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This Post Marketing Surveillance study will be performed as an open-label, prospective, non-interventional, uncontrolled study in Human immunodeficit Virus-1 (HIV-1) infected patients. Data will only be documented in patients for whom a pharmacotherapy with nevirapine extended release is initiated. Both anti-retroviral therapy (ART) naïve patients and pre-treated patients switching from nevirapine immediate release or other anti-retroviral therapy (ART) will be included in the study. The decision to initiate treatment with nevirapine extended release is independent of this study and is based entirely on individual patient need and the judgement of the treating physician. The aim of the study is to assess the safety and efficacy and treatment adherence of nevirapine extended release in HIV-1 infected patients in routine clinical practice. It is planned to document five visits for each patient over a twenty four week observational period.
Study Design:
non-interventional uncontrolled observational study
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| nevirapine extended release |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Number of Patients Reporting Non-serious Adverse Events, Serious Adverse Events, and Non-serious and Serious Adverse Events Leading to Treatment Discontinuation | The primary endpoint is to evaluate the safety of a highly active antiretroviral therapy (HAART) that includes nevirapine extended release in routine clinical practice which is to assess the number of patients reporting non-serious adverse events (nSAEs), the number of patients with serious adverse events (SAE), the number of patients with non-serious adverse events leading to treatment discontinuation, and the number of patients with serious adverse events leading to discontinuation. | up to 72 weeks |
| Number of Patients Reporting Rash of Any Severity | Number of patients reporting rash of any severity as adverse event | up to 72 weeks |
| Number of Patients Reporting Hepatic Events | Number of patients reporting hepatic events either as adverse event (AE) or as laboratory abnormality of Grade 1 to Grade 4 in aspartate aminotransferase (AST), alanine transaminase (ALT), Gamma-Glutamyl-Transferase (Gamma-GT) and bilirubin. | up to 72 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Patients With Virologic Response at Week 24 (Viral Load <50 Copies/mL) | Virologic response is defined as confirmed Human Immunodeficiency Virus (HIV) viral load of < 50 copies/mL (at two consecutive measurements after baseline) up to week 24 and without subsequent rebound or change of anti-retroviral (ARV) therapy up to week 24. A rebound is defined as two consecutive measurements of viral load (VL) ≥ 50 copies/mL, at least two weeks apart, after two consecutive measurements of VL< 50 copies/mL. A change of ARV therapy is defined as a permanent discontinuation of nevirapine extended release, addition of new ARV drugs, or alteration in background therapy. A change in the background therapy due to toxicity or intolerance is not considered as treatment failure. If no follow-up viral load was available the virologic response is Missing. |
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Inclusion criteria:
Exclusion criteria:
Consistent with the current VIRAMUNE prolonged release SPC.
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HIV-1 infected patients
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| Name | Affiliation | Role |
|---|---|---|
| Boehringer Ingelheim | Boehringer Ingelheim | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boehringer Ingelheim Investigational Site 6 | Graz | Austria | ||||
| Boehringer Ingelheim Investigational Site 5 |
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387 patients started treatment.
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| ID | Title | Description |
|---|---|---|
| FG000 | Treatment-naive Patients | Patients who were not pretreated with HIV therapy |
| FG001 | Patients Switching From Nevirapine IR | Patients switching from nevirapine immediate release (IR). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| 24 weeks |
| Change in CD4+ Cell Count From Baseline to Week 24 | The change in the Cluster of differentiation 4 (CD4+) cell count from baseline after 24 weeks was calculated by subtracting the baseline value from the value after 24 weeks. Therefore, a positive change represents an increase in CD4+ cell count. | baseline and week 24 |
| Change in Morisky Medication Adherence Scale Score From Baseline to 24 Weeks | The Morisky Medication Adherence scale (MMAS-8 scale) is a recognized indicator of medication adherence, consisting of 8 questions with a sum score ranging between 0 and 8 points. The higher score indicates higher adherence to the prescribed therapy recommendation. It has been agreed that the score of 8 could be categorized as having high adherence, score between 6 and 7 as medium adherence and scores of 5 and less as low adherence. The change is presented as the score after 24 weeks minus the score at baseline. Therefore, a positive change score reflects an improvement in the adherence. | baseline and week 24 |
| Number of Patients Reporting Once Daily Nevirapine Intake More Convenient Than Twice Daily Formulation | The number of patients reporting that they find the once daily nevirapine intake more / very much more convenient than the twice daily formulation. | 24 weeks |
| Salzburg |
| Austria |
| Boehringer Ingelheim Investigational Site 1 | Vienna | Austria |
| Boehringer Ingelheim Investigational Site 2 | Vienna | Austria |
| Boehringer Ingelheim Investigational Site 3 | Vienna | Austria |
| Boehringer Ingelheim Investigational Site 4 | Wels | Austria |
