Safety Sudy of Atazanavir Boosted With Ritonavir in the Treatment of HIV Infection in Pediatric Patients

NCT ID: NCT01691794

Last Updated: 2018-04-27

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

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2017-02-20

Brief Summary

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The purpose of this study is to collect safety clinical data in HIV-infected pediatric patients aged 6 and older to younger than18 years and weighing 15 kg or more, who are receiving atazanavir capsule boosted with ritonavir and an optimized nucleoside reverse transcriptase inhibitor backbone therapy as part of their antiretroviral regimen.

Detailed Description

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Conditions

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HIV, Pediatric

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Atazanavir, 150 mg + Ritonavir, 100 mg (weight:15 to <20 kg)

Participants with baseline weight of 15 to \<20 kg received 150 mg of atazanavir plus 100 mg of ritonavir once daily with an optimized background therapy of 2 nucleoside reverse transcriptase inhibitors (NRTIs) for 24 weeks. In countries without locally approved pediatric indication for atazanavir, patients may continue to receive study treatment, with regular 12-week visits, until the age of 18 years.

Group Type ACTIVE_COMPARATOR

Atazanavir

Intervention Type DRUG

Ritonavir

Intervention Type DRUG

Atazanavir, 200 mg + Ritonavir, 100 mg (weight: 20 to <40 kg)

Participants with baseline weight of 20 to \<40 kg received 200 mg of atazanavir plus 100 mg of ritonavir once daily with an optimized background therapy of 2 NRTIs for 24 weeks. In countries without locally approved pediatric indication for atazanavir, patients may continue to receive study treatment, with regular 12-week visits, until the age of 18 years.

Group Type ACTIVE_COMPARATOR

Atazanavir

Intervention Type DRUG

Ritonavir

Intervention Type DRUG

Atazanavir, 300 mg + Ritonavir, 100 mg (weight: ≥ 40 kg)

Participants with baseline weight ≥ 40 kg received 300 mg of atazanavir plus 100 mg of ritonavir once daily with an optimized background therapy of 2 NRTIs for 24 weeks. In countries without locally approved pediatric indication for atazanavir, patients may continue to receive study treatment, with regular 12-week visits, until the age of 18 years.

Group Type ACTIVE_COMPARATOR

Atazanavir

Intervention Type DRUG

Ritonavir

Intervention Type DRUG

Interventions

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Atazanavir

Intervention Type DRUG

Ritonavir

Intervention Type DRUG

Other Intervention Names

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Reyataz BMS-232632 Norvir

Eligibility Criteria

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Inclusion Criteria

* Confirmed HIV-1 infection diagnosed by protocol criteria
* Male or female children, ≥ 6 years to \<17 years 6 months of age at the time of first treatment
* Antiretroviral-naïve or treatment-experienced participants with a detectable viral load
* Antiretroviral-naïve participants must have genotypic sensitivity at screening to atazanavir and at least 2 nucleoside reverse transcriptase inhibitors (NRTIs), which have been approved for pediatric use and dosed per local country label
* Antiretroviral-experienced participants must have documented genotypic and phenotypic sensitivity at screening to atazanavir (fold change in susceptibility \<2.2) and at least 2 NRTIs, which have been approved for pediatric use and dosed per local country label.

Exclusion Criteria

* Experienced participants who received atazanavir with or without ritonavir at any time prior to study enrollment
* Antiretroviral-naive or -experienced HIV-1 infected patients with contraindication to study medications
* Documented cardiac conduction abnormality, significant cardiac dysfunction, or a history syncope
* Family history of QTc interval syndrome, Brugada syndrome, right ventricular dysplasia, or a corrected QTc interval of \>440 ms at screening
* One of the following cardiac rhythm abnormalities documented on the screening electrocardiogram:

1. First degree atrioventricular (AV) block, as defined by protocol
2. Type I second degree AV block while awake, type II second degree AV block at any time, complete AV block at any time, or age-adjusted heart rate \<2nd percentile
* Coinfection with either hepatitis B or C virus
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

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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Phoenix Children'S Hospital

Phoenix, Arizona, United States

Site Status

Grady Health System Ponce Family And Youth Clinic

Atlanta, Georgia, United States

Site Status

Children'S Medical Center Of Dallas

Dallas, Texas, United States

Site Status

Local Institution

Buenos Aires, Bs As, Buenos Aires, Argentina

Site Status

Local Institution

Buenos Aires, , Argentina

Site Status

Local Institution

Buenos Aires, , Argentina

Site Status

Local Institution

Salvador, Estado de Bahia, Brazil

Site Status

Local Institution

Salvador, Estado de Bahia, Brazil

Site Status

Local Institution

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Local Institution

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Local Institution

São Paulo, São Paulo, Brazil

Site Status

Local Institution

São Paulo, , Brazil

Site Status

Local Institution

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution

Guadalajara, Jalisco, Mexico

Site Status

Local Institution

Monterrey, Nuevo León, Mexico

Site Status

Local Institution

Mérida, Yucatán, Mexico

Site Status

Local Institution

Puebla City, , Mexico

Site Status

Local Institution

Lima, , Peru

Site Status

Local Institution

Lima, , Peru

Site Status

Local Institution

Moscow, , Russia

Site Status

Local Institution

Saint Petersburg, , Russia

Site Status

Local Institution

Port Elizabeth, Eastern Cape, South Africa

Site Status

Local Institution

Bloemfontein, Free State, South Africa

Site Status

Local Institution

Soweto, Gauteng, South Africa

Site Status

Local Institution

Cape Town, Western Cape, South Africa

Site Status

Local Institution

Cape Town, Western Cape, South Africa

Site Status

Countries

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United States Argentina Brazil Chile Mexico Peru Russia South Africa

Related Links

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Other Identifiers

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2011-003300-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

AI424-452

Identifier Type: -

Identifier Source: org_study_id

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