Safety and Antiviral Activity of TPV in HCV and/or HBV HIV Coinfected Patients TDM Randomised Pilot Evaluation

NCT ID: NCT00447902

Last Updated: 2014-05-14

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The main purposes of this study are: demonstrate the safety and efficacy of TPV/r among HCV or hepatitis B virus (HBV) co-infected HIV+population, three-class (NRTI, NNRTI, and PI) experienced, with documented resistance to more than one PI. Determine pharmacokinetic data in this co-infected population and potential utility of using therapeutic drug monitoring (TDM) in improving efficacy outcomes.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

HIV Infections

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

tipranavir

Intervention Type DRUG

ritonavir

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. HIV-1 infected males or females at least 18 years of age.
2. Three-class (Nucleoside reverse transcriptase inhibitor (NRTI), Non nucleoside reverse transcriptase inhibitor (NNRTI), and Protease inhibitor (PI)) treatment-experienced (a minimum of 3-months duration for each class) with resistance to more than one PI (on the screening resistance testing). Patients that are NNRTI-naïve patients but who have genotypically documented NNRTI-resistance mutations on past or screening resistance testing would be eligible.
3. CD4+ T lymphocyte count ≥50 cells/µl and HIV-1 VL ≥1000 copies/mL at screening.
4. The ARV study treatment regimen must consist of new TPV/r in combination with an OBR of 2-4 agents of the following: N(t)RTIs (NRTI or NtRTI), enfuvirtide (ENF), and/or, where available, an Expanded Access Program (EAP) investigational agent (Section 3.3). In total, patients are to have an ARV study treatment regimen consisting of at least 3 agents (TPV/r and two OBRs).
5. Chronic hepatitis C Virus (HCV) infection demonstrated by HCV-ribonucleic acid (RNA) positivity or, Chronic hepatitis B (HB) infection demonstrated by anti HBc IgG Antibody and HB Surface Antigen positivity.
6. Acceptable screening laboratory values that indicate adequate baseline organ function.
7. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \< Division of AIDS (DAIDS) Grade 3.
8. Acceptable medical history, as assessed by the investigator.
9. Any AIDS defining illness listed in the Appendix 10.3.1 should be accepted as long as is resolved, asymptomatic or stable on treatment for at least 12 weeks before screening (Visit 1); the AIDS defining events listed below are not acceptable History of Progressive Multifocal Leukoencephalopathy (PML), Visceral Kaposi's Sarcoma (KS), and/or any malignancy.
10. A reliable method of barrier contraception will be used by all female patients who are of reproductive potential, for at least three months prior to Visit 3, during the trial, and 30 days after completion or termination from the trial.
11. Karnofsky performance score ≥70.

9. Use of concomitant drugs that may significantly reduce plasma levels of the study medications.
10. Use of immunomodulatory drugs or antineoplastic agents within 30 days before study entry or during the trial.
11. Inability to adhere to the requirements of the protocol, including active substance abuse, as defined by the investigator.
12. Anticipated need for an interferon-based regimen in the 48 weeks following the study entry.
13. Any other or additional plausible cause for chronic liver disease, including the presence of other viruses known or suspected to cause hepatitis.
14. Any active infection or neoplasm currently being treated.
15. Patients with history of hemorrhagic stroke or intracranial aneurysm.
16. Patients with history of ischemic stroke, neurosurgery, skull trauma and/or intracranial pathology (arteriovenous malformation, brain tumors and cerebral venous thrombosis) within 4 weeks prior to screening (Visit 1) as assessed by investigator.
17. Patients with current history of alcohol abuse defined as alcohol consumption that would interfere with patient's compliance or result in biological abnormalities.

Exclusion Criteria

1. Prior tipranavir use.
2. Known hypersensitivity to any of the ingredients to the tipranavir or ritonavir formulations.
3. ARV medication naive.
4. Genotypic resistance to Tipranavir (TPV) (defined as a TPV mutation score of more than 7).
5. Patients on recent drug holiday, defined as off ARV medications for at least 7 consecutive days within the month prior to screening.
6. Decompensated liver disease, including presence or history of ascites, variceal bleeding, or hepatic encephalopathy or having ever been diagnosed as having hepatic insufficiency of Child Pugh class B or C.
7. Female patients of childbearing potential who:

* have a positive serum pregnancy test at screening,
* are breast feeding,
* are planning to become pregnant,
* are not willing to use a barrier method of contraception, or
* are only willing to use an estrogen-containing medication, e.g., ethinyl estradiol, as a method of contraception.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Boehringer Ingelheim

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

1182.99.32 Boehringer Ingelheim Investigational Site

Beverly Hills, California, United States

Site Status

1182.99.31 Boehringer Ingelheim Investigational Site

Fort Lauderdale, Florida, United States

Site Status

1182.99.12 Boehringer Ingelheim Investigational Site

Providence, Rhode Island, United States

Site Status

1182.99.1 Boehringer Ingelheim Investigational Site

Austin, Texas, United States

Site Status

1182.99.4 Boehringer Ingelheim Investigational Site

Houston, Texas, United States

Site Status

1182.99.54001

Capital Federal, , Argentina

Site Status

1182.99.55002 Hospital DIA

Sacomã - São Paulo, , Brazil

Site Status

1182.99.55004 Unidade de Referência em doenças Infecciosas Preveníveis

Santo André, , Brazil

Site Status

1182.99.55001 Universidade Federal de Sao Paulo

São Paulo, , Brazil

Site Status

1182.99.55003 Centro de Referência e Treinamento - DST/AIDS

Vila Mariana - Sao Paulo, , Brazil

Site Status

1182.99.3301A Boehringer Ingelheim Investigational Site

Garches, , France

Site Status

1182.99.3306G Boehringer Ingelheim Investigational Site

Nantes, , France

Site Status

1182.99.3306K Boehringer Ingelheim Investigational Site

Nantes, , France

Site Status

1182.99.3310C Boehringer Ingelheim Investigational Site

Nice, , France

Site Status

1182.99.3310D Boehringer Ingelheim Investigational Site

Nice, , France

Site Status

1182.99.3310E Boehringer Ingelheim Investigational Site

Nice, , France

Site Status

1182.99.3310F Boehringer Ingelheim Investigational Site

Nice, , France

Site Status

1182.99.3310G Boehringer Ingelheim Investigational Site

Nice, , France

Site Status

1182.99.3310H Boehringer Ingelheim Investigational Site

Nice, , France

Site Status

1182.99.3304A Boehringer Ingelheim Investigational Site

Paris, , France

Site Status

1182.99.3304C Boehringer Ingelheim Investigational Site

Paris, , France

Site Status

1182.99.3302A Boehringer Ingelheim Investigational Site

Perpignan, , France

Site Status

1182.99.4909 Boehringer Ingelheim Investigational Site

Düsseldorf, , Germany

Site Status

1182.99.3912 Boehringer Ingelheim Investigational Site

Ancona, , Italy

Site Status

1182.99.3901 Boehringer Ingelheim Investigational Site

Milan, , Italy

Site Status

1182.99.3911 Boehringer Ingelheim Investigational Site

Milan, , Italy

Site Status

1182.99.3916 Boehringer Ingelheim Investigational Site

Milan, , Italy

Site Status

1182.99.3906 Boehringer Ingelheim Investigational Site

Pavia, , Italy

Site Status

1182.99.3402

Barcelona, , Spain

Site Status

1182.99.3407

Madrid, , Spain

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Argentina Brazil France Germany Italy Spain

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

EudraCT No.: 2005-005023-33

Identifier Type: -

Identifier Source: secondary_id

1182.99

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.