Integrase and Maraviroc Intensification in Neurocognitive Dysfunction (InMIND)

Sponsor
National Institute of Allergy and Infectious Diseases (NIAID) (NIH)
Overall Status
Completed
CT.gov ID
NCT02519777
Collaborator
(none)
191
30
3
56.5
6.4
0.1

Study Details

Study Description

Brief Summary

People infected with HIV often have cognitive dysfunction even if they are on antiretroviral therapy (ART) and have undetectable viral loads. The study evaluated if the addition of maraviroc (MVC) and dolutegravir (DTG) (which are two antiretroviral [ARV] medications) to participants' existing ART regimens improved participants' neurocognitive performance.

Condition or Disease Intervention/Treatment Phase
  • Drug: Placebo for maraviroc (MVC)
  • Drug: Placebo for dolutegravir (DTG)
  • Drug: Dolutegravir (DTG)
  • Drug: Maraviroc (MVC)
Phase 4

Detailed Description

HIV-infected people often have cognitive dysfunction (HIV-associated neurocognitive disorder, or HAND), which includes asymptomatic neurocognitive impairment (ANI), mild neurocognitive disorder (MND), and HIV-associated dementia (HAD), even if they are on ART and have undetectable viral loads. In this study, researchers evaluated the effectiveness of adding MVC and DTG to the current ART regimen of HIV-infected people with undetectable (<50 copies/mL) plasma HIV-1 RNA who had neurocognitive impairment and who had been on stable ART for at least 6 months prior to study entry. The purpose of this study was to evaluate if the addition of MVC and DTG to participants' existing ART regimens improved participants' neurocognitive performance.

Participants were randomly assigned to one of three arms. All participants remained on their existing ART regimens; they took their assigned study drugs in addition to their ART regimen. Study visits occurred at entry and Weeks 2, 4, 12, 24, 48, 72, and 96. Visits may have included physical examinations, blood collection, neurocognitive testing, pregnancy testing, and questionnaires. Some participants may have had an optional lumbar puncture procedure at study entry and Week 48. Participants returned for refills of study drugs on Weeks 36, 60, and 84.

Study Design

Study Type:
Interventional
Actual Enrollment :
191 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Blinded, Placebo-Controlled Trial Comparing Antiretroviral Intensification With Maraviroc and Dolutegravir With No Intensification or Intensification With Dolutegravir Alone for the Treatment of Cognitive Impairment in HIV
Actual Study Start Date :
Apr 21, 2016
Actual Primary Completion Date :
Dec 2, 2019
Actual Study Completion Date :
Jan 5, 2021

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Arm A: Placebo MVC and placebo DTG

In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG.

Drug: Placebo for maraviroc (MVC)
Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen

Drug: Placebo for dolutegravir (DTG)
Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen

Experimental: Arm B: DTG and placebo MVC

In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC.

Drug: Placebo for maraviroc (MVC)
Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen

Drug: Dolutegravir (DTG)
Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen

Experimental: Arm C: MVC and DTG

In addition to their existing ART regimens, participants in Arm C received MVC and DTG

Drug: Dolutegravir (DTG)
Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen

Drug: Maraviroc (MVC)
Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen

Outcome Measures

Primary Outcome Measures

  1. Change in Normalized Composite Neurocognitive Test Score at Week 48 From Baseline [Measured at Baseline and Week 48]

    The normalized composite neurocognitive test score (total z-score) was defined as the average of the z-scores from the following tests: Domestic (US-based) and International Participants: Grooved pegboard dominant Grooved pegboard non-dominant Hopkins Verbal Learning Test (HVLT-R) Learning trials HVLT-R Delayed recall HVLT-R Delayed recognition Semantic verbal fluency Domestic only: Stroop color naming Stroop word reading Stroop interference trial Letter fluency Trail Making A Trail Making B WAIS-III Symbol search Digit Symbol International only: Timed Gait Finger Tapping Dominant Finger Tapping Non-dominant Color Trail 1 Z-scores were calculated using a demographically appropriate norming process. Higher z-scores correspond with better neurocognitive performance. Change was calculated as the total z-score at Week 48 minus the total z-score at Baseline.

Secondary Outcome Measures

  1. Number of Participants With Treatment Related Adverse Events (AEs) [Measured from treatment initiation through Week 96]

    Treatment Related Adverse Events were determined by the study sites indicating a relationship between an adverse event and the study treatment.

  2. Change in Normalized Composite Neurocognitive Test Score at Weeks 24, 72, and 96 From Baseline [Measured at Baseline and Weeks 24, 72, and 96]

    The normalized composite neurocognitive test score (total z-score) was defined as the average of the z-scores from the following tests: Domestic and International Participants: Grooved pegboard dominant Grooved pegboard non-dominant HVLT-R Learning trials HVLT-R Delayed recall HVLT-R Delayed recognition Semantic verbal fluency Domestic only: Stroop color naming Stroop word reading Stroop interference trial Letter fluency Trail Making A Trail Making B WAIS-III Symbol search Digit Symbol International only: Timed Gait Finger Tapping Dominant Finger Tapping Non-dominant Color Trail 1 Color Trail 2 Z-scores were calculated using a demographically appropriate norming process. Higher z-scores correspond with better neurocognitive performance. Change was calculated as the total z-score at the given time point minus the total z-score at Baseline.

  3. Change in Functional Status Scores [Measured at Baseline and Weeks 24, 48, 72, and 96]

    Functional status scores were calculated based on the instrumental activities of daily living (IADLs) forms. IADL scores were calculated as the sum of the eight IADL tasks where the task scores were equal to 1 if a participant did not need assistance with the task and equal to 0 if a participant needed some level of help with the task. The maximum possible functional status score was 8, while the minimum possible functional status score was 0, with higher functional status scores indicating a higher level of functionality.

  4. Number of Participants With Plasma HIV-1 RNA Greater Than or Equal to 50 Copies/mL [Measured at Weeks 24, 48, and 96]

    The number of participants with Plasma HIV-1 RNA greater than or equal to 50 copies/mL was assessed at each given time point.

  5. CD4+ T-cell Counts [Measured at Weeks 24, 48, and 96]

    CD4+ T-cell counts were recorded at the given time point

  6. Change in CD4+ T-cell Count [Measured at Baseline and Weeks 24, 48, and 96]

    Changes in CD4+ T-cell count were calculated as the CD4+ T-cell count at a given time point minus the CD4+ T-cell count at Baseline.

  7. CD8+ T-cell Counts [Measured at Weeks 24, 48, and 96]

    CD8+ T-cell counts were recorded at the given time point

  8. Change in CD8+ T-cell Count [Measured at Baseline and Weeks 24, 48, and 96]

    Changes in CD8+ T-cell count were calculated as the CD8+ T-cell count at a given time point minus the CD8+ T-cell count at baseline.

  9. Change in Log10 sCD14 in Plasma at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 sCD14 in Plasma were calculated as the Log10 sCD14 in Plasma at Week 48 minus the Log10 sCD14 in Plasma at Baseline.

  10. Change in Log10 MIP-1 Beta in Plasma at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 MIP-1 Beta in Plasma were calculated as the Log10 MIP-1 Beta in Plasma at Week 48 minus the Log10 MIP-1 Beta in Plasma at Baseline. Results below the lower limit of quantification were set to the lower limit value of 11.

  11. Change in Log10 sTNFr-II in Plasma at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 sTNFr-II in Plasma were calculated as the Log10 sTNFr-II in Plasma at Week 48 minus the Log10 sTNFr-II in Plasma at Baseline.

  12. Change in Log10 VCAM in Plasma at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 VCAM in Plasma were calculated as the Log10 VCAM in Plasma at Week 48 minus the Log10 VCAM in Plasma at Baseline.

  13. Change in Log10 MIP-1 Beta in Cerebrospinal Fluid (CSF) at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 MIP-1 Beta in CSF were calculated as the Log10 MIP-1 Beta in CSF at Week 48 minus the Log10 MIP-1 Beta in CSF at Baseline.

  14. Change in Log10 IP-10 in CSF at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 IP-10 in CSF were calculated as the Log10 IP-10 in CSF at Week 48 minus the Log10 IP-10 in CSF at Baseline.

  15. Change in Log10 Neopterin in CSF at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 Neopterin in CSF were calculated as the Log10 Neopterin in CSF at Week 48 minus the Log10 Neopterin in CSF at Baseline.

  16. Change in Log10 NFL in CSF at Week 48 From Baseline [Measured at Baseline and Week 48]

    Changes in Log10 NFL in CSF were calculated as the Log10 NFL in CSF at Week 48 minus the Log10 NFL in CSF at Baseline.

Other Outcome Measures

  1. Changes in Cell-associated HIV-1 RNA/DNA/2-long Terminal Repeat Sequences (LTR) Circles and Single Copy Assay (SCA) [Measured at Baseline and Week 48]

    This outcome measure was listed as secondary in the protocol but the intention was as an exploratory outcome due to lack of funding for testing.

  2. Changes in T Cell and Monocyte Activation [Measured at Baseline and Week 48]

    This outcome measure was listed as secondary in the protocol but the intention was as an exploratory outcome due to lack of funding for testing.

  3. Changes in Residual Viremia [Measured at Baseline and Week 48]

    This outcome measure was listed as secondary in the protocol but the intention was as an exploratory outcome due to lack of funding for testing.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • HIV-1 infection, documented by:

  • a licensed rapid HIV test or HIV enzyme or chemiluminescence immunoassay (E/CIA) test kit at any time prior to study entry and confirmed by a licensed Western blot or a second antibody test by a method other than the initial rapid HIV and/or E/CIA, or by HIV-1 antigen or plasma HIV-1 RNA viral load. NOTE: The term "licensed" refers to a United States Food and Drug Administration (FDA)-approved kit, which is required for all IND studies, or for sites located in countries other than the United States, a kit that has been certified or licensed by an oversight body within that country and validated internally. Non-US sites are encouraged to use US FDA-approved methods for IND studies. WHO (World Health Organization) and CDC (Centers for Disease Control and Prevention) guidelines mandate that confirmation of the initial test result must use a test that is different from the one used for the initial assessment. A reactive initial rapid test should be confirmed by either another type of rapid assay or an E/CIA that is based on a different antigen preparation and/or different test principle (eg, indirect versus competitive), or a Western blot or a plasma HIV-1 RNA. OR

  • Documentation of HIV diagnosis in the medical record by a healthcare provider.

  • On current ART for at least 6 months prior to study entry with no interruption in treatment of greater than or equal to 7 consecutive days. Note: The following ART changes are allowed:

  • Tenofovir disoproxil fumarate (TDF) to tenofovir alafenamide fumarate (TAF)/TAF-containing fixed-dose combination regimens

  • Ritonavir (RTV) to cobicistat (COBI)/COBI-containing fixed-dose combination regimens

  • No plans to change ART while on study. Note: The following planned ART changes are allowed:

  • TDF to TAF/TAF-containing fixed-dose combination regimens

  • RTV to COBI/COBI-containing fixed-dose combination regimens

  • HIV-1 plasma RNA less than 50 copies/mL obtained within 90 days prior to study entry by any FDA-approved assay at any United States laboratory that has a Clinical Laboratory Improvement Amendments (CLIA) certification or its equivalent, or at any network-approved non-US laboratory that operates in accordance with Good Clinical Laboratory Practices (GCLP) and participates in appropriate external quality assurance programs.

