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Infection, Human Immunodeficiency VirusPhase 3NCT00296504

A Study To Assess GW433908 (Fosamprenavir) Containing Regimens In HIV-1 Infected Subjects

A Phase 3 study testing fosamprenavir (GW433908) and ritonavir in people with Infection, Human Immunodeficiency Virus, run by ViiV Healthcare at 24 sites in 8 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

GW433908 (fosamprenavir; FPV)is a pro-drug of amprenavir (APV) which is more water soluble and can be formulated into a tablet with a reduced pill burden (four 700mg tablets of FPV versus sixteen 150mg capsules daily for APV. Read more about this study

Who is it for?
Ages 13 years and older
Conditions the study is for
Infection, Human Immunodeficiency Virus
What is being tested?
fosamprenavir (GW433908) and ritonavir
How many people
753 participants
Where
24 sitesin 8 countries
Study dates
Nov 2001to Oct 2010
Phase
Phase 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 13 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or non-pregnant/non-lactating females >/=13 years of age (or >/= 18 years of age according to local requirements).
  • Received fosamprenavir through prior participation in APV20001, APV30002, APV30003 or PRO30017 or have participated in APV30001 or other studies as deemed appropriate by the project team.

Who cannot join

  • Permanent discontinuation of GW433908 in a previous study due to intolerance.
  • An active CDC Class C Event.
  • Any condition which, in the opinion of the investigator, would preclude a subject from participation.

Trial locations and contacts

24 sites in 8 countries.

24 sites in 8 countries

United States10 sites
  • GSK Investigational Site

    Denver, Colorado, 80262

  • GSK Investigational Site

    Fort Lauderdale, Florida, 33145

  • GSK Investigational Site

    Fountain Valley, California, 92708

  • GSK Investigational Site

    Galveston, Texas, 77555-1188

  • GSK Investigational Site

    Manhasset, New York, 11030

  • GSK Investigational Site

    Orlando, Florida, 32804

  • GSK Investigational Site

    Orlando, Florida, 32806

  • GSK Investigational Site

    San Francisco, California, 94115-1931

  • GSK Investigational Site

    Sarasota, Florida, 34239

  • GSK Investigational Site

    Tampa, Florida, 33614

Other trials in United States

France6 sites
  • GSK Investigational Site

    Le Kremlin-Bicêtre, 94275

  • GSK Investigational Site

    Marseille, 13005

  • GSK Investigational Site

    Paris, 75475

  • GSK Investigational Site

    Paris, 75970

  • GSK Investigational Site

    Vandœuvre-lès-Nancy, 54511

  • GSK Investigational Site

    Villejuif, 94805

Other trials in France

Spain2 sites
  • GSK Investigational Site

    Badajoz, 6080

  • GSK Investigational Site

    Barcelona, 08036

Other trials in Spain

United Kingdom2 sites
  • GSK Investigational Site

    London, NW3 2QG

  • GSK Investigational Site

    London, SE1 7EH

Other trials in United Kingdom

Brazil1 site
  • GSK Investigational Site

    Campinas, São Paulo, 13083970

Other trials in Brazil

Chile1 site
  • GSK Investigational Site

    Santiago, Región Metro de Santiago

Other trials in Chile

Italy1 site
  • GSK Investigational Site

    Genoa, Liguria, 16128

Other trials in Italy

Portugal1 site
  • GSK Investigational Site

    Coimbra, 3000-075

Other trials in Portugal

About this study

Official title: An Open-Label Phase III Study to Assess the Long Term Safety Profile of GW433908 Containing Regimens in HIV-1 Infected Subjects

GW433908 (fosamprenavir; FPV)is a pro-drug of amprenavir (APV) which is more water soluble and can be formulated into a tablet with a reduced pill burden (four 700mg tablets of FPV versus sixteen 150mg capsules daily for APV. This study is designed to provide additional information on long term safety and tolerability of FPV containing regimens for those subjects who received FPV in previous GlaxoSmithKline studies.

Read the detailed description

ViiV Healthcare is the new sponsor of this study, and GlaxoSmithKline is in the process of updating systems to reflect the change in sponsorship.

Being tested
fosamprenavir (GW433908), ritonavir
Keywords
antiretroviral therapy naive subjects, fosamprenavir, HIV-1, protease inhibitor, pro-drug, antiretroviral therapy, LEXIVA, AGENERASE, GW433908, amprenavir
Medical subject headings
Infections, Acquired Immunodeficiency Syndrome

What participants receive

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

  • fosamprenavir (GW433908)Drug

  • ritonavirDrug

    Also called fosamprenavir (GW433908)

What is being measured

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

  1. Number of Participants With Any Adverse Event (AE): Interim Analysis

    An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A list of all adverse events is reported in the "Other (Non-Serious) Adverse Events" section.

