A Dose-Ranging Study to Compare Doravirine (MK-1439) Plus TRUVADA® Versus Efavirenz Plus TRUVADA® in Human Immunodeficiency Virus (HIV)-1 Infected Participants (MK-1439-007)
Study Details
Study Description
Brief Summary
The hypothesis tested in this study is that doravirine (MK-1439) at the final dose selected is superior to efavirenz, each given in combination with TRUVADA®, as measured by the percentage of participants with CNS events by Week 8. If superiority is established at Week 8, the same hypothesis will be tested for Week 24.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
Part I - Dose-Ranging. Part I will evaluate the (1) safety and tolerability and (2) efficacy (antiretroviral activity) of 4 doses of doravirine compared with efavirenz, when each is given in combination with TRUVADA® for at least 24 weeks in approximately 200 participants. A single dose of doravirine will be selected for further study after all participants complete the Week 24 visit in Part I. Participants receiving any dose of doravirine in Part I will be switched to the selected doravirine dose and continue in the study for up to 96 weeks, but will not be randomized to Part II.
Part II - Selected Dose. Part II will be initiated after the doravirine dose has been selected as indicated above for Part 1. Approximately 120 additional participants will be randomized in 1:1 ratio to the selected dose of doravirine or efavirenz, each in combination with TRUVADA® for 96 weeks of blinded treatment. Part II will evaluate the safety of the selected dose compared with efavirenz, particularly with regard to central nervous system (CNS) adverse events.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Doravirine 25 mg Doravirine 25 mg + TRUVADA® Participants in this arm will receive doravirine 25 mg in Part I and the selected doravirine dose (either 25 mg, 50 mg, 100 mg, or 200 mg) in Part II. These participants also receive placebo that matches efavirenz. |
Drug: Doravirine
Part I: Doravirine 25 mg, 50 mg (25 mg X 2), 100 mg, or 200 mg (100 mg X 2) depending upon randomization, taken orally every morning with or without food for at least 24 weeks. Part II: Selected dose of doravirine depending upon randomization (either 25 mg, 50 mg, 100 mg, or 200 mg) tablet orally every morning with or without food for 96 weeks.
Other Names:
Drug: TRUVADA®
Open-label TRUVADA® (fixed combination 200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate) tablet taken orally with food in the morning for 96 weeks
Drug: Placebo for Doravirine
Placebo tablets matching doravirine
|
Experimental: Doravirine 50 mg Doravirine 50 mg + TRUVADA® Participants in this arm will receive doravirine 50 mg in Part I and the selected doravirine dose (either 25 mg, 50 mg, 100 mg, or 200 mg) in Part II. These participants also receive placebo that matches efavirenz. |
Drug: Doravirine
Part I: Doravirine 25 mg, 50 mg (25 mg X 2), 100 mg, or 200 mg (100 mg X 2) depending upon randomization, taken orally every morning with or without food for at least 24 weeks. Part II: Selected dose of doravirine depending upon randomization (either 25 mg, 50 mg, 100 mg, or 200 mg) tablet orally every morning with or without food for 96 weeks.
Other Names:
Drug: TRUVADA®
Open-label TRUVADA® (fixed combination 200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate) tablet taken orally with food in the morning for 96 weeks
Drug: Placebo for Doravirine
Placebo tablets matching doravirine
|
Experimental: Doravirine 100 mg Doravirine 100 mg + TRUVADA® Participants in this arm will receive doravirine 100 mg in Part I and the selected doravirine dose (either 25 mg, 50 mg, 100 mg, or 200 mg) in Part II. These participants also receive placebo that matches efavirenz. |
Drug: Doravirine
Part I: Doravirine 25 mg, 50 mg (25 mg X 2), 100 mg, or 200 mg (100 mg X 2) depending upon randomization, taken orally every morning with or without food for at least 24 weeks. Part II: Selected dose of doravirine depending upon randomization (either 25 mg, 50 mg, 100 mg, or 200 mg) tablet orally every morning with or without food for 96 weeks.
Other Names:
Drug: TRUVADA®
Open-label TRUVADA® (fixed combination 200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate) tablet taken orally with food in the morning for 96 weeks
Drug: Placebo for Doravirine
Placebo tablets matching doravirine
|
Experimental: Doravirine 200 mg Doravirine 200 mg + TRUVADA® Participants in this arm will receive doravirine 200 mg in Part I and the selected doravirine dose (either 25 mg, 50 mg, 100 mg, or 200 mg) in Part II. These participants also receive placebo that matches efavirenz. |
Drug: Doravirine
Part I: Doravirine 25 mg, 50 mg (25 mg X 2), 100 mg, or 200 mg (100 mg X 2) depending upon randomization, taken orally every morning with or without food for at least 24 weeks. Part II: Selected dose of doravirine depending upon randomization (either 25 mg, 50 mg, 100 mg, or 200 mg) tablet orally every morning with or without food for 96 weeks.
Other Names:
Drug: TRUVADA®
Open-label TRUVADA® (fixed combination 200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate) tablet taken orally with food in the morning for 96 weeks
Drug: Placebo for Doravirine
Placebo tablets matching doravirine
|
Active Comparator: Efavirenz Efavirenz + TRUVADA® Participants in this arm will receive efavirenz in Part I and in Part II. These participants also receive placebo that matches doravirine. |
Drug: Efavirenz
Efavirenz 600 mg tablet orally at bedtime taken without food on an empty stomach for 96 weeks
Drug: TRUVADA®
Open-label TRUVADA® (fixed combination 200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate) tablet taken orally with food in the morning for 96 weeks
Drug: Placebo for Efavirenz
Placebo tablets matching efavirenz
|
Outcome Measures
Primary Outcome Measures
- Percentage of Participants With At Least 1 AE in Weeks 0-24: Doravirine (All Doses) vs Efavirenz (Part I) [Up to Week 24]
Assessment of the percentage of participants receiving doravirine at all doses (25 mg, 50 mg, 100 mg, or 200 mg), compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 24 weeks of treatment. An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product.The percentage of participants in any treatment group with at least 1 AE was primarily assessed for Weeks 0-24.
- Percentage of Participants Who Discontinued Study Therapy Due to AEs in Weeks 0-24: Doravirine (All Doses) vs Efavirenz (Part I) [Up to Week 24]
Assessment of the percentage of participants receiving doravirine at all doses (25 mg, 50 mg, 100 mg, or 200 mg), compared with participants receiving efavirenz 600 mg, who discontinued therapy due to an AE over 24 weeks of treatment. An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product.The percentage of participants in any treatment group who discontinued therapy due to an AE was primarily assessed for Weeks 0-24.
