Study To Evaluate Long Term Maintenance With TRIZIVIR After Boosted Protease Inhibitor (PI) Or Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI) In HIV-1 Infected Adults
Primary Purpose
HIV Infections
Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
TRIZIVIR
Non-nucleoside reverse transcriptase inhibitor
Boosted Protease Inhibitor
Sponsored by

About this trial
This is an interventional treatment trial for HIV Infections focused on measuring treatment experienced, HIV
Eligibility Criteria
Inclusion criteria:
- Subject is ≥18 years of age and has documented evidence of HIV-1 infection.
- Patient received first-line therapy including a boosted Protease Inhibitor or NNRTI for at least 6 months. Note: Only the patients whose first line antiretroviral treatment was modified for intolerance (and not for virological failure) could be included provided this treatment has been stable for at least 6 months.
- Patient having a viral load < 50 copies/ml at screening and at least 3 months prior to enrollment,
- Subject is willing and able to understand and provide written informed consent prior to participation in this study.
- For women of childbearing potential: has a negative pregnancy test result (-human chorionic gonadotropin; -HCG) within 35 days prior to administration of investigational product (Day 1) and agrees to use a proven double barrier method of contraception or abstinence from 2 weeks before the first day of treatment.
Exclusion criteria:
- Patient has received Trizivir®.
- Patient has a viral load > 50 copies/mL at the screening and within 3 months of enrollment.
- Patient has one or more CDC (1993) category C events in acute phase in classification of infection HIV.
- Grade 3 ALT, AST (between 5 and 10 times normal higher limit) or Grade 4 (more than 10 times normal higher limit) for the during screening and before the first day of treatment (1-28 days);
- Presence clinically-relevant of pancreatitis or hepatitis within 6 months of screening;
- Patient has a severe hepatic insufficiency or a renal insufficiency in final stage.
- Any situation (such as for example drug-addiction or active alcoholism) which, of the opinion of the investigator, could interfere with the observance and the evaluations required by the protocol and which could compromise the safety of the patient during his participation in the study;
- Pregnancy, nursing, or pre-menopausal woman likely to be pregnant and not receiving reliable contraception (oral contraception, progesterone injectable associated a mechanical method of protection, intra-uterine device...) for the duration of study
- Any biological anomaly for the period of the study and before the first day of treatment which, of the opinion of the investigator, could contra-indicate the participation of the patient in the study. Any biological anomaly of Grade 4 for the period of study and before the first day of treatment , except contrary opinion of the investigator and after agreement of the sponsor;
- Any pathological state (diabetes, hyperthyroidism, syndrome of malabsorption, renal insufficiency...) which, of the opinion of the investigator, could interfere on absorption, the distribution, the metabolism and the excretion of the drugs;
- Onset of allergy to the drugs of the study or other allergies which, of the opinion of the investigator, contra-indicates the participation of the patient in the study;
- Patient is taking part in a clinical trial at the time of entry in the study except for observational trials.
- Treatment by an experimental drug in the 30 days or five half-lives of the treatment (the longest period will be taken) which precede the first treatment of the test. (After opinion of the sponsor.)
Sites / Locations
Outcomes
Primary Outcome Measures
Proportion of patients with a HIV plasma RNA<50 copies/ml at 48 weeks
Proportion of patients with a HIV plasma RNA<50 copies/ml at 48 weeks
Secondary Outcome Measures
Proportion of patients with a HIV plasma RNA <50copies/ml at 96 weeks.
