A Phase 2B Multicenter, Randomized, Comparative Trial Of UK-453,061 Versus Etravirine In Combination With Darunavir/Ritonavir And A Nucleos(t)Ide Reverse Transcriptase Inhibitor For The Treatment Of Antiretroviral Experienced HIV-1 Infected Subjects With Evidence Of NNRTI Resistant HIV-1

This study has been terminated.
(See termination reason in detailed description.)
Sponsor:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT00823979
First received: January 15, 2009
Last updated: December 20, 2012
Last verified: December 2012
  Purpose

This is a 96 week study to determine if UK- 453,061 in combination with Darunavir /ritonavir and a Nucleos(t)ide Reverse Transcriptase inhibitor is as efficacious, safe and tolerable as etravirine in combination with Darunavir /ritonavir and a Nucleos(t)ide Reverse Transcriptase inhibitor in HIV-1 infected patients who have been previously treated with antiretroviral drugs and have NNRTI resistance mutations.


Condition Intervention Phase
HIV-1
Drug: UK-453,061 Dose 1
Drug: UK-453,061 Dose 2
Drug: Etravirine
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase 2B Multicenter, Randomized, Comparative Trial Of UK-453,061 Versus Etravirine In Combination With Darunavir/Ritonavir And A Nucleos(t)Ide Reverse Transcriptase Inhibitor For The Treatment Of Antiretroviral Experienced HIV-1 Infected Subjects With Evidence Of NNRTI Resistant HIV-1

Resource links provided by NLM:


Further study details as provided by Pfizer:

Primary Outcome Measures:
  • Percentage of subjects with HIV-1 RNA <50 copies/mL at 24 weeks. [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The percentage of subjects with HIV-1 RNA <50 copies/mL and <400 copies/mL at various time points [ Time Frame: 24-96 weeks ] [ Designated as safety issue: No ]
  • The change from baseline in log10 transformed HIV 1 RNA levels [ Time Frame: 24-96 weeks ] [ Designated as safety issue: No ]
  • Assessment of Genotypic and phenotypic resistance at various time points [ Time Frame: TBD ] [ Designated as safety issue: No ]
  • The time-averaged difference (TAD) in log10 transformed HIV 1 RNA levels at various time points. [ Time Frame: 24-96 weeks ] [ Designated as safety issue: No ]
  • The percentage of subjects with virologic response at different time points. [ Time Frame: 48-96 weeks ] [ Designated as safety issue: No ]
  • Change from baseline in CD4+ cell counts (absolute and percentage). [ Time Frame: 24-96 weeks ] [ Designated as safety issue: No ]
  • Safety and tolerability as measured by spontaneous adverse event reports, serious adverse events and safety laboratory tests. [ Time Frame: 96 weeks ] [ Designated as safety issue: Yes ]
  • Pharmacokinetic (PK) and pharmacokinetic/pharmacodynamic (PK/PD) analyses (to be reported separately). [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]

Enrollment: 104
Study Start Date: March 2009
Study Completion Date: October 2012
Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: UK- 453,061 Dose One Drug: UK-453,061 Dose 1
UK 453,061 750 mg QD + one optimized NRTI + darunavir/ritonavir.
Experimental: UK- 453,061 Dose Two Drug: UK-453,061 Dose 2
UK 453,061 1000 mg QD + one optimized NRTI + darunavir/ritonavir.
Active Comparator: Comparator Drug: Etravirine
Etravirine 200 mg BID + one optimized NRTI + darunavir/ritonavir.

Detailed Description:

The trial was terminated on 12 April, 2012 due to lack of efficacy at the Week 24 analysis. The decision to terminate the trial was not based on any safety concerns.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female at least 18 years of age available for a follow-up period of at least 96 weeks.
  • HIV 1 RNA viral load of greater then 500 copies/mL.
  • Negative urine pregnancy test.

Exclusion Criteria:

  • Suspected or documented active, untreated HIV-1 related opportunistic infection or other condition requiring acute therapy at the time of randomization.
  • Subjects with acute Hepatitis B and/or C within 30 days of randomization.
  • Previous use of Darunavir or etravirine
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00823979