  • No more than one HIV-1 plasma RNA greater than or equal to 50 and less than 200 copies/mL (only one "blip") in the past 6 months with a subsequent HIV-1 plasma RNA less than 50 copies/mL. NOTE: There should be no plasma HIV-1 RNA greater than 200 copies/mL within the 6 months prior to study entry.

  • HAND diagnosis (ANI, MND, or HAD) within 60 days prior to study entry. HAND is defined as at least mild impairment on neurocognitive testing (more than one standard deviation below appropriate normative data in two domains of functioning) and no severely confounding factors.

  • Screening laboratory values obtained within 60 days prior to study entry by any US laboratory that has a CLIA certification or its equivalent, or at any network-approved non-US laboratory that operates in accordance with GCLP and participates in appropriate external quality assurance programs:

  • Absolute neutrophil count (ANC) greater than or equal to 500/mm^3

  • Hemoglobin greater than or equal to 7.5 g/dL

  • Platelet count greater than or equal to 40,000/mm^3

  • Creatinine less than or equal to 2.0 x upper limit of normal (ULN)

  • Aspartate transaminase (AST) less than or equal to 5 x ULN

  • Alanine transaminase (ALT) less than 3 x ULN

  • Alkaline phosphatase less than or equal to 5 x ULN

  • Total bilirubin less than 1.5 x ULN. NOTE: If the potential participant is taking an indinavir (IDV)- or atazanavir (ATV)-containing regimen at the time of screening, total bilirubin less than or equal to 5 x ULN is acceptable.

  • Creatinine clearance (CrCl) greater than or equal to 60 mL/min, either measured or estimated by Cockcroft-Gault equation. NOTE: A calculator for estimating the CrCl can be found at www.fstrf.org/ACTG/ccc.html

  • Females of reproductive potential (women who have not been post-menopausal for at least 24 consecutive months, ie, who have had menses within the preceding 24 months, or women who have not undergone surgical sterilization, hysterectomy or bilateral salpingectomy or bilateral oophorectomy or tubal ligation) must have a negative serum or urine pregnancy test by any US clinic or laboratory that has a CLIA certification or its equivalent, or is using a point of care (POC) / CLIA-waived test, or at any network-approved non-US laboratory or clinic that operates in accordance with GCLP and participates in appropriate external quality assurance programs within 48 hours prior to study entry

  • Females of reproductive potential must agree not to participate in the conception process (ie, active attempt to become pregnant, in vitro fertilization), and if participating in sexual activity that could lead to pregnancy, must use at least one reliable form of contraception. Female participants must use contraceptives while receiving study treatment and for 6 weeks after stopping study treatment. More information on this criterion is available in the protocol.

  • Ability and willingness of participant to complete the neuropsychological tests

  • Ability and willingness of participant or a legally authorized representative (see protocol for more information) to provide informed consent

  • Ability and willingness to take oral study medications

Exclusion Criteria:
  • Current or past medical condition(s) that in the opinion of the investigator prevents attribution of the cause of cognitive impairment to HIV. For example:

  • Major depressive disorder with psychotic features

  • Traumatic Brain Injury (TBI) with a clear impact on activities of daily living

  • Developmental delay, intellectual deficit, and/or severe educational disability resulting in some dependence for activities of daily living

  • Ongoing substance use disorder with significant impact on activities of daily living. Difficult or impossible to determine whether cognitive or functional decline is due to substance use or HIV, or both

  • Evidence of intoxication or withdrawal during the screening evaluation

  • Central nervous system (CNS) infections or opportunistic conditions: brain abscess (bacterial, mycobacterial, fungal or Toxoplasma), meningitis with persistent neurologic impairment, primary CNS lymphoma, progressive multifocal leukoencephalopathy (PML), or another structural brain lesion with neurological sequelae

  • Other CNS conditions: non-opportunistic primary or metastatic brain tumors, uncontrolled seizure disorder, progressive multiple sclerosis, stroke with neurological sequelae, or dementia due to causes other than HIV (eg, Alzheimer's disease)

  • Constitutional illness (eg, persistent unexplained fever, diarrhea, significant weight loss, disabling weakness) within 30 days of screening

  • Known untreated B12 deficiency or malnutrition (body mass index [BMI] less than

  1. at screening
  • Evidence of current hepatitis C virus infection (HCV) (ie, HCV antibody [Ab] positive within 90 days prior to study entry unless also shown to be plasma HCV RNA negative within the same time period)

  • Unstable and advanced liver disease (as defined by the presence of at least one of the following: ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice)

  • Prior or current use of any CCR5 antagonist (such as MVC and cenicriviroc [CVC]) and integrase inhibitor (such as RAL, DTG, and elvitegravir [EVG])

  • Current use of any medication, including antiretrovirals, prohibited in the study (refer to the A5324 protocol-specific web page [PSWP] for the prohibited medications)

  • Breastfeeding

  • Presence of an AIDS-defining opportunistic infection within 6 months prior to entry. Note: Refer to the A5324 Manual of Operations (MOPS) for the list of AIDS-defining opportunistic infections.

  • Active syphilis or treatment for syphilis within 90 days prior to study entry. NOTE: Active syphilis is defined as four-fold increase in serum rapid plasma reagin (RPR) or venereal disease research laboratory (VDRL) tests in an individual with past syphilis, or newly reactive serum RPR or VDRL with a reactive confirmatory test (enzyme immunoassays [EIA] or chemiluminescent assay [CIA], T. pallidum particle agglutination [TP-PA], or fluorescent treponemal antibody absorbed [FTA-ABS]).