Proportion of patients with a HIV plasma RNA <50copies/ml at 96 weeks
CD4 count profile at baseline 24 W,48 and 96 W
CD4 count profile at baseline 24,48, and 96 weeks
Genotypic profile resistance
Genotypic profile resistance
Determination of compliance of patient to treatment
Determination of compliance of patient to treatment
Proportion of patients having a viral load <50 copies/mlL at 96 weeks in the ITT (M=F) population;
Proportion of patients having a viral load <50 copies/mlL at 96 weeks in the ITT (M=F) population
Proportion of patients with a virl load <50 copies/mL at 96 weeks (per protocol population)
Proportion of patients with a viral load <50 copies/mL at 96 weeks (per protocol population)
Proportion of patients with a viral load <5 copies/mL at 96 weeks
Proportion of patients with a viral load <5 copies/mL at 96 weeks
Change from baseline in CD4 counts at 24, 48, 96 weeks; Genotypic resistance profile of the HIV-1 in the event of virological failure CV >1000 copies/mL, as confirmed twice; Time to virologic failure (by Kaplan - Meier)
Change from baseline in CD4 counts at 24, 48, 96 weeks; Genotypic resistance profile of the HIV-1 in the event of virological failure CV >1000 copies/mL, as confirmed twice; Time to virologic failure (by Kaplan - Meier)
Patient adherence (using the PMAQ3 instrument); Retrospective determination of HLAB57 as a marker for hypersensitivity reaction in patients randomized to the Trizivir arm.
Patient adherence (using the PMAQ3 instrument); Retrospective determination of HLAB57 as a marker for hypersensitivity reaction in patients randomized to the Trizivir arm.
Quantitative measurement of the residual replicative capacity (using cell-based assay) using number of quiescent cells and quantification of proviral DNA.
Quantitative measurement of the residual replicative capacity (using cell-based assay) using number of quiescent cells and quantification of proviral DNA.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00449436
Brief Title
Study To Evaluate Long Term Maintenance With TRIZIVIR After Boosted Protease Inhibitor (PI) Or Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI) In HIV-1 Infected Adults
Official Title
A Randomised, Open-Label Study to Evaluate the Efficacy and Safety of a Treatment Optimisation With Trizivir During 96 Weeks After a First Antiretroviral Treatment in HIV-1 Infected Subjects.
Study Type
Interventional
2. Study Status
Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
January 10, 2005 (Actual)
Primary Completion Date
December 12, 2007 (Actual)
Study Completion Date
December 13, 2007 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The current goal of antiretroviral therapy is to use a potent regimen that will suppress plasma viral load and maintain this suppression as long as possible. However, for most patients treated with such potent regimen, several problems can limit their long term effectiveness and contribute to incomplete viral suppression. These problems include poor tolerability, metabolic toxic effects. In order to avoid common problems as toxicity it might be interested to simplify treatment with fewer toxicity, lower pill burden. In this study we will evaluate the safety and efficacy of a simplification treatment with TRIZIVIR in long term after a Boosted PI or NNRTI containing regimen as first line therapy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
treatment experienced, HIV
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
152 (Actual)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
TRIZIVIR
Intervention Description
TRIZIVIR
Intervention Type
Drug
Intervention Name(s)
Non-nucleoside reverse transcriptase inhibitor
Intervention Description
Non-nucleoside reverse transcriptase inhibitor
Intervention Type
Drug
Intervention Name(s)
Boosted Protease Inhibitor
Other Intervention Name(s)
TRIZIVIR, Non-nucleoside reverse transcriptase inhibitor
Intervention Description
Boosted Protease Inhibitor
Primary Outcome Measure Information:
Title
Proportion of patients with a HIV plasma RNA<50 copies/ml at 48 weeks
Description
Proportion of patients with a HIV plasma RNA<50 copies/ml at 48 weeks
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Proportion of patients with a HIV plasma RNA <50copies/ml at 96 weeks.
Description
Proportion of patients with a HIV plasma RNA <50copies/ml at 96 weeks
Time Frame
up to 96 weeks
Title
CD4 count profile at baseline 24 W,48 and 96 W
Description
CD4 count profile at baseline 24,48, and 96 weeks
Time Frame
24, 48, 96 weeks
Title
Genotypic profile resistance
Description
Genotypic profile resistance
Time Frame
up to 96 weeks
Title
Determination of compliance of patient to treatment
Description
Determination of compliance of patient to treatment
Time Frame
up to 96 weeks
Title
Proportion of patients having a viral load <50 copies/mlL at 96 weeks in the ITT (M=F) population;
Description
Proportion of patients having a viral load <50 copies/mlL at 96 weeks in the ITT (M=F) population
Time Frame
up to 96 weeks
Title
Proportion of patients with a virl load <50 copies/mL at 96 weeks (per protocol population)
Description
Proportion of patients with a viral load <50 copies/mL at 96 weeks (per protocol population)
Time Frame
up to 96 weeks
Title
Proportion of patients with a viral load <5 copies/mL at 96 weeks
Description
Proportion of patients with a viral load <5 copies/mL at 96 weeks
Time Frame
up to 96 weeks
Title
Change from baseline in CD4 counts at 24, 48, 96 weeks; Genotypic resistance profile of the HIV-1 in the event of virological failure CV >1000 copies/mL, as confirmed twice; Time to virologic failure (by Kaplan - Meier)
Description
Change from baseline in CD4 counts at 24, 48, 96 weeks; Genotypic resistance profile of the HIV-1 in the event of virological failure CV >1000 copies/mL, as confirmed twice; Time to virologic failure (by Kaplan - Meier)
Time Frame
24, 48, 96 weeks
Title
Patient adherence (using the PMAQ3 instrument); Retrospective determination of HLAB57 as a marker for hypersensitivity reaction in patients randomized to the Trizivir arm.
