AzTrials
AzTrials

HIV InfectionsPhase 2/3NCT00098748

Trial of Maraviroc (UK-427,857) in Combination With Optimized Background Therapy Versus Optimized Background Therapy Alone for the Treatment of Antiretroviral-Experienced NonCCR5-Tropic HIV-1 Infected Subjects

A Phase 2/3 study testing Optimized Background Therapy (OBT) and maraviroc (UK-427,857) in people with HIV Infections, run by ViiV Healthcare at 77 sites in 9 countries.

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

Maraviroc (UK-427,857), a selective and reversible CCR5 co-receptor antagonist, has been shown to be active in vitro against a wide range of clinical isolates (including those resistant to existing classes). Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
HIV Infections
What is being tested?
Optimized Background Therapy (OBT) and maraviroc (UK-427,857)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
190 participants
Where
77 sitesin 9 countries
Study dates
Nov 2004to Apr 2009
Phase
Phase 2/3
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 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Men or women at least 16 years of age (or minimum age as determined by local regulatory authorities)
  • HIV-1 RNA viral load of greater than or equal to 5,000 copies/mL
  • Stable pre-study antiretroviral regimen, or on no antiretroviral agents, for at least 4 weeks
  • Documented genotypic or phenotypic resistance to two of the four antiretroviral drug classes, OR, Antiretroviral-class experience greater than or equal to 3 months (sequential or cumulative) with at least three of the following: One nucleoside or nucleotide reverse transcriptase inhibitor (excluding low-dose ritonavir) and/or enfuvirtide
  • Be willing to remain on randomized treatment without any changes or additions to the OBT regimen, except for toxicity management or upon meeting criteria for treatment failure
  • A negative urine pregnancy test at the baseline visit for Women of Child Bearing Potential (WOCBP)
  • Effective barrier contraception for WOCBP and males

Who cannot join

  • Patients requiring treatment with more than 6 antiretroviral agents (excluding low-dose ritonavir)
  • Prior treatment with maraviroc (UK-427,857) or another experimental HIV entry inhibitor for more than 14 days
  • Suspected or documented active, untreated HIV-1 related opportunistic infection (OI) or other condition requiring acute therapy
  • Treatment for an active opportunistic infection, or unexplained temperature >38.5 degrees Celsius for 7 consecutive days
  • Active alcohol or substance abuse sufficient, in the Investigator's judgment, to prevent adherence to study medication and/or follow up
  • Lactating women, or planned pregnancy during the trial period
Show all 18Show fewer
  • Significant renal insufficiency
  • Previous therapy with a potentially myelosuppressive, neurotoxic, hepatotoxic and/or cytotoxic agent within 30 days prior to randomization or the expected need for such therapy during the study period
  • Documented or suspected acute hepatitis or pancreatitis within 30 days prior to randomization
  • Significantly elevated liver enzymes or cirrhosis
  • Significant neutropenia, anemia or thrombocytopenia
  • Malabsorption or an inability to tolerate oral medications
  • Symptomatic postural hypotension or severe cardiovascular or cerebrovascular disease
  • Certain medications
  • Malignancy requiring parenteral chemotherapy that must be continued for the duration of the trial
  • R5 virus phenotype only
  • No option to use at least one non-nucleoside reverse transcriptase inhibitor or protease inhibitor, or enfuvirtide, based on resistance testing
  • Any other clinical condition that, in the Investigator's judgment, would potentially compromise study compliance or the ability to evaluate safety/efficacy

Trial locations and contacts

77 sites in 9 countries.

