A Comparison of Three Anti-HIV Drug Combinations Containing Saquinavir Soft Gelatin Capsules Used in HIV-1 Infected Patients

NCT ID: NCT00002378

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

PHASE3

Total Enrollment

825 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To determine the proportion of patients whose plasma HIV-1 RNA level falls below the level of detection (\< 400 copies/ml) at week 24 of study therapy. To determine the absolute change in plasma HIV-1 RNA during the 24 weeks of study treatment. To collect safety data on the treatment regimens.

AS PER AMENDMENT 12/12/97: To compare the virologic response of Fortovase (FTV) (Saquinavir) Soft Gel Capsule (SGC) tid plus nucleoside reverse transcriptase inhibitors (NRTIs) versus FTV bid plus NRTIs. Further, to compare the virologic response of FTV tid plus NRTIs versus FTV bid plus Nelfinavir bid plus a NRTI with respect to: the percentage of patients whose plasma HIV-1 RNA level falls below the Amplicor assay level of detection (\< 400 copies/ml) at week 24 and week 48.

Detailed Description

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Patients will be randomized to receive 1 of 3 study regimens: Group A - Saquinavir (SQV) sgc plus 2 new reverse transcriptase inhibitors (RTIs), Group B - SQV sgc plus delavirdine plus new RTI, and Group C - SQV sgc plus nelfinavir plus new RTI, or SQV sgc plus ritonavir plus 2 new RTIs.

NOTE: "New RTI" is defined for this study as any reverse transcriptase inhibitor to which the patient has never been exposed.

AS PER AMENDMENT 12/12/97: In this open-label, multicenter, Phase IIIB, comparative study, 825 patients are randomized to treatment arms. (NOTE: 50% of the patients will be treatment naive and 50% will be NRTI experienced.) Further, patients are randomized with stratification based on HIV-1 RNA level (5,000-30,000 copies/ml vs. greater than 30,000 copies/ml) and prior antiretroviral therapy to one of the three study arms.

The drug regimens for the three treatment arms are as follows:

ARM A: Fortovase (FTV), plus 2 new NRTIs\*. ARM B: FTV plus 2 new NRTIs\*. ARM C: FTV plus nelfinavir plus new NRTI\*\*.

* Naive patients in Arm A and Arm B will take: d4T (or zidovudine) plus 3TC unless contraindicated.

\*\* Naive patients in Arm C will take: d4T, unless contraindicated.
* NRTI experienced patients in Arms A \& B should be treated with 2 NRTIs to which he/she has not been previously exposed. If the patient has only 1 NRTI to which he/she has never been exposed, then the second NRTI can be one that the patient has been previously exposed to from the most distant past.

Therapy is administered for an initial 24 weeks and may be extended for an additional 24 weeks.

Conditions

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HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Ritonavir

Intervention Type DRUG

Nelfinavir mesylate

Intervention Type DRUG

Saquinavir

Intervention Type DRUG

Delavirdine mesylate

Intervention Type DRUG

Lamivudine

Intervention Type DRUG

Stavudine

Intervention Type DRUG

Zidovudine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* HIV-1 infection.
* HIV RNA \>= 5000 copies/ml by Amplicor assay.
* Signed, informed consent from parent or legal guardian for patients less than 18 years old.

Prior Medication:

Required:

(Note:

* 50% of the patients will be treatment naive).
* \> 3 months cumulative therapy with antiretrovirals other than non-nucleoside reverse transcriptase inhibitors and/or protease inhibitors.
* Stable antiretroviral therapy for at least 4 weeks prior to enrollment.

Allowed:

* \<= 2 weeks cumulative treatment with protease inhibitors.

AS PER AMENDMENT 12/12/97:

Required:

NRTI experienced patients:

* \> 3 months cumulative therapy with antiretrovirals.
* \<= 2 weeks cumulative previous treatment with non-nucleoside analogue reverse transcriptase inhibitors (NNRTIs).
* \<= 2 weeks cumulative previous treatment with protease inhibitors.
* Must have at least one NRTI (preferably two) to which he/she has not been previously exposed.
* Stable antiretroviral therapy defined as within (+/-) 1 log HIV-1 RNA between the 2 most recent values greater than 8 weeks apart (may include screening visit) prior to study enrollment. (NOTE:
* If patient does not have a previous HIV-1 RNA value, screening will be accepted.)

