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HIV InfectionsPhase 2NCT00082498

Safety and Effectiveness of the Oral HIV Entry Inhibitor Vicriviroc in HIV Infected Patients

A Phase 2 study testing SCH-D (vicriviroc) in people with HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 30 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

New treatment options are critical for treatment-experienced HIV infected patients with drug resistance. HIV entry inhibitors have been shown effective in patients with resistance to other anti-HIV drugs. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV Infections
What is being tested?
SCH-D (vicriviroc)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
119 participants
Where
30 sitesUnited States
Study dates
May 2004to Jan 2011
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • HIV infected
  • Experiencing virologic failure on current ART regimen
  • Current ART regimen contains ritonavir (100 to 800 mg/day) and has been stable for at least 8 weeks prior to study entry. If amprenavir or fosamprenavir is part of the regimen, 200 to 800 mg/day ritonavir must be used for at least 2 weeks prior to study entry.
  • Experienced virologic failure on at least one ART regimen containing 3 or more drugs prior to current failing regimen
  • CD4 count of 50 cells/mm3 or more within 6 weeks prior to study entry
  • HIV viral load of 5,000 copies/ml or more within 6 weeks prior to study entry
Show all 12Show fewer
  • HIV strain of R5-only phenotype within 6 weeks prior to study entry
  • Willing to use acceptable forms of contraception
  • Able and willing to adhere to study dose and visit schedules
  • HIV viral load not suppressed by at least 1log10 below baseline viral load by Week 16 or after
  • QTc interval on EKG less than 500 msec, and less than 60 msec increase from baseline within 14 days of Step 2 entry
  • Use of vicriviroc in Step 1 or 2 of this study or the Schering rollover study. Participants who are currently not taking vicriviroc are eligible.

Who cannot join

  • Hepatitis C antibody and RNA positive
  • Hepatitis B surface antigen positive
  • Efavirenz or nevirapine use within 8 weeks of study entry
  • Vaccination within 2 weeks prior to study screening
  • Investigational agents within 30 days prior to study entry
  • Systemic cancer chemotherapy or other systemic cytotoxic agents within 30 days prior to study entry
Show all 20Show fewer
  • Immunosuppressants within 30 days prior to study entry. Systemic corticosteroids at replacement doses (10 mg/day prednisone or less) are not excluded.
  • Immunomodulators within 30 days prior to study entry
  • Considered at risk for seizure: history of seizure, recent history of head trauma with loss of consciousness, central nervous system (CNS) tumors, or other CNS problems that, in the opinion of the investigator, pose increased risk for seizure
  • Medications to prevent seizures or with the potential to cause seizures within 30 days prior to study entry
  • Allergy to SCH 417690 or its components
  • Alcohol or drug abuse that, in the opinion of the investigator, would interfere with the study
  • Serious illness requiring systemic treatment or hospitalization. A patient who is clinically stable on therapy is not excluded.
  • Any clinically significant disease or condition that, in the opinion of the investigator, may interfere with the study
  • Require certain medications
  • Pregnancy or breastfeeding
  • Have X4 or X4/R5 tropic virus, as determined by the HIV-1 coreceptor tropism assay
  • Intend to use efavirenz or nevirapine in background ART regimen
  • Allergy to vicriviroc or its formulations
  • Pregnancy

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

United States30 sites
  • The Ponce de Leon Center CRS

    Atlanta, Georgia, 30308-2012

  • University of Colorado Hospital CRS

    Aurora, Colorado, 80045

  • Massachusetts General Hospital CRS (MGH CRS)

    Boston, Massachusetts, 02114

  • Brigham and Women's Hospital Therapeutics Clinical Research Site (BWH TCRS) CRS

