Induction-Maintenance With Atazanavir in HIV Naïve Patients (The INDUMA Study)
This study has been completed.
Sponsor:
Bristol-Myers Squibb
Information provided by:
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT00207142
First received: September 16, 2005
Last updated: January 7, 2010
Last verified: January 2010
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Purpose
The purpose of this study is to compare the proportion of subjects with HIV-1 RNA viral load < 50 c/mL through Week 48 of the Maintenance Phase among HIV-infected subjects with an initial undetectable viral load following an Induction Phase with an ATV/RTV containing HAART regimen, when switched to ATV versus remaining on ATV/RTV, whilst continuing their previous NRTI backbone.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Drug: Atazanavir + 2 NRTIs Drug: Atazanavir + Ritonavir + 2 NRTIs |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase IV, Open-Label, Randomized, Multicenter Trial Assessing the Efficacy of a Treatment Maintenance Phase With Unboosted vs. Boosted Reyataz After an Induction Phase With Reyataz and Ritonavir in Treatment Naive HIV Patients (the INDUMA Study) |
Resource links provided by NLM:
Genetics Home Reference related topics:
complement factor I deficiency
MedlinePlus related topics:
HIV/AIDS
U.S. FDA Resources
Further study details as provided by Bristol-Myers Squibb:
Primary Outcome Measures:
- Percentage of Participants With HIV-1 RNA <50 Copies/mL (c/mL) Through Week 48 of the Maintenance Phase [ Time Frame: From the end of Induction Phase (Week 26 to Week 30 of Induction Phase treatment) through Week 48 of Maintenance Phase ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Percentage of Participants With HIV-1 RNA <400 c/mL Through Week 48 of the Maintenance Phase [ Time Frame: From the end of Induction Phase (Week 26 to Week 30 of Induction Phase treatment) through Week 48 of Maintenance Phase ] [ Designated as safety issue: No ]
- Kaplan-Meier Cumulative Proportion for Treatment Failure (HIV-1 RNA ≥50 c/mL) at Different Time Points Through Week 48 of the Maintenance Phase [ Time Frame: Weeks 6-8, Weeks 14-16, Weeks 22-24, Weeks 30-32, Weeks 38-40, Weeks 46-48 ] [ Designated as safety issue: No ]
- Kaplan-Meier Cumulative Proportion for Treatment Failure (HIV-1 RNA ≥400 c/mL) at Different Time Points Through Week 48 of the Maintenance Phase [ Time Frame: Weeks 6-8, Weeks 14-16, Weeks 22-24, Weeks 30-32, Weeks 38-40, Weeks 46-48 ] [ Designated as safety issue: No ]
- Change From End of Induction Phase in CD4 Cell Count at Week 48 of Maintenance Phase [ Time Frame: End of Induction Phase (Week 26 to Week 30 of Induction Phase treatment), Week 48 of Maintenance Phase ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Cell Count at Week 24 of Induction Phase [ Time Frame: Baseline, Week 24 of Induction Phase ] [ Designated as safety issue: No ]
- Change From Baseline in CD4 Cell Count at Week 48 of Rescue Phase [ Time Frame: Baseline, Week 48 of Rescue Phase ] [ Designated as safety issue: No ]
- Change From Baseline in HIV-1 RNA at Week 24 of the Induction Phase [ Time Frame: Baseline, Week 24 of Induction Phase ] [ Designated as safety issue: No ]
- Change From Baseline in HIV-1 RNA at Week 48 of the Rescue Phase [ Time Frame: \Baseline, Week 48 of Rescue Phase ] [ Designated as safety issue: No ]
- Treatment Outcomes Based on Viral Loads (HIV-1 RNA ≥50 c/mL) Through the End of Rescue Phase [ Time Frame: Through Week 48 of Rescue Phase. Measurements were included from the end of Induction Phase through the last dose of Rescue Phase study therapy plus 4 days. ] [ Designated as safety issue: No ]
- Treatment Outcomes Based on Viral Loads (HIV-1 RNA ≥400 c/mL) Through the End of Rescue Phase [ Time Frame: Baseline, Week 48 of Rescue Phase ] [ Designated as safety issue: No ]
- Time to Suppression (Confirmed HIV-1 RNA < 50 c/mL) During Treatment Phase [ Time Frame: Week 16-18, Week 24-26, Week 38-40, Week 64-66 ] [ Designated as safety issue: No ]
- Time to Suppression (Confirmed HIV-1 RNA < 400 c/mL) During Treatment Phase [ Time Frame: Week 16-18, Week 24-26, Week 30-32 ] [ Designated as safety issue: No ]
- Summary of Adverse Events During Induction Phase [ Time Frame: Measurements are included through the earlier of the last dose of Induction Phase study therapy plus 30 days or the first dose of Maintenance/Rescue Phase therapy (ie, up until 26 to 31 weeks + 30 days). ] [ Designated as safety issue: Yes ]
- Summary of Adverse Events During Maintenance Phase [ Time Frame: Measurements are included from the end of Induction Phase (26 to 30 weeks after first dose) through the last dose of Maintenance Phase study therapy plus 30 days. ] [ Designated as safety issue: Yes ]
- Summary of Adverse Events During Rescue Phase [ Time Frame: Measurements are included from the end of Induction Phase (26 to 30 weeks after the first dose therapy) through the last dose of Rescue Phase study therapy plus 30 days. ] [ Designated as safety issue: Yes ]
- Percent Change From End of Induction Phase in Fasting Lipids at Week 48 of Maintenance Phase [ Time Frame: Measurements were included from the end of Induction Phase (Week 26 to Week 30 of Induction therapy) through Week 48 of Maintenance Phase. ] [ Designated as safety issue: Yes ]
| Enrollment: | 252 |
| Study Start Date: | November 2005 |
| Study Completion Date: | January 2008 |
| Primary Completion Date: | August 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Switch
ATV 400 mg + 2 NRTIs (TBD), ATV once daily, NRTIs (TBD)
|
Drug: Atazanavir + 2 NRTIs
Capsules, tablets, Oral, 48 weeks (after a 26-to-30-week induction phase with ATV 300 mg + RTV 100 mg + 2 NRTIs)
Other Name: Reyataz
|
|
Active Comparator: Continuation
ATV 300 mg + RTV 100 mg + 2 NRTIs (TBD), ATV and RTV once daily, NRTIs (TBD)
|
Drug: Atazanavir + Ritonavir + 2 NRTIs
Capsules, tablets, Oral, 48 weeks (after a 26-to-30-week induction phase with ATV 300 mg + RTV 100 mg + 2 NRTIs)
Other Name: Reyataz
|
|
Rescue
ATV 300 mg + RTV 100 mg + 2 NRTIs (TBD), ATV and RTV once daily, NRTIs (TBD)
|
Drug: Atazanavir + Ritonavir + 2 NRTIs
Capsules, tablets, Oral, 48 weeks (after a 26-to-30-week induction phase with ATV 300 mg + RTV 100 mg + 2 NRTIs)
Other Name: Reyataz
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Treatment naive HIV-1 infected subjects ( < 10 days of treatment with any ARV).
