Study Comparing Lopinavir/Ritonavir (LPV/r) + Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) With a Nucleoside Sparing Regimen Consisting of Lopinavir/Ritonavir + Raltegravir (RAL)

NCT ID: NCT00711009

Last Updated: 2012-02-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

206 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2010-10-31

Brief Summary

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The purpose of this study is to compare the safety, tolerability, and antiviral activity of the lopinavir/ritonavir tablet when administered in combination with reverse transcriptase inhibitors to lopinavir/ritonavir tablets when administered in combination with a human immunodeficiency virus type 1 ( HIV-1) integrase inhibitor in antiretroviral naive HIV-1 infected subjects.

Detailed Description

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Conditions

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Human Immunodeficiency Virus Infection

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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LPV/r + FTC/TDF

lopinavir/ritonavir 400/100 milligram (mg) tablet twice-daily + co-formulated emtricitabine/tenofovir disoproxil fumarate 200/300 mg once-daily

Group Type ACTIVE_COMPARATOR

lopinavir/ritonavir (LPV/r)

Intervention Type DRUG

LPV/r 400/100 mg BID

emtricitabine/tenofovir disoproxil fumarate (FTC/TDF)

Intervention Type DRUG

FTC/TDF 200/300 mg QD

LPV/r + RAL

lopinavir/ritonavir 400/100 mg tablet twice-daily + raltegravir 400 mg twice-daily

Group Type EXPERIMENTAL

lopinavir/ritonavir (LPV/r)

Intervention Type DRUG

LPV/r 400/100 mg BID

raltegravir (RAL)

Intervention Type DRUG

RAL 400 mg BID

Interventions

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lopinavir/ritonavir (LPV/r)

LPV/r 400/100 mg BID

Intervention Type DRUG

emtricitabine/tenofovir disoproxil fumarate (FTC/TDF)

FTC/TDF 200/300 mg QD

Intervention Type DRUG

raltegravir (RAL)

RAL 400 mg BID

Intervention Type DRUG

Other Intervention Names

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ABT-378 lopinavir/ritonavir LPV/r Kaletra emtricitabine/tenofovir disoproxil fumarate FTC/TDF Truvada raltegravir RAL Isentress MK-0518

Eligibility Criteria

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Inclusion Criteria

* Participants must provide written, voluntary informed consent to participate in the study.
* Participants must be naive to antiretroviral treatment with HIV RNA greater than or equal to 1,000 copies/mL at screening, and in the investigator's opinion, require antiretroviral therapy.
* Participant's vital signs, physical examination, and laboratory results must not exhibit evidence of acute illness.
* Participant has not been treated for an active acquired immune deficiency syndrome (AIDS)-defining opportunistic infection within 45 days of initiating study drug. Participants who are on stable maintenance therapy for an opportunistic infection may be enrolled after consultation with the Sponsor.
* Participant does not require and agrees not to take any drugs that are contraindicated or have significant pharmacokinetic interactions with study drugs during the course of the study. Participant agrees not to take any medication during the study, including over-the-counter medicines, vitamins, minerals, herbal preparations, alcohol, or recreational drugs without the knowledge and permission of the principal investigator.
* Female participants must be either postmenopausal for at least one year, surgically sterile, or must use a non-hormonal method of birth control that is acceptable to both the participant and investigator. All female participants must have a urine pregnancy test performed at screening visit and on Day minus 1/baseline, and results of both tests must be negative. Female participants may not be breastfeeding.
* Participants have received no prior treatment with an HIV-1 integrase inhibitor.

Exclusion Criteria

* Participants must not have history of an allergic reaction or significant sensitivity to the study drugs.
* Participants may not have an ongoing history of substance abuse or psychiatric illness that could preclude protocol adherence.
* Participant cannot have resistance to lopinavir/ritonavir, tenofovir, or emtricitabine based on the HIV-1 drug resistance genotypic test results at the screening visit.
* Participant may not have significant medical history of concomitant illness or disease that would adversely affect his/her participating in the study.
* Participants may not have received any investigational drug or investigational vaccine within 30 days prior to study drug administration.
* Participants may not have any of the following abnormal screening results: Hemoglobin \<= 8.0 grams/deciliter, absolute neutrophil count \<= 750 cells/microliter, Platelet count \<= 50,000 per milliliter, alanine aminotransferase (ALT) (serum glutamic-pyruvic transaminase \[SGPT\]) or aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase \[SGOT\]) \>= 3.0 x upper limit of normal (ULN), calculated creatinine clearance \< 50 milliliter/minute, hepatitis B surface antigen (HBsAg) is positive.
* The investigator considers the participant to be an unsuitable candidate for the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Abbott

