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The Influence of Having Bariatric Surgery on the Pharmacokinetics, Safety and Efficacy of the Novel Non-nucleoside Reverse Transcriptase Inhibitor Doravirine (LABRADOR)

Primary Purpose

HIV Infections, Bariatric Surgery Candidate

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
bariatric surgery
Sponsored by
Radboud University Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  • HIV-infected
  • VL suppressed <40c/ml for at least 6 months, blips are allowed
  • planned to have bariatric surgery (gastric bypass or gastric sleeve)
  • Able to sign informed consent
  • Age > or equal to 18 years
  • Using doravirine for at least 4 weeks prior to BS with VL < 40 copies/mL prior to the surgery

Exclusion Criteria:

  • History or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study or interfere with the subject's participation
  • Requires or is anticipated to require any of the prohibited medications known to contradict/interact with doravirine
  • Has significant hypersensitivity or other contraindication to doravirine
  • Creatinine clearance <40 ml/min
  • Severe liver dysfunction (Diagnosed liver cirrhosis: Child-Pugh C)
  • Pregnancy or planning to be pregnant during first 6 months postbariatric surgery.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    doravirine treatment

    Arm Description

    patients stable on doravirine and candidate for bariatric surgery

    Outcomes

    Primary Outcome Measures

    AUC of doravirine
    area under the curve, doravirine

    Secondary Outcome Measures

    adverse events
    adverse events
    HIV viral load
    HIV viral load

    Full Information

    First Posted
    September 7, 2022
    Last Updated
    September 9, 2022
    Sponsor
    Radboud University Medical Center
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05536466
    Brief Title
    The Influence of Having Bariatric Surgery on the Pharmacokinetics, Safety and Efficacy of the Novel Non-nucleoside Reverse Transcriptase Inhibitor Doravirine
    Acronym
    LABRADOR
    Official Title
    The Influence of Having Bariatric Surgery on the Pharmacokinetics, Safety and Efficacy of the Novel Non-nucleoside Reverse Transcriptase Inhibitor Doravirine
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 30, 2022 (Anticipated)
    Primary Completion Date
    July 23, 2023 (Anticipated)
    Study Completion Date
    August 1, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Radboud University Medical Center

    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
    a multicentre phase IV study to collect evidence that a doravirine-based regimen can be safely and effectively administered to virologically suppressed HIV-infected patients undergoing bariatric suregery.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    HIV Infections, Bariatric Surgery Candidate
    Keywords
    doravirine, pharmacokinetics

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Model Description
    Pharmacokinetics of doravirine will be investigated before as well as after bariatric surgery and will be compared for each patient
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    8 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    doravirine treatment
    Arm Type
    Experimental
    Arm Description
    patients stable on doravirine and candidate for bariatric surgery
    Intervention Type
    Procedure
    Intervention Name(s)
    bariatric surgery
    Intervention Description
    bariatric surgery
    Primary Outcome Measure Information:
    Title
    AUC of doravirine
    Description
    area under the curve, doravirine
    Time Frame
    24 hours
    Secondary Outcome Measure Information:
    Title
    adverse events
    Description
    adverse events
    Time Frame
    24 weeks
    Title
    HIV viral load
    Description
    HIV viral load
    Time Frame
    24 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: HIV-infected VL suppressed <40c/ml for at least 6 months, blips are allowed planned to have bariatric surgery (gastric bypass or gastric sleeve) Able to sign informed consent Age > or equal to 18 years Using doravirine for at least 4 weeks prior to BS with VL < 40 copies/mL prior to the surgery Exclusion Criteria: History or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study or interfere with the subject's participation Requires or is anticipated to require any of the prohibited medications known to contradict/interact with doravirine Has significant hypersensitivity or other contraindication to doravirine Creatinine clearance <40 ml/min Severe liver dysfunction (Diagnosed liver cirrhosis: Child-Pugh C) Pregnancy or planning to be pregnant during first 6 months postbariatric surgery.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Leena Zino
    Phone
    0031243611111
    Email
    leena.zino@radboudumc.nl

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    The Influence of Having Bariatric Surgery on the Pharmacokinetics, Safety and Efficacy of the Novel Non-nucleoside Reverse Transcriptase Inhibitor Doravirine

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