Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Rilpivirine · 10 trials · 7 indications
Percentage of Participants with viral load (plasma HIV-1 RNA levels) less than 400 copies per mL at Week 48, obtained by the modified Food and Drug Administration (FDA) Snapshot method.
An AE can be any unfavorable and unintended sign (including an abnormal finding), symptom, or disease temporally associated with the use of a medicinal (investigational or non investigational) product, whether or not related to that medicinal (investigational or non investigational) product.
Number of participants with grade 3/4 events of rash irrespective of causality were assessed. A grade 3 rash defined as diffuse macular, maculopapular or morbilliform rash with vesicles or limited number of bullae or; rash with superficial ulcerations of mucous membranes limited to 1 anatomical site or; rash with at least one of the following: elevations in aspartate aminotransferase (AST)/alanine aminotransferase (ALT) more than 2\*baseline value and at least 5 times upper limit of normal; fever greater than (\>) 38 degree celsius or 100 degree fahrenheit; eosinophils \> 1000/millimeter (mm)\^3; serum sickness-like reaction. A grade 4 rash defined as the following: extensive or generalized bullous lesions or; Stevens-Johnsons Syndrome (SJS) or ulceration of mucous membrane involving 2 or more distinct mucosal sites or toxic epidermal necrolysis.
AUC(0-24h) was defined the area under the plasma concentration-time curve from time of administration up to 24 hours postdose of rilpivirine. As planned, data was not summarized for arms where number of participants analyzed was less than 3. Only individual participant data was available and reported in this outcome measure. Out of the 2 participants weighing \<20 kg who received rilpivirine 15 mg, 1 participant switched to rilpivirine 12.5 mg group after the first 4 weeks. This participant was counted in the \<20 kg rilpivirine 12.5 mg group for the pharmacokinetic assessments, hence the number of participants analyzed for this outcome measure in this arm are exceeding the participants that started this arm. As per protocol, the intensive PK samples were collected at anytime during Day 28 to Day 32 after first dose at the specified dose regimen.
AUC(0-24h) was defined the area under the plasma concentration-time curve from time of administration up to 24 hours postdose of rilpivirine. As per protocol, the intensive PK samples were collected at anytime during Day 28 to Day 32 after first dose at the specified dose regimen.
AUC(0-24h) was defined the area under the plasma concentration-time curve from time of administration up to 24 hours postdose of rilpivirine. As per protocol, the intensive PK samples were collected at anytime during Day 28 to Day 32 after first dose at the specified dose regimen.
AUC(0-24h) was defined the area under the plasma concentration-time curve from time of administration up to 24 hours postdose of rilpivirine. As planned, data was not summarized for arms where number of participants analyzed was less than 3. Only individual participant data was available and reported in this outcome measure. As per protocol, the intensive PK samples were collected at anytime during Day 28 to Day 32 after first dose at the specified dose regimen.
Evaluation of long term safety of the treatment with RPV with a background regimen. An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Number of participants with AEs leading to discontinuation will be reported. An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Number of participants with SAEs will be reported. An SAE is any adverse event (AE) that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.
Number of participants with pregnancies will be reported.
Number of participants with grade 3/4 rash regardless of causality will be reported.
Cmax,ss was the maximum observed plasma concentration of rilpivirine at steady state (steady state starting from Day 14).
Cmax,ss was the maximum plasma concentration of rilpivirine at steady state (steady state starting from Day 14). In the below data table, the measure type "Number" corresponds to Cmax,ss concentration.
AUC24,ss was defined as the area under the plasma concentration versus time curve from time 0 to 24 hours post dosing of rilpivirine at steady state (steady state starting from Day 14).
AUC24,ss was defined as the area under the plasma concentration versus time curve from time 0 to 24 hours post dosing of rilpivirine at steady state (steady state starting from Day 14). In the below data table, the measure type "Number" corresponds to AUC24, ss concentration.
The Cmax is the maximum observed plasma concentration.
The AUC (0-d28) is the area under the plasma concentration-time curve from time of administration up to Day 28 postdose.
The AUC (0-last) is the area under the plasma concentration-time curve from time zero to last quantifiable time.
The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant.
The Cmax is the maximum observed plasma concentration.
The AUC (0-last) is the area under the plasma concentration-time curve from time zero to last quantifiable time.
The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant.
The AUC (0-d28) is the area under the plasma concentration-time curve for rilpivirine from time zero to day 28.
AUC extrapolated to infinity, calculated as AUClast + Clast/apparent terminal elimination rate constant, where Clast is the last measurable plasma analyte concentration; extrapolations of more than 20 percent of the total AUC are reported as approximations.
Apparent terminal elimination rate constant will be estimated by linear regression using the terminal log-linear phase of the logarithmic transformed conentration versus time data.
