A Double-Blind, Randomized, Dose Response Study of Three Doses of Delavirdine Mesylate (U-90152S) in Combination With Zidovudine (ZDV) Versus ZDV Alone in HIV-1 Infected Individuals With CD4 Counts of 200-500mm3

NCT ID: NCT00002124

Last Updated: 2005-06-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1250 participants

Study Classification

INTERVENTIONAL

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

PART I: To evaluate the safety, tolerance, efficacy, and pharmacokinetics of three fixed doses of delavirdine mesylate (DLV) in combination with zidovudine (AZT) versus AZT alone in HIV-positive patients.

PART II: To evaluate the safety, tolerance, efficacy, and pharmacokinetics of ZDV plus 3TC with or without DLV versus ZDV plus DLV in HIV-positive patients.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

PART I: Patients are originally randomized to receive ZDV plus DLV (DLV at 1 of 3 doses) or ZDV plus placebo.

AS PER AMENDMENT 3/7/96:

PART II: Patients are rerandomized from PART I. Arm I: ZDV plus 3TC plus placebo. Arm II: ZDV plus 3TC plus DLV. Arm III: ZDV plus DLV (DLV at a higher dose than in the original protocol). Arm IV: ZDV plus DLV (no change from original; same treatment as Arm III).

AS PER AMENDMENT 1/24/97: Approximately 450 more patients will be enrolled in one of these 3 revised arms on PART II. Half of these new patients will be anti-retroviral naive and half will be anti-retroviral experienced.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

HIV Infections

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Delavirdine mesylate

Intervention Type DRUG

Lamivudine

Intervention Type DRUG

Zidovudine

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

Patients must have:

* HIV-1 seropositivity.
* CD4 count 200-500 cells/mm3.
* No active or acute (onset within the past month) opportunistic infections such as active cryptococcosis, pneumocystis carinii, herpes zoster, histoplasmosis, or cytomegalovirus (CMV).
* Consent of parent or guardian if less than 18 years of age.
* Understanding of potential risk to fetus related to study participation.
* Acceptable medical history, physical exam, EKG, and chest x-ray during screening.

NOTE:

* Patients with cutaneous Kaposi's sarcoma requiring no systemic therapy are permitted.

PER AMENDMENT 3/7/96:

* ZDV therapy for 0-6 months prior to study entry. (Part II)

Prior Medication:

Allowed:

* Prior AZT (no more than 6 months total).

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Active tuberculosis that is sensitive to rifampin.
* Inability to swallow numerous tablets.
* Clinically significant active or acute medical problems, including progressive multifocal leukoencephalopathy, lymphoma, or malignancy requiring systemic therapy.
* Clinically significant hypersensitivity to piperazine-type drugs (e.g., Antepar and Stelazine).
* Grade 2 or worse baseline organ function. NOTE:
* Hemophiliacs with grade 2 bilirubin, alkaline phosphatase, SGOT, or SGPT will be considered if these values have been stable over the past year. NOTE:
* Patients with suspected Gilbert's syndrome will be considered if bilirubin is grade 2 or better.

Patients with the following prior conditions are excluded:

* History of pancreatitis within the past 2 years.
* History of clinically significant nervous system or muscle disease, seizure disorder, AIDS dementia, or psychiatric disorder that would preclude study compliance.
* History of grade 2 or worse peripheral neuropathy.
* Intolerance to AZT in previously treated patients.

Prior Medication:

Excluded:

* More than 6 months total of prior AZT.
* Any prior ddC, d4T, 3TC, or ddI.
* Prior non-nucleoside reverse transcriptase inhibitors, including L-drugs, nevirapine, TIBO, HEPT, delavirdine, atevirdine, and alpha-APA.
* Other investigational antiretroviral medications (including foscarnet) or immunomodulators (including all interferons) within 21 days prior to initial study drug dose.
* Prior prophylactic or therapeutic HIV-1 gp120 or 160 vaccines.
* Rifampin, rifabutin, astemizole, loratadine, or terfenadine within 21 days prior to initial study drug dose.
* Any unapproved investigational medication for any indication within 21 days prior to initial study drug dose.
* Any enzyme-inducing drugs known to affect cytochrome P450 3A, (e.g., ketoconazole, fluconazole, isoniazid, itraconazole, etc.) within 21 days prior to initial study drug dose.

