An Open Label Pharmacokinetic, Safety And Efficacy Study Of Maraviroc In Combination With Background Therapy For The Treatment Of HIV-1 Infected, CCR5 -Tropic Children

Sponsor
ViiV Healthcare (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT00791700
Collaborator
Pfizer (Industry)
103
41
1
170.3
2.5
0

Study Details

Study Description

Brief Summary

The primary purpose of this study is to determine the pharmacokinetic properties (what the body does to maraviroc) and to determine a suitable dosing schedule of maraviroc in HIV-1 infected children and adolescents. This study will also determine whether maraviroc is safe to use in children and adolescents.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
103 participants
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
AN OPEN-LABEL, MULTICENTER, MULTIPLE-DOSE PHARMACOKINETIC, SAFETY AND EFFICACY TRIAL OF MARAVIROC IN COMBINATION WITH OPTIMIZED BACKGROUND THERAPY FOR THE TREATMENT OF ANTIRETROVIRAL-EXPERIENCED CCR5-TROPIC HIV-1 INFECTED CHILDREN 2 - <18 YEARS OF AGE
Actual Study Start Date :
Apr 22, 2009
Actual Primary Completion Date :
Apr 14, 2015
Anticipated Study Completion Date :
Jun 30, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Maraviroc

Subjects will be stratified by age and formulation into one of the following cohorts: Cohort 1: ≥2-<6 years of age, maraviroc liquid formulation; Cohort 2: ≥6-<12 years of age, maraviroc tablet formulation; Cohort 3: ≥6-<12 years of age, maraviroc liquid formulation and Cohort 4: ≥12-<18 years of age, maraviroc tablet formulation.

Drug: Maraviroc
Maraviroc will be administered twice daily either as a liquid or tablet formulation, depending on the age of the subject. The dosage administered will be dependent upon the subject's body surface area as well as the background therapy.
Other Names:
  • Selzentry
  • Outcome Measures

    Primary Outcome Measures

    1. Pharmacokinetic(PK): Maraviroc PK Parameter, Average Plasma Concentration (Cavg), Trough Concentration(Cmin), Maximum Plasma Concentration (Cmax) [Week 2 and Week 48 (0, 1, 2, 4, 6, 8, 12 hours post-dose)]

      Cavg: calculated as area under the curve divided by a dosing interval of 12 hours. Cmin: directly observed plasma concentration prior to the next dose. Geometric Coefficient of Variation is defined as the geometric standard deviation to the power of the reciprocal of the geometric mean.

    2. Area Under the Curve at Steady State (AUCtau) [Week 2 and Week 48 (0, 1, 2, 4, 6, 8, 12 hours post-dose)]

      AUCtau is the area under the plasma concentration time curve (AUC) at steady state from time zero (pre-dose) to end of dosing interval (tau), here dosing interval is 12 hours.

    3. Time to Reach Maximum Plasma Concentration (Tmax) [Week 2 and Week 48 (0, 1, 2, 4, 6, 8, 12 hours post-dose)]

    4. Incidence and Severity of Grade 3 and Grade 4 Treatment-Emergent Adverse Events(AEs) (All Causality) [Baseline up to 5 years]

      Incidence is reported in terms of number of events of AEs. The investigator used the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric AEs as follows: Grade 1= Symptoms causing no or minimal interference with usual social and functional activities; Grade 2= Symptoms causing greater than minimal interference with usual social and functional activities; Grade 3= Symptoms causing inability to perform usual social and functional activities; Grade 4= Symptoms causing inability to perform basic self-care functions or medical or operative intervention indicated to prevent permanent impairment, persistent disability, or death. Data have been reported in the measure for Grade 3 and 4 as per system organ class and preferred term.

    5. Treatment Discontinuation: Secondary Reasons- Serious Adverse Event (SAE) Related to Study Drug [Baseline up to 5 years]

      The primary reason for a participant discontinuing from study drug or the clinical study was recorded in the source documents as well as the case report form. A discontinuation had to be reported immediately to the study medical monitor or his/her designated representative if it was due to an SAE and was considered as a secondary reason.

    Secondary Outcome Measures

    1. Percentage of Participants With HIV-1 RNA <400 Copies/mL Through Week 48 Using Missing, Discontinuation = Failure (MD=F) Approach [Week 24 and Week 48 post-treatment]

      The proportion of participants who achieved HIV-1 RNA <400 copies/mL at week 24 or 48 was assessed according to Food and Drug Administration's (FDA's) Missing, Switch, Discontinuation'=Failure (MSDF) Snapshot algorithm. The algorithm uses the plasma HIV-1 RNA in the Week 24 or 48 visit window, follows the "virology-first principle" and considers a participant who has a missing plasma HIV-1 RNA, or switches to prohibited ARV regimen or discontinues from the study or study drug for any reason, or dies, as a failure.

    2. Percentage of Participants With HIV-1 RNA <48 Copies/mL Through Week 48 Using Missing, Discontinuation = Failure (MD=F)Approach [Week 24 and Week 48 post-treatment]

      The proportion of participants who achieved HIV-1 RNA <48 copies/mL at week 24 or 48 was assessed according to Food and Drug Administration's (FDA's) Missing, Switch, Discontinuation'=Failure (MSDF) Snapshot algorithm. The algorithm uses the plasma HIV-1 RNA in the Week 24 or 48 visit window, follows the "virology-first principle" and considers a participant who has a missing plasma HIV-1 RNA, or switches to prohibited ARV regimen or discontinues from the study or study drug for any reason, or dies, as a failure.

    3. Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Weeks 24 and 48 Using Missing, Discontinuation = Failure (MD=F)Approach [Week 24 and Week 48 post-treatment]

      Participants who have been discontinued from the study, have been lost to follow-up, or have missing HIV-1 RNA data prior to the time point of interest were considered to have HIV-1 RNA levels > lower limit of quantification (LLOQ) . This referred to as [non-completer = failure; NC=F] or [missing, discontinuation = failure; MD=F].

    4. Percentage of Participants With HIV-1 RNA Levels < 48 Copies/mL at Weeks 24 and 48 Using MD=F Approach [Week 24 and Week 48 post-treatment]

      Participants who have been discontinued from the study, have been lost to follow-up, or have missing HIV-1 RNA data prior to the time point of interest were considered to have HIV-1 RNA levels > lower limit of quantification (LLOQ) . This referred as [non-completer = failure; NC=F] or [missing, discontinuation = failure; MD=F].

