Pediatric Study for Appropriate Dose of Ritonavir Boosted Lopinavir in Thai HIV-infected Children (PEARL)
A Multicenter Randomized Study to Compare the Safety and Efficacy of Low-dose Versus Standard Dose Lopinavir/Ritonavir Containing HAART Regimen in Virological Suppressed HIV-infected Thai Children
1 other identifier
interventional
199
1 country
10
Brief Summary
To compare the safety and efficacy of low-dose versus standard dose lopinavir/ritonavir containing HAART regimen in virological suppress, HIV RNA viral load \< 50 copies/ml at 48 week
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Mar 2011
10 active sites
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
First Submitted
Initial submission to the registry
February 3, 2011
CompletedStudy Start
First participant enrolled
March 1, 2011
CompletedFirst Posted
Study publicly available on registry
March 2, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2013
CompletedMarch 25, 2015
March 1, 2015
2.1 years
February 3, 2011
March 23, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To compare the safety and efficacy of low-dose versus standard dose lopinavir/ritonavir containing HAART regimen in virological suppress, HIV RNA viral load < 50 copies/ml at 48 week
proportion of patient who had HIV RNA \< 50 copies/ml Safety issue: patient who had HIV RNA \> 50 copies/ml during the study period will be checked for LPV blood level, if the LPV Cmin \< 1 ug/ml. The dose of LPV/r will be adjusted to appropriate dose.
48 week
Study Arms (2)
standard dose
ACTIVE COMPARATORArm 1:LPV/r Standard dose BW 25-35 kg 300/75 mg BW \>35-50 kg 400/100 mg
low dose
EXPERIMENTALArm 2:Low dose BW 25-35 kg 200/50 mg BW \>35-50 kg 300/75 mg
Interventions
The study participants will receive Lopinavir/ritonavir heat-stable tablet (100/25 mg or 200/50 mg) q 12 hour plus NRTIs. The other NRTIs is depend on physician discretion. Arm 1:LPV/r Standard dose Arm 2:Low dose BW 25-35 kg 300/75 mg 200/50 mg BW \>35-50 kg 400/100 mg 300/75 mg
Eligibility Criteria
You may qualify if:
- HIV infection children age \< 18 years old
- Currently on PI regimens
- HIV RNA viral load \< 50 copies/ml at screening
- BW 25-50 kg
- Written informed consent
You may not qualify if:
- Relevant history or current condition of PI resistance, plasma HIV RNA \> 1000 copies/ml after received the PI regimens for at least 6 months
- On rifampin, nevirapine, efavirenz which have drug interaction with lopinavir
- On double boosted protease inhibitors
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The HIV Netherlands Australia Thailand Research Collaborationlead
- Chulalongkorn Universitycollaborator
- Queen Sirikit National Institute of Child Healthcollaborator
- Srinagarind Hospital, Khon Kaen Universitycollaborator
- Bamrasnaradura Infectious Diseases Institutecollaborator
- Nakornping Hospitalcollaborator
- Prapokklao Hospitalcollaborator
- Surin Hospitalcollaborator
- Sappasitthiprasong Hospitalcollaborator
- UdonThani Hospitalcollaborator
- Buddhachinaraj Hospitalcollaborator
- Phrachomklao Hospitalcollaborator
Study Sites (10)
Srinagarind Hospital, Khon Kaen University
Khon Kaen, Changwat Khon Kaen, Thailand
Bamrasnaradura Institute
Nonthaburi, Changwat Nonthaburi, 11000, Thailand
Queen Sirikit National Institute of Child Health
Bangkok, Thailand
Prapokklao Hospital
Chanthaburi, Thailand
Nakornping Hospital
Chiang Mai, Thailand
Phrachomklao Hospital
Phetchaburi, Thailand
Buddhachinaraj Hospital
Phitsanulok, Thailand
Surin Hospital
Surin, Thailand
Sappasitthiprasong Hospital
Ubonratchathani, Thailand
Udonthani Hospital
Udon Thani, Thailand
Related Publications (2)
A randomized study comparing low dose versus standard dose lopinavir/ritonavir among HIV-infected children with virological suppression . Presented at 7th IAS 2013 in June 30-July 3, 2013 in Kuala Lumpur, Malaysia as abstract presentation.
RESULTAssociation of SCLO1B1 polymorphism and plasma concentration of lopinavir in HIV-infected children. Presented at 7th IAS 2013 in June 30-July 3, 2013 in Kuala Lumpur, Malaysia as abstract presentation and 5th International Workshop on HIV Pediatrics in June 28-29, 2013 in Kuala Lumpur, Malaysia
RESULT
Related Links
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Thanyawee Puthanakit, MD
Department of Pediatric , Faculty of Medicine, Chulalongkorn University and Thai Red Cross AIDS Research Centre - HIV-NAT
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 3, 2011
First Posted
March 2, 2011
Study Start
March 1, 2011
Primary Completion
April 1, 2013
Study Completion
April 1, 2013
Last Updated
March 25, 2015
Record last verified: 2015-03