Dual Boosted Protease Inhibitor Regimens Without Any Additional Antiretroviral Therapy in HIV-1 Infected Patients (ANRS127)
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Purpose
The purpose of this study is to evaluate virological efficacy and safety of two double protease inhibitor regimens: atazanavir/fosamprenavir/ritonavir 300 mg once daily/ 700/100 mg twice daily, versus atazanavir/saquinavir/ritonavir 300/1500/100 mg once daily in protease inhibitor naive HIV-1 patients.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Drug: Fosamprenavir Drug: Saquinavir |
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: | Efficacy and Safety of Regimens Restricted to a Combination of Two Boosted Protease Inhibitors as Potent Antiretroviral Therapy in HIV-1 Infected Patients. ANRS 127 2IP |
- Virologic success defined as HIV RNA levels below 50 copies/ml after 16 weeks of initial treatment
- Safety of protease inhibitors
- Percentage of patients with viral load below 400 copies/ml at week 16 (W16)
- Body mass index (BMI)
| Enrollment: | 61 |
| Study Start Date: | December 2005 |
| Study Completion Date: | August 2007 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group 1
Atazanavir + Fosamprenavir + ritonavir
|
Drug: Fosamprenavir
ATV (150mg: 2 pills per day) + RTV (100mg: 1 pill twice a day) + FPV (700mg: 1 pill twice a day)
|
|
Experimental: group 2
Atazanavir + saquinavir + ritonavir
|
Drug: Saquinavir
ATV (150mg: 2 pills per day) + RTV (100mg: 1 pill per day) + SQV (500mg: 3 pills per day)
|
Detailed Description:
The purpose of this randomized, open-label study is to evaluate virological efficacy and safety of two double protease inhibitor regimens: atazanavir/fosamprenavir/ritonavir 300 mg once daily/ 700/100 mg twice daily, versus atazanavir/saquinavir/ritonavir 300/1500/100 mg once daily in protease inhibitor naive HIV-1 patients.
Patients with CD4 cell counts over or equal to 200/mm3, HIV viral load between 10,000 and 750,000 copies per milliliter, and wild-type genotype at baseline will be eligible. This multicenter study will enroll 60 patients (n=30 in each group). The planned duration of the study is 48 weeks from the enrolment of the last subject.
The primary efficacy endpoint will be virologic success defined as HIV RNA levels below 50 copies/ml after 16 weeks of initial treatment. The durability of this response will be evaluated and patients will be followed for 48 weeks.
The primary safety endpoint will be treatment interruptions because of adverse effects.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Protease inhibitor naive patients
- Wild type genotype
- CD4 greater than 200/mm3
- Viral load between 10,000 copies/ml and 750,000 copies/ml
- Signed informed consent
Exclusion Criteria:
- Pregnancy; breast feeding
- Antiretroviral (ARV) pretreated patients
- Hyperlipidemic treatment
- Evolutive disease
Contacts and Locations| France | |
| Service des Maladies infectieuses et tropicales Hopital Bichat Claude Bernard | |
| Paris, France, 75018 | |
| Principal Investigator: | Roland Landman, MD | Hopital Bichat SMIT A Paris |
| Study Chair: | Jean Pierre Aboulker, MD | Inserm SC10 |
More Information
No publications provided by French National Agency for Research on AIDS and Viral Hepatitis
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | French National Agency for Research on AIDS and Viral Hepatitis |
| ClinicalTrials.gov Identifier: | NCT00122603 History of Changes |
| Other Study ID Numbers: | 2005-003470-20, ANRS 127 2 IP |
| Study First Received: | July 19, 2005 |
| Last Updated: | December 21, 2011 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by French National Agency for Research on AIDS and Viral Hepatitis:
|
HIV Protease Inhibitors HIV infections Atazanavir Saquinavir |
Fosamprenavir ritonavir Treatment Naive |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases Protease Inhibitors |
Saquinavir Fosamprenavir HIV Protease Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Anti-HIV Agents Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013