    5. Percentage of Participants With HIV-1 RNA <400 Copies/mL and <48 Copies/mL Using the Time to Loss of Virologic Response Algorithm (TLOVR) at Week 48 [Week 48]

      TLOVR is defined as the time from first dose of study medication (Day 1) until the time of virologic failure using the a TLOVR algorithm.

    6. Percentage of Participants With >= 1.0 log10 Reduction in HIV-1RNA Concentration From Baseline to Week 24 and Week 48 [Baseline to Week 24, Week 48 post-treatment]

      Percentage of participants with at least a 1.0 log10 reduction in HIV-1 RNA from baseline to Week 24 and Week 48 were tabulated.

    7. Change From Baseline in HIV-1 RNA (Original) [Baseline, Week 24, Week 48 post-treatment]

      Plasma HIV-1 RNA was determined using the Roche COBAS AmpliPrep/COBAS TaqMan HIV-1 Test (lower limit of quantification [LLOQ] <48 copies/mL). Blood samples were taken at the time points indicated in the participant evaluation schedule. Screening HIV-1 RNA >1000 copies/ml was used to determine eligibility for the study.

    8. Change From Baseline in HIV-1 RNA (Log10 Copies/mL) [Baseline, Week 24, Week 48 post-treatment]

      Plasma HIV-1 RNA was determined using the Roche COBAS AmpliPrep/COBAS TaqMan HIV-1 Test (lower limit of quantification [LLOQ] <48 copies/mL). Blood samples were taken at the time points indicated in the participant evaluation schedule. Screening HIV-1 RNA >1000 copies/ml was used to determine eligibility for the study.

    9. Change From Baseline in Cluster of Differentiation 4 (CD4+) Cell Count at Weeks 24 and 48 [Baseline, Week 24, Week 48 post-treatment]

      Change from baseline in CD4 cell count to Week 24 and Week 48 were tabulated in aggregated and broken down by age cohort using summary statistics.

    10. Change From Baseline in Percentage (%) of CD4+ Cells at Weeks 24 and 48 [Baseline, Week 24 and Week 48 post-treatment]

      Change from baseline in CD4 % to Week 24 and Week 48 were tabulated in aggregated and broken down by age cohort using summary statistics.

    11. Number of Participants With Protocol Defined Virologic Failure [Week 48]

      The occurrence of any one of the following criteria would constitute Virologic failure: Criteria A=Decrease from Baseline plasma HIV-1 RNA <1 log10 and plasma HIV-1 RNA >400 copies/mL starting at Week 12 and confirmed at consecutive Week 16; Criteria B=Decrease from Baseline plasma HIV-1 RNA <2.0 log10 and plasma HIV-1 RNA >400 copies/mL at Week 24 OR plasma HIV-1 RNA >10,000 copies/mL on and after Week 24, and confirmed within 14 to 21 days; Criteria C=Increase from nadir plasma HIV-1 RNA of >=1 log10 (>=1,000 copies/mL if nadir plasma HIV-1 RNA <48 copies/mL) at any time, and confirmed within 14 to 21 days.

    12. Number of Participants With Viral Tropism Between Screening and Confirmed Protocol Defined Virologic Failure (PDVF) Prior to Week 48 [Screening to Week 48]

      Virus tropism was determined using the Monogram Biosciences Trofile™ viral tropism assay. Change in detected tropism from screening to the time of failure prior to Week 48 was reported. X4=CXCR4 tropic virus; R5=CCR5-tropic virus; X4=CXCR4-tropic virus. Number of participants as per tropism to respective virus has been reported.

    13. Number of Participants With Emergence of Reverse Transcriptase Inhibitor (RTI) and Protease Inhibitor (PI) Resistance Associated Mutations (RAMs) Between Screening and On-Treatment Confirmed PDVF [48 weeks]

      Phenotypic and genotypic susceptibility to reverse transcriptase and protease inhibitors was evaluated at screening using the Monogram Biosciences PhenoSense™ GT (PSGT) assay. Samples from a confirmatory PDVF visit or early termination of MVC were planned to be analyzed if the plasma HIV-1 RNA was ≥400 copies/mL. Data for participants with respective gene mutation category has been reported. Participants with more than one mutation are counted more than once.

    14. Percentage of Participants With Optimized Background Treatment Susceptibility Scores [48 weeks]

      Data was summarized by the total ARV activity of the background regimen using simple and weighted total optimized background treatment susceptibility scores as well as by screening genotype. Simple total optimized background treatment (OBT) susceptibility scores were categorized as 0, 1, >=2 and weighted total OBT susceptibility scores were categorized as 0 to 0.5, 1 to 1.5 and >=2. However, net susceptibility scores were imputed for simple analysis based on genotype. Susceptibility scores indicate the level resistance to the study medication. Scores ranged from 0 to 1 as 1 = susceptible and potential low-level resistance; 0.5 = low and intermediate-level resistance; 0 = high-level resistance, where higher scores indicated lower resistance.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    2 Years to 18 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Subjects who are 2-18 years of age, treatment experienced for 6 months or longer with at least 2 ARV drug classes, with HIV-1 RNA ≥1,000 copies/mL
    Exclusion Criteria:
    • X4- or dual/mixed-tropic virus detected by the Trofile™ viral tropism assay

    • Concomitant therapy with other investigational agents (other than experimental ARV agents available through pre-approval access programs)

    • Known ≥Grade 3 of any of the following laboratory tests at Screening or within 30 days prior to Baseline Visit: Neutrophil count, hemoglobin, platelets, AST, ALT, and creatinine, lipase;

    • Total bilirubin ≥Grade 3, unless ALL of the following are true: Current regimen includes atazanavir; ALT/AST < 2.5 X ULN; No symptoms other than jaundice or icterus.

