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Trial ยท NCT00307151

Antiviral Responses to NNRTI-Based vs. PI-Based ARV Therapy in HIV Infected Infants Who Have or Have Not Received Single Dose NVP for Prevention of Mother-to-Child Transmission of HIV

NCT00307151, Phase 2, Completed, International Maternal Pediatric Adolescent AIDS Clinical Trials Group; results first posted 2011-08-03

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ConductScience Library. Antiviral Responses to NNRTI-Based vs. PI-Based ARV Therapy in HIV Infected Infants Who Have or Have Not Received Single Dose NVP for Prevention of Mother-to-Child Transmission of HIV. Trials, record NCT00307151. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00307151

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Trial

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

Title
Antiviral Responses to NNRTI-Based vs. PI-Based ARV Therapy in HIV Infected Infants Who Have or Have Not Received Single Dose NVP for Prevention of Mother-to-Child Transmission of HIV
NCT number
NCT00307151
Status
Completed
Phases
Phase 2
Enrollment
452 participants, actual
Lead sponsor
International Maternal Pediatric Adolescent AIDS Clinical Trials Group
Conditions
HIV Infections
Interventions
Lamivudine, Lopinavir/ritonavir, Nevirapine, Zidovudine
First posted
2006-03-27
Last updated
2017-04-13
Results first posted
2011-08-03
Limitations and caveats
Accrual to Cohort I was terminated early by the Data Safety Monitoring Committee after enrollment of 164 of the planned 288 subjects.

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryPercent of Participants With Treatment Failure, Defined as a Confirmed Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentEarlier of 24 weeks or date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)
Treatment failure is defined as a confirmed plasma HIV-1 RNA level that is \<1 log10 copies/mL below the study entry value at 12 to 24 weeks after treatment is initiated OR a confirmed plasma HIV-1 RNA level \>400 copies/mL at 24 weeks OR permanent discontinuation of the randomized NNRTI or PI component of study treatment at or prior to 24 weeks of treatment for any reason including death. Results report percent of participants reaching a treatment failure endpoint by week 24 calculated using the Kaplan-Meier method.
SecondaryTime From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study Treatment
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Treatment failure is defined as a confirmed plasma HIV-1 RNA level that is \<1 log10 copies/mL below the study entry value at 12 to 24 weeks after treatment is initiated OR a confirmed plasma HIV-1 RNA level \>400 copies/mL at 24 weeks OR a confirmed viral rebound \>4000 copies/mL after week 24 OR permanent discontinuation of the randomized NNRTI or PI component of study treatment for any reason including death.
SecondaryPercent of Participants Experiencing Virologic FailureEarlier of 24 weeks or date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)
Virologic failure is defined as a confirmed plasma HIV-1 RNA level that is \<1 log10 copies/mL below the study entry value at 12 to 24 weeks after treatment is initiated OR a confirmed plasma HIV-1 RNA level \>400 copies/mL at 24 weeks OR death on or before 24 weeks. Results report percent of participants reaching a virologic failure endpoint by week 24 calculated using the Kaplan-Meier method.
SecondaryTime From Randomization to Virologic Failure
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Virologic failure is defined as the earlier of a confirmed plasma HIV-1 RNA level that is \<1 log10 copies/mL below the study entry value at 12 to 24 weeks after treatment is initiated OR a confirmed plasma HIV-1 RNA level \>400 copies/mL at 24 weeks OR a confirmed viral rebound \>4000 copies/mL after week 24 OR death.
SecondaryTime From Start of Study Treatment to First New Grade >=3 Lab Abnormality, Sign or Symptom Occurring on Study TreatmentOn randomized NNRTI or PI component of study treatment and until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)
Safety events include lab abnormalities, signs or symptoms of grade 3 or higher. Events were graded according to the Division of AIDS Table for Grading Severity of Adult and Pediatric Adverse Events, Version 1.0. Events defined as new if first occurrence was after initiation of study treatment or if severity increased from entry and while on the NNRTI or PI component of study treatment.
SecondaryNumber of Participants Developing New NRTI, NNRTI or PI-resistant Virus
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Numbers of participants developing new NRTI, NNRTI or PI-resistant virus after reaching a virologic failure endpoint
SecondaryChange in CD4 Percent From Entry to Week 4848 weeks if before date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)
Change was calculated as CD4 percent at week 48 minus entry CD4 percent (last CD4 percent before randomization date). Only subjects who reached 48 weeks of follow-up before DSMB decisions to unblind each Cohort were included in summary.
SecondaryTime From Randomization to HIV-related Disease Progression or Death
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
HIV-related disease progression was defined as progression in WHO clinical stage from stage at entry or death. For subjects in WHO Stage IV at entry, disease progression was defined as death.
SecondaryTime From Randomization to Death
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Results report 2nd percentile of time from randomization to death

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercent of Participants With Treatment Failure, Defined as a Confirmed Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentEarlier of 24 weeks or date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)Analysis uses intent to treat populationPercent of participantsNUMBER
SECONDARYTime From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study Treatment
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Analysis uses intent to treat populationWeeksNUMBER
SECONDARYPercent of Participants Experiencing Virologic FailureEarlier of 24 weeks or date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)Analysis uses intent to treat population.Percent of participantsNUMBER
SECONDARYTime From Randomization to Virologic Failure
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Analysis uses intent to treat populationWeeksNUMBER
SECONDARYTime From Start of Study Treatment to First New Grade >=3 Lab Abnormality, Sign or Symptom Occurring on Study TreatmentOn randomized NNRTI or PI component of study treatment and until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)Uses follow-up from start of NVP or LPV/r component of study treatment until component switched or date of DSMB decision to unblind results, whichever occurred firstWeeksNUMBER
SECONDARYNumber of Participants Developing New NRTI, NNRTI or PI-resistant Virus
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Results included for any participant who was a virologic failure as defined in secondary outcome 4 and who had results available at study entry and virologic failure.participantsNUMBER
SECONDARYChange in CD4 Percent From Entry to Week 4848 weeks if before date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009; Coh II: October 27, 2010)Analysis uses intent to treat population. Change reported if subject followed at least 48 weeks before DSMB unblinding of results for each CohortPercent of CD4MEAN
SECONDARYTime From Randomization to HIV-related Disease Progression or Death
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Analysis uses intent to treat populationWeeksNUMBER
SECONDARYTime From Randomization to Death
Until date of DSMB decision to unblind Cohort results (Coh I: April 20, 2009 - median follow-up 48 weeks and range 0 - 125 weeks; Coh II: October 27, 2010 - median follow-up 72 weeks and range from 0 to 204 weeks)
Analysis uses intent to treat populationWeeksNUMBER

Results by group52

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

OutcomeGroupCategoryValueSpreadUnits
Percent of Participants With Treatment Failure, Defined as a Confirmed Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh I: NVP39.6Percent of participants
Percent of Participants With Treatment Failure, Defined as a Confirmed Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh I: LPV/r21.7Percent of participants
Percent of Participants With Treatment Failure, Defined as a Confirmed Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh II: NVP40.8Percent of participants
Percent of Participants With Treatment Failure, Defined as a Confirmed Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh II: LPV/r19.3Percent of participants
Time From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh I: NVP10th percentile1295% Confidence Interval 4 to 12Weeks
Time From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh I: LPV/r10th percentile495% Confidence Interval 4 to 16Weeks
Time From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh II: NVP10th percentile495% Confidence Interval 2 to 8Weeks
Time From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh II: LPV/r10th percentile1495% Confidence Interval 8 to 24Weeks
Time From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh I: NVP25th percentile1695% Confidence Interval 12 to 24Weeks
Time From Randomization to Treatment Failure, Defined as Virologic Failure or Permanent Discontinuation of the Randomized NNRTI or PI Component of Study TreatmentCoh I: LPV/r25th percentile3695% Confidence Interval 16 to NAWeeks

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCoh I: NVP82
Overall StudySTARTEDCoh I: LPV/r82
Overall StudySTARTEDCoh II: NVP147
Overall StudySTARTEDCoh II: LPV/r140
Overall StudyCOMPLETEDCoh I: NVP71
Overall StudyCOMPLETEDCoh I: LPV/r75
Overall StudyCOMPLETEDCoh II: NVP127
Overall StudyCOMPLETEDCoh II: LPV/r129
Overall StudyNOT COMPLETEDCoh I: NVP11
Overall StudyNOT COMPLETEDCoh I: LPV/r7

Adverse events464

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersCoh I: NVP082
otherAnaemiaBlood and lymphatic system disordersCoh I: LPV/r182
otherAnaemiaBlood and lymphatic system disordersCoh II: NVP9147
otherAnaemiaBlood and lymphatic system disordersCoh II: LPV/r1140
otherIron deficiency anaemiaBlood and lymphatic system disordersCoh I: NVP182
otherIron deficiency anaemiaBlood and lymphatic system disordersCoh I: LPV/r382
otherIron deficiency anaemiaBlood and lymphatic system disordersCoh II: NVP17147
otherIron deficiency anaemiaBlood and lymphatic system disordersCoh II: LPV/r13140
otherLymphadenopathyBlood and lymphatic system disordersCoh I: NVP282
otherLymphadenopathyBlood and lymphatic system disordersCoh I: LPV/r282

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCoh I: NVP682
Total, all-cause mortalityCoh I: LPV/r382
Total, all-cause mortalityCoh II: NVP10147
Total, all-cause mortalityCoh II: LPV/r6140
Total, other adverse eventsCoh I: NVP8182
Total, other adverse eventsCoh I: LPV/r8282
Total, other adverse eventsCoh II: NVP146147
Total, other adverse eventsCoh II: LPV/r140140
Total, serious adverse eventsCoh I: NVP2382
Total, serious adverse eventsCoh I: LPV/r1982

Papers11

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
16425125BACKGROUNDPubMed
17457089BACKGROUNDPubMed
17533166BACKGROUNDPubMed
17538875BACKGROUNDPubMed
17538878BACKGROUNDPubMed
20942667RESULTPubMed
22716976DERIVEDPubMed
25222305DERIVEDPubMed
27439527DERIVEDPubMed
29189677DERIVEDPubMed

1 to 10 of 11

See all 11 papers

Grants1

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 years
U01AI068632International Maternal Pediatric Adolescent AIDS Clinical Trials (IMPAACT) GroupJACKSON, J BROOKSSOCIAL AND SCIENTIFIC SYSTEMS, INC.NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES2006 to 2010

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.

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