| Boehringer Ingelheim Investigational Site 7 | Bialystok | Poland |
| Boehringer Ingelheim Investigational Site 8 | Bialystok | Poland |
| Boehringer Ingelheim Investigational Site 10 | Bydgoszcz | Poland |
| Boehringer Ingelheim Investigational Site 9 | Bydgoszcz | Poland |
| Boehringer Ingelheim Investigational Site 11 | Chorzów | Poland |
| Boehringer Ingelheim Investigational Site 12 | Chorzów | Poland |
| Boehringer Ingelheim Investigational Site 13 | Gdañsk | Poland |
| Boehringer Ingelheim Investigational Site 14 | Gdañsk | Poland |
| Boehringer Ingelheim Investigational Site 15 | Gdañsk | Poland |
| Boehringer Ingelheim Investigational Site 16 | Krakow | Poland |
| Boehringer Ingelheim Investigational Site 17 | Krakow | Poland |
| Boehringer Ingelheim Investigational Site 18 | Poznañ | Poland |
| Boehringer Ingelheim Investigational Site 19 | Wroc£aw | Poland |
| Boehringer Ingelheim Investigational Site 20 | Wroc£aw | Poland |
| Boehringer Ingelheim Investigational Site 50 | Bacau | Romania |
| Boehringer Ingelheim Investigational Site 51 | Brasov | Romania |
| Boehringer Ingelheim Investigational Site 52 | Brasov | Romania |
| Boehringer Ingelheim Investigational Site 53 | Brasov | Romania |
| Boehringer Ingelheim Investigational Site 21 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 22 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 23 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 24 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 25 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 26 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 27 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 28 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 29 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 30 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 31 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 32 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 33 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 34 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 35 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 36 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 37 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 38 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 39 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 40 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 41 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 42 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 43 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 44 | Bucharest | Romania |
| Boehringer Ingelheim Investigational Site 46 | Constanța | Romania |
| Boehringer Ingelheim Investigational Site 47 | Constanța | Romania |
| Boehringer Ingelheim Investigational Site 48 | Constanța | Romania |
| Boehringer Ingelheim Investigational Site 45 | Giurgiu | Romania |
| Boehringer Ingelheim Investigational Site 49 | PloieÅŸti | Romania |
| FG002 | Pretreated Patients, Baseline Viral Load ≤ 50 Copies/mL | Patients switching from a virologically effective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load ≤ 50 copies/mL. |
| FG003 | Pretreated Patients, Baseline Viral Load >50 Copies/mL | Patients switching from a virologically ineffective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load > 50 copies/mL. |
| FG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Patients from the Treated Set (TS): This patient set includes all HIV-1 infected patients who were dispensed Viramune® and were documented to have taken at least one dose of Viramune®and of a antiretroviral combination partner.
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| ID | Title | Description |
|---|---|---|
| BG000 | Treatment-naive Patients | Patients who were not pretreated with HIV therapy |
| BG001 | Patients Switching From Nevirapine IR | Patients switching from nevirapine immediate release (IR). |
| BG002 | Pretreated Patients, Baseline Viral Load ≤ 50 Copies/mL | Patients switching from a virologically effective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load ≤ 50 copies/mL. |
| BG003 | Pretreated Patients, Baseline Viral Load>50 Copies/mL | Patients switching from a virologically ineffective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load > 50 copies/mL. |
| BG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Gender | There are two patients with missing gender information, one in the group of the patients switching from nevirapine IR and one in the group of pretreated patients with HIV RNA>=50. | Number | 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 | ||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Patients Reporting Non-serious Adverse Events, Serious Adverse Events, and Non-serious and Serious Adverse Events Leading to Treatment Discontinuation | The primary endpoint is to evaluate the safety of a highly active antiretroviral therapy (HAART) that includes nevirapine extended release in routine clinical practice which is to assess the number of patients reporting non-serious adverse events (nSAEs), the number of patients with serious adverse events (SAE), the number of patients with non-serious adverse events leading to treatment discontinuation, and the number of patients with serious adverse events leading to discontinuation. | Patients from TS. | Posted | Number | participants | up to 72 weeks |
|
|