Pharmacokinetics of different dosing regimens of rilpivirine in combination with rifabutin, at steady-state will be evaluated.
| Arm | Type | Description |
|---|---|---|
| Group 1 | EXPERIMENTAL | Patients will receive fixed dose combination (FDC) tablet of tenofovir disoproxil fumarate/emtricitabine/rilpivirine with a meal, until Week 48. |
| Group 2 | ACTIVE_COMPARATOR | Patients will receive FDC tablet of tenofovir disoproxil fumarate/emtricitabine /efavirenz on an empty stomach at bedtime, until Week 48. |
| Rilpivirine | EXPERIMENTAL | Rilpivirine 25 mg once daily |
| Rilpivirine (RPV) (25 mg or adjusted weight-based dose) | EXPERIMENTAL | Participants will receive rilpivirine (RPV 25 milligram \[mg\], adjusted weight-based dose) orally once daily in combination with an investigator selected background regimen (that is investigator-selected antiretrovirals \[ARVs\] such as nucleoside/nucleotide reverse transcriptase inhibitor \[N{t}RTIs\] and integrase inhibitors) for 48 weeks. |
| Rilpivirine (TMC278) | EXPERIMENTAL | The patients received rilpivirine with 2 nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) as a background regimen in cohort 1 \[aged greater than or equal to (\> =) 12 to less than (\<) 18 years\] for up to 240 weeks which is already completed and recruitment closed and will receive this treatment in cohort 2 (children aged \> = 6 to \< 12 years) for up to 48 weeks. The NRTIs include zidovudine, abacavir, or tenofovir disoproxil fumarate in combination with lamivudine or emtricitabine. |
| Cohort 1-RPV LA: Treatment B | EXPERIMENTAL | Participants will receive single dose of 25 milligram (mg) rilpivirine (RPV) as an oral solution on Day 1 in Session 1 and Treatment B containing a single intramuscular (IM) injection of 600 mg rilpivirine long-acting parenteral formulation (RPV LA) \[with different particle size distribution (PSD) as compared to Treatment A, D, C and E\] on Day 1 of session 2. Both the sessions are separated by a wash-out Period of at least 14 days. |
| Cohort 1-RPV LA: Treatment D | EXPERIMENTAL | Participants will receive single dose of 25 mg rilpivirine (RPV) as an oral solution on Day 1 in Session 1 and Treatment D containing a single IM injection of 600 mg RPV LA \[with different PSD as compared to Treatment A, B, C and E) on Day 1 of session 2. Both the sessions are separated by a wash-out Period of at least 14 days. |
| Cohort 2-RPV LA: Treatment A | EXPERIMENTAL | Participants will receive single dose of 25 mg rilpivirine (RPV) as an oral solution on Day 1 in Session 1 and Treatment A containing a single IM injection of 600 mg RPV LA \[with different PSD as compared to Treatment B, C, D and E\] on Day 1 of session 2. Both the sessions are separated by a wash-out Period of at least 14 days. |
| Cohort 2-RPV LA: Treatment C | EXPERIMENTAL | Participants will receive single dose of 25 mg rilpivirine (RPV) as an oral solution on Day 1 in Session 1 and Treatment C containing a single IM injection of 600 mg RPV LA \[with different PSD as compared to Treatment A, B, D and E\] on Day 1 of session 2. Both the sessions are separated by a wash-out Period of at least 14 days. |
| Cohort 2-RPV LA: Treatment E | EXPERIMENTAL | Participants will receive single dose of 25 mg rilpivirine (RPV) as an oral solution on Day 1 in Session 1 and Treatment E containing a single IM injection of 600 mg RPV LA \[with different PSD as compared to Treatment A, B, C and D\] on Day 1 of session 2. Both the sessions are separated by a wash-out Period of at least 14 days. |
| Panel 1: Group 1 | EXPERIMENTAL | Participants will receive Treatment A (25 milligram \[mg\] rilpivirine \[RPV\] formulated as the oral tablet under fed condition \[standardized breakfast\]) followed by Treatment D (25 mg RPV formulated as granules formulation G002 \[10 g of 2.5 mg/g granules, dispersed in water\] under fed \[standardized breakfast\]) followed by Treatment B (25 mg RPV formulated as dispersible tablet formulation G007 \[10\*2.5 mg tablets, dispersed in water\] under fed condition) followed by Treatment C (25 mg RPV formulated as dispersible tablet formulation G009-01 \[10\*2.5 mg tablets, dispersed in water\] under fed condition). |
| Panel 1: Group 2 | EXPERIMENTAL | Participants will receive treatment B followed by treatment A then treatment C followed by treatment D. |
| Panel 1: Group 3 | EXPERIMENTAL | Participants will receive treatment C followed by treatment B then treatment D followed by treatment A. |
