A Single-arm, Open-label, Study to Assess the Pharmacokinetics of Darunavir and Ritonavir, Darunavir and Cobicistat, Etravirine, and Rilpivirine in HIV-1 Infected Pregnant Women

Sponsor
Janssen Scientific Affairs, LLC (Industry)
Overall Status
Completed
CT.gov ID
NCT00855335
Collaborator
(none)
77
17
5
88.1
4.5
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to study how changes in the body during pregnancy influence the blood levels of TMC114 (darunavir) and ritonavir taken together, darunavir and cobicistat taken as a fixed-dose combination, TMC125 (etravirine) taken alone or with darunavir and ritonavir or rilpivirine in patients with human immunodeficiency virus-1 (HIV-1). This study will examine how these drugs are absorbed in the body, how they are distributed within the body and how they are removed from the body over time. Any pregnant woman who is currently receiving darunavir with ritonavir, darunavir with cobicistat, etravirine or rilpivirine for HIV-1, and who meets the eligibility criteria for the study, will be allowed to enroll. Patients must be willing to remain on study medication during the course of their pregnancy, and 12 weeks postpartum. The information collected may help answer questions about how to best prescribe these three drugs for pregnant women.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

There are many biological changes that occur during pregnancy, some of which may affect the way HIV medications are absorbed, distributed and removed within the body. Some medications have been used for HIV treatment during pregnancy, but little is known about how pregnancy affects the class of drugs being used in this study. To participate in this study, patients must be receiving 600mg of TMC114 (darunavir) taken with 100mg ritonavir twice daily or 800mg of TMC114 (darunavir) with 100mg of ritonavir once daily or 800 mg of darunavir taken with 150mg of cobicistat taken once daily or 200mg of TMC125 (etravirine) (with or without darunavir/ ritonavir) taken twice daily or 25mg of TMC278 (rilpivirine) taken once daily plus additional antiretroviral drugs needed to construct an active antiretroviral regimen. Darunavir and ritonavir, darunavir and cobicistat, etravirine, or rilpivirine will be supplied to study participants. Darunavir and ritonavir are human immunodeficiency virus (HIV) protease inhibitors (PIs); cobicistat is a pharmacoenhancer which boosts the levels of darunavir but has no anti-HIV activity; etravirine and rilpivirine are non-nucleoside reverse transcriptase inhibitor (NNRTI) of HIV. Twelve-hour or twenty four-hour blood sampling will be done for each patient at each of three study visits: Visit 4 (2nd trimester), Visit 5 (3rd trimester), and Visit 8 (6-12 weeks postpartum). Eight blood draws will be taken during each visit: One prior to intake of study medication, and one for each of seven post-dose sampling time-points (hours 1, 2, 3, 4, 6, 9 and 12). The study is designed primarily to examine the pharmacokinetics of darunavir/ritonavir (darunavir/r), darunavir/ cobicistat, etravirine or rilpivirine during the second and third trimesters of gestation, as well as postpartum. Pharmacokinetics measures how the body absorbs, distributes and excretes medication. The study will also examine any changes in anti-viral activity during pregnancy, and the postpartum period. It will note any safety and tolerability of the medications used by the mother, and will measure the level of darunavir/ritonavir, darunavir/ cobicistat, etravirine or rilpivirine in the newborn's cord blood at the time of delivery; outcomes for both mother and child will be assessed as well. During the treatment period, patients will be seen at regular visits in the clinic, where the investigator will assess the patient's medical condition, any Adverse Events and study drug compliance. Laboratory evaluations for efficacy and safety will be done at regular visits as well as blood pressure monitoring. Up to forty-eight (48) HIV positive pregnant women will participate in this study. Study enrollment will be closed once 12 evaluable patients taking darunavir/ritonavir once daily, 12 evaluable patients taking darunavir/cobicistat once daily, 12 evaluable patients taking darunavir/ritonavir twice daily, 12 evaluable patients taking etravirine taking twice daily and 12 evaluable patients taking rilpivirine once daily have been enrolled. The study will be conducted at approximately 14 research centers in the United States and 1 in Puerto Rico. In order to participate, patients must be pregnant for 13-24 weeks. The primary purpose (or outcome) of the study is to assess the influence of pregnancy on the pharmacokinetics of darunavir/ritonavir, darunavir/ cobicistat, etravirine or rilpivirine during the second and third trimesters of gestation, as well as postpartum. Darunavir: One 600 mg or two 300 mg tablets taken twice daily by mouth (two or four tablets a day total). Ritonavir: 100mg tablet taken twice daily by mouth (two tablets a day total), together with darunavir. Darunavir: Two 400 mg tablets taken once daily by mouth (two tablets a day total). Ritonavir: 100mg tablet taken once daily by mouth (one tablet a day total), together with darunavir. Darunavir/ cobicistat: a fixed dose combination containing 800mg of darunavir and 150mg of cobicistat. Etravirine: Two 100 mg tablets taken twice daily by mouth (four tablets a day total). Rilpivirine: One 25mg tablet taken once daily by mouth (one tablet a day total). Study medication will be given from the baseline visit (second pregnancy trimester) until Visit 8 (up to 12 weeks after delivery).

