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Switching Nevirapine Immediate Release( IR) Based Regimen to Nevirapine Extended Release (XR) Based Regimen in Human Immunodeficiency Virus One (HIV-1) Infected Patients

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Boehringer Ingelheim
ClinicalTrials.gov Identifier:
NCT00819052
First received: January 7, 2009
Last updated: November 7, 2014
Last verified: November 2014
January 7, 2009
November 7, 2014
December 2008
January 2012   (Final data collection date for primary outcome measure)
Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 24 ]
Primary endpoint was the number of patients with a sustained virologic response through week 24
A virologic failure defined by viral load more or equal to 50 copies/mL measured at two consecutive visits, at least two weeks apart. Change of ARV therapy defined as use of new ARV therapy. Death. Lost to follow up [ Time Frame: 24 Weeks ]
Complete list of historical versions of study NCT00819052 on ClinicalTrials.gov Archive Site
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 2 ]
    Endpoint was the number of patients with a sustained virologic response through week 2
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 4 ]
    Endpoint was the number of patients with a sustained virologic response through week 4
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 8 ]
    Endpoint was the number of patients with a sustained virologic response through week 8
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 12 ]
    Endpoint was the number of patients with a sustained virologic response through week 12
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population [ Time Frame: week 24 ]
    Endpoint was the number of patients with a sustained virologic response through week 24
  • Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 0 to 24 ]
  • Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Population [ Time Frame: week 0 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 2 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 4 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 8 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 12 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 24 ]
  • Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 24 ]
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 48 ]
    Endpoint was the number of patients with a sustained virologic response through week 48
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 60 ]
    Endpoint was the number of patients with a sustained virologic response through week 60
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 72 ]
    Endpoint was the number of patients with a sustained virologic response through week 72
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 84 ]
    Endpoint was the number of patients with a sustained virologic response through week 84
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 96 ]
    Endpoint was the number of patients with a sustained virologic response through week 96
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 108 ]
    Endpoint was the number of patients with a sustained virologic response through week 108
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 120 ]
    Endpoint was the number of patients with a sustained virologic response through week 120
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 132 ]
    Endpoint was the number of patients with a sustained virologic response through week 132
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: week 144 ]
    Endpoint was the number of patients with a sustained virologic response through week 144
  • Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population [ Time Frame: last available visit, up to 144 weeks ]
    Endpoint was the number of patients with a sustained virologic response at their last available visit
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 48 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 60 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 72 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 84 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 96 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 108 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 120 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 132 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, week 144 ]
  • Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Population [ Time Frame: baseline, last available visit (up to 144 weeks) ]
  • Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144 [ Time Frame: week 144 ]
    Endpoint was the number of patients with a sustained virologic response through week 144
  • Change From Baseline in VL (HIV-1 Viral Load) at Each Visit [ Time Frame: week 48, 60, 72, 84, 96, 108, 120, 132, 144, last available visit ]
  • Changes in Safety Parameters Related to Treatment [ Time Frame: until week 144 ]
    Occurence of investigations related to treatment
  • Occurence of Rashes [ Time Frame: 144 weeks ]
    drug-related rashes by severity
  • Occurence of Hepatic Events [ Time Frame: 144 weeks ]
  • New AIDS or AIDS-related Progression Event or Death [ Time Frame: 144 weeks ]
  • Time to Loss of Virologic Response [ Time Frame: 48 weeks ]
    Kaplan-Meier Estimates of time to loss of virologic response defined as the time between the start of treatment and the time of treatment failure, up to and including the time when the last patient was on treatment for 48 weeks.
  • Genotypic Resistance Associated With Virologic Failure [ Time Frame: 48 weeks ]

    Genotypic resistance associated with virologic failure.

    This endpoint was not analysed due to lack of data.

