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TMC114-C202: A Study of Safety, Efficacy, and Tolerability of TMC114 and Low Dose Ritonavir in HIV-1 Infected Patients

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
TMC114/rtv
TMC114/rtv
TMC114/rtv
TMC114/rtv
Sponsored by
Tibotec Pharmaceuticals, Ireland
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring HIV, TMC114, Ritonavir, Tolerability, Safety and efficacy, TMC114-C211

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male or female, age 18 years or older Documented HIV-1 infection Stable PI regimen for at least 8 weeks prior to screening Plasma viral load at screening above 1000 HIV-1 RNA copies/ml Prior use of more than 1 NRTI for at least 3 months Prior use of one or more NNRTIs as part of a failing regimen At least 1 primary PI mutation as defined by the IAS guidelines Treatment with at least 1 PI for a total of at least 3 months Patient has given informed consent Exclusion Criteria: Presence of any currently active AIDS defining illness except stable cutaneous Kaposi's Sarcoma and Wasting syndrome due to HIV infection Current or past history of alcohol and/or drug abuse which, in the investigator's opinion, would compromise the subject's safety or compliance to the study protocol procedures NNRTI as part of therapy at screening Patients on a treatment interruption at screening Patients for whom an investigational antiretroviral therapy is part of the regimen at screening or the use of any non-antiretroviral investigational agents 90 days prior to screening Hepatitis A, B, or C.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

No Intervention

Experimental

Experimental

Experimental

Arm Label

001

005

004

003

002

Arm Description

TMC114/rtv 400mg TMC114/100mg rtv once daily

Control Group Control Group, no intervention

TMC114/rtv 600mg TMC114/100mg rtv twice daily

TMC114/rtv 400mg TMC114/100mg rtv both twice daily

TMC114/rtv 800mg TMC114/100mg rtv once daily

Outcomes

Primary Outcome Measures

To evaluate the dose-response relationship of antiviral activity of the TMC114/RTV dose regimens at 24 Wks in order to determine the optimal dose.

Secondary Outcome Measures

To evaluate safety and tolerability over 24 to 144Wks; The durability of the antiviral activity; The effect of functional monotherapy with TMC114 over 2 weeks in different doses; and The dose-response by comparing the different TMC114/RTV dosages.

Full Information

First Posted
October 10, 2003
Last Updated
September 19, 2016
Sponsor
Tibotec Pharmaceuticals, Ireland
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1. Study Identification

Unique Protocol Identification Number
NCT00071097
Brief Title
TMC114-C202: A Study of Safety, Efficacy, and Tolerability of TMC114 and Low Dose Ritonavir in HIV-1 Infected Patients
Official Title
A Phase II Randomized, Controlled, Partially Blinded Trial to Investigate Dose Response of TMC114/RTV in 3-class-experienced HIV-1 Infected Patients, Followed by an Open-label Period on the Recommended Dose of TMC114/RTV.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
October 2003 (undefined)
Primary Completion Date
February 2005 (Actual)
Study Completion Date
November 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tibotec Pharmaceuticals, Ireland

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the effectiveness, safety, and tolerability (how well the body stands the drug) of an investigational protease inhibitor (PI) called TMC114 given with low dose ritonavir.
Detailed Description
A phase II randomized, controlled, partially blinded, trial to investigate dose response of TMC114/RTV in HIV-1 infected patients who have previously received all three licensed classes of HIV antiviral drugs (known as nucleoside reverse transcriptase inhibitors (NRTI), nonnucleoside reverse transcriptase inhibitors (NNRTI) and protease inhibitors (PI)), and who are on a stable PI-containing regimen not including an NNRTI may be eligible to participate. Four doses of TMC-114/ritonavir will be studied. 300 patients in the United States and Puerto Rico will participate. The duration of the study is 96 weeks. Randomize to one of 4 treatment groups (TMC114/RTV: 400/100 mg qd; 800/100mg qd; 400/100mg bid; 600/100 bid) or control arm for 24 to 48 wks. Optimal dose (TMC114/RTV 600/100mg bid) open label portion of the study. The trial was extended to include 144Wks of treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
HIV, TMC114, Ritonavir, Tolerability, Safety and efficacy, TMC114-C211

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
330 (Actual)

