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Pharmacokinetics of Low Dose Raltegravir

Phase 2
Completed
Conditions
HIV Infections
Interventions
Registration Number
NCT01159132
Lead Sponsor
The HIV Netherlands Australia Thailand Research Collaboration
Brief Summary

The purpose of this study is to study and compare the pharmacokinetics profile of low dose raltegravir (RAL) (400mg OD and 800mg OD) and standard dose of 400mg BID in Thai HIV-infected patients.

Detailed Description

Twenty four HIV-infected volunteers on stable doses of RAL 400 mg BID for at least 3 months and with undetectable viral load will be enrolled. On Day 1, all 24 subjects will attend the first intensive PK collection for RAL 400 mg BID and the blood samples will be drawn at T = 0.0, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 4.0, 6.0, 8.0, 10.0, and 12.0 hour post medication. All 24 subjects will be randomised (1:1) to either Group A (RAL 400 mg OD) or Group B (RAL 800 mg OD) for 14 days. On day 15, a second 24 hour intensive PK will be carried out and the blood samples will be drawn. After 2nd intensive PK, the subjects will switch to the other dosing regimen. Subjects in group A will receive RAL 800 mg OD and group B will receive RAL 400 mg OD for another 14 days. On day 29, the third 24 hour intensive PK will be carried out. After the 3rd intensive PK, all 24 subjects will be switched back to the initial regimen of RAL 400 mg BID.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • Signed informed consent
  • Evidence of HIV infection
  • Age> 18 years
  • On RAL 400 mg BID containing HAART regimen with a VL < 50 copies for at least 3 months before enrollment
  • Willing to adhere to the protocol requirements
Exclusion Criteria
  • Evidence of RAL resistance
  • History of RAL allergy
  • Use of concomitant medication that may interfere with the pharmacokinetics of RAL
  • Current pregnancy or lactating or planning to get pregnant
  • Active drug abuse or alcoholic
  • Relevant history or current condition, illness that might interfere with drug absorption, distribution, metabolism or excretion.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
1raltegravirRAL 400 mg OD
2raltegravirRAL 800 mg OD
Primary Outcome Measures
NameTimeMethod
pharmacokinetics of RAL in Thais29 days

To assess AUC, Cmax, Cmin, T 1/2, clearance of RAL at dose of 400 mg BID, 800 mg OD, 400 mg OD in Thai

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

HIV-NAT

🇹🇭

Bangkok, Thailand

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