Clinical Trial Results:
One arm, Open label, Interventional, non-comparative Study to assess Changes in Lipids and Lipoproteins in HIV infected Women with Hyperlipidemia after Switch from boosted Protease Inhibitors to Raltegravir
Summary
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EudraCT number |
2013-001564-37 |
Trial protocol |
AT |
Global end of trial date |
17 Dec 2015
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Results information
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Results version number |
v1(current) |
This version publication date |
13 Jul 2016
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First version publication date |
13 Jul 2016
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
AGMT_HIV1
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT02097108 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
AGMT
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Sponsor organisation address |
Gentzgasse 60/20, Vienna, Austria, 1180
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Public contact |
Daniela Wolkersdorfer, AGMT, 0043 6626404411, d.wolkersdorfer@agmt.at
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Scientific contact |
Richard Greil, AGMT, 0043 5725525801, r.greil@salk.at
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
31 May 2016
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
17 Dec 2015
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
Primary Objective:
A reduction of > 5% in the plasma concentration of direct LDL cholesterol from baseline to week 12 or > 10% reduction of total cholesterol or reduction of lipid lowering agents is expected. Reduction of lipid lowering agents is defined as reduction due to amelioration of lipid profiles and does not include reduction due to side effects or other toxicity issues.
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Protection of trial subjects |
Patients will be assessed at baseline, after 4, 12 and 24 weeks.
At each visit clinical data and blood samples will be collected.
Safety will be monitored by reporting of clinical adverse events and laboratory abnormalities.
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Background therapy |
antiretroviral agents other than Protease inhibitor | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
02 Dec 2013
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Austria: 11
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Worldwide total number of subjects |
11
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EEA total number of subjects |
11
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
11
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||||||||
Pre-assignment
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Screening details |
HIV infected women with hyperlipidemia receiving antiretroviral therapy consisting of at least 2 antiretroviral agents other than protease inhibitor plus a ritonavir-boosted protease inhibitor (PI) for at least the previous 6 months | ||||||||||||
Period 1
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Period 1 title |
overall trial (overall period)
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Is this the baseline period? |
Yes | ||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||
Arms
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Arm title
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Raltegravir | ||||||||||||
Arm description |
Patients will be offered to switch their protease inhibitor containing regimen to a raltegravir (400mg twice daily, orally) based regimen while maintaining the same background therapy. Patients will be assessed at baseline, after 4, 12 and 24 weeks. | ||||||||||||
Arm type |
Experimental | ||||||||||||
Investigational medicinal product name |
Raltegravir
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Investigational medicinal product code |
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Other name |
ISENTRESS®
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
400mg twice daily
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Baseline characteristics reporting groups
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Reporting group title |
overall trial
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Reporting group description |
- | ||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Raltegravir
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Reporting group description |
Patients will be offered to switch their protease inhibitor containing regimen to a raltegravir (400mg twice daily, orally) based regimen while maintaining the same background therapy. Patients will be assessed at baseline, after 4, 12 and 24 weeks. |
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End point title |
LDL cholesterol reduction [1] | ||||||
End point description |
A reduction of > 5% in the plasma concentration of direct LDL cholesterol from baseline to week 12 or > 10% reduction of total cholesterol or reduction of lipid lowering agents is expected. Reduction of lipid lowering agents is defined as reduction due to amelioration of lipid profiles and does not include reduction due to side effects or other toxicity issues.
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End point type |
Primary
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End point timeframe |
12 weeks
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses is provided as this is an one arm, open label, non-comparative study. In summary, 10 out of 11 patients = 90.9% (95%CI 58.7% - 99.8%) reached the study goal to reduce their cholesterol levels. The null hypothesis of 35% can be rejected (p=0.0001). |
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No statistical analyses for this end point |
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End point title |
changes from baseline in total cholesterol | ||||||||||||
End point description |
To assess changes and from baseline in total cholesterol
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End point type |
Secondary
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End point timeframe |
24 weeks
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No statistical analyses for this end point |
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End point title |
changes from baseline in triglycerides | ||||||||||||
End point description |
To assess changes from baseline in triglycerides at endpoint
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End point type |
Secondary
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End point timeframe |
24 weeks
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No statistical analyses for this end point |
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End point title |
changes from baseline HDL cholesterol | ||||||||||||
End point description |
To assess changes from baseline in HDL cholesterol at endpoint
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End point type |
Secondary
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End point timeframe |
24 weeks
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
All (serious) adverse events occurring during study treatment were collected until 28 days after the end of study treatment.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
17.0
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Reporting groups
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Reporting group title |
All patients
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |