboratory Abnormalities
Time Frame
week 148
Title
Proportion of Patients Reporting Rash of Any Severity
Description
Proportion of Patients reporting rash of any severity
Time Frame
week 148
Title
Proportion of Patients Reporting Hepatic Events of Any Severity
Description
Proportion of Patients reporting hepatic events of any severity
Time Frame
week 148
Title
Proportion of Patients Reporting CNS (Central Nervous System) Side Effects of Any Severity
Description
Proportion of Patients reporting CNS (central nervous system) side effects of any severity
Time Frame
week 148
Title
Change of Cholesterol Values From Baseline to Week 48, 96, 144
Description
Changes frombaseline in total cholesterol, LDL-cholesterol(LDL-c) and HDL
Time Frame
baseline to week 48, 96, 144
Title
Changes of Apolipoprotein Values From Baseline to Week 48, 96, 144
Description
Changes frombaseline apolipoprotein A1 & B
Time Frame
baseline to week 48, 96, 144
Title
Change of hsCRP From Baseline to Week 48, 96, 144
Description
Change of hsCRP from baseline to week 48, 96, 144
Time Frame
baseline to week 48, 96, 144
Title
Change of Total Triglycerides From Baseline to Week 48, 96, 144
Description
Change of total triglycerides from baseline to week 48, 96, 144
Time Frame
baseline to week 48, 96, 144
Title
Change of Total Cholesterol to HDL-cholesterol Ratio From Baseline to Week 48, 96, 144
Description
Change of Total cholesterol to HDL-cholesterol ratio from baseline to week 48, 96, 144
Time Frame
baseline to week 48, 96, 144
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Inclusion Criteria:
Signed informed consent in accordance with Good Clinical Practice (GCP) and local regulatory requirements prior to trial participation
HIV-1-infected males or females >= 18 years of age with positive serology confirmed by Western blot
No previous antiretroviral treatment (of more than 7 days)
Males with CD4+ counts of < 400 cells/mm3 and females with CD4+ counts of < 250 cells/mm3
NVP- and ATZ/r susceptibility based on HIV-1 genotypic resistance report
Adequate renal function defined as a calculated creatinine clearance (CLCr) >= 50 ml/min according to the Cockcroft-Gault formula
Karnofsky score >= 70
Acceptable medical history, as assessed by the investigator
Exclusion criteria:
Exclusion Criteria:
Active drug abuse or chronic alcoholism at the investigator's discretion
Hepatic cirrhosis stage Child-Pugh B or C
Female patients of child-bearing potential who:
have a positive serum pregnancy test at screening or during the study,
are breast feeding,
are planning to become pregnant,
are not willing to use a barrier method of contraception, or are not willing to use methods of contraception other than ethinyl estradiol containing oral contraceptives
Laboratory parameters Division of Acquired Immunodeficiency Syndrome (DAIDS) > grade 2 (triglycerides > DAIDS grade 3; total cholesterol no restrictions)
Active hepatitis B or C disease, defined as HBsAg-positive or Hepatitis C-Virus-Ribo Nucleic Acid (HCV-RNA)- positive with Aspartate Transaminase/Alanine Transaminase (AST/ALT) > 2.5x Upper Limit of Normal (ULN) (DAIDS grade 1)
Hypersensitivity to any ingredients of the test products
Have therapy with nephrotoxic drugs (e.g., aminoglycosides, amphotericin B, vancomycin, cidofovir, foscarnet, cisplatin, pentamidine, tacrolimus, cyclosporine) or potential competitors of renal excretion (e.g., cidofovir, acyclovir, valacyclovir, ganciclovir, valganciclovir, probenecid, high-dose non-steroidal anti-inflammatory drugs (i.e., ibuprofen)) within 3 months prior to study screening or are expected to receive these during the study
Patients who are receiving other concomitant treatments which are not permitted
Use of other investigational medications within 30 days before study entry or during the trial
Use of immunomodulatory drugs within 30 days before study entry or during the trial (e.g., interferon, cyclosporin, hydroxyurea, interleukin 2, chronic treatment with prednisone)
