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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.
First Received: March 21, 2000   Last Updated: June 23, 2005   History of Changes
Sponsor: 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

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

Resource links provided by NLM:


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

No publications provided

Study ID Numbers: 259H, AG1343-1127
Study First Received: March 21, 2000
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00005000     History of Changes
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

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Sexually Transmitted Diseases, Viral
Slow Virus Diseases
Stavudine
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Zidovudine
Lamivudine
Infection
Keyhole-limpet hemocyanin
Reverse Transcriptase Inhibitors
Anti-Retroviral Agents
Therapeutic Uses
Nelfinavir
Retroviridae Infections
Nucleic Acid Synthesis Inhibitors
Efavirenz
HIV Protease Inhibitors
RNA Virus Infections
Anti-HIV Agents
Immune System Diseases
Acquired Immunodeficiency Syndrome
Adjuvants, Immunologic
Enzyme Inhibitors
Antiviral Agents
Immunologic Deficiency Syndromes
Pharmacologic Actions
Protease Inhibitors

ClinicalTrials.gov processed this record on November 25, 2009