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Treatment With Nelfinavir or Efavirenz of HIV-Infected Patients Who Have Never Received Anti-HIV Drugs

This study is ongoing, but not recruiting participants.

Sponsored by: Agouron Pharmaceuticals
Information provided by: NIH AIDS Clinical Trials Information Service
ClinicalTrials.gov Identifier: NCT00005000
  Purpose

The purpose of this study is to compare two drugs (nelfinavir [NFV] and efavirenz [EFV]) used in start-up anti-HIV treatment. Doctors want to see if one is better than the other in extending the time that viral load (level of HIV in the blood) is kept low. The study will also look at the response of the immune system to each drug.


Condition Intervention Phase
HIV Infections
Drug: Nelfinavir mesylate
Drug: Efavirenz
Drug: Lamivudine
Drug: Keyhole-Limpet Hemocyanin
Drug: Stavudine
Drug: Zidovudine
Drug: Didanosine
Phase IV

MedlinePlus related topics:   AIDS    AIDS Medicines   

ChemIDplus related topics:   Zidovudine    Lamivudine    Didanosine    Stavudine    Nelfinavir    Nelfinavir Mesylate    Efavirenz    Dextrose    Lipids   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Crossover Assignment
Official Title:   A Randomized, Open-Label, Study of Nelfinavir or Efavirenz in HIV-1 Infected, Antiretroviral Naive Patients

Further study details as provided by NIH AIDS Clinical Trials Information Service:

Estimated Enrollment:   200
Study Start Date:   December 1999

Detailed Description:

Patients are randomized to initiate therapy and receive either nelfinavir (NFV) or efavirenz (EFV) in the first regimen (R1). All patients also receive zidovudine (AZT) and lamivudine (3TC). Patients are further randomized in a factorial fashion and by stratification based on HIV RNA level (less than 10,000, 10,000-100,000, or greater than 100,000 copies/ml) to be administered a single injection of a neo-antigen (KLH) at Week 12, 24, or 48. Therapy continues until switch criteria are met either before or after Week 24. When switch criteria are met, patients advance to the next regimen (R2).

R2 patients previously taking NFV switch to EFV; those randomized to EFV switch to NFV; the additional NRTIs change to stavudine (d4T) and didanosine (ddI). Therapy is continued for an additional 24 weeks.

  Eligibility
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria

Patients may be eligible for this trial if they:

  • Are HIV-positive.
  • Have a CD4 count of at least 100 cells/mm3.
  • Have a viral load of at least 5,000 copies/ml.

Exclusion Criteria

Patients may not be eligible for this study if they:

  • Have taken any antiretroviral (anti-HIV) agent.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00005000

Locations
United States, California
Agouron Pharmaceuticals Inc    
      San Diego, California, United States, 92121

Sponsors and Collaborators
Agouron Pharmaceuticals
  More Information


Study ID Numbers:   259H, AG1343-1127
First Received:   March 21, 2000
Last Updated:   June 23, 2005
ClinicalTrials.gov Identifier:   NCT00005000
Health Authority:   United States: Food and Drug Administration

Keywords provided by NIH AIDS Clinical Trials Information Service:
HIV-1  
Drug Therapy, Combination  
Lymphoid Tissue  
HIV Protease Inhibitors  
Genotype  
Phenotype  
Nelfinavir  
Reverse Transcriptase Inhibitors  
Anti-HIV Agents
Viral Load
Adipose Tissue
Glucose
Lipids
Immunophenotyping
efavirenz

Study placed in the following topic categories:
Efavirenz
Sexually Transmitted Diseases, Viral
Stavudine
Acquired Immunodeficiency Syndrome
Zidovudine
Lamivudine
Keyhole-limpet hemocyanin
Immunologic Deficiency Syndromes
Virus Diseases
Didanosine
HIV Infections
Sexually Transmitted Diseases
Nelfinavir
Retroviridae Infections

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
HIV Protease Inhibitors
RNA Virus Infections
Anti-HIV Agents
Slow Virus Diseases
Immunologic Factors
Immune System Diseases
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Adjuvants, Immunologic
Enzyme Inhibitors
Infection
Antiviral Agents
Pharmacologic Actions
Protease Inhibitors
Reverse Transcriptase Inhibitors
Anti-Retroviral Agents
Therapeutic Uses
Lentivirus Infections
Nucleic Acid Synthesis Inhibitors

ClinicalTrials.gov processed this record on October 10, 2008




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