  • Known allergy/sensitivity or any hypersensitivity to components of study drugs or their formulation

Contacts and Locations

Locations

Site City State Country Postal Code
1 UCLA CARE Center CRS Los Angeles California United States 90035
2 UCSD Antiviral Research Center CRS San Diego California United States 92103
3 Harbor-UCLA CRS Torrance California United States 90502
4 Whitman-Walker Health CRS Washington District of Columbia United States 20005
5 Northwestern University CRS Chicago Illinois United States 60611
6 Johns Hopkins University CRS Baltimore Maryland United States 21205
7 Washington University Therapeutics (WT) CRS Saint Louis Missouri United States 63110-1010
8 New Jersey Medical School Clinical Research Center CRS Newark New Jersey United States 07103
9 Weill Cornell Chelsea CRS New York New York United States 10010
10 Weill Cornell Uptown CRS New York New York United States 10065
11 University of Rochester Adult HIV Therapeutic Strategies Network CRS Rochester New York United States 14642
12 Chapel Hill CRS Chapel Hill North Carolina United States 27599
13 Greensboro CRS Greensboro North Carolina United States 27401
14 Cincinnati Clinical Research Site Cincinnati Ohio United States 45219
15 Case Clinical Research Site Cleveland Ohio United States 44106
16 Ohio State University CRS Columbus Ohio United States 43210
17 Penn Therapeutics, CRS Philadelphia Pennsylvania United States 19104
18 University of Pittsburgh CRS Pittsburgh Pennsylvania United States 15213
19 The Miriam Hospital Clinical Research Site (TMH CRS) CRS Providence Rhode Island United States 02906
20 Vanderbilt Therapeutics (VT) CRS Nashville Tennessee United States 37204
21 Trinity Health and Wellness Center CRS Dallas Texas United States 75208
22 Houston AIDS Research Team CRS Houston Texas United States 77030
23 University of Washington AIDS CRS Seattle Washington United States 98104-9929
24 Instituto de Pesquisa Clinica Evandro Chagas (IPEC) CRS Rio De Janeiro Brazil 21040-360
25 Puerto Rico AIDS Clinical Trials Unit CRS San Juan Puerto Rico 00935
26 Wits Helen Joseph Hospital CRS (Wits HJH CRS) Johannesburg Gauteng South Africa 2092
27 Durban International Clinical Research Site CRS Durban Kwa Zulu Natal South Africa 4052
28 Famcru Crs Tygerberg Western Cape Province South Africa 7505
29 Thai Red Cross AIDS Research Centre (TRC-ARC) CRS Bangkok Thailand 10330
30 Chiang Mai University HIV Treatment (CMU HIV Treatment) CRS Chiang Mai Thailand 50200

Sponsors and Collaborators

  • National Institute of Allergy and Infectious Diseases (NIAID)

Investigators

  • Study Chair: Kevin Robertson, PhD, University of North Carolina

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier:
NCT02519777
Other Study ID Numbers:
  • A5324
  • 11909
  • NCT02406196
First Posted:
Aug 11, 2015
Last Update Posted:
Apr 22, 2022
Last Verified:
Apr 1, 2022
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID)
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants were enrolled at 30 Clinical Research Sites (CRSs) in the United States, Thailand, Brazil, and South Africa between April 2016 and November 2018.
Pre-assignment Detail
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Period Title: Overall Study
STARTED 63 67 61
COMPLETED 57 59 57
NOT COMPLETED 6 8 4

Baseline Characteristics

Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG Total
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Total of all reporting groups
Overall Participants 63 67 61 191
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
52
(7)
52
(9)
52
(8)
52
(8)
Sex: Female, Male (Count of Participants)
Female
15
23.8%
23
34.3%
18
29.5%
56
29.3%
Male
48
76.2%
44
65.7%
43
70.5%
135
70.7%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
15
23.8%
17
25.4%
10
16.4%
42
22%
Not Hispanic or Latino
48
76.2%
50
74.6%
51
83.6%
149
78%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
1
1.6%
0
0%
0
0%
1
0.5%
Asian
5
7.9%
6
9%
6
9.8%
17
8.9%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
Black or African American
30
47.6%
30
44.8%
37
60.7%
97
50.8%
White
23
36.5%
29
43.3%
16
26.2%
68
35.6%
More than one race
1
1.6%
1
1.5%
1
1.6%
3
1.6%
Unknown or Not Reported
3
4.8%
1
1.5%
1
1.6%
5
2.6%
Normalized Neurocognitive Test Scores (total neurocognitive z-score) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [total neurocognitive z-score]
-0.96
(0.79)
-0.97
(0.70)
-1.09
(0.70)
-1.00
(0.73)
CD4 Cell Count (cells/mm^3) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [cells/mm^3]
681
(294)
703
(278)
726
(331)
703
(300)
CD8 Cell Count (cells/mm^3) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [cells/mm^3]
789
(334)
809
(393)
816
(393)
805
(373)
HIV RNA (Count of Participants)
<50 copies/mL
62
98.4%
64
95.5%
58
95.1%
184
96.3%
≥50 copies/mL
1
1.6%
3
4.5%
3
4.9%
7
3.7%

