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AzTrials

HIV InfectionsPhase 3NCT00389207

Nevirapine or Atazanavir/Ritonavir Given With Emtricitabine/Tenofovir in Human Immunodeficiency Virus (HIV)-1-infected Treatment Naive Adults

A Phase 3 study testing nevirapine bid, nevirapine qd and atazanavir in people with HIV Infections, run by Boehringer Ingelheim at 68 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Primary purpose of this study is to compare the efficacy and safety of two different nevirapine (Viramune) dosing regimens (once daily (QD) and twice daily (BID) application) and of atazanavir/ritonavir (Reyataz/Norvir), all on an emtricitabine/tenofovir disoproxil fumarate (DF) (Truvada) background. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV Infections
What is being tested?
nevirapine bid, nevirapine qd and atazanavir
Could I receive a placebo?
No, everyone receives an active treatment
How many people
576 participants
Where
68 sitesin 10 countries
Study dates
Oct 2006to Feb 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent in accordance with Good Clinical Practice (GCP) and local regulatory requirements prior to trial participation
  • HIV-1-infected males or females >= 18 years of age with positive serology confirmed by Western blot
  • No previous antiretroviral treatment (of more than 7 days)
  • Males with CD4+ counts of < 400 cells/mm3 and females with CD4+ counts of < 250 cells/mm3
  • NVP- and ATZ/r susceptibility based on HIV-1 genotypic resistance report
  • Adequate renal function defined as a calculated creatinine clearance (CLCr) >= 50 ml/min according to the Cockcroft-Gault formula
  • Karnofsky score >= 70
  • Acceptable medical history, as assessed by the investigator

Who cannot join

  • Active drug abuse or chronic alcoholism at the investigator's discretion
  • Hepatic cirrhosis stage Child-Pugh B or C
  • Female patients of child-bearing potential who:
  • have a positive serum pregnancy test at screening or during the study,
  • are breast feeding,
  • are planning to become pregnant,
Show all 17Show fewer
  • are not willing to use a barrier method of contraception, or are not willing to use methods of contraception other than ethinyl estradiol containing oral contraceptives
  • Laboratory parameters Division of Acquired Immunodeficiency Syndrome (DAIDS) > grade 2 (triglycerides > DAIDS grade 3; total cholesterol no restrictions)
  • Active hepatitis B or C disease, defined as HBsAg-positive or Hepatitis C-Virus-Ribo Nucleic Acid (HCV-RNA)- positive with Aspartate Transaminase/Alanine Transaminase (AST/ALT) > 2.5x Upper Limit of Normal (ULN) (DAIDS grade 1)
  • Hypersensitivity to any ingredients of the test products
  • Have therapy with nephrotoxic drugs (e.g., aminoglycosides, amphotericin B, vancomycin, cidofovir, foscarnet, cisplatin, pentamidine, tacrolimus, cyclosporine) or potential competitors of renal excretion (e.g., cidofovir, acyclovir, valacyclovir, ganciclovir, valganciclovir, probenecid, high-dose non-steroidal anti-inflammatory drugs (i.e., ibuprofen)) within 3 months prior to study screening or are expected to receive these during the study
  • Patients who are receiving other concomitant treatments which are not permitted
  • Use of other investigational medications within 30 days before study entry or during the trial
  • Use of immunomodulatory drugs within 30 days before study entry or during the trial (e.g., interferon, cyclosporin, hydroxyurea, interleukin 2, chronic treatment with prednisone)
  • Patients with Progressive Multifocal Leukoencephalopathy (PML), Visceral Kaposi's Sarcoma (KS), and/or any lymphoma
  • Any AIDS defining illness that is unresolved, symptomatic or not stable on treatment for at least 12 weeks at screening visit
  • Patients who are receiving systemic treatment for malignant disease

Trial locations and contacts

68 sites in 10 countries.

