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Differences in Blood Levels of Lopinavir/Ritonavir in HIV Infected Men and Women

Not Applicable
Completed
Conditions
HIV Infections
Registration Number
NCT00102986
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary

Men's and women's bodies may process anti-HIV drugs differently. The purpose of this study is to determine the differences in blood levels of soft gel capsules and tablets of lopinavir/ritonavir (LPV/r) in HIV infected men and women.

Detailed Description

It is estimated that 50% of people living with HIV/AIDS worldwide are women. HIV infected women face different psychosocial issues than men, and their bodies may react differently to HIV treatment. However, most of the data on the safety and efficacy of antiretrovirals (ARVs) used in the treatment of HIV infection are from studies conducted primarily in men. LPV/r in tablet form was approved by the FDA in October 2005. This study will determine the differences in pharmacokinetics (PK) in men and women taking a soft gel capsule and a tablet formulation of LPV/r.

No ARVs will be provided by this study. In Step 1, participants will receive soft gel capsules of LPV/r. All Step 1 participants will be asked to join Step 2 of the study upon completion of Step 1. In Step 2, participants will receive tablets of LPV/r. During the study, participants in both Step 1 and 2 will take a treatment regimen of LPV/r twice daily and one or more of the following: a nucleoside reverse transcriptase inhibitor (NRTI), tenofovir disoproxil fumarate, or enfuvirtide. Medical and medication history, blood collection, and clinical assessments will occur at study screening for both Steps 1 and 2. Participants in both steps will be asked to complete a medication diary from study entry to the day of the PK visit. The PK visit will occur within 30 days of study screening; blood collection for PK analysis will also occur at this visit.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
116
Inclusion Criteria

Not provided

Exclusion Criteria
  • Non-nucleoside reverse transcriptase inhibitor or dual protease inhibitor regimen within 30 days prior to study entry
  • Require certain medications
  • Current drug or alcohol abuse that, in the investigator's opinion, may interfere with the study
  • Serious illness requiring systemic treatment or hospitalization within 30 days of study screening
  • Acute AIDS-related opportunistic infection within 90 days of study entry

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Lopinavir (LPV) area under the concentration-time curve (AUC) for 0 to 12 hours
Secondary Outcome Measures
NameTimeMethod
LPV AUC for 0 to 12 hours, Cmax, C12h, CL/F, participant's age, weight, and body mass index (BMI), and coadministration of TDF
LPV AUC for 0 to 12 hours, Cmax, C12h, CL/F, and graded signs and symptoms
LPV AUC for 0 to 12 hours, Cmax, C12h, CL/F, and graded gastrointestinal signs and symptoms (defined as nausea, vomiting, diarrhea, abdominal pain, and bloating)
ritonavir (RTV) AUC for 0 to 12 hours, Cmax, C12h, and CL/F
LPV/r AUC for 0 to 12 hours, Cmax, C12h, CL/F for both the soft gel capsule and tablet formulations
LPV maximum concentration (Cmax), concentration at 12 hours (C12h), and apparent oral clearance (CL/F)
LPV AUC for 0 to 12 hours, Cmax, C12h, CL/F, and participant's race and ethnicity

Trial Locations

Locations (29)

Harbor-UCLA CRS

πŸ‡ΊπŸ‡Έ

Torrance, California, United States

Penn Therapeutics, CRS

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

University of Pittsburgh CRS

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Pittsburgh, Pennsylvania, United States

Bmc Actg Crs

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

MetroHealth CRS

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

UCSD Antiviral Research Center CRS

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

The University of Miami AIDS Clinical Research Unit (ACRU) CRS

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Cook County Hosp. CORE Ctr.

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Chicago, Illinois, United States

Indiana Univ. School of Medicine, Infectious Disease Research Clinic

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

University of Colorado Hospital CRS

πŸ‡ΊπŸ‡Έ

Aurora, Colorado, United States

Beth Israel Med. Ctr., ACTU

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Puerto Rico AIDS Clinical Trials Unit CRS

πŸ‡΅πŸ‡·

San Juan, Puerto Rico

Stanford AIDS Clinical Trials Unit CRS

πŸ‡ΊπŸ‡Έ

Palo Alto, California, United States

Johns Hopkins University CRS

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Univ. of Texas Medical Branch, ACTU

πŸ‡ΊπŸ‡Έ

Galveston, Texas, United States

University of Washington AIDS CRS

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

Washington University Therapeutics (WT) CRS

πŸ‡ΊπŸ‡Έ

St. Louis, Missouri, United States

NY Univ. HIV/AIDS CRS

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Columbia P&S CRS

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Univ. of Rochester ACTG CRS

πŸ‡ΊπŸ‡Έ

Rochester, New York, United States

University of Southern California CRS

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Univ. of Hawaii at Manoa, Leahi Hosp.

πŸ‡ΊπŸ‡Έ

Honolulu, Hawaii, United States

Georgetown University CRS (GU CRS)

πŸ‡ΊπŸ‡Έ

Washington, District of Columbia, United States

Rush University CRS

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Chicago, Illinois, United States

Chapel Hill CRS

πŸ‡ΊπŸ‡Έ

Chapel Hill, North Carolina, United States

Cincinnati CRS

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

Ohio State University CRS

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

Vanderbilt Therapeutics (VT) CRS

πŸ‡ΊπŸ‡Έ

Nashville, Tennessee, United States

UCLA CARE Center CRS

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

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