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To determine what dosing regimen of atazanavir (ATV) / ritonavir (RTV) produces adequate drug exposure during pregnancy compared to drug exposure in historical data in human immunodeficiency virus (HIV) infected participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Atazanavir + Ritonavir + Combivir | Drug | Capsules, tablets, Oral, initially ATV 300 mg + RTV 100 mg + ZDV/3TC 300/150 mg, dose escalated to ATV 400 mg + RTV 100 mg + ZDV/3TC 300/150 mg, ATV and RTV once daily, lamivudine (ZDV) / zidovudine (3TC) twice daily (BID), up to 36 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Infant Gestational Age at Delivery | At the time of delivery | |
| Infant Gender | At the time of delivery | |
| Infant Race | At the time of delivery | |
| Mean ATV Maximum Plasma Concentration (Cmax) in One Dosing Interval | Cmax = maximum observed plasma concentration of atazanavir at specified time points. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
| Mean RTV Maximum Plasma Concentration (Cmax) in One Dosing Interval | Cmax = maximum observed plasma concentration of ritonavir at specified time points. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
| Mean ATV Area Under the Concentration Curve (AUC TAU) | AUC = area under the concentration curve (AUC [TAU]) of atazanavir in one dosing interval from time zero to 24 hours. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
| Mean RTV Area Under the Concentration Curve (AUC TAU) | AUC = area under the concentration curve (AUC [TAU]) of ritonavir in one dosing interval. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
| Mean ATV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose | Cmin = plasma concentration 24 hours post dose of atazanavir at specified time points. |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal HIV Ribonucleic Acid (RNA) Level on Day of Delivery | The maternal HIV RNA level is assessed by the Roche Amplicor® Ultrasensitive Assay Version 1.5. | Day of Delivery ± 2 Days |
| Median Change From Baseline to Day of Delivery in Maternal HIV RNA Level |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Triple O Medical Services, P.A. | West Palm Beach | Florida | 33401 | United States | ||
| Women's Hospital Of Texas |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25529885 | Derived | Xu XS, Rose A, Demers R, Eley T, Ryan J, Stouffer B, Cojocaru L, Arnold M. Quantitative determination of free/bound atazanavir via high-throughput equilibrium dialysis and LC-MS/MS, and the application in ex vivo samples. Bioanalysis. 2014;6(23):3169-82. doi: 10.4155/bio.14.251. | |
| 23782005 | Derived | Eley T, Huang SP, Conradie F, Zorrilla CD, Josipovic D, Botes M, Osiyemi O, Hardy H, Bertz R, McGrath D. Clinical and pharmacogenetic factors affecting neonatal bilirubinemia following atazanavir treatment of mothers during pregnancy. AIDS Res Hum Retroviruses. 2013 Oct;29(10):1287-92. doi: 10.1089/AID.2013.0002. Epub 2013 Jul 19. |
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Of the 69 enrolled participants, 28 mothers were not treated. Failure to continue to meet enrollment criteria resulting in discontinuation in 24/28 participants and 4 were not treated: 1 poor/no compliance, 1 met exclusion criteria, 1 was ARV naive subject with HIV RNA < 400 c/mL, and 1 was unable to comply with study procedures.
Pregnant participants were enrolled at 6 sites: United States (2), South Africa (3), and Puerto Rico (1).