  Hide Study Locations
Locations
United States, California
Pfizer Investigational Site
Los Angeles, California, United States, 90069
Pfizer Investigational Site
Los Angeles, California, United States, 90028
Pfizer Investigational Site
Sacramento, California, United States, 95817
Pfizer Investigational Site
Sacramento, California, United States, 95814
Pfizer Investigational Site
San Francisco, California, United States, 94121
United States, Florida
Pfizer Investigational Site
Miami, Florida, United States, 33137
Pfizer Investigational Site
Miami, Florida, United States, 33133
Pfizer Investigational Site
Orlando, Florida, United States, 32803
Pfizer Investigational Site
Pensacola, Florida, United States, 32504
Pfizer Investigational Site
Tampa, Florida, United States, 33602
United States, Georgia
Pfizer Investigational Site
Atlanta, Georgia, United States, 30308
United States, Illinois
Pfizer Investigational Site
Chicago, Illinois, United States, 60612
United States, New York
Pfizer Investigational Site
East Meadow, New York, United States, 11554
Pfizer Investigational Site
Mt. Vernon, New York, United States, 10550
United States, North Carolina
Pfizer Investigational Site
Huntersville, North Carolina, United States, 28078
United States, Ohio
Pfizer Investigational Site
Cincinnati, Ohio, United States, 45297-0405
United States, Texas
Pfizer Investigational Site
Bellaire, Texas, United States, 77401
Pfizer Investigational Site
Conroe, Texas, United States, 77301
Pfizer Investigational Site
Dallas, Texas, United States, 75204
Pfizer Investigational Site
Dallas, Texas, United States, 75235
Pfizer Investigational Site
Stafford, Texas, United States, 77477
Brazil
Pfizer Investigational Site
Curitiba, PR, Brazil, 80240-280
Pfizer Investigational Site
Nova Iguacu, RJ, Brazil, 26030-381
Pfizer Investigational Site
PoA, RS, Brazil, 91350-200
Pfizer Investigational Site
Campinas, SP, Brazil, 13015-080
Pfizer Investigational Site
Sao Paulo, SP, Brazil, 04231-030
Pfizer Investigational Site
Sao Paulo, SP, Brazil, 04121-000
Germany
Pfizer Investigational Site
Koeln, Germany, 50937
Italy
Pfizer Investigational Site
Bologna, Italy, 40138
Pfizer Investigational Site
Roma, Italy, 00184
Malaysia
Pfizer Investigational Site
Kota Bharu, Kelantan, Malaysia, 15586
Pfizer Investigational Site
Kuala Lumpur, Malaysia, 59100
Poland
Pfizer Investigational Site
Szczecin, Poland, 71-455
Pfizer Investigational Site
Warszawa, Poland, 01-201
Portugal
Pfizer Investigational Site
Coimbra, Portugal, 3000-075
Pfizer Investigational Site
Lisboa, Portugal, 1349-019
Pfizer Investigational Site
Lisboa, Portugal, 1169-050
Pfizer Investigational Site
Porto, Portugal, 4369-004
Pfizer Investigational Site
Porto, Portugal, 4200-319
Puerto Rico
Pfizer Investigational Site
Bayamon, Puerto Rico, 00959
Pfizer Investigational Site
Ponce, Puerto Rico, 00717-1563
Pfizer Investigational Site
Rio Piedras, Puerto Rico, 00935
Pfizer Investigational Site
San Juan, Puerto Rico, 00935
Pfizer Investigational Site
San Juan, Puerto Rico, 00909
South Africa
Pfizer Investigational Site
Johannesburg, Gauteng, South Africa, 2193
Pfizer Investigational Site
Johannesburg, Gauteng, South Africa, 1818
Pfizer Investigational Site
Soweto, Johannesburg, South Africa, 2013
Pfizer Investigational Site
Dundee, Kwazulu-Natal, South Africa, 3000
Pfizer Investigational Site
Durban, Kwazulu-Natal, South Africa, 4001
Pfizer Investigational Site
Cape Town, Western Cape, South Africa, 7925
Pfizer Investigational Site
Cape Town, Western Cape, South Africa, 7780
Spain
Pfizer Investigational Site
Badalona, Barcelona, Spain, 08916
Pfizer Investigational Site
Madrid, Spain, 28046
Taiwan
Pfizer Investigational Site
Kaohsiung County, Taiwan, 82445
Pfizer Investigational Site
Taipei, Taiwan
Ukraine
Pfizer Investigational Site
Berezyna, Vinnitsa District, Vinnitsa Region, Ukraine, 23222
Pfizer Investigational Site
Donetsk, Ukraine, 83045
Pfizer Investigational Site
Lugansk, Ukraine, 91045
United Kingdom
Pfizer Investigational Site
Brighton, East Sussex, United Kingdom, BN2 1ES
Pfizer Investigational Site
Crumpsall, Greater Manchester, United Kingdom, M8 5RB
Pfizer Investigational Site
Edinburgh, United Kingdom, EH3 9HA
Pfizer Investigational Site
Edinburgh, United Kingdom, EH4 2XU
Pfizer Investigational Site
London, United Kingdom, NW3 2QG
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

Additional Information:
No publications provided

Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT00823979     History of Changes
Other Study ID Numbers: A5271022
Study First Received: January 15, 2009
Last Updated: December 20, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by Pfizer:
HIV-1 NNRTI Treatment Experienced
may have Protease inhibitor experience

Additional relevant MeSH terms:
Reverse Transcriptase Inhibitors
Ritonavir
Darunavir
Nucleic Acid Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Anti-Retroviral Agents
Antiviral Agents
Anti-Infective Agents
Therapeutic Uses
HIV Protease Inhibitors
Protease Inhibitors
Anti-HIV Agents

ClinicalTrials.gov processed this record on May 23, 2013