A Dose Ranging Study Of GW640385 Boosted With Ritonavir (Rtv) In Comparison To A RTV-Boosted Protease Inhibitor (PI) In HIV-1 Infected PI-Experienced Adults



Status:Terminated
Conditions:Infectious Disease, HIV / AIDS, HIV / AIDS, HIV / AIDS
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - Any
Updated:1/20/2017
Start Date:August 2005
End Date:June 2007

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Phase IIB, Randomized, Multicenter, Parallel Group, Study to Evaluate the Safety, Pharmacokinetics and Antiviral Effect of Four Blinded Dosing Regimens of GW640385X/Ritonavir Compared to Open-label Current PI Therapy in HIV-1 Infected, Protease Inhibitor Experienced Adults for 2 Weeks With Long-term Assessment (>48 Weeks) of Safety, Pharmacokinetic and Antiviral Activity of Selected 385/RTV Dosing Regimen(s) vs. a Ritonavir-boosted, Protease Inhibitor Containing Regimen

This is a two phase study (randomised and non-randomised phase). The randomised phase will
initially examine 4 blinded doses of GW640385 boosted with rtv (with continuation of current
background therapy) in comparison to an ongoing, open-labeled rtv-boosted protease inhibitor
(PI) regimen for 15 days. At the Day 15 visit, all subjects will optimize background
therapy. Additionally, subjects receiving the lowest dose of GW640385 will be re-randomised
to one of the higher doses and subjects in the control arm will receive a new rtv-boosted PI
based on resistance testing at screening. Subjects will remain in the randomized phase on
one of these 4 continuing treatment arms for at least 48 weeks. An interim analysis will
occur during the randomised phase to select for a dose of GW640385 to evaluate further in
Phase III studies. After dose selection subjects will move to the non-randomised phase of
the study. In the non-randomised phase subjects who are receiving GW640385 will be assigned
to final selected dose for assessment of long term safety, tolerability, pharmacokinetics,
and antiviral activity.

A Phase IIB, Randomized, Multicenter, Parallel Group Study to Evaluate the Short-Term
Safety, PK and Antiviral Activity of Four Dosing Regimens of GW640385/rtv Therapy Compared
to Open-label Current Protease Inhibitor (PI) Therapy in HIV-1, PI-Experienced Adults for 2
wks with Long-Term Evaluation (>48 wks) of Safety, PK and Antiviral Activity of Selected
GW640385/rtv Dosing Regimen(s) vs. a RTV-boosted, PI Containing Regimen

Inclusion criteria:

- 18+ years of age (or =16 years of age for non-EU countries, according to local
requirements).

- HIV-1 infected subjects.

- Females must be of either non-childbearing potential or have a negative pregnancy
test at Screening and agree to use a protocol approved method of contraception.

- Plasma HIV-1 RNA (viral load) =1,000 copies/mL at Screening.

- Evidence of at least 2 multi-PI resistant mutations at Screening or within 3 months
of Screening.

- Subjects must have been receiving the same anti-HIV medicines that they are on
currently for at least 8 weeks prior to Screening; these anti-HIV medicines will
include a single protease inhibitor (PI) in combination with a low dose of ritonavir
(i.e., a ritonavir-boosted PI). However, the current PI cannot be tipranavir.

- Able to understand and follow protocol requirements, instructions and protocol-stated
restrictions.

- Be willing and able to provide signed and dated written informed consent prior to
study entry.

Exclusion criteria:

- Subjects cannot change their anti-HIV medicines between Screening and Day 1 Visit.

- Subjects can not be receiving dual ritonavir-boosted PIs, non-nucleoside reverse
transcriptase inhibitors (NNRTIs) or Tipranavir at Screening.

- Active CDC Class C disease at screening.

- Pregnant or breastfeeding women.

- Protocol-specified laboratory abnormalities at Screening.
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Baltimore, Maryland 21201
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Bakersfield, California 93309
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