Patients with Progressive Multifocal Leukoencephalopathy (PML), Visceral Kaposi's Sarcoma (KS), and/or any lymphoma
Any AIDS defining illness that is unresolved, symptomatic or not stable on treatment for at least 12 weeks at screening visit
Patients who are receiving systemic treatment for malignant disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Boehringer Ingelheim
Organizational Affiliation
Boehringer Ingelheim
Official's Role
Study Chair
Facility Information:
Facility Name
1100.1470.54004 Boehringer Ingelheim Investigational Site
City
Capital Federal
Country
Argentina
Facility Name
1100.1470.54002 Boehringer Ingelheim Investigational Site
City
Córdoba
Country
Argentina
Facility Name
1100.1470.54003 Boehringer Ingelheim Investigational Site
City
Mar del Plata
Country
Argentina
Facility Name
1100.1470.54001 Boehringer Ingelheim Investigational Site
City
Rosario
Country
Argentina
Facility Name
1100.1470.49001 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1100.1470.49002 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1100.1470.49003 Boehringer Ingelheim Investigational Site
City
Bochum
Country
Germany
Facility Name
1100.1470.49018 Boehringer Ingelheim Investigational Site
City
Bonn
Country
Germany
Facility Name
1100.1470.49014 Boehringer Ingelheim Investigational Site
City
Düsseldorf
Country
Germany
Facility Name
1100.1470.49008 Boehringer Ingelheim Investigational Site
City
Erlangen
Country
Germany
Facility Name
1100.1470.49036 Boehringer Ingelheim Investigational Site
City
Frankfurt am Main
Country
Germany
Facility Name
1100.1470.49035 Boehringer Ingelheim Investigational Site
City
Frankfurt
Country
Germany
Facility Name
1100.1470.49033 Boehringer Ingelheim Investigational Site
City
Freiburg/Breisgau
Country
Germany
Facility Name
1100.1470.49016 Boehringer Ingelheim Investigational Site
City
Hamburg
Country
Germany
Facility Name
1100.1470.49031 Boehringer Ingelheim Investigational Site
City
Hamburg
Country
Germany
Facility Name
1100.1470.49037 Boehringer Ingelheim Investigational Site
City
Hamburg
Country
Germany
Facility Name
1100.1470.49020 Boehringer Ingelheim Investigational Site
City
Hannover
Country
Germany
Facility Name
1100.1470.49038 Boehringer Ingelheim Investigational Site
City
Magdeburg
Country
Germany
Facility Name
1100.1470.49034 Boehringer Ingelheim Investigational Site
City
München
Country
Germany
Facility Name
1100.1470.49000 Boehringer Ingelheim Investigational Site
City
Ulm
Country
Germany
Facility Name
1100.1470.49032 Boehringer Ingelheim Investigational Site
City
Würzburg
Country
Germany
Facility Name
1100.1470.39001 Boehringer Ingelheim Investigational Site
City
Bergamo
Country
Italy
Facility Name
1100.1470.39003 Boehringer Ingelheim Investigational Site
City
Bologna
Country
Italy
Facility Name
1100.1470.39012 Ospedale Sant'Anna
City
Como
Country
Italy
Facility Name
1100.1470.39006 Boehringer Ingelheim Investigational Site
City
Ferrara
Country
Italy
Facility Name
1100.1470.39010 Boehringer Ingelheim Investigational Site
City
Lecco
Country
Italy
Facility Name
1100.1470.39004 Boehringer Ingelheim Investigational Site
City
Torino
Country
Italy
Facility Name
1100.1470.39009 Boehringer Ingelheim Investigational Site
City
Torrette Di Ancona
Country
Italy
Facility Name
1100.1470.39007 Boehringer Ingelheim Investigational Site
City
Varese
Country
Italy
Facility Name
1100.1470.55006 Boehringer Ingelheim Investigational Site
City
Aguascalientes
Country
Mexico
Facility Name
1100.1470.55004 Boehringer Ingelheim Investigational Site
City
Col Obregón
Country
Mexico
Facility Name
1100.1470.55008 Boehringer Ingelheim Investigational Site
City
Col. Los Filtros, San Luis Potosí
Country
Mexico
Facility Name
1100.1470.55001 Boehringer Ingelheim Investigational Site
City
Col. Toriello Guerra
Country
Mexico
Facility Name
1100.1470.55007 Boehringer Ingelheim Investigational Site
City
Guadalajara Jal.