    Boston, Massachusetts, 02115

  • Bmc Actg Crs

    Boston, Massachusetts, 02118

  • Chapel Hill CRS

    Chapel Hill, North Carolina, 27514

  • Rush University CRS

    Chicago, Illinois, 60612

  • Case CRS

    Cleveland, Ohio, 44106

  • MetroHealth CRS

    Cleveland, Ohio, 44109

  • Ohio State University CRS

    Columbus, Ohio, 43210

  • Univ. of Texas Medical Branch, ACTU

    Galveston, Texas, 77555-0435

  • Indiana Univ. School of Medicine, Infectious Disease Research Clinic

    Indianapolis, Indiana, 46202

  • UCLA CARE Center CRS

    Los Angeles, California, 90035

  • Vanderbilt Therapeutics (VT) CRS

    Nashville, Tennessee, 37204

  • Beth Israel Med. Ctr., ACTU

    New York, New York, 10003

  • Weill Cornell Chelsea CRS

    New York, New York, 10011

  • NY Univ. HIV/AIDS CRS

    New York, New York, 10016

  • Weill Cornell Uptown CRS

    New York, New York, 10065

  • Stanford AIDS Clinical Trials Unit CRS

    Palo Alto, California, 94304-5350

  • Penn Therapeutics, CRS

    Philadelphia, Pennsylvania, 19104

  • University of Pittsburgh CRS

    Pittsburgh, Pennsylvania, 15213-2582

  • The Miriam Hospital Clinical Research Site (TMH CRS) CRS

    Providence, Rhode Island, 02906

  • Trillium Health ACTG CRS

    Rochester, New York, 14607

  • Univ. of Rochester ACTG CRS

    Rochester, New York, 14642

  • UCSD Antiviral Research Center CRS

    San Diego, California, 92103

  • Ucsf Hiv/Aids Crs

    San Francisco, California, 94110

  • Santa Clara Valley Med. Ctr.

    San Jose, California, 95128

  • University of Washington AIDS CRS

    Seattle, Washington, 98104

  • Washington University Therapeutics (WT) CRS

    St Louis, Missouri, 63110

  • Georgetown University CRS (GU CRS)

    Washington D.C., District of Columbia, 20007

Other trials in United States

About this study

Official title: Phase II, Randomized, Double-Blind Study of the Safety and Efficacy of Vicriviroc (An Orally Administered HIV-1 Entry Inhibitor) in HIV-Infected, Treatment-Experienced Subjects

New treatment options are critical for treatment-experienced HIV infected patients with drug resistance. HIV entry inhibitors have been shown effective in patients with resistance to other anti-HIV drugs. This study will test the safety and effectiveness of three different doses of vicriviroc (formerly known as Schering D, SCH-D, or SCH 417690) in HIV infected patients.

Read the detailed description

Vicriviroc is an oral HIV-1 entry inhibitor that targets the CCR5 receptor of T cells. Vicriviroc has been shown safe, well-tolerated, and active in Phase I clinical trials in treatment-naive HIV infected patients. The goal of this study is to evaluate the antiretroviral activity of three dose levels of vicriviroc in HIV infected, treatment-experienced patients who are failing their current ritonavir-containing antiretroviral therapy (ART).

The study will last at least 48 weeks, but no more than 5 years. There are 3 steps in this study. Patients will be randomly assigned to one of 4 groups. Group 1 will receive placebo; Group 2 will receive 5 mg vicriviroc daily; Group 3 will receive 10 mg vicriviroc daily; and Group 4 will receive 15 mg vicriviroc daily. If at or after Week 16 a participant's viral load has not met certain criteria, a dose increase of vicriviroc may occur and the participant will enter Step 2. As of 10/12/05, patients in Group 2 and any patients who entered Step 2 following virologic failure in Step 1 will be unblinded and offered either 15 mg vicriviroc daily through this study or the option of seeking alternative treatment. All patients will continue their current ART (not provided by the study). After two weeks, patients will receive ART optimized by the results of genotypic/phenotypic testing performed at study screening. All participants who have received or are receiving vicriviroc will enter Step 3 and be followed for an additional 4 years. Participants who complete the study may be eligible to receive vicriviroc through a rollover study sponsored by Schering-Plough, the drug's manufacturer.

