Non-interventional Observational Study With Viramune (Nevirapine) and Various Drug Combinations in the Antiretroviral Combination Treatment of HIV-infected Patients Who Have Already Been Treated for Approx. 10 Years With Viramune

This study has been completed.
Sponsor:
Information provided by:
Boehringer Ingelheim
ClinicalTrials.gov Identifier:
NCT00979420
First received: September 16, 2009
Last updated: June 27, 2014
Last verified: June 2014
Results First Received: May 30, 2012  
Study Type: Observational
Study Design: Time Perspective: Retrospective
Condition: HIV Infections

  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
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Treatment-naive Patients Patient was not treated with any antiretroviral drugs (ARV) before start of therapy with Viramune
Pre-treated Patients With Baseline HIV RNA <50 Copies/ml HIV RNA denotes Human immunodeficiency virus (HIV) Ribonucleic acid (RNA). Baseline reflects the last available documentation before start of treatment with Viramune
Pre-treated Patients With Baseline HIV RNA>=50 Copies/ml Baseline reflects the last available documentation before start of treatment with Viramune
Pre-treated Patients With Baseline HIV RNA Not Documented Baseline reflects the last available documentation before start of treatment with Viramune

Participant Flow:   Overall Study
    Treatment-naive Patients     Pre-treated Patients With Baseline HIV RNA <50 Copies/ml     Pre-treated Patients With Baseline HIV RNA>=50 Copies/ml     Pre-treated Patients With Baseline HIV RNA Not Documented  
STARTED     178     57     60     61  
COMPLETED     171     57     59     59  
NOT COMPLETED     7     0     1     2  
Adverse Event                 1                 0                 0                 0  
Lack of Efficacy                 3                 0                 1                 1  
Other reasons not related to Viramune                 3                 0                 0                 1  



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated set - all patients receiving at least one dose of study medication

Reporting Groups
  Description
Treatment-naive Patients Patient was not treated with any antiretroviral drugs (ARV) before start of therapy with Viramune
Pre-treated Patients With Baseline HIV RNA<50 Copies/ml Baseline reflects the last available documentation before start of treatment with Viramune
Pre-treated Patients With Baseline HIV RNA>=50 Copies/ml Baseline reflects the last available documentation before start of treatment with Viramune
Pre-treated Patients With Baseline HIV RNA Not Documented Baseline reflects the last available documentation before start of treatment with Viramune
Total Total of all reporting groups

Baseline Measures
    Treatment-naive Patients     Pre-treated Patients With Baseline HIV RNA<50 Copies/ml     Pre-treated Patients With Baseline HIV RNA>=50 Copies/ml     Pre-treated Patients With Baseline HIV RNA Not Documented     Total  
Number of Participants  
[units: participants]
  178     57     60     61     356  
Age  
[units: Years]
Mean ± Standard Deviation
  50.85  ± 10.54     54.21  ± 10.42     51.02  ± 7.66     53.69  ± 11.05     51.91  ± 10.24  
Gender, Customized  
[units: Participants]
         
Male     142     44     41     51     278  
Female     36     13     19     9     77  
Missing     0     0     0     1     1  



  Outcome Measures
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1.  Primary:   Change in log10 Viral Load From Baseline to Last Visit   [ Time Frame: Baseline and last available visit. Duration of intake of Viramune ranges from 14 to 185 months. ]

2.  Primary:   Number of Participants With Viral Load <50 Copies/ml and >=50 Copies/ml at Last Visit   [ Time Frame: Last available visit. Duration of intake of Viramune ranges from 14 to 185 months. ]

3.  Primary:   Change in Absolute CD4 Lymphocytes (CD4+) Cells From Baseline to Last Visit   [ Time Frame: Baseline and last available visit. Duration of intake of Viramune ranges from 14 to 185 months. ]

4.  Primary:   Change in log10 Viral Load From Baseline to Last Visit   [ Time Frame: Baseline and last available visit. Duration of intake of Viramune ranges from 14 to 185 months. ]

5.  Primary:   Number of Participants With Viral Load <50 Copies/ml and >=50 Copies/ml at Last Visit   [ Time Frame: Last available visit. Duration of intake of Viramune ranges from 14 to 185 months. ]

6.  Primary:   Change in Absolute CD4 Lymphocytes (CD4+ Cells) From Baseline to Last Visit   [ Time Frame: Baseline and last available visit. Duration of intake of Viramune ranges from 14 to 185 months. ]

7.  Secondary:   Number of Patients With Laboratory Abnormalities for Cholesterol During Study (Worst Grade) by Division of AIDS (DAIDS) Grade   [ Time Frame: Up to 185 months ]

8.  Secondary:   Number of Patients With Laboratory Abnormalities for Low-density Lipoprotein (LDL) Cholesterol During Study (Worst Grade) by DAIDS Grade   [ Time Frame: Up to 185 months ]

9.  Secondary:   Number of Patients With Laboratory Abnormalities for Triglycerides During Study (Worst Grade) by DAIDS Grade   [ Time Frame: Up to 185 months ]

10.  Secondary:   Number of Patients With Laboratory Abnormalities for Blood Glucose During Study (Worst Grade) by DAIDS Grade   [ Time Frame: Up to 185 months ]

11.  Secondary:   Number of Patients With Laboratory Abnormalities for Alanine Aminotransferase (ALT) During Study (Worst Grade) by DAIDS Grade   [ Time Frame: Up to 185 months ]

12.  Secondary:   Number of Patients With Laboratory Abnormalities for Aspartate Aminotransferase (AST) During Study (Worst Grade) by DAIDS Grade   [ Time Frame: Up to 185 months ]

13.  Secondary:   Number of Patients With Laboratory Abnormalities for Creatinine During Study (Worst Grade) by DAIDS Grade   [ Time Frame: Up to 185 months ]
  Hide Outcome Measure 13

Measure Type Secondary
Measure Title Number of Patients With Laboratory Abnormalities for Creatinine During Study (Worst Grade) by DAIDS Grade
Measure Description Duration of intake of Viramune ranges from 14 to 185 months. The "DAIDS AE Grading Table" was used for grading the safety laboratory parameters. Grade 1 = mild, grade 2 = moderate, grade 3 = severe, grade 4 = potentially life-threatening.
Time Frame Up to 185 months  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Patients from Treated set (TS, all patients receiving at least one dose of study medication) with at least one documentation of Creatinine.

Reporting Groups
  Description
Treatment-naive Patients Patient was not treated with any antiretroviral drugs (ARV) before start of therapy with Viramune
Pre-treated Patients With Baseline HIV RNA<50 Copies/ml Baseline reflects the last available documentation before start of treatment with Viramune
Pre-treated Patients With Baseline HIV RNA>=50 Copies/ml Baseline reflects the last available documentation before start of treatment with Viramune
Pre-treated Patients With Baseline HIV RNA Not Documented Baseline reflects the last available documentation before start of treatment with Viramune

Measured Values
    Treatment-naive Patients     Pre-treated Patients With Baseline HIV RNA<50 Copies/ml     Pre-treated Patients With Baseline HIV RNA>=50 Copies/ml     Pre-treated Patients With Baseline HIV RNA Not Documented  
Number of Participants Analyzed  
[units: participants]
  178     57     60     59  
Number of Patients With Laboratory Abnormalities for Creatinine During Study (Worst Grade) by DAIDS Grade  
[units: Participants]
       
< Grade 1     152     51     50     49  
Grade 1     13     3     5     3  
Grade 2     2     0     2     1  
Grade 3     1     0     0     1  
Grade 4     10     3     3     5  

No statistical analysis provided for Number of Patients With Laboratory Abnormalities for Creatinine During Study (Worst Grade) by DAIDS Grade



14.  Secondary:   Number of Patients With Laboratory Abnormalities for Hemoglobin During Study (Worst Grade) by DAIDS Grade   [ Time Frame: Up to 185 months ]

15.  Secondary:   Duration of Intake of Viramune   [ Time Frame: End of treatment, up to 185 months ]

16.  Secondary:   History of Therapy With Antiretroviral Medication   [ Time Frame: Baseline ]

17.  Secondary:   Course of Absolute CD4+ Cell Count   [ Time Frame: Baseline and last available visit. Duration of intake of Viramune ranges from 14 to 185 months ]

18.  Secondary:   Number of Participants With Drug Related Adverse Events   [ Time Frame: Up to 185 months ]


  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats
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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
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