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Completed

NCT Number: NCT00623597

A Study of Invirase (Saquinavir)/Ritonavir in HIV-Infected Infants and Children.

This single arm study will assess the pharmacokinetics, safety and activity of saquinavir (Invirase hard gel capsules, film coated tablets or opened capsules) boosted by combination with ritonavir, in HIV-1 infected infants and children between the ages of 4 months and 6 years. Patients will commence treatment with saquinavir 50mg/kg bid plus ritonavir 2.5mg/kg or 3.0mg/kg (dependent on body weight), and a background antiretroviral regimen. If drug exposures are found to be dissimilar to those previously seen in older children and adults, or are associated with toxicities, subsequent dose adjustments will be made. The anticipated time on study treatment is 3-12 months, and the target sample size is <100 individuals.

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Key information

Age range

4 month–6 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • infants and children, 4 months to <6 years;
  • confirmed HIV-1 infection;
  • patients for whom saquinavir/ritonavir together with >=2 background ARVs is considered appropriate.

Exclusion criteria

  • body weight >4kg/8.8 pounds;
  • use of any concomitant medications that may interfere with the pharmacokinetics of saquinavir or ritonavir;
  • malabsorption, severe chronic diarrhea or vomiting within 28 days of the study.

Treatment and study plan

Ritonavir

Drug

2.5-3.0mg/kg po bid (starting dose) for 48 weeks

saquinavir [Invirase]

Drug

50mg/kg po bid (starting dose) for 48 weeks

Primary outcomes

  1. Plasma Trough Concentrations (Ctrough) for Saquinavir

    Time frame: Pre-dose at Weeks 8, 12, 24.

    Plasma trough concentration is the average steady state concentration prior to morning and evening dose. Ctrough of Saquinavir was normalized to a dose of 50 mg/kg.

  2. Area Under the Plasma Concentration-time Curve Over the Time Interval From Zero to Twelve Hours (AUC0-12h) for Saquinavir

    Time frame: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an Non-nucleoside reverse transcriptase inhibitor [NNRTI] containing regimen).

    The area under the plasma concentration-time curve from time zero to twelve hours (AUC0-12h) is area under the plasma concentration-time curve from time zero through actual tlast. The area under the plasma concentration-time curve from time zero to twelve hours of saquinavir was normalized to a dose of 50 mg/kg.

  3. Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)

    Time frame: From Baseline (Day 1) till Week 48 and Follow-up (Week 52)

    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes

  4. Change In Hematocrit From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

  5. Change In Hemoglobin, Total Protein And Total Albumin From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

  6. Change In White Blood Cell (WBC), Platelet, Basophil, Lymphocyte, Monocyte, Neutrophil And Eosinophil Cell Counts From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

  7. Change In Red Blood Cell (RBC) Counts From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

  8. Change In Creatine Kinase (CK), Serum Glutamic Oxaloacetic Transaminase (SGOT), Alkaline Phosphatase (ALP), Serum Glutamic-Pyruvic Transaminase (SGPT), Gamma-Glutamyl Transferase (GGT) Counts From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

  9. Change In Total Bilirubin, Creatinine, Uric Acid From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

  10. Change In Blood Urea Nitrogen (BUN), Low Density Lipoprotein (LDL) Cholesterol, High Density Lipoprotein (HDL Cholesterol), Triglycerides, Calcium, Potassium, Sodium, Chloride, Phosphate, Fasting Glucose From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

  11. Change In Hematuria, Glycosuria And Proteinuria From Baseline

    Time frame: Baseline (Day 1), Week 24 and Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Secondary outcomes

  1. Plasma Trough Concentrations (Ctrough) for Ritonavir

    Time frame: Pre-dose at Weeks 8, 12, 24

    Plasma trough concentration is the average steady state concentration prior to morning and evening dose. Ctrough of Ritonavir was normalized to a dose of 100 mg/kg.

  2. Maximum Observed Concentration (Cmax) for Saquinavir and Ritonavir

    Time frame: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an NNRTI containing regimen and at Week 24

    The Plasma Concentration (Cmax) is defined as maximum observed analyte concentration. Cmax was normalized to a dose of 50 mg/kg for Saquinavir and100 mg/kg for Ritonavir.

  3. Area Under the Plasma Concentration-time Curve Over the Time Interval From Zero to Twelve Hours (AUC0-12h) for Ritonavir

    Time frame: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an NNRTI containing regimen).

    The area under the plasma concentration-time curve from time zero to twelve hours (AUC0-12h) is area under the plasma concentration-time curve from time zero through actual tlast. The area under the plasma concentration-time curve from time zero to twelve hours of ritonasvir was normalized to a dose of 100 mg/kg.

  4. Change From Baseline in Mean Human Immunodeficiency Virus Viral Load

    Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.

    Change from baseline in plasma HIV-1 RNA was derived as Change from baseline = Log10 (HIV-1 RNA at week x) - Log10 (HIV-1 RNA at baseline)

  5. Number of Participants With Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA) <400 Copies/mL

    Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.

    The number of participants with HIV-1 RNA results <400 copies/mL were reported

  6. Number of Participants With Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA) <50 Copies/mL

    Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.

    The number of participants with HIV-1 RNA results <50 copies/mL were reported.

  7. Number of Participants With >1 Log Decrease From Baseline in Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA )

    Time frame: From Week 8 till Week 48

    The number of participants experiencing a greater than 1 log drop from baseline (day 1) (log 10 transformed) were reported

  8. Number of Participants With Virological Failure

    Time frame: From Week 12 till Week 48

    Virological failure was defined as: viral load >= 400 copies/mL on two consecutive occasions (missing visits was assumed to be above 400 copies/mL). The number of participants classified as virological failure by Age Group and viral load (≤ 10,000 copies, >10,000 copies) were presented.

  9. Change From Baseline in Cluster Differentiation Antigen 4 (CD4) Lymphocyte Count

    Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 or upon premature discontinuation

    Change from Baseline in CD4+ lymphocyte count at 24 weeks and 48 weeks were presented by age group. Change from baseline in CD4+ lymphocyte count was derived as follows: Change from baseline = (CD4+ count at week 24/48) - (CD4+ count at baseline). A baseline collection was made if there was not already a value available taken within the previous 4 weeks. Baseline was on Day 1.

  10. Change From Baseline in Cluster Differentiation Antigen 8 (CD8) Lymphocyte Count

    Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 or upon premature discontinuation

    Change from baseline in CD8+ lymphocyte count at 24 weeks and 48 weeks were presented by age group. Change from baseline in CD8+ lymphocyte count was derived as follows: Change from baseline = (CD8+ count at week 24/48) - (CD8+ count at baseline). A baseline collection was made if there was not already a value available taken within the previous 4 weeks. Baseline was on Day 1.

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

A Phase I/II Study of Invirase® Boosted With Ritonavir in HIV Infected Infants and Children 4 Months to Less Than 6 Years Old

Important dates

Study start
2008
Primary completion
2010
Study completion
2010
First posted
Feb 26, 2008
Registry last updated
Mar 7, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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