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| ID | Title | Description |
|---|---|---|
| FG000 | Mother ATV 300 mg / RTV 100 mg | Mothers receiving atazanavir (ATV) / ritonavir (RTV) 300/100 mg once daily (QD) + lamivudine (ZDV) / zidovudine (3TC) 300/150 mg twice daily (BID) during the third trimester. Each dose of ATV/RTV (taken with a light meal or snack) was taken approximately 24 hours apart. Each dose of ZDV/3TC (taken with or without food) was taken approximately 12 hours apart. |
| FG001 | Mother ATV 400 mg / RTV 100 mg | Mothers receiving ATV/RTV 400/100 mg QD + ZDV/3TC 300/150 mg BID during the third trimester. Each dose of ATV/RTV (taken with a light meal or snack) was taken approximately 24 hours apart. Each dose of ZDV/3TC (taken with or without food) was taken approximately 12 hours apart. |
| FG002 | Infants ATV 300 mg / RTV 100 mg | Infants born to mothers receiving treatment with ATV 300 mg / RTV 100 mg during the third trimester of pregnancy. |
| FG003 | Infants ATV 400 mg / RTV 100 mg | Infants born to mothers receiving treatment with ATV 400 mg / RTV 100 mg during the third trimester of pregnancy. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pre-Natal Mothers |
|
| ||||||||||||||||||
| Infants |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Mother ATV 300 mg / RTV 100 mg | Mothers receiving ATV/RTV 300/100 mg QD + ZDV/3TC 300/150 mg BID during the third trimester. Each dose of ATV/RTV (taken with a light meal or snack) was taken approximately 24 hours apart. Each dose of ZDV/3TC (taken with or without food) was taken approximately 12 hours apart. |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secondary | Maternal HIV Ribonucleic Acid (RNA) Level on Day of Delivery | The maternal HIV RNA level is assessed by the Roche Amplicor® Ultrasensitive Assay Version 1.5. | The analysis for the proportion of HIV RNA < 400 and < 50 c/mL at delivery is based on the Virologic Response - Observed Cases (VR-OC). VR-OC classifies subjects who remain on study therapy as responders according to a single HIV RNA measurement < 400 c/mL (or < 50 c/mL) closest to delivery and within delivery date ± 2 days. | Posted | Number | Participants | Day of Delivery ± 2 Days |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Infant ATV 300 mg / RTV 100 mg | Infants of mothers taking ATV 300 mg / RTV 100 mg at birth. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| TRANSAMINASES INCREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| CONJUNCTIVITIS | Eye disorders | MedDRA 12.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| BMS Study Director | Bristol-Myers Squibb | clinical.trials@bms.com |
Not provided
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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| ID | Term |
|---|---|
| D000069446 | Atazanavir Sulfate |
| D019438 | Ritonavir |
| C109078 | lamivudine, zidovudine drug combination |
| ID | Term |
|---|---|
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D009842 | Oligopeptides |
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|
|
| Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum at 24 hours following the daily dose. |
| Mean RTV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose | Cmin = plasma concentration 24 hours post dose of ritonavir at specified time points. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum at 24 hours following the daily dose. |
| Mean ATV Terminal Elimination Half Life (T 1/2) | T 1/2 = terminal elimination half life of atazanavir at specified time points. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
| Mean RTV Terminal Elimination Half Life (T 1/2) | T 1/2 = terminal elimination half life of ritonavir at specified time points. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
| Mean ATV Time of Maximum Observed Plasma Concentration (Tmax) | Tmax = time to reach maximum observed plasma concentration of atazanavir at specified time points. | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
| Mean RTV Time of Maximum Observed Plasma Concentration (Tmax) | Tmax = time to reach the maximum observed plasma concentration of ritonavir at specified time points. | Pregnancy Weeks 12 to 28, Weeks 28 to 36, and 4-6 Weeks Postpartum |
The maternal HIV RNA level was determined at baseline and the day of delivery ± 2 days using VR-OC. The maternal HIV RNA level is assessed by the Roche Amplicor® Ultrasensitive Assay Version 1.5. |
| Baseline, Day of Delivery ± 2 Days |
| Mean HIV RNA Level at Baseline | Baseline |
| Median Change From Baseline to Day of Delivery in Maternal Cluster of Differentiation 4 (CD4) Cell Count | The median CD4 cell count change from baseline was calculated for all treated mothers at the time of delivery ± 2 days. Maternal CD4 cell counts were assessed by the Roche Amplicor® Ultrasensitive Assay Version 1.5. | Baseline, Day of Delivery ± 2 Days |
| Mean CD4 Cell Count at Baseline | Baseline |
| Infant HIV Status | The neonatal HIV-1 status are assessed by the Roche Amplicor HIV-1 DNA Assay Version 1.5 (Roche Molecular Systems). | Birth Through 6 Months on Study |
| Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE =any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. | During study period and 30 days post-study. |
| Number of Participants With Grade 2 to Grade 4 AEs and SAEs | AEs and SAEs considered possibly, probably, or certainly related to study treatment, were graded according to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Death). Hyperbilirubinemia (Grade 1=1.1 to 1.5 upper limit of normal [ULN] [mild], Grade 2=1.6 to 2.5 ULN [moderate], Grade 3=2.6 to 5.0 ULN [severe], Grade 4= > 5.0 ULN [potentially life threatening]). | During Study Period and 30 Days Post-Study. |
| SAEs in Enrolled Mothers | SAEs were evaluated for all treated and untreated participants. An SAE was defined as an untoward medical occurrence that results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event); might have caused death if it were more severe, required inpatient hospitalization or prolongation of existing hospitalization, in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, an important medical event that required intervention to prevent serious outcomes. | During Study Period and 30 Days Post-Study. |
| SAEs in Enrolled Infants | SAEs were evaluated for all treated and untreated participants. An SAE was defined as an untoward medical occurrence that results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event); might have caused death if it were more severe, required inpatient hospitalization or prolongation of existing hospitalization, in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, an important medical event that required intervention to prevent serious outcomes. | Birth Through Week 16 of Life |
| Mean Atazanavir Maternal Plasma Concentration and Neonatal Cord Blood Concentration | Mean atazanavir maternal plasma concentration and neonatal cord blood concentration as measured at the time of delivery. | At Time of Delivery |
| Median Infant Total Bilirubin Level | Median infant total bilirubin level as measured at specified time points. | Birth (Day 1), Day 3, Day 5, and Day 7 of Life |
| Mean Atazanavir Plasma Protein Binding | Atazanavir Plasma Protein Binding Percentage measured at specified time points. | Pregnancy Weeks 28 to Delivery at 3 Hours Postdose and 24 Hours Postdose, and Time of Delivery |
| Multicenter AIDS Cohort Study (MACS) Participant Adherence to Regimen and Drug Components for ATV 300 mg / RTV 100 mg Test Dose | The MACS was administered to evaluate participant adherence to each drug and the adherence to the regimen. The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Drug-specific questions included adherence with dose and frequency. Adherence was defined as taking all doses and numbers of pills as prescribed for each medication. This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance. | Study Week 2, Pregnancy Weeks 20 to Weeks 28, Pregnancy Weeks 28 to Delivery, Week 2 Postpartum, Week 4 Postpartum |
| Houston |
| Texas |
| 77054 |
| United States |
| Local Institution | San Juan | 00936 | Puerto Rico |
| Local Institution | Soweto | Gauteng | 2001 | South Africa |
| Local Institution | Sunnyside | Gauteng | 0002 | South Africa |
| Local Institution | Westdene | Gauteng | 2092 | South Africa |
| 21569187 | Derived | Conradie F, Zorrilla C, Josipovic D, Botes M, Osiyemi O, Vandeloise E, Eley T, Child M, Bertz R, Hu W, Wirtz V, McGrath D. Safety and exposure of once-daily ritonavir-boosted atazanavir in HIV-infected pregnant women. HIV Med. 2011 Oct;12(9):570-9. doi: 10.1111/j.1468-1293.2011.00927.x. Epub 2011 May 16. |
| COMPLETED |
|
| NOT COMPLETED |
|
| Mother ATV 400 mg / RTV 100 mg |
Mothers receiving ATV/RTV 400/100 mg QD + ZDV/3TC 300/150 mg BID during the third trimester. Each dose of ATV/RTV (taken with a light meal or snack) was taken approximately 24 hours apart. Each dose of ZDV/3TC (taken with or without food) was taken approximately 12 hours apart. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Median | Full Range | Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| HIV RNA Distribution at Baseline | Number | c/mL |
|
| Infant Gestational Age at Delivery | Median | Full Range | Weeks |
|
| OG001 | Mothers ATV 400 mg / RTV 100 mg | Mothers receiving ATV/RTV 400/100 mg QD + ZDV/3TC 300/150 mg BID during weeks 28 to 36 of pregnancy. Each dose of ATV/RTV (taken with a light meal or snack) was taken approximately 24 hours apart. Each dose of ZDV/3TC (taken with or without food) was taken approximately 12 hours apart. |
|
|
| Secondary | Median Change From Baseline to Day of Delivery in Maternal HIV RNA Level | The maternal HIV RNA level was determined at baseline and the day of delivery ± 2 days using VR-OC. The maternal HIV RNA level is assessed by the Roche Amplicor® Ultrasensitive Assay Version 1.5. | The median maternal HIV RNA Level Change From Baseline was calculated for all treated mothers at the time of delivery. The maternal HIV RNA level at delivery was determined as the closest to delivery and within a pre-defined visit window for delivery, which is delivery date ± 2 days. | Posted | Median | Inter-Quartile Range | log10 c / mL | Baseline, Day of Delivery ± 2 Days |
|
|
|
