Study of the Efficacy and Safety of Apricitabine, a New NRTI, to Treat Drug-resistant HIV Infection

NCT ID: NCT00612898

Last Updated: 2012-01-23

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

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

239 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2010-01-31

Brief Summary

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Apricitabine is a new NRTI which is active against drug-resistant HIV. NRTIs are often included as part of patients' treatment, but many HIV-infected patients develop resistance to commonly used NRTIs such as lamivudine (3TC) and emtricitabine (FTC). This study will examine whether including apricitabine as part of patients' treatment is more effective than including lamivudine,when patients change treatment because of drug resistance.

Detailed Description

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ATC has potent antiviral activity both in vitro (against wild-type HIV-1 and HIV-1 with mutations in reverse transcriptase that confer resistance to NRTIs), and in clinical studies in both treatment-naïve and treatment-experienced patients with M184V, including in the presence of additional NRTI mutations in reverse transcriptase.

The M184V mutation is most commonly present amongst patients failing regimens containing either of the two deoxycytidine analogs lamivudine and emtricitabine. Whilst lamivudine therapy is often maintained in patients harboring the M184V mutation in some settings, there are no deoxycytidine analogs currently available that effectively suppress replication of HIV-1 containing the M184V/I mutation, particularly in the presence of other additional NRTI mutations.

The purpose of this study is to extend the efficacy and safety established in study AVX-201 of ATC in patients who are HIV-1 infected and have failed treatment with lamivudine or emtricitabine and have confirmed M184V/I mutation. Patients to be enrolled will be failing their current lamivudine- or emtricitabine-containing regimen and therefore have limited remaining NRTI treatment options. This study will investigate whether it is possible to improve control of HIV-1 viral replication by including ATC within a treatment experienced patient's new optimized background regimen following ART treatment failure.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

800mg BID apricitabine plus optimised background

Group Type EXPERIMENTAL

apricitabine

Intervention Type DRUG

800mg BID apricitabine orally for 48 weeks

2

150mg BID lamivudine plus optimised background

Group Type ACTIVE_COMPARATOR

lamivudine

Intervention Type DRUG

150mg BID lamivudine orally for 48 weeks

Interventions

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apricitabine

800mg BID apricitabine orally for 48 weeks

Intervention Type DRUG

lamivudine

150mg BID lamivudine orally for 48 weeks

Intervention Type DRUG

Other Intervention Names

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AVX754 3TC

Eligibility Criteria

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Inclusion Criteria

* HIV-1 positive with M184V/I mutation in reverse transcriptase;
* 18 years of age or older;
* Currently taking lamivudine (3TC) or emtricitabine (FTC)

Exclusion Criteria

* Female patients who are pregnant or breastfeeding;
* Current hepatitis B virus (HBV) infection;
* Current treatment for hepatitis C virus infection;
* Renal function not adequate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Avexa

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Susan W Cox, Ph D

Role: STUDY_DIRECTOR

Avexa Ltd

Michael Saag, MD

Role: PRINCIPAL_INVESTIGATOR

UAB Center for AIDS Research

Locations

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UAB, 845 19th St South, South Beville Biomedical Research Building

Birmingham, Alabama, United States

Site Status

University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Southwest Center for HIV/AIDS

Phoenix, Arizona, United States

Site Status

Living Hope Clinical Foundation, Inc

Long Beach, California, United States

Site Status

Kaiser Permanente Medical Center

San Francisco, California, United States

Site Status

AIDS Research Alliance

West Hollywood, California, United States

Site Status

Denver Health & Hospital Authority

Denver, Colorado, United States

Site Status

Georgetown University

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

Site Status

George Washington University

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

Site Status

Gary Richmond, MD

Fort Lauderdale, Florida, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

Infectious Disease Research Institute, Inc

Tampa, Florida, United States

Site Status

Treasure Coast Infectious Diseases Consultants

Vero Beach, Florida, United States

Site Status

Aids Research Consortium Of Atlanta Inc.

Atlanta, Georgia, United States

Site Status

Atlanta Infectious Disease Group, PC

Atlanta, Georgia, United States

Site Status

University of Hawaii

Honolulu, Hawaii, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Kansas School of Medicine

Wichita, Kansas, United States

Site Status

Fenway Community Health Center

Boston, Massachusetts, United States

Site Status

Community Research Intiative of New England

Boston, Massachusetts, United States

Site Status

I.D. Care, Inc.

Hillsborough, New Jersey, United States

Site Status

Saint Michael's Medical Center

Newark, New Jersey, United States

Site Status

Summa Health System

Akron, Ohio, United States

Site Status

The Research & Education Institute

Portland, Oregon, United States

Site Status

Central Texas Clinical Research

Austin, Texas, United States

Site Status

Nicholaos C Bellos, MD, PA

Dallas, Texas, United States

Site Status

North Texas Infectious Diseases Consultants, P.A.