| Panel 1: Group 4 | EXPERIMENTAL | Participants will receive treatment D followed by treatment C then treatment A followed by treatment B. |
| Panel 2: Group 1 | EXPERIMENTAL | Participants will receive Treatment E (25 mg RPV formulated as dispersible tablet formulation G007 or G009-01 or as granules formulation G002 \[10\*2.5 mg tablets or 10 g of 2.5 mg/g granules, dispersed in water\] under fed \[standardized breakfast\] condition) followed by Treatment H (25 mg RPV formulated as dispersible tablet formulation G007 or G009-01 or as granules formulation G002 \[10\*2.5 mg tablets or 10 g of 2.5 mg/g granules, dispersed in water\] under fed \[yoghurt\] condition) followed by Treatment F (25 mg RPV formulated as dispersible tablet formulation G007 or G009-01 or as granules formulation G002 \[10\*2.5 mg tablets or 10 g of 2.5 mg/g granules, dispersed in water\] under fasted condition) followed by Treatment G (25 mg RPV formulated as dispersible tablet formulation G007 or G009-01 or as granules formulation G002 \[10\*2.5 mg tablets or 10 g of 2.5 mg/g granules, dispersed in water\] under fed \[standardized breakfast\] condition). |
| Panel 2: Group 2 | EXPERIMENTAL | Participants will receive Treatment F followed by Treatment E then Treatment G followed by Treatment H. |
| Panel 2: Group 3 | EXPERIMENTAL | Participants will receive Treatment G followed by Treatment F then Treatment H followed by Treatment E. |
| Panel 2: Group 4 | EXPERIMENTAL | Participants will receive Treatment H followed by Treatment G then Treatment E followed by Treatment F. |
| Rilpivirine Long-Acting Parenteral Formulation (RPV-LA) | EXPERIMENTAL | Participants will receive oral tablet of rilpivirine 25 milligram (mg) once on Day 1 of session 1 and intramuscular (IM) injection of rilpivirine long-acting parenteral formulation 600 mg once on day 1 of session 2. |
| Aged RPV-LA | EXPERIMENTAL | Participants will receive oral tablet of rilpivirine 25 milligram (mg) once on Day 1 of session 1 and IM injection of aged rilpivirine long-acting parenteral formulation 600 mg once on day 1 of session 2. |
| Rilpivirine+Metformin | EXPERIMENTAL | All participants will receive study medications in two sessions in a fixed, sequential order as a session 1 (a single dose of metformin on Day 1) followed by washout period (period when no treatment is received) of 4 days and then session 2 (rilpivirine on Day 5 to Day 17 with a single dose of metformin on Day 15). |
| Treatment A | EXPERIMENTAL | Rilpivirine 25 mg once daily will be administered for 11 days |
| Treatment B | EXPERIMENTAL | Rilpivirine 50 mg once daily will be administered for 11 days and rifabutin 300 mg once daily will be administered for 17 days |
| Treatment C | EXPERIMENTAL | Rilpivirine (in a regimen to be determined based on an interim pharmacokinetic analysis of treatment A and B) will be administered for 11 days and rifabutin 300 mg once daily will be administered for 17 days. |
| Name | Type | Description |
|---|---|---|
| Rilpivirine | DRUG | Type=exact number, unit=mg, number=25, form=tablet, route=oral. Rilpivirine will be administered in a fixed dose combination along with tenofovir disoproxil fumarate and emtricitabine, as a single dose tablet. |
| Efavirenz | DRUG | Type=exact number, unit=mg, number=600, form=tablet, route=oral. Efavirenz will be administered in a fixed dose combination along with tenofovir disoproxil fumarate and emtricitabine, as a single dose tablet. |
| Tenofovir disoproxil fumarate | DRUG | Type=exact number, unit=mg, number=300, form=tablet, route=oral. Tenofovir disoproxil fumarate will be administered in a fixed dose combination along with rilpivirine and emtricitabine in Group 1, and along with efavirenz and emtricitabine in Group 2. |
| Emtricitabine | DRUG | Type=exact number, unit=mg, number=200, form=tablet, route=oral. Emtricitabine will be administered in a fixed dose combination along with rilpivirine and tenofovir disoproxil fumarate in Group 1, and along with efavirenz and tenofovir disoproxil fumarate in Group 2. |
| ARV Background Regimen | DRUG | The investigator-selected ARVs, including but not limited to N(t)RTIs (example, azidothymidine \[AZT\], abacavir \[ABC\], tenofovir alafenamide \[TAF\], or tenofovir disoproxil fumarate \[TDF\] in combination with emtricitabine \[FTC\] or lamivudine \[3TC\]), whichever are approved and marketed or considered local standard of care for children aged between 2 and \< 12 years in a particular country are to be administered. Integrase inhibitors (for example, dolutegravir \[DTG\] or raltegravir) can also be administered in combination with RPV, as appropriate. |