| Secondary | Mean HIV RNA Level at Baseline | All treated participants. | Posted | Mean | Standard Error | log10 cm / mL | Baseline |
|
|
|
| Secondary | Median Change From Baseline to Day of Delivery in Maternal Cluster of Differentiation 4 (CD4) Cell Count | The median CD4 cell count change from baseline was calculated for all treated mothers at the time of delivery ± 2 days. Maternal CD4 cell counts were assessed by the Roche Amplicor® Ultrasensitive Assay Version 1.5. | The median CD4 Cell Count Change From Baseline was calculated based on all treated mothers. The maternal CD4 cell count at delivery was determined as the closest to delivery and within a pre-defined visit window for delivery, which is delivery date ± 2 days. | Posted | Median | Inter-Quartile Range | cells / mm^3 | Baseline, Day of Delivery ± 2 Days |
|
|
|
| Secondary | Mean CD4 Cell Count at Baseline | All treated participants. | Posted | Mean | Standard Error | cells / mm^3 | Baseline |
|
|
|
| Secondary | Infant HIV Status | The neonatal HIV-1 status are assessed by the Roche Amplicor HIV-1 DNA Assay Version 1.5 (Roche Molecular Systems). | All infants. | Posted | Number | Participants | Birth Through 6 Months on Study |
|
|
|
| Secondary | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE =any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. | The number of SAEs is based on enrolled participants. Data were pooled from the ATV 300 mg / RTV 100 mg and ATV 400 mg / RTV 100 mg groups for all treated mothers and all infants. | Posted | Number | Participants | During study period and 30 days post-study. |
|
|
|
| Secondary | Number of Participants With Grade 2 to Grade 4 AEs and SAEs | AEs and SAEs considered possibly, probably, or certainly related to study treatment, were graded according to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Death). Hyperbilirubinemia (Grade 1=1.1 to 1.5 upper limit of normal [ULN] [mild], Grade 2=1.6 to 2.5 ULN [moderate], Grade 3=2.6 to 5.0 ULN [severe], Grade 4= > 5.0 ULN [potentially life threatening]). | Data were pooled from the ATV 300 mg / RTV 100 mg and ATV 400 mg / RTV 100 mg groups for all treated mothers and all infants. The number of AEs and SAEs is based on enrolled participants. | Posted | Number | Participants | During Study Period and 30 Days Post-Study. |
|
|
|
| Secondary | SAEs in Enrolled Mothers | SAEs were evaluated for all treated and untreated participants. An SAE was defined as an untoward medical occurrence that results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event); might have caused death if it were more severe, required inpatient hospitalization or prolongation of existing hospitalization, in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, an important medical event that required intervention to prevent serious outcomes. | Data were analyzed for all treated and untreated mothers. | Posted | Number | Participants | During Study Period and 30 Days Post-Study. |
|
|
|
| Secondary | SAEs in Enrolled Infants | SAEs were evaluated for all treated and untreated participants. An SAE was defined as an untoward medical occurrence that results in death, is life-threatening (defined as an event in which the participant was at risk of death at the time of the event); might have caused death if it were more severe, required inpatient hospitalization or prolongation of existing hospitalization, in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, an important medical event that required intervention to prevent serious outcomes. | SAEs were recorded for all enrolled infants. | Posted | Number | Participants | Birth Through Week 16 of Life |
|
|
|
| Primary | Infant Gestational Age at Delivery | All infants. | Posted | Mean | Standard Error | Weeks | At the time of delivery |
|
|
|
| Primary | Infant Gender | All infants. | Posted | Number | Participants | At the time of delivery |
|
|
|
| Primary | Infant Race | All infants. | Posted | Number | Participants | At the time of delivery |
|
|
|
| Primary | Mean ATV Maximum Plasma Concentration (Cmax) in One Dosing Interval | Cmax = maximum observed plasma concentration of atazanavir at specified time points. | Treated participants in the pharmacokinetic (PK) concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | ng / mL | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| Primary | Mean RTV Maximum Plasma Concentration (Cmax) in One Dosing Interval | Cmax = maximum observed plasma concentration of ritonavir at specified time points. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | ng / mL | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| Primary | Mean ATV Area Under the Concentration Curve (AUC TAU) | AUC = area under the concentration curve (AUC [TAU]) of atazanavir in one dosing interval from time zero to 24 hours. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | ng•h / mL | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| Primary | Mean RTV Area Under the Concentration Curve (AUC TAU) | AUC = area under the concentration curve (AUC [TAU]) of ritonavir in one dosing interval. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | ng•h / mL | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| Primary | Mean ATV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose | Cmin = plasma concentration 24 hours post dose of atazanavir at specified time points. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | ng•h / mL | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum at 24 hours following the daily dose. |