    • Other laboratory values ≥Grade 3, must be reviewed by Pfizer.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Children's Hospital Los Angeles Los Angeles California United States 90027
    2 Children's Hospital of Orange County Orange California United States 92868
    3 Alfred I. DuPont Hospital for Children Wilmington Delaware United States 19803
    4 Children's National Medical Center Washington District of Columbia United States 20010
    5 Rainbow Center at University of Florida Health Jacksonville Florida United States 32209
    6 University of Miami Miller School of Medicine Miami Florida United States 33136
    7 University of South Florida Tampa Florida United States 33612
    8 Grady Health System, IDP Atlanta Georgia United States 30308
    9 Children's Healthcare of Atlanta Atlanta Georgia United States 30322
    10 Pediatric Infectious Disease Clinic Jackson Mississippi United States 39213
    11 Batson Specialty Clinic Jackson Mississippi United States 39216
    12 University of Mississippi Jackson Mississippi United States 39216
    13 Cincinnati Center for Clinical Research Cincinnati Ohio United States 45206
    14 Children's Medical Center of Dallas Dallas Texas United States 75235
    15 Children's Memorial Hermann Hospital Houston Texas United States 77030
    16 UT Physician Houston Texas United States 77030
    17 VCU Health System Clinical Research Services Richmond Virginia United States 23298
    18 Virginia Commonwealth University Richmond Virginia United States 23298
    19 Instituto de Infectologia Emilio Ribas São Paulo SP Brazil 01246-900
    20 Condomínio Edifício Parque Paulista São Paulo Brazil 01416-000
    21 Clinica Pediatrica Azienda Ospedaliera di Padova Padova Italy 35128
    22 Farmacia Interna Padova Italy 35128
    23 IRCCS Ospedale Pediatrico Bambino Gesu Roma Italy 00165
    24 Struttura Complessa a Direzione Universitaria Immunologia, Reumatologia e Malattie Infettive Torino Italy 10126
    25 Hospital Infantil de Mexico Federico Gomez Mexico DF Mexico 06720
    26 Centro Hospitalar Universitario do Algarve, EPE Faro Portugal 8000-386
    27 Centro Hospitalar de Lisboa Central, EPE Lisboa Portugal 1169-045
    28 Centro Hospitalar de Lisboa Norte, EPE Lisboa Portugal 1649-035
    29 Hospital S. João, E.P.E Porto Portugal 4202-451
    30 Hospital San Juan Research Unit San Juan Puerto Rico 00935
    31 Iatros International Bloemfontein FREE State South Africa 9301
    32 Lakeview Hospital Benoni Gauteng South Africa 1501
    33 Dr George Mukhari Hospital Ga-Rankuwa Gauteng South Africa 0208
    34 Dr. Jan Fourie Medical Centre Dundee Kwazulu-natal South Africa 3000
    35 Embassy Drive Medical Center Pretoria South Africa 0083
    36 Hospital Sant Joan de Deu Esplugues De Llobregat, Barcelona Spain 08950
    37 Hospital Universitario 12 de Octubre Madrid Spain 28041
    38 Department of Pediatrics, Faculty of Medicine, Chiang Mai University Muang Chiang MAI Thailand 50200
    39 Department of Pediatric, Faculty of Medicine, Khon Kaen University Muang Khon Kaen Thailand 40002
    40 The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT), Bangkok Thailand 10330
    41 Department of Pediatrics, Faculty of Medicine, Siriraj Hospital Bangkok Thailand 10700

    Sponsors and Collaborators

    • ViiV Healthcare
    • Pfizer

    Investigators

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

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    ViiV Healthcare
    ClinicalTrials.gov Identifier:
    NCT00791700
    Other Study ID Numbers:
    • A4001031
    • 2008-006873-33
    First Posted:
    Nov 14, 2008
    Last Update Posted:
    Apr 28, 2020
    Last Verified:
    Apr 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by ViiV Healthcare
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details This open-label, multicenter, multiple dose pharmacokinetic, safety and efficacy study at 24 sites in 8 countries.
    Pre-assignment Detail The participants were HIV-1 infected treatment-experienced children and adolescents who were failing current antiretroviral (ARV) therapy or have failed their most recent ARV regimen, defined by plasma HIV-1 RNA>=1000 copies/mL, were infected with only R5 HIV-1, and have ARV experience/intolerance of 6 months with at least 2 ARV drug classes.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 milligram per milliliter [mg/mL]). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 milligram [mg], 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Period Title: Overall Study
    STARTED 16 31 13 43
    COMPLETED 10 20 7 13
    NOT COMPLETED 6 11 6 30

    Baseline Characteristics

    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation Total
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). Total of all reporting groups
    Overall Participants 16 31 13 43 103
    Age (Years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Years]
    3.4
    (0.9)
    9.1
    (1.7)
    8.9
    (2.0)
    14.0
    (1.6)
    10.3
    (4.1)
    Sex: Female, Male (Count of Participants)
    Female
    5
    31.3%
    16
    51.6%
    6
    46.2%
    27
    62.8%
    54
    52.4%
    Male
    11
    68.8%
    15
    48.4%
    7
    53.8%
    16
    37.2%
    49
    47.6%

    Outcome Measures

    1. Primary Outcome
    Title Pharmacokinetic(PK): Maraviroc PK Parameter, Average Plasma Concentration (Cavg), Trough Concentration(Cmin), Maximum Plasma Concentration (Cmax)
    Description Cavg: calculated as area under the curve divided by a dosing interval of 12 hours. Cmin: directly observed plasma concentration prior to the next dose. Geometric Coefficient of Variation is defined as the geometric standard deviation to the power of the reciprocal of the geometric mean.
    Time Frame Week 2 and Week 48 (0, 1, 2, 4, 6, 8, 12 hours post-dose)

    Outcome Measure Data

    Analysis Population Description
    PK analysis set consisted of all enrolled participants who had at least one PK sample with a dosing history. "Number analyzed": participants evaluable at specified time points for this measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 12 11 10 17
    Cavg-Week2
    237.34
    (63)
    260.65
    (43)
    264.45
    (62)
    239.85
    (67)
    Cavg-Week 48
    163.73
    (146)
    289.69
    (50)
    168.62
    (117)
    199.12
    (78)
    Cmax-Week2
    581.47
    (69)
    546.80
    (51)
    444.37
    (61)
    530.80
    (62)
    Cmax-Week 48
    334.68
    (156)
    593.68
    (25)
    284.96
    (128)
    423.32
    (48)
    Cmin-Week2
    18.97
    (202208)
    100.02
    (39)
    115.84
    (90)
    56.17
    (145)
    Cmin-Week 48
    48.11
    (180)
    82.21
    (120)
    60.03
    (245)
    66.51
    (140)
    2. Primary Outcome
    Title Area Under the Curve at Steady State (AUCtau)
    Description AUCtau is the area under the plasma concentration time curve (AUC) at steady state from time zero (pre-dose) to end of dosing interval (tau), here dosing interval is 12 hours.
    Time Frame Week 2 and Week 48 (0, 1, 2, 4, 6, 8, 12 hours post-dose)