Study Design

Study Type:
Interventional
Actual Enrollment :
77 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Single Arm, Open Label Study to Assess the Pharmacokinetics of Darunavir and Ritonavir, Darunavir and Cobicistat, Etravirine, and Rilpivirine in HIV-1 Infected Pregnant Women
Actual Study Start Date :
Apr 9, 2009
Actual Primary Completion Date :
Aug 11, 2016
Actual Study Completion Date :
Aug 11, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: Group 1: Darunavir 600 /Ritonavir 100

TMC114 (darunavir) Two 300 milligram (mg) or one 600 mg tablet twice daily up to 12 weeks postpartum / ritonavir one 100 mg tablet twice daily with darunavir up to 12 weeks postpartum.

Drug: Darunavir
TMC114 (darunavir) two 300 mg or one 600 mg tablet twice daily up to 12 weeks postpartum in Group 1. TMC114 (darunavir) 800mg tablet once daily up to 12 weeks postpartum in Group 2.

Drug: Ritonavir
100 mg tablet twice daily up to 12 weeks postpartum.

Experimental: Group 2: Darunavir 800/Ritonavir 100

TMC114 (darunavir) 800mg tablet once daily up to 12 weeks postpartum/ ritonavir one 100 mg tablet once daily with darunavir up to 12 weeks postpartum.

Drug: Darunavir
TMC114 (darunavir) two 300 mg or one 600 mg tablet twice daily up to 12 weeks postpartum in Group 1. TMC114 (darunavir) 800mg tablet once daily up to 12 weeks postpartum in Group 2.

Drug: Ritonavir
100 mg tablet twice daily up to 12 weeks postpartum.

Experimental: Group 3: Etravirine

TMC125 (etravirine) 200 mg (1*200 mg/2*100 mg) tablets twice daily up to 12 weeks postpartum.

Drug: Etravirine
200 mg (1*200 mg/2*100 mg) tablets twice daily up to 12 weeks postpartum.

Experimental: Group 4: Rilpivirine

TMC278 (rilpivirine) One 25 mg tablet once daily up to 12 weeks postpartum.

Drug: Rilpivirine
One 25 mg tablet once daily up to 12 weeks postpartum.

Experimental: Group 5: Darunavir 800/Cobicistat 150

Fixed dose combination (FDC) tablet of TMC114 (darunavir) 800 mg and cobicistat 150 mg once daily up to 12 weeks postpartum.

Drug: Darunavir/Cobicistat (FDC)
Fixed dose combination (FDC) tablet of TMC114 (darunavir) 800 mg and cobicistat 150 mg once daily up to 12 weeks postpartum.

Outcome Measures

Primary Outcome Measures

  1. Predose (Trough) Plasma Concentration (C0h) [Predose on Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)]

    C0h is defined as the predose (trough) plasma concentration or concentration just prior to study drug administration.

  2. Minimum Plasma Concentration (Cmin) [Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)]

    The Cmin is the minimum observed plasma concentration.

  3. Maximum Plasma Concentration (Cmax) [Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)]

    The Cmax is the maximum observed plasma concentration.

  4. Time to Reach the Maximum Plasma Concentration (Tmax) [Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)]

    The Tmax is defined as actual sampling time to reach maximum observed plasma concentration.

  5. Area Under the Plasma Concentration-Time Curve From Time of Administration to 12 Hours Post-dose (AUC0-12h) [Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)]

    The AUC (0-12) is the area under the plasma concentration-time curve from time zero to 12 hours post dose. The selected arms were based on the dosing frequency (twice daily).

  6. Area Under the Plasma Concentration-Time Curve From Time of Administration to 24 Hours Post-dose (AUC0-24h) [Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)]

    The AUC (0-24) is the area under the plasma concentration-time curve from time zero to 24 hours post dose. The selected arms were based on the dosing frequency (once daily).

Secondary Outcome Measures

  1. Number of Participants With Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) Plasma Viral Load (<) 50 Copies/Milliliter (mL) [Up to postpartum (6-12 weeks)]

    Number of participants were assessed with a viral load (VL) lesser than (<) 50 HIV-1 RNA copies/ mL over time.

  2. Mean Change From Baseline in Log10 Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) Viral Load Value [Baseline, 4 weeks after baseline, 2nd and 3rd trimesters of pregnancy and postpartum (2-5 weeks and 6-12 weeks)]

    Mean change from baseline in log 10 HIV-1 RNA VL was assessed up to postpartum (6-12 weeks).

  3. Mean Change From Baseline in CD4+ Cell Count [Baseline, 4 weeks after baseline, 2nd and 3rd trimesters of pregnancy and postpartum (2-5 weeks and 6-12 weeks)]

    Mean Change From Baseline in CD4+ Cell Count were assessed for immunology testing.