68 sites in 10 countries

Germany17 sites
  • 1100.1470.49001 Boehringer Ingelheim Investigational Site

    Berlin

  • 1100.1470.49002 Boehringer Ingelheim Investigational Site

    Berlin

  • 1100.1470.49003 Boehringer Ingelheim Investigational Site

    Bochum

  • 1100.1470.49018 Boehringer Ingelheim Investigational Site

    Bonn

  • 1100.1470.49014 Boehringer Ingelheim Investigational Site

    Düsseldorf

  • 1100.1470.49008 Boehringer Ingelheim Investigational Site

    Erlangen

  • 1100.1470.49035 Boehringer Ingelheim Investigational Site

    Frankfurt

  • 1100.1470.49036 Boehringer Ingelheim Investigational Site

    Frankfurt am Main

  • 1100.1470.49033 Boehringer Ingelheim Investigational Site

    Freiburg/Breisgau

  • 1100.1470.49016 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1100.1470.49031 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1100.1470.49037 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1100.1470.49020 Boehringer Ingelheim Investigational Site

    Hanover

  • 1100.1470.49038 Boehringer Ingelheim Investigational Site

    Magdeburg

  • 1100.1470.49034 Boehringer Ingelheim Investigational Site

    München

  • 1100.1470.49000 Boehringer Ingelheim Investigational Site

    Ulm

  • 1100.1470.49032 Boehringer Ingelheim Investigational Site

    Würzburg

Other trials in Germany

Spain14 sites
  • 1100.1470.34013 Boehringer Ingelheim Investigational Site

    Alcalá de Henares (Madrid)

  • 1100.1470.34008 Boehringer Ingelheim Investigational Site

    Badalona

  • 1100.1470.34002 Boehringer Ingelheim Investigational Site

    Barcelona

  • 1100.1470.34003 Boehringer Ingelheim Investigational Site

    Barcelona

  • 1100.1470.34004 Boehringer Ingelheim Investigational Site

    Donostia / San Sebastian

  • 1100.1470.34009 Boehringer Ingelheim Investigational Site

    L'Hospitalet de Llobregat

  • 1100.1470.34010 Boehringer Ingelheim Investigational Site

    Madrid

  • 1100.1470.34012 Boehringer Ingelheim Investigational Site

    Madrid

  • 1100.1470.34014 Boehringer Ingelheim Investigational Site

    Madrid

  • 1100.1470.34015 Boehringer Ingelheim Investigational Site

    Madrid

  • 1100.1470.34019 Boehringer Ingelheim Investigational Site

    Málaga

  • 1100.1470.34007 Boehringer Ingelheim Investigational Site

    Sabadell (Barcelona)

  • 1100.1470.34006 Boehringer Ingelheim Investigational Site

    Santa Cruz de Tenerife

  • 1100.1470.34011 Boehringer Ingelheim Investigational Site

    Vigo

Other trials in Spain

Italy8 sites
  • 1100.1470.39001 Boehringer Ingelheim Investigational Site

    Bergamo

  • 1100.1470.39003 Boehringer Ingelheim Investigational Site

    Bologna

  • 1100.1470.39012 Ospedale Sant'Anna

    Como

  • 1100.1470.39006 Boehringer Ingelheim Investigational Site

    Ferrara

  • 1100.1470.39010 Boehringer Ingelheim Investigational Site

    Lecco

  • 1100.1470.39004 Boehringer Ingelheim Investigational Site

    Torino

  • 1100.1470.39009 Boehringer Ingelheim Investigational Site

    Torrette Di Ancona

  • 1100.1470.39007 Boehringer Ingelheim Investigational Site

    Varese

Other trials in Italy

Mexico6 sites
  • 1100.1470.55006 Boehringer Ingelheim Investigational Site

    Aguascalientes

  • 1100.1470.55004 Boehringer Ingelheim Investigational Site

    Col Obregón

  • 1100.1470.55008 Boehringer Ingelheim Investigational Site

    Col. Los Filtros, San Luis Potosí

  • 1100.1470.55001 Boehringer Ingelheim Investigational Site

    Col. Toriello Guerra

  • 1100.1470.55007 Boehringer Ingelheim Investigational Site

    Guadalajara Jal.

  • 1100.1470.55003 Boehringer Ingelheim Investigational Site

    Tlalpan-México D,F

Other trials in Mexico

United Kingdom6 sites
  • 1100.1470.44004 Boehringer Ingelheim Investigational Site

    Birmingham

  • 1100.1470.44001 Boehringer Ingelheim Investigational Site

    London

  • 1100.1470.44002 Boehringer Ingelheim Investigational Site

    London

  • 1100.1470.44005 Boehringer Ingelheim Investigational Site

    London

  • 1100.1470.44006 Boehringer Ingelheim Investigational Site

    London

  • 1100.1470.44003 Boehringer Ingelheim Investigational Site

    Manchester

Other trials in United Kingdom

Argentina4 sites
  • 1100.1470.54004 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 1100.1470.54002 Boehringer Ingelheim Investigational Site

