Study Comparing Lopinavir/Ritonavir (LPV/r) + Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) With a Nucleoside Sparing Regimen Consisting of Lopinavir/Ritonavir + Raltegravir (RAL) (PROGRESS)
This study has been completed.
Sponsor:
Abbott
Collaborator:
Merck
Information provided by (Responsible Party):
Abbott
ClinicalTrials.gov Identifier:
NCT00711009
First received: July 3, 2008
Last updated: February 13, 2012
Last verified: February 2012
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Results First Received: November 16, 2010
| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Condition: |
Human Immunodeficiency Virus Infection |
| Interventions: |
Drug: lopinavir/ritonavir (LPV/r) Drug: emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) Drug: raltegravir (RAL) |
Participant Flow
Recruitment Details
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| No text entered. |
Pre-Assignment Details
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| 3 additional participants were randomized but did not receive study drug and therefore were not included in the analyses. |
Reporting Groups
| Description | |
|---|---|
| LPV/r + FTC/TDF | lopinavir/ritonavir 400/100 mg tablet twice-daily + co-formulated emtricitabine/tenofovir disoproxil fumarate 200/300 mg once-daily |
| LPV/r + RAL | lopinavir/ritonavir 400/100 mg tablet twice-daily + raltegravir 400 mg twice-daily |
Participant Flow: Overall Study
| LPV/r + FTC/TDF | LPV/r + RAL | |
|---|---|---|
| STARTED | 105 | 101 |
| COMPLETED | 90 | 82 |
| NOT COMPLETED | 15 | 19 |
| Adverse Event/HIV-Related Event | 4 | 5 |
| Withdrawal by Subject | 4 | 2 |
| Lost to Follow-up | 3 | 9 |
| Participant Noncompliant | 0 | 1 |
| Virologic Failure | 2 | 1 |
| Pregnancy | 1 | 0 |
| Site closing | 0 | 1 |
| Dose adjustment | 1 | 0 |
Baseline Characteristics
Reporting Groups
| Description | |
|---|---|
| LPV/r + FTC/TDF | lopinavir/ritonavir 400/100 mg tablet twice-daily + co-formulated emtricitabine/tenofovir disoproxil fumarate 200/300 mg once-daily |
| LPV/r + RAL | lopinavir/ritonavir 400/100 mg tablet twice-daily + raltegravir 400 mg twice-daily |
| Total | Total of all reporting groups |
Baseline Measures
| LPV/r + FTC/TDF | LPV/r + RAL | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
105 | 101 | 206 |
|
Age
[units: years] Mean ± Standard Deviation |
39.4 ± 11.24 | 39.8 ± 9.94 | 39.6 ± 10.60 |
|
Gender
[units: participants] |
|||
| Female | 19 | 13 | 32 |
| Male | 86 | 88 | 174 |
|
Race/Ethnicity, Customized
[units: participants] |
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| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 3 | 4 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 22 | 22 | 44 |
| White | 81 | 74 | 155 |
| More than one race | 0 | 1 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Other | 1 | 1 | 2 |
|
Region of Enrollment
[units: participants] |
|||
| North America | 61 | 59 | 120 |
| Europe | 44 | 42 | 86 |
|
Plasma Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) Level
[units: log10 copies/milliliter] Mean ± Standard Deviation |
4.3 ± 0.76 | 4.2 ± 0.83 | 4.2 ± 0.79 |
|
CD4+ T-Cell Counts
[units: cells/microliter] Mean ± Standard Deviation |
297.6 ± 166.66 | 289.3 ± 149.03 | 293.5 ± 157.93 |
Outcome Measures
| 1. Primary: | Percentage of Participants Responding (Plasma HIV-1 Ribonucleic Acid [RNA] Levels Less Than 40 Copies/Milliliter [mL]) at Week 48 Based on the Food and Drug Administration (FDA) Time to Loss of Virologic Response (TLOVR) Algorithm [ Time Frame: Baseline to Week 48 ] |
| 2. Primary: | Percentage of Participants With Moderate or Severe Treatment-emergent, Drug-related Adverse Events [ Time Frame: Week 96 ] |
| 3. Primary: | Primary Outcome: Percentage of Participants With Potentially Clinically Significant Laboratory Values [ Time Frame: Baseline to Week 96 ] |
