HIV InfectionsPhase 2NCT00105157
Safety and Efficacy of an Investigational Drug in Human Immunodeficiency Virus (HIV)-Infected Patients Failing Current Antiretroviral Therapies (0518-005)(COMPLETED)
A Phase 2 study testing Comparator: MK0518 and MK0518 in people with HIV Infections and Acquired Immunodeficiency Syndrome, run by Merck Sharp & Dohme LLC.
Trial summary
This study will investigate the safety and efficacy of different doses of an investigational drug (MK0518) as a therapy for HIV-infected patients failing current antiretroviral therapies. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HIV Infections, Acquired Immunodeficiency Syndrome
- What is being tested?
- Comparator: MK0518 and MK0518
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 179 participants
- Where
- No sites listed yet
- Study dates
- Mar 2005to Jul 2009
- Phase
- Phase 2
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient must be HIV positive with Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) values that are within ranges required by the study
- Patient must be currently on antiretroviral therapy (ART)
Who cannot join
- Patient less than 18 years of age
- Additional exclusion criteria will be discussed and identified by the study doctor
About this study
Official title: Multicenter Study to Evaluate the Safety and Efficacy of MK0518 in Combination With An Optimized Background Therapy (OBT), Versus OBT Alone, in HIV-Infected Patients With Documented Resistance
This study will investigate the safety and efficacy of different doses of an investigational drug (MK0518) as a therapy for HIV-infected patients failing current antiretroviral therapies.
- Conditions
- HIV Infections, Acquired Immunodeficiency Syndrome
- Being tested
- Comparator: MK0518, MK0518, Placebo
- Medical subject headings
- HIV Infections, Acquired Immunodeficiency Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Comparator: MK0518Drug
Also called MK0518
MK0518 oral tablets 200 mg b.i.d, for 24 weeks
MK0518Drug
MK0518 oral tablets 400 mg b.i.d, for 24 weeks
MK0518Drug
MK0518 oral tablets 600 mg b.i.d, for 24 weeks
PlaceboDrug
Placebo to MK0518, oral tablet b.i.d, for 24 weeks
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | MK0518 200 mg Receives: Drug: Comparator: MK0518 |
| 2 | Experimental | MK0518 400 mg Receives: Drug: MK0518 |
| 3 | Experimental | MK0518 600 mg Receives: Drug: MK0518 |
| 4 | Placebo comparator | Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Plasma HIV RNA (log10 Copies/mL) at Week 24
Mean change from baseline at Week 24 in HIV RNA (log10 copies/mL) in all patients
Measured: Baseline and Week 24
Secondary outcomes (43)
Number of Patients With Virologic Responses at Week 24
Number of patients who achieve HIV RNA <400 copies/mL; HIV RNA level <50 copies/mL at Week 24; or reduction from baseline in HIV RNA (log10 copies/mL) exceeding 1.0 log10 copies/mL at Week 24; at Week 24
Measured: 24 weeks
Change From Baseline in CD4 Cell Count at Week 24
Mean change from baseline at Week 24 in CD4 Cell Count (cells/mm3)
Measured: Baseline and Week 24
Number of Patients With Clinical Adverse Experiences (CAEs) at 48 Weeks
An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Measured: 48 weeks
Number of Patients With Serious CAEs at 48 Weeks
Serious CAEs are any AEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose
Measured: 48 weeks
Number of Patients With Drug-related CAEs at 48 Weeks
Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) CAEs
Measured: 48 weeks
Number of Patients With Serious Drug-related CAEs at 48 Weeks
Serious CAEs are any AEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose. Drug-related are as assessed by an investigator who is a qualified physician according to his/her best clinical judgment.
Measured: 48 weeks
Number of Patients That Died by 48 Weeks
Measured: 48 weeks
Number of Patients That Discontinued With CAEs at 48 Weeks
Measured: 48 weeks
Number of Patients That Discontinued With Drug-related CAEs at 48 Weeks
Measured: 48 weeks
Number of Patients That Discontinued With Serious CAEs at 48 Weeks
Measured: 48 weeks
Number of Patients That Discontinued With Serious Drug-related CAEs at 48 Weeks
Measured: 48 weeks
Number of Patients With Laboratory Adverse Experiences (LAEs) at 48 Weeks
A laboratory adverse experience (LAE) is defined as any unfavorable and unintended change in the chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Measured: 48 weeks
Number of Patients With Drug-related LAEs at 48 Weeks
Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) LAEs
Measured: 48 weeks
Number of Patients Discontinued With Laboratory Adverse Experiences (LAEs) at 48 Weeks
Measured: 48 weeks
Number of Patients Discontinued With Drug-related LAEs at 48 Weeks
Measured: 48 weeks
Number of Patients With Clinical Adverse Experiences (CAEs) at 96 Weeks
An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Measured: 96 weeks
Number of Patients With Serious CAEs at 96 Weeks
Serious CAEs are any AEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose
Measured: 96 weeks
Number of Patients With Drug-related CAEs at 96 Weeks
Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) CAEs
Measured: 96 weeks
Number of Patients With Serious Drug-related CAEs at 96 Weeks
Serious CAEs are any AEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose. Drug-related are as assessed by an investigator who is a qualified physician according to his/her best clinical judgment.
