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Trial ยท NCT00084136

Prospective Evaluation of Anti-retroviral Combinations for Treatment Naive, HIV Infected Persons in Resource-limited Settings

NCT00084136, Phase 4, Completed, Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections; results first posted 2011-08-09

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ConductScience Library. Prospective Evaluation of Anti-retroviral Combinations for Treatment Naive, HIV Infected Persons in Resource-limited Settings. Trials, record NCT00084136. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00084136

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Prospective Evaluation of Anti-retroviral Combinations for Treatment Naive, HIV Infected Persons in Resource-limited Settings
NCT number
NCT00084136
Status
Completed
Phases
Phase 4
Enrollment
1,571 participants, actual
Lead sponsor
Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections
Conditions
HIV Infections
Interventions
Atazanavir, Didanosine (enteric-coated), Efavirenz, Emtricitabine, Emtricitabine/Tenofovir disoproxil fumarate, Lamivudine/Zidovudine
First posted
2004-06-08
Last updated
2018-10-10
Results first posted
2011-08-09

Source ClinicalTrials.gov

Registered outcomes18

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to Treatment Failure (PI Comparison)
Virologic failure starting 14 weeks following randomization; disease progression starting 12 weeks following randomization; and death occurring at any time following randomization. Follow-up until ddI+FTC+ATV arm closed (May 22, 2008).
Time from randomization to the earliest of: scheduled week of first plasma sample meeting virologic failure (two consecutive plasma HIV-1 RNA values 1,000 copies/mL or higher, regardless of whether ARV medications being taken at the time); scheduled week of first AIDS defining diagnosis (WHO Stage 4 (2005), plus microsporidiosis, cyclospora gastroenteritis and Chaga's disease), not attributed to Immune Reconstitution Inflammatory Syndrome (reviewed by chairs); date of death (due to any cause). Plasma drawn every 8 weeks (except confirmation samples could be drawn earlier).
PrimaryTime to Treatment Failure (NRTI Comparison)
Virologic failure starting 14 weeks following randomization; disease progression starting 12 weeks following randomization; and death occurring at any time following randomization. Follow-up through study closure (May 31, 2010).
Time from randomization to the earliest of: scheduled week of first plasma sample meeting virologic failure (two consecutive plasma HIV-1 RNA values 1,000 copies/mL or higher, regardless of whether ARV medications being taken at the time); scheduled week of first AIDS defining diagnosis (WHO Stage 4 (2005) plus microsporidiosis, cyclospora gastroenteritis and Chaga's disease), not attributed to Immune Reconstitution Inflammatory Syndrome (reviewed by chairs); date of death (due to any cause). Plasma drawn every 8 weeks (except confirmation samples could be drawn earlier).
SecondaryTime to Discontinuation of Initial Antiretroviral (ARV) Therapy (PI Comparison)Throughout follow-up until ddI+FTC+ATV arm closed (May 22,2008)
Time is measured from date of treatment initiation to earliest of the following: date of last participant contact (premature discontinuation of study follow-up); date all ARV medications were held (if all medications held for at least 8 weeks, for any reason); date that any ARV medication was changed (excluding the following single ARV substitutions: stavudine or tenofovir for zidovudine, nevirapine for efavirenz, or didanosine for tenofovir).
SecondaryTime to Immunologic Failure (PI Comparison)At or after Week 48 (including only follow-up until ddI+FTV+ATV arm closed - May 22,2008)Time from randomization to the first scheduled study visit (week 48 or later) with a CD4+ cell count fewer than 100 cells/mm3.
SecondaryChange in CD4 Count From Screening to Weeks 24, 48, 96 (PI Comparison)weeks 24, 48 and 96 (including follow-up until ddI+FTC+ARV arm closed - May 22, 2008)Available pre-randomization CD4 cell counts were limited to the single CD4 cell count used for study eligibility (and therefore must have been fewer than 300 cells/mm3).
SecondaryTime to First Dose Modification or Grade 3 or 4 Adverse Event (PI Comparison)Throughout study follow-up until ddI+FTC+ATV arm closed (May 22, 2008)
Time from treatment dispensation to the first occurring of the following: week of first ARV medication change; week of first grade 3 or higher sign/symptom or laboratory abnormality (total bilirubin was excluded) that was at least one grade higher than baseline. Grading used the Division of AIDS (DAIDS) 2004 Severity of Adverse Events Tables.
SecondaryPlasma HIV-1 Viral Load Fewer Than 400 Copies/ml (PI Comparison)At Weeks 24 and 48 (including only follow-up until ddI+FTC+ARV arm closed - May 22, 2008)
Number of participants with plasma HIV-1 Viral load fewer than 400 copies/mL at study visit weeks 24 and 48. Closest observed result between 20 and up to 28 weeks (for week 24), and between 44 and up to 52 (for week 48) used if multiple results available. Missing values excluded, and both study treatment status and history ignored.
SecondaryTime to Loss of Virologic Response by Week 48 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(PI Comparison)Week 48 (using follow-up only until closing of ddI+FTV+ATV arm on May 22,2008)
Time from randomization to any of the following events occurring prior to week 48: discontinued ARV regimen (see time to discontinuation of initial ARV therapy above); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values \< 400 copies/mL; two consecutive plasma HIV-1 RNA values \> 400 copies/mL following virologic suppression.
SecondaryTime to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(PI Comparison)Week 48 (using follow-up only until closing of ddI+FTV+ATV arm on May 22,2008)
Time from randomization to any of the following events occurring prior to week 48: changed any ARV medication (including permanent discontinuation of all medications); discontinued study follow-up or died; absence of virologic suppression defined as 2 consecutive plasma HIV-1 RNA values \< 400 copies/mL; two consecutive plasma HIV-1 RNA values \> 400 copies/mL following virologic suppression.
SecondaryTime to Discontinuation of Initial Antiretroviral (ARV) Therapy (NRTI Comparison)Throughout follow-up until study closed (May 31,2010)
Time is measured from date of treatment initiation to earliest of the following: date of last participant contact (premature discontinuation of study follow-up); date all ARV medications were held (if all medications held for at least 8 weeks, for any reason); date that any ARV medication was changed (excluding the following single ARV substitutions: stavudine or tenofovir for zidovudine, nevirapine for efavirenz, or didanosine for tenofovir).