| 4. Secondary: | Percentage of Participants Responding (Plasma HIV-1 RNA Levels Below 40 Copies/Milliliter [mL]) at Each Visit Based on the FDA Time to Loss of Virologic Response (TLOVR) Algorithm [ Time Frame: Baseline to Week 96 ] |
| 5. Secondary: | Mean Change in CD4+ T-Cell Counts From Baseline to Each Visit [ Time Frame: Baseline to Week 96 ] |
| 6. Secondary: | Time to Loss of Virologic Response - Percentage of Participants Still Categorized as Responders at Day 672 [ Time Frame: Baseline to Week 96 ] |
| 7. Secondary: | Number of Participants Who Developed Resistance to Each Drug in the Study Regimen, as Defined by the International AIDS Society-USA (IAS-USA) Panel. [ Time Frame: Baseline to Week 96 ] |
| 8. Secondary: | Number of Participants Who Developed Resistance, Defined Conservatively, to Lopinavir [ Time Frame: Baseline to Week 96 ] |
| 9. Secondary: | Change From Baseline on Physical Component Score of the Medical Outcomes Study HIV Health Survey [ Time Frame: Baseline to Week 96 ] |
| 10. Secondary: | Change From Baseline on Mental Component of Medical Outcomes Study HIV Health Survey [ Time Frame: Baseline to Week 96 ] |
| 11. Secondary: | Score on Effectiveness Scale of Treatment Satisfaction Questionnaire for Medication (TSQM) [ Time Frame: Week 96 ] |
| 12. Secondary: | Score on Side Effects Scale of Treatment Satisfaction Questionnaire for Medication [ Time Frame: Week 96 ] |
| 13. Secondary: | Score on Global Satisfaction Scale of Treatment Satisfaction Questionnaire for Medication [ Time Frame: Week 96 ] |
| 14. Secondary: | Mean Change From Baseline in Hemoglobin (Grams/Liter) [ Time Frame: Baseline to Week 96 ] |
| 15. Secondary: | Mean Change From Baseline in Hematocrit (Fraction) [ Time Frame: Baseline to Week 96 ] |
| 16. Secondary: | Mean Change From Baseline in Red Blood Cell Count (x 10^12/Liter) [ Time Frame: Baseline to Week 96 ] |
| 17. Secondary: | Mean Change From Baseline in Platelet Count (x 10^9/Liter) [ Time Frame: Baseline to Week 96 ] |
| 18. Secondary: | Mean Change From Baseline in White Blood Cell Count (x 10^9/Liter) [ Time Frame: Baseline to Week 96 ] |
| 19. Secondary: | Mean Change From Baseline in Neutrophils (x 10^9/Liter) [ Time Frame: Baseline to Week 96 ] |
| 20. Secondary: | Mean Change From Baseline in Lymphocytes (x 10^9/Liter) [ Time Frame: Baseline to Week 96 ] |
| 21. Secondary: | Mean Change From Baseline in Monocytes (x 10^9/Liter) [ Time Frame: Baseline to Week 96 ] |
| 22. Secondary: | Mean Change From Baseline in Eosinophils (x 10^9/Liter) [ Time Frame: Baseline to Week 96 ] |
| 23. Secondary: | Mean Change From Baseline in Basophils (x 10^9/Liter) [ Time Frame: Baseline to Week 96 ] |
| 24. Secondary: | Mean Change From Baseline in Alanine Aminotransferase (Units/Liter) [ Time Frame: Baseline to Week 96 ] |
| 25. Secondary: | Mean Change From Baseline in Aspartate Aminotransferase (Units/Liter) [ Time Frame: Baseline to Week 96 ] |
| 26. Secondary: | Mean Change From Baseline in Alkaline Phosphatase (Units/Liter) [ Time Frame: Baseline to Week 96 ] |
| 27. Secondary: | Mean Change From Baseline in Creatine Phosphokinase (Units/Liter) [ Time Frame: Baseline to Week 96 ] |
| 28. Secondary: | Mean Change From Baseline in Total Bilirubin (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 29. Secondary: | Mean Change From Baseline in Creatinine (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 30. Secondary: | Mean Change From Baseline in Blood Urea Nitrogen (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 31. Secondary: | Mean Change From Baseline in Uric Acid (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 32. Secondary: | Mean Change From Baseline in Inorganic Phosphate (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 33. Secondary: | Mean Change From Baseline in Calcium (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 34. Secondary: | Mean Change From Baseline in Sodium (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 35. Secondary: | Mean Change From Baseline in Potassium (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 36. Secondary: | Mean Change From Baseline in Chloride (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 37. Secondary: | Mean Change From Baseline in Bicarbonate (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 38. Secondary: | Mean Change From Baseline in Albumin (Grams/Liter) [ Time Frame: Baseline to Week 96 ] |