77 sites in 9 countries

United States44 sites
  • Pfizer Investigational Site

    Albany, New York, 12208

  • Pfizer Investigational Site

    Annandale, Virginia, 22003

  • Pfizer Investigational Site

    Atlanta, Georgia, 30308

  • Pfizer Investigational Site

    Beverly Hills, California, 90211

  • Pfizer Investigational Site

    Birmingham, Alabama, 35294

  • Pfizer Investigational Site

    Brooklyn, New York, 11203

  • Pfizer Investigational Site

    Columbia, South Carolina, 29206

  • Pfizer Investigational Site

    Dallas, Texas, 75204

  • Pfizer Investigational Site

    Dallas, Texas, 75246

  • Pfizer Investigational Site

    Fountain Valley, California, 92708

  • Pfizer Investigational Site

    Hayward, California, 94545

  • Pfizer Investigational Site

    Huntersville, North Carolina, 28078

  • Pfizer Investigational Site

    Los Angeles, California, 90027

  • Pfizer Investigational Site

    Los Angeles, California, 90028

  • Pfizer Investigational Site

    Los Angeles, California, 90069

  • Pfizer Investigational Site

    Manhasset, New York, 11030

  • Pfizer Investigational Site

    Miami, Florida, 33133

  • Pfizer Investigational Site

    New York, New York, 10018

  • Pfizer Investigational Site

    Newport Beach, California, 92663

  • Pfizer Investigational Site

    North Miami Beach, Florida, 33169

  • Pfizer Investigational Site

    Oakland, California, 94602

  • Pfizer Investigational Site

    Orlando, Florida, 32803

  • Pfizer Investigational Site

    Orlando, Florida, 32806

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19106

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19130

  • Pfizer Investigational Site

    Phoenix, Arizona, 85006

  • Pfizer Investigational Site

    Puyallup, Washington, 98372

  • Pfizer Investigational Site

    San Francisco, California, 94102

  • Pfizer Investigational Site

    San Francisco, California, 94115-1931

  • Pfizer Investigational Site

    San Francisco, California, 94118

  • Pfizer Investigational Site

    Santa Fe, New Mexico, 87505

  • Pfizer Investigational Site

    Sarasota, Florida, 34243

  • Pfizer Investigational Site

    Springfield, Massachusetts, 01107

  • Pfizer Investigational Site

    Stony Brook, New York, 11794-7310

  • Pfizer Investigational Site

    Stony Brook, New York, 11794

  • Pfizer Investigational Site

    Tacoma, Washington, 98405

  • Pfizer Investigational Site

    Tampa, Florida, 33614

  • Pfizer Investigational Site

    The Bronx, New York, 10461

  • Pfizer Investigational Site

    The Bronx, New York, 10467

  • Pfizer Investigational Site

    Union City, California, 94587

  • Pfizer Investigational Site

    Vancouver, Washington, 98664

  • Pfizer Investigational Site

    Vero Beach, Florida, 32960

  • Pfizer Investigational Site

    Washington D.C., District of Columbia, 20009

  • Pfizer Investigational Site

    Washington D.C., District of Columbia, 20036

Other trials in United States

Canada7 sites
  • Pfizer Investigational Site

    Montreal, Quebec, H2L 4P9

  • Pfizer Investigational Site

    Montreal, Quebec, H2L 5B1

  • Pfizer Investigational Site

    Montreal, Quebec, H2X 2P4

  • Pfizer Investigational Site

    Montreal, Quebec, H3G 1A4

  • Pfizer Investigational Site

    Toronto, Ontario, M5B 1W8

  • Pfizer Investigational Site

    Toronto, Ontario, M5G 2N2

  • Pfizer Investigational Site

    Winnipeg, Manitoba, R3A 1R9

Other trials in Canada

Spain6 sites
  • Pfizer Investigational Site

    Badalona, Barcelona, 08916

  • Pfizer Investigational Site

    Barcelona, Barcelona, 08025

  • Pfizer Investigational Site

    Córdoba, Cordoba, 14004

  • Pfizer Investigational Site

    Elche, Alicante, 03202

  • Pfizer Investigational Site

    Madrid, Madrid, 28006

  • Pfizer Investigational Site

    Madrid, Madrid, 28046

Other trials in Spain

Australia5 sites
  • Pfizer Investigational Site

    Carlton, Victoria, 3053

  • Pfizer Investigational Site

    Darlinghurst, New South Wales, 2010

  • Pfizer Investigational Site

    Herston, Queensland, 4029

  • Pfizer Investigational Site

    Melbourne, Victoria, 3004

  • Pfizer Investigational Site

    Surry Hills, New South Wales, 2010

Other trials in Australia

Germany5 sites
  • Pfizer Investigational Site

    Berlin, 12157

  • Pfizer Investigational Site

    Cologne, 50924

  • Pfizer Investigational Site

    Hamburg, 20099

  • Pfizer Investigational Site

    Hamburg, 20146

  • Pfizer Investigational Site

    Hamburg, 20246

Other trials in Germany

Belgium4 sites
  • Pfizer Investigational Site

    Brussels, 1000

  • Pfizer Investigational Site

    Brussels, 1070

  • Pfizer Investigational Site

    Brussels, 1200

  • Pfizer Investigational Site

    Liège, 4000

Other trials in Belgium

United Kingdom4 sites
  • Pfizer Investigational Site

    Brighton, BN2 1ES

  • Pfizer Investigational Site

    Edinburgh, EH4 2XU

  • Pfizer Investigational Site

    London, SE5 9RS

  • Pfizer Investigational Site

    London, SW10 9TH

Other trials in United Kingdom

Netherlands1 site
  • Pfizer Investigational Site

    Utrecht, 3584 CX

Other trials in Netherlands

Switzerland1 site
  • Pfizer Investigational Site

    Zurich, 8091

Other trials in Switzerland

About this study

Official title: A Multicenter, Randomized, Double-Blind Placebo-Controlled Trial of a Novel CCR5 Antagonist, UK-427,857, in Combination With Optimized Background Therapy Versus Optimized Background Therapy Alone for the Treatment of Antiretroviral-Experienced, Non CCR5-Tropic HIV-1 Infected Subjects

Maraviroc (UK-427,857), a selective and reversible CCR5 co-receptor antagonist, has been shown to be active in vitro against a wide range of clinical isolates (including those resistant to existing classes). In HIV-1 infected patients in the United States, maraviroc (UK-427,857) is approved for use as part of combination antiretroviral treatment in treatment-experienced and treatment-naive adult subjects. At least 50% of treatment-experienced patients are infected with R5-tropic HIV-1 exclusively. However, even in patients infected with a dual tropic (R5 + X4) phenotype, a large proportion of the virus population still uses CCR5 exclusively. Thus, the purpose of this study is to evaluate the antiretroviral activity, and safety, of maraviroc (UK-427,857) (in combination with other agents) in HIV infected, treatment experienced patients who are failing their current antiretroviral regimen and not infected with R5-tropic virus exclusively. This study will involve more than 200 centers globally to achieve a total randomized subject population of 192 subjects. Patients will be randomly (1:1:1) assigned to one of three groups: Optimized Background Therapy [OBT (3-6 drugs based on treatment history and resistance testing)] + maraviroc (UK-427,857) 150 mg taken once daily, OBT + maraviroc (UK-427,857) 150 mg taken twice daily, or OBT alone. Randomization was stratified by Enfuvirtide use in OBT (yes/no) and Screening HIV-1 RNA level (viral load) (<100,000/≥ 100, 000 copies per milliliter [copies per mL]). The study will enroll over approximately a 9 month period with 48 weeks of treatment. Physical examinations will be performed at study entry, weeks 4, 8, 12, 16, 20, 24, 32, 40 and 48. Blood samples will also be taken at study entry, weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, and 48. Additionally, blood samples will be drawn twice, at least 30 minutes apart, at weeks 2 and 24 for maraviroc (UK-427,857) pharmacokinetic analysis. As part of this clinical study a blood sample will also be taken for non-anonymized pharmacogenetic analysis. Patients will undergo a 12-lead electrocardiogram at study entry, weeks 24 and 48.

Read the detailed description

(i) Subjects remained on their assigned therapy for 48 weeks, unless the subject was discontinued early for protocol-defined treatment failure or other reasons such as adverse event, loss to follow-up, withdrawal of consent, or death.

(ii) If a subject met the criteria for treatment failure or discontinued for another reason (eg, pregnancy, adverse event) and required an alternative regimen, the subject was followed until the Week 48 visit according to protocol guidelines. The new regimen, selected by the Investigator based on the results of resistance testing at the time of failure, had to be recorded in the CRF.

(iii) Open-label maraviroc (UK-427,857) was provided by the sponsor, until it was commercially available, to subjects who completed 48 weeks of therapy and for whom it was medically appropriate to continue therapy with maraviroc (UK-427,857).

Conditions
HIV Infections
Being tested
Optimized Background Therapy (OBT), maraviroc (UK-427,857)
Medical subject headings
HIV Infections

What participants receive

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

  • Optimized Background Therapy (OBT)Drug

    OBT (3-6 drugs based on treatment history and resistance testing)

  • maraviroc (UK-427,857)Drug

    Also called Selzentry, Celsentri

    maraviroc (UK-427,857) 150 mg taken once daily

  • Optimized Background Therapy (OBT)Drug

    OBT (3-6 drugs based on treatment history and resistance testing)

  • maraviroc (UK-427,857)Drug

    Also called Selzentry, Celsentri

    maraviroc (UK-427,857) 150 mg taken twice daily

  • Optimized Background Therapy (OBT)Drug

    OBT (3-6 drugs based on treatment history and resistance testing)

Study groups in NCT00098748
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: Optimized Background Therapy (OBT); Drug: maraviroc (UK-427,857)
2ExperimentalNot described
Receives: Drug: Optimized Background Therapy (OBT); Drug: maraviroc (UK-427,857)
3ExperimentalNot described
Receives: Drug: Optimized Background Therapy (OBT)

What is being measured

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

  1. Change From Baseline in Human Immunodeficiency Virus (HIV-1) Viral Load (Ribonucleic Acid [RNA])

    Change from baseline in log 10-transformed plasma viral load (HIV-1 RNA) levels (log 10 copies per milliliter [log10 copies/mL]). Baseline value calculated as average of pre-dose measurements collected at screening, randomization, and baseline visits.

    Measured: Baseline to Week 24 and Week 48

Secondary outcomes (15)
  1. Number of Subjects With HIV-1 RNA Levels < 400 Copies/mL

    Measured: Week 24, Week 48

  2. Number of Subjects With HIV-1 RNA Levels < 400 Copies/mL or at Least 0.5 Log 10-transformed Decrease From Baseline in HIV-1 RNA Levels

    Number of subjects with HIV-1 RNA levels < 400 copies/mL or at least 0.5 log 10-transformed decrease from baseline in HIV-1 RNA levels. Baseline value calculated as average of pre-dose measurements collected at screening, randomization, and baseline visits.

    Measured: Baseline, Week 24, Week 48

  3. Number of Subjects With HIV-1 RNA Levels < 400 Copies/mL or at Least 1.0 Log 10-transformed Decrease From Baseline in HIV-1 RNA Levels

    Number of subjects with HIV-1 RNA levels < 400 copies/mL or at least 1.0 log 10-transformed decrease from baseline in HIV-1 RNA levels. Baseline value calculated as average of pre-dose measurements collected at screening, randomization, and baseline visits.

    Measured: Baseline, Week 24, Week 48

  4. Number of Subjects With HIV-1 RNA Levels < 50 Copies/mL

    Measured: Baseline, Week 24, Week 48

  5. Change From Baseline in CD4 Cell Count

    Change from baseline in CD4 cell count (measured as cells per microliter [cells/µL]). Baseline value calculated as the average of pre-dose measurements collected at screening, randomization, and baseline visits.

    Measured: Baseline to Week 24 and Week 48

  6. Change From Baseline in CD8 Cell Count

    Change from baseline in CD8 cell count (measured as cells/µL). Baseline value calculated as the average of pre-dose measurements collected at screening, randomization, and baseline visits.

    Measured: Baseline to Week 24 and Week 48

  7. Time (50% Quartile Point Estimate) to Virologic Failure

    Time to virologic failure based on observed HIV-1 RNA levels and failure events (death; permanent discontinuation of test drug [perm DC]; lost to follow-up [LTFU]; new anti-retroviral drug added (except background drug change to drug of same class); or on open label for early non-response or rebound). Failure: at Time 0 if level not <400 copies/mL (2 consecutive visits) before event(s) or last available visit; at time of earliest event if level <400 copies/mL (on 2 consecutive visits); failure if level ≥400 copies/mL (2 consecutive visits) or 1 visit ≥400 copies/mL followed by perm DC or LTFU.

    Measured: Day 1 through Week 24 and through Week 48

  8. Change From Baseline in Time Averaged Difference (TAD) in log10 HIV-1 RNA

    Change from baseline of TAD in log10 HIV-1 RNA viral load calculated as [AUC of HIV-1 RNA viral load (log10 copies/mL) / time period] - Baseline HIV-1 RNA viral load (log10 copies/mL). Baseline value calculated as the average of pre-dose measurements collected at screening, randomization, and baseline visits.

    Measured: Baseline to Week 24 and Week 48

  9. Number of Subjects Per Genotype and Phenotype at Baseline and at Time of Failure

    Number of subjects per genotype and phenotype (tests for presence of non CCR5-tropic HIV-1 and for resistance to reverse transcriptase, protease, and fusion inhibitors) at baseline and at time of failure through Week 48 visit. Sensitivity to drug categorized as 0-1, 2-4, >4; scores defined as 0=resistance, 1=sensitive or susceptible with higher number indicating greater sensitivity or susceptibility.

    Measured: Baseline through Week 48

  10. Number of Subjects Per Tropism Status at Screening and at the Time of Treatment Failure (Analysis at Week 24)

    Number of subjects per Tropism status (CCR5 [R5], CXCR4 [X4], Dual Mixed [DM], or Non-reportable/Non-phenotypable [NR/NP]) at Screening (Scr) and at time of treatment failure (Tx fail). Treatment failure defined as insufficient clinical response. HIV-1 RNA viral load <500 copies/ml categorized as below lower limit of quantification (BLQ). Tropism may have been assessed at either the Screening or Baseline visit. The assessment for time of treatment failure is defined as the last on-treatment assessment.

    Measured: Screening through Week 24

  11. Number of Subjects Per Tropism Status at Screening and Time of Treatment Failure (Analysis at Week 48)

    Number of subjects per Tropism status (CCR5 [R5], CXCR4 [X4], Dual Mixed [DM], or Non-reportable/Non-phenotypable [NR/NP]) at Screening (Scr) and at time of treatment failure (Tx fail). Treatment failure defined as insufficient clinical response. HIV-1 RNA viral load <500 copies/ml categorized as below lower limit of quantification (BLQ). Tropism may have been assessed at either the Screening or Baseline visit. The assessment for time of treatment failure is defined as the last on-treatment assessment.

    Measured: Screening through Week 48

  12. Number of Subjects With Treatment Failure at Week 24 by Overall Susceptibility Score (OSS) at Screening

    Number of subjects for association between screening resistance and virologic response as determined by treatment failure and OSS at screening. OSS categorized as 0-1, 2-4, >4 (maximum value of 6) and calculated as the sum of the net assessment of in vitro phenotypic and genotypic susceptibility using a binary scoring system (0= reduced susceptibility, 1=susceptible) for each antiretroviral agent in OBT. Higher scores indicate greater susceptibility.

    Measured: Screening, Week 24

  13. Number of Subjects With Treatment Failure at Week 48 by Overall Susceptibility Score (OSS) at Screening

    Number of subjects for association between screening resistance and virologic response as determined by treatment failure and OSS at screening. OSS categorized as 0, 1, 2, or ≥3 (maximum value of 6) and calculated as the sum of the net assessment of in vitro phenotypic and genotypic susceptibility using a binary scoring system (0= reduced susceptibility, 1=susceptible) for each antiretroviral agent in OBT. Higher scores indicate greater susceptibility.

    Measured: Screening, Week48

  14. Number of Subjects With Acquired Immunodeficiency Syndrome (AIDS)-Defining Opportunistic Illnesses (Analysis at Week 24)

    Number of subjects with AIDS-defining opportunistic illnesses based on investigator classification guided by a predefined list of clinical Category C Adverse Events per Center for Disease Control (CDC) HIV Classification System. Includes events occurring up to 7 days after last dose of study drug.

    Measured: Baseline through Week 24

  15. Number of Subjects With Acquired Immunodeficiency Syndrome (AIDS)-Defining Opportunistic Illnesses (Analysis at Week 48)

    Number of subjects with AIDS-defining opportunistic illnesses based on investigator classification guided by a predefined list of clinical Category C Adverse Events per CDC HIV Classification System. Includes events occurring up to 7 days after last dose of study drug.

    Measured: Baseline through 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 posted8 Dec 2004 (estimated)
  2. Study startNov 2004
  3. Primary completionDec 2005
  4. Study completionApr 2009

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
190 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00098748
Sponsor's protocol ID
A4001029
Status last verified
Nov 2010
First submitted
7 Dec 2004
Last updated
7 Dec 2010
Data monitoring committee
Yes

Publications

  • Saag M, Goodrich J, Fatkenheuer G, Clotet B, Clumeck N, Sullivan J, Westby M, van der Ryst E, Mayer H; A4001029 Study Group. A double-blind, placebo-controlled trial of maraviroc in treatment-experienced patients infected with non-R5 HIV-1. J Infect Dis. 2009 Jun 1;199(11):1638-47. doi: 10.1086/598965.

    PubMed 19432546

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Optimized Background Therapy (OBT) and maraviroc (UK-427,857) in people with HIV Infections, run by ViiV Healthcare at 77 sites in 9 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 7 inclusion and 18 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 7 Dec 2010. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 77 sites in United States, Canada, Spain, Australia, Germany and 4 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 combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 21 Oct 2010). 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?

Change From Baseline in Human Immunodeficiency Virus (HIV-1) Viral Load (Ribonucleic Acid [RNA]) (time frame: Baseline to Week 24 and Week 48). 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 NCT00098748, which also lists 1 linked publication.

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 7 Dec 2010.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in