A Phase 2 interventional study of UK-453,061 Dose 1 and UK-453,061 Dose 2 in HIV-1, sponsored by Pfizer. Terminated at 63 sites in 13 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-12-04.
Sponsored by Pfizer · Phase 2, Interventional, and Treatment
This is a 96 week study to determine if UK- 453,061 in combination with Darunavir /ritonavir and a Nucleos(t)ide Reverse Transcriptase inhibitor is as efficacious, safe and tolerable as etravirine in combination with Darunavir /ritonavir and a Nucleos(t)ide Reverse Transcriptase inhibitor in HIV-1 infected patients who have been previously treated with antiretroviral drugs and have NNRTI resistance mutations.
The trial was terminated on 12 April, 2012 due to lack of efficacy at the Week 24 analysis. The decision to terminate the trial was not based on any safety concerns.
Pfizer is the lead sponsor of 3,323 studies on the registry; 145 are open to participants now.
Of its 597 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.
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Drug: UK-453,061 Dose 1
Drug: UK-453,061 Dose 2
Drug: Etravirine
UK 453,061 750 mg QD + one optimized NRTI + darunavir/ritonavir.
UK 453,061 1000 mg QD + one optimized NRTI + darunavir/ritonavir.
Etravirine 200 mg BID + one optimized NRTI + darunavir/ritonavir.
Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
Time frame: Week 24
Percentage of Participants With HIV-1 RNA Levels <50 Copies/mL at Week 48 and 96
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
Time frame: Weeks 48, 96
Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Week 24, 48 and 96
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
Time frame: Week 24, 48, 96
Change From Baseline in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5). For the log10 scale, all the HIV-1 RNA levels were log10 transformed prior to the average calculations. Baseline value calculated as average of measurements collected prior to and including Day 1 pre-dose.
Time frame: Baseline, Week 24, 48, 96
Time-Averaged Difference (TAD) in log10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96
TAD was calculated as (area under the curve of HIV-1 RNA levels \[log10 copies/mL\] from baseline to the time point of interest divided by time period in weeks) minus baseline HIV-1 RNA level (log10 copies/mL). Baseline value calculated as average of measurements collected at prior to and including Day 1 pre-dose. Due to early termination of the study decision was made not to derive TAD results for Week 96.
Time frame: Week 24, 48, 96
Percentage of Participants With Response as Determined by the Time to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96
TLOVR50 response (50 denotes lower limit of quantification \[LLOQ\] of assay=50 copies/mL): compliment to TLOVR50 failure. TLOVR50 failure based on observed HIV-1 RNA levels and failure events (death; permanent discontinuation of drug; lost to follow-up; new ARV drug; met treatment failure \[TF\] criteria). TF: an increase of at least (\>=)3 times the baseline plasma HIV-1 RNA level at Week 2 or thereafter; failure to achieve HIV-1 RNA level \<50 copies/mL at Week 24; starting at Week 2, an increase in HIV-1 RNA level to detectable levels (\>50 copies/mL); HIV-1 RNA \<1 log10 decrease from baseline at Week 4 or thereafter. TF were confirmed by second measurement \>=14 days after first. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
Time frame: Week 24, 48, 96
Change From Baseline in Cluster of Differentiation 4 (CD4+) Absolute Lymphocyte Counts at Week 24, 48 and 96
Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
Time frame: Baseline, Week 24, 48, 96
Change From Baseline in Cluster of Differentiation 4 (CD4+) Percentage Lymphocyte Counts at Week 24, 48, 96
Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
Time frame: Baseline, Week 24, 48, 96
Number of Participants With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Resistance-Associated Mutations (RAMs) and/or Phenotypic Susceptibility at Time of Treatment Failure Through Week 48
Genotypic and phenotypic resistance to NNRTIs based on International Acquired Immunodeficiency Syndrome (AIDS) Society, United States of America (IAS-USA) RAM guidelines were evaluated using Monogram Biosciences PhenoSenseGT Assay at Baseline. This was then repeated for all participants with HIV-1 viral load \>500 copies/mL at treatment failure, up to Week 48.
Time frame: Baseline through Week 48
Number of Participants With Laboratory Test Abnormalities
Laboratory analysis included blood chemistry, hematology and urinalysis.
Time frame: Baseline up to Week 48 or early termination
Population Pharmacokinetics (PK) of Lersivirine
Data for this Outcome Measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.