  4. Number of Participants With Resistance at Virological Failure [Up to follow-up phase (16 weeks after postpartum)]

    Resistance analysis was determined using genotypic and phenotypic analysis at the time of virological failure. For participants with a baseline viral load greater than (>) 200 copies/mL, virologic failure was defined as follows: HIV ribonucleic acid (RNA) levels that did not fall by at least 0.5 log 4 weeks after Baseline; viral load >1000 copies/mL (at 2 successive visits) by gestational weeks 34-38; or viral load >200 copies/mL (at 2 successive visits) after reaching a viral load less than or equal to (<=) 200 copies/mL. For participants with a baseline viral load <=200 copies/mL, virologic failure was defined as viral load of >200 copies/mL (at 2 successive visits) at any point during the study.

  5. Plasma Concentration of Drug in the Cord Plasma and Maternal Plasma Samples Collected at the Time of Delivery [On day of delivery - Intrapartum (Visit 6)]

    The drug concentrations were evaluated in the cord plasma and maternal plasma samples collected at the time of delivery.

  6. Number of Infants With Human Immunodeficiency Virus (HIV) Positive Test Result [Birth to age 16 weeks]

    The infants were evaluated for HIV positive tests using HIV polymerase chain reaction test (PCR).

  7. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Up to follow up period (16 weeks after postpartum)]

    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Pregnant females (18-26 weeks of gestation)

  • documented HIV-1 infection

  • Receiving darunavir/ritonavir, darunavir/cobicistat, etravirine, or rilpivirine at the time of study entry

  • Willing to remain on darunavir/ritonavir, darunavir/cobicistat, etravirine, or rilpivirine as well as a background regimen, for the duration of the study, including 12 weeks postpartum

  • Able to comply with the protocol requirements and to provide written informed consent.

Exclusion Criteria:
  • Patients with any currently active acquired immune deficiency syndrome (AIDS) defining illness and AIDS-related opportunistic infection

  • Patients using cytokine inhibitors (e.g., thalidomide), anabolic hormones, cytokines (e.g., IL-2, INF), efavirenz, hydroxyurea, oral hypoglycemics, systemic chemotherapy or known teratogenic agent

  • Use of an investigational agent within 90 days

  • Any known fetal anomaly

  • Any current obstetric complication, including multiple gestations and pre-term labor

  • Hepatitis B and/or C virus infection

  • Grade 2 or higher anemia

  • Thyroid disease

  • Uncontrolled Diabetes Mellitus Types I and II, or gestational diabetes, as determined by the investigator

Contacts and Locations

Locations

Site City State Country Postal Code
1 Daytona Beach Florida United States
2 Jacksonville Florida United States
3 Miami Florida United States
4 Pensacola Florida United States
5 Port Saint Lucie Florida United States
6 West Palm Beach Florida United States
7 Savannah Georgia United States
8 Chicago Illinois United States
9 Springfield Massachusetts United States
10 Dearborn Michigan United States
11 Bronx New York United States
12 Syracuse New York United States
13 Chapel Hill North Carolina United States
14 Greensboro North Carolina United States
15 Philadelphia Pennsylvania United States
16 Bellaire Texas United States
17 San Juan Pr Puerto Rico

Sponsors and Collaborators

  • Janssen Scientific Affairs, LLC

Investigators

  • Study Director: Janssen Scientific Affairs, LLC Clinical Trial, Janssen Scientific Affairs, LLC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Janssen Scientific Affairs, LLC
ClinicalTrials.gov Identifier:
NCT00855335
Other Study ID Numbers:
  • CR015442
  • TMC114HIV3015
First Posted:
Mar 4, 2009
Last Update Posted:
Jul 6, 2018
Last Verified:
May 1, 2018

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Darunavir 600 mg /Ritonavir 100 mg Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Period Title: Overall Study
STARTED 18 18 15 19 7
COMPLETED 13 16 10 12 6
NOT COMPLETED 5 2 5 7 1

Baseline Characteristics

Arm/Group Title Darunavir 600 mg /Ritonavir 100 mg Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily Total
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum. Total of all reporting groups
Overall Participants 18 18 15 19 7 77
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
25.7
(5.6)
24.2
(3.45)
26.3
(4.91)
27.2
(4.51)
28.86
(4.71)
26.1
(4.75)
Sex: Female, Male (Count of Participants)
Female
18
100%
18
100%
15
100%
19
100%
7
100%
77
100%
Male
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Region of Enrollment (Count of Participants)
United States
18
100%
18
100%
15
100%
19
100%
7
100%
77
100%

Outcome Measures

1. Primary Outcome
Title Predose (Trough) Plasma Concentration (C0h)
Description C0h is defined as the predose (trough) plasma concentration or concentration just prior to study drug administration.
Time Frame Predose on Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)

