Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Apr;29(4):652-7.
doi: 10.1089/AID.2012.0180. Epub 2013 Jan 9.

The design of single-arm clinical trials of combination antiretroviral regimens for treatment-naive HIV-infected patients

Affiliations

The design of single-arm clinical trials of combination antiretroviral regimens for treatment-naive HIV-infected patients

Lu Zheng et al. AIDS Res Hum Retroviruses. 2013 Apr.

Abstract

Single-arm clinical trials are useful to evaluate antiretroviral regimens in certain populations of HIV-infected treatment-naive patients for whom a randomized controlled trial is not feasible or desirable. They can also be useful to establish initial estimates of efficacy and safety/tolerability of novel regimens to inform the design of large phase III trials. In this article, we discuss key design considerations for such single-arm studies.

PubMed Disclaimer

Figures

FIG. 1.
FIG. 1.
Representative hypothetical confidence intervals achieved at the end of the single-arm study and how each is interpreted.
FIG. 2.
FIG. 2.
Operating characteristics of two-sided 95% confidence interval for a failure rate threshold of 35% for sample sizes of 50, 100, and 150 participants.

References

    1. Food, Drug Administration Guidance for Industry. Antiretroviral Drugs Using Plasma HIV RNA Measurements—Clinical Considerations for Accelerated and Traditional Approval. Appendix B. Division of Antiviral Drug Products: Office of Drug Evaluation IV in the Centre for Drug Evaluation and Research (CDER); Rockville, MD: 2002.
    1. Food and Drug Administration Guidance for Industry Non-Inferiority Clinical Trials: Draft March 2010. www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guid.... [Feb 8;2011 ]. www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guid...
    1. European Medicines Agency Committee for Medicinal Products for Human Use: EMA/CHMP Guideline on the Clinical Development of Medicinal Products for the Treatment of HIV Infection. Sep, 2009. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/.... [Feb 8;2011 ]. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/...
    1. Taiwo B. Zheng L. Gallien S, et al. Efficacy of nucleoside-sparing regimen of darunavir/ritonavir plus raltegravir in treatment-naive HIV-1-infected patients (ACTG A5262) AIDS. 2011;25:2113–2122. - PMC - PubMed
    1. Weinstock H. Respess R. Heneine W, et al. Prevalence of mutations associated with reduced antiretroviral drug susceptibility among human immunodeficiency virus type 1 seroconverters in the United States, 1993–1998. J Infect Dis. 2000;182:330–333. - PubMed

Publication types

MeSH terms

LinkOut - more resources