Outcomes18

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to Treatment Failure (PI Comparison)
Virologic failure starting 14 weeks following randomization; disease progression starting 12 weeks following randomization; and death occurring at any time following randomization. Follow-up until ddI+FTC+ATV arm closed (May 22, 2008).
ITT (study treatment status and history ignored); censoring time was latest study visit week where plasma HIV-1 RNA was measured.weeksNUMBER
PRIMARYTime to Treatment Failure (NRTI Comparison)
Virologic failure starting 14 weeks following randomization; disease progression starting 12 weeks following randomization; and death occurring at any time following randomization. Follow-up through study closure (May 31, 2010).
ITT (study treatment status and history ignored); censoring time was latest study visit week where plasma HIV-1 RNA was measured.weeksNUMBER
SECONDARYTime to Discontinuation of Initial Antiretroviral (ARV) Therapy (PI Comparison)Throughout follow-up until ddI+FTC+ATV arm closed (May 22,2008)Participants not starting study treatment excluded.weeksNUMBER
SECONDARYTime to Immunologic Failure (PI Comparison)At or after Week 48 (including only follow-up until ddI+FTV+ATV arm closed - May 22,2008)ITT (ignoring current study treatment status or history)weeksNUMBER
SECONDARYChange in CD4 Count From Screening to Weeks 24, 48, 96 (PI Comparison)weeks 24, 48 and 96 (including follow-up until ddI+FTC+ARV arm closed - May 22, 2008)ITT - ignoring both current treatment status and treatment history.cells/mm^3MEDIAN
SECONDARYTime to First Dose Modification or Grade 3 or 4 Adverse Event (PI Comparison)Throughout study follow-up until ddI+FTC+ATV arm closed (May 22, 2008)Participants never starting meds excluded. Censoring time is scheduled study week of last clinic visit.weeksNUMBER
SECONDARYPlasma HIV-1 Viral Load Fewer Than 400 Copies/ml (PI Comparison)At Weeks 24 and 48 (including only follow-up until ddI+FTC+ARV arm closed - May 22, 2008)ITT (ignoring current treatment status or past treatment history); closest value to week 24 (48) used if multiple values available; missing values ignored.participantsNUMBER
SECONDARYTime to Loss of Virologic Response by Week 48 (Defined by FDA TLOVR Algorithm - Excluding Study Allowed ARV Substitutions)(PI Comparison)Week 48 (using follow-up only until closing of ddI+FTV+ATV arm on May 22,2008)Substitutions not triggering TLOVR event included the following: stavudine or tenofovir-DF for zidovudine; nevirapine for efavirenz; or didanosine for tenofovir-DF.weeksNUMBER
SECONDARYTime to Loss of Virologic Response at Week 48 (Defined by FDA TLOVR Algorithm - Including All ARV Substitutions)(PI Comparison)Week 48 (using follow-up only until closing of ddI+FTV+ATV arm on May 22,2008)weeksNUMBER
SECONDARYTime to Discontinuation of Initial Antiretroviral (ARV) Therapy (NRTI Comparison)Throughout follow-up until study closed (May 31,2010)Participants not starting study treatment excluded.weeksNUMBER