Physical exams and blood collection will occur at study entry, Day 4, and Weeks 1, 2, 4, 8, 12, 16, 20, 24, 32, 40, and 48. Additionally, blood will be drawn twice, at least 2 hours apart, at both Weeks 2 and 8 for vicriviroc pharmacokinetic analysis. Patients will undergo an electrocardiogram (EKG) at Weeks 2, 8, 24, and 48. Patients will be assessed for peripheral neuropathy at study entry and Weeks 24 and 48, and will be asked to complete an adherence questionnaire at entry and Weeks 2, 8, 16, 24, 32, 40, and 48. For Step 3 participants undergoing follow-up, physical exams and blood work will occur every 6 months for 4 years.

Five participants currently enrolled at four sites that are no longer receiving funding and who will not be transferred or redirected to a site within their proximity will be subject to the following changes. There will no longer be follow-up visits per the schedule of events described in the protocol. Instead, participants will have their follow-up limited to self-report through telephone interviews to ascertain vital status, occurrence of malignancies (if any), and collection of information such as HIV-1 RNA and CD4 cell count. For these participants only, the HIV-1 RNA and CD4 cell count will be done as part of the participant's clinical care and will not be paid for by the study. The follow-up telephone interviews will be conducted at six-month intervals using the script provided by the study team.

Conditions
HIV Infections
Being tested
SCH-D (vicriviroc), Placebo
Keywords
SCH-D, Schering D, Treatment Experienced, Entry Inhibitors, Fusion Inhibitors, Vicriviroc
Medical subject headings
HIV Infections

What participants receive

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

  • SCH-D (vicriviroc)Drug

    Group 2 will receive 5 mg vicriviroc daily; Group 3 will receive 10 mg vicriviroc daily; and Group 4 will receive 15 mg vicriviroc daily. If at or after Week 16 a participant's viral load has not met certain criteria, a dose increase of vicriviroc may occur and the participant will enter Step 2. As of 10/12/05, patients in Group 2 and any patients who entered Step 2 following virologic failure in Step 1 will be unblinded and offered either 15 mg vicriviroc daily through this study or the option of seeking alternative treatment.

  • PlaceboDrug

    Patients in Group 1 will receive placebo.

Study groups in NCT00082498
Study groupRoleWhat they receive
1Placebo comparatorGroup 1 will receive placebo
Receives: Drug: Placebo
2ExperimentalGroup 2 will receive 5 mg vicriviroc daily
Receives: Drug: SCH-D (vicriviroc)
3ExperimentalGroup 3 will receive 10 mg vicriviroc daily
Receives: Drug: SCH-D (vicriviroc)
4ExperimentalGroup 4 will receive 15 mg vicriviroc daily
Receives: Drug: SCH-D (vicriviroc)

What is being measured

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

  1. Change in HIV-1 viral load

    Measured: From baseline to Day 14

Secondary outcomes (6)
  1. Safety and tolerability

    Measured: Throughout the study

  2. Virologic and immunologic outcomes

    Measured: Throughout the study

  3. Clinical outcomes

    Measured: Throughout the study

  4. Pharmacokinetic outcomes

    Measured: At Weeks 2 and 8

  5. Viral coreceptor phenotype

    Measured: At study entry, Day 4, and Weeks 1, 2, 4, 8, 12, 16, 20, 24, 32, 40, and 48

  6. Adherence measures

    Measured: At study entry and Weeks 2, 8, 16, 24, 32, 40, and 48

Timeline

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

  1. First posted12 May 2004 (estimated)
  2. Study startMay 2004
  3. Primary completionDec 2005
  4. Study completionJan 2011

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
119 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00082498
Sponsor's protocol ID
A5211
Other IDs
10097, ACTG A5211, 5K24AI051966-03
Status last verified
Oct 2021
First submitted
11 May 2004
Last updated
1 Nov 2021
Results posted
No

Publications

  • Marks K, Gulick RM. New antiretroviral agents for the treatment of HIV infection. Curr HIV/AIDS Rep. 2004 Jun;1(2):82-8. doi: 10.1007/s11904-004-0012-0.

