Then, from week 48 to week 96, if viral load was maintained selleck inhibitor at < 50 copies/mL, patients could be switched to darunavir 800/100 mg once a day (qd). Randomization was centralized and stratified by HIV-1 RNA level (< vs. ≥ 100 000 copies/mL) prior to the first antiretroviral treatment. Seventeen Agence Nationale de Recherche sur le SIDA et les hépatites virales (ANRS) clinical sites participated in
the body composition substudy; participation was based on the availability of dual-energy X-ray absorptiometry (DEXA). Anthropometric measurements were obtained at baseline and at weeks 48 and 96. Total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and glucose were measured on patients in a fasting state at baseline and every 24 weeks. Body composition was measured by a whole-body DEXA scan using Hologic Inc. (Waltham, MA, USA) and Lunar (GE Healthcare, Madison, WI, USA) devices at baseline and at weeks 48 and 96. All DEXA scans were performed
according to standardized protocols, using the same device for each patient, and according to the manufacturer’s recommendations [23-25]. Data were centrally analysed in a blinded manner by a single investigator. A bone evaluation was performed, including bone selleck antibody mineral density (BMD) measurements in the lumbar spine and femoral neck, and parathyroid hormone (PTH), serum 25-hydroxyvitamin D, calcium and phosphate levels were assessed only at week 96 in a subset of patients. DEXA scans were subjected to quality controls to verify the absence of drift. The T-scores were calculated for each body site using the appropriate reference curve for each Florfenicol device.
Osteoporosis was defined as a T-score ≤–2.5, and osteopenia as a T-score of >–2.5 and ≤–1, according to World Health Organization (WHO) definitions . Although these categories were created to classify postmenopausal women, we applied this definition to all patients whatever their age or gender. Adverse clinical and laboratory events were assessed by site investigators and scored according to the ANRS adverse-event grading scale. An independent Data and Safety Monitoring Board (DSMB) reviewed interim efficacy and safety. The primary objective of this body composition substudy was to compare the two randomized treatment groups for changes in limb and trunk fat measured by DEXA. Changes in limb and trunk fat were assessed both as absolute quantitative values (kg) and as percentage changes relative to baseline. The sample size was chosen to detect a treatment difference of 0.5 kg in limb fat, with a common standard deviation of 1.0. Using a Wilcoxon rank-sum test, a sample size of 75 people per arm has an 83% power to detect at least a 0.5 kg difference between the two groups at the 5% significance level.