Comparing the Effectiveness Between Ritonavir Boosted Atazanavir and Efavirenz for the First HIV Treatment
Open-label Randomized Multicenter Study of Once Daily Antiretroviral Treatment Regimen Comparing Ritonavir Boosted Atazanavir to Efavirenz
1 other identifier
interventional
71
1 country
1
Brief Summary
A selection study in treatment naive HIV patients to compare the virologic success rate of once daily antiretroviral treatment regimens at the 48th week with Epzicom(lamivudine and abacavir) plus efavirenz and Epzicom plus ritonavir boosted atazanavir. The superior regimen will be hired to the comparative study to the current first line regimen (tenofovir plus lamivudine plus efavirenz)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Sep 2005
Typical duration for phase_3
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
September 1, 2005
CompletedFirst Submitted
Initial submission to the registry
January 22, 2006
CompletedFirst Posted
Study publicly available on registry
January 24, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2009
CompletedMarch 30, 2015
March 1, 2015
4 years
January 22, 2006
March 27, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Antiretroviral effect at the 48th week
48 weeks
Secondary Outcomes (2)
1. Evaluation of immunological effect and safety in 48 weeks.
48 weeks
2.Evaluation of antiretroviral effect, immunological effect and safety in 49 to 96 weeks.
96 weeks
Study Arms (2)
atazanavir arm
EXPERIMENTALPatients are treated with ritonavir 100mg boosted atazanavir 300mg along with Epzicom.
efavirenz arm
ACTIVE COMPARATORPatients are treated with efavirenz 300mg along with Epzicom.
Interventions
Patients are treated with ritonavir 100mg boosted atazanavir 300mg along with Epzicom.
Eligibility Criteria
You may qualify if:
- serological diagnosis of HIV infection
- male aged over 20 years old
- CD4 at enrollment between 100 to 300
- body weight over 40kg
- enable to obtain the written informed consent
You may not qualify if:
- Patients who are considered unable to complete 48 weeks of study by their physician.
- Patients who have gastrointestinal symptom which may interfere the absorption of antiretrovirals, or have swallowing problems.
- Patients who have the history of hypersensitivity with lamivudine.
- Hepatitis B carrier.
- Blood test results within 4 weeks prior to the randomization; hemoglobin less than 9g/dl, platelet less than 50,000/mm3, neutrophils less than 1000/mm3, serum total bilirubin more than 2.0mg/dl, GOT/GPT/LDH more than two times of upper normal limit, serum creatinine more than 1.2mg/dl.
- Patients who have had radiation or chemotherapy within 4 weeks prior to the randomization or will have the treatment during the study .
- Patients who have had immunomodulating agent such as systemic use of corticosteroid or interferon within 4 weeks prior to the randomization. Inhaled corticosteroid is the exception.
- Patients who have diabetes, congestive heart failure, cardiomyopathy, or other serious medical condition.
- Patients with AIDS defining illness.
- Patients with known resistant strains to efavirenz, atazanavir, ritonavir, lamivudine and abacavir prior to the study.
- Patients with acute retroviral syndrome.
- Patients with psychiatric disorder.
- Patients whose physician consider the study enrollment inappropriate.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
International Medical Center of Japan
Shinjuku, Tokyo, 162-8655, Japan
Related Publications (1)
Honda M, Ishisaka M, Ishizuka N, Kimura S, Oka S; Japanese Anti-HIV-1 QD Therapy Study Group. Open-label randomized multicenter selection study of once daily antiretroviral treatment regimen comparing ritonavir-boosted atazanavir to efavirenz with fixed-dose abacavir and lamivudine. Intern Med. 2011;50(7):699-705. doi: 10.2169/internalmedicine.50.4572. Epub 2011 Apr 1.
PMID: 21467701RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Shinichi Oka, M.D., phD.
International Medical Center of Japan
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director general, AIDS Clinical Center
Study Record Dates
First Submitted
January 22, 2006
First Posted
January 24, 2006
Study Start
September 1, 2005
Primary Completion
September 1, 2009
Study Completion
September 1, 2009
Last Updated
March 30, 2015
Record last verified: 2015-03