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Completed

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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Key information

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

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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

Tipranavir

Drug

Ritonavir

Drug

Saquinavir

Drug

Amprenavir

Drug

Lopinavir

Drug

Primary outcomes

  1. Change of the 2nd Protease Inhibitor (PI) (APV, LPV. SQV) mean concentration (C12h)

    Time frame: Day 14 to Day 28

  2. Occurrence of adverse events; Proportion of patients with laboratory abnormalities; Proportion of patients with SAEs

    Time frame: week 4

Secondary outcomes

  1. Mean concentration (C12h) of TPV (TPV/r group); Mean concentration (C12h) of RTV (TPV/r group)

    Time frame: Week 1 and 2

  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

  3. Assessment of patient adherence

    Time frame: Week 1 to 4

  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

  5. 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

  6. 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

  7. AUC(0-12h) of RTV; Cmax of RTV; C12h of RTV

    Time frame: week 2 and 4

  8. 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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