| 39. Secondary: | Mean Change From Baseline in Total Protein (Grams/Liter) [ Time Frame: Baseline to Week 96 ] |
| 40. Secondary: | Mean Change From Baseline in Cholesterol (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 41. Secondary: | Mean Change From Baseline in High Density Lipoprotein Cholesterol (HDL) (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 42. Secondary: | Mean Change From Baseline in Low Density Lipoprotein (LDL) (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 43. Secondary: | Mean Change From Baseline in Low Density Lipoprotein (LDL): High Density Lipoprotein (HDL) Ratio (Ratio) [ Time Frame: Baseline to Week 96 ] |
| 44. Secondary: | Mean Change From Baseline in Triglycerides (Micromoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 45. Secondary: | Mean Change From Baseline in Calculated Creatinine Clearance (Milliliters/Second) [ Time Frame: Baseline to Week 96 ] |
| 46. Secondary: | Mean Change From Baseline in Fasting Glucose (Millimoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 47. Secondary: | Mean Change From Baseline in Lactate Dehydrogenase (Units/Liter) [ Time Frame: Baseline to Week 96 ] |
| 48. Secondary: | Mean Change From Baseline in Lipase (Units/Liter) [ Time Frame: Baseline to Week 96 ] |
| 49. Secondary: | Mean Change From Baseline in Magnesium (Millimoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 50. Secondary: | Mean Change From Baseline in Adiponectin (Micrograms/Milliliter) [ Time Frame: Baseline to Week 96 ] |
| 51. Secondary: | Mean Change From Baseline in Interleukin-6 (Nanograms/Liter) [ Time Frame: Baseline to Week 96 ] |
| 52. Secondary: | Mean Change From Baseline in Lactate (Millimoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 53. Secondary: | Mean Change From Baseline in Soluble Tumor Necrosis Factor Receptor-1 (Picograms/Milliliter) [ Time Frame: Baseline to Week 96 ] |
| 54. Secondary: | Mean Change From Baseline in Soluble Tumor Necrosis Factor Receptor-2 (Picograms/Milliliter) [ Time Frame: Baseline to Week 96 ] |
| 55. Secondary: | Mean Change From Baseline in Leptin (Nanograms/Milliliter) [ Time Frame: Baseline to Week 96 ] |
| 56. Secondary: | Mean Change From Baseline in Insulin (Picomoles/Liter) [ Time Frame: Baseline to Week 96 ] |
| 57. Secondary: | Mean Change From Baseline in Urine Specific Gravity [ Time Frame: Baseline to Week 96 ] |
| 58. Secondary: | Mean Change From Baseline in Urine pH [ Time Frame: Baseline to Week 96 ] |
| 59. Secondary: | Mean Change From Baseline in Sitting Systolic Blood Pressure (mm Hg) [ Time Frame: Baseline to Week 96 ] |
| 60. Secondary: | Mean Change From Baseline in Sitting Diastolic Blood Pressure (mm Hg) [ Time Frame: Baseline to Week 96 ] |
| 61. Secondary: | Mean Change From Baseline in Sitting Heart Rate (Beats Per Minute) [ Time Frame: Baseline to Week 96 ] |
| 62. Secondary: | Mean Change From Baseline in Weight (kg) [ Time Frame: Baseline to Week 96 ] |
| 63. Secondary: | Mean Change From Baseline in Temperature (°F) [ Time Frame: Baseline to Week 96 ] |
| 64. Secondary: | Mean Change From Baseline in Chest Measurement (cm) [ Time Frame: Baseline to Week 96 ] |
| 65. Secondary: | Mean Change From Baseline in Waist Measurement (cm) [ Time Frame: Baseline to Week 96 ] |
