A Phase III Randomized Double-Blind, Multicenter Study to Evaluate the Safety and Efficacy of 3TC/ZDV/1592U89 and 3TC/ZDV/IDV in HIV-1 Infected Antiretroviral Therapy-Naive Subjects.

Inclusion Criteria Concurrent Medication: Allowed: GM-CSF, G-CSF, and erythropoietin. Concurrent Treatment: Allowed: Local treatment for Kaposi's sarcoma. Patients must have: HIV-1 infection documented by a licensed HIV-1 antibody ELISA and confirmed by Western blot detection of HIV-1 antibody or positive HIV-1 blood culture. CD4+ cell count >= 100 cells/mm3 within 14 days prior to study drug administration. HIV-1 RNA >= 10,000 copies/ml within 14 days prior to study drug administration. No active diagnosis of AIDS according to the 1993 Centers for Disease Control (CDC) AIDS surveillance definition (excluding CD4+ cell counts < 200 cells/mm3). Signed, informed consent from parent or legal guardian for patients under 18 years of age. Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Malabsorption syndrome or other gastrointestinal dysfunction that may interfere with drug absorption. Serious medical conditions such as diabetes, congestive heart failure, cardiomyopathy, or other cardiac dysfunction that would compromise the safety of the patient. Concurrent Medication: Excluded: Cytotoxic chemotherapeutic agents. Agents with documented anti-HIV-1 activity in vitro. Foscarnet. Immunomodulating agents such as systemic corticosteroids, interleukins, thalidomide, or interferons. Terfenadine, astemizole, cisapride, triazolam, midazolam, and ergotamine/dihydroergotamine. Concurrent Treatment: Excluded: Radiation therapy. Other investigational treatments. NOTE: Treatments available through treatment IND or other expanded access programs are the exception and evaluated individually. Patients with the following prior conditions are excluded: History of relevant pancreatitis or hepatitis in the last 6 months. Prior Medication: Excluded: Cytotoxic chemotherapeutic agents within 30 days of study drug administration. Prior antiretroviral therapy. HIV vaccine dose within 90 days of study drug administration. Immunomodulating agents such as systemic corticosteroids, interleukins, or interferons within 30 days of study entry. Prior Treatment: Excluded: Radiation therapy within 30 days of study drug administration. Current alcohol or illicit drug use that may interfere with patient compliance.