Country
Mexico
Facility Name
1100.1470.55003 Boehringer Ingelheim Investigational Site
City
Tlalpan-México D,F
Country
Mexico
Facility Name
1100.1470.48003 Boehringer Ingelheim Investigational Site
City
Bydgoszcz
Country
Poland
Facility Name
1100.1470.48001 Boehringer Ingelheim Investigational Site
City
Chorzow
Country
Poland
Facility Name
1100.1470.48002 Boehringer Ingelheim Investigational Site
City
Szczecin
Country
Poland
Facility Name
1100.1470.48004 Boehringer Ingelheim Investigational Site
City
Warsaw
Country
Poland
Facility Name
1100.1470.35102 Boehringer Ingelheim Investigational Site
City
Cascais
Country
Portugal
Facility Name
1100.1470.35101 Boehringer Ingelheim Investigational Site
City
Lisboa
Country
Portugal
Facility Name
1100.1470.35103 Boehringer Ingelheim Investigational Site
City
Porto
Country
Portugal
Facility Name
1100.1470.40001 Boehringer Ingelheim Investigational Site
City
Bucharest
Country
Romania
Facility Name
1100.1470.40002 Boehringer Ingelheim Investigational Site
City
Bucharest
Country
Romania
Facility Name
1100.1470.34013 Boehringer Ingelheim Investigational Site
City
Alcalá de Henares (Madrid)
Country
Spain
Facility Name
1100.1470.34008 Boehringer Ingelheim Investigational Site
City
Badalona
Country
Spain
Facility Name
1100.1470.34002 Boehringer Ingelheim Investigational Site
City
Barcelona
Country
Spain
Facility Name
1100.1470.34003 Boehringer Ingelheim Investigational Site
City
Barcelona
Country
Spain
Facility Name
1100.1470.34009 Boehringer Ingelheim Investigational Site
City
L'Hospitalet de Llobregat
Country
Spain
Facility Name
1100.1470.34010 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1100.1470.34012 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1100.1470.34014 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1100.1470.34015 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1100.1470.34019 Boehringer Ingelheim Investigational Site
City
Malaga
Country
Spain
Facility Name
1100.1470.34007 Boehringer Ingelheim Investigational Site
City
Sabadell (Barcelona)
Country
Spain
Facility Name
1100.1470.34004 Boehringer Ingelheim Investigational Site
City
San Sebastian
Country
Spain
Facility Name
1100.1470.34006 Boehringer Ingelheim Investigational Site
City
Santa Cruz de Tenerife
Country
Spain
Facility Name
1100.1470.34011 Boehringer Ingelheim Investigational Site
City
Vigo
Country
Spain
Facility Name
1100.1470.41004 Boehringer Ingelheim Investigational Site
City
Bern
Country
Switzerland
Facility Name
1100.1470.41001 Boehringer Ingelheim Investigational Site
City
Lugano
Country
Switzerland
Facility Name
1100.1470.41003 Boehringer Ingelheim Investigational Site
City
St. Gallen
Country
Switzerland
Facility Name
1100.1470.41002 Boehringer Ingelheim Investigational Site
City
Zürich
Country
Switzerland
Facility Name
1100.1470.44004 Boehringer Ingelheim Investigational Site
City
Birmingham
Country
United Kingdom
Facility Name
1100.1470.44001 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1100.1470.44002 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1100.1470.44005 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1100.1470.44006 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1100.1470.44003 Boehringer Ingelheim Investigational Site
City
Manchester
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
21628668
Citation
Seclen E, Soriano V, Gonzalez MM, Martin-Carbonero L, Gellermann H, Distel M, Kadus W, Poveda E. Impact of baseline HIV-1 tropism on viral response and CD4 cell count gains in HIV-infected patients receiving first-line antiretroviral therapy. J Infect Dis. 2011 Jul 1;204(1):139-44. doi: 10.1093/infdis/jir218.
Results Reference
derived
PubMed Identifier
21555816
Citation
Soriano V, Arasteh K, Migrone H, Lutz T, Opravil M, Andrade-Villanueva J, Antunes F, Di Perri G, Podzamczer D, Taylor S, Domingo P, Gellermann H, de Rossi L; ARTEN investigators. Nevirapine versus atazanavir/ritonavir, each combined with tenofovir disoproxil fumarate/emtricitabine, in antiretroviral-naive HIV-1 patients: the ARTEN Trial. Antivir Ther. 2011;16(3):339-48. doi: 10.3851/IMP1745.
Results Reference
derived
Links:
URL
http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/1100/1100.1470_U11-2659.pdf
Description
Related Info
Learn more about this trial
Nevirapine or Atazanavir/Ritonavir Given With Emtricitabine/Tenofovir in Human Immunodeficiency Virus (HIV)-1-infected Treatment Naive Adults
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