A Six-Month Safety and Antiviral Study in HIV-1 Seropositive, AZT-Experienced Patients With CD4 Counts Less Than or Equal to 50 Cells/mm3 to Evaluate MK-639 Alone Versus Zidovudine (AZT) and 3TC Versus the Combination of MK-639 With AZT/3TC

NCT ID: NCT00002155

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To compare effects on CD4 counts and serum viral RNA among HIV-seropositive, zidovudine (AZT)-experienced patients in three treatment arms: indinavir sulfate ( MK-639; Crixivan ) plus AZT plus lamivudine ( 3TC ) versus MK-639 alone versus AZT/3TC.

Detailed Description

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AZT-experienced patients are randomized to receive MK-639/AZT/3TC or MK-639 alone or AZT/3TC. Additionally, patients who have received \< 6 months of AZT or who are intolerant but received prior 3TC or who require concomitant rifampin therapy may receive open-label MK-639.

Conditions

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HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Indinavir sulfate

Intervention Type DRUG

Lamivudine

Intervention Type DRUG

Zidovudine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed for all patients:

* Standard prophylaxis for opportunistic infections.
* Continuation of treatment for opportunistic infection.

Allowed for open-label study patients:

* Rifampin.

Patients must have:

* HIV positivity.
* CD4 count \<= 50 cells/mm3.
* More than 6 months of prior AZT (blinded study only).

NOTE:

* Patients on the open-label study must have AZT intolerance or have \< 6 months of prior AZT.

Prior Medication:

Required for blinded study patients:

* \> 6 months of prior AZT.

Required for open-label study patients:

* \< 6 months of prior AZT.

Allowed for open-label study patients:

* Prior 3TC.

Exclusion Criteria

Concurrent Medication:

Excluded in all patients:

* Immunosuppressants.

Excluded in blinded study patients:

* AZT, ddI, ddC, or d4T.
* Rifampin.

Excluded in open-label study patients:

* 3TC.

Prior Medication:

Excluded in all patients:

* Prior protease inhibitors.
* Investigational agents and immunomodulators within 30 days prior to study entry.
* Immunosuppressants within 2 weeks prior to study entry.

Excluded in blinded study patients:

* Any prior 3TC.
* AZT, ddI, ddC, or d4T within 2 weeks prior to study entry.

Excluded in open-label study patients:

3TC within 30 days prior to study entry.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Locations

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Merck & Co Inc

Whitehouse Station, New Jersey, United States

Site Status

Countries

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United States

References

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Gulick RM, Mellors JW, Havlir D, Eron JJ, Gonzalez C, McMahon D, Richman DD, Valentine FT, Jonas L, Meibohm A, Emini EA, Chodakewitz JA. Treatment with indinavir, zidovudine, and lamivudine in adults with human immunodeficiency virus infection and prior antiretroviral therapy. N Engl J Med. 1997 Sep 11;337(11):734-9. doi: 10.1056/NEJM199709113371102.

Reference Type BACKGROUND
PMID: 9287228 (View on PubMed)

Hirsch M, Steigbigel R, Staszewski S, Mellors J, Scerpella E, Hirschel B, Lange J, Squires K, Rawlins S, Meibohm A, Leavitt R. A randomized, controlled trial of indinavir, zidovudine, and lamivudine in adults with advanced human immunodeficiency virus type 1 infection and prior antiretroviral therapy. J Infect Dis. 1999 Sep;180(3):659-65. doi: 10.1086/314948.

Reference Type BACKGROUND
PMID: 10438352 (View on PubMed)

Other Identifiers

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039

Identifier Type: -

Identifier Source: secondary_id

246E

Identifier Type: -

Identifier Source: org_study_id