    Outcome Measure Data

    Analysis Population Description
    PK analysis set consisted of all enrolled participants who had at least one PK sample with a dosing history. "Number analyzed" signifies participants evaluable at specified time points for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 12 11 10 17
    AUCtau - Week 2
    2848.1
    (63)
    3127.7
    (43)
    3173.4
    (62)
    2878.2
    (67)
    AUCtau - Week 48
    1964.7
    (146)
    3476.3
    (50)
    2023.5
    (117)
    2389.4
    (78)
    3. Primary Outcome
    Title Time to Reach Maximum Plasma Concentration (Tmax)
    Description
    Time Frame Week 2 and Week 48 (0, 1, 2, 4, 6, 8, 12 hours post-dose)

    Outcome Measure Data

    Analysis Population Description
    PK analysis set consisted of all enrolled participants who had at least one PK sample with a dosing history. "Number analyzed" signifies participants evaluable at specified time points for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 12 11 10 17
    Tmax - Week 2
    2.000
    4.000
    2.000
    2.000
    Tmax - Week 48
    2.000
    2.000
    3.000
    2.000
    4. Primary Outcome
    Title Incidence and Severity of Grade 3 and Grade 4 Treatment-Emergent Adverse Events(AEs) (All Causality)
    Description Incidence is reported in terms of number of events of AEs. The investigator used the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric AEs as follows: Grade 1= Symptoms causing no or minimal interference with usual social and functional activities; Grade 2= Symptoms causing greater than minimal interference with usual social and functional activities; Grade 3= Symptoms causing inability to perform usual social and functional activities; Grade 4= Symptoms causing inability to perform basic self-care functions or medical or operative intervention indicated to prevent permanent impairment, persistent disability, or death. Data have been reported in the measure for Grade 3 and 4 as per system organ class and preferred term.
    Time Frame Baseline up to 5 years

    Outcome Measure Data

    Analysis Population Description
    Safety analysis was performed on all participants who received at least 1 dose of study drug.
    Arm/Group Title Cohort 1 (Grade 3) Cohort 1 (Grade 4) Cohort 2 (Grade 3) Cohort 2 (Grade 4) Cohort 3 (Grade 3) Cohort 3 (Grade 4) Cohort 4 (Grade 3) Cohort 4 (Grade 4)
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 16 16 31 31 13 13 43 43
    Gastrointestinal disorders - Vomiting
    1
    0
    1
    0
    0
    0
    0
    0
    Hepat. disorders - Drug-induced liver injury
    0
    0
    0
    0
    0
    0
    0
    1
    Infections and infestations - H1N1 influenza
    0
    0
    0
    0
    0
    0
    1
    0
    Infections and infestations - Pneumonia
    0
    0
    0
    0
    1
    0
    1
    0
    Investigations - Lipase increased
    0
    1
    0
    0
    0
    0
    0
    0
    Pyschiatric disorder - Bipolar disorder
    0
    0
    1
    0
    0
    0
    0
    0
    Gastrointestinal disorders - Gastritis
    0
    0
    1
    0
    0
    0
    0
    0
    Investigations - Hepatic enzyme abnormal
    0
    0
    1
    0
    0
    0
    0
    0
    Investigations - Transaminases increased
    0
    0
    1
    0
    0
    0
    0
    0
    Pyschiatric disorder - Aggression
    0
    0
    1
    0
    0
    0
    0
    0
    Blood and lymphatic system disorders - Anaemia
    0
    0
    0
    0
    0
    0
    1
    0
    Infections and infestations - Meningitis
    0
    0
    0
    0
    0
    0
    0
    1
    Infections and infestations -Otitis media
    0
    0
    1
    0
    0
    0
    0
    0
    5. Primary Outcome
    Title Treatment Discontinuation: Secondary Reasons- Serious Adverse Event (SAE) Related to Study Drug
    Description The primary reason for a participant discontinuing from study drug or the clinical study was recorded in the source documents as well as the case report form. A discontinuation had to be reported immediately to the study medical monitor or his/her designated representative if it was due to an SAE and was considered as a secondary reason.
    Time Frame Baseline up to 5 years