- Subjects who have an HIV-1 RNA level ≥ 5000 c/mL at screening.
- Subjects who have a CD4 count ≥ 50 cells/mm3.
- Men and women, ages 18 years of age or older (or minimum age as determined by local regulatory or as legal requirements dictate).
- Both females of child-bearing potential and males must utilize effective barrier contraception. Other contraception in addition to barrier methods is permitted; refer to the Investigator Brochure for details regarding potential interactions with ATV and some oral contraceptives
Exclusion Criteria:
- WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 8 weeks after the study.
- WOCBP using a prohibited contraceptive method. Caution is warranted with coadministration of oral contraceptives (ethinyl estradiol and norethindrone) - see Investigator Brochure for details
- Women who are pregnant or breastfeeding
- Women with a positive pregnancy test on enrollment or prior to study drug administration.
- Presence of a newly diagnosed HIV-related opportunistic infection or any medical condition requiring acute therapy at the time of enrollment
- Primary HIV infection
- Medical History and Concurrent Diseases
- Active alcohol or substance use sufficient, in the investigator's opinion, to prevent adequate compliance with study therapy or to increase the risk of developing pancreatitis or chemical hepatitis Physical and Laboratory Test Findings
- Screening laboratory values measured as follows:
- Grade IV glucose,
- Grade IV electrolytes,
- Grade IV transaminases,
- Grade IV hematology.
- Hypersensitivity to any component of the formulation of study drug
- Prior history of taking any ARV for more than 10 days
- Concomitant administration of tenofovir (TDF).
- Refer to Section 6.4.1 which details all prohibited therapies
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00207142
Locations
| Estonia | |
| Local Institution | |
| Tallinn, Estonia | |
| France | |
| Local Institution | |
| Le Kremlin Bicetre 94, France | |
| Local Institution | |
| Orleans, France | |
| Local Institution | |
| Paris, France | |
| Local Institution | |
| Paris Cedex 12, France | |
| Local Institution | |
| Paris Cedex 20, France | |
| Local Institution | |
| Suresnes, France | |
| Germany | |
| Local Institution | |
| Dusseldorf, Germany | |
| Local Institution | |
| Hannover, Germany | |
| Local Institution | |
| Stuttgart, Germany | |
| Local Institution | |
| Ulm, Germany | |
| Ireland | |
| Local Institution | |
| Dublin 3, Dublin, Ireland | |
| Local Institution | |
| Dublin 8, Dublin, Ireland | |
| Italy | |
| Local Institution | |
| Brescia, Italy | |
| Local Institution | |
| Milano, Italy | |
| Local Institution | |
| Napoli, Italy | |
| Local Institution | |
| Padova, Italy | |
| Latvia | |
| Local Institution | |
| Riga, Latvia | |
| Portugal | |
| Local Institution | |
| Cascais, Portugal | |
| Local Institution | |
| Porto, Portugal | |
| Russian Federation | |
| Local Institution | |
| Moscow, Russian Federation | |
| Local Institution | |
| Smolensk, Russian Federation | |
| Local Institution | |
| St. Petersburg, Russian Federation | |
| Spain | |
| Local Institution | |
| Elche, Alicante, Spain | |
| Local Institution | |
| Barcelona, Spain | |
| Local Institution | |
| Madrid, Spain | |
| Local Institution | |
| Valencia, Spain | |
| United Kingdom | |
| Local Institution | |
| Bristol, Avon, United Kingdom | |
| Local Institution | |
| Edinburgh, Central, United Kingdom | |
| Local Institution | |
| London, Greater London, United Kingdom | |
Sponsors and Collaborators
Bristol-Myers Squibb
Investigators
| Study Director: | Bristol-Myers Squibb | Bristol-Myers Squibb |
More Information
Additional Information:
No publications provided
| Responsible Party: | Study Director, Bristol-Myers Squibb |
| ClinicalTrials.gov Identifier: | NCT00207142 History of Changes |
| Other Study ID Numbers: | AI424-136 |
| Study First Received: | September 16, 2005 |
| Results First Received: | June 2, 2009 |
| Last Updated: | January 7, 2010 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by Bristol-Myers Squibb:
|
Treatment Naive HIV-1 infected treatment naive patients |
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 Ritonavir |
Atazanavir HIV Protease Inhibitors 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 19, 2013