  • Trough Plasma Concentration [ Time Frame: Day 1 to week 48 ]
    Trough plasma concentrations of Nevirapine at steady state after multiple oral administrations of Nevirapine treatments from day 1 (visit 2) to week 48 (visit 9).
Proportion of sustained virologic response through Week 48 using VL less 50 copies/mL, VL less 400 copies/mL and through Week 24 using VL less 400 copies/mL [ Time Frame: 48 Weeks ]
Not Provided
Not Provided
 
Switching Nevirapine Immediate Release( IR) Based Regimen to Nevirapine Extended Release (XR) Based Regimen in Human Immunodeficiency Virus One (HIV-1) Infected Patients
An Open Label, Phase IIIb, Randomised Parallel Group Study to Assess the Efficacy and Safety of Switching HIV-1 Infected Patients Successfully Treated With a Nevirapine IR Based Regiment to Nevirapine XR 400 mg QD or Remaining on Nevirapine IR 200 mg BID Based Program
The primary objective of this study is to demonstrate the efficacy of nevirapine extended release (NVP XR) based regimen for HIV-1 infected patients who were receiving nevirapine immediate release (NVP IR) based regimen for at least 18 prior weeks of therapy.
Not Provided
Interventional
Phase 3
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
HIV Infections
  • Drug: Nevirapine XR
    Nevirapine XR
  • Drug: Nevirapine XR
    Nevirapine extended release
  • Drug: Nevirapine IR
    Nevirapine Immediate Release
  • Active Comparator: NVP IR
    200 mg orally twice a day (po BID)
    Interventions:
    • Drug: Nevirapine XR
    • Drug: Nevirapine IR
  • Experimental: NVP XR
    400 mg orally once a day (po QD)
    Intervention: Drug: Nevirapine XR
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
445
January 2012
January 2012   (Final data collection date for primary outcome measure)

Inclusion criteria:

HIV infected subjects treated with a Viramune based regimen.

A subject that meets the following inclusion criteria will be eligible for participation in this study:

  1. Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation.
  2. HIV-1 infected males or females of at least 18 years.
  3. Treatment with Viramune regimen for at least the preceding 18 weeks.
  4. Background therapy with lamivudine/ abacavir(3TC/ABC) (Kivexa® in EU; Epzicom in US), emtricitabine/tenofovir( FTC/TDF) (Truvada) or lamivudine/zidovudine 3TC/AZT (Combivir®).
  5. An HIV viral load < 50 copies/mL in preceding 3 months.
  6. An HIV viral load of < 50 copies/mL at screening (Visit 1).
  7. Acceptable screening laboratory values that indicate adequate baseline organ function with the following exceptions: alanine aminotrnasferase (ALT) and asparatate aminotransferase (AST) < 2.5 × upper limit of normal (ULN) Division of Acquired Immunodeficiency Syndrome (DAIDS Grade 1).
  8. Willingness to abstain from ingesting medications that are listed as contraindicated in the Summary of Product Characteristics (SPC) or package insert (or PI) or Investigator's Brochure during the study.
  9. Karnofsky performance score of < 70

Exclusion criteria:

Subjects who meet one or more of the following criteria will be excluded from the study:

  1. Current treatment with an HIV protease inhibitor
  2. Participation in another trial or use of an investigational medicine within two months prior to Day 1 of this study
  3. Female patients of child-bearing potential who:

    1. Have a positive serum pregnancy test at screening.
    2. Are breast feeding.
    3. Are planning to become pregnant
    4. Are not willing to use a double-barrier methods (simultaneous use of two different methods such as diaphragm with spermicidal substance and condom) of contraception, or require ethinyl estradiol administration. Barrier methods of contraception include diaphragm with spermicidal substance, condom for females, cervical caps and condoms..
  4. Laboratory parameters > DAIDS grade 2 Coagulation prothrombin time (PT), partial thromboplastin time (PTT), International Normalized ratio (INR) Hematology (absolute platelets, white blood cells (WBC), absolute neutrophil count, hemoglobin) Biochemistry (total bilirubin, amylase, serum creatinine, fasting glucose, lactate, alkaline phosphatase)
  5. Laboratory parameters > DAIDS grade 3 Total triglycerides (total cholesterol no restriction)
  6. Hypersensitivity to any ingredients of the test products
  7. Active drug abuse or chronic alcoholism.
  8. Hepatic cirrhosis stage Child-Pugh B or C
  9. History of severe or acute illness within 60 days prior to Day 1, malignancy or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the trial
  10. Inability to comply with protocol requirements
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
No
Contact information is only displayed when the study is recruiting subjects
France,   Germany,   United Kingdom,   United States
 
 
NCT00819052
1100.1526
2008-004681-55 ( EudraCT Number: EudraCT )
Not Provided
Not Provided
Not Provided
Not Provided
Boehringer Ingelheim
Boehringer Ingelheim
Not Provided
Study Chair: Boehringer Ingelheim Boehringer Ingelheim
Boehringer Ingelheim
November 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP