The Safety and Effectiveness of Zidovudine Plus Lamivudine, Used With and Without 1592U89, in HIV-1 Infected Children Who Have Taken Anti-HIV-1 Drugs

NCT ID: NCT00002391

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

Study Classification

INTERVENTIONAL

Brief Summary

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To compare the safety, tolerance, durability of the viral load response and the antiviral activity of the 1592U89/zidovudine(ZDV)/lamivudine (3TC) regimen vs. ZDV/3TC regimen. To determine the clinical efficacy of the two regimens as measured survival, disease progression, weight growth velocity, and neuropsychological or neurological changes. To assess the development of viral resistance and relative pharmacokinetics associated with each regimen.

Detailed Description

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Patients are randomized to receive blinded treatment with ZDV/3TC alone or in combination with 1592U89, orally for 16 weeks. If after the 16-week period certain criteria are met, patients may have the option to switch to open-label treatment for the remainder of the study period.

Conditions

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HIV Infections

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Interventions

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Abacavir sulfate

Intervention Type DRUG

Lamivudine

Intervention Type DRUG

Zidovudine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed:

* Intravenous immunoglobulin G, erythropoietin, G-CSF and GM-CSF.
* Opportunistic infection prophylaxis.

Patients must have:

* HIV-1 infection documented by:

\< 18 months of age:

* one positive viral test culture and one other positive viral test (culture, PCR, p24 antigen, or Immune Complex Dissociation p24 antigen) on two different specimens.

\>= 18 months of age:

* two positive viral tests as stated above, one or both of which may be determined by a federally documented ELISA and confirmed by Western blot or Indirect Fluorescent Antibody test.
* Any of the CDC Categories:
* 1, 2, 3, and N, A, B, and C of the 1994 Revised Classification System for HIV Infection in Children Less than 13 Years of Age.
* CD4+ count \>= 15% within 14 days prior to study drug administration.
* No active or ongoing AIDS-defining opportunistic infection that precludes absorption of study drug or observation of a study parameter.
* Signed, informed consent from parent or legal guardian for patients under 18 years of age.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions or symptoms are excluded:

* Serious bacterial infection that precludes absorption of study drug or observation of a study parameter.
* Documented hypersensitivity to a nucleoside analog.
* Co-enrollment in certain opportunistic infection protocols is not exclusionary if approval is obtained.
* Malignancy.
* Life-threatening infection or other chronic disease that may compromise patient safety.
* Grade 3/4 clinical or laboratory toxicity or current grade 2 or higher pancreatic amylase or lipase toxicity as defined by the ACTG Toxicity Tables within 14 days prior to study entry.

Concurrent Medication:

Excluded:

* Other anti-HIV therapy.
* Probenecid.
* Biologic response modifier (unless listed under included concurrent medication) and megestrol acetate.
* Human growth hormone.
* Immunomodulators and cytotoxic chemotherapeutic agents.
* Systemic corticosteroids \> 14 days without approval.
* Investigational agents.

Concurrent Treatment:

Excluded:

Radiation therapy.

Patients with the following prior conditions are excluded:

* History of clinically relevant pancreatitis or hepatitis within the past 6 months.
* Participation in a vaccine trial.

Prior Medication:

Excluded:

* Protease inhibitor therapy within 2 weeks prior to randomization.
* Interleukins or interferons within 30 days prior to study drug administration.
* Investigational drugs within 14 days prior to randomization.
* HIV vaccine dose within past 30 days.

Required:

\> 12 weeks prior antiretroviral therapy and unchanged therapy 12 weeks prior to screening.
Minimum Eligible Age

3 Months

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glaxo Wellcome

INDUSTRY

Sponsor Role lead

Locations

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Univ Alabama - Birmingham / Dept of Pediatrics / UAB Station

Birmingham, Alabama, United States

Site Status

Children's Hosp Los Angeles

Los Angeles, California, United States

Site Status

Los Angeles County - USC Med Ctr

Los Angeles, California, United States

Site Status

Children's Diagnostic Treatment Ctr

Fort Lauderdale, Florida, United States

Site Status

Univ of Florida - Gainesville / Infectious Dis & Immun

Gainesville, Florida, United States

Site Status

Univ of Miami / Fox Cancer Research Ctr

Miami, Florida, United States

Site Status

Arnold Palmer Hosp for Women and Children

Orlando, Florida, United States

Site Status

Pediatric Special Immunology Clinic / HRS / PBC PHU

Riviera Beach, Florida, United States

Site Status

Univ of South Florida All Children's Hosp

St. Petersburg, Florida, United States

Site Status

Dr Patricia Emmanuel

Tampa, Florida, United States

Site Status

Mt Sinai Hosp Med Ctr / Dept of Pediatrics

Chicago, Illinois, United States

Site Status

Tulane Univ Med School

New Orleans, Louisiana, United States

Site Status

Univ of Minnesota Med School

Minneapolis, Minnesota, United States

Site Status

UMDNJ / Division of Allergy Immunology & Infectious Diseases

Newark, New Jersey, United States

Site Status

PACT Program

Buffalo, New York, United States

Site Status

North Shore Univ Hosp / Pediatric Immunology

Great Neck, New York, United States

Site Status

Schneider Children's Hosp

New Hyde Park, New York, United States

Site Status

New York Hosp - Cornell / Program for Children with AIDS

New York, New York, United States

Site Status

St Luke's - Roosevelt Hosp Ctr

New York, New York, United States

Site Status

SUNY Health Ctr at Stony Brook / Pediatric Infectious Dis

Stony Brook, New York, United States

Site Status

SUNY Health Sciences Ctr at Syracuse / Dept of Pediatrics

Syracuse, New York, United States

Site Status

Bronx Lebanon Hosp Ctr / Dept of Pediatrics

The Bronx, New York, United States

Site Status

Univ of North Carolina / Pediatric Infectious Diseases

Chapel Hill, North Carolina, United States

Site Status

Duke Univ Med Ctr / Pediatrics Dept / Infec Dis

Durham, North Carolina, United States

Site Status

The Children's Med Ctr / Division of Infectious Dis

Dayton, Ohio, United States

Site Status

Med Univ of South Carolina

Charleston, South Carolina, United States

Site Status

Children's Med Ctr of Dallas / ARMS Clinic

Dallas, Texas, United States

Site Status

Cook's Ft Worth Children Med Ctr / Pediatric Inf Dis

Fort Worth, Texas, United States

Site Status

Univ of Texas Health Sciences Ctr

San Antonio, Texas, United States

Site Status

Eastern VA Med Sch / Children's Hosp of the King's Daughters

Norfolk, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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CNAA3006

Identifier Type: -

Identifier Source: secondary_id

238L

Identifier Type: -

Identifier Source: org_study_id