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HIV InfectionsPhase 1NCT00076999

Pharmacokinetics and Safety Study of Tipranavir in Combination With Low Dose Ritonavir in Human Immunodeficiency Virus (HIV)-Infected Children

A Phase 1 study testing TPV oral solution and RTV oral solution in people with HIV Infections, run by Boehringer Ingelheim at 30 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this study is to assess the safety and tolerability of tipranavir (TPV) oral formulation and soft gelatin capsules together with low-dose ritonavir in HIV-infected children and adolescents, to provide information concerning the pharmacokinetic characteristics of tipranavir and ritonavir in… Read more about this study

Who is it for?
Ages 2 to 18 years
Conditions the study is for
HIV Infections
What is being tested?
TPV oral solution and RTV oral solution
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
115 participants
Where
30 sitesin 10 countries
Study dates
Nov 2003to Jun 2010
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 2 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Males and females between 2 and 18 years of age.
  • A confirmed diagnosis of HIV-1 infection as defined by two positive assays from two different samples taken at least two weeks apart. The two results may be any combination of the following:
  • HIV ribonucleic acid (RNA) detected by reverse transcriptase (RT)-polymerase chain reaction(PCR) or HIV proviral deoxyribonucleic acid (DNA) detected by PCR HIV culture p24 antigen detection Licensed HIV enzyme-linked immunosorbent assay (ELISA) with confirmatory Western blot
  • Viral load > 1500 RNA copies/mL.
  • Acceptable screening laboratory values indicative of adequate baseline organ function. Laboratory values are considered acceptable if severity is no higher than Grade 1 for all tests defined by the Division of Acquired Immunodeficiency Syndrome (DAIDS) Table for Grading Severity of Pediatric Adverse Experiences (> 3 months of age) with the following exceptions:
  • Grade 2 gamma-glutamyl transferase Grade 2 cholesterol Grade 2 triglycerides
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  • Signed informed consent prior to study participation from the patient or a legal guardian.
  • Active assent must be given by the patient if the child and/or adolescent is capable of understanding the provided study information (this applies to children with the intellectual age of 7 years or greater)
  • In the opinion of the investigator, an ability to take medications and comply with the requirements of the protocol.

Who cannot join

  • Female patients of childbearing potential who:
  • have a positive serum pregnancy test at screening are breast feeding are planning on becoming pregnant are not willing to use two methods of contraception to include at least one barrier method (e.g. latex condom plus spermicidal jelly/foam)
  • Active hepatitis B or C disease defined as hepatitis B surface antigen (HBsAg) positivity or hepatitis C (HCV) antibody or RNA positivity with aspartate aminotransferase(AST)/ alanine aminotransferase(ALT) > Grade 2.
  • Life expectancy < 12 months.
  • Patients who are unwilling to abstain from ingesting contraindicated medications and substances which may significantly affect plasma levels of the study medications, notably:
  • Grapefruit juice or Seville oranges Herbal preparations containing St. John's Wort or milk thistle Garlic supplements
Show all 12Show fewer
  • Active substance abuse.
  • Use of investigational medications or vaccines within 28 days before study entry or during the trial. Some expanded access antiretroviral medications may be acceptable, but must be approved by sponsor.
  • Requirement for any therapy for malignancy or immunomodulatory drug (e.g. interferon, cyclosporine, hydroxyurea, interleukin-2) within 28 days of study entry. Replacement intravenous gamma globulin treatment is acceptable.
  • Any active opportunistic infection within 28 days before study entry or other clinically significant findings that may compromise the outcome of the study.
  • Patients with malabsorption, severe chronic diarrhea or vomiting (more than two episodes of moderate or severe intensity, not attributed to medication therapy and lasting more than four days) within 28 days of the study.
  • Evidence or symptoms of encephalopathy or developmental delay that would reduce compliance.

Trial locations and contacts

30 sites in 10 countries.