    Outcome Measure Data

    Analysis Population Description
    Safety analysis was performed on all participants who received at least 1 dose of study drug.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 16 31 13 43
    Number [participants]
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    6. Secondary Outcome
    Title Percentage of Participants With HIV-1 RNA <400 Copies/mL Through Week 48 Using Missing, Discontinuation = Failure (MD=F) Approach
    Description The proportion of participants who achieved HIV-1 RNA <400 copies/mL at week 24 or 48 was assessed according to Food and Drug Administration's (FDA's) Missing, Switch, Discontinuation'=Failure (MSDF) Snapshot algorithm. The algorithm uses the plasma HIV-1 RNA in the Week 24 or 48 visit window, follows the "virology-first principle" and considers a participant who has a missing plasma HIV-1 RNA, or switches to prohibited ARV regimen or discontinues from the study or study drug for any reason, or dies, as a failure.
    Time Frame Week 24 and Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who receive at least one dose of study medication.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 16 31 13 43
    Week 24
    68.8
    430%
    90.3
    291.3%
    69.2
    532.3%
    62.8
    146%
    Week 48
    75.0
    468.8%
    77.4
    249.7%
    69.2
    532.3%
    51.2
    119.1%
    7. Secondary Outcome
    Title Percentage of Participants With HIV-1 RNA <48 Copies/mL Through Week 48 Using Missing, Discontinuation = Failure (MD=F)Approach
    Description The proportion of participants who achieved HIV-1 RNA <48 copies/mL at week 24 or 48 was assessed according to Food and Drug Administration's (FDA's) Missing, Switch, Discontinuation'=Failure (MSDF) Snapshot algorithm. The algorithm uses the plasma HIV-1 RNA in the Week 24 or 48 visit window, follows the "virology-first principle" and considers a participant who has a missing plasma HIV-1 RNA, or switches to prohibited ARV regimen or discontinues from the study or study drug for any reason, or dies, as a failure.
    Time Frame Week 24 and Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 16 31 13 43
    Week 24
    18.75
    117.2%
    64.5
    208.1%
    61.5
    473.1%
    48.8
    113.5%
    Week 48
    50.0
    312.5%
    54.8
    176.8%
    53.8
    413.8%
    39.5
    91.9%
    8. Secondary Outcome
    Title Percentage of Participants With HIV-1 RNA Levels <400 Copies/mL at Weeks 24 and 48 Using Missing, Discontinuation = Failure (MD=F)Approach
    Description Participants who have been discontinued from the study, have been lost to follow-up, or have missing HIV-1 RNA data prior to the time point of interest were considered to have HIV-1 RNA levels > lower limit of quantification (LLOQ) . This referred to as [non-completer = failure; NC=F] or [missing, discontinuation = failure; MD=F].
    Time Frame Week 24 and Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. "Overall Number of Participants Analyzed" signifies the number of participants evaluable for this measure."Number analyzed" signifies participants evaluable at specified time points for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 12 27 9 27
    Week 24
    62.5
    390.6%
    87.10
    281%
    69.2
    532.3%
    62.8
    146%
    Week 48
    75.0
    468.8%
    74.2
    239.4%
    69.2
    532.3%
    51.2
    119.1%
    9. Secondary Outcome
    Title Percentage of Participants With HIV-1 RNA Levels < 48 Copies/mL at Weeks 24 and 48 Using MD=F Approach
    Description Participants who have been discontinued from the study, have been lost to follow-up, or have missing HIV-1 RNA data prior to the time point of interest were considered to have HIV-1 RNA levels > lower limit of quantification (LLOQ) . This referred as [non-completer = failure; NC=F] or [missing, discontinuation = failure; MD=F].
    Time Frame Week 24 and Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. "Overall Number of Participants Analyzed" signifies the number of participants evaluable for this measure."Number analyzed" signifies participants evaluable at specified time points for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 8 20 8 21
    Week 24
    18.8
    117.5%
    64.5
    208.1%
    61.5
    473.1%
    48.8
    113.5%
    Week 48
    50.0
    312.5%
    54.8
    176.8%
    53.8
    413.8%
    39.5
    91.9%
    10. Secondary Outcome
    Title Percentage of Participants With HIV-1 RNA <400 Copies/mL and <48 Copies/mL Using the Time to Loss of Virologic Response Algorithm (TLOVR) at Week 48
    Description TLOVR is defined as the time from first dose of study medication (Day 1) until the time of virologic failure using the a TLOVR algorithm.
    Time Frame Week 48

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 16 31 13 43
    <400 copies/mL; TLOVR Responder
    62.5
    390.6%
    74.2
    239.4%
    69.2
    532.3%
    48.8
    113.5%
    <48 copies/mL; TLOVR Responder
    43.8
    273.8%
    54.8
    176.8%
    46.2
    355.4%
    44.2
    102.8%
    11. Secondary Outcome
    Title Percentage of Participants With >= 1.0 log10 Reduction in HIV-1RNA Concentration From Baseline to Week 24 and Week 48
    Description Percentage of participants with at least a 1.0 log10 reduction in HIV-1 RNA from baseline to Week 24 and Week 48 were tabulated.
    Time Frame Baseline to Week 24, Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. Last Observation Carried Forward (LOCF) was used to impute missing values.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 16 31 13 43
    Baseline to Week 24
    92.3
    576.9%
    100.0
    322.6%
    100.0
    769.2%
    93.1
    216.5%
    Baseline to Week 48
    100.0
    625%
    96.2
    310.3%
    100.0
    769.2%
    88.0
    204.7%
    12. Secondary Outcome
    Title Change From Baseline in HIV-1 RNA (Original)
    Description Plasma HIV-1 RNA was determined using the Roche COBAS AmpliPrep/COBAS TaqMan HIV-1 Test (lower limit of quantification [LLOQ] <48 copies/mL). Blood samples were taken at the time points indicated in the participant evaluation schedule. Screening HIV-1 RNA >1000 copies/ml was used to determine eligibility for the study.
    Time Frame Baseline, Week 24, Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. LOCF was used to impute missing values. "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 15 31 12 39
    Change from Baseline - Original - Week 24
    -271974.6
    (391843.59)
    -38764.0
    (63688.93)
    -58081.0
    (79720.33)
    -57325.7
    (172108.62)
    Change from Baseline - Original - Week 48
    -267834.2
    (378896.88)
    -34787.7
    (60222.60)
    -56351.7
    (76231.03)
    -55321.1
    (173840.55)
    13. Secondary Outcome
    Title Change From Baseline in HIV-1 RNA (Log10 Copies/mL)
    Description Plasma HIV-1 RNA was determined using the Roche COBAS AmpliPrep/COBAS TaqMan HIV-1 Test (lower limit of quantification [LLOQ] <48 copies/mL). Blood samples were taken at the time points indicated in the participant evaluation schedule. Screening HIV-1 RNA >1000 copies/ml was used to determine eligibility for the study.
    Time Frame Baseline, Week 24, Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. LOCF was used to impute missing values. "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 15 31 12 39
    Change from Baseline - Log10 - Week 24
    -2.4853
    (1.1421)
    -2.2324
    (0.8668)
    -2.1756
    (1.1854)
    -1.6482
    (1.3806)
    Change from Baseline - Log10 - Week 48
    -2.5831
    (1.2148)
    -1.9579
    (1.0861)
    -2.0549
    (1.2125)
    -1.4591
    (1.4477)
    14. Secondary Outcome
    Title Change From Baseline in Cluster of Differentiation 4 (CD4+) Cell Count at Weeks 24 and 48
    Description Change from baseline in CD4 cell count to Week 24 and Week 48 were tabulated in aggregated and broken down by age cohort using summary statistics.
    Time Frame Baseline, Week 24, Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. LOCF was used to impute missing values. "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 15 30 12 39
    Week 24
    232.7
    (381.6)
    355.8
    (294.0)
    213.9
    (166.4)
    173.6
    (203.6)
    Week 48
    275.9
    (363.4)
    362.7
    (373.5)
    167.3
    (150.9)
    168.6
    (211.0)
    15. Secondary Outcome
    Title Change From Baseline in Percentage (%) of CD4+ Cells at Weeks 24 and 48
    Description Change from baseline in CD4 % to Week 24 and Week 48 were tabulated in aggregated and broken down by age cohort using summary statistics.
    Time Frame Baseline, Week 24 and Week 48 post-treatment

