PRINCE: Study of Atazanavir (ATV)/Ritonavir (RTV) (PRINCE1)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT01099579
First received: April 6, 2010
Last updated: March 28, 2013
Last verified: June 2011
  Purpose

The purpose of this study is to see if atazanavir powder combined with ritonavir are safe and well-tolerated and produced appropriate drug exposure in children ≥ 3 months to < 6 years of age.


Condition Intervention Phase
HIV Infections
Drug: Atazanavir
Drug: Ritonavir
Phase 3

Study Type: Interventional
Study Design: Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Prospective Single Arm, Open-label, International, Multicenter Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Atazanavir (ATV) Powder Boosted With Ritonavir (RTV) With an Optimized NRTI Background Therapy, in HIV Infected Pediatric Patients Greater Than or Equal to 3 Months to Less Than 6 Years. (Pediatric Atazanavir International Clinical Evaluation: the PRINCE I Study)

Resource links provided by NLM:


Further study details as provided by Bristol-Myers Squibb:

Primary Outcome Measures:
  • The frequency and severity of adverse events, serious adverse events (clinical and laboratory) and discontinuations from study due to adverse events [ Time Frame: 48 Weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Evidence of Viral Load confirmed by HIV-RNA testing [ Time Frame: 48 Weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 56
Study Start Date: November 2010
Estimated Study Completion Date: March 2017
Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Atazanavir + Ritonavir Drug: Atazanavir
Powder, Oral, Dosed by weight (5-10 kg = 150 mg, 10-15 kg = 200 mg, 15-20 kg = 250 mg), Once per day, 48 weeks or until a local pediatric ATV approval
Other Names:
  • Reyataz
  • BMS-232632
Drug: Ritonavir
Oral Solution, Oral, 80 mg/mL, Once per day, 48 weeks or until a local pediatric ATV approval
Other Name: Norvir

  Eligibility

Ages Eligible for Study:   3 Months to 6 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • HIV 1 infection diagnosed by protocol criteria
  • ≥ 3 months to < 5 years and 6 months of age at time of first treatment, and weight > 5 to < 25kg with any screening baseline plasma viral load
  • antiretroviral naive and experienced
  • Screening HIV RNA ≥ 1000 copies/mL
  • Must have genotypic sensitivity at screening to ATV and at least 2 NRTIs. NRTIs must be approved for pediatric use at the local country. (naives only require a genotpye)
  • Subjects must have documented genotypic and phenotypic sensitivity at screening to ATV (Fold Change in susceptibility < 2.2) and to at least 2 NRTIs that are approved in their country

Exclusion Criteria:

  • Experienced subjects who received ATV or ATV/RTV at any time prior to study enrollment or who have prior history of 2 or more PI failures
  • Antiretroviral-naïve or experienced HIV-1 infected patients with contraindication to study medications syncope
  • Family history of QTc interval syndrome, Brugada syndrome or right ventricular dysplasia or with a corrected QTc interval at screening of > 440 ms
  • One of the following cardiac rhythm abnormalities documented on the screening ECG: First degree atrioventricular (AV) block as defined by protocol
  • Type I second degree AV block while awake, type II second degree AV block at any time, complete AV block at any time, or age-adjusted heart rate < 2nd percentile)
  • Use of Tenofovir
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01099579

Locations
United States, Tennessee
St Jude Children'S Research Hospital
Memphis, Tennessee, United States, 38105
Argentina
Local Institution
Buenos Aires, Bs As, Buenos Aires, Argentina, 1141
Local Institution
Cordoba, Argentina, 5000
Brazil
Local Institution
Porto Alegre, Rio Grande Do Sul, Brazil, 90020
Local Institution
Rio De Janeiro, Brazil, 21941
Chile
Local Institution
Santiago, Metropolitana, Chile, 8380418
Local Institution
Santiago, Metropolitana, Chile, 000
Colombia
Local Institution
Cali, Colombia
Italy
Local Institution
Milano, Italy, 20157
Local Institution
Padova, Italy, 35128
Local Institution
Roma, Italy, 00165
Mexico
Local Institution
Guadalajara, Jalisco, Mexico, 44280
Local Institution
Guadalajara, Jalisco, Mexico, 44160
Local Institution
Merida, Yucatan, Mexico, 97000
Local Institution
Puebla, Mexico, 72000
Peru
Local Institution
Lima, Peru, 1
Local Institution
Lima, Peru
South Africa
Local Institution
Bloemfontein, Free State, South Africa, 9301
Local Institution
Coronationville, Gauteng, South Africa, 2092
Local Institution
Soweto, Gauteng, South Africa, 2001
Local Institution
Congella, Kwa Zulu Natal, South Africa, 4013
Local Institution
Cape Town, Western Cape, South Africa, 7505
Thailand
Local Institution
Bangkok, Thailand, 10330
Local Institution
Bangkok, Thailand, 10700
Local Institution
Chiang Mai, Thailand, 50200
Sponsors and Collaborators
Bristol-Myers Squibb
Investigators
Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
  More Information

Additional Information:
No publications provided

Responsible Party: Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT01099579     History of Changes
Other Study ID Numbers: AI424-397, 2009-016361-28
Study First Received: April 6, 2010
Last Updated: March 28, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Bristol-Myers Squibb:
HIV, Pediatric

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 23, 2013