30 sites in 10 countries

United States9 sites
  • 1182.14.00004 Boehringer Ingelheim Investigational Site

    Chicago, Illinois

  • 1182.14.00002 Boehringer Ingelheim Investigational Site

    Cleveland, Ohio

  • 1182.14.00010 Boehringer Ingelheim Investigational Site

    Hartford, Connecticut

  • 1182.14.00003 Boehringer Ingelheim Investigational Site

    Houston, Texas

  • 1182.14.00001 Boehringer Ingelheim Investigational Site

    Los Angeles, California

  • 1182.14.00006 Boehringer Ingelheim Investigational Site

    Los Angeles, California

  • 1182.14.00007 Boehringer Ingelheim Investigational Site

    Memphis, Tennessee

  • 1182.14.00008 Boehringer Ingelheim Investigational Site

    North Worcester, Massachusetts

  • 1182.14.00009 Boehringer Ingelheim Investigational Site

    Springfield, Massachusetts

Other trials in United States

France6 sites
  • 1182.14.33004 Boehringer Ingelheim Investigational Site

    Lyon

  • 1182.14.33005 Boehringer Ingelheim Investigational Site

    Nantes

  • 1182.14.33001 Boehringer Ingelheim Investigational Site

    Paris

  • 1182.14.33002 Boehringer Ingelheim Investigational Site

    Paris

  • 1182.14.33003 Boehringer Ingelheim Investigational Site

    Paris

  • 1182.14.33006 Boehringer Ingelheim Investigational Site

    Paris

Other trials in France

Germany3 sites
  • 1182.14.49002 Boehringer Ingelheim Investigational Site

    Berlin

  • 1182.14.49001 Boehringer Ingelheim Investigational Site

    Frankfurt am Main

  • 1182.14.49004 Boehringer Ingelheim Investigational Site

    München

Other trials in Germany

Brazil2 sites
  • 1182.14.55002

    São Paulo

  • 1182.14.55003

    São Paulo

Other trials in Brazil

Canada2 sites
  • 1182.14.11001 Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • 1182.14.11002 Boehringer Ingelheim Investigational Site

    Toronto, Ontario

Other trials in Canada

Italy2 sites
  • 1182.14.39001 Boehringer Ingelheim Investigational Site

    Padova

  • 1182.14.39003 Boehringer Ingelheim Investigational Site

    Roma

Other trials in Italy

Mexico2 sites
  • 1182.14.52001 CLINDI (Clínica de Inmunodeficiencias)

    México, D.F.

  • 1182.14.52002

    México, D.F.

Other trials in Mexico

Spain2 sites
  • 1182.14.34002 Boehringer Ingelheim Investigational Site

    Barcelona

  • 1182.14.34001 Boehringer Ingelheim Investigational Site

    Madrid

Other trials in Spain

Argentina1 site
  • 1182.14.5401 Fundación Huésped

    Capital Federal

Other trials in Argentina

Puerto Rico1 site
  • 1182.14.00005 Boehringer Ingelheim Investigational Site

    San Juan

Other trials in Puerto Rico

About this study

Official title: Multiple-dose, Open-label, Randomized, Safety and Pharmacokinetic Study of Tipranavir in Combination With Low-dose Ritonavir in HIV-infected Pediatric Patients

The primary objective of this study is to assess the safety and tolerability of tipranavir (TPV) oral formulation and soft gelatin capsules together with low-dose ritonavir in HIV-infected children and adolescents, to provide information concerning the pharmacokinetic characteristics of tipranavir and ritonavir in this age group, and to determine the relative bioavailability of the TPV liquid formulation and TPV capsule formulation in adolescents switching from liquid to capsule.

The secondary objective of this study is the determination of the dose of topranavir and ritonavir (TPV/r) in children and adolescents between 2 and 18 years of age required for an adult equivalent systemic exposure of TPV/r 500 mg / 200 mg.

Conditions
HIV Infections
Being tested
TPV oral solution, RTV oral solution
Medical subject headings
HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TPV oral solutionDrug

    Tipranavir oral solution

  • TPV oral solutionDrug

    Tipranavir oral solution

  • RTV oral solutionDrug

    Ritonavir oral solution

  • RTV oral solutionDrug

    Ritonavir oral solution

Study groups in NCT00076999
Study groupRoleWhat they receive
TPV/r 290/115 mg/m^2ExperimentalTPV and RTV oral solution low dose
Receives: Drug: TPV oral solution; Drug: RTV oral solution
TPV/r 375/150 mg/m^2ExperimentalTPV and RTV oral solution high dose
Receives: Drug: TPV oral solution; Drug: RTV oral solution

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Severe (DAIDS Grades 3 or 4) Adverse Events Related to Drug for Treated Patients by Age Group and Formulation

    Intensity of adverse events were graded by the investigator based on the DAIDS standardized table (Division of AIDS, National Institute of Health). DAIDS Grade 3 (Severe) and Grade 4 (Life Threatening) were identified.

    Measured: up to 288 weeks

  2. Number of Patients With Severe (DAIDS Grades 3 or 4) Laboratory Abnormalities by Age Group and Formulation

    Intensity of adverse events were graded by the investigator based on the DAIDS standardized table (Division of AIDS, National Institute of Health). DAIDS Grade 3 (Severe) and Grade 4 (Life Threatening) were identified.