| Zidovudine | DRUG | Type=exact, form= appropriate pediatric formulation, unit=mg, route=oral. The patients may receive this selected NRTI together with another NRTI once daily for up to 48 weeks (Cohort 2) and 240 weeks (Cohort 1). |
| Abacavir | DRUG | Type=exact, form=appropriate pediatric formulation, unit=mg, route=oral. The patients may receive this selected NRTI together with another NRTI once daily for up to 48 weeks (Cohort 2) and 240 weeks (Cohort 1). |
| Lamivudine | DRUG | Type=exact, form=appropriate pediatric formulation, unit=mg, route=oral. The patients may receive this selected NRTI together with another NRTI once daily for up to 48 weeks (Cohort 2) and 240 weeks (Cohort 1). |
| Rilpivirine Long-acting Parenteral Formulation | DRUG | RPV LA 600 mg extended-release suspension for IM injection. |
| Rilpivirine Oral Tablet | DRUG | Rilpivirine formulated as 25 mg oral tablet. |
| Rilpivirine formulation G007 | DRUG | Rilpivirine G007 formulation as 10\*2.5 mg tablets. |
| Rilpivirine formulation G009-01 | DRUG | Rilpivirine G009-01 formulation as 10\*2.5 mg tablets. |
| Rilpivirine formulation G002 | DRUG | Rilpivirine G002 formulation as 10 g of 2.5 milligram per gram (mg/gm) granules. |
| Standardized Breakfast | DIETARY_SUPPLEMENT | It will consist of (or its equivalent) 4 slices of bread, 2 slices of ham and/or cheese, butter, fruit preserve and 1 or 2 cups (up to 480 milliliter \[mL\]) of decaffeinated coffee or decaffeinated tea with milk and/or sugar, if desired (containing approximately fat: 21 gram (gm), carbohydrates: 67 gm, proteins: 19 gm; calories 533 kilocalorie (kcal) \[189 kcal from fat, 268 kcal from carbohydrates, and 76 kcal from proteins\]). |
| Rilpivirine (RPV) | DRUG | Participants will receive one oral tablet of rilpivirine 25 milligram (mg) once on Day 1 of session 1. |
| Rilpivirine Long-Acting Parenteral Formulation (RPV-LA) | DRUG | Participants will receive one intramuscular (IM) injection of rilpivirine long-acting parenteral formulation 600 mg once on day 1 of session 2. |
| Aged RPV-LA | DRUG | Participants will receive one intramuscular (IM) injection of aged rilpivirine long-acting parenteral formulation 600 mg once on day 1 of session 2. |
| Metformin | DRUG | Type=exact number, unit=mg, number=850, form=tablet, route=oral. Participants will receive single dose of metformin on Day 1 and Day 15. |
| Rifabutin | DRUG | Type=exact number, unit=mg, number=150, form=capsule, route=oral. Two capsules daily will be administered for 17 days. |
Inclusion Criteria: Documented human immunodeficiency virus-type 1 (HIV-1) infection Patients who have been receiving first line highly active antiretroviral therapy (HAART) for at least 1 year before the screening visit Patients who have been taking the same ARV combination for at least 8 weeks be...
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Rilpivirine is an investigational small molecule being developed for the treatment of HIV-1 infection, including in patients who are virologically suppressed. It is also studied in healthy volunteers and in pediatric populations with HIV-1. The drug is being evaluated in clinical trials for its safety and efficacy in these patient groups.
Rilpivirine is being developed by Johnson & Johnson, a company listed on the stock exchange under the ticker JNJ. The company is conducting clinical trials to evaluate the drug's use in treating HIV-1 infection across various patient populations, including adults and children.
Rilpivirine is currently in Phase 2 clinical development, with one active Phase 2 trial. It has also completed Phase 3 trials, but it remains investigational and is not yet approved. The drug is being studied for HIV-1 infection in both adult and pediatric populations.
Rilpivirine has been studied in several clinical trials, including NCT01266902, a completed Phase 3 trial in HIV-1 infected patients, and NCT01709084, a completed Phase 3 trial comparing a rilpivirine-containing regimen to an efavirenz-containing regimen. An active Phase 2 roll-over study, NCT02494986, is ongoing in HIV-1 infected children.
Rilpivirine is also known by the code name TMC278, as seen in the trial title for NCT01266902. This alternative name is used in clinical research to refer to the same drug compound. Patients and researchers may encounter either name in the context of HIV-1 treatment studies.