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临床试验/NCT00067782
NCT00067782已完成3 期

A Phase IIIB Study Evaluating the Effect on Serum Lipids Following a Switch to Atazanavir in HIV Infected Subjects Evidencing Virologic Suppression on Their First PI-Based Antiretroviral Therapy

Bristol-Myers Squibb1 个研究点 分布在 1 个国家开始时间: 2002年12月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
试验地点
1
主要终点
Time to virologic rebound for subjects with HIV RNA < 50 c/mL at baseline; Magnitude/ durability of increases from baseline in absolute CD4 (Time-Averaged Difference) through WK12; Mean % change from baseline in fasting LDL cholesterol at WK12.

研究概览

简要总结

The purpose of this clinical research study is to learn if atazanavir is associated with serum LDL cholesterol in HIV-infected subjects following a substitution of atazanavir for their previously administered protease inhibitor.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
16 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Must be on current HIV treatment regimen at least 3 to 6 months prior to study (this must be one protease inhibitor, or ritonavir-boosted protease inhibitor, and two nucleoside reverse transcriptase inhibitors) must be subject's first PI ever received
  • Plasma HIV-1 RNA level < 50 c/mL within 3 to 6 months prior to study start
  • Fasting LDL cholesterol > 130 mg/dL

排除标准

  • WOCBP who do not use effective barrier contraception for any reason
  • Women who are pregnant or breast feeding
  • A life expectancy < 12 months
  • Presence of a newly diagnosed HIV-related OI or any medical condition requiring acute therapy at the time of enrollment
  • Cushing's Syndrome
  • Uncontrolled diabetes mellitus, history of diabetic ketoacidosis or hyperosmolar syndrome
  • Untreated hypothyroidism or hyperthyroidism
  • Nephrotic syndrome or significant proteinuria
  • Obstructive liver disease
  • Active alcohol or substance abuse
  • Proven or suspected acute hepatitis in the 30 days prior to study entry
  • Intractable diarrhea (greater than or equal to 6 loose stools/day for at least 7 consecutive days) within 30 days prior to study start
  • History of acute or chronic pancreatitis
  • Inability to swallow capsules
  • Presence of cardiomyopathy
  • Known history of prolonged QTc interval
  • Any of the following:
  • clinical symptoms potentially related to heart block
  • heart rate < 40 bpm
  • any of the following EKG abnormalities:
  • i) pause length > 3 seconds ii) second or third degree AV heart block iii) QTc interval > 450 msec for males iv) QTc interval > 470 msec for females
  • Fasting serum triglyceride level > 750 mg/dL
  • Any of the following lab values within 2 weeks of starting study drug:
  • serum creatinine greater to or equal to 1.5 times the upper limit of normal
  • total serum lipase greater than or equal to 1.4 times the upper limit of normal
  • liver transaminases greater than or equal to 3 times the upper limit of normal
  • total serum bilirubin greater than or equal to 1.5 times the upper limit of normal
  • Hypersensitivity to any component of the formulation of study drug
  • Use of any lipid-lowering agent within 4 weeks prior or during study
  • Use of a PI-containing ARV regimen prior to entry which is comprised of more than one PI
  • Inclusion of an NNRTI in the PI-containing regimen
  • Prisoners or subjects involuntary incarcerated for treatment of psychiatric or physical illness

研究组 & 干预措施

1

Active Comparator

干预措施: Atazanavir (immediate switch) (Drug)

2

Active Comparator

干预措施: Atazanavir (Week 24 switch) (Drug)

结局指标

主要结局

Time to virologic rebound for subjects with HIV RNA < 50 c/mL at baseline; Magnitude/ durability of increases from baseline in absolute CD4 (Time-Averaged Difference) through WK12; Mean % change from baseline in fasting LDL cholesterol at WK12.

次要结局

未报告次要终点

研究者

发起方
Bristol-Myers Squibb
申办方类型
Industry

研究点 (1)

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