Table 4.
Sparse Pharmacokinetic Parameters as a Predictor for Antiretroviral Responses at Week 48
| na | Na | Odds ratio (95% CI)b | p-valueb | |
|---|---|---|---|---|
| HIV RNA<400 at week 48c | ||||
| GM all (nM) | 152 | 185 | 1.246 (0.510, 3.040) | 0.630 |
| GM C12h (nM) | 98 | 115 | 2.578 (0.740, 8.978) | 0.137 |
| Cmin (nM) | 152 | 185 | 0.691 (0.321, 1.489) | 0.345 |
| HIV RNA<50 at week 48 | ||||
| GM all (nM) | 137 | 184 | 1.332 (0.615, 2.882) | 0.467 |
| GM C12h (nM) | 88 | 114 | 2.379 (0.841, 6.725) | 0.102 |
| Cmin (nM) | 137 | 184 | 0.988 (0.517, 1.888) | 0.971 |
| Virologic failured | ||||
| GM all (nM) | 42 | 185 | 0.428 (0.187, 0.977) | 0.044 |
| GM C12h (nM) | 22 | 115 | 0.393 (0.132, 1.166) | 0.092 |
| Cmin (nM) | 42 | 185 | 0.684 (0.349, 1.340) | 0.269 |
N, number of patients with both PK and efficacy data. n, number of patients (out of N) with events.
Logistic regression with the following covariates: baseline HIV RNA (log10 copies/ml) and PK parameters (in log10 scale).
For HIV RNA <400 at week 48, a reliable estimate of odds ratio with corresponding p-value cannot be obtained due to the low number of subjects who failed this criterion.
Virologic failure was defined as (1) nonresponders who had a confirmed <1.0 log10 decrease from baseline plasma HIV RNA and HIV RNA >50 copies/ml starting at week 24 or beyond, or (2) viral rebound starting at week 24 or beyond, which was defined as (a) HIV RNA >50 copies/ml (on two consecutive measurements at least 1 week apart) after initial response with HIV RNA <50 copies/ml, or (b) >1.0 log10 increase in HIV RNA above nadir level (on two consecutive measurements at least 1 week apart).
Note: (1) Patients who prematurely discontinued assigned treatment due to lack of efficacy were considered as failures (OF). (2) Raltegravir (400 mg b.i.d.) was administered with an optimized background therapy.