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Raltegravir and Atazanavir Replacing Current Suppressive Treatment Because of Side Effects in Current Treatment

Primary Purpose

HIV Infections

Status
Unknown status
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Raltegravir and Atazanavir
Sponsored by
Peter J. Ruane, M.D., Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring drug substitution, Raltegravir, Atazanavir, treatment Experienced

Eligibility Criteria

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

Inclusion Criteria

  • History of no PI resistance or antiretroviral failure while receiving a PI.
  • On a current antiviral regimen with plasma HIV viral load (VL) < 400 copies/ml for 4 months or longer.
  • Intolerance to or toxicity with current or alternative regimen(s) with side effects including but not limited to gastrointestinal, neurological, metabolic, or dysmorphic symptoms and/or dyslipidemia.
  • Continuously using the same regimen for 3 months prior to Screening.
  • Women of childbearing potential must be willing to use effective method(s) of contraception throughout their study participation and for 30 days following the end of the study (see Section 1.10). -Women who are postmenopausal for at least 2 years, women with total hysterectomy and women with tubal ligation are considered of non-childbearing potential.
  • Willing to adhere to the prohibitions and restrictions specified in this protocol.

Exclusion Criteria:

  • Use of any drug contraindicated in the current US package insert for Atazanavir or in the investigators brochure for Raltegravir, including PPI inhibitors.
  • Use of any investigational drug up to 4 weeks prior to screening.
  • Prior or current therapy with Raltegravir.
  • Allergy to Raltegravir or Atazanavir
  • History of medication non-compliance significant to the study regimen as deemed significant by the investigator.
  • Known achlorhydria that would inhibit the absorption of Atazanavir
  • Concurrent active chronic Hepatitis B requiring therapy with 3TC, FTC or Tenofovir (entecavir permitted).
  • AST or ALT >5 times ULN
  • Calculated CrCl < 30 ml/min.
  • Female subject who is pregnant or breastfeeding.
  • General medical condition that may interfere with the assessments and completion of the trial.

Sites / Locations

  • Medical Practice of Peter Ruane MBRecruiting

Outcomes

Primary Outcome Measures

Evaluation of the proportion of patients who maintain plasma HIV viral load measurements < 400 copies/ml at week 4, 8, 12, 16, 24, 36 and 48 weeks after switching to Raltegravir and Atazanavir

Secondary Outcome Measures

Evaluation of the proportion of patients who have plasma HIV viral load measurements <50 copies/ml at week 4, 8, 12, 16, 24, 36 and 48 weeks after switching to Raltegravir and Atazanavir
Time to virologic failure (defined as 2 consecutive VL measurements > 400 copies/ml on 2 separate clinic visits within 4 weeks)
Assessment of CD4 cell count changes at 4, 8, 12, 16, 24, 36 and 48 weeks after switching to Raltegravir and Atazanavir
Assessment of lipid changes after change in regimen
Determination of incidence, genotypic and phenotypic resistance patterns, in particular to Raltegravir and Atazanavir, in patients in the event of rebound viremia
Patient adherence to a regimen of Raltegravir and Atazanavir

Full Information

First Posted
September 10, 2008
Last Updated
October 8, 2008
Sponsor
Peter J. Ruane, M.D., Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00751153
Brief Title
Raltegravir and Atazanavir Replacing Current Suppressive Treatment Because of Side Effects in Current Treatment
Official Title
Open Label Phase 4, 48 Week Pilot Study of the Antiviral Efficacy and Tolerability of the Combination of Isentress™ and ReyatazTM When Substituted for Current Antiviral Regimen in Patients With Viral Suppression But Who Are Experiencing Adverse Events Related to Their Current Antiviral Regimen.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2008
Overall Recruitment Status
Unknown status
Study Start Date
March 2008 (undefined)
Primary Completion Date
October 2009 (Anticipated)
Study Completion Date
December 2009 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Peter J. Ruane, M.D., Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Subjects with HIV who have viral suppression on current regimen but also have side effects/intolerance will change their current regimen to a combination of Raltegravir and Atazanavir and be monitored for viral and immunological response and quality of life.
Detailed Description
Subjects with intolerance to current regimen will receive Raltegravir 400 mg twice daily and Atazanavir 400 mg daily will be monitored for viralogical and immunological outcomes, changes in lipids, renal and hepatic safety and quality of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
drug substitution, Raltegravir, Atazanavir, treatment Experienced

