High Dose Ritonavir/Lopinavir Liquid Formulation in Salvage Therapy for Protease Inhibitor Resistant HIV Disease
Prospective Open Label Non-Comparative Study of the Safety, Efficacy and Tolerability of High Dose Ritonavir/Lopinavir Liquid in Salvage Therapy for PI Resistant HIV & a PK Equivalence Sub-Study of High Dose Ritonavir/Lopinavir Capsules
1 other identifier
interventional
20
1 country
1
Brief Summary
The purpose of this study is to evaluate the safety, tolerability and efficacy of higher doses of lopinavir/ritonavir, in combination with other anti-HIV medications when administered as either the capsule or liquid formulations, among patients who have not had full viral suppression despite treatment with 3 classes of HIV medications, and at least 2 prior courses of treatment with HIV protease inhibitors. In addition, pharmacokinetics of the active agents, lopinavir and ritonavir will be measured following administration of both the liquid and capsule formulations and compared.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable hiv
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2005
CompletedFirst Submitted
Initial submission to the registry
October 28, 2005
CompletedFirst Posted
Study publicly available on registry
November 1, 2005
CompletedSeptember 20, 2006
September 1, 2006
October 28, 2005
September 18, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate the safety and efficacy of high dose kaletra liquid and capsules in the treatment of highly antiretroviral experienced, protease inhibitor resistant HIV disease.
Secondary Outcomes (1)
To compare traditional pharmacokinetic measures of the two formulations (kaletra liquid and kaletra capsules) in a subset of the patients included in the primary analysis.
Interventions
Eligibility Criteria
You may qualify if:
- Signed informed consent prior to trial participation.
- HIV-1 infected males or females at least 18 years of age.
- Weight \> 60 kg and \< 100 kg
You may not qualify if:
- Three class ARV experienced, including current PI regimen for at least 12 weeks, at least one other PI based regimen for at least 12 weeks, treatment with at least one NNRTI and with at least 2 nucleoside agents.
- Screening Virologic Phenotype demonstrating lopinavir phenotypic fold resistance between 10 and 80 (if patients have had Virologic Phenotype within 8 weeks of study screening this may be used as the qualifying lopinavir phenotypic fold resistance).
- HIV-1 viral load 1000 copies/mL at screening.
- Acceptable screening laboratory values that indicate adequate baseline organ function. Laboratory values are considered to be acceptable if the following apply:
- Total Cholesterol ≤ DAIDS Grade 3
- Total Triglycerides ≤ DAIDS Grade 3
- ALT and AST ≤DAIDS Grade 3).
- Any Grade GGT is acceptable.
- Any Grade CK is acceptable as long as there is no concurrent myopathy.
- All other laboratory test values ≤DAIDS Grade 2.
- Willingness to discontinue treatment with NNRTIs throughout 48 weeks of study participation (prior or current treatment with enfuvirtide is permitted).
- Acceptable medical history, as assessed by the investigator, with an unremarkable chest X-ray and ECG within 1 year of study participation.
- Willingness to abstain from ingesting substances during the study which may alter plasma study drug levels by interaction with the cytochrome P450 system (these are listed in the informed consent under the risks of lopinavir/ritonavir).
- A prior AIDS-defining event is acceptable as long as it has resolved or the patient has been on stable therapy for at least 12 weeks.
- ARV medication naïve.
- +15 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Lampiris, Harry W., M.D.lead
- Abbottcollaborator
Study Sites (1)
San Francisco VA Medical Center
San Francisco, California, 94121, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Harry W. Lampiris, M.D.
San Francisco Veterans Affairs Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDIV
Study Record Dates
First Submitted
October 28, 2005
First Posted
November 1, 2005
Study Start
October 1, 2005
Last Updated
September 20, 2006
Record last verified: 2006-09