Active substance abuse.
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Pharmacia and Upjohn

INDUSTRY

Sponsor Role lead

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Univ of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

East Bay AIDS Ctr

Berkeley, California, United States

Site Status

Peachwood Med Ctr

Clovis, California, United States

Site Status

Los Angeles County - USC Med Ctr

Los Angeles, California, United States

Site Status

Los Angeles County / Health Research Assoc / Drew Med Ctr

Los Angeles, California, United States

Site Status

CARE Ctr / UCLA Med Ctr

Los Angeles, California, United States

Site Status

Highland Gen Hosp / San Francisco Gen Hosp

Oakland, California, United States

Site Status

UCI Med Ctr

Orange, California, United States

Site Status

AIDS Community Research Consortium

Redwood City, California, United States

Site Status

UCD Med Ctr / AIDS and Related Disorders Clinic

Sacramento, California, United States

Site Status

St Lukes Medical Group

San Diego, California, United States

Site Status

UCSD / Ctr for Special Immunology

San Diego, California, United States

Site Status

ViRx Inc

San Francisco, California, United States

Site Status

Saint Francis Mem Hosp

San Francisco, California, United States

Site Status

Davies Med Ctr

San Francisco, California, United States

Site Status

Shared Med Research Foundation

Tarzana, California, United States

Site Status

Harbor - UCLA Med Ctr

Torrance, California, United States

Site Status

Univ Hosp / Univ of Colorado Health Sci Ctr

Denver, Colorado, United States

Site Status

Georgetown Univ Med Ctr

Washington D.C., District of Columbia, United States

Site Status

George Washington Univ Med Ctr

Washington D.C., District of Columbia, United States

Site Status

Univ of Miami School of Medicine

Miami, Florida, United States

Site Status

Caremark Inc

Palm Beach Gardens, Florida, United States

Site Status

Infectious Disease Research Institute Inc

Tampa, Florida, United States

Site Status

Infectious Disease Rsch Consortium of GA / SE Clin Resources

Atlanta, Georgia, United States

Site Status

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States

Site Status

Univ of Illinois

Chicago, Illinois, United States

Site Status

Indiana Univ Infectious Disease Research Clinic

Indianapolis, Indiana, United States

Site Status

Univ of Iowa

Iowa City, Iowa, United States

Site Status

Univ of Kansas School of Medicine / Univ Hosp

Kansas City, Kansas, United States

Site Status

Univ of Kansas School of Medicine

Wichita, Kansas, United States

Site Status

Univ of Kentucky Med Ctr / Chandler Med Ctr

Lexington, Kentucky, United States

Site Status

Tulane Univ Med School

New Orleans, Louisiana, United States

Site Status

AIDS Consultation Service / Maine Med Ctr

Portland, Maine, United States

Site Status

Univ of Maryland at Baltimore

Baltimore, Maryland, United States

Site Status

Johns Hopkins Hosp

Baltimore, Maryland, United States

Site Status

Massachusetts Gen Hosp

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hosp

Boston, Massachusetts, United States

Site Status

Boston City Hosp / FGH-1

Boston, Massachusetts, United States

Site Status

New England Deaconess Hosp

Boston, Massachusetts, United States

Site Status

Baystate Med Ctr of Springfield

Springfield, Massachusetts, United States

Site Status

Univ of Massachusetts Med Ctr

Worcester, Massachusetts, United States

Site Status

Univ of Michigan Hospitals and Health Ctrs

Ann Arbor, Michigan, United States

Site Status

Harper Hosp

Detroit, Michigan, United States

Site Status

Henry Ford Hosp

Detroit, Michigan, United States

Site Status

St Paul Ramsey Med Ctr / HIV Program Office