    Measured: Baseline (Day 1) up to 31 January 2006 (up to Week 264)

  2. Number of Participants With Any Adverse Event (AE): Final Analysis

    An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A list of all adverse events is reported in the "Other (Non-Serious) Adverse Events" section.

    Measured: Post January 2006; for up to 241 weeks

  3. Change From Baseline in the Indicated Clinical Chemistry Parameters at Weeks 48, 96, 120, 132, 168, 180, 204, and 216

    Fasting blood samples of participants were collected for the assessment of triglycerides (Tri.), cholesterol (Chol.), high density cholesterol (HDL), low density cholesterol (LDL), and fasting blood glucose (FBG). Change from Baseline at Weeks (W) 48, 96, 120, 132, 168, 180, 204, and 216 was calculated as the value at that particular week minus the value at Baseline (Day 1).

    Measured: Baseline (Day 1) and Weeks 48, 96, 120, 132, 168, 180, 204, and 216

  4. Median Values of the Indicated Clinical Chemistry Parameters at Weeks 120, 180, 204, 216, and 432

    Fasting blood samples of participants were collected for the assessment of triglycerides, cholesterol, high density cholesterol (HDL), low density cholesterol (LDL), and fasting blood glucose (FBG).

    Measured: Weeks 120, 180, 204, 216, and 432

  5. Change From Baseline in the Total Cholesterol/HDL Ratio at Weeks 48, 120, 180, 204, and 216

    blood samples of participants were collected for the assessment of the total cholesterol/HDL ratio. The ratio of total cholesterol/HDL was calculated by dividing the value of total cholesterol by the value of HDL. Change from Baseline at Weeks 48, 120, 180, 204, and 216 was calculated as the value at that particular week minus the value at Baseline (Day 1).

    Measured: Baseline (Day 1) and Weeks 48, 120, 180, 204, and 216

  6. Change From Baseline in the Total Cholesterol/HDL Ratio at Weeks 48, 96, 132, and 168

    Fasting blood samples of participants were collected for the assessment of the total cholesterol/HDL ratio. The ratio of total cholesterol/HDL was calculated by dividing the value of total cholesterol by the value of HDL. Change from Baseline at Weeks 48, 96, 132, and 168 was calculated as the value at that particular week minus the value at Baseline (Day 1).

    Measured: Baseline (Day 1) and Weeks 48, 96, 132, and 168

  7. Median Value of the Total Cholesterol/HDL Ratio at Weeks 120, 180, 204, 216, and 432

    Fasting blood samples of participants were collected for the assessment of the total cholesterol/HDL ratio. The ratio of total cholesterol/HDL was calculated by dividing the value of total cholesterol by the value of HDL.

    Measured: Weeks 120, 180, 204, 216, and 432

  8. Change From Baseline in Aspartate Aminotransferase (AST), Alanine Transaminase (ALT), and Serum Lipase at Weeks 48, 120, 180, 204, and 216

    Blood samples of participants were collected for the assessment of AST, ALT, and serum lipase. Change from Baseline at Weeks 48, 120, 180, 204, and 216 was calculated as the value at that particular week minus the value at Baseline (Day 1).

    Measured: Baseline (Day 1) and Weeks 48, 120, 180, 204, and 216

  9. Change From Baseline in Aspartate Aminotransferase (AST), Alanine Transaminase (ALT), and Serum Lipase at Weeks 48, 96, 132, and 168

    Blood samples of participants were collected for the assessment of AST, ALT, and serum lipase. Change from Baseline at Weeks 48, 96, 132, and 168 was calculated as the value at that particular week minus the value at Baseline (Day 1).

    Measured: Baseline (Day 1) and Weeks 48, 96, 132, and 168

  10. Median Aspartate Aminotransferase (AST), Alanine Transaminase (ALT), and Serum Lipase Values at Weeks 120, 180, 204, 216, and 432

    Blood samples of participants were collected for the assessment of AST, ALT, and serum lipase.

    Measured: Weeks 120, 180, 204, 216, and 432

Secondary outcomes (11)
  1. Percentage of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) <400 and <50 Copies Per Milliliter at Baseline and Weeks 48, 120, 180, and 216 (MD=F and Observed)

    Blood samples of participants were collected for the assessment of HIV-1RNA copies in plasma. Viral load, measured in RNA copies per milliliter of plasma, is an efficacy measure for antiretroviral drugs. In the MD=F analysis, participants who had missing data at or had discontinued the study prior to a certain time point are classified as non-responders. In the observed analysis (OA), data are presented for the number of participants still enrolled in the study at a certain time point. Participants in the NFV populations had received antiretroviral therapy prior to Baseline.

