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. 2018 Nov 8;15(11):e1002690. doi: 10.1371/journal.pmed.1002690

Table 2. Grade 2 and higher AEs experienced by at least 5% of participants during the injection phase.

AE  CAB LA (n = 134) PBO (n = 43) p-Value*
n (%) 95% CI n (%) 95% CI
AE ≥ Grade 2 122 (91.0%) 85.0%, 94.8% 38 (88.4%) 75.5%, 94.9% 0.565
Serious adverse event 4 (3.0%) 1.2%, 7.4% 2 (4.7%) 1.3%, 15.5% 0.634
Creatinine renal clearance decreased 63 (47.0%) 38.8%, 55.4% 20 (46.5%) 32.5%, 61.1% 1.000
Injection site reaction 51 (38.1%) 30.3%, 46.5% 1 (2.3%) 0.4%, 12.1% <0.001
Musculoskeletal discomfort 34 (25.4%) 18.8%, 33.4% 6 (14.0%) 6.6%, 27.3% 0.145
Upper respiratory infection 31 (23.1%) 16.8%, 31.0% 10 (23.3%) 13.0%, 37.7% 1.000
Headache 22 (16.4%) 11.7%, 24.4% 4 (9.3%) 3.7%, 21.6% 0.326
Hypoglycemia 15 (11.2%) 6.9%, 17.6% 3 (7.0%) 2.4%, 18.6% 0.568
Influenza 14 (10.4%) 6.3%, 16.8% 3 (7.0%) 2.4%, 18.6% 0.766
Blood creatinine increased 13 (9.7%) 5.8%, 15.9% 3 (7.0%) 2.4%, 18.6% 0.764
Nasopharyngitis 14 (10.4%) 6.3%, 16.8% 2 (4.7%) 1.3%, 15.5% 0.364
Lipase increased 10 (7.5%) 4.1%, 13.2% 4 (9.3%) 3.7%, 21.6% 0.747
Conjunctivitis 11 (8.2%) 4.6%, 14.1% 1 (2.3%) 0.4%, 12.1% 0.298
Gastroenteritis 10 (7.5%) 4.1%, 13.2% 2 (4.7%) 1.3%, 15.5% 0.733
Urinary tract infection 11 (8.2%) 4.6%, 14.1% 1 (2.3%) 0.4%, 12.1% 0.298
Blood creatine phosphokinase increased 6 (4.5%) 2.1%, 9.4% 5 (12%) 5.1%, 24.5% 0.139
Rash 9 (6.7%) 4.1%, 13.2% 1 (2.3%) 0.4%, 12.1% 0.455
Dermatitis 8 (6.0%) 3.1%, 11.3% 2 (4.7%) 1.3%, 15.5% 1.000
Weight decreased 6 (4.5%) 2.1%, 9.4% 3 (7.0%) 2.4%, 18.6% 0.455
Genital candidiasis 7 (5.2%) 2.6%, 10.4% 1 (2.3%) 0.4%, 12.1% 0.682
Sinusitis 7 (5.2%) 2.6%, 10.4% 1 (2.3%) 0.4%, 12.1% 0.682
Depression 0 (0.0%) 0.0%, 2.8% 3 (7.0%) 2.4%, 18.6% 0.014

*p-Value for comparing the cabotegravir and PBO arms.

Grade 2 AEs for creatinine clearance are determined by a result of <90 to 60 ml/min or a 10% to <30% decrease from baseline. Grade 3 AEs for creatinine clearance are determined by a result of <60 to 30 ml/min or a 30% to <50% decrease from baseline. Of these participants, 42 (51%) had a decrease from baseline but maintained a creatinine clearance ≥90 ml/min during the entire injection phase; 26 (31%) experienced a treatment-emergent decline in creatinine clearance to <90 ml/min. Creatinine clearance returned to >90 ml/min during the injection phase for 20 (80%) of the 26 participants without interruption of study products. Fourteen participants began the study with a Grade 2 creatinine clearance (<90 mm/min), which improved to >90 ml/min on study products, and then returned to <90 ml/min creatinine clearance. One participant in the PBO arm experienced a transient decline in creatinine clearance from 70 ml/min to 57 ml/min.

Injection site pain in 47/52 (90%).

CAB LA, long-acting cabotegravir; PBO, placebo.