Required:

* Note:
* 50% of the patients will be treatment naive and 50% will be NRTI experienced. AS PER AMENDMENT 12/12/97.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Locations

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ASC Inc

Anniston, Alabama, United States

Site Status

CIGNA

Phoenix, Arizona, United States

Site Status

Arizona Clinical Research Ctr Inc

Tucson, Arizona, United States

Site Status

Univ of Arizona

Tucson, Arizona, United States

Site Status

Alta Bates Med Ctr

Berkeley, California, United States

Site Status

Ctr for Special Immunology

Irvington District, California, United States

Site Status

AIDS Healthcare Foundation Labs

Los Angeles, California, United States

Site Status

Beer Med Group

Los Angeles, California, United States

Site Status

Dr Charles Farthing

Los Angeles, California, United States

Site Status

Gottlieb Med Group

North Hollywood, California, United States

Site Status

Dr Wilbert Jordan

Paramount, California, United States

Site Status

AIDS Community Research Consortium

Redwood City, California, United States

Site Status

Dr Daniel Pearce

San Francisco, California, United States

Site Status

UCSF - San Francisco Gen Hosp

San Francisco, California, United States

Site Status

Kaiser Permanente Med Ctr

San Francisco, California, United States

Site Status

QUEST Clinical Research

San Francisco, California, United States

Site Status

Marin County Specialty Clinic

San Rafael, California, United States

Site Status

Shared Med Research Foundation

Tarzana, California, United States

Site Status

Denver Public Health Dept / Disease Control Services

Denver, Colorado, United States

Site Status

Kaiser Permanente, Infectious Disease

Denver, Colorado, United States

Site Status

Georgetown Univ Med Ctr

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

Site Status

Anderson Clinical Research

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

Site Status

Providence Hosp

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

Site Status

IDC Research Initiative

Altamonte Springs, Florida, United States

Site Status

Urgent Care Ctr

Fort Lauderdale, Florida, United States

Site Status

Stratogen of Ft Lauderdale

Fort Lauderdale, Florida, United States

Site Status

Dr Robert Schwartz

Fort Myers, Florida, United States

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Duval County Health Dept

Jacksonville, Florida, United States

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Steinhart Medical Associates

Miami, Florida, United States

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Stratogen Health of Palm Beach

Palm Beach Gardens, Florida, United States

Site Status

Ctr for Quality Care

Tampa, Florida, United States

Site Status

Univ of South Florida

Tampa, Florida, United States

Site Status

Infectious Disease Research Institute Inc

Tampa, Florida, United States

Site Status

Treasure Coast Infectious Disease Consultants

Vero Beach, Florida, United States

Site Status

AIDS Research Consortium of Atlanta

Atlanta, Georgia, United States

Site Status

Infectious Disease Specialists of Atlanta

Decatur, Georgia, United States

Site Status

Northwestern Univ Med Ctr

Chicago, Illinois, United States

Site Status

SIU School of Medicine

Springfield, Illinois, United States

Site Status

Carle Clinic Association

Urbana, Illinois, United States

Site Status

Indiana Univ Hosp

Indianapolis, Indiana, United States

Site Status

Univ of Kentucky / Kentucky Clinic Annex #

Lexington, Kentucky, United States

Site Status

Community Research Initiative

Brookline, Massachusetts, United States

Site Status

Univ of Massachusetts Med Ctr

Worcester, Massachusetts, United States

Site Status

Harper Hosp

Detroit, Michigan, United States

Site Status

Saint Joseph's / Mercy Hosp

Ypsilanti, Michigan, United States

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Abbott Northwestern Hosp

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Univ of Missouri at Kansas City School of Medicine

Kansas City, Missouri, United States

Site Status

Antibiotic Research Associates

Kansas City, Missouri, United States

Site Status

HIV Wellness Ctr / Univ Med Ctr

Las Vegas, Nevada, United States

Site Status

Dartmouth-Hitchcock Med Ctr

Lebanon, New Hampshire, United States

Site Status

UMDNJ - New Jersey Med School / Cooper Hosp

Camden, New Jersey, United States

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VAMC New Jersey Healthcare System

