A Comparison of Three Anti-HIV Drug Combinations in HIV-Infected Patients

NCT ID: NCT00005106

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

PHASE4

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-09-30

Brief Summary

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The purpose of this study is to look at the effects of different anti-HIV drug combinations on body fat changes in HIV-positive patients who have never received anti-HIV therapy before.

Detailed Description

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Patients are randomized to receive stavudine plus lamivudine plus nelfinavir, Combivir (zidovudine plus lamivudine) plus nelfinavir, or Combivir plus abacavir. Patients are stratified into 2 groups based on their screening plasma HIV-1 RNA: (1) greater than 1,000 up to 100,000 copies/ml or (2) greater than 100,000 up to 200,000 copies/ml. Measurements and evaluations for assessment of body fat composition, virologic and immunologic outcomes, markers of alterations in carbohydrate and lipid metabolism, and safety are performed at Baseline, Weeks 4, 8, 16, 24, and every 12 weeks thereafter until Week 96 or withdrawal. In addition, health-related quality of life and health care resource utilization data are collected at specified treatment visits.

Conditions

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HIV Infections

Keywords

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Drug Therapy, Combination Zidovudine Stavudine HIV Protease Inhibitors Lamivudine Nelfinavir Reverse Transcriptase Inhibitors Anti-HIV Agents Adipose Tissue Lipodystrophy abacavir

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Interventions

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Lamivudine/Zidovudine

Intervention Type DRUG

Abacavir sulfate

Intervention Type DRUG

Nelfinavir mesylate

Intervention Type DRUG

Lamivudine

Intervention Type DRUG

Stavudine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients may be eligible for this study if they:

* Are at least 18 years old.
* Are HIV-positive.
* Have a CD4 count greater than 50 cells/mm3.
* Have a viral load greater than 1,000 copies/ml but less than 200,000 copies/ml.
* Have never received anti-HIV medications before. (However, less than 1 week of therapy with lamivudine or a protease inhibitor and less than 4 weeks of therapy with other nucleoside reverse transcriptase inhibitors \[NRTIs\] is allowed. No therapy with nonnucleoside reverse transcriptase inhibitors \[NNRTIs\] is allowed.)
* Cannot bear children or agree to use effective methods of birth control during the study. Hormonal methods of birth control (such as birth control pills) are not considered effective for this study.

Exclusion Criteria

Patients will not be eligible for this study if they:

* Have an active AIDS-defining opportunistic infection or disease that, in the doctor's opinion, would make them unable to participate.
* Are unable, in the opinion of the doctor, to follow the dosing schedule and follow-up visit schedule.
* Have a substance abuse problem that would interfere with taking the medications correctly or attending the clinic visits.
* Are enrolled in another study.
* Cannot take medications by mouth or absorb drugs.
* Have hepatitis.
* Have a serious medical condition such as diabetes, congestive heart failure, or other heart disease.
* Need chemotherapy or radiation therapy (except for local treatment of Kaposi's sarcoma).
* Are taking certain medications.
* Are pregnant or breast-feeding.
Minimum Eligible Age

18 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 of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Arizona Clinical Research Ctr Inc

Tucson, Arizona, United States

Site Status

Longbeach Memorial Med Ctr

Longbeach, California, United States

Site Status

Good Samaritan Hosp

Los Angeles, California, United States

Site Status

THE Clinic

Los Angeles, California, United States

Site Status

AIDS Healthcare Foundation

Los Angeles, California, United States

Site Status

Maxine Liggins

Los Angeles, California, United States

Site Status

UCLA Care Ctr

Los Angeles, California, United States

Site Status

Highland Gen Hosp / San Francisco Gen Hosp

Oakland, California, United States

Site Status

San Francisco Gen Hosp

San Francisco, California, United States

Site Status

Georgetown Univ Med Ctr

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

Site Status

IDC Research Initiative

Altamonte Springs, Florida, United States

Site Status

Children's Diagnostic Treatment Ctr

Fort Lauderdale, Florida, United States

Site Status

Community Health Care

Fort Lauderdale, Florida, United States

Site Status

Comprehensive Care Center

Fort Lauderdale, Florida, United States

Site Status

Univ of Miami School of Medicine

Miami, Florida, United States

Site Status

South Shore Hosp

Miami, Florida, United States

Site Status

Orange County Health Dept

Orlando, Florida, United States

Site Status

Immunity Care and Research Inc

Plantation, Florida, United States

Site Status

Daniel Seekins

Tampa, Florida, United States

Site Status

Infectious Disease Research Institute

Tampa, Florida, United States

Site Status

AIDS Research Consortium of Atlanta

Atlanta, Georgia, United States

Site Status

Ponce de Leon Ctr

Atlanta, Georgia, United States

Site Status

Philip Brachman

Atlanta, Georgia, United States

Site Status

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States

Site Status

Cook County Hosp

Chicago, Illinois, United States

Site Status

HIV Outpatient Clinics / LA State Univ Med Ctr

New Orleans, Louisiana, United States

Site Status

Beth Israel Deaconess Med Ctr

Boston, Massachusetts, United States

Site Status

Univ of Missouri at Kansas City School of Medicine

Kansas City, Missouri, United States

Site Status

South Jersey Infectious Diseases Inc

Somers Point, New Jersey, United States

Site Status

WNC Community Health Services

Asheville, North Carolina, United States

Site Status

Carolinas Med Ctr

Charlotte, North Carolina, United States

Site Status

Summa Health System

Akron, Ohio, United States

Site Status

MCP Hahnemann Univ Hosp

Philadelphia, Pennsylvania, United States

Site Status

Miriam Hosp

Providence, Rhode Island, United States

Site Status

Univ of Texas Southwestern Med Ctr

Dallas, Texas, United States

Site Status

Thomas Street Clinic

Houston, Texas, United States

Site Status

Univ TX San Antonio Health Science Ctr

San Antonio, Texas, United States

Site Status

Hampton Roads Med Specialists

Hampton, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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ESS40002

Identifier Type: -

Identifier Source: secondary_id

264P

Identifier Type: -

Identifier Source: org_study_id