Pharmacokinetics of Atazanavir/Ritonavir in HIV-1 Infected Pregnant Women

NCT ID: NCT00326716

Last Updated: 2011-11-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-06-30

Study Completion Date

2009-08-31

Brief Summary

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To determine what dosing regimen of atazanavir (ATV) / ritonavir (RTV) produces adequate drug exposure during pregnancy compared to drug exposure in historical data in human immunodeficiency virus (HIV) infected participants.

Detailed Description

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Conditions

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HIV Infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment

Group Type EXPERIMENTAL

Atazanavir + Ritonavir + Combivir

Intervention Type DRUG

Capsules, tablets, Oral, initially ATV 300 mg + RTV 100 mg + ZDV/3TC 300/150 mg, dose escalated to ATV 400 mg + RTV 100 mg + ZDV/3TC 300/150 mg, ATV and RTV once daily, lamivudine (ZDV) / zidovudine (3TC) twice daily (BID), up to 36 weeks

Interventions

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Atazanavir + Ritonavir + Combivir

Capsules, tablets, Oral, initially ATV 300 mg + RTV 100 mg + ZDV/3TC 300/150 mg, dose escalated to ATV 400 mg + RTV 100 mg + ZDV/3TC 300/150 mg, ATV and RTV once daily, lamivudine (ZDV) / zidovudine (3TC) twice daily (BID), up to 36 weeks

Intervention Type DRUG

Other Intervention Names

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Reyataz BMS-232632

Eligibility Criteria

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Inclusion Criteria

* HIV-infected pregnant women
* \> 18 years of age
* Between week 12 and 32 gestation
* CD4 \> 200 cells/mm³
* Treatment-naive with HIV RNA \> 400 c/mL, on HAART with HIV RNA \<50 c/mL, or previously treated with ATV (\< 3 weeks) with HIV RNA\>400 c/mL
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Triple O Medical Services, P.A.

West Palm Beach, Florida, United States

Site Status

Women's Hospital Of Texas

Houston, Texas, United States

Site Status

Local Institution

San Juan, , Puerto Rico

Site Status

Local Institution

Soweto, Gauteng, South Africa

Site Status

Local Institution

Sunnyside, Gauteng, South Africa

Site Status

Local Institution

Westdene, Gauteng, South Africa

Site Status

Countries

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United States Puerto Rico South Africa

References

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Xu XS, Rose A, Demers R, Eley T, Ryan J, Stouffer B, Cojocaru L, Arnold M. Quantitative determination of free/bound atazanavir via high-throughput equilibrium dialysis and LC-MS/MS, and the application in ex vivo samples. Bioanalysis. 2014;6(23):3169-82. doi: 10.4155/bio.14.251.

Reference Type DERIVED
PMID: 25529885 (View on PubMed)

Eley T, Huang SP, Conradie F, Zorrilla CD, Josipovic D, Botes M, Osiyemi O, Hardy H, Bertz R, McGrath D. Clinical and pharmacogenetic factors affecting neonatal bilirubinemia following atazanavir treatment of mothers during pregnancy. AIDS Res Hum Retroviruses. 2013 Oct;29(10):1287-92. doi: 10.1089/AID.2013.0002. Epub 2013 Jul 19.

Reference Type DERIVED
PMID: 23782005 (View on PubMed)

Conradie F, Zorrilla C, Josipovic D, Botes M, Osiyemi O, Vandeloise E, Eley T, Child M, Bertz R, Hu W, Wirtz V, McGrath D. Safety and exposure of once-daily ritonavir-boosted atazanavir in HIV-infected pregnant women. HIV Med. 2011 Oct;12(9):570-9. doi: 10.1111/j.1468-1293.2011.00927.x. Epub 2011 May 16.

Reference Type DERIVED
PMID: 21569187 (View on PubMed)

Related Links

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Other Identifiers

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AI424-182

Identifier Type: -

Identifier Source: org_study_id