8. Arms, Groups, and Interventions

Arm Title
001
Arm Type
Experimental
Arm Description
TMC114/rtv 400mg TMC114/100mg rtv once daily
Arm Title
005
Arm Type
No Intervention
Arm Description
Control Group Control Group, no intervention
Arm Title
004
Arm Type
Experimental
Arm Description
TMC114/rtv 600mg TMC114/100mg rtv twice daily
Arm Title
003
Arm Type
Experimental
Arm Description
TMC114/rtv 400mg TMC114/100mg rtv both twice daily
Arm Title
002
Arm Type
Experimental
Arm Description
TMC114/rtv 800mg TMC114/100mg rtv once daily
Intervention Type
Drug
Intervention Name(s)
TMC114/rtv
Intervention Description
800mg TMC114/100mg rtv once daily
Intervention Type
Drug
Intervention Name(s)
TMC114/rtv
Intervention Description
400mg TMC114/100mg rtv both twice daily
Intervention Type
Drug
Intervention Name(s)
TMC114/rtv
Intervention Description
400mg TMC114/100mg rtv once daily
Intervention Type
Drug
Intervention Name(s)
TMC114/rtv
Intervention Description
600mg TMC114/100mg rtv twice daily
Primary Outcome Measure Information:
Title
To evaluate the dose-response relationship of antiviral activity of the TMC114/RTV dose regimens at 24 Wks in order to determine the optimal dose.
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
To evaluate safety and tolerability over 24 to 144Wks; The durability of the antiviral activity; The effect of functional monotherapy with TMC114 over 2 weeks in different doses; and The dose-response by comparing the different TMC114/RTV dosages.
Time Frame
144 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, age 18 years or older Documented HIV-1 infection Stable PI regimen for at least 8 weeks prior to screening Plasma viral load at screening above 1000 HIV-1 RNA copies/ml Prior use of more than 1 NRTI for at least 3 months Prior use of one or more NNRTIs as part of a failing regimen At least 1 primary PI mutation as defined by the IAS guidelines Treatment with at least 1 PI for a total of at least 3 months Patient has given informed consent Exclusion Criteria: Presence of any currently active AIDS defining illness except stable cutaneous Kaposi's Sarcoma and Wasting syndrome due to HIV infection Current or past history of alcohol and/or drug abuse which, in the investigator's opinion, would compromise the subject's safety or compliance to the study protocol procedures NNRTI as part of therapy at screening Patients on a treatment interruption at screening Patients for whom an investigational antiretroviral therapy is part of the regimen at screening or the use of any non-antiretroviral investigational agents 90 days prior to screening Hepatitis A, B, or C.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tibotec Pharmaceuticals Clinical Trial
Organizational Affiliation
Tibotec Pharmaceutical Limited
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
Country
United States
City
Phoenix
State/Province
Arizona
Country
United States
City
Beverly Hills
State/Province
California
Country
United States
City
Long Beach
State/Province
California
Country
United States
City
Los Angeles
State/Province
California
Country
United States
City
Oakland
State/Province
California
Country
United States
City
San Diego
State/Province
California
Country
United States
City
San Francisco
State/Province
California
Country
United States
City
West Hollywood
State/Province
California
Country
United States
City
Denver
State/Province
Colorado
Country
United States
City
Washington
State/Province
District of Columbia
Country
United States
City
Altamonte Springs
State/Province
Florida
Country
United States
City
Fort Lauderdale
State/Province
Florida
Country
United States
City
Ft Lauderdale
State/Province
Florida
Country
United States
City
Miami Beach
State/Province
Florida
Country
United States
City
Miami
State/Province
Florida
Country
United States
City
Tampa
State/Province
Florida
Country
United States
City
Vero Beach
State/Province
Florida
Country
United States
City
Atlanta
State/Province
Georgia
Country
United States
City
Macon
State/Province
Georgia
Country
United States
City
Chicago
State/Province
Illinois
Country
United States
City
Baltimore
State/Province
Maryland
Country
United States
City
Boston
State/Province
Massachusetts
Country
United States
City
Springfield
State/Province
Massachusetts
Country
United States
City
Camden
State/Province
New Jersey
Country
United States
City
Albany
State/Province
New York
Country
United States
City
New York
State/Province
New York
Country
United States
City
Huntersville
State/Province
North Carolina
Country
United States
City
Cincinnati
State/Province
Ohio
Country
United States
City
Cleveland
State/Province
Ohio
Country
United States
City
Hershey
State/Province
Pennsylvania
Country
United States
City
Philadelphia
State/Province
Pennsylvania
Country
United States
City
Columbia
State/Province
South Carolina
Country
United States
City
Dallas
State/Province
Texas
Country
United States
City
Galveston
State/Province
Texas
Country
United States
City
Houston
State/Province
Texas
Country
United States
City
Hampton
State/Province
Virginia
Country
United States
City
Seattle
State/Province
Washington
Country
United States
City
Milwaukee
State/Province
Wisconsin
Country
United States
City
Buenos Aires
Country
Argentina

12. IPD Sharing Statement

Citations:
PubMed Identifier
17416261
Citation
Clotet B, Bellos N, Molina JM, Cooper D, Goffard JC, Lazzarin A, Wohrmann A, Katlama C, Wilkin T, Haubrich R, Cohen C, Farthing C, Jayaweera D, Markowitz M, Ruane P, Spinosa-Guzman S, Lefebvre E; POWER 1 and 2 study groups. Efficacy and safety of darunavir-ritonavir at week 48 in treatment-experienced patients with HIV-1 infection in POWER 1 and 2: a pooled subgroup analysis of data from two randomised trials. Lancet. 2007 Apr 7;369(9568):1169-78. doi: 10.1016/S0140-6736(07)60497-8. Erratum In: Lancet. 2008 Jan 12;371(9607):116.
Results Reference
result
PubMed Identifier
18769351
Citation
De Meyer SM, Spinosa-Guzman S, Vangeneugden TJ, de Bethune MP, Miralles GD. Efficacy of once-daily darunavir/ritonavir 800/100 mg in HIV-infected, treatment-experienced patients with no baseline resistance-associated mutations to darunavir. J Acquir Immune Defic Syndr. 2008 Oct 1;49(2):179-82. doi: 10.1097/QAI.0b013e318183a959.
Results Reference
derived

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TMC114-C202: A Study of Safety, Efficacy, and Tolerability of TMC114 and Low Dose Ritonavir in HIV-1 Infected Patients

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