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. LOCF was used to impute missing values. "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 15 31 12 39
    Week 24
    7.3
    (5.0)
    3.8
    (7.4)
    3.5
    (4.0)
    3.8
    (6.1)
    Week 48
    7.5
    (7.6)
    6.0
    (6.8)
    2.5
    (4.2)
    4.6
    (6.5)
    16. Secondary Outcome
    Title Number of Participants With Protocol Defined Virologic Failure
    Description The occurrence of any one of the following criteria would constitute Virologic failure: Criteria A=Decrease from Baseline plasma HIV-1 RNA <1 log10 and plasma HIV-1 RNA >400 copies/mL starting at Week 12 and confirmed at consecutive Week 16; Criteria B=Decrease from Baseline plasma HIV-1 RNA <2.0 log10 and plasma HIV-1 RNA >400 copies/mL at Week 24 OR plasma HIV-1 RNA >10,000 copies/mL on and after Week 24, and confirmed within 14 to 21 days; Criteria C=Increase from nadir plasma HIV-1 RNA of >=1 log10 (>=1,000 copies/mL if nadir plasma HIV-1 RNA <48 copies/mL) at any time, and confirmed within 14 to 21 days.
    Time Frame Week 48

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 16 31 13 43
    Criteria A
    0
    0%
    2
    6.5%
    1
    7.7%
    5
    11.6%
    Criteria B
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Criteria C
    3
    18.8%
    3
    9.7%
    2
    15.4%
    8
    18.6%
    17. Secondary Outcome
    Title Number of Participants With Viral Tropism Between Screening and Confirmed Protocol Defined Virologic Failure (PDVF) Prior to Week 48
    Description Virus tropism was determined using the Monogram Biosciences Trofile™ viral tropism assay. Change in detected tropism from screening to the time of failure prior to Week 48 was reported. X4=CXCR4 tropic virus; R5=CCR5-tropic virus; X4=CXCR4-tropic virus. Number of participants as per tropism to respective virus has been reported.
    Time Frame Screening to Week 48

    Outcome Measure Data

    Analysis Population Description
    Participants who experienced confirmed PDVF through Week 48 with sufficient plasma HIV-1 RNA for virology analysis while receiving MVC. One participant was excluded from summary tables as classified as MSDF response; one participant was analyzed after stopping treatment.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 3 4 3 13
    With valid on-treatment results
    2
    12.5%
    4
    12.9%
    3
    23.1%
    11
    25.6%
    Tropism at Confirmed PDVF R5
    2
    12.5%
    3
    9.7%
    2
    15.4%
    9
    20.9%
    Tropism at Confirmed PDVF DM
    0
    0%
    1
    3.2%
    1
    7.7%
    2
    4.7%
    Tropism at Confirmed PDVF X4
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Tropism at Confirmed PDVF Not Reportable
    1
    6.3%
    0
    0%
    0
    0%
    1
    2.3%
    18. Secondary Outcome
    Title Number of Participants With Emergence of Reverse Transcriptase Inhibitor (RTI) and Protease Inhibitor (PI) Resistance Associated Mutations (RAMs) Between Screening and On-Treatment Confirmed PDVF
    Description Phenotypic and genotypic susceptibility to reverse transcriptase and protease inhibitors was evaluated at screening using the Monogram Biosciences PhenoSense™ GT (PSGT) assay. Samples from a confirmatory PDVF visit or early termination of MVC were planned to be analyzed if the plasma HIV-1 RNA was ≥400 copies/mL. Data for participants with respective gene mutation category has been reported. Participants with more than one mutation are counted more than once.
    Time Frame 48 weeks

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug. "Overall Number of Participants Analyzed" signifies participants evaluable for this outcome measure.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    Measure Participants 3 4 3 13
    With valid on-treatment results
    2
    12.5%
    4
    12.9%
    3
    23.1%
    11
    25.6%
    PI Minor L10L/F
    0
    0%
    0
    0%
    0
    0%
    1
    2.3%
    PI Minor L89L/I/M
    0
    0%
    0
    0%
    0
    0%
    1
    2.3%
    PI Minor V77V/I
    0
    0%
    0
    0%
    0
    0%
    1
    2.3%
    NNRTI K103K/N
    0
    0%
    1
    3.2%
    0
    0%
    0
    0%
    NNRTI K103N
    0
    0%
    0
    0%
    1
    7.7%
    1
    2.3%
    NRTI M184V
    0
    0%
    0
    0%
    1
    7.7%
    0
    0%
    PI Minor K20K/R
    0
    0%
    0
    0%
    2
    15.4%
    0
    0%
    Total with emergence
    0
    0%
    1
    3.2%
    3
    23.1%
    4
    9.3%
    19. Secondary Outcome
    Title Percentage of Participants With Optimized Background Treatment Susceptibility Scores
    Description Data was summarized by the total ARV activity of the background regimen using simple and weighted total optimized background treatment susceptibility scores as well as by screening genotype. Simple total optimized background treatment (OBT) susceptibility scores were categorized as 0, 1, >=2 and weighted total OBT susceptibility scores were categorized as 0 to 0.5, 1 to 1.5 and >=2. However, net susceptibility scores were imputed for simple analysis based on genotype. Susceptibility scores indicate the level resistance to the study medication. Scores ranged from 0 to 1 as 1 = susceptible and potential low-level resistance; 0.5 = low and intermediate-level resistance; 0 = high-level resistance, where higher scores indicated lower resistance.
    Time Frame 48 weeks

    Outcome Measure Data

    Analysis Population Description
    The FAS consisted of all participants who received at least 1 dose of study drug.
    Arm/Group Title Response PDVF Other Failure/Remainder
    Arm/Group Description Participants with plasma HIV-1 RNA <48 copies/mL Participants who meet the protocol-defined virologic failure Participants with other failures
    Measure Participants 49 23 31
    Simple score 0
    0
    0%
    0
    0%
    0
    0%
    Simple score 1.0
    8.2
    51.3%
    4.3
    13.9%
    0
    0%
    Simple score >=2.0
    81.6
    510%
    95.7
    308.7%
    96.8
    744.6%
    Weighted score 0-0.5
    6.1
    38.1%
    30.4
    98.1%
    29.0
    223.1%
    Weighted score 1.0-1.5
    53.1
    331.9%
    65.2
    210.3%
    29.0
    223.1%
    Weighted score >=2.0
    28.6
    178.8%
    4.3
    13.9%
    38.7
    297.7%

