Study To Investigate The Hemodynamic Effects Of Single Dose Vardenafil In Subjects Receiving Maraviroc

Sponsor
ViiV Healthcare (Industry)
Overall Status
Completed
CT.gov ID
NCT00853840
Collaborator
Pfizer (Industry)
18
1
2
30
18.3

Study Details

Study Description

Brief Summary

The objective of this study was to estimate the effects of a single dose of vardenafil on the blood pressure (BP) in subjects receiving maraviroc (MVC) (dosed to steady-state) and to assess the safety and tolerability of MVC in subjects receiving a single dose of vardenafil.

Condition or Disease Intervention/Treatment Phase
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
18 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Single (Participant)
Primary Purpose:
Treatment
Official Title:
A Randomized, Single-Blinded, Placebo-Controlled Two-Way Crossover Study To Investigate The Hemodynamic Effects Of Single Dose Vardenafil In Subjects Receiving Maraviroc
Study Start Date :
Apr 1, 2008
Actual Primary Completion Date :
May 1, 2008
Actual Study Completion Date :
May 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1.

Maraviroc + Vardenafil

Drug: Maraviroc
Maraviroc 300 mg twice daily for 3 - 4 days plus a single oral dose of Vardenafil 20 mg.
Other Names:
  • Celsentri, Selzentry
  • Drug: Vardenafil
    Maraviroc 300 mg twice daily for 3 - 4 days plus a single oral dose of Vardenafil 20 mg.

    Placebo Comparator: 2.

    Maraviroc + Placebo

    Drug: Maraviroc
    Maraviroc 300 mg twice daily for 3 - 4 days plus a single oral dose of Placebo.
    Other Names:
  • Selzentry, Celsentri
  • Drug: Placebo
    Maraviroc 300 mg twice daily for 3 - 4 days plus a single oral dose of Placebo.

    Outcome Measures

    Primary Outcome Measures

    1. Standing and Supine Systolic and Diastolic Blood Pressure (BP) [1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post Vardenafil or Placebo dose]

      Supine BP was taken after subjects rested for 5 minutes supine. Subjects then sat for 2 minutes and stood for 2 minutes then standing BP taken. Duplicate supine and standing BP measurements were taken per the protocol. The average of the duplicate measurements was calculated prior to data analysis.

    Secondary Outcome Measures

    1. Standing and Supine Pulse Rate [1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post Vardenafil or Placebo dose]

      Supine pulse rate measurement was taken after subject rested for 5 minutes supine. Subject sat for 2 minutes, then stood for 2 minutes and standing measurement taken. Duplicate supine and standing pulse rate measurements taken per protocol. Average of duplicate measurements calculated prior to data analysis.

    2. Postural Changes in Systolic and Diastolic Blood Pressure [Baseline, 6 and 12 hours post dose on Day 1 from the First Day of each Treatment Leg]

      Postural change calculated as position 1 (standing) value minus the position 2 (supine) value. Baseline was the average of 3 predose measurements at each period. Means of replicates were used in calculations.

    3. Postural Changes in Pulse Rate [Baseline, 6 and 12 hours post dose on Day 1 from the First Day of each Treatment Leg]

      Postural change calculated as position 1 (standing) value minus position 2 (supine) value. Baseline was the average of the 3 predose measurements at each period. Means of Replicates were used in calculations.

    4. Number of Subjects With Postural Hypotension [Period 1 and Period 2 (up to 8 days)]

      Postural (orthostatic) hypotension defined as 1) decrease in standing-supine diastolic blood pressure (BP) greater than or equal to 10 mm Hg; 2) decrease in standing-supine systolic BP greater than or equal to 20 mm Hg; or 3) standing systolic BP less than 90 mm Hg. Assessed at Period 1 and Period 2 BP measurement timepoints post maraviroc dose.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 55 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Healthy male subjects. no clinically relevant abnormalities identified by a detailed medical history, full physical examination, including blood pressure and pulse rate measurement, 12-lead electrocardiogram and clinical laboratory tests.

    • Body mass index (BMI) of approximately 18 to 30 kg/m2; and a total body weight >50 kg (110 lbs).

    Exclusion Criteria:
    • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease.

    • Subjects with a supine systolic BP of greater than 140 mm Hg, or a supine diastolic BP of greater than 90 mm Hg, either at Screening or at the predose measurements.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Pfizer Investigational Site Bruxelles Belgium 1070

    Sponsors and Collaborators

    • ViiV Healthcare
    • Pfizer

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    ViiV Healthcare
    ClinicalTrials.gov Identifier:
    NCT00853840
    Other Study ID Numbers:
    • A4001074
    First Posted:
    Mar 2, 2009
    Last Update Posted:
    Jan 25, 2013
    Last Verified:
    Jan 1, 2013
    Keywords provided by ViiV Healthcare
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail All subjects received 3 to 4 days of maraviroc 300 mg twice daily (BID) before receiving single oral doses of either vardenafil 20 mg (Treatment A) or placebo (Treatment B).
    Arm/Group Title Vardenafil + Maraviroc Non-matching Placebo + Maraviroc
    Arm/Group Description On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of vardenafil 20 mg tablet was administered orally 1 hour post maraviroc dosing. On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of a non-matching placebo tablet was administered orally 1 hour post maraviroc dosing.
    Period Title: Period 1
    STARTED 9 9
    Maraviroc (Days 1 - 4) 9 9
    Vardenafil or Placebo (Day 4) 9 9
    COMPLETED 9 9
    NOT COMPLETED 0 0
    Period Title: Period 1
    STARTED 9 9
    Maraviroc (Days 1 - 3) 9 9
    Vardenafil or Placebo (Day 3) 9 9
    COMPLETED 9 9
    NOT COMPLETED 0 0

    Baseline Characteristics

    Arm/Group Title All Subjects
    Arm/Group Description In this 2-way crossover study, in Period 1, all 18 subjects were randomized to receive a single dose of either vardenafil 20 mg (Treatment A) or placebo (Treatment B), subsequent to treatment with 3 to 4 days of maraviroc 300 mg BID. All subjects were then crossed over to receive the second treatment in Period 2.
    Overall Participants 18
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    34.6
    (9.1)
    Sex: Female, Male (Count of Participants)
    Female
    0
    0%
    Male
    18
    100%

    Outcome Measures

    1. Primary Outcome
    Title Standing and Supine Systolic and Diastolic Blood Pressure (BP)
    Description Supine BP was taken after subjects rested for 5 minutes supine. Subjects then sat for 2 minutes and stood for 2 minutes then standing BP taken. Duplicate supine and standing BP measurements were taken per the protocol. The average of the duplicate measurements was calculated prior to data analysis.
    Time Frame 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post Vardenafil or Placebo dose

    Outcome Measure Data

    Analysis Population Description
    The vital sign analysis population was defined as all enrolled subjects who received at least 1 dose of study medication and had at least 1 vital sign parameter in at least 1 treatment period.
    Arm/Group Title Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Arm/Group Description On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of vardenafil 20 mg tablet was administered orally 1 hour post maraviroc dosing. On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of a non-matching placebo tablet was administered orally 1 hour post maraviroc dosing.
    Measure Participants 18 18
    Supine Systolic BP: 1.5 hour post Maraviroc dose
    118.36
    (1.1523)
    119.47
    (1.1523)
    Supine Diastolic BP: 1.5 hour post Maraviroc dose
    68.06
    (0.7184)
    69.99
    (0.7184)
    Supine Systolic BP: 2 hour post Maraviroc dose
    113.45
    (1.1523)
    118.44
    (1.1523)
    Supine Diastolic BP: 2 hour post Maraviroc dose
    66.31
    (0.7184)
    69.27
    (0.7184)
    Supine Systolic BP: 2.5 hour post Maraviroc dose
    114.67
    (1.1523)
    119.55
    (1.1523)
    Supine Diastolic BP: 2.5 hour post Maraviroc dose
    66.98
    (0.7184)
    70.80
    (0.7184)
    Supine Systolic BP: 3 hour post Maraviroc dose
    114.11
    (1.1523)
    116.16
    (1.1523)
    Supine Diastolic BP: 3 hour post Maraviroc dose
    67.28
    (0.7184)
    69.05
    (0.7184)
    Supine Systolic BP: 4 hour post Maraviroc dose
    115.89
    (1.1523)
    117.97
    (1.1523)
    Supine Diastolic BP: 4 hour post Maraviroc dose
    68.37
    (0.7184)
    69.24
    (0.7184)
    Supine Systolic BP: 6 hour post Maraviroc dose
    116.45
    (1.1523)
    118.75
    (1.1523)
    Supine Diastolic BP: 6 hour post Maraviroc dose
    65.67
    (0.7184)
    66.52
    (0.7184)
    Supine Systolic BP: 8 hour post Maraviroc dose
    116.61
    (1.1523)
    120.83
    (1.1523)
    Supine Diastolic BP: 8 hour post Maraviroc dose
    66.34
    (0.7184)
    68.85
    (0.7184)
    Supine Systolic BP: 12 hour post Maraviroc dose
    122.81
    (1.1523)
    124.75
    (1.1523)
    Supine Diastolic BP: 12 hour post Maraviroc dose
    67.95
    (0.7184)
    70.27
    (0.7184)
    Standing Systolic BP: 1.5 hour post Maraviroc dose
    120.82
    (1.6525)
    125.18
    (1.6525)
    Standing Diastolic BP 1.5 hour post Maraviroc dose
    74.81
    (1.0102)
    78.74
    (1.0102)
    Standing Systolic BP: 2 hour post Maraviroc dose
    118.49
    (1.6525)
    125.40
    (1.6525)
    Standing Diastolic BP: 2 hour post Maraviroc dose
    74.90
    (1.0102)
    80.69
    (1.0102)
    Standing Systolic BP: 2.5 hour post Maraviroc dose
    115.52
    (1.6525)
    121.32
    (1.6525)
    Standing Diastolic BP 2.5 hour post Maraviroc dose
    72.29
    (1.0102)
    78.94
    (1.0102)
    Standing Systolic BP: 3 hour post Maraviroc dose
    117.10
    (1.6525)
    121.37
    (1.6525)
    Standing Diastolic BP: 3 hour post Maraviroc dose
    73.73
    (1.0102)
    77.38
    (1.0102)
    Standing Systolic BP: 4 hour post Maraviroc dose
    119.35
    (1.6525)
    121.40
    (1.6525)
    Standing Diastolic BP: 4 hour post Maraviroc dose
    77.29
    (1.0102)
    78.38
    (1.0102)
    Standing Systolic BP: 6 hour post Maraviroc dose
    118.29
    (1.6525)
    120.59
    (1.6525)
    Standing Diastolic BP: 6 hour post Maraviroc dose
    73.34
    (1.0102)
    76.77
    (1.0102)
    Standing Systolic BP: 8 hour post Maraviroc dose
    120.43
    (1.6525)
    123.90
    (1.6525)
    Standing Diastolic BP: 8 hour post Maraviroc dose
    74.06
    (1.0102)
    77.32
    (1.0102)
    Standing Systolic BP: 12 hour post Maraviroc dose
    128.38
    (1.6525)
    128.65
    (1.6525)
    Standing Diastolic BP: 12 hour post Maraviroc dose
    78.65
    (1.0102)
    80.91
    (1.0102)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 1.5 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.11
    Confidence Interval () 90%
    -3.80 to 1.59
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 1.5 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.93
    Confidence Interval () 90%
    -3.55 to -0.31
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.99
    Confidence Interval () 90%
    -7.69 to -2.30
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.96
    Confidence Interval () 90%
    -4.58 to -1.34
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2.5 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.88
    Confidence Interval () 90%
    -7.58 to -2.19
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2.5 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.82
    Confidence Interval () 90%
    -5.44 to -2.20
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 3 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.05
    Confidence Interval () 90%
    -4.74 to 0.64
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 3 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.76
    Confidence Interval () 90%
    -3.38 to -0.15
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 4 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.08
    Confidence Interval () 90%
    -4.77 to 0.62
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 4 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.88
    Confidence Interval () 90%
    -2.49 to 0.74
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 6 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.30
    Confidence Interval () 90%
    -4.99 to 0.39
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 6 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.85
    Confidence Interval () 90%
    -2.47 to 0.77
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 8 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.22
    Confidence Interval () 90%
    -6.91 to -1.52
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 8 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.51
    Confidence Interval () 90%
    -4.13 to -0.90
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 12 hour post-dose for supine systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.94
    Confidence Interval () 90%
    -4.63 to 0.76
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 12 hour post-dose for supine diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.32
    Confidence Interval () 90%
    -3.94 to -0.70
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 1.5 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.36
    Confidence Interval () 90%
    -8.22 to -0.50
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 1.5 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.93
    Confidence Interval () 90%
    -6.29 to -1.56
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.91
    Confidence Interval () 90%
    -10.77 to -3.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.79
    Confidence Interval () 90%
    -8.15 to -3.42
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2.5 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.80
    Confidence Interval () 90%
    -9.66 to -1.94
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2.5 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.65
    Confidence Interval () 90%
    -9.01 to -4.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 3 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.27
    Confidence Interval () 90%
    -8.13 to -0.41
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 3 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.65
    Confidence Interval () 90%
    -6.01 to -1.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 25
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 4 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.05
    Confidence Interval () 90%
    -5.91 to 1.81
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 26
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 4 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.09
    Confidence Interval () 90%
    -3.46 to 1.27
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 27
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 6 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.30
    Confidence Interval () 90%
    -6.16 to 1.56
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 28
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 6 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.43
    Confidence Interval () 90%
    -5.79 to -1.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 29
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 8 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.47
    Confidence Interval () 90%
    -7.33 to 0.39
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 30
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 8 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.26
    Confidence Interval () 90%
    -5.62 to -0.90
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 31
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 12 hour post-dose for standing systolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.27
    Confidence Interval () 90%
    -4.13 to 3.59
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 32
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 12 hour post-dose for standing diastolic BP Vardenafil minus Placebo A total sample size of 18 subjects provides 90% confidence intervals for the difference between vardenafil and placebo of ±5.90 on the standing diastolic BP with 98% coverage probability at each time postdose.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.26
    Confidence Interval () 90%
    -4.62 to 0.10
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Secondary Outcome
    Title Standing and Supine Pulse Rate
    Description Supine pulse rate measurement was taken after subject rested for 5 minutes supine. Subject sat for 2 minutes, then stood for 2 minutes and standing measurement taken. Duplicate supine and standing pulse rate measurements taken per protocol. Average of duplicate measurements calculated prior to data analysis.
    Time Frame 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post Vardenafil or Placebo dose

    Outcome Measure Data

    Analysis Population Description
    The vital sign analysis population was defined as all enrolled subjects who received at least 1 dose of study medication and had at least 1 vital sign parameter in at least 1 treatment period.
    Arm/Group Title Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Arm/Group Description On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of vardenafil 20 mg tablet was administered orally 1 hour post maraviroc dosing. On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of a non-matching placebo tablet was administered orally 1 hour post maraviroc dosing.
    Measure Participants 18 18
    Supine pulse rate: 1.5 hours post Maraviroc dose
    67.56
    (1.3482)
    60.61
    (1.3482)
    Supine pulse rate: 2 hours post Maraviroc dose
    66.20
    (1.3482)
    60.69
    (1.3482)
    Supine pulse rate: 2.5 hours post Maraviroc dose
    61.64
    (1.3482)
    58.00
    (1.3482)
    Supine pulse rate: 3 hours post Maraviroc dose
    60.42
    (1.3482)
    57.53
    (1.3482)
    Supine pulse rate: 4 hours post Maraviroc dose
    60.22
    (1.3482)
    58.16
    (1.3482)
    Supine pulse rate: 6 hours post Maraviroc dose
    71.39
    (1.3482)
    65.94
    (1.3482)
    Supine pulse rate: 8 hours post Maraviroc dose
    67.67
    (1.3482)
    63.55
    (1.3482)
    Supine pulse rate: 12 hours post Maraviroc dose
    71.25
    (1.3482)
    67.80
    (1.3482)
    Standing pulse rate: 1.5 hours post Maraviroc dose
    85.78
    (1.6885)
    78.45
    (1.6885)
    Standing pulse rate: 2 hours post Maraviroc dose
    85.16
    (1.6885)
    78.34
    (1.6885)
    Standing pulse rate: 2.5 hours post Maraviroc dose
    82.25
    (1.6885)
    77.22
    (1.6885)
    Standing pulse rate: 3 hours post Maraviroc dose
    80.05
    (1.6885)
    75.34
    (1.6885)
    Standing pulse rate: 4 hours post Maraviroc dose
    79.97
    (1.6885)
    75.92
    (1.6885)
    Standing pulse rate: 6 hours post Maraviroc dose
    93.53
    (1.6885)
    87.17
    (1.6885)
    Standing pulse rate: 8 hours post Maraviroc dose
    84.41
    (1.6885)
    79.34
    (1.6885)
    Standing pulse rate: 12 hours post Maraviroc dose
    82.47
    (1.6885)
    80.59
    (1.6885)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 1.5 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.95
    Confidence Interval () 90%
    4.18 to 9.72
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.51
    Confidence Interval () 90%
    2.73 to 8.28
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2.5 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.64
    Confidence Interval () 90%
    0.87 to 6.42
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 3 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.89
    Confidence Interval () 90%
    0.12 to 5.67
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 4 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.06
    Confidence Interval () 90%
    -0.71 to 4.83
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 6 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.45
    Confidence Interval () 90%
    2.68 to 8.22
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 8 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.12
    Confidence Interval () 90%
    1.34 to 6.89
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 12 hour post-dose for supine pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.45
    Confidence Interval () 90%
    0.68 to 6.22
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 1.5 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.33
    Confidence Interval () 90%
    3.70 to 10.95
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.83
    Confidence Interval () 90%
    3.20 to 10.45
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 2.5 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.02
    Confidence Interval () 90%
    1.40 to 8.65
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 3 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.72
    Confidence Interval () 90%
    1.09 to 8.34
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 4 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.05
    Confidence Interval () 90%
    0.43 to 7.67
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 6 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.36
    Confidence Interval () 90%
    2.73 to 9.98
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 8 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.08
    Confidence Interval () 90%
    1.45 to 8.70
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Maraviroc + Vardenafil (Treatment A), Maraviroc + Placebo (Treatment B)
    Comments 12 hour post-dose for standing pulse rate Vardenafil minus Placebo
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.88
    Confidence Interval () 90%
    -1.74 to 5.51
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Postural Changes in Systolic and Diastolic Blood Pressure
    Description Postural change calculated as position 1 (standing) value minus the position 2 (supine) value. Baseline was the average of 3 predose measurements at each period. Means of replicates were used in calculations.
    Time Frame Baseline, 6 and 12 hours post dose on Day 1 from the First Day of each Treatment Leg

    Outcome Measure Data

    Analysis Population Description
    The vital sign analysis population was defined as all enrolled subjects who received at least 1 dose of study medication and had at least 1 vital sign parameter in at least 1 treatment period.
    Arm/Group Title Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Arm/Group Description On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of vardenafil 20 mg tablet was administered orally 1 hour post maraviroc dosing. On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of a non-matching placebo tablet was administered orally 1 hour post maraviroc dosing.
    Measure Participants 18 18
    Systolic Blood Pressure: Baseline
    3.5
    (5.01)
    2.6
    (4.34)
    Diastolic Blood Pressure: Baseline
    8.9
    (4.69)
    7.5
    (3.41)
    Systolic Blood Pressure: 6 hours
    2.2
    (5.96)
    1.5
    (5.14)
    Diastolic Blood Pressure: 6 hours
    8.4
    (4.71)
    9.6
    (4.36)
    Systolic Blood Pressure: 12 hours
    5.9
    (6.21)
    3.5
    (5.69)
    Diastolic Blood Pressure: 12 hours
    11.4
    (4.66)
    9.9
    (4.18)
    4. Secondary Outcome
    Title Postural Changes in Pulse Rate
    Description Postural change calculated as position 1 (standing) value minus position 2 (supine) value. Baseline was the average of the 3 predose measurements at each period. Means of Replicates were used in calculations.
    Time Frame Baseline, 6 and 12 hours post dose on Day 1 from the First Day of each Treatment Leg

    Outcome Measure Data

    Analysis Population Description
    The vital sign analysis population was defined as all enrolled subjects who received at least 1 dose of study medication and had at least 1 vital sign parameter in at least 1 treatment period.
    Arm/Group Title Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Arm/Group Description On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of vardenafil 20 mg tablet was administered orally 1 hour post maraviroc dosing. On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of a non-matching placebo tablet was administered orally 1 hour post maraviroc dosing.
    Measure Participants 18 18
    Baseline
    16.0
    (7.32)
    14.3
    (8.05)
    6 hours
    22.9
    (9.10)
    20.4
    (8.25)
    12 hours
    12.0
    (6.85)
    12.0
    (8.60)
    5. Secondary Outcome
    Title Number of Subjects With Postural Hypotension
    Description Postural (orthostatic) hypotension defined as 1) decrease in standing-supine diastolic blood pressure (BP) greater than or equal to 10 mm Hg; 2) decrease in standing-supine systolic BP greater than or equal to 20 mm Hg; or 3) standing systolic BP less than 90 mm Hg. Assessed at Period 1 and Period 2 BP measurement timepoints post maraviroc dose.
    Time Frame Period 1 and Period 2 (up to 8 days)

    Outcome Measure Data

    Analysis Population Description
    The vital sign analysis population was defined as all enrolled subjects who received at least 1 dose of study medication and had at least 1 vital sign parameter in at least 1 treatment period.
    Arm/Group Title Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Arm/Group Description On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of vardenafil 20 mg tablet was administered orally 1 hour post maraviroc dosing. On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of a non-matching placebo tablet was administered orally 1 hour post maraviroc dosing.
    Measure Participants 18 18
    Number [participants]
    0
    0%
    0
    NaN

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title Maraviroc Run-In Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Arm/Group Description All subjects received 3 to 4 days of maraviroc 300 mg twice daily (BID) before receiving single oral doses of either vardenafil 20 mg (Treatment A) or placebo (Treatment B). On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was to be taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of vardenafil 20 mg tablet was administered orally 1 hour post maraviroc dosing. On Days 1 through 3 during Period 1, and Days 1 through 2 during Period 2, a maraviroc 300 mg tablet was taken orally BID to achieve steady state. On Day 4 of Period 1, and Day 3 of Period 2, a single dose of non-matching placebo tablet was administered orally 1 hour post maraviroc dosing.
    All Cause Mortality
    Maraviroc Run-In Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Maraviroc Run-In Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/18 (0%) 0/18 (0%) 0/18 (0%)
    Other (Not Including Serious) Adverse Events
    Maraviroc Run-In Maraviroc + Vardenafil (Treatment A) Maraviroc + Placebo (Treatment B)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 4/ (NaN) 16/ (NaN) 5/ (NaN)
    Eye disorders
    Phosphenes 0/18 (0%) 1/18 (5.6%) 0/18 (0%)
    Eye pain 0/18 (0%) 0/18 (0%) 1/18 (5.6%)
    Gastrointestinal disorders
    Abdominal discomfort 1/18 (5.6%) 1/18 (5.6%) 0/18 (0%)
    Diarrhoea 0/18 (0%) 1/18 (5.6%) 0/18 (0%)
    Nausea 0/18 (0%) 1/18 (5.6%) 0/18 (0%)
    Dyspepsia 0/18 (0%) 0/18 (0%) 1/18 (5.6%)
    General disorders
    Fatigue 0/18 (0%) 2/18 (11.1%) 0/18 (0%)
    Suprapubic pain 1/18 (5.6%) 1/18 (5.6%) 0/18 (0%)
    Injury, poisoning and procedural complications
    Tooth fracture 1/18 (5.6%) 1/18 (5.6%) 1/18 (5.6%)
    Investigations
    Hepatic enzyme increased 0/18 (0%) 0/18 (0%) 1/18 (5.6%)
    Musculoskeletal and connective tissue disorders
    Sensation of heaviness 0/18 (0%) 2/18 (11.1%) 1/18 (5.6%)
    Back pain 1/18 (5.6%) 1/18 (5.6%) 1/18 (5.6%)
    Arthralgia 0/18 (0%) 1/18 (5.6%) 1/18 (5.6%)
    Myalgia 0/18 (0%) 0/18 (0%) 1/18 (5.6%)
    Nervous system disorders
    Headache 1/18 (5.6%) 8/18 (44.4%) 1/18 (5.6%)
    Dizziness 0/18 (0%) 2/18 (11.1%) 2/18 (11.1%)
    Somnolence 0/18 (0%) 1/18 (5.6%) 0/18 (0%)
    Dizziness postural 0/18 (0%) 0/18 (0%) 1/18 (5.6%)
    Reproductive system and breast disorders
    Erection increased 0/18 (0%) 3/18 (16.7%) 0/18 (0%)
    Respiratory, thoracic and mediastinal disorders
    Nasal congestion 0/18 (0%) 8/18 (44.4%) 0/18 (0%)
    Nasal dryness 0/18 (0%) 1/18 (5.6%) 0/18 (0%)
    Skin and subcutaneous tissue disorders
    Rash 0/18 (0%) 1/18 (5.6%) 0/18 (0%)
    Vascular disorders
    Hot flush 0/18 (0%) 8/18 (44.4%) 0/18 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Pfizer has the right to review disclosures, requesting a delay of < 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), < 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential info other than study results.

    Results Point of Contact

    Name/Title Pfizer ClinicalTrials.gov Call Center
    Organization Pfizer, Inc.
    Phone 1-800-718-1021
    Email ClinicalTrials.govCallCenter@pfizer.com
    Responsible Party:
    ViiV Healthcare
    ClinicalTrials.gov Identifier:
    NCT00853840
    Other Study ID Numbers:
    • A4001074
    First Posted:
    Mar 2, 2009
    Last Update Posted:
    Jan 25, 2013
    Last Verified:
    Jan 1, 2013