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Study Results
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MK0518 in the Treatment of HIV-Infected Patients Switched From a Protease Inhibitor Regimen
This study has been terminated.
( Primary efficacy analysis at Week 24 did not demonstrate non-inferiority of raltegravir versus lopinavir (+) ritonavir )
Study NCT00443729   Information provided by Merck
First Received: March 2, 2007   Last Updated: October 12, 2009   History of Changes
Study Type: Interventional
Study Design: Randomized, Double Blind (Subject, Investigator), Active Control, Parallel Assignment
Condition: HIV Infection
Interventions: Drug: Comparator: raltegravir
Drug: Comparator: placebo
Drug: Comparator: lopinavir (+) ritonavir
Drug: Comparator: placebo (unspecified)

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Phase III; First Patient In: 11-Jun-2007; Last Patient Last Visit for Week 24 (primary endpoint): 17-Oct- 2008 34 Sites (US, Peru, Brazil, Colombia, Mexico, South Africa, Thailand, India, and Australia).

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
HIV-seropositive patients who were ≥18 years old, had documented HIV RNA <50 copies/mL for at least 3 months, had been on a KALETRA™-based regimen for at least 3 months without a change in background antiretroviral therapy, and had no documentation of HIV RNA >50 copies/mL for at least 3 months.

Reporting Groups
  Description
MK0518 400 mg b.i.d. No text entered.
KALETRA™ 400/100 mg b.i.d. No text entered.

Participant Flow:   Overall Study
  MK0518 400 mg b.i.d. KALETRA™ 400/100 mg b.i.d.
STARTED   176     179  
      Treated               176                 178  
COMPLETED   166     172  
NOT COMPLETED   10     7  
      Never Treated               0                 1  
      Lack of Efficacy               4                 2  
      Lost to Follow-up               0                 1  
      Physician Decision               2                 1  
      Protocol Violation               1                 1  
      Withdrawal by Subject               3                 1  



  Baseline Characteristics
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Reporting Groups
  Description
MK0518 400 mg b.i.d. No text entered.
KALETRA™ 400/100 mg b.i.d. No text entered.

Baseline Measures
  MK0518 400 mg b.i.d. KALETRA™ 400/100 mg b.i.d. Total
Number of Participants  
[units: participants]
176 178 354
Age  
[units: Years]
Mean ( Full Range )
42.0
( 21 to 71 )
41.9
( 23 to 74 )
42.0
( 21 to 74 )
Gender  
[units: participants]
     
Female 39 40 79
Male 137 138 275
Ethnicity (NIH/OMB)  
[units: participants]
     
Hispanic or Latino 68 73 141
Not Hispanic or Latino 108 105 213
Unknown or Not Reported 0 0 0
Race (NIH/OMB)  
[units: participants]
     
American Indian or Alaska Native 0 1 1
Asian 26 28 54
Native Hawaiian or Other Pacific Islander 0 1 1
Black or African American 33 25 58
White 85 81 166
More than one race 32 42 74
Unknown or Not Reported 0 0 0
Cluster of Differentiation 4 (CD4) Cell Count  
[units: cells/mm3]
Mean ( Full Range )
470.8
( 16 to 1916 )
482.4
( 100 to 1744 )
476.6
( 16 to 1916 )
Fasting (non-random) serum High-Density Lipoprotein-Cholesterol (HDL-C)  
[units: mg/dL]
Mean ± Standard Deviation
46.5 ± 12.8 47.9 ± 12.7 47.2 ± 12.7
Fasting (non-random) serum Low-Density Lipoprotein-Cholesterol (LDL-C)  
[units: mg/dL]
Mean ± Standard Deviation
103.5 ± 41.0 104.3 ± 30.6 103.9 ± 36.2
Fasting (non-random) serum cholesterol  
[units: mg/dL]
Mean ± Standard Deviation
214.7 ± 69.7 210.8 ± 46.4 212.7 ± 59.2
Fasting (non-random) serum triglyceride[1]
[units: mg/dL]
Mean ± Standard Deviation
204.5 ± 156.3 217.5 ± 156.3 212.5 ± 156.3
Non-HDL-C  
[units: mg/dL]
Mean ± Standard Deviation
168.2 ± 71.8 163.4 ± 45.7 165.8 ± 60.3
[1] Standard Deviation (Robust): calculated as interquartile range (IQR)/1.075, where IQR=3rd quartile-1st quartile.