- Percentage of Participants With At Least 1 AE in Weeks 0-24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Up to Week 24]
Assessment of the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 24 weeks of treatment. An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product.The percentage of participants in any treatment group with at least 1 AE was assessed for Weeks 0-24.
- Percentage of Participants With CNS Events by Week 8: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Up to Week 8]
Assessment of the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had CNS events over 8 weeks of treatment. CNS events were pooled and evaluated as pre-specified by the protocol (depression, nightmare, confusional state, suicidal ideation, nervous system disorder, psychotic disorder, abnormal dreams, suicide attempt, acute psychosis, delirium, depressed level of consciousness, hallucination, hallucination auditory, hallucination visual, completed suicide, suicidal behavior, major depression, depressed mood, depressive symptom, insomnia, disturbance in attention, somnolence, dizziness, or concentration impaired). The percentage of participants in either treatment group with CNS events was assessed over Weeks 0-8.
- Percentage of Participants With CNS Events by Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Up to Week 24]
Assessment of the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had CNS events over 24 weeks of treatment. CNS events were pooled and evaluated as pre-specified by the protocol (depression, nightmare, confusional state, suicidal ideation, nervous system disorder, psychotic disorder, abnormal dreams, suicide attempt, acute psychosis, delirium, depressed level of consciousness, hallucination, hallucination auditory, hallucination visual, completed suicide, suicidal behavior, major depression, depressed mood, depressive symptom, insomnia, disturbance in attention, somnolence, dizziness, or concentration impaired). The percentage of participants in either treatment group with CNS events was assessed over Weeks 0-24.
- Percentage of Participants With Virologic Response (HIV-1 RNA) < 40 Copies/mL) at Week 24: Doravirine (All Doses) vs Efavirenz (Part I) [Week 24]
Assessment of the virologic response to doravirine at all studied doses (25 mg, 50 mg, 100 mg, and 200 mg), compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <40 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay, which has a limit of reliable quantification of 40 copies/mL. The percentage of participants in any treatment group with a virologic response was assessed at Week 24. The Non-Completer = Failure (NC=F) approach, in which participants who prematurely discontinued assigned treatment for any reason and were considered as failures thereafter, was used as the primary approach to handle missing data this analysis of efficacy.This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I.
- Percentage of Participants With Virologic Response (HIV-1 RNA <40 Copies/mL) at Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Week 24]
Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with HIV-1 RNA <40 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay, which has a limit of reliable quantification of 40 copies/mL. The percentage of participants in any treatment group with a virologic response was assessed at Week 24. The NC=F approach was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I & Part II combined.
Secondary Outcome Measures
- Percentage of Participants With Virologic Response (HIV-1 RNA <40 Copies/mL) at Week 48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Week 48]
Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with HIV-1 RNA <40 copies/mL at Week 48. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-24. The NC=F approach was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I & Part II combined.
- Percentage of Participants With Virologic Response (HIV-1 RNA <40 Copies/mL) at Week 96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Week 96]
Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with HIV-1 RNA <40 copies/mL at Week 96. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-24. The NC=F approach was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I & Part II combined.
- Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 24: Doravirine (All Doses) vs Efavirenz (Part I) [Week 24]
Assessment of the virologic response to doravirine at all studied doses (25 mg, 50 mg, 100 mg, and 200 mg), compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <200 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay.The percentage of participants in any treatment group with a virologic response was assessed at Week 24. The NC=F approach was used as the primary approach to handle missing data for this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <200 copies/mL in Part I.
- Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Week 24]
Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <200 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-24. The NC=F approach was used as the primary approach to handle missing data for this analysis of efficacy. This secondary outcome was analyzed for HIV-1 RNA <200 copies/mL in Part I & Part II combined.
- Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Week 48]
Evaluation of the antiretroviral activity of doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA for 24 weeks, as measured by the percentage of participants with HIV-1 RNA <200 copies/mL at Week 48. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. This primary outcome was analyzed for RNA <200 copies/mL in Part I & Part II combined.
- Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Week 96]
Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <200 copies/mL at Week 96. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-96. The Non-Completer = Failure (NC=F) approach, in which participants who prematurely discontinued assigned treatment for any reason and were considered as failures thereafter, was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <200 copies/mL in Part I & Part II combined.
- Change From Baseline in CD4 T Lymphocyte Cell Count at Week 24: Doravirine (All Doses) vs Efavirenz (Part I) [Baseline, Week 24]
Evaluation of the change from baseline in the CD4 cell count at Week 24 in participants receiving doravirine at all doses (25 mg, 50 mg, 100 mg, and 200 mg), compared with participants receiving efavirenz 600 mg. The Observed Failure (OF) approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for participants who discontinued assigned treatment due to lack of efficacy.
- Change From Baseline in CD4 Cell Count at Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Baseline, Week 24]
Assessment of the change from baseline in the CD4 cell count at Week 24 in participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg. The OF approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for participants who discontinued assigned treatment due to lack of efficacy.
- Change From Baseline in CD4 Cell Count at Week 48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Baseline, Week 48]
Assessment of the change from baseline in the CD4 count at Week 48 in participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg. The OF approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for subjects who discontinued assigned treatment due to lack of efficacy.
- Change From Baseline in CD4 Cell Count at Week 96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Baseline, Week 96]
A secondary endpoint in Part I/II combined was the change from baseline in the CD4 count at Week 96 in participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg. The OF approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for subjects who discontinued assigned treatment due to lack of efficacy.
- Percentage of Participants With At Least 1 AE in Weeks 0-48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Up to Week 48]
A secondary outcome in Part I/II combined was the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 48 weeks of treatment. The percentage of participants in any treatment group with at least 1 AE was primarily assessed for Weeks 0-48.
- Percentage of Participants With At Least 1 AE in Weeks 0-96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) [Up to Week 96]
A secondary outcome in Part I/II combined was the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 96 weeks of treatment. The percentage of participants in any treatment group with at least 1 AE was primarily assessed for Weeks 0-96.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
HIV-1 positive
-
No previous use of antiretroviral therapy (ART)
-
No signs of active pulmonary disease within 45 days before the start of study treatment
-
Clinically stable with no signs or symptoms of acute infection
-
No change in clinical status or chronic medications for at least 2 weeks before the start of study treatment
-
Participants of reproductive potential agree to remain abstinent in line with their preferred and usual lifestyle or use (or have their partner use) 2 acceptable methods of birth control throughout the study and for 12 weeks post study.
-
Participants not of reproductive potential, not sexually active, whose current partner(s) is not of reproductive potential, or whose sexual activity is exclusively homosexual are eligible without requiring the use of contraception.
Exclusion Criteria:
-
Males planning to impregnate or provide sperm donation for the duration of the study plus an additional 12 weeks. Females pregnant or breast-feeding or expecting to conceive or donate eggs for the duration of the study plus an additional 12 weeks.
-
Received any approved or experimental antiretroviral agents or is anticipated to receive such medications during the study.
-
Use of any immunomodulators or immunosuppressive therapy within one month before the study. Short courses of corticosteroids (e.g., for asthma exacerbation) are allowed.
-
Treatment for a viral infection other than HIV, such as hepatitis B, with an agent that is active against HIV
-
HIV resistance to emtricitabine, tenofovir disoproxil fumarate, and/or efavirenz.
-
History of renal or urinary obstructive disease or requires dialysis
-
Active Hepatitis C virus (HCV) or Hepatitis B virus (HBV) co-infection
-
History of alcohol or other substance abuse
-
Participation in a study with an investigational compound/device within one month or is anticipating to participate in such a study during this study
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Merck Sharp & Dohme LLC
Investigators
- Study Director: Medical Director, Merck Sharp & Dohme LLC
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1439-007
- MK-1439-007
- 2012-001573-93
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail | 210 participants were randomized to Part I and 132 participants were randomized to Part II. |
Arm/Group Title | Part I: Doravirine 25 mg | Part I: Doravirine 50 mg | Part I: Doravirine 100 mg | Part I: Doravirine 200 mg | Part I: Efavirenz 600 mg | Part II: Doravirine 100 mg | Part II: Efavirenz 600 mg |
---|---|---|---|---|---|---|---|
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily in Part I | Doravirine 50 mg once daily plus TRUVADA once daily in Part I | Doravirine 100 mg once daily plus TRUVADA once daily in Part I | Doravirine 200 mg once daily plus TRUVADA once daily in Part I | Efavirenz 600 mg once daily plus TRUVADA once daily in Part I | Doravirine 100 mg once daily plus TRUVADA once daily in Part II | Efavirenz 600 mg once daily plus TRUVADA once daily in Part II |
Period Title: Randomized Participants | |||||||
STARTED | 41 | 43 | 42 | 41 | 43 | 66 | 66 |
COMPLETED | 41 | 43 | 42 | 41 | 43 | 66 | 66 |
NOT COMPLETED | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Period Title: Randomized Participants | |||||||
STARTED | 41 | 43 | 42 | 41 | 43 | 0 | 0 |
Treated | 40 | 43 | 42 | 41 | 43 | 0 | 0 |
COMPLETED | 29 | 28 | 32 | 33 | 30 | 0 | 0 |
NOT COMPLETED | 12 | 15 | 10 | 8 | 13 | 0 | 0 |
Period Title: Randomized Participants | |||||||
STARTED | 0 | 0 | 0 | 0 | 0 | 66 | 66 |
Treated | 0 | 0 | 0 | 0 | 0 | 66 | 66 |
COMPLETED | 0 | 0 | 0 | 0 | 0 | 55 | 55 |
NOT COMPLETED | 0 | 0 | 0 | 0 | 0 | 11 | 11 |
Baseline Characteristics
Arm/Group Title | Doravirine 25 mg: Part I/II Combined | Doravirine 50 mg Part I/II Combined | Doravirine 100 mg: Part I/II Combined | Doravirine 200 mg: Part I/II Combined | Efavirenz 600 mg: Part I/II Combined | Total |
---|---|---|---|---|---|---|
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily | Doravirine 50 mg once daily plus TRUVADA once daily | Doravirine 100 mg once daily plus TRUVADA once daily | Doravirine 200 mg once daily plus TRUVADA once daily | Efavirenz 600 mg once daily plus TRUVADA once daily | Total of all reporting groups |
Overall Participants | 40 | 43 | 108 | 41 | 108 | 340 |
Age (years) [Mean (Standard Deviation) ] | ||||||
Mean (Standard Deviation) [years] |
38.9
(13.42)
|
38.3
(10.71)
|
36.8
(11.31)
|
34.4
(8.85)
|
35.2
(9.08)
|
36.4
(10.62)
|
Sex: Female, Male (Count of Participants) | ||||||
Female |
2
5%
|
6
14%
|
9
8.3%
|
1
2.4%
|
7
6.5%
|
25
7.4%
|
Male |
38
95%
|
37
86%
|
99
91.7%
|
40
97.6%
|
101
93.5%
|
315
92.6%
|
Outcome Measures
Title | Percentage of Participants With At Least 1 AE in Weeks 0-24: Doravirine (All Doses) vs Efavirenz (Part I) |
---|---|
Description | Assessment of the percentage of participants receiving doravirine at all doses (25 mg, 50 mg, 100 mg, or 200 mg), compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 24 weeks of treatment. An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product.The percentage of participants in any treatment group with at least 1 AE was primarily assessed for Weeks 0-24. |
Time Frame | Up to Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least 1 dose of study treatment in Part I. |
Arm/Group Title | Doravirine 25 mg: Part I | Doravirine 50 mg: Part I | Doravirine 100 mg : Part I | Doravirine 200 mg: Part I | Efavirenz 600 mg: Part I |
---|---|---|---|---|---|
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily received in Part I | Doravirine 50 mg once daily plus TRUVADA once daily received in Part I | Doravirine 100 mg once daily plus TRUVADA once daily received in Part I | Doravirine 200 mg once daily plus TRUVADA once daily received in Part I | Efavirenz 600 mg once daily plus TRUVADA once daily received in Part I |
Measure Participants | 40 | 43 | 42 | 41 | 42 |
Number (95% Confidence Interval) [Percentage of participants] |
90.0
225%
|
93.0
216.3%
|
71.4
66.1%
|
85.4
208.3%
|
83.3
77.1%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | 6.7 | |
Confidence Interval |
(2-Sided) 95% -9.0 to 22.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Doravirine 50 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | 9.7 | |
Confidence Interval |
(2-Sided) 95% -4.6 to 24.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Doravirine 100 mg : Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | -11.9 | |
Confidence Interval |
(2-Sided) 95% -27.9 to 6.3 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Doravirine 200 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | 2.0 | |
Confidence Interval |
(2-Sided) 95% -14.5 to 18.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants Who Discontinued Study Therapy Due to AEs in Weeks 0-24: Doravirine (All Doses) vs Efavirenz (Part I) |
---|---|
Description | Assessment of the percentage of participants receiving doravirine at all doses (25 mg, 50 mg, 100 mg, or 200 mg), compared with participants receiving efavirenz 600 mg, who discontinued therapy due to an AE over 24 weeks of treatment. An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product.The percentage of participants in any treatment group who discontinued therapy due to an AE was primarily assessed for Weeks 0-24. |