Results by group100

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to Treatment Failure (PI Comparison)ZDV/3TC+EFV5th percentile1695% Confidence Interval 16 to 24weeks
Time to Treatment Failure (PI Comparison)ddI+FTC+ATV5th percentile1695% Confidence Interval 16 to 16weeks
Time to Treatment Failure (PI Comparison)ZDV/3TC+EFV10th percentile4095% Confidence Interval 24 to 64weeks
Time to Treatment Failure (PI Comparison)ddI+FTC+ATV10th percentile2495% Confidence Interval 16 to 32weeks
Time to Treatment Failure (PI Comparison)ZDV/3TC+EFV25th percentileNA95% Confidence Interval 152 to NAweeks
Time to Treatment Failure (PI Comparison)ddI+FTC+ATV25th percentile12095% Confidence Interval 96 to NAweeks
Time to Treatment Failure (NRTI Comparison)ZDV/3TC+EFV5th percentile1695% Confidence Interval 16 to 24weeks
Time to Treatment Failure (NRTI Comparison)TDF/FTC+EFV5th percentile1695% Confidence Interval 16 to 24weeks
Time to Treatment Failure (NRTI Comparison)ZDV/3TC+EFV10th percentile4095% Confidence Interval 24 to 71weeks
Time to Treatment Failure (NRTI Comparison)TDF/FTC+EFV10th percentile4095% Confidence Interval 24 to 64weeks

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
PI ComparisonSTARTEDZDV/3TC+EFV519
PI ComparisonSTARTEDddI+FTC+ATV526
PI ComparisonSTARTEDTDF/FTC+EFV0
PI ComparisonCOMPLETEDZDV/3TC+EFV464
PI ComparisonCOMPLETEDddI+FTC+ATV479
PI ComparisonCOMPLETEDTDF/FTC+EFV0
PI ComparisonNOT COMPLETEDZDV/3TC+EFV55
PI ComparisonNOT COMPLETEDddI+FTC+ATV47
PI ComparisonNOT COMPLETEDTDF/FTC+EFV0
NRTI ComparisonSTARTEDZDV/3TC+EFV519

Adverse events513

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherLymphadenopathyBlood and lymphatic system disordersZDV/3TC+EFV27519
otherLymphadenopathyBlood and lymphatic system disordersddI+FTC+ATV24526
otherLymphadenopathyBlood and lymphatic system disordersTDF/FTC+EFV30526
otherOcular icterusEye disordersZDV/3TC+EFV7519
otherOcular icterusEye disordersddI+FTC+ATV49526
otherOcular icterusEye disordersTDF/FTC+EFV12526
otherAbdominal painGastrointestinal disordersZDV/3TC+EFV39519
otherAbdominal painGastrointestinal disordersddI+FTC+ATV57526
otherAbdominal painGastrointestinal disordersTDF/FTC+EFV52526
otherDiarrhoeaGastrointestinal disordersZDV/3TC+EFV43519

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityZDV/3TC+EFV
Total, all-cause mortalityddI+FTC+ATV
Total, all-cause mortalityTDF/FTC+EFV
Total, other adverse eventsZDV/3TC+EFV481519
Total, other adverse eventsddI+FTC+ATV521526
Total, other adverse eventsTDF/FTC+EFV489526
Total, serious adverse eventsZDV/3TC+EFV86519
Total, serious adverse eventsddI+FTC+ATV84526
Total, serious adverse eventsTDF/FTC+EFV55526

Papers11

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
15310939BACKGROUNDPubMed
15857194BACKGROUNDPubMed
16967040BACKGROUNDPubMed
20961784DERIVEDPubMed
21499794DERIVEDPubMed
22585772DERIVEDPubMed
22936892DERIVEDPubMed
24979445DERIVEDPubMed
25681380DERIVEDPubMed
25979186DERIVEDPubMed

1 to 10 of 11

See all 11 papers

Grants2

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
K24AI051966Antiretroviral Therapy for HIV-Infected PatientsGULICK, ROY M.WEILL MEDICAL COLL OF CORNELL UNIVNATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES2003 to 2012NIH RePORTER
U01AI068636AIDS Clinical Trials Group NetworkKURITZKES, DANIEL R.SOCIAL AND SCIENTIFIC SYSTEMS, INC.NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES2006 to 2010NIH RePORTER

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00084136

GET https://conductscience.org/api/trials/v1/NCT00084136/results?page=2