| 66. Secondary: | Mean Change From Baseline in Mid-Arm Measurement (cm) [ Time Frame: Baseline to Week 96 ] |
| 67. Secondary: | Mean Change From Baseline in Hips Measurement (cm) [ Time Frame: Baseline to Week 96 ] |
| 68. Secondary: | Mean Change From Baseline in Mid-Thigh Measurement (cm) [ Time Frame: Baseline to Week 96 ] |
| 69. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Upper Extremity Fat (Grams) [ Time Frame: Baseline to Week 96 ] |
| 70. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Upper Extremity Lean Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 71. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Upper Extremity Total Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 72. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Lower Extremity Fat (Grams) [ Time Frame: Baseline to Week 96 ] |
| 73. Secondary: | Mean Change From Baseline in DEXA Scan of Lower Extremity Lean Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 74. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Lower Extremity Total Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 75. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Trunk Fat (Grams) [ Time Frame: Baseline to Week 96 ] |
| 76. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Trunk Lean Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 77. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Trunk Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 78. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Total Body Fat (Grams) [ Time Frame: Baseline to Week 96 ] |
| 79. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Total Body Lean Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 80. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Total Body Mass (Grams) [ Time Frame: Baseline to Week 96 ] |
| 81. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Bone Mineral Content (Grams) [ Time Frame: Baseline to Week 96 ] |
| 82. Secondary: | Mean Change From Baseline in Dual Energy X-ray Absorptiometry (DEXA) Scan of Bone Mineral Density (Grams/cm^2) [ Time Frame: Baseline to Week 96 ] |
Serious Adverse Events
Other Adverse Events
| Time Frame | Week 96 |
|---|---|
| Additional Description | Treatment-emergent adverse events were defined as those occurring after study drug initiation and within 30 days after the last dose of study drug. |
Frequency Threshold
| Threshold above which other adverse events are reported | 5% |
|---|
Reporting Groups
| Description | |
|---|---|
| LPV/r + FTC/TDF | lopinavir/ritonavir 400/100 mg tablet twice-daily + co-formulated emtricitabine/tenofovir disoproxil fumarate 200/300 mg once-daily |
| LPV/r + RAL | lopinavir/ritonavir 400/100 mg tablet twice-daily + raltegravir 400 mg twice-daily |
Other Adverse Events
| LPV/r + FTC/TDF | LPV/r + RAL | |
|---|---|---|
| Total, other (not including serious) adverse events | ||
| # participants affected / at risk | 96/105 | 94/101 |
| Ear and labyrinth disorders | ||
| Vertigo 1 | ||
| # participants affected / at risk | 3/105 (2.86%) | 6/101 (5.94%) |
| Gastrointestinal disorders | ||
| Abdominal pain 1 | ||
| # participants affected / at risk | 10/105 (9.52%) | 4/101 (3.96%) |
| Diarrhoea 1 | ||
| # participants affected / at risk | 64/105 (60.95%) | 62/101 (61.39%) |
| Dyspepsia 1 | ||
| # participants affected / at risk | 4/105 (3.81%) | 6/101 (5.94%) |
| Flatulence 1 | ||
| # participants affected / at risk | 9/105 (8.57%) | 11/101 (10.89%) |
| Nausea 1 | ||
| # participants affected / at risk | 20/105 (19.05%) | 13/101 (12.87%) |
| Vomiting 1 | ||
| # participants affected / at risk | 13/105 (12.38%) | 8/101 (7.92%) |
| General disorders | ||
| Asthenia 1 | ||
| # participants affected / at risk | 8/105 (7.62%) | 8/101 (7.92%) |
| Fatigue 1 | ||
| # participants affected / at risk | 7/105 (6.67%) | 4/101 (3.96%) |
| Pyrexia 1 | ||