    Measured: Baseline and Weeks 48, 120, 180, and 216

  2. Percentage of Participants With Plasma HIV-1RNA <400 and <50 Copies Per Milliliter at Baseline and Weeks 12, 24, 48, 60, 96, and 132 (MD=F and Observed)

    Blood samples of participants were collected for the assessment of HIV-1RNA copies in plasma. Viral load, measured in RNA copies per milliliter of plasma, is an efficacy measure for antiretroviral drugs. In the MD=F analysis, participants who had missing data at or had discontinued the study prior to a certain time point are classified as non-responders. In the observed analysis (OA), data are presented for the number of participants still enrolled in the study at a certain time point.

    Measured: Baseline and Weeks 12, 24, 48, 60, 96, and 132

  3. Percentage of Participants With Plasma HIV-1RNA <50 Copies Per Milliliter at Baseline and Weeks 120, 180, 240, 300, 360, 420, and 432 (Observed)

    Blood samples of participants were collected for the assessment of HIV-1RNA copies in plasma. Viral load, measured in RNA copies per milliliter of plasma,is an efficacy measure for antiretroviral drugs.

    Measured: Baseline and Weeks 120, 180, 240, 300, 360, 420, and 432

  4. Cluster of Differentiation Antigen 4 (CD4+) Cell Count at Baseline and Weeks 48, 120, 168, 180, 204, and 216: Observed Analysis

    Blood samples of participants were collected for the assessment of CD4+ cell count. CD4+ cells are white blood cells that are important in fighting infection. HIV infects CD4+ cells, replicates in them, and destroys them. CD4+ cell count provides a measure of the status of the immune system and to what extent it is affected by HIV.

    Measured: Baseline and Weeks 48, 120, 168, 180, 204, and 216

  5. Cluster of Differentiation Antigen 4 (CD4+) Cell Count at Baseline and Weeks 24, 48, 96, 132, and 168: Observed Analysis

    Blood samples of participants were collected for the assessment of CD4+ cell count. CD4+ cells are white blood cells that are important in fighting infection. HIV infects CD4+ cells, replicates in them, and destroys them. CD4+ cell count provides a measure of the status of the immune system and to what extent it is affected by HIV.

    Measured: Baseline and Weeks 24, 48, 96, 132, and 168

  6. Median Plasma HIV-1 RNA at Baseline and Weeks 24, 48, 72, 96, 120, 144, 168, 180, 204, and 216

    Blood samples of participants were collected for the assessment of plasma HIV-1 RNA.

    Measured: Baseline and Weeks 24, 48, 72, 96, 120, 144, 168, 180, 204, and 216

  7. Median Plasma HIV-1 RNA at Baseline and Weeks 12, 24, 48, 72, 96, 132, and 168

    Blood samples of participants were collected for the assessment of plasma HIV-1 RNA.

    Measured: Baseline and Weeks 12, 24, 48, 72, 96, 132, and 168

  8. Median Plasma HIV-1 RNA at Weeks 180, 240, 300, 360, 420, and 432

    Blood samples of participants were collected for the assessment of plasma HIV-1 RNA.

    Measured: Weeks 180, 240, 300, 360, 420, and 432

  9. Number of Participants With HIV-1 Disease Progression to CDC Class C, or New CDC Class C or Death, From Baseline

    The number of participants with progression of HIV-1 disease were assessed using the CDC classification of HIV-1: class A, asymptomatic or lymphadenopathy; class B: symptomatic, but not AIDS; class C, AIDS. A participant is considered to have had a disease progression if they report a CDC Class C event for the first time, if they report a new CDC Class C event, or if they experience any fatal adverse event during the study.

    Measured: Baseline (Day 1) up to 31 January 2006 (up to Week 264)

  10. Number of Participants Enrolled in Studies APV30001 and APV300002 With the Indicated HIV-associated Conditions

    The number of participants with the indicated HIV-associated conditions were assessed, excluding recurrences.

    Measured: Baseline (Day 1) up to 31 January 2006 (up to Week 264)

  11. Number of Participants Enrolled in Study APV30003 and Other Studies With the Indicated HIV-associated Conditions

    The number of participants with the indicated HIV-associated conditions were assessed.

    Measured: Baseline (Day 1) up to 31 January 2006 (up to Week 264)

Timeline

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

  1. First posted27 Feb 2006 (estimated)
  2. Study startNov 2001
  3. Primary completionOct 2010
  4. Study completionOct 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
753 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00296504
Sponsor's protocol ID
APV30005
Status last verified
Jun 2012
First submitted
24 Feb 2006
Last updated
19 Apr 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing fosamprenavir (GW433908) and ritonavir in people with Infection, Human Immunodeficiency Virus, run by ViiV Healthcare at 24 sites in 8 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 2 inclusion and 3 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 19 Apr 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, France, Spain, United Kingdom, Brazil and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 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 8 Nov 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Any Adverse Event (AE): Interim Analysis (time frame: Baseline (Day 1) up to 31 January 2006 (up to Week 264)). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 19 Apr 2013.

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