HIV InfectionsPhase 2NCT00071097
TMC114-C202: A Study of Safety, Efficacy, and Tolerability of TMC114 and Low Dose Ritonavir in HIV-1 Infected Patients
A Phase 2 study testing TMC114/rtv in people with HIV Infections, run by Tibotec Pharmaceuticals, Ireland at 39 sites in 2 countries.
Trial summary
The purpose of this study is to determine the effectiveness, safety, and tolerability (how well the body stands the drug) of an investigational protease inhibitor (PI) called TMC114 given with low dose ritonavir. Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- HIV Infections
- What is being tested?
- TMC114/rtv
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 330 participants
- Where
- 39 sitesin 2 countries
- Study dates
- Oct 2003to Nov 2007
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, age 18 years or older
- Documented HIV-1 infection
- Stable PI regimen for at least 8 weeks prior to screening
- Plasma viral load at screening above 1000 HIV-1 RNA copies/ml
- Prior use of more than 1 NRTI for at least 3 months
- Prior use of one or more NNRTIs as part of a failing regimen
Show all 9Show fewer
- At least 1 primary PI mutation as defined by the IAS guidelines
- Treatment with at least 1 PI for a total of at least 3 months
- Patient has given informed consent
Who cannot join
- Presence of any currently active AIDS defining illness except stable cutaneous Kaposi's Sarcoma and Wasting syndrome due to HIV infection
- Current or past history of alcohol and/or drug abuse which, in the investigator's opinion, would compromise the subject's safety or compliance to the study protocol procedures
- NNRTI as part of therapy at screening
- Patients on a treatment interruption at screening
- Patients for whom an investigational antiretroviral therapy is part of the regimen at screening or the use of any non-antiretroviral investigational agents 90 days prior to screening
- Hepatitis A, B, or C.
Trial locations and contacts
39 sites in 2 countries.
39 sites in 2 countries
United States38 sites
Study site
Albany, New York
Study site
Altamonte Springs, Florida
Study site
Atlanta, Georgia
Study site
Baltimore, Maryland
Study site
Beverly Hills, California
Study site
Birmingham, Alabama
Study site
Boston, Massachusetts
Study site
Camden, New Jersey
Study site
Chicago, Illinois
Study site
Cincinnati, Ohio
Study site
Cleveland, Ohio
Study site
Columbia, South Carolina
Study site
Dallas, Texas
Study site
Denver, Colorado
Study site
Fort Lauderdale, Florida
Study site
Galveston, Texas
Study site
Hampton, Virginia
Study site
Hershey, Pennsylvania
Study site
Houston, Texas
Study site
Huntersville, North Carolina
Study site
Long Beach, California
Study site
Los Angeles, California
Study site
Macon, Georgia
Study site
Miami, Florida
Study site
Miami Beach, Florida
Study site
Milwaukee, Wisconsin
Study site
New York, New York
Study site
Oakland, California
Study site
Philadelphia, Pennsylvania
Study site
Phoenix, Arizona
Study site
San Diego, California
Study site
San Francisco, California
Study site
Seattle, Washington
Study site
Springfield, Massachusetts
Study site
Tampa, Florida
Study site
Vero Beach, Florida
Study site
Washington D.C., District of Columbia
Study site
West Hollywood, California
About this study
Official title: A Phase II Randomized, Controlled, Partially Blinded Trial to Investigate Dose Response of TMC114/RTV in 3-class-experienced HIV-1 Infected Patients, Followed by an Open-label Period on the Recommended Dose of TMC114/RTV.
The purpose of this study is to determine the effectiveness, safety, and tolerability (how well the body stands the drug) of an investigational protease inhibitor (PI) called TMC114 given with low dose ritonavir.
Read the detailed description
A phase II randomized, controlled, partially blinded, trial to investigate dose response of TMC114/RTV in HIV-1 infected patients who have previously received all three licensed classes of HIV antiviral drugs (known as nucleoside reverse transcriptase inhibitors (NRTI), nonnucleoside reverse transcriptase inhibitors (NNRTI) and protease inhibitors (PI)), and who are on a stable PI-containing regimen not including an NNRTI may be eligible to participate. Four doses of TMC-114/ritonavir will be studied. 300 patients in the United States and Puerto Rico will participate. The duration of the study is 96 weeks. Randomize to one of 4 treatment groups (TMC114/RTV: 400/100 mg qd; 800/100mg qd; 400/100mg bid; 600/100 bid) or control arm for 24 to 48 wks. Optimal dose (TMC114/RTV 600/100mg bid) open label portion of the study. The trial was extended to include 144Wks of treatment.
- Conditions
- HIV Infections
- Being tested
- TMC114/rtv
- Keywords
- HIV, TMC114, Ritonavir, Tolerability, Safety and efficacy, TMC114-C211
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TMC114/rtvDrug
800mg TMC114/100mg rtv once daily
TMC114/rtvDrug
400mg TMC114/100mg rtv both twice daily
TMC114/rtvDrug
400mg TMC114/100mg rtv once daily
TMC114/rtvDrug
600mg TMC114/100mg rtv twice daily
| Study group | Role | What they receive |
|---|---|---|
| 001 | Experimental | TMC114/rtv 400mg TMC114/100mg rtv once daily Receives: Drug: TMC114/rtv |
| 005 | No intervention | Control Group Control Group, no intervention |
| 004 | Experimental | TMC114/rtv 600mg TMC114/100mg rtv twice daily Receives: Drug: TMC114/rtv |
| 003 | Experimental | TMC114/rtv 400mg TMC114/100mg rtv both twice daily Receives: Drug: TMC114/rtv |
| 002 | Experimental | TMC114/rtv 800mg TMC114/100mg rtv once daily Receives: Drug: TMC114/rtv |
What is being measured
The primary outcome is the main question the study is designed to answer.
To evaluate the dose-response relationship of antiviral activity of the TMC114/RTV dose regimens at 24 Wks in order to determine the optimal dose.
Measured: 24 weeks
Secondary outcomes (1)
To evaluate safety and tolerability over 24 to 144Wks; The durability of the antiviral activity; The effect of functional monotherapy with TMC114 over 2 weeks in different doses; and The dose-response by comparing the different TMC114/RTV dosages.
Measured: 144 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Oct 2003 (estimated)
- Study startOct 2003
- Primary completionFeb 2005
- Study completionNov 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 330 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tibotec Pharmaceuticals, Ireland
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Tibotec Pharmaceuticals Clinical Trial, Study director, Tibotec Pharmaceutical Limited
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00071097
- Sponsor's protocol ID
- CR006778
- Other IDs
- TMC114-C202
- Status last verified
- Sep 2016
- First submitted
- 10 Oct 2003
- Last updated
- 20 Sep 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Clotet B, Bellos N, Molina JM, Cooper D, Goffard JC, Lazzarin A, Wohrmann A, Katlama C, Wilkin T, Haubrich R, Cohen C, Farthing C, Jayaweera D, Markowitz M, Ruane P, Spinosa-Guzman S, Lefebvre E; POWER 1 and 2 study groups. Efficacy and safety of darunavir-ritonavir at week 48 in treatment-experienced patients with HIV-1 infection in POWER 1 and 2: a pooled subgroup analysis of data from two randomised trials. Lancet. 2007 Apr 7;369(9568):1169-78. doi: 10.1016/S0140-6736(07)60497-8.
PubMed 17416261De Meyer SM, Spinosa-Guzman S, Vangeneugden TJ, de Bethune MP, Miralles GD. Efficacy of once-daily darunavir/ritonavir 800/100 mg in HIV-infected, treatment-experienced patients with no baseline resistance-associated mutations to darunavir. J Acquir Immune Defic Syndr. 2008 Oct 1;49(2):179-82. doi: 10.1097/QAI.0b013e318183a959.
PubMed 18769351
Study at a glance
From the registry record, last updated by the sponsor on 20 Sep 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Randomized, Controlled, Partially Blinded Trial to Investigate Dose Response of TMC114/RTV in 3-class-experienced HIV-1 Infected Patients, Followed by an Open-label Period on the Recommended Dose of TMC114/RTV.
- ClinicalTrials.gov ID
- NCT00071097
- Acronym / sponsor ID
- CR006778
- Conditions
- HIV Infections
- Keywords
- HIV, TMC114, Ritonavir, Tolerability, Safety and efficacy, TMC114-C211
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 330 participants (actual)
- Lead sponsor
- Tibotec Pharmaceuticals, IrelandIndustry (pharma, biotech, devices)
- Study start
- Oct 2003
- Primary completion
- Feb 2005 (actual)
- Study completion
- Nov 2007 (actual)
- First posted
- 15 Oct 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the effectiveness, safety, and tolerability (how well the body stands the drug) of an investigational protease inhibitor (PI) called TMC114 given with low dose ritonavir.