    PubMed 16091227
  • Meanwell NA, Kadow JF. Inhibitors of the entry of HIV into host cells. Curr Opin Drug Discov Devel. 2003 Jul;6(4):451-61.

    PubMed 12951808
  • Reeves JD, Piefer AJ. Emerging drug targets for antiretroviral therapy. Drugs. 2005;65(13):1747-66. doi: 10.2165/00003495-200565130-00002.

    PubMed 16114975
  • Schurmann D et al. SCH D: Antiviral activity of a CCR5 receptor antagonist. 11th Conf Retro and Opportun Infect. 2004 Feb 8-11 (abstract no 140LB).

  • Shaheen F, Collman RG. Co-receptor antagonists as HIV-1 entry inhibitors. Curr Opin Infect Dis. 2004 Feb;17(1):7-16. doi: 10.1097/00001432-200402000-00003.

    PubMed 15090884
  • Strizki JM, Tremblay C, Xu S, Wojcik L, Wagner N, Gonsiorek W, Hipkin RW, Chou CC, Pugliese-Sivo C, Xiao Y, Tagat JR, Cox K, Priestley T, Sorota S, Huang W, Hirsch M, Reyes GR, Baroudy BM. Discovery and characterization of vicriviroc (SCH 417690), a CCR5 antagonist with potent activity against human immunodeficiency virus type 1. Antimicrob Agents Chemother. 2005 Dec;49(12):4911-9. doi: 10.1128/AAC.49.12.4911-4919.2005.

    PubMed 16304152
  • Wilkin TJ, Su Z, Kuritzkes DR, Hughes M, Flexner C, Gross R, Coakley E, Greaves W, Godfrey C, Skolnik PR, Timpone J, Rodriguez B, Gulick RM. HIV type 1 chemokine coreceptor use among antiretroviral-experienced patients screened for a clinical trial of a CCR5 inhibitor: AIDS Clinical Trial Group A5211. Clin Infect Dis. 2007 Feb 15;44(4):591-5. doi: 10.1086/511035. Epub 2007 Jan 17.

    PubMed 17243065
  • Wilkin TJ, Su Z, Krambrink A, Long J, Greaves W, Gross R, Hughes MD, Flexner C, Skolnik PR, Coakley E, Godfrey C, Hirsch M, Kuritzkes DR, Gulick RM. Three-year safety and efficacy of vicriviroc, a CCR5 antagonist, in HIV-1-infected treatment-experienced patients. J Acquir Immune Defic Syndr. 2010 Aug;54(5):470-6. doi: 10.1097/qai.0b013e3181e2cba0.

    PubMed 20672447
  • Tsibris AM, Paredes R, Chadburn A, Su Z, Henrich TJ, Krambrink A, Hughes MD, Aberg JA, Currier JS, Tashima K, Godfrey C, Greaves W, Flexner C, Skolnik PR, Wilkin TJ, Gulick RM, Kuritzkes DR. Lymphoma diagnosis and plasma Epstein-Barr virus load during vicriviroc therapy: results of the AIDS Clinical Trials Group A5211. Clin Infect Dis. 2009 Mar 1;48(5):642-9. doi: 10.1086/597007.

    PubMed 19191652

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing SCH-D (vicriviroc) in people with HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 30 sites in United States.

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 12 inclusion and 20 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 1 Nov 2021. 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. 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. Some participants in this study may receive a placebo. 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?

Change in HIV-1 viral load (time frame: From baseline to Day 14). 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 NCT00082498, which also lists 9 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 1 Nov 2021.

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