Saint Paul, Minnesota, United States

Site Status

Univ of Missouri at Kansas City School of Medicine

Kansas City, Missouri, United States

Site Status

Washington Univ

St Louis, Missouri, United States

Site Status

Univ of Nebraska Med Ctr / HIV Clinic

Omaha, Nebraska, United States

Site Status

Jersey Shore Med Ctr

Neptune City, New Jersey, United States

Site Status

Albany Med College

Albany, New York, United States

Site Status

SUNY / Erie County Med Ctr at Buffalo

Buffalo, New York, United States

Site Status

Community Research Initiative on AIDS

New York, New York, United States

Site Status

Beth Israel Med Ctr

New York, New York, United States

Site Status

Saint Vincent's Hosp and Med Ctr

New York, New York, United States

Site Status

New York Hosp - Cornell Med Ctr

New York, New York, United States

Site Status

Mount Sinai Med Ctr

New York, New York, United States

Site Status

Community Health Network

Rochester, New York, United States

Site Status

Univ of Rochester Med Ctr

Rochester, New York, United States

Site Status

SUNY / Health Sciences Ctr at Stony Brook

Stony Brook, New York, United States

Site Status

New York Med College / Westchester County Med Ctr

Valhalla, New York, United States

Site Status

Univ of North Carolina School of Medicine

Chapel Hill, North Carolina, United States

Site Status

Carolinas Med Ctr

Charlotte, North Carolina, United States

Site Status

Duke Univ Med Ctr

Durham, North Carolina, United States

Site Status

Univ of Cincinnati / Holmes Hosp

Cincinnati, Ohio, United States

Site Status

Univ Hosp of Cleveland / Case Western Reserve Univ

Cleveland, Ohio, United States

Site Status

Univ of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Portland Veterans Adm Med Ctr / Rsch & Education Grp

Portland, Oregon, United States

Site Status

Pennsylvania State Univ / Hershey Med Ctr

Hershey, Pennsylvania, United States

Site Status

Univ of Pennsylvania / HIV Clinic

Philadelphia, Pennsylvania, United States

Site Status

Buckley Braffman Stern Med Associates

Philadelphia, Pennsylvania, United States

Site Status

Oncology and Hematology Association

Philadelphia, Pennsylvania, United States

Site Status

Univ of Pittsburgh Med School

Pittsburgh, Pennsylvania, United States

Site Status

Stratogen Health / Independent Research Nurses

Cranston, Rhode Island, United States

Site Status

Med Univ of South Carolina

Charleston, South Carolina, United States

Site Status

Univ of Tennessee

Memphis, Tennessee, United States

Site Status

Vanderbilt Univ

Nashville, Tennessee, United States

Site Status

Central Texas Med Foundation

Austin, Texas, United States

Site Status

Dallas Veterans Administration Med Ctr

Dallas, Texas, United States

Site Status

Park Plaza Hosp

Houston, Texas, United States

Site Status

Houston Veterans Administration Med Ctr

Houston, Texas, United States

Site Status

Univ TX Health Science Ctr

Houston, Texas, United States

Site Status

Audie L Murphy Veterans Administration Hosp

San Antonio, Texas, United States

Site Status

Med Ctr of Vermont Hosp

Burlington, Vermont, United States

Site Status

Hampton Roads Med Specialists

Hampton, Virginia, United States

Site Status

Richmond AIDS Consortium

Richmond, Virginia, United States

Site Status

Univ of Washington

Seattle, Washington, United States

Site Status

Univ of Wisconsin

Madison, Wisconsin, United States

Site Status

UPR School of Medicine

San Juan, , Puerto Rico

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Puerto Rico

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

M/3331/0021

Identifier Type: -

Identifier Source: secondary_id

228B

Identifier Type: -

Identifier Source: org_study_id