Outcome Measure Data

Analysis Population Description
Population analyzed included participants who received at least one dose of study drug with at least one PK blood sample available. Arms were created to report data separately for the treatments and analytes. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Ritonavir 100 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Darunavir 800 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Ritonavir 100 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg (Darunavir 800/Cobicistat 150 mg) Once Daily Cobicistat 150 mg (Darunavir 800/Cobicistat 150 mg) Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) orally twice daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally twice daily along with darunavir 600 mg tablets up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) orally once daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally once daily along with darunavir 800 mg tablets up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg along with cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum. Participants received cobicistat 150 mg along with darunavir 800 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 12 13 17 17 13 15 7 7
Postpartum (6-12 W)
3608
(2812)
491.4
(472.4)
2481
(2183)
147
(198)
281
(193)
127
(97.0)
2811
(2296)
134
(145)
2nd Trimester
2323
(1140)
225.9
(127.5)
1793
(964)
94.2
(102)
439
(212)
75.6
(36.2)
540
(803)
NA
(NA)
3rd Trimester
3280
(1466)
236.0
(108.08)
1528
(1184)
74.6
(90.2)
413
(78.2)
78.0
(39.1)
824
(630)
30.1
(51.5)
2. Primary Outcome
Title Minimum Plasma Concentration (Cmin)
Description The Cmin is the minimum observed plasma concentration.
Time Frame Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)

Outcome Measure Data

Analysis Population Description
Population analyzed included participants who received at least one dose of study drug with at least one PK blood sample available. Arms were created to report data separately for the treatments and analytes. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Ritonavir 100 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Darunavir 800 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Ritonavir 100 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg (Darunavir 800/Cobicistat 150 mg) Once Daily Cobicistat 150 mg (Darunavir 800/Cobicistat 150 mg) Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) orally twice daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally twice daily along with darunavir 600 mg tablets up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) orally once daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally once daily along with darunavir 800 mg tablets up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg along with cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum. Participants received cobicistat 150 mg along with darunavir 800 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 12 13 17 17 13 15 7 7
Postpartum (6-12 W)
2851
(2216)
264.7
(259.8)
1473
(1141)
40.5
(31.4)
269
(182)
84.0
(58.8)
1538
(1344)
41.4
(49.1)
2nd Trimester
1922
(825)
141.1
(73.78)
1248
(542)
32.2
(19.8)
383
(210)
54.3
(25.8)
168
(149)
NA
(NA)
3rd Trimester
2661
(1269)
148.1
(52.26)
1075
(594)
28.0
(20.5)
349
(103)
52.9
(24.4)
184
(99.0)
NA
(NA)
3. Primary Outcome
Title Maximum Plasma Concentration (Cmax)
Description The Cmax is the maximum observed plasma concentration.
Time Frame Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)

Outcome Measure Data

Analysis Population Description
Population analyzed included participants who received at least one dose of study drug with at least one PK blood sample available. Arms were created to report data separately for the treatments and analytes. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Ritonavir 100 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Darunavir 800 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Ritonavir 100 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg (Darunavir 800/Cobicistat 150 mg) Once Daily Cobicistat 150 mg (Darunavir 800/Cobicistat 150 mg) Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) orally twice daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally twice daily along with darunavir 600 mg tablets up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) orally once daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally once daily along with darunavir 800 mg tablets up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg along with cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum. Participants received cobicistat 150 mg along with darunavir 800 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 12 13 17 17 13 15 7 7
Postpartum (6-12 W)
6659
(2364)
1110
(901.2)
7310
(1704)
742
(335)
569
(261)
167
(101)
7918
(2199)
996
(323)
2nd Trimester
4668
(1097)
546.8
(249.4)
4964
(1505)
439
(241)
774
(300)
121
(45.9)
4340
(1616)
571
(350)
3rd Trimester
5328
(1631)
536.1
(210.6)
5132
(1198)
397
(184)
785
(238)
123
(47.5)
4910
(970)
759
(366)
4. Primary Outcome
Title Time to Reach the Maximum Plasma Concentration (Tmax)
Description The Tmax is defined as actual sampling time to reach maximum observed plasma concentration.
Time Frame Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)

Outcome Measure Data

Analysis Population Description
Population analyzed included participants who received at least one dose of study drug with at least one PK blood sample available. Arms were created to report data separately for the treatments and analytes. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Ritonavir 100 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Darunavir 800 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Ritonavir 100 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg (Darunavir 800/Cobicistat 150 mg) Once Daily Cobicistat 150 mg (Darunavir 800/Cobicistat 150 mg) Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) orally twice daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally twice daily along with darunavir 600 mg tablets up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) orally once daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally once daily along with darunavir 800 mg tablets up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg along with cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum. Participants received cobicistat 150 mg along with darunavir 800 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 12 13 17 17 13 15 7 7
Postpartum (6-12 W)
3.00
5.04
4.00
4.18
4.00
4.00
4.00
4.00
2nd Trimester
3.00
4.17
4.00
5.92
3.05
4.00
4.00
4.03
3rd Trimester
3.00
4.07
3.05
6.00
3.00
4.00
3.50
3.50
5. Primary Outcome
Title Area Under the Plasma Concentration-Time Curve From Time of Administration to 12 Hours Post-dose (AUC0-12h)
Description The AUC (0-12) is the area under the plasma concentration-time curve from time zero to 12 hours post dose. The selected arms were based on the dosing frequency (twice daily).
Time Frame Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)

