A Multicenter, Randomized, Open-Label, Active-Controlled Pilot Study to Evaluate the Safety and Antiretroviral Activity of Unboosted Atazanavir BID Plus Raltegravir BID and Boosted Atazanavir QD in Combination With Tenofovir/Emtricitabine QD in Treatment Naive HIV-Infected Subjects
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 发起方
- 入组人数
- 167
- 试验地点
- 10
- 主要终点
- Number of Participants With Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) Level <50 Copies/mL at Week 24
研究概览
简要总结
The purpose of this study is to determine if the combination of atazanavir and raltegravir taken together is safe and effective in the treatment of human immunodeficiency virus (HIV).
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
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Human Immunodeficiency Virus (HIV)-1 positive status
- •HIV ribonucleic acid (RNA) level >=5000 copies/mL
- •Antiretroviral treatment-naive
- •Absolute Cluster of Differentiation 4 (CD4) cell count meeting 1 of the following criteria:
- •<350 cells/mm^3
- •Screening CD4 >=350 and <=500 cells/mm^3 ONLY if at least 1 of the following conditions apply:
- •Screening HIV RNA level >100,000 copies/mL, or
- •CD4 decline >50-100 cells/mm^3/year, or
- •Age >=55 years
- •Any CD4 cell count, if participant has a history of an acquired immune deficiency syndrome-defining illness
- •Medically stable
排除标准
- •Screening HIV genotype showing resistance to any component of the study regimen (Atazanavir, Raltegravir, Tenofovir/Emtricitabine)
- •Hepatitis B or hepatitis C coinfection
- •History of or current cardiac disease
- •Electrocardiogram findings:
- •PR Interval >260 msec (severe 1st degree atrioventricular block)
- •QRS Interval >120 msec
研究组 & 干预措施
Atazanavir + Raltegravir
Atazanavir 300 mg twice daily + Raltegravir 400 mg twice daily
干预措施: Atazanavir (Drug)
Atazanavir + Raltegravir
Atazanavir 300 mg twice daily + Raltegravir 400 mg twice daily
干预措施: Raltegravir (Drug)
Atazanavir + Ritonavir + Tenofovir /Emtricitabine
Atazanavir, 300 mg once daily, + Ritonavir, 100 mg once daily, + Tenofovir 300 mg/Emtricitabine, 200 mg once daily
干预措施: Atazanavir (Drug)
Atazanavir + Ritonavir + Tenofovir /Emtricitabine
Atazanavir, 300 mg once daily, + Ritonavir, 100 mg once daily, + Tenofovir 300 mg/Emtricitabine, 200 mg once daily
干预措施: Ritonavir (Drug)
Atazanavir + Ritonavir + Tenofovir /Emtricitabine
Atazanavir, 300 mg once daily, + Ritonavir, 100 mg once daily, + Tenofovir 300 mg/Emtricitabine, 200 mg once daily
干预措施: Tenofovir/Emtricitabine (Drug)
结局指标
主要结局
Number of Participants With Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) Level <50 Copies/mL at Week 24
时间窗: At Week 24 from Baseline
The number of HIV 1-infected treatment-naive participants with an HIV RNA level \<50 copies/mL after 24 weeks of treatment. Confirmed virologic response noncompleter=failure (NC=F); noncompleter=missing (NC=M); virologic response-observed cases (VR-OC).
次要结局
- Number of Participants With HIV RNA Levels <400 Copies/mL at Week 48(At Week 48 from Baseline)
- Number of Nonresponders at Week 8(At Week 8 from Baseline)
- Number of Participants With HIV RNA Levels <50 Copies/mL at Weeks 48 and 96(At Weeks 48 and 96 from Baseline)
- Number of Participants With HIV RNA Levels <400 Copies/mL at Week 24(At Week 24 from Baseline)
- Number of Participants With HIV RNA Levels <400 Copies/mL at Week 96(At Week 96 from Baseline)
- Mean Change From Baseline in Absolute Cluster of Differentiation 4 Cell Count(From Baseline to Weeks 2, 4, 8, 12, 16, 20, and 24)
- Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Death as Outcome, AEs Leading to Discontinuation, SAEs Leading to Discontinuation(Week 1 to Week 96, continuously)
- Baseline and Mean Change From Baseline in Total Cholesterol Levels(From Baseline to Week 24 and Week 48)
- Mean Change From Baseline in Total Bilirubin Level(From Baseline to Week 24 and Week 48)
- Mean Change From Baseline in Electrocardiogram Findings(From Baseline to Week 24)
- Atazanavir Maximum Observed Plasma Concentration (Cmax) in 1 Dosing Interval(At Week 2 from Baseline)
- Raltegravir Cmax in 1 Dosing Interval(At Week 2 from Baseline)
- Atazanavir Time of Maximum Observed Plasma Concentration (Tmax)(At Week 2 from Baseline)
- Raltegravir Tmax(At Week 2 from Baseline)
- Atazanavir Trough Plasma Concentration (Cmin) 12 Hours Postdose(At Week 2 from Baseline)
- Raltegravir Cmin 12 Hours Postdose(At Week 2 from Baseline)
- Atazanavir Cmin Prior to the Morning Dose(At Week 2 from Baseline)
- Raltegravir Cmin Prior to the Morning Dose(At Week 2 from Baseline)
- Atazanavir Area Under the Concentration Curve From Time 0 to 12 Hours (AUC [0-12h]) in 1 Dosing Interval(At Week 2 from Baseline)
- Raltegravir AUC (0-12h) in 1 Dosing Interval(At Week 2 from Baseline)
- Atazanavir Area Under the Concentration Curve From Time 0 to 24 Hours (AUC [0-24h]) in 1 Dosing Interval(At Week 2 from Baseline)
- Atazanavir Individual Inhibitory Quotient (IQ)(At Week 2 from Baseline)
- Atazanavir Terminal Elimination Half Life(At Week 2 from Baseline)
- Raltegravir Terminal Elimination Half Life(At Week 2 from Baseline)
- Number of Participants With Hematology Laboratory Test Results With Worst Toxicity of Grades 1 to 4 Among All Treated Participants(While on treatment from Baseline through Week 96)
- Number of Participants With Blood Chemistry Laboratory Test Results With Worst Toxicity of Grades 1 to 4(While on treatment from Baseline through Week 96)
- Number of Participants With Blood Chemistry Laboratory Test Results With Worst Toxicity of Grades 1 to 4 (Continued)(While on treatment from Baseline through Week 96)
- Number of Participants With Enzyme and Urine Laboratory Test Results With Worst Toxicity of Grades 1 to 4(While on treatment from Baseline through Week 96)
