NCT03178084

Brief Summary

A low CD4/CD8 ratio is considered a surrogate marker of immunosenescence and is an independent predictor of non-AIDS-related morbidity and mortality. Given the strong clinical implications the impact of different regimens on the CD4/CD8 ratio recovery needs to be analyzed. The MERIT study is a completed a randomized, double-blind, multicenter phase IIb/III study with an open-label extension phase (240-week follow-up) to assess the efficacy of zidovudine/lamivudine in combination with maraviroc (MVC) or efavirenz (EFV) in treatment-naïve patients. Anonymised patient level data of the MERIT trial to compare the trajectories of the CD4/CD8 ratio of participants treated with maraviroc vs. efavirenz will be used.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
721

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Oct 2014

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 15, 2014

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 5, 2016

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 7, 2017

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

April 7, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

June 6, 2017

Completed
Last Updated

September 13, 2023

Status Verified

June 1, 2017

Enrollment Period

2.1 years

First QC Date

April 7, 2017

Last Update Submit

September 12, 2023

Conditions

Keywords

HIVCD4/CD8 ratioimmune recoverymaravirocefavirenz

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in CD4/CD8 ratio

    From baseline to week 120

Secondary Outcomes (2)

  • Change From Baseline in CD8+ T cells

    From baseline to week 120

  • Change From Baseline in CD4/CD8 ratio

    From baseline to week 120

Study Arms (3)

Maraviroc (UK-427,857) QD + Zidovudine/Lamivudine BID

EXPERIMENTAL

Maraviroc (UK-427,857) 300 mg once daily added to Zidovudine/Lamivudine (300 mg/150 mg twice daily). Following a review of the interim analysis data, the DSMB recommended to terminate the UK-427,857 300 mg QD arm based on pre-specified protocol non-inferiority criteria not being met for the QD arm versus efavirenz

Drug: Maraviroc (UK-427,857) QD + Zidovudine/Lamivudine BID

Efavirenz QD + Zidovudine/Lamivudine BID

ACTIVE COMPARATOR

Efavirenz (600 mg once daily) added to Zidovudine/Lamivudine (300 mg/150 mg twice daily

Drug: Efavirenz QD + Zidovudine/Lamivudine BID

Maraviroc (UK-427,857) BID + Zidovudine/Lamivudine BID

EXPERIMENTAL

Maraviroc (UK-427,857) 300 mg twice daily added to Zidovudine/Lamivudine (300 mg/150 mg twice daily)

Drug: Maraviroc (UK-427,857) BID + Zidovudine/Lamivudine QD

Interventions

maraviroc (UK-427,857) 300 mg once daily added to zidovudine/lamivudine (300 mg/150 mg twice daily

Maraviroc (UK-427,857) QD + Zidovudine/Lamivudine BID

efavirenz (600 mg once daily) added to zidovudine/lamivudine (300 mg/150 mg twice daily)

Efavirenz QD + Zidovudine/Lamivudine BID

maraviroc (UK-427,857) 300 mg twice daily added to zidovudine/lamivudine (300 mg/150 mg twice daily

Maraviroc (UK-427,857) BID + Zidovudine/Lamivudine BID

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
All patients analysed in the Merit trial (Cooper, JAIDS 2010)

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome

Interventions

MaravirocZidovudineBID protein, human

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesSlow Virus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Intervention Hierarchy (Ancestors)

CyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsTriazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsThymidinePyrimidine NucleosidesPyrimidinesDideoxynucleosidesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor)
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 7, 2017

First Posted

June 6, 2017

Study Start

October 15, 2014

Primary Completion

November 5, 2016

Study Completion

March 7, 2017

Last Updated

September 13, 2023

Record last verified: 2017-06

Data Sharing

IPD Sharing
Will not share