Outcome Measure Data

Analysis Population Description
Population analyzed included participants who received at least one dose of study drug with at least one PK blood sample available. Arms were created to report data separately for the treatments and analytes. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Ritonavir 100 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Etravirine 200 mg Twice Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) orally twice daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally twice daily along with darunavir 600 mg tablets up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum.
Measure Participants 12 12 13
Postpartum (6-12 W)
56890
(26340)
7406
(6188)
5004
(2521)
2nd Trimester
39370
(9597)
3775
(1265)
6617
(2766)
3rd Trimester
45880
(17360)
3750
(1336)
6846
(1482)
6. Primary Outcome
Title Area Under the Plasma Concentration-Time Curve From Time of Administration to 24 Hours Post-dose (AUC0-24h)
Description The AUC (0-24) is the area under the plasma concentration-time curve from time zero to 24 hours post dose. The selected arms were based on the dosing frequency (once daily).
Time Frame Between Predose and 24 hours postdose at Weeks 24-28 (Visit 4, 2nd trimester), 34-38 (visit 5, 3rd trimester) and 6-12 weeks postpartum (visit 8)

Outcome Measure Data

Analysis Population Description
Population analyzed included participants who received at least one dose of study drug with at least one PK blood sample available. Arms were created to report data separately for the treatments and analytes. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 800 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Ritonavir 100 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg (Darunavir 800/Cobicistat 150 mg) Once Daily Cobicistat 150 mg (Darunavir 800/Cobicistat 150 mg) Once Daily
Arm/Group Description Participants received darunavir 800 mg tablets (400*2) orally once daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally once daily along with darunavir 800 mg tablets up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg along with cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum. Participants received cobicistat 150 mg along with darunavir 800 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 17 17 15 7 7
Postpartum (6-12 W)
92116
(29241)
6584
(2861)
2714
(1535)
99613
(34862)
8643
(3187)
2nd trimester
62289
(16234)
3935
(2063)
1792
(711)
47293
(19058)
3862
(2703)
3rd trimester
61112
(13790)
3821
(1723)
1762
(662)
47991
(9879)
4736
(2917)
7. Secondary Outcome
Title Number of Participants With Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) Plasma Viral Load (<) 50 Copies/Milliliter (mL)
Description Number of participants were assessed with a viral load (VL) lesser than (<) 50 HIV-1 RNA copies/ mL over time.
Time Frame Up to postpartum (6-12 weeks)

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) analysis set is defined as all participants enrolled in this study who took at least one dose of study medication. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg /Ritonavir 100 Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 16 17 13 19 6
2nd trimester Less than(<)50 copies/milliLiter(mL)
6
33.3%
9
50%
12
80%
13
68.4%
6
85.7%
3rd trimester: <50 copies/mL
5
27.8%
8
44.4%
10
66.7%
13
68.4%
5
71.4%
Postpartum (2-5 weeks): <50 copies/mL
5
27.8%
8
44.4%
9
60%
9
47.4%
5
71.4%
Postpartum (6-12 weeks): <50 copies/mL
6
33.3%
7
38.9%
8
53.3%
10
52.6%
5
71.4%
8. Secondary Outcome
Title Mean Change From Baseline in Log10 Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) Viral Load Value
Description Mean change from baseline in log 10 HIV-1 RNA VL was assessed up to postpartum (6-12 weeks).
Time Frame Baseline, 4 weeks after baseline, 2nd and 3rd trimesters of pregnancy and postpartum (2-5 weeks and 6-12 weeks)

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) analysis set is defined as all participants enrolled in this study who took at least one dose of study medication. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg /Ritonavir 100 Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 17 18 15 19 7
Baseline
2.12
(0.179)
1.88
(0.089)
2.06
(0.206)
1.84
(0.159)
1.77
(0.283)
4 Weeks after Baseline
-0.26
(0.161)
-0.27
(0.145)
0.18
(0.182)
0.20
(0.172)
2nd trimester
-0.19
(0.106)
-0.16
(0.104)
0.16
(0.084)
0.16
(0.074)
0.1
(0.233)
3rd trimester
-0.31
(0.107)
-0.23
(0.105)
0.17
(0.105)
0.25
(0.113)
0.21
(0.326)
Postpartum (2-5 weeks)
-0.18
(0.111)
-0.04
(0.146)
0.13
(0.168)
0.20
(0.273)
0.18
(0.304)
Postpartum (6-12 weeks)
0.09
(0.268)
0.11
(0.265)
0.05
(0.058)
0.08
(0.138)
0.23
(0.347)
9. Secondary Outcome
Title Mean Change From Baseline in CD4+ Cell Count
Description Mean Change From Baseline in CD4+ Cell Count were assessed for immunology testing.
Time Frame Baseline, 4 weeks after baseline, 2nd and 3rd trimesters of pregnancy and postpartum (2-5 weeks and 6-12 weeks)

