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A Dose Ranging Trial of GSK1349572 and 2 NRTI in HIV-1 Infected, Therapy Naive Subjects (ING112276)
This study is ongoing, but not recruiting participants.
First Received: July 30, 2009   Last Updated: January 21, 2010   History of Changes
Sponsor: GlaxoSmithKline
Collaborator: Shionogi
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00951015
  Purpose

This Phase IIb study in HIV-infected antiretroviral naive subjects will select an optimal once daily dose of GSK1349572 from a range of doses for future evaluation.


Condition Intervention Phase
HIV Infection
HIV-1 Infection
Drug: efavirenz
Drug: GSK1349572
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase IIb Study to Select a Once Daily Dose of GSK1349572 Administered With Either Abacavir/Lamivudine or Tenofovir/Emtricitabine in HIV-1 Infected Antiretroviral Therapy Naive Adult Subjects

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • decline in plasma HIV-1 RNA [ Time Frame: 16, 24 48 and 96 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • change in CD4+ cells [ Time Frame: 16, 24, 48 and 96 weeks ] [ Designated as safety issue: No ]
  • Pharmacokinetic and pharmacodynamic parameters [ Time Frame: 4, 12 and 24 weeks ] [ Designated as safety issue: No ]
  • development of viral resistance over time [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • Assessment of safety and tolerability measures [ Time Frame: throughout the study ] [ Designated as safety issue: No ]

Estimated Enrollment: 200
Study Start Date: July 2009
Estimated Study Completion Date: January 2015
Estimated Primary Completion Date: April 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
25mg: Experimental
subjects will receive GSK1349572 25mg once daily blinded to dose
Drug: GSK1349572
investigational HIV-1 integrase inhibitor
10 mg: Experimental
subjects will receive GSK1349572 10mg once daily blinded to dose
Drug: GSK1349572
investigational HIV-1 integrase inhibitor
efavirenz control
efavirenz will serve as the internal control arm
Drug: efavirenz
approved therapy for HIV-1 infection, used as an internal study control
50mg: Experimental
subjects will receive GSK1349572 50mg once daily blinded to dose
Drug: GSK1349572
investigational HIV-1 integrase inhibitor

Detailed Description:

This Phase IIb study in HIV-infected antiretroviral naive adult subjects will include a dose-ranging evaluation of GSK1349572 10mg, 25mg and 50mg once daily blinded doses and a control arm of open label efavirenz 600mg once daily. Background ART for all study subjects will be chosen by the investigators and will be either Truvada or Epzicom/Kivexa. Data from the three doses of GSK1349572 will be compared on the basis of antiviral activity, safety/tolerability and pharmacokinetics over 16-24 weeks.

Several planned interim analyses will evaluate data in real time; any doses considered inferior will be dropped and subjects on those doses of GSK1349572 will have the option to switch to either the highest dose still under investigation or the selected dose. Subjects will be able to remain in the study, unless they reach a stopping criterion, for at least 96 weeks.

  Eligibility

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

Inclusion Criteria:

  • HIV-1 infected male or female adults at least 18 years of age. Women capable of becoming pregnant must use appropriate contraception during the study (as defined by the protocol);
  • HIV-1 infection with a screening plasma HIV-1 RNA greater than or equal to 1000copies/mL;
  • CD4+ cell count greater than or equal to 200cells/mm3 (or higher as local guidelines dictate);
  • ART-naive (less than or equal to 10 days of prior therapy with any antiretroviral agent). Any previous exposure to an HIV integrase inhibitor other than GSK1349572 will be exclusionary.
  • No evidence of viral resistance to any antiretroviral drug indicative of primary transmitted resistance at screening;
  • Able to understand and comply with protocol requirements;
  • Able to provide written informed consent prior to screening;
  • French subjects: In France, a subject will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category.

Note: Subjects starting abacavir as part of the NRTI backbone must have been screened and be negative for the HLA-B*5701 allele.

Exclusion Criteria:

  • Any pre-existing or serious mental or physical disorder which could compromise ability to comply with the protocol or compromise subject safety;
  • Women who are pregnant or breastfeeding;
  • An active AIDS-defining condition at the screening visit;
  • Previous participation in an experimental drug and/or vaccine trial(s) within 30 days or 5 half-lives;
  • History of clinically relevant pancreatitis or hepatitis within the previous 6 months, including HBsAg positive result. Asymptomatic HCV infection will not be exclusionary, however subject who will require HCV therapy during the trial should be excluded. Any subject with a history of liver cirrhosis with or without hepatitis viral co-infection will be excluded.
  • Any condition which could interfere with the absorption, distribution, metabolism or excretion of the drug;
  • Any acute or Grade 4 laboratory abnormality at screening;
  • History of upper gastrointestinal bleed and/or subjects with active peptic ulcer disease;
  • Estimated creatinine clearance <50 mL/min;
  • Alanine aminotransferase (ALT) greater than or equal to 5 times ULN;
  • Alanine aminotransferase (ALT) greater than or equal to 3xULN and bilirubin greater than or equal to 1.5xULN (with >35% direct bilirubin);
  • Lipase greater than or equal to 3xULN;
  • Hemoglobin < 100 g/L(10 g/dL);
  • History of allergy to the study drugs or their components or drugs of their class;
  • Treatment with radiation therapy, cytotoxic chemotherapeutic agents, any agents with activity against HIV-1 or immunomodulators within 28 days prior to screening;
  • Treatment with an HIV-1 immunotherapeutic vaccine within 90 days prior to screening;
  • History of protocol-defined cardiac diseases;
  • Personal or family history of prolonged QT syndrome;
  • Any clinically significant finding, as specified in the protocol, on electrocardiograph (ECG);
  • Significant blood loss in excess of 500 mL within a 56 day period prior to screening visit;
  • Immunization within 30 days prior to first dose of investigational product;
  • French subjects: The subject has participated in any study using an investigational drug during the previous 60 days or 5 half-lives, or twice the duration of the biological effect of the experimental drug or vaccine - whichever is longer, prior to screening for the study or the subject will participate simultaneously in another clinical study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00951015

  Show 36 Study Locations
Sponsors and Collaborators
GlaxoSmithKline
Shionogi
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GSK ( Study Director )
Study ID Numbers: 112276
Study First Received: July 30, 2009
Last Updated: January 21, 2010
ClinicalTrials.gov Identifier: NCT00951015     History of Changes
Health Authority: France: Agence Française de Sécurité Sanitaire des Produits de Santé;   Germany: Bundesinstitut für Arzneimittel und Medizinprodukte;   Russia: Russian Ministry of Health;   Spain: Agencia Española del Medicamento y Productos Sanitarios;   United States: Food and Drug Administration

Keywords provided by GlaxoSmithKline:
HIV infection
GSK1349572
integrase inhibitor
abacavir
lamivudine
tenofovir
emtricitabine
efavirenz
antiretroviral therapy naive
dose selection
once daily

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

ClinicalTrials.gov processed this record on February 08, 2010