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A Study of Raltegravir in a Diverse Cohort of HIV-Infected Patients (0518-055)

Primary Purpose

Human Immunodeficiency Virus

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Comparator: raltegravir
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Human Immunodeficiency Virus

Eligibility Criteria

16 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient is HIV positive
  • Patient agrees to use (or have their partner use) birth control as defined by the study doctor

Exclusion Criteria:

  • If female, pregnant or breastfeeding
  • Patient has used an investigational agent in the last 30 days
  • Patient has acute hepatitis
  • Patient has received MK0518 (raltegravir) before
  • Patient has used another experimental HIV-integrase inhibitor

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    1

    Arm Description

    raltegravir

    Outcomes

    Primary Outcome Measures

    Number of Participants Who Achieved HIV Ribonucleic Acid (RNA) <50 Copies/mL at Week 48
    Numbers of participants with HIV RNA copies <50 copies/mL were summarized by race for each time point.
    Number of Participants With One or More Adverse Events
    Numbers of participants with one or more adverse events were summarized by race.
    Number of Participants Who Discontinued Due to an Adverse Event
    Numbers of participants who discontinued due to an adverse event were summarized by race.

    Secondary Outcome Measures

    Number of Participants Who Achieved HIV RNA <400 Copies/mL at Week 48
    Numbers of participants with HIV RNA copies <400 copies/mL were summarized by race for each time point.
    Mean Change From Baseline to Week 48 in HIV RNA
    Mean changes from baseline in plasma HIV RNA were summarized by race at each time point.
    Mean Change From Baseline to Week 48 in CD4 Cell Count
    Mean changes from baseline in CD4 cell counts were summarized by race at each time point.
    Number of Participants Without Loss of Virologic Response
    For participants with confirmed HIV RNA levels <50 copies/mL on 2 consecutive visits, loss of virologic response is the occurrence of the first value >50 copies/mL or loss to follow-up; participants who never achieved HIV RNA <50 copies/mL on 2 consecutive visits are also considered as having loss of virologic response. Events are the numbers of participants with loss of virologic response versus the numbers of participants with no loss of virologic response (event free).

    Full Information

    First Posted
    October 1, 2008
    Last Updated
    February 14, 2017
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00764946
    Brief Title
    A Study of Raltegravir in a Diverse Cohort of HIV-Infected Patients (0518-055)
    Official Title
    A Phase III Open-Label Single Arm Study to Evaluate the Safety, Tolerability, and Efficacy of MK0518/Raltegravir in a Diverse Cohort of HIV-Infected Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2008 (undefined)
    Primary Completion Date
    February 2011 (Actual)
    Study Completion Date
    February 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    5. Study Description

    Brief Summary
    A study to test the safety and effect of twice daily raltegravir in a diverse cohort of patients currently infected with human immunodeficiency virus (HIV), where at least 50% are African American and at least 25% are female, either having received antiretroviral drugs before or not.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Human Immunodeficiency Virus

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    209 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Description
    raltegravir
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: raltegravir
    Other Intervention Name(s)
    ISENTRESS
    Intervention Description
    400 mg tablets taken twice daily. Total treatment period is 48 weeks.
    Primary Outcome Measure Information:
    Title
    Number of Participants Who Achieved HIV Ribonucleic Acid (RNA) <50 Copies/mL at Week 48
    Description
    Numbers of participants with HIV RNA copies <50 copies/mL were summarized by race for each time point.
    Time Frame
    Week 48
    Title
    Number of Participants With One or More Adverse Events
    Description
    Numbers of participants with one or more adverse events were summarized by race.
    Time Frame
    Week 48
    Title
    Number of Participants Who Discontinued Due to an Adverse Event
    Description
    Numbers of participants who discontinued due to an adverse event were summarized by race.
    Time Frame
    Week 48
    Secondary Outcome Measure Information:
    Title
    Number of Participants Who Achieved HIV RNA <400 Copies/mL at Week 48
    Description
    Numbers of participants with HIV RNA copies <400 copies/mL were summarized by race for each time point.
    Time Frame
    Week 48
    Title
    Mean Change From Baseline to Week 48 in HIV RNA
    Description
    Mean changes from baseline in plasma HIV RNA were summarized by race at each time point.
    Time Frame
    Baseline and Week 48
    Title
    Mean Change From Baseline to Week 48 in CD4 Cell Count
    Description
    Mean changes from baseline in CD4 cell counts were summarized by race at each time point.
    Time Frame
    Baseline and Week 48
    Title
    Number of Participants Without Loss of Virologic Response
    Description
    For participants with confirmed HIV RNA levels <50 copies/mL on 2 consecutive visits, loss of virologic response is the occurrence of the first value >50 copies/mL or loss to follow-up; participants who never achieved HIV RNA <50 copies/mL on 2 consecutive visits are also considered as having loss of virologic response. Events are the numbers of participants with loss of virologic response versus the numbers of participants with no loss of virologic response (event free).
    Time Frame
    Week 48

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    16 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patient is HIV positive Patient agrees to use (or have their partner use) birth control as defined by the study doctor Exclusion Criteria: If female, pregnant or breastfeeding Patient has used an investigational agent in the last 30 days Patient has acute hepatitis Patient has received MK0518 (raltegravir) before Patient has used another experimental HIV-integrase inhibitor
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php
    Citations:
    PubMed Identifier
    23351187
    Citation
    Squires KE, Bekker LG, Eron JJ, Cheng B, Rockstroh JK, Marquez F, Kumar P, Thompson M, Campo RE, Mounzer K, Strohmaier KM, Lu C, Rodgers A, Jackson BE, Wenning LA, Robertson M, Nguyen BY, Sklar P; REALMRK Investigators. Safety, tolerability, and efficacy of raltegravir in a diverse cohort of HIV-infected patients: 48-week results from the REALMRK Study. AIDS Res Hum Retroviruses. 2013 Jun;29(6):859-70. doi: 10.1089/AID.2012.0292. Epub 2013 Feb 26.
    Results Reference
    result

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    A Study of Raltegravir in a Diverse Cohort of HIV-Infected Patients (0518-055)

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