Outcome Measures

1. Primary Outcome
Title Change in Normalized Composite Neurocognitive Test Score at Week 48 From Baseline
Description The normalized composite neurocognitive test score (total z-score) was defined as the average of the z-scores from the following tests: Domestic (US-based) and International Participants: Grooved pegboard dominant Grooved pegboard non-dominant Hopkins Verbal Learning Test (HVLT-R) Learning trials HVLT-R Delayed recall HVLT-R Delayed recognition Semantic verbal fluency Domestic only: Stroop color naming Stroop word reading Stroop interference trial Letter fluency Trail Making A Trail Making B WAIS-III Symbol search Digit Symbol International only: Timed Gait Finger Tapping Dominant Finger Tapping Non-dominant Color Trail 1 Z-scores were calculated using a demographically appropriate norming process. Higher z-scores correspond with better neurocognitive performance. Change was calculated as the total z-score at Week 48 minus the total z-score at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
All participants who started study treatment were included in the analysis. Analysis performed under intention to treat (ITT) principle, all eligible randomized participants were included in the analysis.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 60
Mean (95% Confidence Interval) [total neurocognitive z-score]
0.20
0.26
0.31
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in normalized composite neurocognitive test scores at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.60
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.33
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.61
Comments
Method t-test, 2 sided
Comments
2. Secondary Outcome
Title Number of Participants With Treatment Related Adverse Events (AEs)
Description Treatment Related Adverse Events were determined by the study sites indicating a relationship between an adverse event and the study treatment.
Time Frame Measured from treatment initiation through Week 96

Outcome Measure Data

Analysis Population Description
All participants who were randomized were included in the analysis
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 61
Count of Participants [Participants]
3
4.8%
5
7.5%
7
11.5%
3. Secondary Outcome
Title Change in Normalized Composite Neurocognitive Test Score at Weeks 24, 72, and 96 From Baseline
Description The normalized composite neurocognitive test score (total z-score) was defined as the average of the z-scores from the following tests: Domestic and International Participants: Grooved pegboard dominant Grooved pegboard non-dominant HVLT-R Learning trials HVLT-R Delayed recall HVLT-R Delayed recognition Semantic verbal fluency Domestic only: Stroop color naming Stroop word reading Stroop interference trial Letter fluency Trail Making A Trail Making B WAIS-III Symbol search Digit Symbol International only: Timed Gait Finger Tapping Dominant Finger Tapping Non-dominant Color Trail 1 Color Trail 2 Z-scores were calculated using a demographically appropriate norming process. Higher z-scores correspond with better neurocognitive performance. Change was calculated as the total z-score at the given time point minus the total z-score at Baseline.
Time Frame Measured at Baseline and Weeks 24, 72, and 96

Outcome Measure Data

Analysis Population Description
All participants who started study treatment were included in the analysis. Analysis performed under intention to treat (ITT) principle, all eligible randomized participants were included in the analysis.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 60
Change of Normalized Composite Neurocognitive Test Score (Week 24)
0.14
0.18
0.20
Change of Normalized Composite Neurocognitive Test Score (Week 72)
0.29
0.32
0.37
Change of Normalized Composite Neurocognitive Test Score (Week 96)
0.37
0.34
0.38
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in normalized composite neurocognitive test scores at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.61
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in normalized composite neurocognitive test scores at Week 72 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.72
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in normalized composite neurocognitive test scores at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.79
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.55
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 72 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.47
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.95
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.85
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 72 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.67
Comments
Method t-test, 2 sided
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in normalized composite neurocognitive test scores at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.70
Comments
Method t-test, 2 sided
Comments
4. Secondary Outcome
Title Change in Functional Status Scores
Description Functional status scores were calculated based on the instrumental activities of daily living (IADLs) forms. IADL scores were calculated as the sum of the eight IADL tasks where the task scores were equal to 1 if a participant did not need assistance with the task and equal to 0 if a participant needed some level of help with the task. The maximum possible functional status score was 8, while the minimum possible functional status score was 0, with higher functional status scores indicating a higher level of functionality.
Time Frame Measured at Baseline and Weeks 24, 48, 72, and 96

Outcome Measure Data

Analysis Population Description
All participants who started study treatment were included in the analysis. Analysis performed under intention to treat (ITT) principle, all eligible randomized participants were included in the analysis.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 60
Change from Baseline in IADL Score (Week 24)
0.29
0.43
0.15
Change from Baseline in IADL Score (Week 48)
0.38
0.45
0.10
Change from Baseline in IADL Score (Week 72)
0.40
0.30
0.13
Change from Baseline in IADL Score (Week 96)
0.16
0.28
0.20
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in functional status scores at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.99
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in functional status scores at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.97
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in functional status scores at Week 72 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.79
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in functional status scores at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.99
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in functional status scores at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.74
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in functional status scores at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.69
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in functional status scores at Week 72 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.44
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in functional status scores at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.00
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in functional status scores at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.83
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in functional status scores at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.80
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in functional status scores at Week 72 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.86
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in functional status scores at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.00
Comments
Method Wilcoxon (Mann-Whitney)
Comments
5. Secondary Outcome
Title Number of Participants With Plasma HIV-1 RNA Greater Than or Equal to 50 Copies/mL
Description The number of participants with Plasma HIV-1 RNA greater than or equal to 50 copies/mL was assessed at each given time point.
Time Frame Measured at Weeks 24, 48, and 96

