NCT Number: NCT00056641
Dual Boosted - Protease Inhibitor (PI) Pharmacokinetics (PK) Trial (Tipranavir / Ritonavir) in Highly Treatment-experienced HIV-1 Infected Patients
This is an open-label, randomized, parallel group pharmacokinetics trial of tipranavir/ritonavir (TPV/RTV), alone or in combination with RTV-boosted saquinavir (SQV), amprenavir (APV) or lopinavir (LPV), plus an optimized background regimen, in multiple antiretroviral (ARV) experienced HIV-1 patients.
The primary objective is to determine the safety and pharmacokinetics of:
TPV/RTV given with an optimized background regimen (OBR) and TPV/RTV given in combination with saquinavir, amprenavir, or Kaletra® and an optimized background regimen (OBR).
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Notify MeKey information
Conditions
Age range
18 year and older
Sex eligibility
All sexes
Study type
Interventional
Phase
Phase 2
Primary location
Boehringer Ingelheim Investigational Site, Darlinghurst, New South Wales, Australia
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- Signed informed consent prior to trial participation.
- Human Immunodeficiency Virus type 1 (HIV-1) infected males or females ≥18 years of age.
- Acceptable laboratory screening values in Trial 1182.12 (RESIST 1) or 1182.48 (RESIST 2), excluding genotype.
- Genotypic resistance report from screening visit of study RESIST 1 or RESIST 2 indicating at least three mutations at protease codons 33, 82, 84, and 90.
- At least 3 consecutive months experience taking ARVs from each of the classes of Nucleoside reverse transcriptase inhibitors (NRTI), Non-nucleoside reverse transcriptase inhibitor 1 (NNRTI), and Protease Inhibitor (PI) at some point in treatment history, with at least 2 PI-based regimens, one of which must be part of the current regimen, and current PI-based Anti-retroviral (ARV) medication regimen for at least 3 months prior to randomization.
- HIV-1 viral load ≥1000 copies/mL at screening.
- Further inclusion criteria apply.
Exclusion criteria
- Anti-retroviral (ARV) medication naïve.
- Patients on recent drug holiday, defined as off ARV medications for at least 7 consecutive days within the last 3 months.
- Female patients of child-bearing potential who:
- have a positive serum pregnancy test at screening or during the study,
- are breast feeding,
- are planning to become pregnant,
- are not willing to a use barrier method of contraception, or
- require ethinyl estradiol administration.
- Prior tipranavir use.
- Use of investigational medications within 30 days before study entry or during the trial.
- Further exclusion criteria apply.
Treatment and study plan
Ritonavir
DrugSaquinavir
DrugAmprenavir
DrugLopinavir
DrugPrimary outcomes
-
Change of the 2nd Protease Inhibitor (PI) (APV, LPV. SQV) mean concentration (C12h)
Time frame: Day 14 to Day 28
-
Occurrence of adverse events; Proportion of patients with laboratory abnormalities; Proportion of patients with SAEs
Time frame: week 4
Secondary outcomes
-
Mean concentration (C12h) of TPV (TPV/r group); Mean concentration (C12h) of RTV (TPV/r group)
Time frame: Week 1 and 2
-
Mean concentration (C12h) of TPV (PI/TPV/r group); Mean concentration (C12h) of RTV (PI/TPV/r group)
Time frame: Week 3 and 4
-
Assessment of patient adherence
Time frame: Week 1 to 4
-
Area under the Curve (AUC(0-12h)) of the 2nd PI (APV, LPV. SQV); Maximum concentration (Cmax) of the 2nd PI (APV, LPV. SQV); Concentration (C12h) of the 2nd PI (APV, LPV. SQV)
Time frame: week 2 and 4
-
Change in AUC(0-12h) of TPV from week 2; Change in Cmax of TPV from week 2; Change in C12h of TPV from week 2
Time frame: week 4
-
Change in AUC(0-12h) of RTV from week 2; Change in Cmax of RTV from week 2; Change in C12h of RTV from week 2
Time frame: week 4
-
AUC(0-12h) of RTV; Cmax of RTV; C12h of RTV
Time frame: week 2 and 4
-
Change in viral load; Proportion of virologic responders
Time frame: week 2, 4, 8, 16 and 24
Sponsors and collaborators
Lead sponsor
Boehringer Ingelheim
Industry
Registry information
Official study title
An Open Label, Randomized, Parallel-group Pharmacokinetics Trial of Tipranavir / Ritonavir (TPV/RTV), Alone or in Combination With RTV-boosted Saquinavir (SQV), Amprenavir (APV), or Lopinavir (LPV), Plus an Optimized Background Regimen, in Multiple Antiretroviral (ARV) Experienced Patients.
Important dates
- Study start
- 2003
- Primary completion
- 2004
- First posted
- Mar 21, 2003
- Registry last updated
- Dec 1, 2023
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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