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| 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
| 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). |
| 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. |
| Description | |
|---|---|
| MK0518 400 mg b.i.d. | No text entered. |
| KALETRA™ 400/100 mg b.i.d. | No text entered. |
| 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
| Description | |
|---|---|
| MK0518 400 mg b.i.d. | No text entered. |
| KALETRA™ 400/100 mg b.i.d. | No text entered. |
| 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
| 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 ] |
More Information
| All Principal Investigators ARE employed by the organization sponsoring the study. |
| 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™. |
| 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 |