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The Safety and Effectiveness of Adefovir Dipivoxil Plus Indinavir Combined With Zidovudine or Lamivudine or Stavudine in HIV-Infected Patients Who Have Not Taken Anti-HIV Drugs

Phase 2
Completed
Conditions
HIV Infections
Registration Number
NCT00002379
Lead Sponsor
Gilead Sciences
Brief Summary

To evaluate the safety and tolerance of adefovir dipivoxil and indinavir administered orally in combination with zidovudine, lamivudine, or stavudine in HIV-infected patients with CD4 cell counts \>= 100 cells/mm3 and an HIV-1 RNA baseline copy number \>= 5000 copies/ml. To determine the proportion of patients whose plasma HIV-1 RNA level falls below the level of detection (500 copies/ml) by 20 weeks of study therapy and the average reduction in HIV-1 RNA from baseline through study week 20. To evaluate the durability of the antiviral response through 48 weeks of study in patients who continue on study therapy after week 24.

Detailed Description

This protocol is a stratified, randomized, open-label study of the safety and efficacy of adefovir dipivoxil with indinavir as quadruple therapy in combination with zidovudine and lamivudine, or as triple combination administered with either zidovudine or lamivudine or stavudine for 48 weeks in the treatment of HIV-infected patients with CD4 cell counts \>= 100/mm3 and an HIV-1 RNA baseline copy number \>= 5000 copies/ml. Patients will be randomized to adefovir dipivoxil, indinavir, zidovudine, and lamivudine or adefovir dipivoxil, indinavir, and a nucleoside inhibitor (randomly assigned to receive zidovudine, lamivudine, or stavudine) or to indinavir, zidovudine, and lamivudine. Additionally, a daily dose of L-carnitine will be administered to all patients randomized to an arm containing adefovir dipivoxil.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (15)

Phoenix Body Positive

🇺🇸

Phoenix, Arizona, United States

AIDS Healthcare Foundation Labs

🇺🇸

Los Angeles, California, United States

Davies Med Ctr

🇺🇸

San Francisco, California, United States

Blick Med Associates

🇺🇸

Greenwich, Connecticut, United States

George Washington Med Ctr

🇺🇸

Washington, District of Columbia, United States

Cook County Gen Hosp / Division of Infect Diseases

🇺🇸

Chicago, Illinois, United States

Johns Hopkins Univ School of Medicine

🇺🇸

Baltimore, Maryland, United States

Community Research Initiative

🇺🇸

Brookline, Massachusetts, United States

Community Research Initiative on AIDS

🇺🇸

New York, New York, United States

Saint Vincent's AIDS Ctr

🇺🇸

New York, New York, United States

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Phoenix Body Positive
🇺🇸Phoenix, Arizona, United States

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