    Córdoba

  • 1100.1470.54003 Boehringer Ingelheim Investigational Site

    Mar del Plata

  • 1100.1470.54001 Boehringer Ingelheim Investigational Site

    Rosario

Other trials in Argentina

Poland4 sites
  • 1100.1470.48003 Boehringer Ingelheim Investigational Site

    Bydgoszcz

  • 1100.1470.48001 Boehringer Ingelheim Investigational Site

    Chorzów

  • 1100.1470.48002 Boehringer Ingelheim Investigational Site

    Szczecin

  • 1100.1470.48004 Boehringer Ingelheim Investigational Site

    Warsaw

Other trials in Poland

Switzerland4 sites
  • 1100.1470.41004 Boehringer Ingelheim Investigational Site

    Bern

  • 1100.1470.41001 Boehringer Ingelheim Investigational Site

    Lugano

  • 1100.1470.41003 Boehringer Ingelheim Investigational Site

    Sankt Gallen

  • 1100.1470.41002 Boehringer Ingelheim Investigational Site

    Zurich

Other trials in Switzerland

Portugal3 sites
  • 1100.1470.35102 Boehringer Ingelheim Investigational Site

    Cascais

  • 1100.1470.35101 Boehringer Ingelheim Investigational Site

    Lisbon

  • 1100.1470.35103 Boehringer Ingelheim Investigational Site

    Porto

Other trials in Portugal

Romania2 sites
  • 1100.1470.40001 Boehringer Ingelheim Investigational Site

    Bucharest

  • 1100.1470.40002 Boehringer Ingelheim Investigational Site

    Bucharest

Other trials in Romania

About this study

Official title: Randomized, Open Label Study Evaluating the Lipid Profile Difference and Efficacy of a Combined Therapy Including Tenofovir, Emtricitabine + Atazanavir / r or NVP in Naive HIV - 1 Infected Patients.

Primary purpose of this study is to compare the efficacy and safety of two different nevirapine (Viramune) dosing regimens (once daily (QD) and twice daily (BID) application) and of atazanavir/ritonavir (Reyataz/Norvir), all on an emtricitabine/tenofovir disoproxil fumarate (DF) (Truvada) background. Patients will receive either nevirapine (NVP) 200 mg twice daily, or NVP 400 mg once daily , or ritonavir-boosted atazanavir (ATZ/r), all in combination with emtricitabine (FTC) and tenofovir DF (TDF).

All patients receiving NVP will start at 200 mg once daily for 2 weeks, because it has been demonstrated that this lead-in dosing regimen reduces the frequency of NVP-induced rash. At Visit 3 (Week 2), patients increase the NVP dose to either 200 mg twice daily or to 400 mg once daily. Patients receiving ATZ/r will be treated with ATZ 300 mg once daily, boosted by 100 mg ritonavir (RTV) once daily. Background antiretroviral therapy for all patients consists of one tablet of Truvada. Treatment duration is 48 weeks (primary endpoint) with an extension to 144 weeks. Patients may also participate in the metabolic sub-study, comparing NVP and ATZ/r for signs and symptoms of lipodystrophy and serum lipid/glycaemic abnormalities.

Conditions
HIV Infections
Being tested
nevirapine bid, nevirapine qd, atazanavir
Medical subject headings
HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • nevirapine bidDrug

    nevirapine twice daily

  • nevirapine qdDrug

    nevirapine once daily

  • atazanavirDrug

    atazanavir once daily

Study groups in NCT00389207
Study groupRoleWhat they receive
NVP bidActive comparatornevirapine (NVP) 200 mg BID in combination with emtricitabine (FTC) and tenofovir DF (TDF)
Receives: Drug: nevirapine bid
NVP qdExperimentalnevirapine (NVP) 400 mg QD in combination with emtricitabine (FTC) and tenofovir DF (TDF)
Receives: Drug: nevirapine qd
ATZ/rActive comparatorritonavir-boosted atazanavir in combination with emtricitabine (FTC) and tenofovir DF (TDF)
Receives: Drug: atazanavir

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Treatment Response at Week 48

    Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 48 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 48.

    Measured: From baseline to Week 48

Secondary outcomes (33)
  1. Treatment Response at Week 48 (TLOVR Algorithm)

    Treatment response is defined as a VL <50 copies/mL measured at two consecutive visits up to Week 48 and without subsequent rebound or change of ARV therapy up to Week 48, based on time to loss of virologic response (TLOVR) algorithm, as a sensitivity analysis for the primary analysis.