Time Frame | Up to Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least 1 dose of study treatment in Part I. |
Arm/Group Title | Doravirine 25 mg: Part I | Doravirine 50 mg: Part I | Doravirine 100 mg: Part I | Doravirine 200 mg: Part I | Efavirenz 600 mg: Part I |
---|---|---|---|---|---|
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily received in Part I | Doravirine 50 mg once daily plus TRUVADA once daily received in Part I | Doravirine 100 mg once daily plus TRUVADA once daily received in Part I | Doravirine 200 mg once daily plus TRUVADA once daily received in Part I | Efavirenz 600 mg once daily plus TRUVADA once daily received in Part I |
Measure Participants | 40 | 43 | 42 | 41 | 42 |
Number (95% Confidence Interval) [Percentage of participants] |
2.5
6.3%
|
7.0
16.3%
|
2.4
2.2%
|
0.0
0%
|
4.8
4.4%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | -2.3 | |
Confidence Interval |
(2-Sided) 95% -13.7 to 8.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Doravirine 50 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | 2.2 | |
Confidence Interval |
(2-Sided) 95% -9.9 to 14.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Doravirine 100 mg : Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | -2.4 | |
Confidence Interval |
(2-Sided) 95% -13.8 to 8.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Doravirine 200 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | -4.8 | |
Confidence Interval |
(2-Sided) 95% -15.9 to 4.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With At Least 1 AE in Weeks 0-24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 24 weeks of treatment. An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product.The percentage of participants in any treatment group with at least 1 AE was assessed for Weeks 0-24. |
Time Frame | Up to Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least 1 dose of study treatment in either Part I or Part II. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
75.0
187.5%
|
85.2
198.1%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference |
Estimated Value | -10.2 | |
Confidence Interval |
(2-Sided) 95% -20.9 to 0.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With CNS Events by Week 8: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had CNS events over 8 weeks of treatment. CNS events were pooled and evaluated as pre-specified by the protocol (depression, nightmare, confusional state, suicidal ideation, nervous system disorder, psychotic disorder, abnormal dreams, suicide attempt, acute psychosis, delirium, depressed level of consciousness, hallucination, hallucination auditory, hallucination visual, completed suicide, suicidal behavior, major depression, depressed mood, depressive symptom, insomnia, disturbance in attention, somnolence, dizziness, or concentration impaired). The percentage of participants in either treatment group with CNS events was assessed over Weeks 0-8. |
Time Frame | Up to Week 8 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least 1 dose of study treatment in either Part I or Part II. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
24.1
60.3%
|
44.4
103.3%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.002 |
Comments | Superiority analysis | |
Method | Miettinen and Nurminen method | |
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | -20.4 | |
Confidence Interval |
(2-Sided) 95% -32.4 to -7.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With CNS Events by Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had CNS events over 24 weeks of treatment. CNS events were pooled and evaluated as pre-specified by the protocol (depression, nightmare, confusional state, suicidal ideation, nervous system disorder, psychotic disorder, abnormal dreams, suicide attempt, acute psychosis, delirium, depressed level of consciousness, hallucination, hallucination auditory, hallucination visual, completed suicide, suicidal behavior, major depression, depressed mood, depressive symptom, insomnia, disturbance in attention, somnolence, dizziness, or concentration impaired). The percentage of participants in either treatment group with CNS events was assessed over Weeks 0-24. |
Time Frame | Up to Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least 1 dose of study treatment in either Part I or Part II. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
26.9
67.3%
|
47.2
109.8%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.002 |
Comments | Superiority analysis | |
Method | Miettinen and Nurminen method | |
Comments | ||
Method of Estimation | Estimation Parameter | Difference (Doravirine - Efavirenz) |
Estimated Value | -20.4 | |
Confidence Interval |
(2-Sided) 95% -32.6 to -7.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA) < 40 Copies/mL) at Week 24: Doravirine (All Doses) vs Efavirenz (Part I) |
---|---|
Description | Assessment of the virologic response to doravirine at all studied doses (25 mg, 50 mg, 100 mg, and 200 mg), compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <40 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay, which has a limit of reliable quantification of 40 copies/mL. The percentage of participants in any treatment group with a virologic response was assessed at Week 24. The Non-Completer = Failure (NC=F) approach, in which participants who prematurely discontinued assigned treatment for any reason and were considered as failures thereafter, was used as the primary approach to handle missing data this analysis of efficacy.This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I. |
Time Frame | Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in Part I, and had at least one post-randomization observation for the analysis of HIV-1 RNA (<40 copies/mL) at 24 weeks of study treatment. |
Arm/Group Title | Doravirine 25 mg: Part I | Doravirine 50 mg: Part I | Doravirine 100 mg: Part I | Doravirine 200 mg: Part I | Efavirenz 600 mg: Part I |
---|---|---|---|---|---|
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily received in Part I | Doravirine 50 mg once daily plus TRUVADA once daily received in Part I | Doravirine 100 mg once daily plus TRUVADA once daily received in Part I | Doravirine 200 mg once daily plus TRUVADA once daily received in Part I | Efavirenz 600 mg once daily plus TRUVADA once daily received in Part I |
Measure Participants | 40 | 43 | 42 | 41 | 42 |
Number (95% Confidence Interval) [Percentage of participants] |
80.0
200%
|
74.4
173%
|
71.4
66.1%
|
80.5
196.3%
|
64.3
