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.
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
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
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
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
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
Belgium4 sites
Pfizer Investigational Site
Brussels, 1000
Pfizer Investigational Site
Brussels, 1070
Pfizer Investigational Site
Brussels, 1200
Pfizer Investigational Site
Liège, 4000
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
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 group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Not described Receives: Drug: Optimized Background Therapy (OBT); Drug: maraviroc (UK-427,857) |
| 2 | Experimental | Not described Receives: Drug: Optimized Background Therapy (OBT); Drug: maraviroc (UK-427,857) |
| 3 | Experimental | Not described Receives: Drug: Optimized Background Therapy (OBT) |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
Number of Subjects With HIV-1 RNA Levels < 400 Copies/mL
Measured: Week 24, Week 48
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
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
Number of Subjects With HIV-1 RNA Levels < 50 Copies/mL
Measured: Baseline, Week 24, Week 48
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
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
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
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
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
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
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
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
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
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
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.
- First posted8 Dec 2004 (estimated)
- Study startNov 2004
- Primary completionDec 2005
- Study completionApr 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- More trials run by ViiV HealthcareThe sponsor's other registered studies.
- 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 190 participants (actual)
Sponsor and investigators
- Lead sponsor
- ViiV Healthcare
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Pfizer
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 7 Dec 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00098748
- Acronym / sponsor ID
- A4001029
- Conditions
- HIV Infections
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 190 participants (actual)
- Lead sponsor
- ViiV HealthcareIndustry (pharma, biotech, devices)
- Collaborators
- Pfizer
- Study start
- Nov 2004
- Primary completion
- Dec 2005 (actual)
- Study completion
- Apr 2009 (actual)
- First posted
- 8 Dec 2004 (estimated)
- Results
- Posted 21 Oct 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: Optimized Background Therapy (OBT), Drug: maraviroc (UK-427,857) |
| 2 | Experimental | Drug: Optimized Background Therapy (OBT), Drug: maraviroc (UK-427,857) |
| 3 | Experimental | Drug: Optimized Background Therapy (OBT) |
Who may qualify
- Ages
- 16 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (7 listed)
- 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
Key exclusion criteria (18 listed)
- 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
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 |
|---|---|---|
| Optimized Background Therapy (OBT)OBT (3-6 drugs based on treatment history and resistance testing) | Drug | 1 |
| maraviroc (UK-427,857)Also: Selzentry, Celsentrimaraviroc (UK-427,857) 150 mg taken once daily | Drug | 1 |
| Optimized Background Therapy (OBT)OBT (3-6 drugs based on treatment history and resistance testing) | Drug | 2 |
| maraviroc (UK-427,857)Also: Selzentry, Celsentrimaraviroc (UK-427,857) 150 mg taken twice daily | Drug | 2 |
| Optimized Background Therapy (OBT)OBT (3-6 drugs based on treatment history and resistance testing) | Drug | 3 |
Primary outcome
Change From Baseline in Human Immunodeficiency Virus (HIV-1) Viral Load (Ribonucleic Acid [RNA])
Time frame: Baseline to Week 24 and Week 48
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.
15 secondary outcomes
Number of Subjects With HIV-1 RNA Levels < 400 Copies/mL
Time frame: Week 24, Week 48
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
Time frame: Baseline, Week 24, Week 48
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
Time frame: Baseline, Week 24, Week 48
Number of Subjects With HIV-1 RNA Levels < 50 Copies/mL
Time frame: Baseline, Week 24, Week 48
Change From Baseline in CD4 Cell Count
Time frame: Baseline to Week 24 and Week 48
Change From Baseline in CD8 Cell Count
Time frame: Baseline to Week 24 and Week 48
Time (50% Quartile Point Estimate) to Virologic Failure
Time frame: Day 1 through Week 24 and through Week 48
Change From Baseline in Time Averaged Difference (TAD) in log10 HIV-1 RNA
Time frame: Baseline to Week 24 and Week 48
Number of Subjects Per Genotype and Phenotype at Baseline and at Time of Failure
Time frame: Baseline through Week 48
Number of Subjects Per Tropism Status at Screening and at the Time of Treatment Failure (Analysis at Week 24)
Time frame: Screening through Week 24
Number of Subjects Per Tropism Status at Screening and Time of Treatment Failure (Analysis at Week 48)
Time frame: Screening through Week 48
Number of Subjects With Treatment Failure at Week 24 by Overall Susceptibility Score (OSS) at Screening
Time frame: Screening, Week 24
Number of Subjects With Treatment Failure at Week 48 by Overall Susceptibility Score (OSS) at Screening
Time frame: Screening, Week48
Number of Subjects With Acquired Immunodeficiency Syndrome (AIDS)-Defining Opportunistic Illnesses (Analysis at Week 24)
Time frame: Baseline through Week 24
Number of Subjects With Acquired Immunodeficiency Syndrome (AIDS)-Defining Opportunistic Illnesses (Analysis at Week 48)
Time frame: Baseline through Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Dec 2010.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 19432546Saag 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.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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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.
Pfizer CT.gov Call Center study director
Pfizer
77 sites in 9 countries: see every site and its status.
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.