Measured: 96 weeks
Number of Patients That Died by 96 Weeks
Measured: 96 weeks
Number of Patients That Discontinued With CAEs at 96 Weeks
Measured: 96 weeks
Number of Patients That Discontinued With Drug-related CAEs at 96 Weeks
Measured: 96 weeks
Number of Patients That Discontinued With Serious CAEs at 96 Weeks
Measured: 96 weeks
Number of Patients That Discontinued With Serious Drug-related CAEs at 96 Weeks
Measured: 96 weeks
Number of Patients With Laboratory Adverse Experiences (LAEs) at 96 Weeks
A laboratory adverse experience (LAE) is defined as any unfavorable and unintended change in the chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Measured: 96 weeks
Number of Patients With Drug-related LAEs at 96 Weeks
Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) LAEs
Measured: 96 weeks
Number of Patients Discontinued With Laboratory Adverse Experiences (LAEs) at 96 Weeks
Measured: 96 weeks
Number of Patients Discontinued With Drug-related LAEs at 96 Weeks
Measured: 96 weeks
Number of Patients With Clinical Adverse Experiences (CAEs) at 168 Weeks
An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Measured: 168 weeks
Number of Patients With Serious CAEs at 168 Weeks
Serious CAEs are any AEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose
Measured: 168 weeks
Number of Patients With Drug-related CAEs at 168 Weeks
Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) CAEs
Measured: 168 weeks
Number of Patients With Serious Drug-related CAEs at 168 Weeks
Serious CAEs are any AEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose. Drug-related are as assessed by an investigator who is a qualified physician according to his/her best clinical judgment.
Measured: 168 weeks
Number of Patients That Died by 168 Weeks
Measured: 168 weeks
Number of Patients That Discontinued With CAEs at 168 Weeks
Measured: 168 weeks
Number of Patients That Discontinued With Drug-related CAEs at 168 Weeks
Measured: 168 weeks
Number of Patients That Discontinued With Serious CAEs at 168 Weeks
Measured: 168 weeks
Number of Patients That Discontinued With Serious Drug-related CAEs at 168 Weeks
Measured: 168 weeks
Number of Patients With Laboratory Adverse Experiences (LAEs) at 168 Weeks
A laboratory adverse experience (LAE) is defined as any unfavorable and unintended change in the chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Measured: 168 weeks
Number of Patients With Serious LAEs at 168 Weeks
Serious LAEs are any LAEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose
Measured: 168 weeks
Number of Patients Discontinued With Drug-related LAEs at 168 Weeks
Measured: 168 weeks
Number of Patients With Drug-related LAEs at 168 Weeks
Patients with drug-related (as assessed by an investigator who is a qualified physician according to his/her best clinical judgment) LAEs
Measured: 168 weeks
Number of Patients With Serious Drug-related LAEs at 168 Weeks
Serious LAEs are any LAEs occurring at any dose that; Results in death; or Is life threatening; or Results in a persistent or significant disability/incapacity; or Results in or prolongs an existing inpatient hospitalization; or Is a congenital anomaly/birth defect; or Is a cancer; or Is an overdose
Measured: 168 weeks
Number of Patients Discontinued With LAEs at 168 Weeks
Measured: 168 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Mar 2005 (estimated)
- Study startMar 2005
- Primary completionOct 2006
- Study completionJul 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 Merck Sharp & Dohme LLCThe 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
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 179 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00105157
- Sponsor's protocol ID
- 0518-005
- Other IDs
- MK0518-005, 2005_007
- Status last verified
- Dec 2015
- First submitted
- 8 Mar 2005
- Last updated
- 4 Dec 2015
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Grinsztejn B, Nguyen BY, Katlama C, Gatell JM, Lazzarin A, Vittecoq D, Gonzalez CJ, Chen J, Harvey CM, Isaacs RD; Protocol 005 Team. Safety and efficacy of the HIV-1 integrase inhibitor raltegravir (MK-0518) in treatment-experienced patients with multidrug-resistant virus: a phase II randomised controlled trial. Lancet. 2007 Apr 14;369(9569):1261-1269. doi: 10.1016/S0140-6736(07)60597-2.
