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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
GlaxoSmithKline
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring treatment experienced, HIV

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    March 19, 2007
    Last Updated
    October 11, 2018
    Sponsor
    GlaxoSmithKline
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    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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