Time frame: Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48
Lersivirine Success Percentage With Reference to Median Minimum Observed Plasma Concentration (Cmin)
Simple quartile exposure analysis of success rate (viral load \<50 copies/mL) versus median Cmin assesses the exposure response relationship. Percentage of participants with HIV-1 RNA level \<50 copies/mL at median Cmin quartile were planned to be reported.
Time frame: Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48
| Milestone | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Started | 35 | 35 | 35 |
| Treated | 31 | 32 | 34 |
| Completed | 6 | 3 | 11 |
| Not completed | 29 | 32 | 24 |
| Withdrew: Lack of efficacy | 13 | 16 | 9 |
| Withdrew: Lost to follow-up | 2 | 1 | 0 |
| Withdrew: Withdrawal by subject | 2 | 3 | 2 |
| Withdrew: Protocol violation | 1 | 1 | 0 |
| Withdrew: Pregnancy | 0 | 1 | 0 |
| Withdrew: Adverse event | 0 | 2 | 4 |
| Withdrew: Other | 2 | 0 | 1 |
| Withdrew: Randomized but not treated | 4 | 3 | 1 |
| Withdrew: Study terminated by sponsor | 5 | 5 | 7 |
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
| percentage of participants | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Percentage of Participants With Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) Levels Less Than (<) 50 Copies/Milliliter (mL) at Week 24 | 48.4 | 43.8 | 67.6 |
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
| percentage of participants | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Week 48 (n=31, 32, 34) | 41.9 | 31.3 | 61.8 |
| Week 96 (n=28, 28, 27) | 25.0 | 14.3 | 37.0 |
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5).
| percentage of participants | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Week 24 (n=31, 32, 34) | 54.8 | 50.0 | 79.4 |
| Week 48 (n=31, 32, 34) | 41.9 | 34.4 | 70.6 |
| Week 96 (n=28, 28, 27) | 25.0 | 14.3 | 37.0 |
Plasma HIV-1 RNA level was determined by the Roche Amplicor HIV-1 Monitor standard assay (version 1.5). For the log10 scale, all the HIV-1 RNA levels were log10 transformed prior to the average calculations. Baseline value calculated as average of measurements collected prior to and including Day 1 pre-dose.
| log10 copies/mL | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Baseline | 4.28 ± 0.99 | 4.76 ± 0.82 | 4.59 ± 0.79 |
| Change at Week 24 | -1.53 ± 1.58 | -1.89 ± 1.46 | -2.32 ± 1.21 |
| Change at Week 48 | -1.30 ± 1.64 | -1.08 ± 1.48 | -2.06 ± 1.42 |
| Change at Week 96 | -0.69 ± 1.39 | -0.36 ± 1.00 | -0.96 ± 1.49 |
TAD was calculated as (area under the curve of HIV-1 RNA levels \[log10 copies/mL\] from baseline to the time point of interest divided by time period in weeks) minus baseline HIV-1 RNA level (log10 copies/mL). Baseline value calculated as average of measurements collected at prior to and including Day 1 pre-dose. Due to early termination of the study decision was made not to derive TAD results for Week 96.
| log10 copies/mL | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Week 24 | -1.46 ± 1.12 | -1.72 ± 1.11 | -2.10 ± 0.92 |
| Week 48 | -1.28 ± 1.39 | -1.19 ± 1.35 | -1.89 ± 1.27 |
TLOVR50 response (50 denotes lower limit of quantification \[LLOQ\] of assay=50 copies/mL): compliment to TLOVR50 failure. TLOVR50 failure based on observed HIV-1 RNA levels and failure events (death; permanent discontinuation of drug; lost to follow-up; new ARV drug; met treatment failure \[TF\] criteria). TF: an increase of at least (\>=)3 times the baseline plasma HIV-1 RNA level at Week 2 or thereafter; failure to achieve HIV-1 RNA level \<50 copies/mL at Week 24; starting at Week 2, an increase in HIV-1 RNA level to detectable levels (\>50 copies/mL); HIV-1 RNA \<1 log10 decrease from baseline at Week 4 or thereafter. TF were confirmed by second measurement \>=14 days after first. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
| percentage of participants | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Week 24 | 48.4 | 43.8 | 67.6 |
| Week 48 | 41.9 | 28.1 | 55.9 |
Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
| cells per microliter (cells/mcL) | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Baseline | 247 ± 143 | 259 ± 187 | 227 ± 146 |
| Change at Week 24 | 98 ± 140 | 66 ± 111 | 110 ± 108 |
| Change at Week 48 | 122 ± 148 | 74 ± 128 | 128 ± 127 |
| Change at Week 96 | 148 ± 177 | 89 ± 152 | 184 ± 197 |
Blood samples for immunological status assessed by CD4+ lymphocyte count. Baseline value was calculated as the average of the measurements collected prior to and including Day 1 pre-dose.
