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    Clinical Trial Results:
    A Study to Assess the Acceptability of the Darunavir/Cobicistat (DRV/COBI) Fixed-dose Combination (FDC) Tablet in Human Immunodeficiency Virus (HIV)-1 Infected Children Aged >=3 Years and Weighing >=15 kg to <25 kg

    Summary
    EudraCT number
    2021-000738-32
    Trial protocol
    ES   Outside EU/EEA  
    Global end of trial date
    23 Sep 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    07 Apr 2023
    First version publication date
    07 Apr 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    TMC114FD1HTX1001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Janssen-Cilag International N.V.
    Sponsor organisation address
    Turnhoutseweg 30, Beerse, Belgium, B-2340
    Public contact
    Clinical Registry Group, Janssen-Cilag International N.V., ClinicalTrialsEU@its.jnj.com
    Scientific contact
    Clinical Registry Group, Janssen-Cilag International N.V., ClinicalTrialsEU@its.jnj.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001280-PIP01-12
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    23 Sep 2022
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    23 Sep 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Main objective of the trial was to assess, as part of the acceptability, the ability to swallow a single dose of the 600/90 milligrams (mg) DRV/COBI FDC tablet dispersed in water.
    Protection of trial subjects
    This study was conducted in accordance with the ethical principles that have their origin in the Declaration of Helsinki and that are consistent with Good Clinical Practices and applicable regulatory requirements.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 Aug 2022
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 5
    Country: Number of subjects enrolled
    United States: 3
    Country: Number of subjects enrolled
    South Africa: 4
    Worldwide total number of subjects
    12
    EEA total number of subjects
    5
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    12
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 12 HIV-1 infected children subjects were enrolled and treated in the study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    DRV/COBI FDC 600/90mg
    Arm description
    HIV-infected subjects received a single dose of the DRV 600 mg and COBI 90 mg in a FDC tablet formulation dispersed in water once orally on Day 1.
    Arm type
    Experimental

    Investigational medicinal product name
    Cobicistat
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects were administered with single fixed dose of Cobicistat (COBI) 90 mg dispersed in water on Day 1.

    Investigational medicinal product name
    Darunavir
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects were administered with single fixed dose of Darunavir (DRV) 600 mg dispersed in water on Day 1.

    Number of subjects in period 1
    DRV/COBI FDC 600/90mg
    Started
    12
    Completed
    12

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    DRV/COBI FDC 600/90mg
    Reporting group description
    HIV-infected subjects received a single dose of the DRV 600 mg and COBI 90 mg in a FDC tablet formulation dispersed in water once orally on Day 1.

    Reporting group values
    DRV/COBI FDC 600/90mg Total
    Number of subjects
    12 12
    Title for AgeCategorical
    Units: subjects
        Children (2-11 years)
    12 12
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    0 0
        From 65 to 84 years
    0 0
        85 years and over
    0 0
    Title for AgeContinuous
    Units: years
        median (full range (min-max))
    5 (4 to 8) -
    Title for Gender
    Units: subjects
        Female
    9 9
        Male
    3 3

    End points

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    End points reporting groups
    Reporting group title
    DRV/COBI FDC 600/90mg
    Reporting group description
    HIV-infected subjects received a single dose of the DRV 600 mg and COBI 90 mg in a FDC tablet formulation dispersed in water once orally on Day 1.