Outcome Measure Data

Analysis Population Description
The analysis included all participants who started study treatment and had Plasma HIV-1 RNA measured at the scheduled study visits.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 62 66 60
HIV RNA (Week 24)
3
4.8%
1
1.5%
1
1.6%
HIV RNA (Week 48)
3
4.8%
0
0%
1
1.6%
HIV RNA (Week 96)
1
1.6%
6
9%
2
3.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 24
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value 3.32
Confidence Interval (2-Sided) 95%
-2.78 to 9.42
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value 5.17
Confidence Interval (2-Sided) 95%
-0.53 to 10.87
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 96
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value -8.21
Confidence Interval (2-Sided) 95%
-16.56 to 0.13
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 24
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value 3.17
Confidence Interval (2-Sided) 95%
-3.07 to 9.42
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value 3.48
Confidence Interval (2-Sided) 95%
-3.11 to 10.06
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 96
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value -1.85
Confidence Interval (2-Sided) 95%
-7.89 to 4.19
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 24
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value -0.15
Confidence Interval (2-Sided) 95%
-4.53 to 4.23
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value -1.69
Confidence Interval (2-Sided) 95%
-4.99 to 1.60
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in number of participants with HIV-1 RNA ≥ 50 copies/mL at Week 96
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in Percentage of Participants
Estimated Value 6.36
Confidence Interval (2-Sided) 95%
-2.70 to 15.42
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title CD4+ T-cell Counts
Description CD4+ T-cell counts were recorded at the given time point
Time Frame Measured at Weeks 24, 48, and 96

Outcome Measure Data

Analysis Population Description
The analysis included all participants who started study treatment and had CD4+ T-cell counts measured at the scheduled study visits.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 60
CD4 Count (Week 24)
660
669
773
CD4 Count (Week 48)
638
691
758
CD4 Count (Week 96)
674
720
788
7. Secondary Outcome
Title Change in CD4+ T-cell Count
Description Changes in CD4+ T-cell count were calculated as the CD4+ T-cell count at a given time point minus the CD4+ T-cell count at Baseline.
Time Frame Measured at Baseline and Weeks 24, 48, and 96

Outcome Measure Data

Analysis Population Description
The analysis included all participants who started study treatment and had CD4+ T-cell counts measured at the scheduled study visits.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 60
Change from Baseline in CD4 Count (Week 24)
-13
-33
42
Change from Baseline in CD4 Count (Week 48)
-43
-19
21
Change from Baseline in CD4 Count (Week 96)
-10
10
44
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in CD4+ T-cell count at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.67
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in CD4+ T-cell count at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.78
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in CD4+ T-cell count at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.94
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in CD4+ T-cell count at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.42
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in CD4+ T-cell count at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.07
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in CD4+ T-cell count at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.37
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in CD4+ T-cell count at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.08
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in CD4+ T-cell count at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.33
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in CD4+ T-cell count at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.56
Comments
Method Wilcoxon (Mann-Whitney)
Comments
8. Secondary Outcome
Title CD8+ T-cell Counts
Description CD8+ T-cell counts were recorded at the given time point
Time Frame Measured at Weeks 24, 48, and 96

Outcome Measure Data

Analysis Population Description
The analysis included all participants who started study treatment and had CD8+ T-cell counts measured at the scheduled study visits.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 60
CD8 Count (Week 24)
757
752
862
CD8 Count (Week 48)
742
731
856
CD8 Count (Week 96)
747
773
879
9. Secondary Outcome
Title Change in CD8+ T-cell Count
Description Changes in CD8+ T-cell count were calculated as the CD8+ T-cell count at a given time point minus the CD8+ T-cell count at baseline.
Time Frame Measured at Baseline and Weeks 24, 48, and 96