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) analysis set is defined as all participants enrolled in this study who took at least one dose of study medication. Here 'N' signified number of participants evaluated for this outcome measure.
Arm/Group Title Darunavir 600 mg /Ritonavir 100 Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 16 18 15 19 7
Baseline
466.3
(49.07)
497.9
(64.60)
417.47
(80.469)
495.79
(79.322)
594.17
(108.151)
4 Weeks after Baseline
-14.8
(23.16)
116.3
(62.41)
6.25
(26.004)
24.00
(56.912)
2nd trimester
37.1
(23.31)
154.1
(44.08)
13.77
(53.225)
39.21
(36.496)
13.29
(34.445)
3rd trimester
83.5
(29.45)
274.9
(65.41)
77.30
(30.803)
89.46
(26.137)
72.17
(62.882)
Postpartum (2-5 weeks)
127.9
(28.53)
186.0
(43.51)
115.36
(33.584)
139.42
(36.972)
163
(37.177)
Postpartum (6-12 weeks)
174.5
(44.98)
323.0
(63.99)
154.90
(54.131)
168.18
(41.345)
244.67
(100.74)
10. Secondary Outcome
Title Number of Participants With Resistance at Virological Failure
Description Resistance analysis was determined using genotypic and phenotypic analysis at the time of virological failure. For participants with a baseline viral load greater than (>) 200 copies/mL, virologic failure was defined as follows: HIV ribonucleic acid (RNA) levels that did not fall by at least 0.5 log 4 weeks after Baseline; viral load >1000 copies/mL (at 2 successive visits) by gestational weeks 34-38; or viral load >200 copies/mL (at 2 successive visits) after reaching a viral load less than or equal to (<=) 200 copies/mL. For participants with a baseline viral load <=200 copies/mL, virologic failure was defined as viral load of >200 copies/mL (at 2 successive visits) at any point during the study.
Time Frame Up to follow-up phase (16 weeks after postpartum)

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) analysis set is defined as all participants enrolled in this study who took at least one dose of study medication.
Arm/Group Title Darunavir 600 mg /Ritonavir 100 Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 18 18 15 19 7
Number [Participants]
0
0%
0
0%
0
0%
0
0%
0
0%
11. Secondary Outcome
Title Plasma Concentration of Drug in the Cord Plasma and Maternal Plasma Samples Collected at the Time of Delivery
Description The drug concentrations were evaluated in the cord plasma and maternal plasma samples collected at the time of delivery.
Time Frame On day of delivery - Intrapartum (Visit 6)

Outcome Measure Data

Analysis Population Description
Population analyzed included participants who received at least one dose of study drug with at least one PK blood sample available. Arms were created to report data separately for the treatments and analytes. Here 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Darunavir 600 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Ritonavir 100 mg (Darunavir 600/Ritonavir 100 mg) Twice Daily Darunavir 800 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Ritonavir 100 mg (Darunavir 800/Ritonavir 100 mg) Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg (Darunavir 800/Cobicistat 150 mg) Once Daily Cobicistat 150 mg (Darunavir 800/Cobicistat 150 mg) Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) orally twice daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally twice daily along with darunavir 600 mg tablets up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) orally once daily along with ritonavir 100 mg up to 12 weeks postpartum. Participants received ritonavir 100 mg capsules orally once daily along with darunavir 800 mg tablets up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg along with cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum. Participants received cobicistat 150 mg along with darunavir 800 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 10 10 16 16 11 9 5 5
Cord Plasma
348.4
(322.90)
17.07
(23.98)
228
(302)
NA
(NA)
147
(61.3)
32.8
(16.7)
125
(106)
NA
(NA)
Maternal Plasma
2149
(1140)
316.7
(394.4)
1663
(1691)
154
(274)
421
(157)
59.0
(34.7)
857
(885)
74.5
(109)
12. Secondary Outcome
Title Number of Infants With Human Immunodeficiency Virus (HIV) Positive Test Result
Description The infants were evaluated for HIV positive tests using HIV polymerase chain reaction test (PCR).
Time Frame Birth to age 16 weeks

Outcome Measure Data

Analysis Population Description
Infants population whose mothers were included in Intent-to-treat (ITT) analysis set and who were enrolled in this study and took at least one dose of study medication. 'N' signifies number of infants who were born and had HIV test data available.
Arm/Group Title Darunavir 600 mg /Ritonavir 100 Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 14 17 11 10 6
Number [infants]
0
0
0
0
0
13. Secondary Outcome
Title Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Time Frame Up to follow up period (16 weeks after postpartum)