|
|
|
| Primary | Mean RTV Trough Plasma Concentration (Cmin) 24 Hours Following the Daily Dose | Cmin = plasma concentration 24 hours post dose of ritonavir at specified time points. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | ng•h / mL | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum at 24 hours following the daily dose. |
|
|
|
| Primary | Mean ATV Terminal Elimination Half Life (T 1/2) | T 1/2 = terminal elimination half life of atazanavir at specified time points. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | Hours | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| Secondary | Mean Atazanavir Maternal Plasma Concentration and Neonatal Cord Blood Concentration | Mean atazanavir maternal plasma concentration and neonatal cord blood concentration as measured at the time of delivery. | Posted | Mean | Standard Deviation | ng / mL | At Time of Delivery |
|
|
|
| Secondary | Median Infant Total Bilirubin Level | Median infant total bilirubin level as measured at specified time points. | Posted | Median | Inter-Quartile Range | mg / dL | Birth (Day 1), Day 3, Day 5, and Day 7 of Life |
|
|
|
| Secondary | Mean Atazanavir Plasma Protein Binding | Atazanavir Plasma Protein Binding Percentage measured at specified time points. | Posted | Mean | Standard Deviation | Percentage Bound | Pregnancy Weeks 28 to Delivery at 3 Hours Postdose and 24 Hours Postdose, and Time of Delivery |
|
|
|
| Secondary | Multicenter AIDS Cohort Study (MACS) Participant Adherence to Regimen and Drug Components for ATV 300 mg / RTV 100 mg Test Dose | The MACS was administered to evaluate participant adherence to each drug and the adherence to the regimen. The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Drug-specific questions included adherence with dose and frequency. Adherence was defined as taking all doses and numbers of pills as prescribed for each medication. This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance. | All treated participants were included in this evaluation. | Posted | Number | Participants | Study Week 2, Pregnancy Weeks 20 to Weeks 28, Pregnancy Weeks 28 to Delivery, Week 2 Postpartum, Week 4 Postpartum |
|
|
|
| Primary | Mean RTV Terminal Elimination Half Life (T 1/2) | T 1/2 = terminal elimination half life of ritonavir at specified time points. | Treated participants in the PK concentration data set | Posted | Geometric Mean | 95% Confidence Interval | Hours | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| Primary | Mean ATV Time of Maximum Observed Plasma Concentration (Tmax) | Tmax = time to reach maximum observed plasma concentration of atazanavir at specified time points. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | Hours | Pregnancy Weeks 12 to 28, 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| Primary | Mean RTV Time of Maximum Observed Plasma Concentration (Tmax) | Tmax = time to reach the maximum observed plasma concentration of ritonavir at specified time points. | Treated participants in the PK concentration data set. | Posted | Geometric Mean | 95% Confidence Interval | Hours | Pregnancy Weeks 12 to 28, Weeks 28 to 36, and 4-6 Weeks Postpartum |
|
|
|
| 10 |
| 20 |
| 20 |
| 20 |
| EG001 | Infant ATV 400 mg / RTV 100 mg | Infants of mothers taking ATV 400 mg / RTV 100 mg at birth. | 4 | 20 | 20 | 20 |
| EG002 | Mother ATV 300 mg / RTV 100 mg | Mothers receiving ATV/RTV 300/100 mg QD + ZDV/3TC 300/150 mg BID during the third trimester. Each dose of ATV/RTV (taken with a light meal or snack) was taken approximately 24 hours apart. Each dose of ZDV/3TC (taken with or without food) was taken approximately 12 hours apart. | 7 | 20 | 20 | 20 |
| EG003 | Mother ATV 400 mg / RTV 100 mg | Mothers receiving ATV/RTV 400/100 mg QD + ZDV/3TC 300/150 mg BID during the third trimester. Each dose of ATV/RTV (taken with a light meal or snack) was taken approximately 24 hours apart. Each dose of ZDV/3TC (taken with or without food) was taken approximately 12 hours apart. | 8 | 21 | 20 | 21 |
| CARDIOMYOPATHY | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
|
| SINUS ARRHYTHMIA | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
|
| CARDIO-RESPIRATORY ARREST | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
|
| RESTRICTIVE CARDIOMYOPATHY | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
|
| HAEMORRHAGE | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
|
| HYPERTENSION | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
|
| JAUNDICE | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
|
| HYPERBILIRUBINAEMIA | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
|