Dallas, Texas, United States

Site Status

Tarrant County Infection Disease Associates

Fort Worth, Texas, United States

Site Status

University of Texas Medical Brach

Galveston, Texas, United States

Site Status

Therapeutic Concepts

Houston, Texas, United States

Site Status

Resarch Access Network

Houston, Texas, United States

Site Status

DCOL Center for Clinical Research

Longview, Texas, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

407 Doctors

Darlinghurst, New South Wales, Australia

Site Status

Parramatta Sexual Health Clinic

Parramatta, New South Wales, Australia

Site Status

Westmead Hospital

Westmead, New South Wales, Australia

Site Status

Carlton Clinic

Carlton, Victoria, Australia

Site Status

Melbourne Sexual Health Centre

Carlton, Victoria, Australia

Site Status

The Alfred

Melbourne, Victoria, Australia

Site Status

Royal Melbourne Hospital

Parkville, Victoria, Australia

Site Status

Prahran Market Clinic

South Yarra, Victoria, Australia

Site Status

Prins Leopold Institute voor Tropische Geneeskunde

Antwerp, , Belgium

Site Status

Hopitaux IRIS Sud

Brussels, , Belgium

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

Ubc Downtown I.D. Clinic

Vancouver, British Columbia, Canada

Site Status

Hamilton Health Sciences Corporation

Hamilton, Ontario, Canada

Site Status

University Health Network

Toronto, Ontario, Canada

Site Status

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Centre Hospitalier Universitaire de Quebec

Québec, Quebec, Canada

Site Status

EPIMED GmbH

Berlin, , Germany

Site Status

Charite-Universitatsmedizin Berlin

Berlin, , Germany

Site Status

Ruhr-Universitat Bochum

Bochum, , Germany

Site Status

Universitatsklinikum Bonn

Bonn, , Germany

Site Status

Klinikum Dortmund gGmbH

Dortmund, , Germany

Site Status

Universitatsklinikum Essen

Essen, , Germany

Site Status

Klinikum der Johann-Wolfgang Goethe-Universitat

Frankfurt, , Germany

Site Status

Praxis fuer Innere Medizin

Freiburg im Breisgau, , Germany

Site Status

Praxis Dr.Schneider

Fürth, , Germany

Site Status

Dr. med. Birger Kuhlmann

Hanover, , Germany

Site Status

Klinikum der Universitat Munchen - Innenstadt

München, , Germany

Site Status

Gemeinschaftspraxis E. Schnaitmann, Dr. med. A. Schaffert, Dr. med. A. Trein, Dr. med. E. Ibler

Stuttgart, , Germany

Site Status

Praxis Dres. Ulmer, Frietsch, Muller

Stuttgart, , Germany

Site Status

Soroka University Medical Center

Beersheba, , Israel

Site Status

Rambam Medical Center

Haifa, , Israel

Site Status

Hadassah University Hospital Ein Kerem

Jerusalem, , Israel

Site Status

The Chaim Sheba Medical Center

Ramat Gan, , Israel

Site Status

Kaplan Medical Center

Rehovot, , Israel

Site Status

Tel-Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Ospedale S.Maria Annunziata

Antella, , Italy

Site Status

Azienda Ospedaliera Universitaria di Ferrara Arcispedale S.Anna

Ferrara, , Italy

Site Status

Azienda Ospedaliera Universitaria San Martino

Genova, , Italy

Site Status

Fondazione Centro San Raffaele del Monte Tabor

Milan, , Italy

Site Status

Ospedale Luigi Sacco

Milan, , Italy

Site Status

Azienda Ospedaliero-Universitaria di Modena Policlinico

Modena, , Italy

Site Status

Azienda Ospedaliera Cotugno

Napoli, , Italy

Site Status

Azienda Ospedaliera di Padova

Padua, , Italy

Site Status

Istituto Nazionale Malattie Infettive "Lazzaro Spallanzani" IRCCS

Roma, , Italy

Site Status

Comprensorio Amedeo di Savoia - Birago Di Vische

Torino, , Italy

Site Status

Hospital Nacional CASE-EsSalud

Arequipa, , Peru

Site Status

Investigaciones Medicas en Salud

Lima, , Peru

Site Status

Hospital Dos de Mayo

Lima, , Peru

Site Status

Via Libre

Lima, , Peru

Site Status

Hospital Nacional Cayetano Heredia

Lima, , Peru

Site Status

Edgardo Rebagliati Hospital

Lima, , Peru

Site Status

Instituto De Investigacion Cientifica

Ponce, , Puerto Rico

Site Status

University of Puerto Rico

San Juan, , Puerto Rico

Site Status

Hope Clinical Research

San Juan, , Puerto Rico

Site Status

Mahidol University Hospital for Tropical Diseases

Bangkok, , Thailand

Site Status

Pharmongkutklao Hospital

Bangkok, , Thailand

Site Status

The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT)

Bangkok, , Thailand

Site Status

Ramathibodi Hospital, Mahidol University

Bangkok, , Thailand

Site Status

Sirraj Hospital, Mahidol Universoty

Bangkok, , Thailand

Site Status

Maharaj Nakorn Chiang Mai, Chiang Mai University

Chiang Mai, , Thailand

Site Status

Khon Kaen University

Khon Kaen, , Thailand

Site Status

Bamrasnaradura Institution

Nonthaburi, , Thailand

Site Status

Birmingham Heartlands Hospital

Birmingham, , United Kingdom

Site Status

St Bartholomew's Hospital

London, , United Kingdom

Site Status

Royal Free Hospital

London, , United Kingdom

Site Status

Guy's King's & St. Thomas' School of Medicine

London, , United Kingdom

Site Status

St Mary's Hospital

London, , United Kingdom

Site Status

Countries

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United States Australia Belgium Canada Germany Israel Italy Peru Puerto Rico Thailand United Kingdom

Other Identifiers

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AVX-301

Identifier Type: -

Identifier Source: org_study_id

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