TMC114-C211: Trial of an Investigational Protease Inhibitor TMC114 With Ritonavir ("TMC114/r") in HIV-1 Infected Patients Who Have Never Been Treated With Antiretroviral Medications.

NCT ID: NCT00258557

Last Updated: 2013-06-26

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

692 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2012-05-31

Brief Summary

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The purpose of this study is to compare the efficacy, safety and tolerability of TMC114/r versus Kaletra (a combination pill of lopinavir and ritonavir, ("lpv/rtv") in HIV-1 infected patients who have never been treated with anti-retroviral medications (referred to as "treatment-naïve" patients).

Detailed Description

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This is a randomized, controlled, open-label trial to investigate the antiviral activity, tolerability and safety of TMC114/r) versus lpv/rtv in treatment-naive HIV-1 infected patients. Six hundred sixty treatment-naïve HIV-1 infected patients will be randomized in a 1:1 ratio to either 800/100 mg of TMC114/r once daily, or a total daily dose of 800/200 mg of lpv/rtv. All patients will take TMC114/r or lpv/rtv in combination with an NRTI background of Truvada (a combination pill of tenofovir and emtricitabine, "TDF/FTC"). The trial will consist of a screening period of approximately 14 to 28 days and a 96-week treatment period, followed by a 4-week follow-up period. The anti HIV-1 therapy initiated at baseline cannot be changed until the end of the treatment period. After the end of the treatment period (maximum of 96 weeks), patients will be followed for an additional 4 weeks to follow-up on any adverse events or laboratory abnormalities until resolution. Patients who fail either virologically or due to intolerance from the TMC114/r or lpv/rtv therapy, as judged by the investigator, or who meet one of the withdrawal criteria will be withdrawn from the trial and may have the opportunity to participate in the rollover phase of the trial.

The primary efficacy parameter is virologic response defined as a confirmed viral load \< 50 copies/mL at Week 48 the objective of this study is to establish non-inferiority of TMC114/r versus lpv/rtv in terms of virologic response at Week 48 using a non-inferiority margin of 12%. To test this hypothesis, a two-sided 95% confidence interval (CI) of the difference in response rate between TMC114/r and lpv/rtv will be derived: If the lower bound of the CI exceeds -12%, non-inferiority will be concluded. Patients will take oral doses for up to 96 weeks of either 800/100mg of TMC114/r 1x/day or 800/200mg of lpv/rtv once daily, each in combination with TDF/FTC. (The 400/100 mg 2x/day dose of lpv/rtv will be used where the 1x/day use of lpv/rtv is not approved).

Conditions

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HIV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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002

TMC-114/RTV two 400 mg tablets of TMC114 + one 100 mg capsule of RTV daily for max. 192 weeks

Group Type EXPERIMENTAL

TMC-114/RTV

Intervention Type DRUG

two 400 mg tablets of TMC114 + one 100 mg capsule of RTV daily for max. 192 weeks

001

LPV/RTV 400/100 mg twice daily or 800/200 mg daily depending on the country for max. 192 weeks

Group Type ACTIVE_COMPARATOR

LPV/RTV

Intervention Type DRUG

400/100 mg twice daily or 800/200 mg daily depending on the country for max. 192 weeks

Interventions

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LPV/RTV

400/100 mg twice daily or 800/200 mg daily depending on the country for max. 192 weeks

Intervention Type DRUG

TMC-114/RTV

two 400 mg tablets of TMC114 + one 100 mg capsule of RTV daily for max. 192 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with documented HIV-1 infection
* Screening plasma HIV-1 RNA \>= 5000 copies/mL
* Patients qualify for treatment initiation based on the investigator's assessments and/or according to treatment guidelines
* Patients who can comply with the protocol requirements
* General medical condition, in the investigator's opinion, does not interfere with the assessments and the completion of the trial.

Exclusion Criteria

* Presence of any currently active AIDS defining illness or receiving treatment for primary HIV infection
* Life expectancy of less than 6 months
* Previous or current use of antiretroviral medications (ARVs) for the treatment of HIV-infection or hepatitis B infection with anti-HIV activity
* Female -patients who are pregnant or breast-feeding, or are of childbearing potential without use of effective non-hormonal birth control methods or not willing to continue practicing these birth control methods for at least 30 days after the end of the treatment period
* -patients with a grade 3 or 4 laboratory abnormality as defined by DAIDS grading, or a calculated creatinine clearance (CLCr) \< 70 mL/min
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tibotec Pharmaceuticals, Ireland

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tibotec Pharmaceuticals Clinical Trial