    Measured: From baseline to Week 48

  2. Proportion of Patients With VL < 50 Copies/ml

    VL <50 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT) for the patient

    Measured: From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT

  3. Proportion of Patients With VL < 400 Copies/ml

    VL <400 copies/mL among observed patients on treatment at each visit, with the final visit at Week 144 or end of trial (EOT)

    Measured: From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT

  4. Change in CD4+ Count From Baseline

    Change in CD4+ cell count from baseline among patients on treatment at each visit, with the final visit at Week 144 or EOT

    Measured: From baseline to Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132 and 144/EOT

  5. Change in Framingham Score From Baseline

    Change in the estimated risk of cardiovascular disease using the Framingham algorithm from baseline to after 48, 96 and 144 weeks, last observation carried forward (LOCF). The score is based on age, gender, systolic blood pressure, total cholesterol, high density lipoprotein cholesterol and smoking status. Scores range from 0 to 21 with higher scores indicating a greater risk.

    Measured: From baseline to Weeks 48, 96 and 144/EOT

  6. Change in Mental Health Summary (MHS) Score From Baseline

    Quality of life (QoL) assessment by change in MHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the Medical Outcomes Study HIV Health Survey (MOS-HIV), a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The MHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL.

    Measured: From baseline to Weeks 48, 96 and 144/EOT

  7. Change in Physical Health Summary (PHS) Score From Baseline

    QoL assessment by change in PHS score from baseline to after 48, 96 and 144 weeks (observed cases), from the MOS-HIV, a 35-item self-administered questionnaire including 10 scales covering: health perceptions, pain, physical functioning, role functioning, social and cognitive functioning, mental health, energy/fatigue, health distress, and QoL. The PHS is a weighted average of the 10 scales and ranges from 0 to 100 with higher scores indicating better QoL.

    Measured: From baseline to Weeks 48, 96 and 144/EOT

  8. Number of Patients Hospitalized

    Cost effectiveness assessment by number of patients hospitalized

    Measured: From baseline to Week 24, Week 24 to 48, Week 48 to 96, and Week 96 to 144/EOT

  9. Non-scheduled Physician Visits

    Cost effectiveness assessment by number of patients with non-scheduled physician visits

    Measured: From baseline to Week 24, Week 24 to 48, Week 48 to 96, and Week 96 to 144/EOT

  10. Genotypic Resistance Associated With Virologic Failure

    Number of treatment-emergent drug-associated substitutions in patients with virological failure up to Week 48. The total number of genotypic mutations in those patients who were virologic failures is given, not the number of patients with mutations.

    Measured: From baseline to Week 48

  11. Treatment-emergent AIDS-defining Illness

    Treatment-emergent AIDS-defining illness (tr.-emerg. AIDS-def.illness) including worsening during treatment

    Measured: From baseline to Week 144

  12. Treatment-emergent AIDS-defining Illness Leading to Death

    Patients with an AIDS-defining illness leading to death broken out by treatment. Statistical analysis shows time to death from AIDS-defining illness.

    Measured: From baseline to Week 144

  13. Lipodystrophy

    Number of patients with AE lipodystrophy

    Measured: From baseline to Week 144

  14. Serum Lipid Abnormalities

    Number of patients with AE elevated serum lipids (i.e. hypercholesterolaemia)

    Measured: From baseline to Week 144

  15. Glycaemic Abnormalities

    Number of patients with AE elevated serum glucose

    Measured: From baseline to Week 144

  16. Treatment Response at Week 96

    Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 96 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 96.

    Measured: From baseline to Week 96

  17. Treatment Response at Week 144

    Treatment response is defined as a viral load (VL) <50 copies/mL measured at two consecutive visits prior to Week 144 and without subsequent rebound or change of antiretroviral (ARV) therapy prior to Week 144.