Description
Patient adherence (using the PMAQ3 instrument); Retrospective determination of HLAB57 as a marker for hypersensitivity reaction in patients randomized to the Trizivir arm.
Time Frame
up to 96 weeks
Title
Quantitative measurement of the residual replicative capacity (using cell-based assay) using number of quiescent cells and quantification of proviral DNA.
Description
Quantitative measurement of the residual replicative capacity (using cell-based assay) using number of quiescent cells and quantification of proviral DNA.
Time Frame
up to 96 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Subject is ≥18 years of age and has documented evidence of HIV-1 infection.
Patient received first-line therapy including a boosted Protease Inhibitor or NNRTI for at least 6 months. Note: Only the patients whose first line antiretroviral treatment was modified for intolerance (and not for virological failure) could be included provided this treatment has been stable for at least 6 months.
Patient having a viral load < 50 copies/ml at screening and at least 3 months prior to enrollment,
Subject is willing and able to understand and provide written informed consent prior to participation in this study.
For women of childbearing potential: has a negative pregnancy test result (-human chorionic gonadotropin; -HCG) within 35 days prior to administration of investigational product (Day 1) and agrees to use a proven double barrier method of contraception or abstinence from 2 weeks before the first day of treatment.
Exclusion criteria:
Patient has received Trizivir®.
Patient has a viral load > 50 copies/mL at the screening and within 3 months of enrollment.
Patient has one or more CDC (1993) category C events in acute phase in classification of infection HIV.
Grade 3 ALT, AST (between 5 and 10 times normal higher limit) or Grade 4 (more than 10 times normal higher limit) for the during screening and before the first day of treatment (1-28 days);
Presence clinically-relevant of pancreatitis or hepatitis within 6 months of screening;
Patient has a severe hepatic insufficiency or a renal insufficiency in final stage.
Any situation (such as for example drug-addiction or active alcoholism) which, of the opinion of the investigator, could interfere with the observance and the evaluations required by the protocol and which could compromise the safety of the patient during his participation in the study;
Pregnancy, nursing, or pre-menopausal woman likely to be pregnant and not receiving reliable contraception (oral contraception, progesterone injectable associated a mechanical method of protection, intra-uterine device...) for the duration of study
Any biological anomaly for the period of the study and before the first day of treatment which, of the opinion of the investigator, could contra-indicate the participation of the patient in the study. Any biological anomaly of Grade 4 for the period of study and before the first day of treatment , except contrary opinion of the investigator and after agreement of the sponsor;
Any pathological state (diabetes, hyperthyroidism, syndrome of malabsorption, renal insufficiency...) which, of the opinion of the investigator, could interfere on absorption, the distribution, the metabolism and the excretion of the drugs;
Onset of allergy to the drugs of the study or other allergies which, of the opinion of the investigator, contra-indicates the participation of the patient in the study;
Patient is taking part in a clinical trial at the time of entry in the study except for observational trials.
Treatment by an experimental drug in the 30 days or five half-lives of the treatment (the longest period will be taken) which precede the first treatment of the test. (After opinion of the sponsor.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Study To Evaluate Long Term Maintenance With TRIZIVIR After Boosted Protease Inhibitor (PI) Or Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI) In HIV-1 Infected Adults
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