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) analysis set is defined as all participants enrolled in this study who took at least one dose of study medication.
Arm/Group Title Darunavir 600 mg /Ritonavir 100 Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
Measure Participants 18 18 15 19 7
Any AE
14
77.8%
17
94.4%
12
80%
9
47.4%
5
71.4%
Any SAE
6
33.3%
6
33.3%
4
26.7%
4
21.1%
1
14.3%

Adverse Events

Time Frame Up to Follow up phase (16 weeks after postpartum)
Adverse Event Reporting Description Intent-to-treat (ITT) analysis set is defined as all participants enrolled in this study who took at least one dose of study medication. The Adverse events were reported as per MedDRA Version 11.1 for darunavir and rilpivirine ; MeDRA version 16.0 for etravirine.
Arm/Group Title Darunavir 600 mg /Ritonavir 100 mg Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Arm/Group Description Participants received darunavir 600 milligram (mg) tablets (300*2) and ritonavir 100 mg capsules orally twice daily up to 12 weeks postpartum. Participants received darunavir 800 mg tablets (400*2) and ritonavir 100 mg capsules orally once daily up to 12 weeks postpartum. Participants received etravirine 200 mg (1*200 mg/2*100 mg) tablets orally twice daily up to 12 weeks postpartum. Participants received tablets containing 25 mg rilpivirine (EDURANT or COMPLERA) orally once daily up to 12 weeks postpartum. Participants received darunavir 800 mg and Cobicistat 150 mg in a fixed-dose combination (FDC) as film-coated tablet formulation (PREZCOBIX) orally once daily up to 12 weeks postpartum.
All Cause Mortality
Darunavir 600 mg /Ritonavir 100 mg Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Darunavir 600 mg /Ritonavir 100 mg Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 6/18 (33.3%) 6/18 (33.3%) 4/15 (26.7%) 4/19 (21.1%) 1/7 (14.3%)
Ear and labyrinth disorders
Vertigo 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Eye disorders
Vision Blurred 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Gastrointestinal disorders
Abdominal Pain 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Infections and infestations
Postoperative Wound Infection 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Sepsis 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Investigations
Medical Observation 1/18 (5.6%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Transaminases Increased 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Blood Pressure Increased 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Metabolism and nutrition disorders
Dehydration 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Gestational Diabetes 0/18 (0%) 2/18 (11.1%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Nervous system disorders
Headache 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Pregnancy, puerperium and perinatal conditions
Chorioamnionitis 0/18 (0%) 0/18 (0%) 0/15 (0%) 2/19 (10.5%) 0/7 (0%)
Intra-Uterine Death 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Oligohydramnios 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Pre-Eclampsia 1/18 (5.6%) 1/18 (5.6%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Pregnancy Induced Hypertension 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Premature Labour 1/18 (5.6%) 0/18 (0%) 1/15 (6.7%) 1/19 (5.3%) 0/7 (0%)
Premature Rupture of Membranes 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Renal and urinary disorders
Proteinuria 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Vascular disorders
Hypertension 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Other (Not Including Serious) Adverse Events
Darunavir 600 mg /Ritonavir 100 mg Twice Daily Darunavir 800 mg /Ritonavir 100 mg Once Daily Etravirine 200 mg Twice Daily Rilpivirine 25 mg Once Daily Darunavir 800 mg/Cobicistat 150 mg Once Daily
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 13/18 (72.2%) 17/18 (94.4%) 12/15 (80%) 8/19 (42.1%) 5/7 (71.4%)
Blood and lymphatic system disorders
Anaemia 1/18 (5.6%) 3/18 (16.7%) 1/15 (6.7%) 1/19 (5.3%) 1/7 (14.3%)
Anaemia of Pregnancy 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Iron Deficiency Anaemia 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Lymphadenopathy 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Thrombocytopenia 0/18 (0%) 1/18 (5.6%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Eye disorders
Vision Blurred 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Gastrointestinal disorders
Constipation 0/18 (0%) 2/18 (11.1%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Diarrhoea 1/18 (5.6%) 2/18 (11.1%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Dyspepsia 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Gastrooesophageal Reflux Disease 0/18 (0%) 3/18 (16.7%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Nausea 2/18 (11.1%) 3/18 (16.7%) 3/15 (20%) 0/19 (0%) 1/7 (14.3%)
Toothache 1/18 (5.6%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Vomiting 0/18 (0%) 3/18 (16.7%) 2/15 (13.3%) 1/19 (5.3%) 0/7 (0%)
Abdominal Pain 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Abdominal Pain Lower 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Abdominal Pain Upper 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Haemorrhoids 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
General disorders
Influenza Like Illness 2/18 (11.1%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Pitting Oedema 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Pyrexia 2/18 (11.1%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Chest Pain 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Fatigue 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Oedema Peripheral 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Immune system disorders
Seasonal Allergy 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Infections and infestations
Bacteriuria 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Carbuncle 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Fungal Infection 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Genital Herpes 1/18 (5.6%) 1/18 (5.6%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Herpes Zoster 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Nasopharyngitis 1/18 (5.6%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Otitis Media 0/18 (0%) 1/18 (5.6%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Pharyngitis 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Sinusitis 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Subcutaneous Abscess 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Tinea Pedis 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Upper Respiratory Tract Infection 1/18 (5.6%) 0/18 (0%) 1/15 (6.7%) 1/19 (5.3%) 0/7 (0%)