| CONVULSION | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| CEREBRAL ISCHAEMIA | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| VOMITING | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| CONSTIPATION | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| ABDOMINAL HERNIA | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| SEPSIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| SYPHILIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| PNEUMONIA | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| MENINGITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| BRONCHIOLITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| GASTROENTERITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| ENDOMETRITIS DECIDUAL | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| HYPERKALAEMIA | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
|
| HYPOGLYCAEMIA | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
|
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 12.0 | Systematic Assessment |
|
| ATRIAL SEPTAL DEFECT | Congenital, familial and genetic disorders | MedDRA 12.0 | Systematic Assessment |
|
| OVERDOSE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| AMNIORRHOEA | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| PRE-ECLAMPSIA | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| PREMATURE BABY | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| PREMATURE RUPTURE OF MEMBRANES | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| RESPIRATORY DISTRESS | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| NEONATAL RESPIRATORY DISTRESS SYNDROME | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| OCULAR ICTERUS | Eye disorders | MedDRA 12.0 | Systematic Assessment |
|
| CONJUNCTIVAL HAEMORRHAGE | Eye disorders | MedDRA 12.0 | Systematic Assessment |
|
| CARDIAC MURMUR | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| WEIGHT DECREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| HAEMOGLOBIN DECREASED | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| CULTURE URINE POSITIVE | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| WHITE BLOOD CELLS URINE POSITIVE | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| ELECTROCARDIOGRAM T WAVE INVERSION | Investigations | MedDRA 12.0 | Systematic Assessment |
|
| HYPERTENSION | Vascular disorders | MedDRA 12.0 | Systematic Assessment |
|
| DEPRESSION | Psychiatric disorders | MedDRA 12.0 | Systematic Assessment |
|
| JAUNDICE | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
|
| HEPATOMEGALY | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
|
| SYNCOPE | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| HEADACHE | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| SCIATICA | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| DIZZINESS | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| POST HERPETIC NEURALGIA | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| NAUSEA | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| VOMITING | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| DIARRHOEA | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| DYSPEPSIA | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| TOOTHACHE | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| CONSTIPATION | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| ABDOMINAL PAIN | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| ABDOMINAL HERNIA | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| MOUTH ULCERATION | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| UMBILICAL HERNIA | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| TONGUE GEOGRAPHIC | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| RECTAL HAEMORRHAGE | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| ABDOMINAL DISTENSION | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| ABDOMINAL PAIN LOWER | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| PAROTID GLAND ENLARGEMENT | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| GASTROOESOPHAGEAL REFLUX DISEASE | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| IMPETIGO | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| MASTITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| RHINITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| INFLUENZA | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| SINUSITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| BODY TINEA | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| BRONCHITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| TRACHEITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| CANDIDIASIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| ORAL HERPES | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| PHARYNGITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| TONSILLITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| ENDOMETRITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| OTITIS MEDIA | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| SKIN CANDIDA | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| WOUND SEPSIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| BRONCHIOLITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| HERPES ZOSTER | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| GASTROENTERITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| NASOPHARYNGITIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| VIRAL INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| WOUND INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| ORAL CANDIDIASIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| VAGINAL INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| VAGINITIS BACTERIAL | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| FUNGAL SKIN INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| URINARY TRACT INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| SKIN BACTERIAL INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| VULVOVAGINAL CANDIDIASIS | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| LOWER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 12.0 | Systematic Assessment |