Outcome Measure Data

Analysis Population Description
The analysis included all participants who started study treatment and had CD8+ T-cell counts measured at the scheduled study visits.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 63 67 60
Change from Baseline in CD8 Count (Week 24)
-29
-61
44
Change from Baseline in CD8 Count (Week 48)
-45
-82
35
Change from Baseline in CD8 Count (Week 96)
-43
-33
44
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in CD8+ T-cell count at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.63
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in CD8+ T-cell count at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.38
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in CD8+ T-cell count at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.95
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in CD8+ T-cell count at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.27
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in CD8+ T-cell count at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.23
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in CD8+ T-cell count at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.09
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in CD8+ T-cell count at Week 24 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.03
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in CD8+ T-cell count at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.02
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in CD8+ T-cell count at Week 96 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.09
Comments
Method Wilcoxon (Mann-Whitney)
Comments
10. Secondary Outcome
Title Change in Log10 sCD14 in Plasma at Week 48 From Baseline
Description Changes in Log10 sCD14 in Plasma were calculated as the Log10 sCD14 in Plasma at Week 48 minus the Log10 sCD14 in Plasma at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had plasma samples available at Baseline and Week 48.
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 54 54 54
Mean (95% Confidence Interval) [Log10 ng/mL]
0.04
0.03
0.01
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 sCD14 in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.00
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 sCD14 in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.95
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 sCD14 in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.96
Comments
Method Wilcoxon (Mann-Whitney)
Comments
11. Secondary Outcome
Title Change in Log10 MIP-1 Beta in Plasma at Week 48 From Baseline
Description Changes in Log10 MIP-1 Beta in Plasma were calculated as the Log10 MIP-1 Beta in Plasma at Week 48 minus the Log10 MIP-1 Beta in Plasma at Baseline. Results below the lower limit of quantification were set to the lower limit value of 11.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had plasma samples available at Baseline and Week 48
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 54 54 54
Mean (95% Confidence Interval) [Log10 pg/mL]
0.05
-0.02
0.30
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 MIP-1 Beta in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.52
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 MIP-1 Beta in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.01
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 MIP-1 Beta in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.01
Comments
Method Wilcoxon (Mann-Whitney)
Comments
12. Secondary Outcome
Title Change in Log10 sTNFr-II in Plasma at Week 48 From Baseline
Description Changes in Log10 sTNFr-II in Plasma were calculated as the Log10 sTNFr-II in Plasma at Week 48 minus the Log10 sTNFr-II in Plasma at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had plasma samples available at Baseline and Week 48
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 54 54 54
Mean (95% Confidence Interval) [Log10 pg/mL]
0.02
0.01
0.00
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 sTNFr-II in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.91
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 sTNFr-II in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.86
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 sTNFr-II in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.94
Comments
Method Wilcoxon (Mann-Whitney)
Comments
13. Secondary Outcome
Title Change in Log10 VCAM in Plasma at Week 48 From Baseline
Description Changes in Log10 VCAM in Plasma were calculated as the Log10 VCAM in Plasma at Week 48 minus the Log10 VCAM in Plasma at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had plasma samples available at Baseline and Week 48
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 54 54 54
Mean (95% Confidence Interval) [Log10 pg/mL]
0.01
0.00
0.00
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 VCAM in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.70
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 VCAM in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.28
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 VCAM in plasma at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.85
Comments
Method Wilcoxon (Mann-Whitney)
Comments
14. Secondary Outcome
Title Change in Log10 MIP-1 Beta in Cerebrospinal Fluid (CSF) at Week 48 From Baseline
Description Changes in Log10 MIP-1 Beta in CSF were calculated as the Log10 MIP-1 Beta in CSF at Week 48 minus the Log10 MIP-1 Beta in CSF at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had CSF samples available at Baseline and Week 48
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 13 12 9
Mean (95% Confidence Interval) [Log10 pg/mL]
-0.24
-0.32
0.17
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 MIP-1 Beta in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.99
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 MIP-1 Beta in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.26
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 MIP-1 Beta in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.20
Comments
Method Wilcoxon (Mann-Whitney)
Comments
15. Secondary Outcome
Title Change in Log10 IP-10 in CSF at Week 48 From Baseline
Description Changes in Log10 IP-10 in CSF were calculated as the Log10 IP-10 in CSF at Week 48 minus the Log10 IP-10 in CSF at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had CSF samples available at Baseline and Week 48
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 13 12 9
Mean (95% Confidence Interval) [Log10 pg/mL]
0.02
-0.11
-0.36
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 IP-10 in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.59
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 IP-10 in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.39
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 IP-10 in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.80
Comments
Method Wilcoxon (Mann-Whitney)
Comments
16. Secondary Outcome
Title Change in Log10 Neopterin in CSF at Week 48 From Baseline
Description Changes in Log10 Neopterin in CSF were calculated as the Log10 Neopterin in CSF at Week 48 minus the Log10 Neopterin in CSF at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had CSF samples available at Baseline and Week 48
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 13 12 9
Mean (95% Confidence Interval) [Log10 nmol/L]
0.01
-0.06
-0.17
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 Neopterin in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.90
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 Neopterin in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.14
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 Neopterin in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.49
Comments
Method Wilcoxon (Mann-Whitney)
Comments
17. Secondary Outcome
Title Change in Log10 NFL in CSF at Week 48 From Baseline
Description Changes in Log10 NFL in CSF were calculated as the Log10 NFL in CSF at Week 48 minus the Log10 NFL in CSF at Baseline.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
The analysis population consisted of all participants who had CSF samples available at Baseline and Week 48
Arm/Group Title Arm A: Placebo MVC and Placebo DTG Arm B: DTG and Placebo MVC Arm C: MVC and DTG
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
Measure Participants 13 12 9
Mean (95% Confidence Interval) [Log10 pg/mL]
-0.02
-0.05
0.00
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm B: DTG and Placebo MVC
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm B: DTG and placebo MVC in change in Log10 NFL in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.52
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Placebo MVC and Placebo DTG, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm A: Placebo MVC and placebo DTG and Arm C: MVC and DTG in change in Log10 NFL in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.99
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm B: DTG and Placebo MVC, Arm C: MVC and DTG
Comments Under the null hypothesis, it was assumed there was no difference between Arm B: DTG and placebo MVC and Arm C: MVC and DTG in change in Log10 NFL in CSF at Week 48 from baseline
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.54
Comments
Method Wilcoxon (Mann-Whitney)
Comments
18. Other Pre-specified Outcome
Title Changes in Cell-associated HIV-1 RNA/DNA/2-long Terminal Repeat Sequences (LTR) Circles and Single Copy Assay (SCA)
Description This outcome measure was listed as secondary in the protocol but the intention was as an exploratory outcome due to lack of funding for testing.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
19. Other Pre-specified Outcome
Title Changes in T Cell and Monocyte Activation
Description This outcome measure was listed as secondary in the protocol but the intention was as an exploratory outcome due to lack of funding for testing.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
20. Other Pre-specified Outcome
Title Changes in Residual Viremia
Description This outcome measure was listed as secondary in the protocol but the intention was as an exploratory outcome due to lack of funding for testing.
Time Frame Measured at Baseline and Week 48