59.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 15.7 | |
Confidence Interval |
(2-Sided) 95% -4.1 to 34.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Doravirine 50 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 10.0 | |
Confidence Interval |
(2-Sided) 95% -9.6 to 29.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Doravirine 100 mg : Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 6.6 | |
Confidence Interval |
(2-Sided) 95% -13.2 to 26.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Doravirine 200 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 15.9 | |
Confidence Interval |
(2-Sided) 95% -3.4 to 34.4 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA <40 Copies/mL) at Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with HIV-1 RNA <40 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay, which has a limit of reliable quantification of 40 copies/mL. The percentage of participants in any treatment group with a virologic response was assessed at Week 24. The NC=F approach was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I & Part II combined. |
Time Frame | Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in either Part I or Part II, and had at least one post-randomization observation for the analysis of HIV-1 RNA (<40 copies/mL) at 24 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 107 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
72.9
182.3%
|
73.1
170%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | -0.5 | |
Confidence Interval |
(2-Sided) 95% -13.2 to 11.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA <40 Copies/mL) at Week 48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with HIV-1 RNA <40 copies/mL at Week 48. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-24. The NC=F approach was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I & Part II combined. |
Time Frame | Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in either Part I or Part II, and had at least one post-randomization observation for the analysis of HIV-1 RNA (<40 copies/mL) at 48 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 107 |
Number (95% Confidence Interval) [Percentage of participants] |
77.8
194.5%
|
79.4
184.7%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | -1.9 | |
Confidence Interval |
(2-Sided) 95% -12.9 to 9.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA <40 Copies/mL) at Week 96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with HIV-1 RNA <40 copies/mL at Week 96. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-24. The NC=F approach was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <40 copies/mL in Part I & Part II combined. |
Time Frame | Week 96 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in either Part I or Part II, and had at least one post-randomization observation for the analysis of HIV-1 RNA (<40 copies/mL) at 96 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
75.0
187.5%
|
75.9
176.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | -0.8 | |
Confidence Interval |
(2-Sided) 95% -12.4 to 10.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 24: Doravirine (All Doses) vs Efavirenz (Part I) |
---|---|
Description | Assessment of the virologic response to doravirine at all studied doses (25 mg, 50 mg, 100 mg, and 200 mg), compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <200 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay.The percentage of participants in any treatment group with a virologic response was assessed at Week 24. The NC=F approach was used as the primary approach to handle missing data for this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <200 copies/mL in Part I. |
Time Frame | Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in Part I, and had at least one post-randomization observation for the analysis of HIV-1 RNA (<200 copies/mL) at 24 weeks of study treatment. |
Arm/Group Title | Doravirine 25 mg: Part I | Doravirine 50 mg: Part I | Doravirine 100 mg: Part I | Doravirine 200 mg: Part I | Efavirenz 600 mg: Part I |
---|---|---|---|---|---|
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily received in Part I | Doravirine 50 mg once daily plus TRUVADA once daily received in Part I | Doravirine 100 mg once daily plus TRUVADA once daily received in Part I | Doravirine 200 mg once daily plus TRUVADA once daily received in Part I | Efavirenz 600 mg once daily plus TRUVADA once daily received in Part I |
Measure Participants | 40 | 43 | 42 | 41 | 42 |
Number (95% Confidence Interval) [Percentage of participants] |
85.0
212.5%
|
83.7
194.7%
|
92.9
86%
|
90.2
220%
|
81.0
75%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 4.5 | |
Confidence Interval |
(2-Sided) 95% -12.5 to 21.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Doravirine 50 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 2.8 | |
Confidence Interval |
(2-Sided) 95% -13.9 to 19.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Doravirine 100 mg : Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 12.2 | |
Confidence Interval |
(2-Sided) 95% -2.5 to 28.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Doravirine 200 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 9.5 | |
Confidence Interval |
(2-Sided) 95% -6.2 to 25.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <200 copies/mL at Week 24. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-24. The NC=F approach was used as the primary approach to handle missing data for this analysis of efficacy. This secondary outcome was analyzed for HIV-1 RNA <200 copies/mL in Part I & Part II combined. |
Time Frame | Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in either Part I or Part II, and had at least one post-randomization observation for the analysis of HIV-1 RNA (<200 copies/mL) at 24 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 107 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
89.7
224.3%
|
87.0
202.3%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 2.7 | |
Confidence Interval |
() 95% -6.1 to 11.7 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Evaluation of the antiretroviral activity of doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA for 24 weeks, as measured by the percentage of participants with HIV-1 RNA <200 copies/mL at Week 48. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. This primary outcome was analyzed for RNA <200 copies/mL in Part I & Part II combined. |
Time Frame | Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in either Part I or Part II, and had at least one post-randomization observation for the analysis of HIV RNA (<200 copies/mL) at 48 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 107 |