  Outcome Measures
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1.  Primary:   Number of Patients With Plasma Human Immunodeficiency Virus (HIV) RiboNucleic Acid (RNA) <50 Copies/mL at Week 24   [ 24 Weeks ]

2.  Primary:   Number of Patients With Clinical Adverse Experiences (CAEs) Through 24 Weeks   [ 24 Week last patient last visit ]

3.  Primary:   Mean Percent Change From Baseline in Fasting Serum Cholesterol at Week 12   [ Baseline and Week 12 ]

4.  Primary:   Mean Percent Change From Baseline in Non-HDL-C at Week 12   [ Baseline and Week 12 ]

5.  Primary:   Mean Percent Change From Baseline in Fasting Serum LDL-C at Week 12   [ Baseline and Week 12 ]

6.  Primary:   Mean Percent Change From Baseline in Fasting Serum HDL-C at Week 12   [ Baseline and Week 12 ]

7.  Primary:   Median Percent Change From Baseline in Serum Triglyceride at Week 12   [ Baseline and Week 12 ]

8.  Secondary:   Mean Percent Change From Baseline in Fasting Serum Cholesterol at Week 24   [ Baseline and Week 24 ]

9.  Secondary:   Mean Percent Change From Baseline in Non-HDL-C at Week 24   [ Baseline and Week 24 ]

10.  Secondary:   Mean Percent Change From Baseline in Fasting Serum LDL-C at Week 24   [ Baseline and Week 24 ]

11.  Secondary:   Mean Percent Change From Baseline in Fasting Serum HDL-C at Week 24   [ Baseline and Week 24 ]

12.  Secondary:   Median Percent Change From Baseline in Serum Triglyceride at Week 24   [ Baseline and Week 24 ]

13.  Other Pre-specified:   Number of Patients With Serious CAEs Through 24 Weeks   [ 24 Week last patient last visit ]

14.  Other Pre-specified:   Number of Patients With Drug-related CAEs Through 24 Weeks   [ 24 Week last patient last visit ]

15.  Other Pre-specified:   Number of Patients With Serious Drug-related CAEs Through 24 Weeks   [ 24 Week last patient last visit ]

16.  Other Pre-specified:   Number of Patients That Died by 24 Week Last Patient Last Visit   [ 24 Week last patient last visit ]

17.  Other Pre-specified:   Number of Patients That Discontinued Due to CAEs Through 24 Weeks   [ 24 Week last patient last visit ]

18.  Other Pre-specified:   Number of Patients With Laboratory Adverse Experiences (LAEs) Through 24 Weeks   [ 24 Week last patient last visit ]

19.  Other Pre-specified:   Number of Patients With Drug-related LAEs Through 24 Weeks   [ 24 Week last patient last visit ]

20.  Other Pre-specified:   Number of Patients With Serious LAEs Through 24 Weeks   [ 24 Week last patient last visit ]

21.  Other Pre-specified:   Number of Patients That Discontinued Due to LAEs Through 24 Weeks   [ 24 Week last patient last visit ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
Study was terminated after the primary efficacy analysis at Week 24 did not demonstrate non-inferiority of MK0518 versus KALETRA™.  


Results Point of Contact:  
Name/Title: Executive Vice President, Clinical and Quantitative Sciences
Organization: Merck & Co., Inc.
phone: 1-800-672-6372


No publications provided


Responsible Party: Merck & Co., Inc. ( Executive Vice President, Clinical and Quantitative Sciences )
Study ID Numbers: 2007_508, MK0518-033
Study First Received: March 2, 2007
Results First Received: October 12, 2009
Last Updated: October 12, 2009
ClinicalTrials.gov Identifier: NCT00443729     History of Changes
Health Authority: United States: Food and Drug Administration