    Adverse Events

    Time Frame Baseline up to 5 years
    Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
    Arm/Group Title >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Arm/Group Description In Cohort 1, Participants aged >= 2 to < 6 years, received MVC liquid formulation (20 mg/mL). In Cohort 2, Participants aged >=6 to <12 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg). In Cohort 3, Participants aged >=6 to <12 years, received MVC liquid formulation (20 mg/mL). In Cohort 4, Participants aged >=12 to <18 years, received MVC tablet formulation (25 mg, 75 mg, 150 mg).
    All Cause Mortality
    >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Serious Adverse Events
    >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/16 (31.3%) 5/31 (16.1%) 3/13 (23.1%) 10/43 (23.3%)
    Blood and lymphatic system disorders
    Anaemia 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Ear and labyrinth disorders
    Otorrhoea 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Gastrointestinal disorders
    Gastric fistula 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Gastritis 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Vomiting 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Constipation 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Diarrhoea 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Hepatobiliary disorders
    Drug-induced liver injury 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Infections and infestations
    Abscess oral 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Cellulitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    H1N1 influenza 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Pelvic inflammatory disease 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Pneumonia 0/16 (0%) 1/31 (3.2%) 1/13 (7.7%) 2/43 (4.7%)
    Pulmonary tuberculosis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Tooth abscess 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Viral infection 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Gastroenteritis 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Meningitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Investigations
    Transaminases increased 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Musculoskeletal and connective tissue disorders
    Osteopenia 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Pain in extremity 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Tendon disorder 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Psychiatric disorders
    Bipolar disorder 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Respiratory, thoracic and mediastinal disorders
    Hyperventilation 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Skin and subcutaneous tissue disorders
    Prurigo 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Other (Not Including Serious) Adverse Events
    >=2 - <6 Years of Age, MVC Liquid Formulation >=6 - <12 Years of Age, MVC Tablet Formulation >=6 - <12 Years of Age, MVC Liquid Formulation >=12 - <18 Years of Age, MVC Tablet Formulation
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 12/16 (75%) 25/31 (80.6%) 10/13 (76.9%) 34/43 (79.1%)
    Blood and lymphatic system disorders
    Anaemia 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 3/43 (7%)
    Iron deficiency anaemia 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Lymphadenitis 1/16 (6.3%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Lymphadenopathy 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 5/43 (11.6%)
    Neutropenia 2/16 (12.5%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Cardiac disorders
    Cardiac disorder 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Ear and labyrinth disorders
    Deafness 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Cerumen impaction 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Ear haemorrhage 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Eye disorders
    Conjunctival pallor 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Conjunctivitis allergic 1/16 (6.3%) 2/31 (6.5%) 0/13 (0%) 1/43 (2.3%)
    Hypermetropia 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Refraction disorder 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Gastrointestinal disorders
    Abdominal discomfort 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Abdominal pain 0/16 (0%) 1/31 (3.2%) 2/13 (15.4%) 4/43 (9.3%)
    Abdominal pain lower 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Abdominal pain upper 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Anal pruritus 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Constipation 2/16 (12.5%) 1/31 (3.2%) 0/13 (0%) 2/43 (4.7%)
    Dental caries 0/16 (0%) 1/31 (3.2%) 1/13 (7.7%) 1/43 (2.3%)
    Diarrhoea 7/16 (43.8%) 3/31 (9.7%) 4/13 (30.8%) 9/43 (20.9%)
    Dyspepsia 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Flatulence 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Gingival swelling 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Mouth ulceration 1/16 (6.3%) 0/31 (0%) 1/13 (7.7%) 1/43 (2.3%)
    Nausea 0/16 (0%) 3/31 (9.7%) 0/13 (0%) 5/43 (11.6%)
    Odynophagia 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Proctitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Salivary gland mucocoele 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Tongue disorder 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Toothache 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Vomiting 6/16 (37.5%) 8/31 (25.8%) 3/13 (23.1%) 4/43 (9.3%)
    General disorders
    Asthenia 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Fatigue 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Influenza like illness 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Malaise 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Pyrexia 2/16 (12.5%) 1/31 (3.2%) 2/13 (15.4%) 5/43 (11.6%)
    Hepatobiliary disorders
    Hepatotoxicity 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Hyperbilirubinaemia 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Immune system disorders
    Allergy to arthropod bite 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Infections and infestations
    Abscess 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Acarodermatitis 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Bacterial vaginosis 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Bronchitis 3/16 (18.8%) 3/31 (9.7%) 0/13 (0%) 7/43 (16.3%)
    Bullous impetigo 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Conjunctivitis 2/16 (12.5%) 2/31 (6.5%) 0/13 (0%) 1/43 (2.3%)
    Cystitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Ear infection 1/16 (6.3%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Fungal skin infection 1/16 (6.3%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Gastroenteritis 3/16 (18.8%) 0/31 (0%) 2/13 (15.4%) 2/43 (4.7%)
    Gastroenteritis viral 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Gingivitis 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Herpes virus infection 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Hordeolum 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Impetigo 1/16 (6.3%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Influenza 2/16 (12.5%) 6/31 (19.4%) 3/13 (23.1%) 5/43 (11.6%)
    Latent tuberculosis 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Lice infestation 0/16 (0%) 2/31 (6.5%) 0/13 (0%) 1/43 (2.3%)
    Nasopharyngitis 4/16 (25%) 4/31 (12.9%) 0/13 (0%) 3/43 (7%)
    Oral herpes 1/16 (6.3%) 2/31 (6.5%) 0/13 (0%) 1/43 (2.3%)
    Otitis externa 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Otitis media 6/16 (37.5%) 1/31 (3.2%) 1/13 (7.7%) 0/43 (0%)
    Otitis media acute 2/16 (12.5%) 2/31 (6.5%) 0/13 (0%) 0/43 (0%)
    Otitis media chronic 2/16 (12.5%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Paronychia 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Parotitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Pharyngitis 1/16 (6.3%) 1/31 (3.2%) 0/13 (0%) 2/43 (4.7%)
    Oropharyngeal candidiasis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Pharyngotonsillitis 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Pneumonia 0/16 (0%) 3/31 (9.7%) 0/13 (0%) 2/43 (4.7%)
    Pneumonia bacterial 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Rhinitis 3/16 (18.8%) 1/31 (3.2%) 0/13 (0%) 3/43 (7%)
    Sinobronchitis 0/16 (0%) 2/31 (6.5%) 0/13 (0%) 0/43 (0%)
    Sinusitis 1/16 (6.3%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Tinea capitis 2/16 (12.5%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Tinea faciei 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Tinea infection 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Tonsillitis 1/16 (6.3%) 2/31 (6.5%) 0/13 (0%) 2/43 (4.7%)
    Tooth abscess 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Tracheitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Tuberculosis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Upper respiratory tract infection 7/16 (43.8%) 6/31 (19.4%) 2/13 (15.4%) 5/43 (11.6%)
    Varicella 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Viral infection 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Viral upper respiratory tract infection 3/16 (18.8%) 2/31 (6.5%) 3/13 (23.1%) 1/43 (2.3%)