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas J Podsadecki, MD

Role: STUDY_DIRECTOR

Abbott

Locations

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Site Reference ID/Investigator# 7689

Barcelona, , Spain

Site Status

Site Reference ID/Investigator# 8431

Phoenix, Arizona, United States

Site Status

Site Reference ID/Investigator# 8432

Beverly Hills, California, United States

Site Status

Site Reference ID/Investigator# 8394

Atlantis, Florida, United States

Site Status

Site Reference ID/Investigator# 8393

Ft. Pierce, Florida, United States

Site Status

Site Reference ID/Investigator# 8425

Orlando, Florida, United States

Site Status

Site Reference ID/Investigator# 8402

Tampa, Florida, United States

Site Status

Site Reference ID/Investigator# 8396

Vero Beach, Florida, United States

Site Status

Site Reference ID/Investigator# 8395

Atlanta, Georgia, United States

Site Status

Site Reference ID/Investigator# 8429

Decatur, Georgia, United States

Site Status

Site Reference ID/Investigator# 8424

Boston, Massachusetts, United States

Site Status

Site Reference ID/Investigator# 8426

Charlotte, North Carolina, United States

Site Status

Site Reference ID/Investigator# 11461

Huntersville, North Carolina, United States

Site Status

Site Reference ID/Investigator# 8403

Dallas, Texas, United States

Site Status

Site Reference ID/Investigator# 8433

Houston, Texas, United States

Site Status

Site Reference ID/Investigator# 7963

Ottawa, Ontario, Canada

Site Status

Site Reference ID/Investigator# 7831

Toronto, Ontario, Canada

Site Status

Site Reference ID/Investigator# 7959

Toronto, Ontario, Canada

Site Status

Site Reference ID/Investigator# 8099

Montreal, Quebec, Canada

Site Status

Site Reference ID/Investigator# 7695

Lyon, , France

Site Status

Site Reference ID/Investigator# 7960

Montpellier, , France

Site Status

Site Reference ID/Investigator# 8063

Paris, , France

Site Status

Site Reference ID/Investigator# 7821

Paris, , France

Site Status

Site Reference ID/Investigator# 8052

Genoa, , Italy

Site Status

Site Reference ID/Investigator# 7789

Milan, , Italy

Site Status

Site Reference ID/Investigator# 8051

Perugia, , Italy

Site Status

Site Reference ID/Investigator# 8050

Rome, , Italy

Site Status

Site Reference ID/Investigator# 8221

Wroclaw, , Poland

Site Status

Site Reference ID/Investigator# 7713

Bayamón, , Puerto Rico

Site Status

Site Reference ID/Investigator# 7700

Ponce, , Puerto Rico

Site Status

Site Reference ID/Investigator# 11102

Barcelona, , Spain

Site Status

Site Reference ID/Investigator# 7697

Barcelona, , Spain

Site Status

Site Reference ID/Investigator# 7692

L'Hospitalet de Llobregat, , Spain

Site Status

Site Reference ID/Investigator# 7698

Madrid, , Spain

Site Status

Site Reference ID/Investigator# 7693

Madrid, , Spain

Site Status

Site Reference ID/Investigator# 7691

Madrid, , Spain

Site Status

Site Reference ID/Investigator# 7690

Seville, , Spain

Site Status

Countries

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United States Canada France Italy Poland Puerto Rico Spain

References

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Reynes J, Trinh R, Pulido F, Soto-Malave R, Gathe J, Qaqish R, Tian M, Fredrick L, Podsadecki T, Norton M, Nilius A. Lopinavir/ritonavir combined with raltegravir or tenofovir/emtricitabine in antiretroviral-naive subjects: 96-week results of the PROGRESS study. AIDS Res Hum Retroviruses. 2013 Feb;29(2):256-65. doi: 10.1089/aid.2011.0275. Epub 2012 Aug 3.

Reference Type DERIVED
PMID: 22730929 (View on PubMed)

Reynes J, Lawal A, Pulido F, Soto-Malave R, Gathe J, Tian M, Fredrick LM, Podsadecki TJ, Nilius AM. Examination of noninferiority, safety, and tolerability of lopinavir/ritonavir and raltegravir compared with lopinavir/ritonavir and tenofovir/ emtricitabine in antiretroviral-naive subjects: the progress study, 48-week results. HIV Clin Trials. 2011 Sep-Oct;12(5):255-67. doi: 10.1310/hct1205-255.

Reference Type DERIVED
PMID: 22180523 (View on PubMed)

Related Links

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Other Identifiers

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2008-000881-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M10-336

Identifier Type: -

Identifier Source: org_study_id

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