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Pharmacokinetic and Safety Study of Raltegravir and Atazanavir in a Once Daily Dose Regimen in HIV-1 Infected Patients (PRADA)
This study is currently recruiting participants.
Verified by Radboud University, July 2009
First Received: July 21, 2009   Last Updated: August 6, 2009   History of Changes
Sponsor: Radboud University
Information provided by: Radboud University
ClinicalTrials.gov Identifier: NCT00943540
  Purpose

The licensed dose of raltegravir is 400 mg twice daily with or without food. Raltegravir is metabolized predominantly through glucuronidation by UGT1A1. Atazanavir increases the plasma concentrations of raltegravir 400 mg twice daily by 72% due to inhibition of UGT 1A1.

This suggests that combined use of atazanavir and a lower dose frequency of raltegravir, once daily for example, is possible. Another reason why raltegravir most likely can be applied is that its pharmacodynamic effect is not related to Cmin but to AUC which is expected to be similar for an 800mg QD dose when compared to 400mg BD. Phase III clinical trials evaluating QD dosing of raltegravir are currently ongoing and interim results are expected to be published in mid 2009.

A regimen of atazanavir and raltegravir in combination with lamivudine or emtricitabine may be a well tolerated and effective NNRTI-, and ritonavir-sparing regimen that could be an attractive option for both first and second line (after NRTI/NNRTI failure) treatment regimens.


Condition Intervention Phase
HIV Infection
HIV Infections
Drug: raltegravir QD
Drug: atazanavir
Drug: lamivudine (or emtricitabine)
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Dose Comparison, Single Group Assignment, Pharmacokinetics/Dynamics Study
Official Title: Pharmacokinetic and Safety Pilotstudy of RAltegravir and Atazanavir in a Once DAily Dose Regimen in HIV-1 Infected Patients (PRADA)

Resource links provided by NLM:


Further study details as provided by Radboud University:

Primary Outcome Measures:
  • pharmacokinetics of raltegravir [ Time Frame: after two weeks of reference treatment and after two weeks of test treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Viral load [ Time Frame: after two weeks treatment with the reference treatment and after two weeks treatment with the test treatment ] [ Designated as safety issue: Yes ]
  • Adverse events [ Time Frame: entire trial ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 20
Study Start Date: July 2009
Estimated Study Completion Date: March 2011
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Raltegravir BID-QD: Experimental

Week 1-4

  • 600 mg of atazanavir to be taken once daily
  • 400 mg of raltegravir to be taken twice daily
  • 300 mg of lamivudine (or 200 mg of emtricitabine) to be taken once daily

Week 5-8

  • 600 mg of atazanavir to be taken once daily
  • 800 mg of raltegravir to be taken once daily
  • 300 mg of lamivudine (or 200 mg of emtricitabine) to be taken once daily
Drug: raltegravir QD
Raltegravir 800mg QD
Drug: atazanavir
atazanavir
Drug: lamivudine (or emtricitabine)
lamivudine (or emtricitabine)

  Eligibility

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

Inclusion Criteria:

  • HIV-infected as documented by positive HIV antibody test and confirmed by Western Blot.
  • Subject is at least 18 years of age at the day of screening.
  • Subject is able and willing to sign the Informed Consent Form prior to screening evaluations.
  • HIV-1 RNA < 40 copies/mL for at least 6 months on antiretroviral therapy.
  • Subject has no history of previous virological failure or documented resistance mutations

Exclusion Criteria:

  • History of sensitivity/idiosyncrasy to the drug or chemically related compounds or excipients, which may be employed in the trial.
  • Relevant history or current condition that might interfere with drug absorption, distribution, metabolism or excretion.
  • Inability to understand the nature and extent of the trial and the procedures required.
  • Pregnant female (as confirmed by an HCG test performed less than 3 weeks before the first dose) or breast-feeding female.
  • Abnormal serum transaminases determined as levels being > 5 times upper limit of normal (see Appendix A for normal ranges of clinical laboratory values).
  • Concomitant use of medications that interfere with raltegravir or atazanavir pharmacokinetics: rifampicin, irinotecan, midazolam, triazolam, ergotamine, dihydroergotamine, cisapride, pimozide, lovastatin, simvastatin, indinavir, proton pump inhibitors, H2 receptor antagonists, St. john's wort, Ginkgo Biloba, didanosine, tenofovir, efavirenz, nevirapine, antacids, clarithromycin, phenytoin, phenobarbital, carbamazepine.
  • Active hepatobiliary or hepatic disease (including chronic hepatitis B infection).
  • Alcohol abuse.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00943540

Contacts
Contact: David Burger, PhD, PharmD ++31 24 3616405 d.burger@akf.umcn.nl
Contact: Angela Colbers, MSc ++31 24 3616405 a.colbers@akf.umcn.nl

Locations
Germany
University of Bonn Not yet recruiting
Bonn, Germany
Contact: J Rockstroh            
Principal Investigator: J Rockstroh            
Netherlands
Rijnstate Hospital Arnhem Not yet recruiting
Arnhem, Netherlands
Contact: C Richter            
Principal Investigator: C Richter            
Erasmus Medical Center Rotterdam Not yet recruiting
Rotterdam, Netherlands
Contact: M van der Ende            
Principal Investigator: M van der Ende            
Radboud University Medical Centre Nijmegen Recruiting
Nijmegen, Netherlands
Contact: A van der Ven            
Principal Investigator: A van der Ven            
Sponsors and Collaborators
Radboud University
Investigators
Principal Investigator: David Burger Radboud University
  More Information

No publications provided

Responsible Party: Radboud University Medical Centre Nijmegen ( D.M. Burger, PhD, PharmD )
Study ID Numbers: UMCN-AKF 08.07
Study First Received: July 21, 2009
Last Updated: August 6, 2009
ClinicalTrials.gov Identifier: NCT00943540     History of Changes
Health Authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Keywords provided by Radboud University:
pharmacokinetics
single dose
raltegravir
Treatment experienced

Additional relevant MeSH terms:
Communicable Diseases
Anti-Infective Agents
Sexually Transmitted Diseases, Viral
Slow Virus Diseases
Molecular Mechanisms of Pharmacological Action
Lamivudine
Infection
Reverse Transcriptase Inhibitors
Emtricitabine
Anti-Retroviral Agents
Therapeutic Uses
Retroviridae Infections
Nucleic Acid Synthesis Inhibitors
HIV Protease Inhibitors
RNA Virus Infections
Anti-HIV Agents
Immune System Diseases
Acquired Immunodeficiency Syndrome
Atazanavir
Enzyme Inhibitors
Antiviral Agents
Immunologic Deficiency Syndromes
Pharmacologic Actions
Protease Inhibitors
Virus Diseases
HIV Infections
Sexually Transmitted Diseases
Lentivirus Infections

ClinicalTrials.gov processed this record on February 08, 2010