| percentage of total lymphocytes | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Baseline | 16.1 ± 8.7 | 15.0 ± 8.8 | 14.6 ± 8.3 |
| Change at Week 24 | 3.0 ± 4.0 | 3.7 ± 3.6 | 3.7 ± 3.2 |
| Change at Week 48 | 4.6 ± 5.3 | 4.0 ± 4.1 | 4.4 ± 3.8 |
| Change at Week 96 | 5.4 ± 6.1 | 4.2 ± 4.9 | 6.2 ± 6.2 |
Genotypic and phenotypic resistance to NNRTIs based on International Acquired Immunodeficiency Syndrome (AIDS) Society, United States of America (IAS-USA) RAM guidelines were evaluated using Monogram Biosciences PhenoSenseGT Assay at Baseline. This was then repeated for all participants with HIV-1 viral load \>500 copies/mL at treatment failure, up to Week 48.
| participants | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Number of Participants With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Resistance-Associated Mutations (RAMs) and/or Phenotypic Susceptibility at Time of Treatment Failure Through Week 48 | 5 | 3 | 1 |
Laboratory analysis included blood chemistry, hematology and urinalysis.
| participants | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Number of Participants With Laboratory Test Abnormalities | 27 | 30 | 33 |
Data for this Outcome Measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.
Results for this outcome have not been posted.
Simple quartile exposure analysis of success rate (viral load \<50 copies/mL) versus median Cmin assesses the exposure response relationship. Percentage of participants with HIV-1 RNA level \<50 copies/mL at median Cmin quartile were planned to be reported.
No measurements were reported for this outcome.
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lersivirine 750 mg | — | 1/31 (3.2%) | 27/31 (87.1%) |
| Lersivirine 1000 mg | — | 4/32 (12.5%) | 25/32 (78.1%) |
| Etravirine 200 mg | — | 1/34 (2.9%) | 32/34 (94.1%) |
| Event | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| Pulmonary tuberculosisInfections and infestations | 0/31 | 2/32 | 0/34 |
| HypertensionVascular disorders | 1/31 | 0/32 | 0/34 |
| Coronary artery diseaseCardiac disorders | 0/31 | 1/32 | 0/34 |
| Head injuryInjury, poisoning and procedural complications | 0/31 | 1/32 | 0/34 |
| Pneumocystis jiroveci pneumoniaInfections and infestations | 0/31 | 0/32 | 1/34 |
| PneumoniaInfections and infestations | 0/31 | 0/32 | 1/34 |
| Event | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg |
|---|---|---|---|
| NauseaGastrointestinal disorders | 8/31 | 14/32 | 4/34 |
| DiarrhoeaGastrointestinal disorders | 8/31 | 7/32 | 6/34 |
| VomitingGastrointestinal disorders | 6/31 | 3/32 | 3/34 |
| Herpes zosterInfections and infestations | 0/31 | 0/32 | 5/34 |
| Upper respiratory tract infectionInfections and infestations | 3/31 | 3/32 | 5/34 |
| Back painMusculoskeletal and connective tissue disorders | 2/31 | 0/32 | 5/34 |
| RashSkin and subcutaneous tissue disorders | 0/31 | 0/32 | 5/34 |
| InfluenzaInfections and infestations | 4/31 | 0/32 | 4/34 |
| HeadacheNervous system disorders | 2/31 | 2/32 | 4/34 |
| Abdominal pain upperGastrointestinal disorders | 1/31 | 3/32 | 3/34 |
Intent-to-Treat (ITT) population included all randomized participants who received at least 1 dose of study drug.
| Age, Continuous(years) | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg | Total |
|---|---|---|---|---|
| Mean | 41.1 ± 8.9 | 40.0 ± 8.7 | 41.9 ± 9.1 | 41.0 ± 8.9 |
| Sex: Female, Male(Participants) | Lersivirine 750 mg | Lersivirine 1000 mg | Etravirine 200 mg | Total |
|---|---|---|---|---|
| Female | 15 | 18 | 18 | 51 |
| Male | 16 | 14 | 16 | 46 |
Ran from Mar 2009 to primary completion in Oct 2012, 42 months.
Results were first posted in Mar 2014, 1 year 4 months after primary completion. A results delay was requested in Nov 2013.
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This study is terminated, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.
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