|
| DYSURIA | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
|
| PROTEINURIA | Renal and urinary disorders | MedDRA 12.0 | Systematic Assessment |
|
| ANOREXIA | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
|
| HYPOGLYCAEMIA | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
|
| DECREASED APPETITE | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
|
| GESTATIONAL DIABETES | Metabolism and nutrition disorders | MedDRA 12.0 | Systematic Assessment |
|
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 12.0 | Systematic Assessment |
|
| LYMPHADENOPATHY | Blood and lymphatic system disorders | MedDRA 12.0 | Systematic Assessment |
|
| RASH | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| ECZEMA | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| DRY SKIN | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| PRURITUS | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| HEAT RASH | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| PETECHIAE | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| DERMATITIS | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| SEBORRHOEA | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| RASH MACULAR | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| RASH GENERALISED | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| DERMATITIS DIAPER | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| NAIL PIGMENTATION | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| DERMATITIS ALLERGIC | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| NAIL DISCOLOURATION | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| SEBORRHOEIC DERMATITIS | Skin and subcutaneous tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| PELVIC PAIN | Reproductive system and breast disorders | MedDRA 12.0 | Systematic Assessment |
|
| VAGINAL DISCHARGE | Reproductive system and breast disorders | MedDRA 12.0 | Systematic Assessment |
|
| VAGINAL HAEMORRHAGE | Reproductive system and breast disorders | MedDRA 12.0 | Systematic Assessment |
|
| HYDROCELE | Congenital, familial and genetic disorders | MedDRA 12.0 | Systematic Assessment |
|
| CONGENITAL NAEVUS | Congenital, familial and genetic disorders | MedDRA 12.0 | Systematic Assessment |
|
| ATRIAL SEPTAL DEFECT | Congenital, familial and genetic disorders | MedDRA 12.0 | Systematic Assessment |
|
| OVERDOSE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| ARTHROPOD BITE | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| PROCEDURAL PAIN | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| SKIN LACERATION | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| VACCINATION COMPLICATION | Injury, poisoning and procedural complications | MedDRA 12.0 | Systematic Assessment |
|
| PREMATURE LABOUR | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| PROLONGED LABOUR | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| CAPUT SUCCEDANEUM | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| JAUNDICE NEONATAL | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| NEONATAL DISORDER | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| FOETAL DISTRESS SYNDROME | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| PREGNANCY INDUCED HYPERTENSION | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| PREMATURE RUPTURE OF MEMBRANES | Pregnancy, puerperium and perinatal conditions | MedDRA 12.0 | Systematic Assessment |
|
| BURSITIS | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| ARTHRALGIA | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| JOINT STIFFNESS | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| JOINT HYPEREXTENSION | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| DYSPNOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| SNEEZING | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| EPISTAXIS | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| TACHYPNOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| RHINORRHOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| NASAL CONGESTION | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| SINUS CONGESTION | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| NOCTURNAL DYSPNOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| OROPHARYNGEAL PAIN | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| RESPIRATORY DISTRESS | Respiratory, thoracic and mediastinal disorders | MedDRA 12.0 | Systematic Assessment |