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description

Adverse Events

Time Frame From treatment initiation to study completion at Week 96 or premature study discontinuation
Adverse Event Reporting Description Post-entry, all new diagnoses, signs/symptoms and laboratory events of ≥ Grade 3 and all signs/symptoms and laboratory events that led to a change in treatment, regardless of grade, were collected. The DAIDS AE Grading Table (V2.1) and Expediated Adverse Events (EAE) Manual (V2.0) were used. All eligible participants who initiated study treatment are included.
Arm/Group Title Arm A (Placebo DTG/Placebo MVC) Arm B (DTG/Placebo MVC) Arm C (DTG/MVC)
Arm/Group Description In addition to their existing ART regimens, participants in Arm A received placebo for MVC and placebo for DTG. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Placebo for dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm B received DTG and placebo for MVC. Placebo for maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen In addition to their existing ART regimens, participants in Arm C received MVC and DTG Dolutegravir (DTG): Administered orally as one 50 mg tablet BID OR one 50 mg tablet QD depending upon background ARV regimen Maraviroc (MVC): Administered orally as one 150 mg tablet BID OR two 300 mg tablet BID OR one 300 mg tablet BID depending upon background ARV regimen
All Cause Mortality
Arm A (Placebo DTG/Placebo MVC) Arm B (DTG/Placebo MVC) Arm C (DTG/MVC)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
Serious Adverse Events
Arm A (Placebo DTG/Placebo MVC) Arm B (DTG/Placebo MVC) Arm C (DTG/MVC)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 6/63 (9.5%) 12/67 (17.9%) 9/60 (15%)
Cardiac disorders
Atrial fibrillation 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Coronary artery stenosis 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Hypertensive heart disease 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
Endocrine disorders
Hyperthyroidism 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
Gastrointestinal disorders
Abdominal pain 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
General disorders
Chest pain 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Infections and infestations
Anal abscess 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
Appendicitis perforated 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
Pneumonia 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Sepsis 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Staphylococcal infection 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
Urinary tract infection 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Wound infection 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Injury, poisoning and procedural complications
Foot fracture 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Tendon injury 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Investigations
Aspartate aminotransferase increased 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Blood bilirubin increased 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of colon 1/63 (1.6%) 0/67 (0%) 0/60 (0%)
Anal squamous cell carcinoma 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
B-cell lymphoma 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Ovarian cancer 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Plasma cell myeloma 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Nervous system disorders
Haemorrhagic stroke 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Loss of consciousness 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Syncope 0/63 (0%) 0/67 (0%) 1/60 (1.7%)
Psychiatric disorders
Suicide attempt 0/63 (0%) 1/67 (1.5%) 1/60 (1.7%)
Renal and urinary disorders
Acute kidney injury 0/63 (0%) 2/67 (3%) 0/60 (0%)
Respiratory, thoracic and mediastinal disorders
Asthma 1/63 (1.6%) 0/67 (0%) 1/60 (1.7%)
Chronic obstructive pulmonary disease 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Vascular disorders
Peripheral artery occlusion 0/63 (0%) 1/67 (1.5%) 0/60 (0%)
Other (Not Including Serious) Adverse Events
Arm A (Placebo DTG/Placebo MVC) Arm B (DTG/Placebo MVC) Arm C (DTG/MVC)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 31/63 (49.2%) 32/67 (47.8%) 37/60 (61.7%)
Gastrointestinal disorders
Nausea 2/63 (3.2%) 3/67 (4.5%) 3/60 (5%)
General disorders
Chest pain 0/63 (0%) 0/67 (0%) 4/60 (6.7%)
Fatigue 2/63 (3.2%) 4/67 (6%) 2/60 (3.3%)
Pain 0/63 (0%) 1/67 (1.5%) 3/60 (5%)
Pyrexia 3/63 (4.8%) 4/67 (6%) 3/60 (5%)
Infections and infestations
Influenza 1/63 (1.6%) 2/67 (3%) 3/60 (5%)
Investigations
Alanine aminotransferase increased 4/63 (6.3%) 3/67 (4.5%) 3/60 (5%)
Aspartate aminotransferase increased 5/63 (7.9%) 0/67 (0%) 3/60 (5%)
Blood alkaline phosphatase increased 6/63 (9.5%) 6/67 (9%) 5/60 (8.3%)
Blood bicarbonate decreased 1/63 (1.6%) 2/67 (3%) 3/60 (5%)
Blood bilirubin increased 3/63 (4.8%) 7/67 (10.4%) 5/60 (8.3%)
Blood creatinine increased 3/63 (4.8%) 9/67 (13.4%) 15/60 (25%)
Blood glucose increased 8/63 (12.7%) 8/67 (11.9%) 10/60 (16.7%)
Blood phosphorus decreased 6/63 (9.5%) 4/67 (6%) 2/60 (3.3%)
Blood potassium decreased 1/63 (1.6%) 0/67 (0%) 3/60 (5%)
Blood sodium increased 0/63 (0%) 0/67 (0%) 3/60 (5%)
Creatinine renal clearance decreased 2/63 (3.2%) 6/67 (9%) 5/60 (8.3%)
Musculoskeletal and connective tissue disorders
Arthralgia 3/63 (4.8%) 0/67 (0%) 3/60 (5%)
Back pain 0/63 (0%) 0/67 (0%) 3/60 (5%)
Pain in extremity 0/63 (0%) 3/67 (4.5%) 3/60 (5%)
Respiratory, thoracic and mediastinal disorders
Cough 4/63 (6.3%) 7/67 (10.4%) 5/60 (8.3%)
Dyspnoea 1/63 (1.6%) 1/67 (1.5%) 4/60 (6.7%)
Oropharyngeal pain 5/63 (7.9%) 3/67 (4.5%) 1/60 (1.7%)
Wheezing 0/63 (0%) 1/67 (1.5%) 4/60 (6.7%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

In accordance with the Clinical Trials Agreement between NIAID (DAIDS) and company collaborators, NIAID (DAIDS) provides companies with a copy of any abstract, press release, or manuscript prior to submission for publication with sufficient time for company review and comment. The publication/other disclosure can be delayed for up to 30 additional business days for manuscripts and five (5) business days for abstracts, to preserve U.S. or foreign patent or other intellectual property rights

Results Point of Contact

Name/Title ACTG Clinicaltrials.gov Coordinator
Organization ACTG Network Coordinating Center, Social and Scientific Systems, a DLH Holdings Company
Phone (301) 628-3348
Email ACTGCT.gov@fstrf.org
Responsible Party:
National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier:
NCT02519777
Other Study ID Numbers:
  • A5324
  • 11909
  • NCT02406196
First Posted:
Aug 11, 2015
Last Update Posted:
Apr 22, 2022
Last Verified:
Apr 1, 2022