| # participants affected / at risk | 9/105 (8.57%) | 6/101 (5.94%) |
| Infections and infestations | ||
| Anogenital warts 1 | ||
| # participants affected / at risk | 7/105 (6.67%) | 4/101 (3.96%) |
| Bronchitis 1 | ||
| # participants affected / at risk | 11/105 (10.48%) | 6/101 (5.94%) |
| Folliculitis 1 | ||
| # participants affected / at risk | 1/105 (0.95%) | 7/101 (6.93%) |
| Gastroenteritis 1 | ||
| # participants affected / at risk | 6/105 (5.71%) | 5/101 (4.95%) |
| Influenza 1 | ||
| # participants affected / at risk | 4/105 (3.81%) | 8/101 (7.92%) |
| Nasopharyngitis 1 | ||
| # participants affected / at risk | 15/105 (14.29%) | 11/101 (10.89%) |
| Pharyngitis 1 | ||
| # participants affected / at risk | 4/105 (3.81%) | 6/101 (5.94%) |
| Sinusitis 1 | ||
| # participants affected / at risk | 8/105 (7.62%) | 6/101 (5.94%) |
| Syphilis 1 | ||
| # participants affected / at risk | 5/105 (4.76%) | 6/101 (5.94%) |
| Upper respiratory tract infection 1 | ||
| # participants affected / at risk | 10/105 (9.52%) | 14/101 (13.86%) |
| Urinary tract infection 1 | ||
| # participants affected / at risk | 8/105 (7.62%) | 3/101 (2.97%) |
| Metabolism and nutrition disorders | ||
| Hypercholesterolaemia 1 | ||
| # participants affected / at risk | 10/105 (9.52%) | 15/101 (14.85%) |
| Hypertriglyceridaemia 1 | ||
| # participants affected / at risk | 6/105 (5.71%) | 16/101 (15.84%) |
| Musculoskeletal and connective tissue disorders | ||
| Arthralgia 1 | ||
| # participants affected / at risk | 8/105 (7.62%) | 8/101 (7.92%) |
| Back pain 1 | ||
| # participants affected / at risk | 9/105 (8.57%) | 6/101 (5.94%) |
| Nervous system disorders | ||
| Dizziness 1 | ||
| # participants affected / at risk | 7/105 (6.67%) | 4/101 (3.96%) |
| Headache 1 | ||
| # participants affected / at risk | 18/105 (17.14%) | 13/101 (12.87%) |
| Psychiatric disorders | ||
| Depression 1 | ||
| # participants affected / at risk | 11/105 (10.48%) | 10/101 (9.90%) |
| Insomnia 1 | ||
| # participants affected / at risk | 10/105 (9.52%) | 9/101 (8.91%) |
| Respiratory, thoracic and mediastinal disorders | ||
| Cough 1 | ||
| # participants affected / at risk | 10/105 (9.52%) | 10/101 (9.90%) |
| Oropharyngeal pain 1 | ||
| # participants affected / at risk | 10/105 (9.52%) | 6/101 (5.94%) |
| Rhinorrhoea 1 | ||
| # participants affected / at risk | 6/105 (5.71%) | 4/101 (3.96%) |
| Sinus congestion 1 | ||
| # participants affected / at risk | 6/105 (5.71%) | 4/101 (3.96%) |
| Skin and subcutaneous tissue disorders | ||
| Rash 1 | ||
| # participants affected / at risk | 4/105 (3.81%) | 7/101 (6.93%) |
| Vascular disorders | ||
| Hypertension 1 | ||
| # participants affected / at risk | 6/105 (5.71%) | 6/101 (5.94%) |
| 1 | Term from vocabulary, MedDRA 12.1 |
|---|
More Information
Certain Agreements:
Limitations and Caveats
Results Point of Contact:
No publications provided by Abbott
Publications automatically indexed to this study:
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
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 |
|---|
| No text entered. |
Results Point of Contact:
Name/Title: Global Medical Services
Organization: Abbott
phone: 800-633-9110
Organization: Abbott
phone: 800-633-9110
No publications provided by Abbott
Publications automatically indexed to this study:
| Responsible Party: | Abbott |
| ClinicalTrials.gov Identifier: | NCT00711009 History of Changes |
| Other Study ID Numbers: | M10-336, 2008-000881-22 |
| Study First Received: | July 3, 2008 |
| Results First Received: | November 16, 2010 |
| Last Updated: | February 13, 2012 |
| Health Authority: | United States: Food and Drug Administration Canada: Health Canada Italy: The Italian Medicines Agency Poland: The Central Register of Clinical Trials Spain: Ministry of Health France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |