A Study Of Maraviroc In HIV Co-Infected Subjects With Hepatitis C And/Or Hepatitis B

Sponsor
ViiV Healthcare (Industry)
Overall Status
Completed
CT.gov ID
NCT01327547
Collaborator
Pfizer (Industry)
138
48
2
46.2
2.9
0.1

Study Details

Study Description

Brief Summary

To describe liver enzyme elevations in patients who are coinfected with HIV and either Hepatitis C (HCV) and/or Hepatitis B (HBV) receiving maraviroc or placebo in combination with their current suppressive anti-HIV drug therapy.

Condition or Disease Intervention/Treatment Phase
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
138 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Blinded, Placebo-controlled Study To Evaluate The Safety Of Maraviroc In Combination With Other Antiretroviral Agents In Hiv-1-infected Subjects Co-infected With Hepatitis C And/or Hepatitis B Virus
Actual Study Start Date :
May 18, 2011
Actual Primary Completion Date :
Apr 23, 2013
Actual Study Completion Date :
Mar 24, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1.0

Drug: Maraviroc
150mg, 300mg or 600mg twice daily x 144 weeks; dosing dependent on components of the current suppressive anti-HIV therapy
Other Names:
  • Selzentry, Celsentri
  • Placebo Comparator: 2

    Drug: Placebo
    150mg, 300mg or 600mg twice daily x 144 weeks; dosing dependent on components of the current suppressive anti-HIV therapy

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Grade 3 and Grade 4 Alanine Aminotransferase (ALT) Abnormalities at Week 48 [48 weeks]

      Percentage of participants with Grade 3 or Grade 4 ALT abnormalities defined as >5x upper limit of normal (ULN) for participants whose baseline ALT ≤ULN, or >3.5x baseline for participants whose baseline ALT >ULN, up to and including Week 48 in the maraviroc arm versus the placebo arm. The baseline was defined as the last measurement prior to Day 1 dosing.

    Secondary Outcome Measures

    1. Percentage of Participants With Grade 3 and Grade 4 ALT Abnormalities Through Week 144 [Week 96 and 144]

      Percentage of participants with Grade 3 or Grade 4 ALT abnormalities defined as >5x upper limit of normal (ULN) for participants whose baseline ALT ≤ULN, or >3.5x baseline for participants whose baseline ALT >ULN, up to and including Week 96 and Week 144 in the maraviroc arm versus the placebo arm. The baseline was defined as the last measurement prior to Day 1 dosing.

    2. Time to Development of Grade 3 and Grade 4 ALT Abnormalities [144 weeks]

      Time taken in days to development of Grade 3 and Grade 4 ALT abnormalities defined as >5x ULN for participants whose baseline ALT ≤ULN, or >3.5x baseline for participants whose baseline ALT >ULN, at Week 144.

    3. Percentage of Participants With Grade 3 and Grade 4 ALT Abnormalities Associated With a Change From Baseline ALT >100 IU/L [144 weeks]

      Percentage of participants who had Grade 3 and Grade 4 ALT abnormalities associated with a change from baseline ALT >100 IU/L during the 144-week period. Baseline will be defined as the last measurement prior to Day 1 dosing.

    4. Time to Development of Grade 3 and Grade 4 ALT Abnormalities at Week 144 Associated With a Change From Baseline ALT >100 IU/L [144 weeks]

      Time to development of Grade 3 and Grade 4 ALT abnormalities associated with a change from baseline ALT >100 IU/L during the 144-week period. Baseline will be defined as the last measurement prior to Day 1 dosing.

    5. Number of Participants With Hy's Law Abnormalities Through Week 144 [144 weeks]

      Hy's law was defined as a total bilirubin >2x ULN with a simultaneous ALT or aspartate transaminase (AST)>3x ULN, excluding participants with an alkaline phosphatase>3x ULN

    6. Percentage of Participants With Plasma Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) Concentration <40 Copies/mL at Week 48, 96 and 144 [Week 48, 96 and 144]

      The Food and Drug Administration (FDA's) snapshot algorithm was used to derive the efficacy endpoint of the proportion of participants with HIV-1 RNA <40 copies/mL at Week 48. This algorithm included the missing data imputation method and used the plasma HIV-1 RNA concentration in the visit window only, followed the "virology-first principle" and considered a participant who had a missing plasma HIV-1 RNA concentration, or switched to a prohibited background anti-retroviral regimen or discontinues from the study or study drug as a failure (MSDF).

    7. Mean Change From Baseline in CD4+ and CD8+ Cell Counts at Week 48, 96 and 144 [Week 48, 96 and 144]

      Immunologic response (magnitude of change in CD4+ and CD8+ cell counts from baseline) was measured. Baseline value for CD4 and CD8 is defined as the pre-dose measurement taken at Day 1 visit.

    8. Mean Change From Baseline in CD38 Expression on CD4 and CD8 Cells at Weeks 48, 96 and 144 [48, 96 and 144 weeks]

      Plasma samples were used to determine markers of immune activation namely CD38 expression on CD4 and CD8 cells.

    9. Mean Change From Baseline in Markers of Immune Activation: C-reactive Protein (CRP) - Week 48, 96 and 144. [48, 96 and 144 weeks]

      Plasma samples were used to determine markers of immune activation namely CRP.

    10. Mean Change From Baseline in Markers of Immune Activation: D Dimer - Week 48, 96 and 144 [48, 96 and 144 weeks]

      Plasma samples were used to determine markers of immune activation namely D-Dimer.

    11. Mean Change From Baseline in Markers of Immune Activation: Transforming Growth Factor-beta (TGF Beta) - Week 48, 96 and 144 [48, 96 and 144 weeks]

      Plasma samples were used to determine markers of immune activation namely TGF beta.

    12. Mean Change From Baseline in Log10 Plasma Hepatitis C Virus (HCV) RNA at Week 48, 96 and 144 [48, 96 and 144 weeks]

      Plasma samples were used to determine HCV RNA using the Roche COBAS Ampliprep/COBAS HCV Taqman assay, RUO version (LOD=15 IU/mL).Baseline value for HCV RNA/HBV DNA is defined as the pre-dose measurement taken at Day 1 visit.

    13. Mean Change From Baseline in Plasma Hepatitis B Virus (HBV) DNA at Week 48, 96 and 144 [48, 96 and 144 weeks]

      Plasma samples were used to determine HBV DNA using the Roche COBAS Taqman HBV assay. Baseline value for HCV RNA/HBV DNA is defined as the pre-dose measurement taken at Day 1 visit.

    14. Mean Change From Baseline in Enhanced Liver Fibrosis (ELF) Test at Week 48, 96 and 144 [48, 96 and 144 weeks]

      The markers of fibrosis assessed in this test comprised hyaluronic acid (CHA), tissue inhibitor of metalloproteinase (CTIMP1) and procollagen III N-terminal peptide (CP3NP); these are components of the extracellular matrix and basement sinusoidal membrane of the liver and are elevated during activation of the stellate cell. The ELF tests were performed on an ADVIA Centaur XP and the composite score was calculated as follows: ELF score = 2.278 + 0.851 ln(CHA) + 0.751 ln (CP3NP) + 0.394 ln(CTIMP1). ELF score < 7.7: no to mild fibrosis; ≥ 7.7 - < 9.8: Moderate fibrosis; ≥ 9.8 - < 11.3: Severe fibrosis; ≥ 11.3: Cirrhosis.

    15. Mean Change From Baseline in the Hepatic Elastography (FibroscanTM) at Week 48, 96 and 144 [48, 96 and 144 weeks]

      Participants had transient hepatic elastography using FibroScan technology. It rapidly and non invasively measures hepatic tissue stiffness. Through a probe, a low frequency vibration of low amplitude is transmitted to the liver. The velocity of the wave that is generated during the procedure correlates directly with tissue stiffness as it passes through the liver; the harder or stiffer the liver, the faster the shear wave propagates. Results are reported in kilopascals (kPa). A negative change in the fibroscan values (i.e. decrease in liver stiffness) correlates with a decrease in fibrosis and thus improved outcome.

    16. Absolute Fibrosis Score (Ishak) in Liver Biopsy Samples at Baseline and at Week 144 [Baseline and Week 144]

      Samples were processed and sent to a central reader for scoring for fibrosis and other analyses such as Sirius red and α smooth muscle actin staining for activated stellate cells. Samples were collected, processed, stored and shipped in accordance with the procedure documented in a separate handling document. The Ishak fibrosis scoring system was used to score the fibrosis observed, with a minimum score of 0 and maximum score of 6 (where 0 = no fibrosis, 1 = expansion of some portal areas with or without septa, 2 = expansion of most portal areas with or without septa, 3 = expansion of most portal areas with occasional portal or portal bridging, 4 = expansion of portal areas with marked bridging [portal-portal and/or portal-central], 5 = marked bridging with occasional nodules [incomplete cirrhosis], 6 = cirrhosis, probable or definitive). The scores for liver biopsies were summarized based upon the availability of liver biopsy results.

    17. Change From Baseline in Fibrosis Score (Ishak) in Liver Biopsy Samples at Week 144 [Week 144]

      Samples were processed and sent to a central reader for scoring for fibrosis and other analyses such as Sirius red and α smooth muscle actin staining for activated stellate cells. Samples were collected, processed, stored and shipped in accordance with the procedure documented in a separate handling document. The Ishak fibrosis scoring system was used to score the fibrosis observed, with a minimum score of 0 and maximum score of 6 (where 0 = no fibrosis, 1 = expansion of some portal areas with or without septa, 2 = expansion of most portal areas with or without septa, 3 = expansion of most portal areas with occasional portal or portal bridging, 4 = expansion of portal areas with marked bridging [portal-portal and/or portal-central], 5 = marked bridging with occasional nodules [incomplete cirrhosis], 6 = cirrhosis, probable or definitive). The scores for liver biopsies were summarized based upon the availability of liver biopsy results.

    18. Percentage of Participants Who Were Hospitalized Due to Hepatic Disease Through Week 144 [144 Weeks]

      Healthcare resource utilization data was collected using the Healthcare Resource Utilization Questionnaire at all study visits except Screening and Baseline. Other components of healthcare resource utilization, including length of hospital stay, type of ward, associated investigative and therapeutic procedures and concomitant medications were captured from primary and secondary data sources.

    19. Summary of Estimated Maraviroc PK Parameters [Week 48]

      Week 4 and Week 48 clinic visits were scheduled such that a trough sample may be taken within a time window of 8-16 hours after the previous dose (Ctrough). Blood samples (4mL) were collected from all participants at the Week 4 and 48 visits.

    20. Exposure-response Relationship Between Change From Baseline in Liver Fibrosis Biomarkers Versus MVC Cavg at Week 48 [Week 48]

      The relationship between change from baseline in liver fibrosis biomarkers (AST, ALT, ALK, BIL, ELF and FSCN) versus MVC Cavg was analyzed using Bayesian methods. P-values were assessed for significance in the relationship between liver fibrosis biomarkers and MVC Cavg. P-value <0.05 was regarded as significantly related.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • HIV coinfected with HCV and/or HBV.

    • Undetectable HIV-1 RNA for at least 3 months prior to the screening visit

    • Treatment with current antiretroviral therapy (3-6 drugs excluding low-dose ritonavir) for at least 5 months.

    Exclusion Criteria:
    • Currently receiving maraviroc.

    • Active opportunistic infections.

    • ALT and/or AST >5x upper limit of normal.

    • Direct bilirubin >1.5x upper limit of normal.

    • Severe or decompensated liver disease.

    • Liver disease unrelated to viral hepatitis infection.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 The Office of Dr. Franco Antonio Felizarta, M.D. Bakersfield California United States 93301
    2 AIDS Research Alliance Los Angeles California United States 90015
    3 Alameda Health System - Highland Hospital Oakland California United States 94602
    4 University of California Davis Research Sacramento California United States 95811
    5 University of California Sacramento California United States 95817
    6 University of California, San Francisco - Hepatitis/HIV Clinical Trials Group (HHCTG) San Francisco California United States 94110
    7 University of California, San Francisco - Mt. Zion Hospital San Francisco California United States 94115
    8 Community AIDS Resource Inc dba Care Resource Miami Florida United States 33137
    9 University of South Florida Health - HIV Clinical Research Unit Tampa Florida United States 33602
    10 Rowan Tree Medical, P.A. Wilton Manors Florida United States 33305
    11 Georgia Regents Medical Center Augusta Georgia United States 30912
    12 University of Iowa Hospitals and Clinics Iowa City Iowa United States 52242
    13 Henry Ford Hospital Detroit Michigan United States 48202
    14 Saint Michael's Medical Center Newark New Jersey United States 07102
    15 Icahn School of Medicine at Mount Sinai New York New York United States 10029
    16 Mount Sinai Faculty Practice Associates New York New York United States 10029
    17 The Mount Sinai Hospital New York New York United States 10029
    18 New York Medical College Valhalla New York United States 10595
    19 I.D. Consultants, P.A. Charlotte North Carolina United States 28209
    20 Kaiser Permanente Sunnybrook Medical Office Clackamas Oregon United States 97015
    21 Kaiser Permanente Northwest Portland Oregon United States 97227
    22 Southwest Infectious Disease Clinical Research Inc. Dallas Texas United States 75219
    23 University of Texas Southwestern Medical Center at Dallas Dallas Texas United States 75235
    24 University Health Care Center Downtown San Antonio Texas United States 78207
    25 Fakultni nemocnice Brno Brno Czechia 625 00
    26 Hopital de la Croix Rousse Lyon cedex 4 France 69317
    27 Centre Hospitalier Cochin Saint Vincent de Paul Paris CEDEX 14 France 75679
    28 Hopital Tenon, Service des Maladies Infectieuses Paris France 75020
    29 EPIMED - Gesellschaft fuer epidemiologische und klinische Forschung in der Medizin mbH Berlin Germany 12157
    30 Universitaetsklinikum Bonn, Immunologische Ambulanz HIV Bonn Germany 53127
    31 ifi - Studien und Projekte GmbH Hamburg Germany 20099
    32 Universitaetsklinikum Hamburg-Eppendorf Hamburg Germany 20246
    33 Klinikum der Universitaet zu Koeln Koeln Germany 50937
    34 Ludwig-Maximilians-Universitaet Muenchen Germany 80336
    35 Egyesített Szent István és Szent László Kórház Rendelőintézet Budapest Hungary 1097
    36 EMC Instytut Medyczny S.A. Przychodnia przy ul. Lowieckiej Wroclaw Dolnoslaskie Poland 50-220
    37 Wojewodzki Szpital Obserwacyjno - Zakazny im. Tadeusza Browicza w Bydgoszczy Bydgoszcz Poland 85-030
    38 SPZOZ Wojewodzki Szpital Zakazny Warszawa Poland 01-201
    39 Ararat Research Center Ponce Puerto Rico 00717-1567
    40 Farmacia UPR-CTU San Juan Puerto Rico 00935
    41 University of Puerto Rico - School of Medicine San Juan Puerto Rico 00935
    42 Hospital Universitari Vall dHebron Barcelona Spain 08035
    43 Hospital Reina Sofia Hospital Provincial Cordoba Spain 14004
    44 Hospital Carlos Iii Madrid Spain 28029
    45 Hospital Nuestra Señora de Valme Sevilla Spain 41014
    46 Consorcio Hospital General Universitario de Valencia Valencia Spain 46014
    47 Harrison Wing Research Office, Guys and St. Thomas NHS Foundation Trust London United Kingdom SE1 7EH
    48 St Stephen's AIDS Trust London United Kingdom SW10 9NH

    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:
    NCT01327547
    Other Study ID Numbers:
    • A4001098
    • 2010-021994-35
    First Posted:
    Apr 1, 2011
    Last Update Posted:
    Dec 6, 2017
    Last Verified:
    Nov 1, 2017

    Study Results

    Participant Flow

    Recruitment Details In this study, 138 participants were randomized, of which 137 participants received the study drug. Participants were randomized at 37 sites in 9 countries. Five sites received drug and screened subjects but did not randomize any subjects; 2 sites received drug but did not screen any subjects.
    Pre-assignment Detail One participant who was randomized into the study was withdrawn prior to receiving treatment due to poor venous access.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with Highly active antiretroviral therapy (HAART) Participants who received placebo in combination with HAART
    Period Title: Overall Study
    STARTED 70 67
    Randomized and Not Treated 0 1
    COMPLETED 50 45
    NOT COMPLETED 20 22

    Baseline Characteristics

    Arm/Group Title Maraviroc Placebo Total
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART Total of all reporting groups
    Overall Participants 70 67 137
    Age, Customized (Number) [Number]
    <18 years
    0
    0%
    0
    0%
    0
    0%
    18-44 years
    26
    37.1%
    20
    29.9%
    46
    33.6%
    45-64 years
    42
    60%
    47
    70.1%
    89
    65%
    ≥65 years
    2
    2.9%
    0
    0%
    2
    1.5%
    Sex: Female, Male (Count of Participants)
    Female
    10
    14.3%
    10
    14.9%
    20
    14.6%
    Male
    60
    85.7%
    57
    85.1%
    117
    85.4%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Grade 3 and Grade 4 Alanine Aminotransferase (ALT) Abnormalities at Week 48
    Description Percentage of participants with Grade 3 or Grade 4 ALT abnormalities defined as >5x upper limit of normal (ULN) for participants whose baseline ALT ≤ULN, or >3.5x baseline for participants whose baseline ALT >ULN, up to and including Week 48 in the maraviroc arm versus the placebo arm. The baseline was defined as the last measurement prior to Day 1 dosing.
    Time Frame 48 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the Full Analysis Set (FAS) which included participants who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Number [Percentage of participants]
    1.4
    2%
    1.5
    2.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments A stratified analysis was conducted by summarizing the difference in proportions adjusted for the randomization strata formed by crossing levels of stratification variables. The Cochran-Mantel-Haenszel (CMH) approach was used. No formal hypothesis test was performed.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.4598
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Method of Estimation Estimation Parameter Difference in proportion
    Estimated Value -0.0020
    Confidence Interval (2-Sided) 95%
    -0.0417 to 0.0376
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in proportion: CMH approach weighted by hepatitis B virus (HBV) status and usage of protease inhibitor (PI) regimen strata was used to calculate the statistics.
    2. Secondary Outcome
    Title Percentage of Participants With Grade 3 and Grade 4 ALT Abnormalities Through Week 144
    Description Percentage of participants with Grade 3 or Grade 4 ALT abnormalities defined as >5x upper limit of normal (ULN) for participants whose baseline ALT ≤ULN, or >3.5x baseline for participants whose baseline ALT >ULN, up to and including Week 96 and Week 144 in the maraviroc arm versus the placebo arm. The baseline was defined as the last measurement prior to Day 1 dosing.
    Time Frame Week 96 and 144

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    at Week 96
    1.4
    2%
    3.0
    4.5%
    at Week 144
    2.9
    4.1%
    4.5
    6.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments
    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 -0.0167
    Confidence Interval (2-Sided) 95%
    -0.0653 to 0.0319
    Parameter Dispersion Type:
    Value:
    Estimation Comments CMH approach weighted by HBV status and usage of PI regiment strata, is used to calculate the statistics. The point estimate and 95% CI are difference in proportions between MVC and placebo for the participants meeting secondary endpoint.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments
    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 -0.0177
    Confidence Interval (2-Sided) 95%
    -0.0805 to 0.0452
    Parameter Dispersion Type:
    Value:
    Estimation Comments CMH approach weighted by HBV status and usage of PI regiment strata, is used to calculate the statistics. The point estimate and 95% CI are difference in proportions between maraviroc and placebo for the participants meeting secondary endpoint.
    3. Secondary Outcome
    Title Time to Development of Grade 3 and Grade 4 ALT Abnormalities
    Description Time taken in days to development of Grade 3 and Grade 4 ALT abnormalities defined as >5x ULN for participants whose baseline ALT ≤ULN, or >3.5x baseline for participants whose baseline ALT >ULN, at Week 144.
    Time Frame 144 weeks

    Outcome Measure Data

    Analysis Population Description
    Time taken in days to development of Grade 3 and Grade 4 ALT abnormalities defined as >5x ULN for participants whose baseline ALT ≤ULN, or >3.5x baseline for participants whose baseline ALT >ULN, at Week 144. The median time to development was not estimable due to too few events reported under each treatment group.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Median (95% Confidence Interval) [Days]
    NA
    NA
    4. Secondary Outcome
    Title Percentage of Participants With Grade 3 and Grade 4 ALT Abnormalities Associated With a Change From Baseline ALT >100 IU/L
    Description Percentage of participants who had Grade 3 and Grade 4 ALT abnormalities associated with a change from baseline ALT >100 IU/L during the 144-week period. Baseline will be defined as the last measurement prior to Day 1 dosing.
    Time Frame 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Grade 3
    2.8
    4%
    4.4
    6.6%
    Grade 4
    1.4
    2%
    0.0
    0%
    5. Secondary Outcome
    Title Time to Development of Grade 3 and Grade 4 ALT Abnormalities at Week 144 Associated With a Change From Baseline ALT >100 IU/L
    Description Time to development of Grade 3 and Grade 4 ALT abnormalities associated with a change from baseline ALT >100 IU/L during the 144-week period. Baseline will be defined as the last measurement prior to Day 1 dosing.
    Time Frame 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144. The median time to development was not estimable due to too few events reported under each treatment group.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Median (95% Confidence Interval) [Days]
    NA
    NA
    6. Secondary Outcome
    Title Number of Participants With Hy's Law Abnormalities Through Week 144
    Description Hy's law was defined as a total bilirubin >2x ULN with a simultaneous ALT or aspartate transaminase (AST)>3x ULN, excluding participants with an alkaline phosphatase>3x ULN
    Time Frame 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Number [participants]
    0
    0%
    0
    0%
    7. Secondary Outcome
    Title Percentage of Participants With Plasma Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) Concentration <40 Copies/mL at Week 48, 96 and 144
    Description The Food and Drug Administration (FDA's) snapshot algorithm was used to derive the efficacy endpoint of the proportion of participants with HIV-1 RNA <40 copies/mL at Week 48. This algorithm included the missing data imputation method and used the plasma HIV-1 RNA concentration in the visit window only, followed the "virology-first principle" and considered a participant who had a missing plasma HIV-1 RNA concentration, or switched to a prohibited background anti-retroviral regimen or discontinues from the study or study drug as a failure (MSDF).
    Time Frame Week 48, 96 and 144

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. For calculating proportions at the analysis timepoint of interest, ie week 144, LOCF was used if the value at that timepoint was missing.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Week 48
    77.1
    110.1%
    79.1
    118.1%
    Week 96
    67.1
    95.9%
    70.1
    104.6%
    Week 144
    58.6
    83.7%
    67.2
    100.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments A stratified analysis was conducted by summarizing the difference in proportions adjusted for the randomization strata formed by crossing levels of stratification variables. The CMH approach was used. No formal hypothesis test was performed. Week 48 data presented here.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in proportion
    Estimated Value -0.0150
    Confidence Interval (2-Sided) 95%
    -0.1484 to 0.1185
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in proportion: CMH approach weighted by HBV status and usage of PI regimen strata was used to calculate the statistics.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments A stratified analysis was conducted by summarizing the difference in proportions adjusted for the randomization strata formed by crossing levels of stratification variables. The CMH approach was used. No formal hypothesis test was performed. Week 96 data presented here.
    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 -0.0255
    Confidence Interval (2-Sided) 95%
    -0.1784 to 0.1274
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in proportion: CMH approach weighted by HBV status and usage of PI regimen strata was used to calculate the statistics.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments A stratified analysis was conducted by summarizing the difference in proportions adjusted for the randomization strata formed by crossing levels of stratification variables. The CMH approach was used. No formal hypothesis test was performed. Week 144 data presented here.
    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 -0.0830
    Confidence Interval (2-Sided) 95%
    -0.2421 to 0.0761
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in proportion: CMH approach weighted by HBV status and usage of PI regimen strata was used to calculate the statistics.
    8. Secondary Outcome
    Title Mean Change From Baseline in CD4+ and CD8+ Cell Counts at Week 48, 96 and 144
    Description Immunologic response (magnitude of change in CD4+ and CD8+ cell counts from baseline) was measured. Baseline value for CD4 and CD8 is defined as the pre-dose measurement taken at Day 1 visit.
    Time Frame Week 48, 96 and 144

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 69 67
    CD4+ (week 48, n=69, 67)
    3.1
    (142.58)
    42.0
    (166.35)
    CD8+ (week 48, n=69, 67)
    7.8
    (229.53)
    28.9
    (293.18)
    CD4+ (week 96, n=69, 67)
    5.1
    (146.64)
    49.7
    (177.18)
    CD8+ (week 96, n=69, 67)
    -2.7
    (228.92)
    62.6
    (376.67)
    CD4+ (week 144, n=69, 67)
    17.2
    (184.86)
    41.7
    (200.00)
    CD8+ (week 144, n=69, 67)
    12.6
    (293.82)
    44.1
    (387.61)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD4+ cells at week 48. Results are from an analysis of covariance (ANCOVA) model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, hepatitis B virus status (HBV), Protease inhibitor (PI)-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.1174
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in Least Square (LS) Mean
    Estimated Value -41.12
    Confidence Interval (2-Sided) 95%
    -92.72 to 10.49
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in Least Square (LS) Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD8+ cells at Week 48. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, hepatitis B virus status (HBV), Protease inhibitor (PI)-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.5930
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -21.96
    Confidence Interval (2-Sided) 95%
    -103.05 to 59.12
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD4+ cells at Week 96. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, hepatitis B virus status (HBV), Protease inhibitor (PI)-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0669
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -48.26
    Confidence Interval (2-Sided) 95%
    -99.93 to 3.41
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD8+ cells at Week 96. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, hepatitis B virus status (HBV), Protease inhibitor (PI)-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.1799
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -65.28
    Confidence Interval (2-Sided) 95%
    -161.07 to 30.50
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD4+ cells at Week 144. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, hepatitis B virus status (HBV), Protease inhibitor (PI)-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.3859
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -27.71
    Confidence Interval (2-Sided) 95%
    -90.71 to 35.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD8+ cells at Week 144. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, hepatitis B virus status (HBV), Protease inhibitor (PI)-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.5571
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -31.86
    Confidence Interval (2-Sided) 95%
    -138.93 to 75.21
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    9. Secondary Outcome
    Title Mean Change From Baseline in CD38 Expression on CD4 and CD8 Cells at Weeks 48, 96 and 144
    Description Plasma samples were used to determine markers of immune activation namely CD38 expression on CD4 and CD8 cells.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 69 67
    Week 48 (n=69, 67)
    -12.2
    (129.82)
    43.0
    (135.71)
    Week 96 (n=69, 67)
    5.4
    (134.64)
    47.4
    (186.74)
    Week 144(n=69, 67)
    23.4
    (169.50)
    50.7
    (219.95)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD38 expression on CD4 and CD8 cells at Week 48. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0153
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -56.06
    Confidence Interval (2-Sided) 95%
    -101.20 to -10.92
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD38 expression on CD4 and CD8 cells for Week 96. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0947
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -44.93
    Confidence Interval (2-Sided) 95%
    -97.72 to 7.87
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for CD38 expression on CD4 and CD8 cells for Week 144. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.3595
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -29.75
    Confidence Interval (2-Sided) 95%
    -93.74 to 34.24
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    10. Secondary Outcome
    Title Mean Change From Baseline in Markers of Immune Activation: C-reactive Protein (CRP) - Week 48, 96 and 144.
    Description Plasma samples were used to determine markers of immune activation namely CRP.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participants who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Week 48 (n=70, 67)
    0.4
    (8.18)
    3.1
    (26.66)
    Week 96 (n=70, 67)
    0.0
    (5.16)
    -0.7
    (3.32)
    Week 144 (n=70, 67)
    0.6
    (7.99)
    -0.3
    (5.28)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for C-reactive protein cells at Week 48. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.4476
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -2.53
    Confidence Interval (2-Sided) 95%
    -9.11 to 4.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for C-reactive protein cells at Week 96. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.3012
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.67
    Confidence Interval (2-Sided) 95%
    -0.61 to 1.96
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for C-reactive protein cells at Week 144. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.4196
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.92
    Confidence Interval (2-Sided) 95%
    -1.33 to 3.17
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    11. Secondary Outcome
    Title Mean Change From Baseline in Markers of Immune Activation: D Dimer - Week 48, 96 and 144
    Description Plasma samples were used to determine markers of immune activation namely D-Dimer.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Week 48 (n= 68, 65)
    -101.1
    (753.24)
    -20.4
    (215.62)
    Week 96 (n= 68, 65)
    -88.1
    (740.14)
    -23.1
    (201.55)
    Week 144 (n= 68, 65)
    -97.4
    (768.98)
    9.8
    (358.07)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for D-Dimer cells at Week 48. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.9904
    Comments Not specifed.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.30
    Confidence Interval (2-Sided) 95%
    -48.66 to 49.26
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for D-Dimer cells at Week 96. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.7697
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 10.87
    Confidence Interval (2-Sided) 95%
    -62.44 to 84.18
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for D-Dimer cells at Week 144. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.5816
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -24.49
    Confidence Interval (2-Sided) 95%
    -112.21 to 63.23
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    12. Secondary Outcome
    Title Mean Change From Baseline in Markers of Immune Activation: Transforming Growth Factor-beta (TGF Beta) - Week 48, 96 and 144
    Description Plasma samples were used to determine markers of immune activation namely TGF beta.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Week 48 (n= 67, 66)
    64.1
    (4857.31)
    -165.0
    (2584.89)
    Week 96 (n= 67, 66)
    -227.5
    (4417.59)
    -296.5
    (2200.97)
    Week 144 (n= 67, 66)
    792.0
    (6772.41)
    1275.4
    (5044.79)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for TGF-beta cells at Week 48. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.3786
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 498.04
    Confidence Interval (2-Sided) 95%
    -617.33 to 1613.41
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for TGF-beta cells at Week 96. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.4388
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 348.70
    Confidence Interval (2-Sided) 95%
    -539.61 to 1237.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is for TGF-beta cells at Week 144. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.8559
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -173.57
    Confidence Interval (2-Sided) 95%
    -2060.81 to 1713.68
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    13. Secondary Outcome
    Title Mean Change From Baseline in Log10 Plasma Hepatitis C Virus (HCV) RNA at Week 48, 96 and 144
    Description Plasma samples were used to determine HCV RNA using the Roche COBAS Ampliprep/COBAS HCV Taqman assay, RUO version (LOD=15 IU/mL).Baseline value for HCV RNA/HBV DNA is defined as the pre-dose measurement taken at Day 1 visit.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Week 48 (n= 45, 45)
    -3.2
    (0.60)
    -3.2
    (0.68)
    Week 96 (n= 45, 45)
    -3.2
    (0.50)
    -3.4
    (0.81)
    Week 144 (n= 45, 45)
    -3.1
    (0.57)
    -3.3
    (0.72)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is change for baseline in Log10 plasma HCV RNA at 48 Weeks. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.8024
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.03
    Confidence Interval (2-Sided) 95%
    -0.22 to 0.28
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is change for baseline in Log10 plasma HCV RNA at 96 Weeks. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.2660
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.15
    Confidence Interval (2-Sided) 95%
    -0.12 to 0.43
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments The above analysis is change for baseline in Log10 plasma HCV RNA at 144 Weeks. Results are from an ANCOVA model with change from baseline as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.2855
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS mean
    Estimated Value 0.15
    Confidence Interval (2-Sided) 95%
    -0.12 to 0.41
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS mean
    14. Secondary Outcome
    Title Mean Change From Baseline in Plasma Hepatitis B Virus (HBV) DNA at Week 48, 96 and 144
    Description Plasma samples were used to determine HBV DNA using the Roche COBAS Taqman HBV assay. Baseline value for HCV RNA/HBV DNA is defined as the pre-dose measurement taken at Day 1 visit.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Week 48 (n= 15, 10)
    -2.6
    (1.55)
    -3.0
    (0.11)
    Week 96 (n= 15, 14)
    -3.3
    (0.94)
    -3.0
    (0.00)
    Week 144 (n= 15, 15)
    -3.4
    (0.96)
    -3.0
    (0.00)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 48 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.7778
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.15
    Confidence Interval (2-Sided) 95%
    -0.93 to 1.23
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 96 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.9991
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS mean
    Estimated Value 0.00
    Confidence Interval (2-Sided) 95%
    -0.10 to 0.10
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 144 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.7275
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS mean
    Estimated Value -0.02
    Confidence Interval (2-Sided) 95%
    -0.16 to 0.11
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    15. Secondary Outcome
    Title Mean Change From Baseline in Enhanced Liver Fibrosis (ELF) Test at Week 48, 96 and 144
    Description The markers of fibrosis assessed in this test comprised hyaluronic acid (CHA), tissue inhibitor of metalloproteinase (CTIMP1) and procollagen III N-terminal peptide (CP3NP); these are components of the extracellular matrix and basement sinusoidal membrane of the liver and are elevated during activation of the stellate cell. The ELF tests were performed on an ADVIA Centaur XP and the composite score was calculated as follows: ELF score = 2.278 + 0.851 ln(CHA) + 0.751 ln (CP3NP) + 0.394 ln(CTIMP1). ELF score < 7.7: no to mild fibrosis; ≥ 7.7 - < 9.8: Moderate fibrosis; ≥ 9.8 - < 11.3: Severe fibrosis; ≥ 11.3: Cirrhosis.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Week 48 (n= 70, 67)
    0.2
    (0.70)
    0.1
    (0.71)
    Week 96 (n= 70, 67)
    0.4
    (0.73)
    0.4
    (0.58)
    Week 144 (n= 70, 67)
    0.4
    (0.72)
    0.4
    (0.69)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 48 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.5201
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.07
    Confidence Interval (2-Sided) 95%
    -0.15 to 0.30
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 96 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.4657
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -0.08
    Confidence Interval (2-Sided) 95%
    -0.28 to 0.13
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 144 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.8087
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -0.03
    Confidence Interval (2-Sided) 95%
    -0.25 to 0.20
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    16. Secondary Outcome
    Title Mean Change From Baseline in the Hepatic Elastography (FibroscanTM) at Week 48, 96 and 144
    Description Participants had transient hepatic elastography using FibroScan technology. It rapidly and non invasively measures hepatic tissue stiffness. Through a probe, a low frequency vibration of low amplitude is transmitted to the liver. The velocity of the wave that is generated during the procedure correlates directly with tissue stiffness as it passes through the liver; the harder or stiffer the liver, the faster the shear wave propagates. Results are reported in kilopascals (kPa). A negative change in the fibroscan values (i.e. decrease in liver stiffness) correlates with a decrease in fibrosis and thus improved outcome.
    Time Frame 48, 96 and 144 weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 25 28
    Week 48 (n= 25, 28)
    -1.3
    (2.41)
    0.4
    (5.71)
    Week 96 (n= 25, 28)
    -0.8
    (2.95)
    0.4
    (5.70)
    Week 144 (n= 25, 28)
    -1.7
    (2.45)
    -0.3
    (4.39)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 48 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.1417
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -1.84
    Confidence Interval (2-Sided) 95%
    -4.31 to 0.63
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 96 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.2679
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -1.44
    Confidence Interval (2-Sided) 95%
    -4.01 to 1.14
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Maraviroc, Placebo
    Comments Results are from an ANCOVA model with change from baseline at Week 144 as the response variable and the following fixed effect model terms: treatment (Maraviroc or placebo), baseline value of the response variable, HBV, PI-based regimen.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.1366
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -1.48
    Confidence Interval (2-Sided) 95%
    -3.45 to 0.49
    Parameter Dispersion Type:
    Value:
    Estimation Comments Difference in LS Mean
    17. Secondary Outcome
    Title Absolute Fibrosis Score (Ishak) in Liver Biopsy Samples at Baseline and at Week 144
    Description Samples were processed and sent to a central reader for scoring for fibrosis and other analyses such as Sirius red and α smooth muscle actin staining for activated stellate cells. Samples were collected, processed, stored and shipped in accordance with the procedure documented in a separate handling document. The Ishak fibrosis scoring system was used to score the fibrosis observed, with a minimum score of 0 and maximum score of 6 (where 0 = no fibrosis, 1 = expansion of some portal areas with or without septa, 2 = expansion of most portal areas with or without septa, 3 = expansion of most portal areas with occasional portal or portal bridging, 4 = expansion of portal areas with marked bridging [portal-portal and/or portal-central], 5 = marked bridging with occasional nodules [incomplete cirrhosis], 6 = cirrhosis, probable or definitive). The scores for liver biopsies were summarized based upon the availability of liver biopsy results.
    Time Frame Baseline and Week 144

    Outcome Measure Data

    Analysis Population Description
    Liver biopsy set consisted of 9 participants (5 MVC and 4 placebo) who had paired baseline and Week 144 liver biopsies that allowed for Ishak fibrosis scoring according to the defined secondary endpoint.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 5 4
    Absolute Values at Baseline
    2.6
    (2.30)
    1.5
    (3.0)
    Absolute Values at Post-dose (or Week 144)
    2.2
    (1.30)
    1.5
    (3.0)
    18. Secondary Outcome
    Title Change From Baseline in Fibrosis Score (Ishak) in Liver Biopsy Samples at Week 144
    Description Samples were processed and sent to a central reader for scoring for fibrosis and other analyses such as Sirius red and α smooth muscle actin staining for activated stellate cells. Samples were collected, processed, stored and shipped in accordance with the procedure documented in a separate handling document. The Ishak fibrosis scoring system was used to score the fibrosis observed, with a minimum score of 0 and maximum score of 6 (where 0 = no fibrosis, 1 = expansion of some portal areas with or without septa, 2 = expansion of most portal areas with or without septa, 3 = expansion of most portal areas with occasional portal or portal bridging, 4 = expansion of portal areas with marked bridging [portal-portal and/or portal-central], 5 = marked bridging with occasional nodules [incomplete cirrhosis], 6 = cirrhosis, probable or definitive). The scores for liver biopsies were summarized based upon the availability of liver biopsy results.
    Time Frame Week 144

    Outcome Measure Data

    Analysis Population Description
    Liver biopsy set consisted of 9 participants (5 MVC and 4 placebo) who had paired baseline and Week 144 liver biopsies that allowed for Ishak fibrosis scoring according to the defined secondary endpoint.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 5 4
    Absolute Values at Baseline
    3
    0
    Absolute Values at Post-dose (or Week 144)
    2
    0
    Change from baseline in fibrosis score at Week 144
    0.0
    0.0
    19. Secondary Outcome
    Title Percentage of Participants Who Were Hospitalized Due to Hepatic Disease Through Week 144
    Description Healthcare resource utilization data was collected using the Healthcare Resource Utilization Questionnaire at all study visits except Screening and Baseline. Other components of healthcare resource utilization, including length of hospital stay, type of ward, associated investigative and therapeutic procedures and concomitant medications were captured from primary and secondary data sources.
    Time Frame 144 Weeks

    Outcome Measure Data

    Analysis Population Description
    The analysis was performed on the FAS which included participant who had received at least one dose of study drug. LOCF was used if the value at that time-point was missing, ie., week 48, 96 and 144.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    Measure Participants 70 67
    Not Hospitalized
    71.4
    102%
    70.1
    104.6%
    Hospitalized due to Hepatic Disease at least once
    10.0
    14.3%
    5.0
    7.5%
    Hospitalized, but not due to Hepatic Disease
    95.0
    135.7%
    95.0
    141.8%
    20. Secondary Outcome
    Title Summary of Estimated Maraviroc PK Parameters
    Description Week 4 and Week 48 clinic visits were scheduled such that a trough sample may be taken within a time window of 8-16 hours after the previous dose (Ctrough). Blood samples (4mL) were collected from all participants at the Week 4 and 48 visits.
    Time Frame Week 48

    Outcome Measure Data

    Analysis Population Description
    Participants included in the statistical analysis of PK parameters were those receiving maraviroc treatment at Week 48 who had PK data available.
    Arm/Group Title Maraviroc 150 mg Maraviroc 300 mg Maraviroc 600 mg
    Arm/Group Description Participants received Maraviroc 150 mg twice a day (BID) in combination with a potent CYP3A4 inhibitor Participants received Maraviroc 300mg BID in the absence of a potent CYP3A4 inhibitor and inducer Participants received Maraviroc 600 mg BID with a potent CYP3A4 inducer (in absence of inhibitor)
    Measure Participants 31 8 28
    Cavg
    262
    166
    309
    Cmax
    496
    258
    915
    Cmin
    127.2
    61.3
    69.2
    21. Secondary Outcome
    Title Exposure-response Relationship Between Change From Baseline in Liver Fibrosis Biomarkers Versus MVC Cavg at Week 48
    Description The relationship between change from baseline in liver fibrosis biomarkers (AST, ALT, ALK, BIL, ELF and FSCN) versus MVC Cavg was analyzed using Bayesian methods. P-values were assessed for significance in the relationship between liver fibrosis biomarkers and MVC Cavg. P-value <0.05 was regarded as significantly related.
    Time Frame Week 48

    Outcome Measure Data

    Analysis Population Description
    Participants included in the statistical analysis of PK parameters were those receiving maraviroc treatment at Week 48 who had PK and liver fibrosis biomarker data available.
    Arm/Group Title Aspartate Transaminase (AST) Alanine Transaminase (ALT) Bilirubin (BIL) Enhanced Liver Fibrosis (ELF) Fibroscan (FSCN) Alkaline Phosphatase (ALK)
    Arm/Group Description The p-value of change in AST levels from baseline versus MVC Cavg at Week 48. The p-value of change in ALT levels from baseline versus MVC Cavg at Week 48. The p-value of change in BIL from baseline versus MVC Cavg at Week 48. The p-value of change in ELF from baseline versus MVC Cavg at Week 48. The p-value of change in FSCN from baseline versus MVC Cavg at Week 48. The p-value of change in ALK from baseline versus MVC Cavg at Week 48.
    Measure Participants 67 67 67 67 24 67
    Number [p-value]
    0.892
    0.440
    0.766
    0.795
    0.087
    0.071

    Adverse Events

    Time Frame From the date of signing informed consent form up to 30 days after last dose of the study drug.
    Adverse Event Reporting Description The same event may appear as both an adverse event (AE) and a serious adverse event (SAE). However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
    Arm/Group Title Maraviroc Placebo
    Arm/Group Description Participants who received maraviroc in combination with HAART Participants who received placebo in combination with HAART
    All Cause Mortality
    Maraviroc Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Maraviroc Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 22/70 (31.4%) 19/67 (28.4%)
    Cardiac disorders
    Angina pectoris 0/70 (0%) 1/67 (1.5%)
    Atrial flutter 1/70 (1.4%) 0/67 (0%)
    Bradycardia 1/70 (1.4%) 0/67 (0%)
    Myocardial infarction 0/70 (0%) 1/67 (1.5%)
    Supraventricular tachycardia 0/70 (0%) 1/67 (1.5%)
    Acute myocardial infarction 0/70 (0%) 1/67 (1.5%)
    Endocrine disorders
    Adrenal insufficiency 0/70 (0%) 1/67 (1.5%)
    Cushingoid 0/70 (0%) 1/67 (1.5%)
    Eye disorders
    Cataract nuclear 1/70 (1.4%) 0/67 (0%)
    Gastrointestinal disorders
    Gastritis 0/70 (0%) 1/67 (1.5%)
    General disorders
    Chest pain 0/70 (0%) 1/67 (1.5%)
    Hepatobiliary disorders
    Cholangitis 1/70 (1.4%) 0/67 (0%)
    Cholecystitis chronic 0/70 (0%) 1/67 (1.5%)
    Infections and infestations
    Appendicitis 1/70 (1.4%) 0/67 (0%)
    Bronchopneumonia 3/70 (4.3%) 0/67 (0%)
    Cellulitis 0/70 (0%) 1/67 (1.5%)
    Pneumonia necrotising 1/70 (1.4%) 0/67 (0%)
    Sepsis 1/70 (1.4%) 0/67 (0%)
    Clostridium difficile colitis 0/70 (0%) 1/67 (1.5%)
    Epididymitis 1/70 (1.4%) 0/67 (0%)
    Herpes zoster 0/70 (0%) 1/67 (1.5%)
    Influenza 1/70 (1.4%) 0/67 (0%)
    Mycobacterium avium complex infection 1/70 (1.4%) 0/67 (0%)
    Peritonitis 1/70 (1.4%) 0/67 (0%)
    Pneumonia 1/70 (1.4%) 1/67 (1.5%)
    Septic shock 0/70 (0%) 1/67 (1.5%)
    Injury, poisoning and procedural complications
    Foot fracture 0/70 (0%) 1/67 (1.5%)
    Jaw fracture 1/70 (1.4%) 0/67 (0%)
    Procedural hypotension 1/70 (1.4%) 0/67 (0%)
    Splenic haematoma 0/70 (0%) 1/67 (1.5%)
    Spinal fracture 0/70 (0%) 1/67 (1.5%)
    Toxicity to various agents 0/70 (0%) 1/67 (1.5%)
    Investigations
    Alanine aminotransferase increased 0/70 (0%) 1/67 (1.5%)
    Aspartate aminotransferase increased 0/70 (0%) 1/67 (1.5%)
    Blood glucose increased 1/70 (1.4%) 0/67 (0%)
    Blood glucose increased 1/70 (1.4%) 0/67 (0%)
    Hepatic enzyme increased 1/70 (1.4%) 0/67 (0%)
    Metabolism and nutrition disorders
    Diabetes mellitus 1/70 (1.4%) 0/67 (0%)
    Musculoskeletal and connective tissue disorders
    Femoroacetabular impingement 1/70 (1.4%) 0/67 (0%)
    Osteoarthritis 1/70 (1.4%) 0/67 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Hepatic cancer 0/70 (0%) 1/67 (1.5%)
    Hepatocellular carcinoma 1/70 (1.4%) 0/67 (0%)
    Nervous system disorders
    Syncope 2/70 (2.9%) 0/67 (0%)
    Headache 0/70 (0%) 1/67 (1.5%)
    Hypoxic-ischaemic encephalopathy 1/70 (1.4%) 0/67 (0%)
    Seizure 1/70 (1.4%) 0/67 (0%)
    Ischaemic stroke 1/70 (1.4%) 0/67 (0%)
    Psychiatric disorders
    Pyschotic disorder 0/70 (0%) 1/67 (1.5%)
    Suicidal ideation 0/70 (0%) 1/67 (1.5%)
    Renal and urinary disorders
    Nephrolithiasis 0/70 (0%) 1/67 (1.5%)
    Reproductive system and breast disorders
    Breast calcifications 0/70 (0%) 1/67 (1.5%)
    Fibrocystic breast disease 0/70 (0%) 1/67 (1.5%)
    Respiratory, thoracic and mediastinal disorders
    Asthma 1/70 (1.4%) 0/67 (0%)
    Chronic obstructive pulmonary disease 1/70 (1.4%) 1/67 (1.5%)
    Non-cardiogenic pulmonary oedema 0/70 (0%) 1/67 (1.5%)
    Cough 1/70 (1.4%) 0/67 (0%)
    Pulmonary mass 1/70 (1.4%) 0/67 (0%)
    Surgical and medical procedures
    Arthrodesis 1/70 (1.4%) 0/67 (0%)
    Vascular disorders
    Hypotension 0/70 (0%) 1/67 (1.5%)
    Other (Not Including Serious) Adverse Events
    Maraviroc Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 63/70 (90%) 62/67 (92.5%)
    Blood and lymphatic system disorders
    Anaemia 2/70 (2.9%) 1/67 (1.5%)
    Lymphadenopathy 1/70 (1.4%) 0/67 (0%)
    Thrombocytopenia 1/70 (1.4%) 1/67 (1.5%)
    Cardiac disorders
    Angina pectoris 0/70 (0%) 2/67 (3%)
    Supraventricular tachycardia 1/70 (1.4%) 0/67 (0%)
    Tachycardia 1/70 (1.4%) 0/67 (0%)
    Ear and labyrinth disorders
    Deafness 0/70 (0%) 1/67 (1.5%)
    Ear pain 1/70 (1.4%) 0/67 (0%)
    Tinnitus 1/70 (1.4%) 1/67 (1.5%)
    Vertigo 2/70 (2.9%) 3/67 (4.5%)
    Vertigo positional 1/70 (1.4%) 0/67 (0%)
    Hearing impaired 1/70 (1.4%) 0/67 (0%)
    Hypoacusis 0/70 (0%) 1/67 (1.5%)
    Endocrine disorders
    Basedow's disease 0/70 (0%) 1/67 (1.5%)
    Hypogonadism 0/70 (0%) 1/67 (1.5%)
    Hypothyroidism 0/70 (0%) 1/67 (1.5%)
    Eye disorders
    Arteriosclerotic retinopathy 1/70 (1.4%) 0/67 (0%)
    Chalazion 0/70 (0%) 1/67 (1.5%)
    Conjunctival hyperaemia 1/70 (1.4%) 0/67 (0%)
    Eye swelling 1/70 (1.4%) 0/67 (0%)
    Retinopathy 1/70 (1.4%) 0/67 (0%)
    Blepharitis 1/70 (1.4%) 0/67 (0%)
    Eye disorder 1/70 (1.4%) 0/67 (0%)
    Retinopathy hypertensive 0/70 (0%) 1/67 (1.5%)
    Endocrine ophthalmopathy 0/70 (0%) 1/67 (1.5%)
    Glaucoma 0/70 (0%) 1/67 (1.5%)
    Gastrointestinal disorders
    Abdominal discomfort 1/70 (1.4%) 1/67 (1.5%)
    Abdominal pain 1/70 (1.4%) 4/67 (6%)
    Abdominal pain upper 2/70 (2.9%) 0/67 (0%)
    Anal fissure 0/70 (0%) 1/67 (1.5%)
    Anal haemorrhage 0/70 (0%) 1/67 (1.5%)
    Constipation 2/70 (2.9%) 0/67 (0%)
    Diarrhoea 8/70 (11.4%) 12/67 (17.9%)
    Dry mouth 1/70 (1.4%) 0/67 (0%)
    Dyspepsia 1/70 (1.4%) 2/67 (3%)
    Faecaloma 0/70 (0%) 1/67 (1.5%)
    Flatulence 1/70 (1.4%) 0/67 (0%)
    Gastritis 0/70 (0%) 3/67 (4.5%)
    Gastrointestinal disorder 0/70 (0%) 1/67 (1.5%)
    Gastrooesophageal reflux disease 1/70 (1.4%) 1/67 (1.5%)
    Haemorrhoids 3/70 (4.3%) 1/67 (1.5%)
    Hiatus hernia 0/70 (0%) 1/67 (1.5%)
    Nausea 7/70 (10%) 9/67 (13.4%)
    Proctitis 0/70 (0%) 1/67 (1.5%)
    Tongue disorder 1/70 (1.4%) 0/67 (0%)
    Tooth loss 0/70 (0%) 1/67 (1.5%)
    Toothache 1/70 (1.4%) 7/67 (10.4%)
    Vomiting 5/70 (7.1%) 7/67 (10.4%)
    Abdominal distension 1/70 (1.4%) 3/67 (4.5%)
    Abdominal symptom 1/70 (1.4%) 0/67 (0%)
    Abdominal tenderness 1/70 (1.4%) 0/67 (0%)
    Anorectal discomfort 0/70 (0%) 1/67 (1.5%)
    Duodenogastric reflux 0/70 (0%) 1/67 (1.5%)
    Dysphagia 1/70 (1.4%) 0/67 (0%)
    Erosive oesophagitis 0/70 (0%) 1/67 (1.5%)
    Food poisoning 1/70 (1.4%) 0/67 (0%)
    Gingival bleeding 1/70 (1.4%) 0/67 (0%)
    Gingival swelling 0/70 (0%) 1/67 (1.5%)
    Umbilical hernia 0/70 (0%) 1/67 (1.5%)
    General disorders
    Asthenia 1/70 (1.4%) 3/67 (4.5%)
    Axillary pain 0/70 (0%) 1/67 (1.5%)
    Chest pain 3/70 (4.3%) 3/67 (4.5%)
    Chills 1/70 (1.4%) 0/67 (0%)
    Facial pain 0/70 (0%) 1/67 (1.5%)
    Fatigue 5/70 (7.1%) 3/67 (4.5%)
    Feeling abnormal 1/70 (1.4%) 0/67 (0%)
    Influenza like illness 3/70 (4.3%) 1/67 (1.5%)
    Malaise 0/70 (0%) 1/67 (1.5%)
    Mucosal inflammation 1/70 (1.4%) 0/67 (0%)
    Nodule 0/70 (0%) 2/67 (3%)
    Oedema peripheral 2/70 (2.9%) 3/67 (4.5%)
    Pyrexia 4/70 (5.7%) 2/67 (3%)
    Chest discomfort 0/70 (0%) 1/67 (1.5%)
    Inflammation 1/70 (1.4%) 0/67 (0%)
    Pain 2/70 (2.9%) 1/67 (1.5%)
    Peripheral swelling 1/70 (1.4%) 1/67 (1.5%)
    Temperature intolerance 0/70 (0%) 1/67 (1.5%)
    Hepatobiliary disorders
    Cholestasis 0/70 (0%) 1/67 (1.5%)
    Hepatic pain 0/70 (0%) 1/67 (1.5%)
    Hepatomegaly 0/70 (0%) 2/67 (3%)
    Hyperbilirubinaemia 0/70 (0%) 1/67 (1.5%)
    Hypertransaminasaemia 1/70 (1.4%) 0/67 (0%)
    Liver disorder 1/70 (1.4%) 0/67 (0%)
    Hepatic steatosis 0/70 (0%) 2/67 (3%)
    Immune system disorders
    Seasonal allergy 3/70 (4.3%) 0/67 (0%)
    Infections and infestations
    Abscess neck 0/70 (0%) 1/67 (1.5%)
    Acarodermatitis 0/70 (0%) 1/67 (1.5%)
    Acute tonsillitis 1/70 (1.4%) 0/67 (0%)
    Bronchitis 10/70 (14.3%) 7/67 (10.4%)
    Cellulitis 1/70 (1.4%) 1/67 (1.5%)
    Chlamydial infection 1/70 (1.4%) 0/67 (0%)
    Folliculitis 1/70 (1.4%) 1/67 (1.5%)
    Gastritis viral 1/70 (1.4%) 0/67 (0%)
    Gastroenteritis 4/70 (5.7%) 1/67 (1.5%)
    Gingival abscess 0/70 (0%) 1/67 (1.5%)
    Herpes simplex 0/70 (0%) 1/67 (1.5%)
    Herpes zoster 3/70 (4.3%) 2/67 (3%)
    Infection 1/70 (1.4%) 0/67 (0%)
    Laryngitis 1/70 (1.4%) 1/67 (1.5%)
    Latent tuberculosis 2/70 (2.9%) 0/67 (0%)
    Nasopharyngitis 9/70 (12.9%) 6/67 (9%)
    Onychomycosis 1/70 (1.4%) 2/67 (3%)
    Oral candidiasis 2/70 (2.9%) 0/67 (0%)
    Oral herpes 2/70 (2.9%) 1/67 (1.5%)
    Oral infection 1/70 (1.4%) 1/67 (1.5%)
    Otitis externa 1/70 (1.4%) 2/67 (3%)
    Otitis media 3/70 (4.3%) 0/67 (0%)
    Otitis media fungal 0/70 (0%) 1/67 (1.5%)
    Penile abscess 1/70 (1.4%) 0/67 (0%)
    Pharyngitis 5/70 (7.1%) 2/67 (3%)
    Pneumonia 0/70 (0%) 5/67 (7.5%)
    Rash pustular 1/70 (1.4%) 0/67 (0%)
    Respiratory tract infection 2/70 (2.9%) 4/67 (6%)
    Rhinitis 2/70 (2.9%) 0/67 (0%)
    Schistosomiasis 0/70 (0%) 1/67 (1.5%)
    Secondary syphilis 0/70 (0%) 1/67 (1.5%)
    Sinusitis 5/70 (7.1%) 4/67 (6%)
    Subcutaneous abscess 2/70 (2.9%) 3/67 (4.5%)
    Syphilis 3/70 (4.3%) 8/67 (11.9%)
    Tinea infection 1/70 (1.4%) 1/67 (1.5%)
    Tonsillitis 1/70 (1.4%) 0/67 (0%)
    Tooth abscess 3/70 (4.3%) 0/67 (0%)
    Tooth infection 4/70 (5.7%) 1/67 (1.5%)
    Upper respiratory tract infection 11/70 (15.7%) 11/67 (16.4%)
    Urethritis 0/70 (0%) 2/67 (3%)
    Urinary tract infection 3/70 (4.3%) 5/67 (7.5%)
    Viral infection 6/70 (8.6%) 4/67 (6%)
    Acute sinusitis 0/70 (0%) 1/67 (1.5%)
    Body tinea 0/70 (0%) 1/67 (1.5%)
    Carbuncle 1/70 (1.4%) 0/67 (0%)
    Chikungunya virus infection 0/70 (0%) 1/67 (1.5%)
    Conjunctivitis 1/70 (1.4%) 1/67 (1.5%)
    Ear infection 1/70 (1.4%) 1/67 (1.5%)
    Fungal skin infection 1/70 (1.4%) 1/67 (1.5%)
    Furuncle 1/70 (1.4%) 0/67 (0%)
    Gastroenteritis viral 1/70 (1.4%) 0/67 (0%)
    Genital herpes simplex 0/70 (0%) 1/67 (1.5%)
    Gingivitis 1/70 (1.4%) 1/67 (1.5%)
    Groin abscess 0/70 (0%) 2/67 (3%)
    Herpes virus infection 1/70 (1.4%) 0/67 (0%)
    Influenza 1/70 (1.4%) 3/67 (4.5%)
    Lower respiratory tract infection 0/70 (0%) 1/67 (1.5%)
    Mastitis 1/70 (1.4%) 0/67 (0%)
    Muscle abscess 0/70 (0%) 1/67 (1.5%)
    Oesophageal candidiasis 0/70 (0%) 1/67 (1.5%)
    Post procedural infection 0/70 (0%) 1/67 (1.5%)
    Proctitis chlamydial 0/70 (0%) 1/67 (1.5%)
    Streptococcal infection 1/70 (1.4%) 0/67 (0%)
    Vulvovaginal mycotic infection 1/70 (1.4%) 0/67 (0%)
    Epididymitis 0/70 (0%) 1/67 (1.5%)
    Injury, poisoning and procedural complications
    Arthropod sting 0/70 (0%) 2/67 (3%)
    Contusion 2/70 (2.9%) 2/67 (3%)
    Exposure to communicable disease 1/70 (1.4%) 0/67 (0%)
    Fibula fracture 0/70 (0%) 1/67 (1.5%)
    Hand fracture 2/70 (2.9%) 0/67 (0%)
    Joint injury 0/70 (0%) 1/67 (1.5%)
    Laceration 1/70 (1.4%) 3/67 (4.5%)
    Ligament sprain 2/70 (2.9%) 2/67 (3%)
    Limb injury 0/70 (0%) 1/67 (1.5%)
    Muscle strain 0/70 (0%) 3/67 (4.5%)
    Procedural pain 1/70 (1.4%) 0/67 (0%)
    Radius fracture 0/70 (0%) 1/67 (1.5%)
    Spinal compression fracture 0/70 (0%) 1/67 (1.5%)
    Bone contusion 0/70 (0%) 1/67 (1.5%)
    Epicondylitis 0/70 (0%) 1/67 (1.5%)
    Fall 0/70 (0%) 1/67 (1.5%)
    Humerus fracture 1/70 (1.4%) 0/67 (0%)
    Lower limb fracture 0/70 (0%) 1/67 (1.5%)
    Muscle injury 0/70 (0%) 1/67 (1.5%)
    Overdose 0/70 (0%) 1/67 (1.5%)
    Gastrointestinal injury 1/70 (1.4%) 0/67 (0%)
    Wound 2/70 (2.9%) 0/67 (0%)
    Investigations
    Alanine aminotransferase increased 1/70 (1.4%) 4/67 (6%)
    Aspartate aminotransferase increased 0/70 (0%) 2/67 (3%)
    Blood creatinine increased 1/70 (1.4%) 1/67 (1.5%)
    Blood pressure increased 1/70 (1.4%) 0/67 (0%)
    Gamma-glutamyltransferase increased 0/70 (0%) 1/67 (1.5%)
    Intraocular pressure increased 0/70 (0%) 1/67 (1.5%)
    Lipase increased 0/70 (0%) 3/67 (4.5%)
    Transaminases increased 1/70 (1.4%) 0/67 (0%)
    Viral load increased 0/70 (0%) 1/67 (1.5%)
    Amylase increased 0/70 (0%) 2/67 (3%)
    Blood creatine phosphokinase increased 0/70 (0%) 1/67 (1.5%)
    Hepatic enzyme increased 0/70 (0%) 1/67 (1.5%)
    Liver function test abnormal 0/70 (0%) 1/67 (1.5%)
    Weight decreased 1/70 (1.4%) 4/67 (6%)
    Anal pap smear abnormal 0/70 (0%) 1/67 (1.5%)
    Metabolism and nutrition disorders
    Decreased appetite 0/70 (0%) 3/67 (4.5%)
    Dyslipidaemia 0/70 (0%) 2/67 (3%)
    Gout 0/70 (0%) 2/67 (3%)
    Hypercholesterolaemia 1/70 (1.4%) 1/67 (1.5%)
    Hypertriglyceridaemia 2/70 (2.9%) 0/67 (0%)
    Obesity 0/70 (0%) 1/67 (1.5%)
    Hyperglycaemia 1/70 (1.4%) 0/67 (0%)
    Hypophosphataemia 1/70 (1.4%) 0/67 (0%)
    Vitamin D deficiency 2/70 (2.9%) 3/67 (4.5%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 7/70 (10%) 6/67 (9%)
    Back pain 4/70 (5.7%) 10/67 (14.9%)
    Bursitis 0/70 (0%) 3/67 (4.5%)
    Flank pain 1/70 (1.4%) 1/67 (1.5%)
    Intervertebral disc protrusion 0/70 (0%) 1/67 (1.5%)
    Joint effusion 0/70 (0%) 1/67 (1.5%)
    Muscle spasms 1/70 (1.4%) 0/67 (0%)
    Muscular weakness 2/70 (2.9%) 0/67 (0%)
    Musculoskeletal chest pain 0/70 (0%) 2/67 (3%)