|
| MASS | General disorders | MedDRA 12.0 | Systematic Assessment |
|
| PAIN | General disorders | MedDRA 12.0 | Systematic Assessment |
|
| FATIGUE | General disorders | MedDRA 12.0 | Systematic Assessment |
|
| PYREXIA | General disorders | MedDRA 12.0 | Systematic Assessment |
|
| OEDEMA PERIPHERAL | General disorders | MedDRA 12.0 | Systematic Assessment |
|
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D010455 |
| Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| Total AEs Leading to Discontinuation (n=41, n=40) |
|
| Anemia Leading to Discontinuation (n=41, n=40) |
|
| Transaminitis Discontinuation (n=41, n=40) |
|
| Prematurity Causing Discontinuation (n=41, n=40) |
|
| All AEs (n=41, n=40) |
|
| Anemia (n=41, n=40) |
|
| Diarrhea (n=41, n=40) |
|
| Nausea (n=41, n=40) |
|
| Vomiting (n=41, n=40) |
|
| Jaundice (n=41, n=40) |
|
| Hyperbilirubinemia (n=41, n=40) |
|
| Ocular Icterus (n=41, n=40) |
|
| Skin / subcutaneous tissue disorders (n=41, n=40) |
|
| Grade 3 to Grade 4 (n=41, n=40) |
|
| Grade 3 to Grade 4 Total Bilirubin (n=41, n=40) |
|
| Anemia |
|
| Cardiac Disorders |
|
| Cardiomyopathy |
|
| Sinus Arrhythmia |
|
| Gastrointestinal Disorders |
|
| Abdominal Hernia |
|
| Hepatobiliary Disorders |
|
| Hyperbilirubinemia |
|
| Infections and Infestations |
|
| Endometrial Decidual |
|
| Pneumonia |
|
| Sepsis |
|
| Investigations |
|
| Transaminases Increased |
|
| Pregnancy, Puerperium, and Perinatal Conditions |
|
| Amenorrhea |
|
| Pre-eclampsia |
|
| Pregnancy Induced Hypertension |
|
| Premature Rupture of Membranes |
|
| Vascular Disorders |
|
| Hypertension |
|
| Hemorrhage |
|
| Anemia |
|
| Cardiac Disorders |
|
| Cardio-Respiratory Arrest |
|
| Restrictive Cardiomyopathy |
|
| Congenital, Familial, and Genetic Disorders |
|
| Atrial Septal Defect |
|
| Gastrointestinal Disorders |
|
| Constipation |
|
| Vomiting |
|
| Hepatobiliary Disorders |
|
| Hyperbilirubinemia |
|
| Jaundice |
|
| Infections and Infestations |
|
| Bronchiolitis |
|
| Gastroenteritis |
|
| Meningitis |
|
| Pneumonia |
|
| Sepsis |
|
| Syphilis |
|
| Injury, Poisoning, and Procedural Complications |
|
| Overdose |
|
| Metabolism and Nutrition Disorders |
|
| Hyperkalemia |
|
| Hypoglycemia |
|
| Nervous System Disorders |
|
| Cerebral Ischemia |
|
| Convulsion |
|
| Pregnancy, Puerperium, and Perinatal Conditions |
|
| Premature Baby |
|
| Respiratory, Thoracic, and Mediastinal Disorders |
|
| Neonatal Respiratory Distress Syndrome |
|
| Respiratory Distress |
|
| Mixed Race |
|
| Day 5 |
|
| Day 7 |
|
| Time of Delivery (n = 15, 12) |
|
| Study Week 2 RTV (n = 20,18) |
|
| Study Week 2 ZDV/3TC (n = 20,18) |
|
| Visit 1 Pregnancy Week 20 to 28 Regimen (n=12, 9) |
|
| Visit 1 Pregnancy Week 20 to 28 ATV (n=12, 9) |
|
| Visit 1 Pregnancy Week 20 to 28 RTV (n=12, 9) |
|
| Visit 1 Pregnancy Week 20 to 28 ZDV/3TC (n=12, 9) |
|
| Visit 2 Pregnancy Week 20 to 28 Regimen (n=8, 5) |
|
| Visit 2 Pregnancy Week 20 to 28 ATV (n=8, 5) |
|
| Visit 2 Pregnancy Week 20 to 28 RTV (n=8, 5) |
|
| Visit 2 Pregnancy Week 20 to 28 ZDV/3TC (n=8, 5) |
|
| Visit 3 Pregnancy Week 20 to 28 Regimen (n=6, 2) |
|
| Visit 3 Pregnancy Week 20 to 28 ATV (n=6, 2) |
|
| Visit 3 Pregnancy Week 20 to 28 RTV (n=6, 2) |
|
| Visit 3 Pregnancy Week 20 to 28 ADV/3TC (n=6, 2) |
|
| Visit 4 Pregnancy Wk 20 to 28 Regimen (n=0, 13) |
|
| Visit 4 Pregnancy Week 20 to 28 ATV (n=0, 13) |
|
| Visit 4 Pregnancy Week 20 to 28 RTV (n=0, 13) |
|
| Visit 4 Pregnancy Wk 20 to 28 ZDV/3TC (n=0, 13) |
|
| Visit 1 Pregnancy Wk 20 to Birth Regimen (n=20,20) |
|
| Visit 1 Pregnancy Week 20 to Birth ATV (n=20,20) |
|
| Visit 1 Pregnancy Week 20 to Birth RTV (n=20,20) |
|
| Visit 1 Pregnancy Wk 20 to Birth ZDV/3TC (n=20,20) |
|
| Visit 2 Pregnancy Wk 20 to Birth Regimen (n=19,19) |
|
| Visit 2 Pregnancy Week 20 to Birth ATV (n=19,19) |
|
| Visit 2 Pregnancy Week 20 to Birth RTV (n=19,19) |
|
| Visit 2 Pregnancy Wk 20 to Birth ZDV/3TC (n=19,19) |
|
| Visit 3 Pregnancy Wk 20 to Birth Regimen (n=15,19) |
|
| Visit 3 Pregnancy Week 20 to Birth ATV (n=15,19) |
|
| Visit 3 Pregnancy Week 20 to Birth RTV (n=15,19) |
|
| Visit 3 Pregnancy Wk 20 to Birth ZDV/3TC (n=15,19) |
|
| Visit 4 Pregnancy Wk 28 to Birth Regimen (n=5,15) |
|
| Visit 4 Pregnancy Week 28 to Birth ATV (n=5,15) |
|
| Visit 4 Pregnancy Week 28 to Birth RTV (n=5,15) |
|
| Visit 4 Pregnancy Wk 28 to Birth ZDV/3TC (n=5,15) |
|
| Visit 5 Pregnancy Wk 28 to Birth Regimen (n=1, 2) |
|
| Visit 5 Pregnancy Week 28 to Birth ATV (n=1, 2) |
|
| Visit 5 Pregnancy Week 28 to Birth RTV (n=1, 2) |
|
| Visit 5 Pregnancy Wk 28 to Birth ZDV/3TC (n=1, 2) |
|
| Visit 6 Pregnancy Wk 28 to Birth Regimen (n=0, 1) |
|
| Visit 6 Pregnancy Week 28 to Birth ATV (n=0, 1) |
|
| Visit 6 Pregnancy Week 28 to Birth RTV (n=0, 1) |
|
| Visit 6 Pregnancy Wk 28 to Birth ZDV/3TC (n=0, 1) |
|
| Postpartum Week 2 Regimen (n=19, 19) |
|
| Postpartum Week 2 ATV (n=18, 19) |
|
| Postpartum Week 2 RTV (n=18, 19) |
|
| Postpartum Week 2 ZDV/3TC (n =19, 19) |
|
| Postpartum Week 4 Regimen (n=17, 19) |
|
| Postpartum Week 4 ATV (n=17, 19) |
|
| Postpartum Week 4 RTV (n=17, 19) |
|
| Postpartum Week 4 ZDV/3TC (n=17, 19) |
|