East Orange, New Jersey, United States

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New Jersey Community Research Initiative

Newark, New Jersey, United States

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St Joseph's Hosp & Med Center

Paterson, New Jersey, United States

Site Status

Albany Med College / Division of HIV Medicine A158

Albany, New York, United States

Site Status

Brookdale Univ Med Ctr

Brooklyn, New York, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Nassau County Med Ctr

East Meadow, New York, United States

Site Status

Elmhurst Hosp

Elmhurst, New York, United States

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North Shore Univ Hosp

Manhasset, New York, United States

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Mt Vernon Hosp

Mount Vernon, New York, United States

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Dr Michael Mullen

New York, New York, United States

Site Status

Peter Krueger Clinic

New York, New York, United States

Site Status

Howard Grossman

New York, New York, United States

Site Status

AIDS Clinical Trials Unit

New York, New York, United States

Site Status

Dr Douglas Dieterich

New York, New York, United States

Site Status

Dr Ron Grossman

New York, New York, United States

Site Status

Liberty Med Group

New York, New York, United States

Site Status

St Lukes / Roosevelt Hosp / HIV Center

New York, New York, United States

Site Status

New York / Cornell Med Ctr

New York, New York, United States

Site Status

New York Hosp - Cornell Med Ctr

New York, New York, United States

Site Status

New York Hosp / Cornell Med Ctr

New York, New York, United States

Site Status

Harlem Hosp Ctr

New York, New York, United States

Site Status

Montefiore Med Ctr

The Bronx, New York, United States

Site Status

Carolinas Research Associates

Charlotte, North Carolina, United States

Site Status

Nalle Clinic

Charlotte, North Carolina, United States

Site Status

East Carolina Univ School of Medicine

Greenville, North Carolina, United States

Site Status

Bowman Gray School of Medicine

Winston-Salem, North Carolina, United States

Site Status

Univ of Cincinnati Med Ctr / Holmes Division

Cincinnati, Ohio, United States

Site Status

Oklahoma Univ Health Science Ctr

Oklahoma City, Oklahoma, United States

Site Status

Lehigh Valley Hosp

Allentown, Pennsylvania, United States

Site Status

Allegheny Univ Hosp

Philadelphia, Pennsylvania, United States

Site Status

Dr Jay Kostman

Philadelphia, Pennsylvania, United States

Site Status

Roger Williams Med Ctr

Providence, Rhode Island, United States

Site Status

Burnside Clinic

Columbia, South Carolina, United States

Site Status

Austin Infectious Disease Consultants

Austin, Texas, United States

Site Status

Dr Nicholaos Bellos

Dallas, Texas, United States

Site Status

Univ of Texas Southwestern Med Ctr of Dallas

Dallas, Texas, United States

Site Status

North Texas Infectious Disease Consultants

Dallas, Texas, United States

Site Status

Houston Clinical Research Network

Houston, Texas, United States

Site Status

ONCOL Med Associates / PA

Houston, Texas, United States

Site Status

Houston Med Ctr

Houston, Texas, United States

Site Status

Houston Clinical Research Network

Houston, Texas, United States

Site Status

Infectious Disease Physicians Inc

Annandale, Virginia, United States

Site Status

Swedish Med Ctr / Dr Peter Shalit

Seattle, Washington, United States

Site Status

Aurora Med Group

Milwaukee, Wisconsin, United States

Site Status

Medizinische Einrichtungen der Heinrich U

Düsseldorf, , Germany

Site Status

Ospedale S Raffaele

Milan, , Italy

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San Juan Veterans Administration Med Ctr

San Juan, , Puerto Rico

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Hosp Valle D Hebron

Barcelona, , Spain

Site Status

Royal Liverpool Univ Hosp

Liverpool, , United Kingdom

Site Status

Countries

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United States Germany Italy Puerto Rico Spain United Kingdom

Other Identifiers

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NR15520

Identifier Type: -

Identifier Source: secondary_id

M6101

Identifier Type: -

Identifier Source: secondary_id

229H

Identifier Type: -

Identifier Source: org_study_id