    Primary: Percentage of Subjects With Ability to Swallow the Darunavir/Cobicistat (DRV/COBI) Fixed Dosed Combination (FDC) Tablet Dispersed in Water as Reported by Observer

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    End point title
    Percentage of Subjects With Ability to Swallow the Darunavir/Cobicistat (DRV/COBI) Fixed Dosed Combination (FDC) Tablet Dispersed in Water as Reported by Observer [1]
    End point description
    Percentage of subjects with ability to swallow the DRV/COBI FDC tablet dispersed in water as reported by observer were reported. The subject's observer was given an acceptability questionnaire to assess about how the subject had taken the tablet dispersed in water and were asked to respond on the responses “fully”, “partially” and “not at all”. Only the category in which at least 1 subject had data were reported. Intent to treat (ITT) population included all subjects who were enrolled and received at least partial study intervention.
    End point type
    Primary
    End point timeframe
    Day 1
    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 formal hypothesis testing was planned in this study. The statistical analysis was based upon descriptive statistics.
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
        number (confidence interval 95%)
    100 (75.75 to 100)
    No statistical analyses for this end point

    Secondary: Ease of Swallowing of Tablet Dispersed in Water Reported by Subject

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    End point title
    Ease of Swallowing of Tablet Dispersed in Water Reported by Subject
    End point description
    An acceptability questionnaire was used to assess the ease of swallowing of tablet dispersed in water by the subject. Subjects were asked to indicate how difficult/easy it was to swallow the tablet dispersed in water on a 5-point hedonic scale: very difficult, difficult, Ok, easy, very easy. Only the category in which at least 1 subject had data were reported. Percentage of subjects with ease of swallowing of tablet dispersed in water were reported. ITT population included all subjects who were enrolled and received at least partial study intervention.
    End point type
    Secondary
    End point timeframe
    Day 1
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
    number (not applicable)
        Difficult
    16.7
        Okay
    8.3
        Easy
    16.7
        Very Easy
    58.3
    No statistical analyses for this end point

    Secondary: Ease of Swallowing of Tablet Dispersed in Water by the Subject as Reported by the Caregiver

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    End point title
    Ease of Swallowing of Tablet Dispersed in Water by the Subject as Reported by the Caregiver
    End point description
    An acceptability questionnaire was used to assess the ease of swallowing of tablet dispersed in water by the caregiver on the basis of reaction/ facial expression of children. Caregiver were asked to indicate how difficult/easy it was for the subjects to swallow the tablet dispersed in water on a 5-point hedonic scale: very difficult, difficult, Ok, easy, very easy. Only the category in which at least 1 subject had data were reported. Percentage of subjects with ease of swallowing of tablet dispersed in water were reported. ITT population included all subjects who were enrolled and received at least partial study intervention
    End point type
    Secondary
    End point timeframe
    Day 1
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
    number (not applicable)
        Very Difficult
    8.3
        Difficult
    8.3
        Okay
    16.7
        Easy
    16.7
        Very Easy
    50.0
    No statistical analyses for this end point

    Secondary: Palatability of the Tablet Dispersed in Water Reported by the Subject

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    End point title
    Palatability of the Tablet Dispersed in Water Reported by the Subject
    End point description
    An acceptability questionnaire was given to subject to assess palatability of tablet dispersed in water. Subjects were asked to respond on how much they like the taste of the tablet dispersed in water on a 5-point hedonic scale: disliked very much, disliked a little, not sure, liked a little, liked a lot. Only categories with at least 1 subject are reported. ITT population included all subjects who were enrolled and received at least partial study intervention.
    End point type
    Secondary
    End point timeframe
    Day 1
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
    number (not applicable)
        Disliked very much
    33.3
        Liked a little
    33.3
        Liked a lot
    33.3
    No statistical analyses for this end point

    Secondary: Palatability of the Tablet Dispersed in Water by the Subject as Reported by the Caregiver

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    End point title
    Palatability of the Tablet Dispersed in Water by the Subject as Reported by the Caregiver
    End point description
    An acceptability questionnaire was given to caregiver to assess palatability of tablet dispersed in water based on reaction/ facial expression of the subject. Subjects were asked to respond on how much they like the taste of the tablet dispersed in water on a 5-point hedonic scale: disliked very much, disliked a little, not sure, liked a little, liked a lot. ITT population included all subjects who were enrolled and received at least partial study intervention.
    End point type
    Secondary
    End point timeframe
    Day 1
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
    number (not applicable)
        Disliked very much
    41.7
        Disliked a little
    8.3
        Not sure
    8.3
        Liked a little
    25.0
        Liked a lot
    16.7
    No statistical analyses for this end point

    Secondary: Ease of Dispersion of the Tablet in Water as Reported by the Caregiver

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    End point title
    Ease of Dispersion of the Tablet in Water as Reported by the Caregiver
    End point description
    Ease of dispersion of the tablet in water was reported by the caregiver. An acceptability questionnaire was given to the caregiver to assess how easy it was to disperse the tablet on a 5-point hedonic scale: very difficult, difficult, Ok, easy, very easy. Only categories with at least 1 subject are reported. ITT population included all subjects who were enrolled and received at least partial study intervention.
    End point type
    Secondary
    End point timeframe
    Day 1
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
    number (not applicable)
        Difficult
    16.7
        Ok
    33.3
        Easy
    16.7
        Very Easy
    33.3
    No statistical analyses for this end point

    Secondary: Acceptability of Taking the Tablet Dispersed in Water Everyday Reported by Subject

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    End point title
    Acceptability of Taking the Tablet Dispersed in Water Everyday Reported by Subject
    End point description
    Acceptability of taking the tablet dispersed in water everyday by subject was reported. An acceptability questionnaire was given to subject to assess the acceptability of tablet dispersed in water. Subjects were asked to indicate how difficult/easy it was to take the tablet every day on a 5-point hedonic scale: disliked very much, disliked a little, not sure, liked a little, liked a lot. ITT population included all subjects who were enrolled and received at least partial study intervention.
    End point type
    Secondary
    End point timeframe
    Day 1
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
    number (not applicable)
        Disliked very much
    8.3
        Disliked a little
    16.7
        Not sure
    8.3
        Liked a little
    16.7
        Liked a Lot
    41.7
    No statistical analyses for this end point

    Secondary: Acceptability of Taking the Tablet Dispersed in Water Everyday by the Subject as Reported by the Caregiver

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    End point title
    Acceptability of Taking the Tablet Dispersed in Water Everyday by the Subject as Reported by the Caregiver
    End point description
    Acceptability of taking the tablet dispersed in water by the subject everyday was reported by the caregiver on the basis of reaction/ facial expression of children. An acceptability questionnaire was given to caregiver to assess how easy it was to give the tablet dispersed in water to child every day via a 5-point hedonic scale: very difficult, difficult, Ok, easy, very easy. Only categories with at least 1 subject are reported. ITT population included all subjects who were enrolled and received at least partial study intervention. Here N (number of subjects analysed) signifies subjects evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Day 1
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    11
    Units: Percentage of subject
    number (not applicable)
        Very difficult
    8.3
        Okay
    50.0
        Very easy
    41.7
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)

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    End point title
    Percentage of Subjects With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)
    End point description
    An adverse event (AE) was any untoward medical occurrence in a clinical investigation where subjects administered a product or medical device; the event needed not necessarily have a causal relationship with the treatment or usage. TEAEs were events between first dose of study and until 11 days after the last dose of study medication. An SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or resulted in congenital anomaly/birth defect. ITT population included all subjects who were enrolled and received at least partial study intervention.
    End point type
    Secondary
    End point timeframe
    Up to Day 11
    End point values
    DRV/COBI FDC 600/90mg
    Number of subjects analysed
    12
    Units: Percentage of subjects
    number (not applicable)
        TEAE
    0
        TESAE
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Up to 32 days
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.1
    Reporting groups
    Reporting group title
    DRV/COBI FDC
    Reporting group description
    Subjects received DRV 600 mg and COBI 150 mg in a FDC tablet formulation dispersed in water once orally on Day 1.

    Serious adverse events
    DRV/COBI FDC
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    DRV/COBI FDC
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: No subject experienced non-serious adverse event during the trial.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
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