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Patients With Virologic Response at Week 24 (Viral Load <50 Copies/mL) | Virologic response is defined as confirmed Human Immunodeficiency Virus (HIV) viral load of < 50 copies/mL (at two consecutive measurements after baseline) up to week 24 and without subsequent rebound or change of anti-retroviral (ARV) therapy up to week 24. A rebound is defined as two consecutive measurements of viral load (VL) ≥ 50 copies/mL, at least two weeks apart, after two consecutive measurements of VL< 50 copies/mL. A change of ARV therapy is defined as a permanent discontinuation of nevirapine extended release, addition of new ARV drugs, or alteration in background therapy. A change in the background therapy due to toxicity or intolerance is not considered as treatment failure. If no follow-up viral load was available the virologic response is Missing. | Patients from the Full analysis set (FAS): This patient set includes all patients in the treated set who have analysable data in at least one efficacy endpoint. | Posted | Number | participants | 24 weeks |
| ||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in CD4+ Cell Count From Baseline to Week 24 | The change in the Cluster of differentiation 4 (CD4+) cell count from baseline after 24 weeks was calculated by subtracting the baseline value from the value after 24 weeks. Therefore, a positive change represents an increase in CD4+ cell count. | Patients from FAS with documented CD4+ at baseline and after 24 weeks. | Posted | Mean | Standard Deviation | cells/mm^3 | baseline and week 24 |
| |||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Morisky Medication Adherence Scale Score From Baseline to 24 Weeks | The Morisky Medication Adherence scale (MMAS-8 scale) is a recognized indicator of medication adherence, consisting of 8 questions with a sum score ranging between 0 and 8 points. The higher score indicates higher adherence to the prescribed therapy recommendation. It has been agreed that the score of 8 could be categorized as having high adherence, score between 6 and 7 as medium adherence and scores of 5 and less as low adherence. The change is presented as the score after 24 weeks minus the score at baseline. Therefore, a positive change score reflects an improvement in the adherence. | Patients from FAS with documented MMAS-8 score at baseline and after 24 weeks. | Posted | Mean | Standard Deviation | units on a scale | baseline and week 24 |
| |||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Patients Reporting Once Daily Nevirapine Intake More Convenient Than Twice Daily Formulation | The number of patients reporting that they find the once daily nevirapine intake more / very much more convenient than the twice daily formulation. | Patients from FAS | Posted | Number | participants | 24 weeks |
| ||||||||||||||||||||||||||||||||||||||||
| Primary | Number of Patients Reporting Rash of Any Severity | Number of patients reporting rash of any severity as adverse event | Patients TS | Posted | Number | participants | up to 72 weeks |
| ||||||||||||||||||||||||||||||||||||||||
| Primary | Number of Patients Reporting Hepatic Events | Number of patients reporting hepatic events either as adverse event (AE) or as laboratory abnormality of Grade 1 to Grade 4 in aspartate aminotransferase (AST), alanine transaminase (ALT), Gamma-Glutamyl-Transferase (Gamma-GT) and bilirubin. | Posted | Number | participants | up to 72 weeks |
|
Up to 72 weeks
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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 | Treatment-naïve Patients | Patients who were not pretreated with HIV therapy | 0 | 49 | 0 | 49 | ||
| EG001 | Patients Switching From Nevirapine IR | Patients switching from nevirapine immediate release (IR). | 2 | 246 | 0 | 246 | ||
| EG002 | Pretreated Patients, Baseline Viral Load ≤ 50 Copies/ML | Patients switching from a virologically effective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load ≤ 50 copies/mL. | 0 | 30 | 0 | 30 | ||
| EG003 | Pretreated Patients, Baseline Viral Load > 50 Copies/ML | Patients switching from a virologically ineffective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load > 50 copies/mL. | 0 | 22 | 0 | 22 | ||
| EG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. | 0 | 40 | 0 | 40 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Coronary artery disorder | Cardiac disorders | 17.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | 17.0 | Systematic Assessment |
| |
| Gastroenteritis | Gastrointestinal disorders | 17.0 | Systematic Assessment |
|
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Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Boehringer Ingelheim Call Center | Boehringer Ingelheim | 1-800-243-0127 | clintriage.rdg@boehringer-ingelheim.com |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| 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 |
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| Male |
|
| Patients with serious adverse events |
|
| Patients with nSAEs leading to discontinuation |
|
| Patients with SAEs leading to discontinuation |
|
Patients switching from a virologically effective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load ≤ 50 copies/mL. |
| OG003 | Pretreated Patients, Baseline Viral Load >50 Copies/mL | Patients switching from a virologically ineffective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load > 50 copies/mL. |
| OG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. |
|
|
| OG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. |
|
|
| OG003 | Pretreated Patients, Baseline Viral Load >50 Copies/mL | Patients switching from a virologically ineffective treatment regimen (i.e. due to intolerance) other than nevirapine IR, with a baseline viral load > 50 copies/mL. |
| OG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. |
|
|
| OG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. |
|
|
| Patients With Baseline Viral Load Not Documented |
Patients with no documented information about the baseline viral load. |
|
|
| OG004 | Patients With Baseline Viral Load Not Documented | Patients with no documented information about the baseline viral load. |
|
|