Nevirapine vs. Atazanavir Boosted With Ritonavir on a Background of Truvada in Human Immunodeficiency Virus (HIV) Infected Naive Patients (NEwArT)

NCT ID: NCT00552240

Last Updated: 2014-01-27

Study Results

Results available

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

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

154 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Brief Summary

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The aim of this clinical trial is to compare the efficacy and safety of ritonavir (RTV)-boosted atazanavir with nevirapine, each on a background of emtricitabine and tenofovir disoproxil fumarate (DF).

Detailed Description

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Conditions

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HIV Infections

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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NVP 200mg bis indie (BID)

after receiving nevirapine (NVP) 200 mg quaue die (QD) for 2 weeks, pt titrated to NVP 200 mg bis in die (BID) combined with emtricitabine 200 mg QD/ tenofovir DF 300 mg QD (fixed dose combination Truvada) for 48 weeks

Group Type ACTIVE_COMPARATOR

tenofovir DF 300 mg QD

Intervention Type DRUG

300 mg QD

emtricitabine 200 mg QD

Intervention Type DRUG

200 mg QD

Nevirapine 200 mg BID

Intervention Type DRUG

200 mg BID

Atazanavir 300 mg QD/ritonavir 100 mg QD

patients to receive atazanavir 300 mg QD boosted with ritonavir 100 mg QD combined with emtricitabine 200 mg QD/ tenofovir DF 300 mg QD (fixed dose combination Truvada) for 48 weeks

Group Type ACTIVE_COMPARATOR

tenofovir DF 300 mg QD

Intervention Type DRUG

300 mg QD

emtricitabine 200 mg QD

Intervention Type DRUG

200 mg QD

Atazanavir 300 mg

Intervention Type DRUG

300 mg QD

Ritonavir 100 mg

Intervention Type DRUG

100 mg QD

Interventions

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tenofovir DF 300 mg QD

300 mg QD

Intervention Type DRUG

tenofovir DF 300 mg QD

300 mg QD

Intervention Type DRUG

emtricitabine 200 mg QD

200 mg QD

Intervention Type DRUG

emtricitabine 200 mg QD

200 mg QD

Intervention Type DRUG

Nevirapine 200 mg BID

200 mg BID

Intervention Type DRUG

Atazanavir 300 mg

300 mg QD

Intervention Type DRUG

Ritonavir 100 mg

100 mg QD

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Signed informed consent in accordance with Good Clinical Practice (GCP) and local regulatory requirements prior to trial participation
2. HIV-1- infected males or females greater than or equal to 18 years of age with documented positive serology Enzyme-linked Immuno Sorbert Assay (ELISA) confirmed by Western blot
3. No prior nucleoside reverse transcriptase inhibitor (NRTI) or non-nucleoside reverse transcriptase inhibitor (NNRTI) use of more than 10 days AND
4. No prior use of other classes of antiretrovirals (ARVs) of more than 2 weeks duration
5. Males with CD4+ count less than 400 cells/mm cubed or females with CD4+ count less than 250 cells/mm cubed
6. NVP and ATV/r susceptibility on screening HIV-1 genotypic resistance assay
7. Adequate renal function defined as a calculated creatinine clearance greater than or equal to50 ml/min according to the Cockcroft-Gault formula
8. Karnofsky score greater than or equal to 70 (see Appendix 10.7)
9. Acceptable medical history, as assessed by the investigator

Exclusion Criteria

1. History of active drug or alcohol abuse within 2 years prior to study entry (at the investigators discretion)
2. Hepatic cirrhosis with stage Child-Pugh B or C hepatic impairment
3. Female patients of child-bearing 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 not willing to use methods of contraception other than ethinyl estradiol containing oral contraceptives
4. Laboratory parameters greater than Division of Aids (National Institute of Health, USA) (DAIDS) grade 2 (triglycerides greater than DAIDS grade 3, total cholesterol no restrictions, see Appendix 10.1)
5. Active hepatitis B or C disease, defined as HBsAg-positive or Hepatitis C Virus (HCV) RNA positive with alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ALT/AST greater than2.5x Upper Limit of Normal (ULN) (greater than DAIDS grade 1)
6. Known hypersensitivity to any ingredients in nevirapine or atazanavir
7. Patients who are receiving concomitant treatments which are not permitted, as listed in Appendix 10.6
8. Use of other investigational medications within 30 days before study entry or during the trial
9. Use of immunomodulatory drugs within 30 days before study entry or during the trial (e.g., interferon, cyclosporin, hydroxyurea, interleukin 2, chronic treatment with prednisone)
10. Patients with Progressive Multifocal Leukoencephalopathy (PML), visceral Kaposi's Sarcoma (KS), and/or any lymphoma
11. Any AIDS defining illness that is unresolved, symptomatic or not stable on treatment for at least 12 weeks at the screening visit
12. Patients who are receiving systemic chemotherapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Boehringer Ingelheim

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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1100.1512.28 Boehringer Ingelheim Investigational Site

Beverly Hills, California, United States

Site Status

1100.1512.20 Boehringer Ingelheim Investigational Site

Los Angeles, California, United States

Site Status

1100.1512.15 Boehringer Ingelheim Investigational Site

Denver, Colorado, United States

Site Status

1100.1512.26 Boehringer Ingelheim Investigational Site

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

Site Status

1100.1512.17 Boehringer Ingelheim Investigational Site

Fort Lauderdale, Florida, United States

Site Status

1100.1512.14 Boehringer Ingelheim Investigational Site

Orlando, Florida, United States

Site Status

1100.1512.23 Boehringer Ingelheim Investigational Site

Vero Beach, Florida, United States

Site Status

1100.1512.29 Boehringer Ingelheim Investigational Site

Maywood, Illinois, United States

Site Status

1100.1512.11 Boehringer Ingelheim Investigational Site

Neptune City, New Jersey, United States

Site Status

1100.1512.25 Boehringer Ingelheim Investigational Site

Newark, New Jersey, United States

Site Status

1100.1512.18 Boehringer Ingelheim Investigational Site

Somers Point, New Jersey, United States

Site Status

1100.1512.22 Boehringer Ingelheim Investigational Site

Winston-Salem, North Carolina, United States

Site Status

1100.1512.21 Boehringer Ingelheim Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

1100.1512.13 Boehringer Ingelheim Investigational Site

Charleston, South Carolina, United States

Site Status

1100.1512.30 Boehringer Ingelheim Investigational Site

Dallas, Texas, United States

Site Status

1100.1512.19 Boehringer Ingelheim Investigational Site

Fort Worth, Texas, United States

Site Status

1100.1512.16 Boehringer Ingelheim Investigational Site

Houston, Texas, United States

Site Status

1100.1512.24 Boehringer Ingelheim Investigational Site

Houston, Texas, United States

Site Status

1100.1512.27 Boehringer Ingelheim Investigational Site

Annandale, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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1100.1512

Identifier Type: -

Identifier Source: org_study_id

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