Detailed description
A phase II randomized, controlled, partially blinded, trial to investigate dose response of TMC114/RTV in HIV-1 infected patients who have previously received all three licensed classes of HIV antiviral drugs (known as nucleoside reverse transcriptase inhibitors (NRTI), nonnucleoside reverse transcriptase inhibitors (NNRTI) and protease inhibitors (PI)), and who are on a stable PI-containing regimen not including an NNRTI may be eligible to participate. Four doses of TMC-114/ritonavir will be studied. 300 patients in the United States and Puerto Rico will participate. The duration of the study is 96 weeks. Randomize to one of 4 treatment groups (TMC114/RTV: 400/100 mg qd; 800/100mg qd; 400/100mg bid; 600/100 bid) or control arm for 24 to 48 wks. Optimal dose (TMC114/RTV 600/100mg bid) open label portion of the study. The trial was extended to include 144Wks of treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| 001 | Experimental | Drug: TMC114/rtvTMC114/rtv 400mg TMC114/100mg rtv once daily |
| 005 | No intervention | –Control Group Control Group, no intervention |
| 004 | Experimental | Drug: TMC114/rtvTMC114/rtv 600mg TMC114/100mg rtv twice daily |
| 003 | Experimental | Drug: TMC114/rtvTMC114/rtv 400mg TMC114/100mg rtv both twice daily |
| 002 | Experimental | Drug: TMC114/rtvTMC114/rtv 800mg TMC114/100mg rtv once daily |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male or female, age 18 years or older
- Documented HIV-1 infection
- Stable PI regimen for at least 8 weeks prior to screening
- Plasma viral load at screening above 1000 HIV-1 RNA copies/ml
- Prior use of more than 1 NRTI for at least 3 months
Key exclusion criteria (6 listed)
- Presence of any currently active AIDS defining illness except stable cutaneous Kaposi's Sarcoma and Wasting syndrome due to HIV infection
- Current or past history of alcohol and/or drug abuse which, in the investigator's opinion, would compromise the subject's safety or compliance to the study protocol procedures
- NNRTI as part of therapy at screening
- Patients on a treatment interruption at screening
- Patients for whom an investigational antiretroviral therapy is part of the regimen at screening or the use of any non-antiretroviral investigational agents 90 days prior to screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TMC114/rtv800mg TMC114/100mg rtv once daily | Drug | 002 |
| TMC114/rtv400mg TMC114/100mg rtv both twice daily | Drug | 003 |
| TMC114/rtv400mg TMC114/100mg rtv once daily | Drug | 001 |
| TMC114/rtv600mg TMC114/100mg rtv twice daily | Drug | 004 |
Primary outcome
To evaluate the dose-response relationship of antiviral activity of the TMC114/RTV dose regimens at 24 Wks in order to determine the optimal dose.
Time frame: 24 weeks
1 secondary outcome
To evaluate safety and tolerability over 24 to 144Wks; The durability of the antiviral activity; The effect of functional monotherapy with TMC114 over 2 weeks in different doses; and The dose-response by comparing the different TMC114/RTV dosages.
Time frame: 144 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Sep 2016.
- Results publication: PubMed 17416261Clotet B, Bellos N, Molina JM, Cooper D, Goffard JC, Lazzarin A, Wohrmann A, Katlama C, Wilkin T, Haubrich R, Cohen C, Farthing C, Jayaweera D, Markowitz M, Ruane P, Spinosa-Guzman S, Lefebvre E; POWER 1 and 2 study groups. Efficacy and safety of darunavir-ritonavir at week 48 in treatment-experienced patients with HIV-1 infection in POWER 1 and 2: a pooled subgroup analysis of data from two randomised trials. Lancet. 2007 Apr 7;369(9568):1169-78. doi: 10.1016/S0140-6736(07)60497-8.
- Derived from this study: PubMed 18769351De Meyer SM, Spinosa-Guzman S, Vangeneugden TJ, de Bethune MP, Miralles GD. Efficacy of once-daily darunavir/ritonavir 800/100 mg in HIV-infected, treatment-experienced patients with no baseline resistance-associated mutations to darunavir. J Acquir Immune Defic Syndr. 2008 Oct 1;49(2):179-82. doi: 10.1097/QAI.0b013e318183a959.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tibotec Pharmaceuticals Clinical Trial study director
Tibotec Pharmaceutical Limited
39 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing TMC114/rtv in people with HIV Infections, run by Tibotec Pharmaceuticals, Ireland at 39 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 39 sites in United States, Argentina. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To evaluate the dose-response relationship of antiviral activity of the TMC114/RTV dose regimens at 24 Wks in order to determine the optimal dose. (time frame: 24 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00071097, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Sep 2016.