    Measured: up to 288 weeks

Secondary outcomes (25)
  1. Number Patients With at Least 1 log10 Viral Load Reduction From Baseline at Week 24 (Non-completers Considered Failures)

    Measured: baseline, week 24

  2. Number Patients With at Least 1 log10 Viral Load Reduction From Baseline at Week 48 (Non-completers Considered Failures)

    Measured: baseline, week 48

  3. Number Patients With at Least 1 log10 Viral Load Reduction From Baseline at Week 100 (Non-completers Considered Failures)

    Measured: baseline, week 100

  4. Number Patients With HIV RNA <400 Copies/mL at Week 24 (Non-completers Considered Failures)

    Measured: baseline, week 24

  5. Number Patients With HIV RNA <400 Copies/mL at Week 48 (Non-completers Considered Failures)

    Measured: baseline, week 48

  6. Number Patients With HIV RNA <400 Copies/mL at Week 100 (Non-completers Considered Failures)

    Measured: baseline, week 100

  7. Number Patients With HIV RNA <50 Copies/mL at Week 24 (Non-completers Considered Failures)

    Measured: baseline, week 24

  8. Number Patients With HIV RNA <50 Copies/mL at Week 48 (Non-completers Considered Failures)

    Measured: baseline, week 48

  9. Number Patients With HIV RNA <50 Copies/mL at Week 100 (Non-completers Considered Failures)

    Measured: baseline, week 100

  10. Baseline Median Viral Load log10 Copies/mL

    Measured: baseline

  11. Median Change From Baseline in Viral Load log10 Copies/mL at Week 24 (Last Observation Carried Forward)

    Measured: baseline, week 24

  12. Median Change From Baseline in Viral Load log10 Copies/mL at Week 48 (Last Observation Carried Forward)

    Measured: baseline, week 48

  13. Median Change From Baseline in Viral Load log10 Copies/mL at Week 100 (Last Observation Carried Forward)

    Measured: baseline, week 100

  14. Baseline Median CD4+ Cell Count (Cells/mm3)

    Measured: baseline

  15. Median Change From Baseline in CD4+ Cell Count (Cells/mm3) at Week 24 (Last Observation Carried Forward)

    Measured: baseline, week 24

  16. Median Change From Baseline in CD4+ Cell Count (Cells/mm3) at Week 48 (Last Observation Carried Forward)

    Measured: baseline, week 48

  17. Median Change From Baseline in CD4+ Cell Count (Cells/mm3) at Week 100 (Last Observation Carried Forward)

    Measured: baseline, week 100

  18. Median Baseline CD4 Percent

    Percentage of lymphocytes that are CD4 cells

    Measured: baseline

  19. Median Change From Baseline in CD4 Percent at Week 24 (Last Observation Carried Forward)

    Percentage of lymphocytes that are CD4 cells

    Measured: baseline, week 24

  20. Median Change From Baseline in CD4 Percent at Week 48 (Last Observation Carried Forward)

    Percentage of lymphocytes that are CD4 cells

    Measured: baseline, week 48

  21. Median Change From Baseline in CD4 Percent at Week 100 (Last Observation Carried Forward)

    Percentage of lymphocytes that are CD4 cells

    Measured: baseline, week 100

  22. Number Patients With Compliance With Tipranavir Treatment Between 95 and 120 Percent at Week 8

    Measured: week 8

  23. Number Patients With Compliance With Tipranavir Treatment Between 95 and 120 Percent at Week 16

    Measured: week 16

  24. Number Patients With Compliance With Tipranavir Treatment Between 95 and 120 Percent at Week 24

    Measured: week 24

  25. Number Patients With Compliance With Tipranavir Treatment Between 95 and 120 Percent at Week 48

    Measured: week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2004 (estimated)
  2. Study startNov 2003
  3. Primary completionJun 2010

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
115 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00076999
Sponsor's protocol ID
1182.14
Status last verified
Apr 2014
First submitted
9 Feb 2004
Last updated
12 May 2014

Publications

  • Salazar JC, Cahn P, Della Negra M, De Aquino MZ, Robinson PA, Jelaska A, Mikl J. Efficacy and safety of tipranavir coadministered with ritonavir in HIV-1-infected children and adolescents: 5 years of experience. Pediatr Infect Dis J. 2014 Apr;33(4):396-400. doi: 10.1097/INF.0000000000000038.

    PubMed 23995585
  • Salazar JC, Cahn P, Yogev R, Negra MD, Castelli-Gattinara G, Fortuny C, Flynn PM, Giaquinto C, Ruan PK, Smith ME, Mikl J, Jelaska A; PACTG 1051/BI Study Team. Efficacy, safety and tolerability of tipranavir coadministered with ritonavir in HIV-1-infected children and adolescents. AIDS. 2008 Sep 12;22(14):1789-98. doi: 10.1097/QAD.0b013e32830c481b.

    PubMed 18753862

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TPV oral solution and RTV oral solution in people with HIV Infections, run by Boehringer Ingelheim at 30 sites in 10 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 12 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 12 May 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States, France, Germany, Brazil, Canada and 5 more countries. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Jul 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Severe (DAIDS Grades 3 or 4) Adverse Events Related to Drug for Treated Patients by Age Group and Formulation (time frame: up to 288 weeks). The study lists 2 primary outcomes in all. 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 NCT00076999, 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 12 May 2014.

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