Urinary Tract Infection 2/18 (11.1%) 2/18 (11.1%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Vaginal Infection 0/18 (0%) 2/18 (11.1%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Vaginitis Bacterial 2/18 (11.1%) 2/18 (11.1%) 1/15 (6.7%) 1/19 (5.3%) 0/7 (0%)
Viral Upper Respiratory Tract Infection 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Vulvovaginal Mycotic Infection 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 2/7 (28.6%)
Injury, poisoning and procedural complications
Contusion 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Eye Injury 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Investigations
Alanine Aminotransferase Increased 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Blood Albumin Increased 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Blood Amylase Increased 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Blood Pressure Increased 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 1/7 (14.3%)
Blood Thyroid Stimulating Hormone Increased 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Cardiac Murmur 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Lipase Increased 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Methicillin-Resistant Staphylococcal Aureus Test Positive 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Neutrophil Count Decreased 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Streptococcal Identification Test Positive 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Transaminases Increased 1/18 (5.6%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Heart Rate Increased 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
High Density Lipoprotein Increased 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Metabolism and nutrition disorders
Anorexia 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Decreased Appetite 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Dehydration 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Gestational Diabetes 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Hyperlipidaemia 2/18 (11.1%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Hypoalbuminaemia 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Hypokalaemia 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Back Pain 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 1/7 (14.3%)
Pain in Extremity 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Joint Swelling 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Nervous system disorders
Carpal Tunnel Syndrome 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Dizziness 2/18 (11.1%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Headache 1/18 (5.6%) 2/18 (11.1%) 2/15 (13.3%) 0/19 (0%) 1/7 (14.3%)
Hypoaesthesia 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Migraine 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Migraine with Aura 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Poor Quality Sleep 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Pregnancy, puerperium and perinatal conditions
Chorioamnionitis 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Labour Pain 0/18 (0%) 2/18 (11.1%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Postpartum Haemorrhage 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Pregnancy Induced Hypertension 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 1/19 (5.3%) 0/7 (0%)
Premature Labour 4/18 (22.2%) 2/18 (11.1%) 2/15 (13.3%) 0/19 (0%) 0/7 (0%)
Uterine Contractions During Pregnancy 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Psychiatric disorders
Insomnia 1/18 (5.6%) 1/18 (5.6%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Major Depression 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Postpartum Depression 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Depression 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Renal and urinary disorders
Hydronephrosis 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Reproductive system and breast disorders
Genital Discharge 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Ovarian Cyst 0/18 (0%) 0/18 (0%) 0/15 (0%) 1/19 (5.3%) 0/7 (0%)
Pelvic Pain 0/18 (0%) 1/18 (5.6%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Vaginal Discharge 0/18 (0%) 0/18 (0%) 0/15 (0%) 2/19 (10.5%) 0/7 (0%)
Pelvic Discomfort 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Vaginal Haemorrhage 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Vulvovaginal Pruritus 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Respiratory, thoracic and mediastinal disorders
Asthma 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Cough 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Dyspnoea 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)
Nasal Congestion 0/18 (0%) 1/18 (5.6%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Rhinitis Allergic 0/18 (0%) 1/18 (5.6%) 2/15 (13.3%) 0/19 (0%) 0/7 (0%)
Skin and subcutaneous tissue disorders
Dermatitis Atopic 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Dry Skin 1/18 (5.6%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Rash 0/18 (0%) 2/18 (11.1%) 0/15 (0%) 0/19 (0%) 0/7 (0%)
Skin Exfoliation 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Vascular disorders
Hypertension 0/18 (0%) 0/18 (0%) 1/15 (6.7%) 0/19 (0%) 0/7 (0%)
Hypotension 0/18 (0%) 0/18 (0%) 0/15 (0%) 0/19 (0%) 1/7 (14.3%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested in writing, such publication will be withheld for up to an additional 60 days.

Results Point of Contact

Name/Title Medical Leader, Medical Department
Organization Janssen Scientific Affairs, LLC
Phone
Email ClinicalTrialDisclosure@its.jnj.com
Responsible Party:
Janssen Scientific Affairs, LLC
ClinicalTrials.gov Identifier:
NCT00855335
Other Study ID Numbers:
  • CR015442
  • TMC114HIV3015
First Posted:
Mar 4, 2009
Last Update Posted:
Jul 6, 2018
Last Verified:
May 1, 2018