    Measured: From baseline to Week 144

  18. Proportion of Patients With Virological Rebound With VL >=50 Copies/mL After CVR (Confirmed Virological Response) at Week 24, 48, 96, 144

    The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL)

    Measured: at Week 24, 48, 96, 144

  19. Proportion of Patients With Virological Rebound With VL >=400 Copies/mL After CVR at Week 24, 48, 96, 144

    The analyses of virologic rebound were performed on the original values at each visit(ORGV) rather than calculated results within time windows (CAL)

    Measured: at Week 24, 48, 96, 144

  20. Proportion of Patients With Virologic Failure at Week 48, 96, 144

    Measured: at Week 48, 96, 144

  21. Time to Treatment Response (First Confirmed VL<50 Copies/mL)

    Time to treatment response was defined as the time from start of treatment until the first measurement of the first confirmed virological response

    Measured: baseline to week 144

  22. Time to Loss of Virologic Response (Rebound)

    Time to loss of virologic response (TLOVR) was defined as the time from start of treatment to the first measurement showing VL ≥ 50 copies/mL in the first virologic rebound, after having a confirmed virological response.

    Measured: Baseline to week 144

  23. Time to Treatment Failure

    Treatment failure is defined as the occurrence of the first of at least one of the following events: early discontinuation of trial drug, change in ARV therapy, failure to achieve an HIV RNA count < 50 copies/mL up to Visit 10 (week 48) or loss of virologic response

    Measured: baseline to week 144

  24. Change in the Calculated Glomerular Filtration Rate (GFR) at Week 48, 96 and 144

    Calculations based on the MDRD algorithm.

    Measured: From baseline to Week 48, 96, 144

  25. Proportion of Patients With >= DAIDS Grade 2 Laboratory Abnormalities

    Measured: week 148

  26. Proportion of Patients Reporting Rash of Any Severity

    Proportion of Patients reporting rash of any severity

    Measured: week 148

  27. Proportion of Patients Reporting Hepatic Events of Any Severity

    Proportion of Patients reporting hepatic events of any severity

    Measured: week 148

  28. Proportion of Patients Reporting CNS (Central Nervous System) Side Effects of Any Severity

    Proportion of Patients reporting CNS (central nervous system) side effects of any severity

    Measured: week 148

  29. Change of Cholesterol Values From Baseline to Week 48, 96, 144

    Changes frombaseline in total cholesterol, LDL-cholesterol(LDL-c) and HDL

    Measured: baseline to week 48, 96, 144

  30. Changes of Apolipoprotein Values From Baseline to Week 48, 96, 144

    Changes frombaseline apolipoprotein A1 \& B

    Measured: baseline to week 48, 96, 144

  31. Change of hsCRP From Baseline to Week 48, 96, 144

    Change of hsCRP from baseline to week 48, 96, 144

    Measured: baseline to week 48, 96, 144

  32. Change of Total Triglycerides From Baseline to Week 48, 96, 144

    Change of total triglycerides from baseline to week 48, 96, 144

    Measured: baseline to week 48, 96, 144

  33. Change of Total Cholesterol to HDL-cholesterol Ratio From Baseline to Week 48, 96, 144

    Change of Total cholesterol to HDL-cholesterol ratio from baseline to week 48, 96, 144

    Measured: baseline to week 48, 96, 144

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2006 (estimated)
  2. Study startOct 2006
  3. Primary completionFeb 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
576 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00389207
Sponsor's protocol ID
1100.1470
Other IDs
2005-004330-40, 2005
Status last verified
Dec 2013
First submitted
17 Oct 2006
Last updated
27 Jan 2014

Publications

  • Seclen E, Soriano V, Gonzalez MM, Martin-Carbonero L, Gellermann H, Distel M, Kadus W, Poveda E. Impact of baseline HIV-1 tropism on viral response and CD4 cell count gains in HIV-infected patients receiving first-line antiretroviral therapy. J Infect Dis. 2011 Jul 1;204(1):139-44. doi: 10.1093/infdis/jir218.

    PubMed 21628668
  • Soriano V, Arasteh K, Migrone H, Lutz T, Opravil M, Andrade-Villanueva J, Antunes F, Di Perri G, Podzamczer D, Taylor S, Domingo P, Gellermann H, de Rossi L; ARTEN investigators. Nevirapine versus atazanavir/ritonavir, each combined with tenofovir disoproxil fumarate/emtricitabine, in antiretroviral-naive HIV-1 patients: the ARTEN Trial. Antivir Ther. 2011;16(3):339-48. doi: 10.3851/IMP1745.

    PubMed 21555816

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing nevirapine bid, nevirapine qd and atazanavir in people with HIV Infections, run by Boehringer Ingelheim at 68 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 68 sites in Germany, Spain, Italy, Mexico, United Kingdom and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Mar 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Treatment Response at Week 48 (time frame: From baseline to Week 48). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00389207, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2014.

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