Number (95% Confidence Interval) [Percentage of participants] |
85.2
213%
|
85.0
197.7%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 0.1 | |
Confidence Interval |
(2-Sided) 95% -9.7 to 9.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With Virologic Response (HIV-1 RNA <200 Copies/mL) at Week 96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the virologic response to doravirine at 100 mg, compared to efavirenz, each in combination with TRUVADA, as measured by the percentage of participants with plasma HIV-1 RNA <200 copies/mL at Week 96. HIV RNA levels were determined using the Abbott RealTime HIV-1 Assay. The percentage of participants in any treatment group with a virologic response was primarily assessed for Weeks 0-96. The Non-Completer = Failure (NC=F) approach, in which participants who prematurely discontinued assigned treatment for any reason and were considered as failures thereafter, was used as the primary approach to handle missing data this analysis of efficacy. This primary outcome was analyzed for HIV-1 RNA <200 copies/mL in Part I & Part II combined. |
Time Frame | Week 96 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in either Part I or Part II, and had at least one post-randomization observation for the analysis of HIV-1 RNA (<200 copies/mL) at 96 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
79.6
199%
|
75.9
176.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in % response |
Estimated Value | 3.9 | |
Confidence Interval |
(2-Sided) 95% -7.3 to 15.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Change From Baseline in CD4 T Lymphocyte Cell Count at Week 24: Doravirine (All Doses) vs Efavirenz (Part I) |
---|---|
Description | Evaluation of the change from baseline in the CD4 cell count at Week 24 in participants receiving doravirine at all doses (25 mg, 50 mg, 100 mg, and 200 mg), compared with participants receiving efavirenz 600 mg. The Observed Failure (OF) approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for participants who discontinued assigned treatment due to lack of efficacy. |
Time Frame | Baseline, Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in Part I, and had at least one post-randomization observation for the analysis of CD4 cell count at 24 weeks of study treatment. |
Arm/Group Title | Doravirine 25 mg: Part I | Doravirine 50 mg: Part I | Doravirine 100 mg: Part I | Doravirine 200 mg: Part I | Efavirenz 600 mg: Part I |
---|---|---|---|---|---|
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily received in Part I | Doravirine 50 mg once daily plus TRUVADA once daily received in Part I | Doravirine 100 mg once daily plus TRUVADA once daily received in Part I | Doravirine 200 mg once daily plus TRUVADA once daily received in Part I | Efavirenz 600 mg once daily plus TRUVADA once daily received in Part I |
Measure Participants | 38 | 41 | 41 | 40 | 40 |
Mean (95% Confidence Interval) [cells/mm^3] |
154.1
|
112.9
|
133.6
|
140.7
|
121.1
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in CD4 change |
Estimated Value | 33.0 | |
Confidence Interval |
(2-Sided) 95% -28.1 to 94.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Doravirine 50 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in CD4 change |
Estimated Value | -8.3 | |
Confidence Interval |
(2-Sided) 95% -68.5 to 51.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 3
Statistical Analysis Overview | Comparison Group Selection | Doravirine 100 mg : Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in CD4 change |
Estimated Value | 12.5 | |
Confidence Interval |
(2-Sided) 95% -44.6 to 69.5 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Statistical Analysis 4
Statistical Analysis Overview | Comparison Group Selection | Doravirine 200 mg: Part I, Efavirenz 600 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in CD4 change |
Estimated Value | 19.6 | |
Confidence Interval |
(2-Sided) 95% -45.1 to 84.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Change From Baseline in CD4 Cell Count at Week 24: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the change from baseline in the CD4 cell count at Week 24 in participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg. The OF approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for participants who discontinued assigned treatment due to lack of efficacy. |
Time Frame | Baseline, Week 24 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least one dose of blinded study treatment in either Part I or Part II, and had at least one post-randomization observation for the analysis of CD4 cell count at 24 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 106 | 101 |
Mean (95% Confidence Interval) [cells/mm^3] |
152.3
|
146.0
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in CD4 change |
Estimated Value | 6.3 | |
Confidence Interval |
(2-Sided) 95% -38.2 to 50.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Change From Baseline in CD4 Cell Count at Week 48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | Assessment of the change from baseline in the CD4 count at Week 48 in participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg. The OF approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for subjects who discontinued assigned treatment due to lack of efficacy. |
Time Frame | Baseline, Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized subjects who had baseline data, received at least 1 dose of blinded study medication in either Part I or Part II, and had at least 1 post-randomization observation for the analysis of CD4 cell count at 48 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 102 | 100 |
Mean (95% Confidence Interval) [cells/mm^3] |
191.9
|
194.5
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in CD4 change |
Estimated Value | -2.6 | |
Confidence Interval |
(2-Sided) 95% -46.5 to 41.3 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Change From Baseline in CD4 Cell Count at Week 96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | A secondary endpoint in Part I/II combined was the change from baseline in the CD4 count at Week 96 in participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg. The OF approach was used to handle missing data, and the Baseline CD4 cell count was carried forward for subjects who discontinued assigned treatment due to lack of efficacy. |