PubMed 17434401
Study at a glance
From the registry record, last updated by the sponsor on 4 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter Study to Evaluate the Safety and Efficacy of MK0518 in Combination With An Optimized Background Therapy (OBT), Versus OBT Alone, in HIV-Infected Patients With Documented Resistance
- ClinicalTrials.gov ID
- NCT00105157
- Acronym / sponsor ID
- 0518-005
- Conditions
- HIV Infections, Acquired Immunodeficiency Syndrome
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 179 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- Mar 2005
- Primary completion
- Oct 2006 (actual)
- Study completion
- Jul 2009 (actual)
- First posted
- 9 Mar 2005 (estimated)
- Results
- Posted 12 Apr 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will investigate the safety and efficacy of different doses of an investigational drug (MK0518) as a therapy for HIV-infected patients failing current antiretroviral therapies.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: Comparator: MK0518MK0518 200 mg |
| 2 | Experimental | Drug: MK0518MK0518 400 mg |
| 3 | Experimental | Drug: MK0518MK0518 600 mg |
| 4 | Placebo comparator | Drug: PlaceboPlacebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Patient must be HIV positive with Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) values that are within ranges required by the study
- Patient must be currently on antiretroviral therapy (ART)
Key exclusion criteria (2 listed)
- Patient less than 18 years of age
- Additional exclusion criteria will be discussed and identified by the study doctor
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 |
|---|---|---|
| Comparator: MK0518Also: MK0518MK0518 oral tablets 200 mg b.i.d, for 24 weeks | Drug | 1 |
| MK0518MK0518 oral tablets 400 mg b.i.d, for 24 weeks | Drug | 2 |
| MK0518MK0518 oral tablets 600 mg b.i.d, for 24 weeks | Drug | 3 |
| PlaceboPlacebo to MK0518, oral tablet b.i.d, for 24 weeks | Drug | 4 |
Primary outcome
Change From Baseline in Plasma HIV RNA (log10 Copies/mL) at Week 24
Time frame: Baseline and Week 24
Mean change from baseline at Week 24 in HIV RNA (log10 copies/mL) in all patients
43 secondary outcomes
Number of Patients With Virologic Responses at Week 24
Time frame: 24 weeks
Change From Baseline in CD4 Cell Count at Week 24
Time frame: Baseline and Week 24
Number of Patients With Clinical Adverse Experiences (CAEs) at 48 Weeks
Time frame: 48 weeks
Number of Patients With Serious CAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients With Drug-related CAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients With Serious Drug-related CAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients That Died by 48 Weeks
Time frame: 48 weeks
Number of Patients That Discontinued With CAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients That Discontinued With Drug-related CAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients That Discontinued With Serious CAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients That Discontinued With Serious Drug-related CAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients With Laboratory Adverse Experiences (LAEs) at 48 Weeks
Time frame: 48 weeks
Number of Patients With Drug-related LAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients Discontinued With Laboratory Adverse Experiences (LAEs) at 48 Weeks
Time frame: 48 weeks
Number of Patients Discontinued With Drug-related LAEs at 48 Weeks
Time frame: 48 weeks
Number of Patients With Clinical Adverse Experiences (CAEs) at 96 Weeks
Time frame: 96 weeks
Number of Patients With Serious CAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients With Drug-related CAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients With Serious Drug-related CAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients That Died by 96 Weeks
Time frame: 96 weeks
Number of Patients That Discontinued With CAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients That Discontinued With Drug-related CAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients That Discontinued With Serious CAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients That Discontinued With Serious Drug-related CAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients With Laboratory Adverse Experiences (LAEs) at 96 Weeks
Time frame: 96 weeks
Number of Patients With Drug-related LAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients Discontinued With Laboratory Adverse Experiences (LAEs) at 96 Weeks
Time frame: 96 weeks
Number of Patients Discontinued With Drug-related LAEs at 96 Weeks
Time frame: 96 weeks
Number of Patients With Clinical Adverse Experiences (CAEs) at 168 Weeks
Time frame: 168 weeks
Number of Patients With Serious CAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients With Drug-related CAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients With Serious Drug-related CAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients That Died by 168 Weeks
Time frame: 168 weeks
Number of Patients That Discontinued With CAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients That Discontinued With Drug-related CAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients That Discontinued With Serious CAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients That Discontinued With Serious Drug-related CAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients With Laboratory Adverse Experiences (LAEs) at 168 Weeks
Time frame: 168 weeks
Number of Patients With Serious LAEs at 168 Weeks
Time frame: 168 weeks
Number of Patients Discontinued With Drug-related LAEs at 168 Weeks
Time frame: 168 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Dec 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 17434401Grinsztejn B, Nguyen BY, Katlama C, Gatell JM, Lazzarin A, Vittecoq D, Gonzalez CJ, Chen J, Harvey CM, Isaacs RD; Protocol 005 Team. Safety and efficacy of the HIV-1 integrase inhibitor raltegravir (MK-0518) in treatment-experienced patients with multidrug-resistant virus: a phase II randomised controlled trial. Lancet. 2007 Apr 14;369(9569):1261-1269. doi: 10.1016/S0140-6736(07)60597-2.
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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.
Medical Monitor study director
Merck Sharp & Dohme LLC
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Comparator: MK0518 and MK0518 in people with HIV Infections and Acquired Immunodeficiency Syndrome, run by Merck Sharp & Dohme LLC.
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 2 inclusion and 2 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 4 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
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?
Yes. Results are posted in the registry (first posted 12 Apr 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 Plasma HIV RNA (log10 Copies/mL) at Week 24 (time frame: Baseline and Week 24). 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 NCT00105157, 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 4 Dec 2015.