Switching Nevirapine Immediate Release( IR) Based Regimen to Nevirapine Extended Release (XR) Based Regimen in Human Immunodeficiency Virus One (HIV-1) Infected Patients
This study has been completed.
Sponsor:
Boehringer Ingelheim Pharmaceuticals
Information provided by (Responsible Party):
Boehringer Ingelheim Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00819052
First received: January 7, 2009
Last updated: December 18, 2012
Last verified: December 2012
- Full Text View
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
Purpose
The primary objective of this study is to demonstrate the efficacy of nevirapine extended release (NVP XR) based regimen for HIV-1 infected patients who were receiving nevirapine immediate release (NVP IR) based regimen for at least 18 prior weeks of therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Drug: Nevirapine XR Drug: Nevirapine IR |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open Label, Phase IIIb, Randomised Parallel Group Study to Assess the Efficacy and Safety of Switching HIV-1 Infected Patients Successfully Treated With a Nevirapine IR Based Regiment to Nevirapine XR 400 mg QD or Remaining on Nevirapine IR 200 mg BID Based Program |
Resource links provided by NLM:
Genetics Home Reference related topics:
complement factor I deficiency
MedlinePlus related topics:
HIV/AIDS
Drug Information available for:
Nevirapine
U.S. FDA Resources
Further study details as provided by Boehringer Ingelheim Pharmaceuticals:
Primary Outcome Measures:
- Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 24 ] [ Designated as safety issue: No ]Primary endpoint was the number of patients with a sustained virologic response through week 24
Secondary Outcome Measures:
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 2 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 2
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 4 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 4
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 8 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 8
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 12 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 12
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 24 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 24
- Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 0 to 24 ] [ Designated as safety issue: No ]
- Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Population [ Time Frame: week 0 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 2 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 4 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 8 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 12 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 24 ] [ Designated as safety issue: No ]
- Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 24 ] [ Designated as safety issue: No ]
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 48 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 48
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 60 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 60
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 72 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 72
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 84 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 84
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 96 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 96
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 108 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 108
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 120 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 120
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 132 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 132
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 144 ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response through week 144
- Proportion of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: last available visit ] [ Designated as safety issue: No ]Endpoint was the number of patients with a sustained virologic response at their last available visit
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 48 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 60 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 72 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 84 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 96 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 108 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 120 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 132 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 144 ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, last available visit ] [ Designated as safety issue: No ]
| Enrollment: | 445 |
| Study Start Date: | December 2008 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: NVP IR
200 mg orally twice a day (po BID)
|
Drug: Nevirapine XR
Nevirapine XR
Drug: Nevirapine IR
Nevirapine Immediate Release
|
|
Experimental: NVP XR
400 mg orally once a day (po QD)
|
Drug: Nevirapine XR
Nevirapine extended release
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion criteria:
HIV infected subjects treated with a Viramune based regimen.
A subject that meets the following inclusion criteria will be eligible for participation in this study:
- Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation.
- HIV-1 infected males or females of at least 18 years.
- Treatment with Viramune regimen for at least the preceding 18 weeks.
- Background therapy with lamivudine/ abacavir(3TC/ABC) (Kivexa® in EU; Epzicom in US), emtricitabine/tenofovir( FTC/TDF) (Truvada) or lamivudine/zidovudine 3TC/AZT (Combivir®).
- An HIV viral load < 50 copies/mL in preceding 3 months.
- An HIV viral load of < 50 copies/mL at screening (Visit 1).
- Acceptable screening laboratory values that indicate adequate baseline organ function with the following exceptions: alanine aminotrnasferase (ALT) and asparatate aminotransferase (AST) < 2.5 × upper limit of normal (ULN) Division of Acquired Immunodeficiency Syndrome (DAIDS Grade 1).
- Willingness to abstain from ingesting medications that are listed as contraindicated in the Summary of Product Characteristics (SPC) or package insert (or PI) or Investigator's Brochure during the study.
- Karnofsky performance score of < 70
Exclusion criteria:
Subjects who meet one or more of the following criteria will be excluded from the study:
- Current treatment with an HIV protease inhibitor
- Participation in another trial or use of an investigational medicine within two months prior to Day 1 of this study
Female patients of child-bearing potential who:
- Have a positive serum pregnancy test at screening.
- Are breast feeding.
- Are planning to become pregnant
- Are not willing to use a double-barrier methods (simultaneous use of two different methods such as diaphragm with spermicidal substance and condom) of contraception, or require ethinyl estradiol administration. Barrier methods of contraception include diaphragm with spermicidal substance, condom for females, cervical caps and condoms..
- Laboratory parameters > DAIDS grade 2 Coagulation prothrombin time (PT), partial thromboplastin time (PTT), International Normalized ratio (INR) Hematology (absolute platelets, white blood cells (WBC), absolute neutrophil count, hemoglobin) Biochemistry (total bilirubin, amylase, serum creatinine, fasting glucose, lactate, alkaline phosphatase)
- Laboratory parameters > DAIDS grade 3 Total triglycerides (total cholesterol no restriction)
- Hypersensitivity to any ingredients of the test products
- Active drug abuse or chronic alcoholism.
- Hepatic cirrhosis stage Child-Pugh B or C
- History of severe or acute illness within 60 days prior to Day 1, malignancy or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the trial
- Inability to comply with protocol requirements
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00819052
Hide Study Locations
Hide Study LocationsLocations
| United States, California | |
| 1100.1526.1012 Boehringer Ingelheim Investigational Site | |
| Beverly Hills, California, United States | |
| 1100.1526.1014 Boehringer Ingelheim Investigational Site | |
| Beverly Hills, California, United States | |
| 1100.1526.1011 Boehringer Ingelheim Investigational Site | |
| Long Beach, California, United States | |
| 1100.1526.1013 Boehringer Ingelheim Investigational Site | |
| Los Angeles, California, United States | |
| United States, District of Columbia | |
| 1100.1526.1004 Boehringer Ingelheim Investigational Site | |
| Washington, District of Columbia, United States | |
| 1100.1526.1001 Boehringer Ingelheim Investigational Site | |
| Washington, District of Columbia, United States | |
| United States, Florida | |
| 1100.1526.1006 Boehringer Ingelheim Investigational Site | |
| Clearwater, Florida, United States | |
| 1100.1526.1002 Boehringer Ingelheim Investigational Site | |
| Miami, Florida, United States | |
| 1100.1526.1005 Boehringer Ingelheim Investigational Site | |
| Miami Beach, Florida, United States | |
| United States, Michigan | |
| 1100.1526.1003 Boehringer Ingelheim Investigational Site | |
| Berkley, Michigan, United States | |
| United States, Texas | |
| 1100.1526.1007 Boehringer Ingelheim Investigational Site | |
| Austin, Texas, United States | |
| France | |
| 1100.1526.3306A Boehringer Ingelheim Investigational Site | |
| Bobigny, France | |
| 1100.1526.3311A Boehringer Ingelheim Investigational Site | |
| Bordeaux, France | |
| 1100.1526.3307A Boehringer Ingelheim Investigational Site | |
| La Roche sur Yon, France | |
| 1100.1526.3312A Boehringer Ingelheim Investigational Site | |
| Le Kremlin-Bicêtre Cedex, France | |
| 1100.1526.3301A Boehringer Ingelheim Investigational Site | |
| Lyon Cedex 3, France | |
| 1100.1526.3310A Boehringer Ingelheim Investigational Site | |
| Marseille cedex 9, France | |
| 1100.1526.3308A Boehringer Ingelheim Investigational Site | |
| Montpellier cedex 5, France | |
| 1100.1526.3302A Boehringer Ingelheim Investigational Site | |
| Nantes, France | |
| 1100.1526.3304A Boehringer Ingelheim Investigational Site | |
| Nice cedex 3, France | |
| Germany | |
| 1100.1526.4902 Boehringer Ingelheim Investigational Site | |
| Berlin, Germany | |
| 1100.1526.4903 Boehringer Ingelheim Investigational Site | |
| Berlin, Germany | |
| 1100.1526.4904 Boehringer Ingelheim Investigational Site | |
| Bochum, Germany | |
| 1100.1526.4905 Boehringer Ingelheim Investigational Site | |
| Bonn, Germany | |
| 1100.1526.4906 Boehringer Ingelheim Investigational Site | |
| Düsseldorf, Germany | |
| 1100.1526.4909 Boehringer Ingelheim Investigational Site | |
| Frankfurt, Germany | |
| 1100.1526.4908 Boehringer Ingelheim Investigational Site | |
| Frankfurt/Main, Germany | |
| 1100.1526.4901 Boehringer Ingelheim Investigational Site | |
| Freiburg, Germany | |
| 1100.1526.4910 Boehringer Ingelheim Investigational Site | |
| Hamburg, Germany | |
| 1100.1526.4911 Boehringer Ingelheim Investigational Site | |
| Hamburg, Germany | |
| 1100.1526.4912 Boehringer Ingelheim Investigational Site | |
| Hamburg, Germany | |
| 1100.1526.4913 Boehringer Ingelheim Investigational Site | |
| Hannover, Germany | |
| 1100.1526.4907 Boehringer Ingelheim Investigational Site | |
| Köln, Germany | |
| 1100.1526.4914 Boehringer Ingelheim Investigational Site | |
| Köln, Germany | |
| 1100.1526.4915 Boehringer Ingelheim Investigational Site | |
| München, Germany | |
| United Kingdom | |
| 1100.1526.4403 Boehringer Ingelheim Investigational Site | |
| London, United Kingdom | |
| 1100.1526.4405 Boehringer Ingelheim Investigational Site | |
| London, United Kingdom | |
| 1100.1526.4404 Boehringer Ingelheim Investigational Site | |
| Manchester, United Kingdom | |
| 1100.1526.4402 Boehringer Ingelheim Investigational Site | |
| Tooting, London, United Kingdom | |
Sponsors and Collaborators
Boehringer Ingelheim Pharmaceuticals
Investigators
| Study Chair: | Boehringer Ingelheim | Boehringer Ingelheim Pharmaceuticals |
More Information
Additional Information:
Related Info 
Related Info 
No publications provided
| Responsible Party: | Boehringer Ingelheim Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00819052 History of Changes |
| Other Study ID Numbers: | 1100.1526, 2008-004681-55 |
| Study First Received: | January 7, 2009 |
| Results First Received: | December 13, 2011 |
| Last Updated: | December 18, 2012 |
| Health Authority: | France: AFSSAPS Germany: BfArM-Bundesinstitut fuer Arzneimittel und Medizinprodukte (Federal Authorities for Drugs and Medical Products) Great Britain: MHRA United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Acquired Immunodeficiency Syndrome HIV Infections Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Slow Virus Diseases Immunologic Deficiency Syndromes Immune System Diseases |
Nevirapine Anti-HIV Agents Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Reverse Transcriptase Inhibitors Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 18, 2013