    Vulvovaginitis 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Wound infection 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Conjunctivitis bacterial 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Mastoiditis 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Viral rash 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Fungal infection 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Pulmonary tuberculosis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Urinary tract infection 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Angular cheilitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Injury, poisoning and procedural complications
    Accidental exposure to product 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Arthropod bite 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Arthropod sting 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Contusion 0/16 (0%) 2/31 (6.5%) 0/13 (0%) 0/43 (0%)
    Fall 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Foot fracture 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Head injury 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Injury 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Ligament sprain 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Limb injury 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Muscle strain 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Overdose 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Skin abrasion 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 2/43 (4.7%)
    Thermal burn 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Underdose 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Accidental overdose 1/16 (6.3%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Ankle fracture 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Traumatic ulcer 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Traumatic haematoma 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Investigations
    Blood HIV RNA increased 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Blood alkaline phosphatase increased 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Blood creatine phosphokinase increased 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Blood iron decreased 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Blood phosphorus decreased 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Cardiac murmur 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Hepatic enzyme abnormal 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Hepatic enzyme increased 1/16 (6.3%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Lipase increased 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Neutrophil count decreased 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Viral load increased 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Weight decreased 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Weight increased 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Haemoglobin decreased 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Metabolism and nutrition disorders
    Decreased appetite 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Dehydration 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Hyperglycaemia 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Hypertriglyceridaemia 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Hypokalaemia 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Insulin resistance 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Vitamin D deficiency 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/16 (0%) 2/31 (6.5%) 0/13 (0%) 2/43 (4.7%)
    Back pain 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Bone swelling 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Bursitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Joint swelling 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Musculoskeletal discomfort 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Myofascial pain syndrome 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Osteoporosis 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Pain in extremity 0/16 (0%) 1/31 (3.2%) 1/13 (7.7%) 1/43 (2.3%)
    Musculoskeletal stiffness 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Myalgia 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Nervous system disorders
    Dizziness 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 3/43 (7%)
    Epilepsy 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Generalised tonic-clonic seizure 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Headache 0/16 (0%) 2/31 (6.5%) 2/13 (15.4%) 6/43 (14%)
    Lethargy 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Somnolence 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Tension headache 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Intellectual disability 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Pregnancy, puerperium and perinatal conditions
    Pregnancy 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Psychiatric disorders
    Attention deficit/hyperactivity disorder 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Depression 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Hallucination 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Insomnia 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Nightmare 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 0/43 (0%)
    Panic disorder 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Aggression 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Flat affect 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Reproductive system and breast disorders
    Amenorrhoea 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Breast enlargement 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Breast mass 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Breast pain 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Dysmenorrhoea 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Respiratory, thoracic and mediastinal disorders
    Asthma 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Bronchospasm 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Catarrh 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Cough 1/16 (6.3%) 6/31 (19.4%) 2/13 (15.4%) 3/43 (7%)
    Epistaxis 1/16 (6.3%) 2/31 (6.5%) 0/13 (0%) 0/43 (0%)
    Hyperventilation 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Nasal congestion 0/16 (0%) 1/31 (3.2%) 1/13 (7.7%) 1/43 (2.3%)
    Oropharyngeal pain 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Pharyngeal disorder 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Productive cough 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 1/43 (2.3%)
    Respiratory disorder 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Rhinitis allergic 0/16 (0%) 2/31 (6.5%) 0/13 (0%) 1/43 (2.3%)
    Rhinorrhoea 0/16 (0%) 2/31 (6.5%) 1/13 (7.7%) 2/43 (4.7%)
    Rhonchi 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Bronchial hyperreactivity 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Allergic cough 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Skin and subcutaneous tissue disorders
    Acanthosis nigricans 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Acne 0/16 (0%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Dermatitis 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 2/43 (4.7%)
    Dermatitis allergic 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Dermatitis contact 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Dermatitis diaper 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Dry skin 0/16 (0%) 0/31 (0%) 2/13 (15.4%) 1/43 (2.3%)
    Ecchymosis 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Eczema 0/16 (0%) 0/31 (0%) 1/13 (7.7%) 1/43 (2.3%)
    Papule 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Prurigo 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Rash 3/16 (18.8%) 1/31 (3.2%) 1/13 (7.7%) 1/43 (2.3%)
    Rash pruritic 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 1/43 (2.3%)
    Skin lesion 0/16 (0%) 0/31 (0%) 2/13 (15.4%) 0/43 (0%)
    Urticaria 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Urticaria papular 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Lipodystrophy acquired 0/16 (0%) 1/31 (3.2%) 0/13 (0%) 0/43 (0%)
    Neurodermatitis 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)
    Surgical and medical procedures
    Tooth extraction 1/16 (6.3%) 0/31 (0%) 0/13 (0%) 0/43 (0%)
    Vascular disorders
    Hypertension 0/16 (0%) 0/31 (0%) 0/13 (0%) 1/43 (2.3%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

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

    Results Point of Contact

    Name/Title Pfizer ClinicalTrials.gov Call Center
    Organization Pfizer, Inc.
    Phone 1-800-718-1021
    Email ClinicalTrials.gov_Inquiries@pfizer.com
    Responsible Party:
    ViiV Healthcare
    ClinicalTrials.gov Identifier:
    NCT00791700
    Other Study ID Numbers:
    • A4001031
    • 2008-006873-33
    First Posted:
    Nov 14, 2008
    Last Update Posted:
    Apr 28, 2020
    Last Verified:
    Apr 1, 2020