Time Frame | Baseline, Week 96 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized subjects who had baseline data, received at least 1 dose of blinded study medication in either Part I or Part II, and had at least 1 post-randomization observation for the analysis of CD4 cell count at 96 weeks of study treatment. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 95 | 93 |
Mean (95% Confidence Interval) [cells/mm^3] |
259.2
|
263.6
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference in CD4 change |
Estimated Value | -4.4 | |
Confidence Interval |
(2-Sided) 95% -64.0 to 55.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A positive value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With At Least 1 AE in Weeks 0-48: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | A secondary outcome in Part I/II combined was the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 48 weeks of treatment. The percentage of participants in any treatment group with at least 1 AE was primarily assessed for Weeks 0-48. |
Time Frame | Up to Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least 1 dose of study treatment in either Part I or Part II. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
87.0
217.5%
|
89.8
208.8%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference |
Estimated Value | -2.8 | |
Confidence Interval |
(2-Sided) 95% -11.7 to 6.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Title | Percentage of Participants With At Least 1 AE in Weeks 0-96: Doravirine 100 mg vs Efavirenz (Part I & Part II Combined) |
---|---|
Description | A secondary outcome in Part I/II combined was the percentage of participants receiving doravirine at 100 mg, compared with participants receiving efavirenz 600 mg, who had at least 1 AE over 96 weeks of treatment. The percentage of participants in any treatment group with at least 1 AE was primarily assessed for Weeks 0-96. |
Time Frame | Up to Week 96 |
Outcome Measure Data
Analysis Population Description |
---|
The analyzed population consisted of all randomized participants who received at least 1 dose of study treatment in either Part I or Part II. |
Arm/Group Title | Doravirine 100 mg: Part I/II (Combined) | Efavirenz 600 mg: Part I/II (Combined) |
---|---|---|
Arm/Group Description | Doravirine 100 mg once daily plus TRUVADA once daily received in either Part I or Part II | Efavirenz 600 mg once daily plus TRUVADA once daily received in either Part I or Part II |
Measure Participants | 108 | 108 |
Number (95% Confidence Interval) [Percentage of participants] |
89.8
224.5%
|
96.3
224%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Doravirine 25 mg: Part I, Doravirine 50 mg: Part I |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | Difference |
Estimated Value | -6.5 | |
Confidence Interval |
(2-Sided) 95% -14.1 to 0.3 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | A negative value would be considered as favoring doravirine over efavirenz. |
Adverse Events
Time Frame | 96 weeks | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | All Treated participants randomized to doravirine or efavirenz using an IVRS | |||||||||
Arm/Group Title | Doravirine 25 mg (n=40) | Doravirine 50 mg (n=43) | Doravirine 100 mg (n=108) | Doravirine 200 mg (n=41) | Efavirenz 600 mg: Part I (n=108) | |||||
Arm/Group Description | Doravirine 25 mg once daily plus TRUVADA once daily received in Part I | Doravirine 50 mg once daily plus TRUVADA once daily received in Part I | Doravirine 100 mg once daily plus TRUVADA once daily received in Part I & Part II (Combined) | Doravirine 200 mg once daily plus TRUVADA once daily received in Part I | Efavirenz 600 mg once daily plus TRUVADA once daily received in Part I & Part II (Combined) | |||||
All Cause Mortality |
||||||||||
Doravirine 25 mg (n=40) | Doravirine 50 mg (n=43) | Doravirine 100 mg (n=108) | Doravirine 200 mg (n=41) | Efavirenz 600 mg: Part I (n=108) | ||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | / (NaN) | / (NaN) | / (NaN) | / (NaN) | / (NaN) | |||||
Serious Adverse Events |
||||||||||
Doravirine 25 mg (n=40) | Doravirine 50 mg (n=43) | Doravirine 100 mg (n=108) | Doravirine 200 mg (n=41) | Efavirenz 600 mg: Part I (n=108) | ||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 4/40 (10%) | 1/43 (2.3%) | 11/108 (10.2%) | 3/41 (7.3%) | 13/108 (12%) | |||||
Cardiac disorders | ||||||||||
Cardiomyopathy | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 1/41 (2.4%) | 1 | 0/108 (0%) | 0 |
Pericardial effusion | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 1/41 (2.4%) | 1 | 0/108 (0%) | 0 |
Ear and labyrinth disorders | ||||||||||
Deafness | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Hepatobiliary disorders | ||||||||||
Biliary dyskinesia | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 1/41 (2.4%) | 1 | 0/108 (0%) | 0 |
Cholecystitis | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Cholecystitis acute | 1/40 (2.5%) | 1 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Hepatitis toxic | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Infections and infestations | ||||||||||
Abdominal abscess | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Acute hepatitis C | 1/40 (2.5%) | 1 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Cellulitis | 1/40 (2.5%) | 1 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Cryptosporidiosis infection | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 1/41 (2.4%) | 1 | 0/108 (0%) | 0 |
Diverticulitis | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Gastroenteritis shigella | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Hepatitis C | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Pharyngotonsillitis | 0/40 (0%) | 0 | 1/43 (2.3%) | 1 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Pneumonia | 1/40 (2.5%) | 1 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 1/41 (2.4%) | 1 | 0/108 (0%) | 0 |
Sinusitis | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Injury, poisoning and procedural complications | ||||||||||
Foreign body | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Jaw fracture | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Tendon rupture | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Musculoskeletal and connective tissue disorders | ||||||||||
Costochondritis | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||
B-cell unclassifiable lymphoma high grade | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Basal cell carcinoma | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Hodgkin's disease | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Kaposi's sarcoma | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Nervous system disorders | ||||||||||
