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临床试验/CTRI/2011/06/001796
CTRI/2011/06/001796招募中2 期

A Phase II, open label, single arm trial to evaluate the pharmacokinetics,safety, tolerability, and antiviral activity of TMC278 in antiretroviralnaïveHIV-1 infected adolescents aged 12 to 18 years - PAINT study

Johnson and johnson Ltd0 个研究点目标入组 35 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
35

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

入选标准

  • 1.Boys or girls, aged 12 to 18 years.
  • 2. Subject?s weight is more thanor equal to 32 kg.
  • 3. Subject with documented chronic HIV-1 infection who is aware of his/her HIV-1 diagnosis.
  • 4.Subject has,prior to screening, never been treated with a therapeutic HIV vaccine or an
  • HIV drug with the exception of a single dose of NVP to prevent MTCT.
  • 5. HIV-1 plasma viral load at screening 5,000 HIV1 RNA copies/mL (assayed by RNA polymerase chain reaction, standard specimen procedure).
  • 6. In the judgment of the investigator, it is appropriate to initiate ARV therapy based on the
  • subject?s medical condition and taking into account guidelines for the treatment of HIV-1
  • infection in children of this age group.
  • Note: Most current treatment guidelines recommend considering initiation of ART when
  • CD4+ cell counts are less than 350 cells/mm³. However, clinical situations may warrant
  • initiating ART with CD4+ cell counts 350 cells/mm³.
  • 7. Results from the screening virco® TYPE HIV-1 demonstrate sensitivity to the selected
  • N(t)RTIs using the lower CCO (indicated as ?maximal response? on the screening TYPE HIV-1 result) or the BCO (indicated as ?susceptible?), whichever is applicable for the chosen background regimen.
  • 8. The subject agrees (or their parents/caregivers agree, in case the subjects age is below the cut-off age for consent according to local regulations, in which case the subject is informed and asked to give positive assent) not to start ART before the baseline visit.
  • 9.General medical condition, in the investigator?s opinion, does not interfere with the assessments and the completion of the trial.

排除标准

  • Subjects meeting one or more of the following criteria cannot be selected:
  • 1. Any previous use of ARVs, with the exception of a single dose of NVP to prevent MTCT.
  • Note: Subjects who were infected by MTCT are allowed to enter, provided the mother
  • was ARV treatment-naïve at the time of delivery with the exception of NVP for no
  • more than 3 days.
  • 2. Having documented genotypic evidence of NNRTI resistance at screening or from
  • historical data available in the source documents, i.e., 1 NNRTI RAM from the
  • following list (the list was compiled on the basis of the list of IAS-USA NNRTI RAMs23
  • and other relevant publications).
  • A098G V106M Y181C G190S
  • L100I V108I Y181I G190T
  • K101E E138A Y181V P225H
  • K101P E138G Y188C F227C
  • K101Q E138K Y188H M230I
  • K103H E138Q Y188L M230L
  • K103N E138R G190A P236L
  • K103S V179E G190C K238N
  • K103T V179D G190E K238T
  • V106A V179T G190Q Y318F
  • 3. Previously documented HIV-2 infection.
  • 4. Subject has a positive HLA-B5701 test at screening (when the invesigator considers
  • ABC/3TC as a background regimen). In case of a positive test, ABC/3TC cannot be
  • administered, but instead, the investigator can select AZT/3TC as the background
  • regimen. HLA-B5701 testing is not required for subjects with prior documented
  • negative results.
  • 5. Use of disallowed concomitant therapy from 4 weeks prior to the baseline visit.
  • 6. Any condition (including but not limited to alcohol and drug use), which, in the opinion
  • of the investigator, could compromise the subject?s safety or adherence to the protocol.
  • 7. Life expectancy less than 6 months.
  • Subject has any currently active Acquired Immunodeficiency Syndrome (AIDS) defining
  • illness (Category C conditions according to the Centers for Disease Control and
  • Prevention [CDC] Classification System for HIV-Infection 1993).
  • Note: An AIDS defining illness not clinically stabilized for at least 30 days will be
  • considered as clinically active.
  • Note: Primary or secondary prophylaxis for an AIDS defining illness is allowed in case
  • the medication used is not part of the disallowed medication.
  • 9. Any active clinically significant disease (e.g., pancreatitis, cardiac dysfunction, active and significant psychiatric disorders, clinical suspicion of adrenal insufficiency, hepatic
  • impairment), or findings during screening or medical history that in the investigator?s
  • opinion, would compromise the outcome of the trial.
  • 10. Subject has a known or suspected acute (primary) HIV-1 infection.
  • 11. Any current or history of adrenal disorder.
  • 12. Previously demonstrated clinically significant allergy or hypersensitivity to any of the components of the investigational medication (TMC278) or the selected NRTIs. In this
  • last case, the other N(t)RTI may be selected.
  • 13. Receipt of any investigational drug or investigational vaccine within 90 days prior to the first administration of TMC278.
  • 14. Pregnant or breastfeeding girl.
  • 15. Heterosexually active girls of childbearing potential without the use of effective birth
  • control methods or not willing to continue practicing these birth control methods from
  • screening onwards until at least 30 days after last intake of TMC278.
  • Girls of childbearing

研究者

发起方
Johnson and johnson Ltd

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