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Raltegravir and Atazanavir
Intervention Description
Rategravir 400 BID, Atazanavir 400 mg daily
Primary Outcome Measure Information:
Title
Evaluation of the proportion of patients who maintain plasma HIV viral load measurements < 400 copies/ml at week 4, 8, 12, 16, 24, 36 and 48 weeks after switching to Raltegravir and Atazanavir
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Evaluation of the proportion of patients who have plasma HIV viral load measurements <50 copies/ml at week 4, 8, 12, 16, 24, 36 and 48 weeks after switching to Raltegravir and Atazanavir
Time Frame
48 weeks
Title
Time to virologic failure (defined as 2 consecutive VL measurements > 400 copies/ml on 2 separate clinic visits within 4 weeks)
Time Frame
48 weeks
Title
Assessment of CD4 cell count changes at 4, 8, 12, 16, 24, 36 and 48 weeks after switching to Raltegravir and Atazanavir
Time Frame
48 weeks
Title
Assessment of lipid changes after change in regimen
Time Frame
48 weeks
Title
Determination of incidence, genotypic and phenotypic resistance patterns, in particular to Raltegravir and Atazanavir, in patients in the event of rebound viremia
Time Frame
48 weeks
Title
Patient adherence to a regimen of Raltegravir and Atazanavir
Time Frame
48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria History of no PI resistance or antiretroviral failure while receiving a PI. On a current antiviral regimen with plasma HIV viral load (VL) < 400 copies/ml for 4 months or longer. Intolerance to or toxicity with current or alternative regimen(s) with side effects including but not limited to gastrointestinal, neurological, metabolic, or dysmorphic symptoms and/or dyslipidemia. Continuously using the same regimen for 3 months prior to Screening. Women of childbearing potential must be willing to use effective method(s) of contraception throughout their study participation and for 30 days following the end of the study (see Section 1.10). -Women who are postmenopausal for at least 2 years, women with total hysterectomy and women with tubal ligation are considered of non-childbearing potential. Willing to adhere to the prohibitions and restrictions specified in this protocol. Exclusion Criteria: Use of any drug contraindicated in the current US package insert for Atazanavir or in the investigators brochure for Raltegravir, including PPI inhibitors. Use of any investigational drug up to 4 weeks prior to screening. Prior or current therapy with Raltegravir. Allergy to Raltegravir or Atazanavir History of medication non-compliance significant to the study regimen as deemed significant by the investigator. Known achlorhydria that would inhibit the absorption of Atazanavir Concurrent active chronic Hepatitis B requiring therapy with 3TC, FTC or Tenofovir (entecavir permitted). AST or ALT >5 times ULN Calculated CrCl < 30 ml/min. Female subject who is pregnant or breastfeeding. General medical condition that may interfere with the assessments and completion of the trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Peter J Ruane, MB
Phone
3239541072
Email
pjruane@lightsourcemedical.com
First Name & Middle Initial & Last Name or Official Title & Degree
Brian Alas
Phone
3239541072
Email
balas@lightsourcemedical.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter J Ruane, MB
Organizational Affiliation
Peter J Ruane MD Inc
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical Practice of Peter Ruane MB
City
Los Angeles
State/Province
California
ZIP/Postal Code
90036
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

Raltegravir and Atazanavir Replacing Current Suppressive Treatment Because of Side Effects in Current Treatment

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