Dizziness | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Headache | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Hemiparesis | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Peroneal nerve palsy | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Psychiatric disorders | ||||||||||
Bipolar I disorder | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Depression | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Drug abuse | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Suicidal ideation | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 2/108 (1.9%) | 2 |
Respiratory, thoracic and mediastinal disorders | ||||||||||
Pleural effusion | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 1/41 (2.4%) | 1 | 0/108 (0%) | 0 |
Vascular disorders | ||||||||||
Deep vein thrombosis | 0/40 (0%) | 0 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Other (Not Including Serious) Adverse Events |
||||||||||
Doravirine 25 mg (n=40) | Doravirine 50 mg (n=43) | Doravirine 100 mg (n=108) | Doravirine 200 mg (n=41) | Efavirenz 600 mg: Part I (n=108) | ||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 31/40 (77.5%) | 35/43 (81.4%) | 78/108 (72.2%) | 36/41 (87.8%) | 82/108 (75.9%) | |||||
Ear and labyrinth disorders | ||||||||||
Ear pain | 3/40 (7.5%) | 3 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Gastrointestinal disorders | ||||||||||
Abdominal pain | 3/40 (7.5%) | 3 | 3/43 (7%) | 3 | 5/108 (4.6%) | 5 | 0/41 (0%) | 0 | 4/108 (3.7%) | 4 |
Abdominal pain upper | 1/40 (2.5%) | 2 | 3/43 (7%) | 3 | 4/108 (3.7%) | 5 | 2/41 (4.9%) | 2 | 5/108 (4.6%) | 9 |
Constipation | 2/40 (5%) | 2 | 4/43 (9.3%) | 4 | 2/108 (1.9%) | 2 | 0/41 (0%) | 0 | 4/108 (3.7%) | 4 |
Diarrhea | 10/40 (25%) | 10 | 4/43 (9.3%) | 4 | 16/108 (14.8%) | 18 | 5/41 (12.2%) | 5 | 18/108 (16.7%) | 20 |
Hemorrhoids | 1/40 (2.5%) | 1 | 1/43 (2.3%) | 1 | 4/108 (3.7%) | 4 | 0/41 (0%) | 0 | 6/108 (5.6%) | 6 |
Nausea | 3/40 (7.5%) | 3 | 7/43 (16.3%) | 8 | 13/108 (12%) | 16 | 9/41 (22%) | 9 | 11/108 (10.2%) | 12 |
Vomiting | 4/40 (10%) | 4 | 1/43 (2.3%) | 1 | 6/108 (5.6%) | 7 | 1/41 (2.4%) | 1 | 7/108 (6.5%) | 8 |
General disorders | ||||||||||
Fatigue | 7/40 (17.5%) | 7 | 5/43 (11.6%) | 7 | 6/108 (5.6%) | 9 | 5/41 (12.2%) | 7 | 7/108 (6.5%) | 7 |
Pyrexia | 1/40 (2.5%) | 1 | 1/43 (2.3%) | 1 | 6/108 (5.6%) | 7 | 0/41 (0%) | 0 | 3/108 (2.8%) | 4 |
Infections and infestations | ||||||||||
Acute sinusitis | 1/40 (2.5%) | 1 | 3/43 (7%) | 3 | 2/108 (1.9%) | 2 | 2/41 (4.9%) | 2 | 1/108 (0.9%) | 2 |
Bronchitis | 5/40 (12.5%) | 7 | 3/43 (7%) | 5 | 5/108 (4.6%) | 5 | 5/41 (12.2%) | 7 | 12/108 (11.1%) | 13 |
Conjunctivitis | 1/40 (2.5%) | 1 | 2/43 (4.7%) | 2 | 6/108 (5.6%) | 7 | 0/41 (0%) | 0 | 3/108 (2.8%) | 3 |
Gastroenteritis | 1/40 (2.5%) | 2 | 2/43 (4.7%) | 3 | 9/108 (8.3%) | 10 | 2/41 (4.9%) | 2 | 1/108 (0.9%) | 1 |
Influenza | 6/40 (15%) | 9 | 2/43 (4.7%) | 2 | 3/108 (2.8%) | 3 | 5/41 (12.2%) | 5 | 2/108 (1.9%) | 2 |
Nasopharyngitis | 3/40 (7.5%) | 4 | 5/43 (11.6%) | 12 | 19/108 (17.6%) | 31 | 12/41 (29.3%) | 17 | 13/108 (12%) | 16 |
Oral herpes | 0/40 (0%) | 0 | 1/43 (2.3%) | 1 | 2/108 (1.9%) | 3 | 3/41 (7.3%) | 3 | 3/108 (2.8%) | 3 |
Pharyngitis | 0/40 (0%) | 0 | 5/43 (11.6%) | 5 | 5/108 (4.6%) | 7 | 2/41 (4.9%) | 2 | 3/108 (2.8%) | 4 |
Sinusitis | 2/40 (5%) | 2 | 2/43 (4.7%) | 2 | 5/108 (4.6%) | 7 | 3/41 (7.3%) | 4 | 5/108 (4.6%) | 7 |
Syphilis | 4/40 (10%) | 6 | 1/43 (2.3%) | 2 | 6/108 (5.6%) | 7 | 6/41 (14.6%) | 7 | 8/108 (7.4%) | 9 |
Tinea pedis | 3/40 (7.5%) | 3 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Tonsillitis | 2/40 (5%) | 2 | 1/43 (2.3%) | 1 | 1/108 (0.9%) | 1 | 3/41 (7.3%) | 3 | 4/108 (3.7%) | 4 |
Upper respiratory tract infection | 4/40 (10%) | 5 | 2/43 (4.7%) | 6 | 10/108 (9.3%) | 14 | 3/41 (7.3%) | 3 | 13/108 (12%) | 19 |
Injury, poisoning and procedural complications | ||||||||||
Accidental overdose | 4/40 (10%) | 4 | 1/43 (2.3%) | 3 | 4/108 (3.7%) | 5 | 3/41 (7.3%) | 10 | 5/108 (4.6%) | 6 |
Musculoskeletal and connective tissue disorders | ||||||||||
Arthralgia | 2/40 (5%) | 2 | 2/43 (4.7%) | 2 | 6/108 (5.6%) | 6 | 3/41 (7.3%) | 3 | 3/108 (2.8%) | 3 |
Back pain | 2/40 (5%) | 2 | 5/43 (11.6%) | 7 | 6/108 (5.6%) | 7 | 2/41 (4.9%) | 2 | 10/108 (9.3%) | 14 |
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||
Anogenital warts | 0/40 (0%) | 0 | 1/43 (2.3%) | 1 | 4/108 (3.7%) | 5 | 2/41 (4.9%) | 2 | 6/108 (5.6%) | 6 |
Nervous system disorders | ||||||||||
Dizziness | 5/40 (12.5%) | 5 | 5/43 (11.6%) | 6 | 16/108 (14.8%) | 17 | 3/41 (7.3%) | 3 | 32/108 (29.6%) | 38 |
Headache | 5/40 (12.5%) | 6 | 6/43 (14%) | 8 | 14/108 (13%) | 27 | 7/41 (17.1%) | 7 | 15/108 (13.9%) | 26 |
Somnolence | 3/40 (7.5%) | 3 | 0/43 (0%) | 0 | 1/108 (0.9%) | 1 | 0/41 (0%) | 0 | 1/108 (0.9%) | 1 |
Psychiatric disorders | ||||||||||
Abnormal dreams | 5/40 (12.5%) | 6 | 9/43 (20.9%) | 9 | 7/108 (6.5%) | 9 | 4/41 (9.8%) | 4 | 19/108 (17.6%) | 21 |
Anxiety | 1/40 (2.5%) | 1 | 2/43 (4.7%) | 2 | 3/108 (2.8%) | 4 | 0/41 (0%) | 0 | 6/108 (5.6%) | 9 |
Depression | 1/40 (2.5%) | 1 | 3/43 (7%) | 4 | 4/108 (3.7%) | 4 | 0/41 (0%) | 0 | 11/108 (10.2%) | 12 |
Insomnia | 1/40 (2.5%) | 1 | 6/43 (14%) | 6 | 10/108 (9.3%) | 10 | 3/41 (7.3%) | 4 | 6/108 (5.6%) | 7 |
Nightmare | 1/40 (2.5%) | 1 | 1/43 (2.3%) | 1 | 9/108 (8.3%) | 10 | 0/41 (0%) | 0 | 10/108 (9.3%) | 12 |
Sleep disorder | 1/40 (2.5%) | 1 | 2/43 (4.7%) | 2 | 6/108 (5.6%) | 6 | 0/41 (0%) | 0 | 8/108 (7.4%) | 11 |
Respiratory, thoracic and mediastinal disorders | ||||||||||
Asthma | 2/40 (5%) | 5 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 3/41 (7.3%) | 3 | 2/108 (1.9%) | 2 |
Cough | 3/40 (7.5%) | 7 | 1/43 (2.3%) | 1 | 3/108 (2.8%) | 4 | 3/41 (7.3%) | 3 | 6/108 (5.6%) | 10 |
Dyspnea | 3/40 (7.5%) | 3 | 0/43 (0%) | 0 | 0/108 (0%) | 0 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Nasal congestion | 1/40 (2.5%) | 1 | 3/43 (7%) | 3 | 3/108 (2.8%) | 3 | 0/41 (0%) | 0 | 3/108 (2.8%) | 3 |
Skin and subcutaneous tissue disorders | ||||||||||
Acne | 2/40 (5%) | 2 | 3/43 (7%) | 3 | 2/108 (1.9%) | 2 | 0/41 (0%) | 0 | 0/108 (0%) | 0 |
Night sweats | 1/40 (2.5%) | 1 | 0/43 (0%) | 0 | 1/108 (0.9%) | 2 | 0/41 (0%) | 0 | 6/108 (5.6%) | 6 |
Pruritus | 0/40 (0%) | 0 | 3/43 (7%) | 3 | 4/108 (3.7%) | 4 | 0/41 (0%) | 0 | 3/108 (2.8%) | 3 |
Rash | 1/40 (2.5%) | 1 | 3/43 (7%) | 6 | 6/108 (5.6%) | 6 | 2/41 (4.9%) | 2 | 9/108 (8.3%) | 10 |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
Results Point of Contact
Name/Title | Senior Vice President, Global Clinical Development |
---|---|
Organization | Merck Sharp & Dohme Corp. |
Phone | 1-800-672-6372 |
ClinicalTrialsDisclosure@merck.com |
- 1439-007
- MK-1439-007
- 2012-001573-93