    Musculoskeletal pain 0/70 (0%) 4/67 (6%)
    Musculoskeletal stiffness 0/70 (0%) 1/67 (1.5%)
    Myalgia 2/70 (2.9%) 2/67 (3%)
    Pain in extremity 3/70 (4.3%) 7/67 (10.4%)
    Pain in jaw 1/70 (1.4%) 0/67 (0%)
    Rotator cuff syndrome 0/70 (0%) 1/67 (1.5%)
    Spinal osteoarthritis 1/70 (1.4%) 0/67 (0%)
    Arthritis 1/70 (1.4%) 1/67 (1.5%)
    Costochondritis 1/70 (1.4%) 0/67 (0%)
    Gouty arthritis 1/70 (1.4%) 0/67 (0%)
    Intervertebral disc disorder 1/70 (1.4%) 0/67 (0%)
    Musculoskeletal discomfort 1/70 (1.4%) 0/67 (0%)
    Neck pain 0/70 (0%) 1/67 (1.5%)
    Osteopenia 1/70 (1.4%) 0/67 (0%)
    Spondylitis 0/70 (0%) 2/67 (3%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Anogenital warts 0/70 (0%) 1/67 (1.5%)
    Skin papilloma 0/70 (0%) 1/67 (1.5%)
    Lipoma 1/70 (1.4%) 0/67 (0%)
    Oral papilloma 1/70 (1.4%) 0/67 (0%)
    Nervous system disorders
    Ageusia 1/70 (1.4%) 0/67 (0%)
    Amnesia 1/70 (1.4%) 1/67 (1.5%)
    Burning sensation 0/70 (0%) 1/67 (1.5%)
    Carpal tunnel syndrome 1/70 (1.4%) 0/67 (0%)
    Cervicobrachial syndrome 0/70 (0%) 1/67 (1.5%)
    Complex regional pain syndrome 1/70 (1.4%) 0/67 (0%)
    Dizziness 4/70 (5.7%) 6/67 (9%)
    Dysaesthesia 2/70 (2.9%) 0/67 (0%)
    Dysgeusia 0/70 (0%) 1/67 (1.5%)
    Headache 6/70 (8.6%) 5/67 (7.5%)
    Hypertonia 1/70 (1.4%) 0/67 (0%)
    Hypoaesthesia 1/70 (1.4%) 1/67 (1.5%)
    Intercostal neuralgia 1/70 (1.4%) 0/67 (0%)
    Migraine 3/70 (4.3%) 3/67 (4.5%)
    Sciatica 1/70 (1.4%) 2/67 (3%)
    Somnolence 0/70 (0%) 2/67 (3%)
    Aphasia 1/70 (1.4%) 0/67 (0%)
    Disturbance in attention 0/70 (0%) 1/67 (1.5%)
    Dyskinesia 0/70 (0%) 1/67 (1.5%)
    Epilepsy 1/70 (1.4%) 0/67 (0%)
    Hemiparesis 1/70 (1.4%) 0/67 (0%)
    Loss of consciousness 0/70 (0%) 1/67 (1.5%)
    Neuropathy peripheral 1/70 (1.4%) 0/67 (0%)
    VIIth nerve paralysis 0/70 (0%) 1/67 (1.5%)
    Psychiatric disorders
    Abnormal dreams 0/70 (0%) 1/67 (1.5%)
    Anxiety 0/70 (0%) 4/67 (6%)
    Depression 5/70 (7.1%) 4/67 (6%)
    Dissociation 1/70 (1.4%) 0/67 (0%)
    Insomnia 5/70 (7.1%) 6/67 (9%)
    Nightmare 0/70 (0%) 1/67 (1.5%)
    Sleep disorder 1/70 (1.4%) 2/67 (3%)
    Alcohol abuse 0/70 (0%) 1/67 (1.5%)
    Alcoholism 0/70 (0%) 1/67 (1.5%)
    Hallucination, auditory 0/70 (0%) 1/67 (1.5%)
    Paranoia 0/70 (0%) 1/67 (1.5%)
    Substance abuse 1/70 (1.4%) 1/67 (1.5%)
    Suicidal ideation 1/70 (1.4%) 0/67 (0%)
    Renal and urinary disorders
    Dysuria 2/70 (2.9%) 2/67 (3%)
    Haematuria 0/70 (0%) 1/67 (1.5%)
    Leukocyturia 1/70 (1.4%) 1/67 (1.5%)
    Micturition urgency 0/70 (0%) 1/67 (1.5%)
    Nephrolithiasis 1/70 (1.4%) 2/67 (3%)
    Renal cyst 1/70 (1.4%) 0/67 (0%)
    Urinary hesitation 1/70 (1.4%) 0/67 (0%)
    Bladder prolapse 0/70 (0%) 1/67 (1.5%)
    Pollakiuria 1/70 (1.4%) 1/67 (1.5%)
    Polyuria 0/70 (0%) 1/67 (1.5%)
    Urethral discharge 0/70 (0%) 1/67 (1.5%)
    Urinary incontinence 0/70 (0%) 1/67 (1.5%)
    Reproductive system and breast disorders
    Breast mass 0/70 (0%) 2/67 (3%)
    Erectile dysfunction 1/70 (1.4%) 0/67 (0%)
    Genital rash 0/70 (0%) 1/67 (1.5%)
    Prostatitis 1/70 (1.4%) 1/67 (1.5%)
    Pruritus genital 0/70 (0%) 1/67 (1.5%)
    Testicular pain 0/70 (0%) 1/67 (1.5%)
    Genital lesion 0/70 (0%) 1/67 (1.5%)
    Gynaecomastia 0/70 (0%) 1/67 (1.5%)
    Prostatic disorder 0/70 (0%) 1/67 (1.5%)
    Vulvovaginal pruritus 0/70 (0%) 1/67 (1.5%)
    Vulvovaginal swelling 0/70 (0%) 1/67 (1.5%)
    Respiratory, thoracic and mediastinal disorders
    Asthma 1/70 (1.4%) 1/67 (1.5%)
    Cough 9/70 (12.9%) 2/67 (3%)
    Dyspnoea 1/70 (1.4%) 2/67 (3%)
    Haemoptysis 0/70 (0%) 1/67 (1.5%)
    Nasal congestion 0/70 (0%) 1/67 (1.5%)
    Oropharyngeal pain 4/70 (5.7%) 2/67 (3%)
    Pharyngeal erythema 2/70 (2.9%) 0/67 (0%)
    Productive cough 0/70 (0%) 1/67 (1.5%)
    Sinus congestion 0/70 (0%) 1/67 (1.5%)
    Sneezing 0/70 (0%) 1/67 (1.5%)
    Bronchial hyperreactivity 1/70 (1.4%) 0/67 (0%)
    Chronic obstructive pulmonary disease 0/70 (0%) 1/67 (1.5%)
    Dry throat 1/70 (1.4%) 0/67 (0%)
    Epistaxis 0/70 (0%) 1/67 (1.5%)
    Pulmonary hypertension 0/70 (0%) 1/67 (1.5%)
    Pulmonary mass 1/70 (1.4%) 0/67 (0%)
    Sinus disorder 0/70 (0%) 1/67 (1.5%)
    Throat irritation 0/70 (0%) 1/67 (1.5%)
    Skin and subcutaneous tissue disorders
    Acne 1/70 (1.4%) 1/67 (1.5%)
    Alopecia 1/70 (1.4%) 2/67 (3%)
    Dermatitis 2/70 (2.9%) 1/67 (1.5%)
    Hyperhidrosis 0/70 (0%) 1/67 (1.5%)
    Night sweats 3/70 (4.3%) 1/67 (1.5%)
    Pruritus 4/70 (5.7%) 6/67 (9%)
    Rash 5/70 (7.1%) 3/67 (4.5%)
    Rash maculo-papular 1/70 (1.4%) 0/67 (0%)
    Rosacea 0/70 (0%) 1/67 (1.5%)
    Seborrhoeic dermatitis 1/70 (1.4%) 0/67 (0%)
    Skin lesion 2/70 (2.9%) 3/67 (4.5%)
    Skin mass 0/70 (0%) 1/67 (1.5%)
    Actinic keratosis 0/70 (0%) 1/67 (1.5%)
    Dermatitis allergic 1/70 (1.4%) 1/67 (1.5%)
    Dermatitis allergic 1/70 (1.4%) 0/67 (0%)
    Dermatitis contact 1/70 (1.4%) 0/67 (0%)
    Dry skin 1/70 (1.4%) 1/67 (1.5%)
    Dyshidrotic eczema 1/70 (1.4%) 0/67 (0%)
    Eczema 1/70 (1.4%) 1/67 (1.5%)
    Erythema 0/70 (0%) 1/67 (1.5%)
    Onycholysis 1/70 (1.4%) 0/67 (0%)
    Rash papular 1/70 (1.4%) 0/67 (0%)
    Skin fissures 1/70 (1.4%) 0/67 (0%)
    Skin plaque 0/70 (0%) 1/67 (1.5%)
    Skin ulcer 0/70 (0%) 1/67 (1.5%)
    Spider naevus 1/70 (1.4%) 0/67 (0%)
    Swelling face 1/70 (1.4%) 0/67 (0%)
    Rash pruritic 0/70 (0%) 1/67 (1.5%)
    Social circumstances
    Menopause 1/70 (1.4%) 0/67 (0%)
    Surgical and medical procedures
    Abdominal hernia repair 0/70 (0%) 1/67 (1.5%)
    Skin lesion excision 1/70 (1.4%) 0/67 (0%)
    Tooth extraction 0/70 (0%) 1/67 (1.5%)
    Cataract operation 0/70 (0%) 1/67 (1.5%)
    Vascular disorders
    Haematoma 0/70 (0%) 1/67 (1.5%)
    Hot flush 0/70 (0%) 2/67 (3%)
    Hypertension 4/70 (5.7%) 3/67 (4.5%)
    Hypotension 1/70 (1.4%) 1/67 (1.5%)
    Varicose vein 1/70 (1.4%) 1/67 (1.5%)
    Deep vein thrombosis 0/70 (0%) 2/67 (3%)
    Peripheral venous disease 0/70 (0%) 1/67 (1.5%)

    Limitations/Caveats

    The median time to development of Grade 3 and 4 ALT abnormalities was not estimable due to too few events reported under each treatment group.

    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 less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information 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.gov_Inquiries@pfizer.com
    Responsible Party:
    ViiV Healthcare
    ClinicalTrials.gov Identifier:
    NCT01327547
    Other Study ID Numbers:
    • A4001098
    • 2010-021994-35
    First Posted:
    Apr 1, 2011
    Last Update Posted:
    Dec 6, 2017
    Last Verified:
    Nov 1, 2017