Role: STUDY_DIRECTOR

Tibotec Pharmaceutical Limited

Locations

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Phoenix, Arizona, United States

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Beverly Hills, California, United States

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Long Beach, California, United States

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Los Angeles, California, United States

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Sacramento, California, United States

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San Francisco, California, United States

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

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Fort Lauderdale, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Miami Beach, Florida, United States

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Orlando, Florida, United States

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Safety Harbor, Florida, United States

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Tampa, Florida, United States

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Vero Beach, Florida, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Las Vegas, Nevada, United States

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Brooklyn, New York, United States

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Chapel Hill, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Philadelphia, Pennsylvania, United States

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Columbia, South Carolina, United States

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Houston, Texas, United States

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Buenos Aires, , Argentina

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Mar del Plata, , Argentina

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Neuquén, , Argentina

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Brisbane, , Australia

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Darlinghurst, , Australia

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Surry Hills, , Australia

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Westmead, , Australia

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Vienna, , Austria

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Brussels, , Belgium

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Ghent, , Belgium

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Leuven, , Belgium

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Vancouver, British Columbia, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Providencia, , Chile

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Santiago, , Chile

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Costa Rica, , Costa Rica

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San José, , Costa Rica

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Aalborg, , Denmark

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Copenhagen Ø, , Denmark

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Hvidovre, , Denmark

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Bobigny, , France

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Lyon, , France

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Nice, , France

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Orléans, , France

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Paris, , France

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Berlin, , Germany

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Cologne, , Germany

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Erlangen, , Germany

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Freiburg im Breisgau, , Germany

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Hamburg, , Germany

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Mannheim, , Germany

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Munich, , Germany

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München, , Germany

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Athens, , Greece

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Guatemala City, , Guatemala

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Sungai Buloh, , Malaysia

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Del Tlalpan, , Mexico

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Guadalajara, , Mexico

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Mex Ctity, , Mexico

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Mexico City, , Mexico

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Panama City, , Panama

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San Juan, , Puerto Rico

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Kazan', , Russia

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Krasnodar, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Smolensk, , Russia

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Volgograd, , Russia

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Voronezh, , Russia

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Singapore, , Singapore

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Cape Town, , South Africa

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Dundee, , South Africa

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Johannesburg, , South Africa

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Pretoria, , South Africa

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Barcelona, , Spain

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Zurich, , Switzerland

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Taipei, , Taiwan

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Tiachung, , Taiwan

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Khon Kaen, , Thailand

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Brighton, , United Kingdom

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London, , United Kingdom

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Countries

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United States Argentina Australia Austria Belgium Canada Chile Costa Rica Denmark France Germany Greece Guatemala Malaysia Mexico Panama Puerto Rico Russia Singapore South Africa Spain Switzerland Taiwan Thailand United Kingdom

References

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Mills AM, Nelson M, Jayaweera D, Ruxrungtham K, Cassetti I, Girard PM, Workman C, Dierynck I, Sekar V, Abeele CV, Lavreys L. Once-daily darunavir/ritonavir vs. lopinavir/ritonavir in treatment-naive, HIV-1-infected patients: 96-week analysis. AIDS. 2009 Aug 24;23(13):1679-88. doi: 10.1097/QAD.0b013e32832d7350.

Reference Type RESULT
PMID: 19487905 (View on PubMed)

Orkin C, DeJesus E, Khanlou H, Stoehr A, Supparatpinyo K, Lathouwers E, Lefebvre E, Opsomer M, Van de Casteele T, Tomaka F. Final 192-week efficacy and safety of once-daily darunavir/ritonavir compared with lopinavir/ritonavir in HIV-1-infected treatment-naive patients in the ARTEMIS trial. HIV Med. 2013 Jan;14(1):49-59. doi: 10.1111/j.1468-1293.2012.01060.x. Epub 2012 Oct 23.

Reference Type DERIVED
PMID: 23088336 (View on PubMed)

Related Links

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http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=988&filename=CR002800_CSR1.pdf

Phase III randomized, controlled, open-label trial to investigate the antiviral activity, tolerability and safety of TMC114/r in treatment- naive HIV-1 infected patients.

http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=988&filename=CR002800_CSR2.pdf

Phase III randomized, controlled, open-label trial to investigate the antiviral activity, tolerability and safety of TMC114/r in treatment- naive HIV-1 infected patients.

Other Identifiers

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TMC114-C211

Identifier Type: OTHER

Identifier Source: secondary_id

CR002800

Identifier Type: -

Identifier Source: org_study_id

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