HIV InfectionsPhase 2NCT00623597
A Study of Invirase (Saquinavir)/Ritonavir in HIV-Infected Infants and Children.
A Phase 2 study testing ritonavir and saquinavir [Invirase] in people with HIV Infections, run by Hoffmann-La Roche at 10 sites in 3 countries.
Trial summary
This single arm study will assess the pharmacokinetics, safety and activity of saquinavir (Invirase hard gel capsules, film coated tablets or opened capsules) boosted by combination with ritonavir, in HIV-1 infected infants and children between the ages of 4 months and 6 years. Read more about this study
- Who is it for?
- Ages 4 months to 6 years
- Conditions the study is for
- HIV Infections
- What is being tested?
- ritonavir and saquinavir [Invirase]
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 18 participants
- Where
- 10 sitesin 3 countries
- Study dates
- Jun 2008to Mar 2010
- 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 4 months to 6 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- infants and children, 4 months to <6 years;
- confirmed HIV-1 infection;
- patients for whom saquinavir/ritonavir together with >=2 background ARVs is considered appropriate.
Who cannot join
- body weight >4kg/8.8 pounds;
- use of any concomitant medications that may interfere with the pharmacokinetics of saquinavir or ritonavir;
- malabsorption, severe chronic diarrhea or vomiting within 28 days of the study.
Trial locations and contacts
10 sites in 3 countries.
10 sites in 3 countries
Thailand4 sites
Study site
Bangkok, 10400
Study site
Khon Kaen, 40002
Study site
Pathumwan, 10330
Study site
Payathai, 10400
Argentina3 sites
Study site
Buenos Aires, 1202
Study site
Buenos Aires, 1425
Study site
Santa Fe, 3000
Spain3 sites
Study site
Madrid, Madrid, 28046
Study site
Madrid, Madrid, 28905
Study site
Valencia, Valencia, 46009
About this study
Official title: A Phase I/II Study of Invirase® Boosted With Ritonavir in HIV Infected Infants and Children 4 Months to Less Than 6 Years Old
This single arm study will assess the pharmacokinetics, safety and activity of saquinavir (Invirase hard gel capsules, film coated tablets or opened capsules) boosted by combination with ritonavir, in HIV-1 infected infants and children between the ages of 4 months and 6 years. Patients will commence treatment with saquinavir 50mg/kg bid plus ritonavir 2.5mg/kg or 3.0mg/kg (dependent on body weight), and a background antiretroviral regimen. If drug exposures are found to be dissimilar to those previously seen in older children and adults, or are associated with toxicities, subsequent dose adjustments will be made. The anticipated time on study treatment is 3-12 months, and the target sample size is <100 individuals.
- Conditions
- HIV Infections
- Being tested
- ritonavir, saquinavir [Invirase]
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ritonavirDrug
2.5-3.0mg/kg po bid (starting dose) for 48 weeks
saquinavir [Invirase]Drug
50mg/kg po bid (starting dose) for 48 weeks
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Not described Receives: Drug: ritonavir; Drug: saquinavir [Invirase] |
What is being measured
The primary outcome is the main question the study is designed to answer.
Plasma Trough Concentrations (Ctrough) for Saquinavir
Plasma trough concentration is the average steady state concentration prior to morning and evening dose. Ctrough of Saquinavir was normalized to a dose of 50 mg/kg.
Measured: Pre-dose at Weeks 8, 12, 24.
Area Under the Plasma Concentration-time Curve Over the Time Interval From Zero to Twelve Hours (AUC0-12h) for Saquinavir
The area under the plasma concentration-time curve from time zero to twelve hours (AUC0-12h) is area under the plasma concentration-time curve from time zero through actual tlast. The area under the plasma concentration-time curve from time zero to twelve hours of saquinavir was normalized to a dose of 50 mg/kg.
Measured: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an Non-nucleoside reverse transcriptase inhibitor [NNRTI] containing regimen).
Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes
Measured: From Baseline (Day 1) till Week 48 and Follow-up (Week 52)
Change In Hematocrit From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Change In Hemoglobin, Total Protein And Total Albumin From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Change In White Blood Cell (WBC), Platelet, Basophil, Lymphocyte, Monocyte, Neutrophil And Eosinophil Cell Counts From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Change In Red Blood Cell (RBC) Counts From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Change In Creatine Kinase (CK), Serum Glutamic Oxaloacetic Transaminase (SGOT), Alkaline Phosphatase (ALP), Serum Glutamic-Pyruvic Transaminase (SGPT), Gamma-Glutamyl Transferase (GGT) Counts From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Change In Total Bilirubin, Creatinine, Uric Acid From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Change In Blood Urea Nitrogen (BUN), Low Density Lipoprotein (LDL) Cholesterol, High Density Lipoprotein (HDL Cholesterol), Triglycerides, Calcium, Potassium, Sodium, Chloride, Phosphate, Fasting Glucose From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Change In Hematuria, Glycosuria And Proteinuria From Baseline
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Measured: Baseline (Day 1), Week 24 and Week 48
Secondary outcomes (10)
Plasma Trough Concentrations (Ctrough) for Ritonavir
Plasma trough concentration is the average steady state concentration prior to morning and evening dose. Ctrough of Ritonavir was normalized to a dose of 100 mg/kg.
Measured: Pre-dose at Weeks 8, 12, 24
Maximum Observed Concentration (Cmax) for Saquinavir and Ritonavir
The Plasma Concentration (Cmax) is defined as maximum observed analyte concentration. Cmax was normalized to a dose of 50 mg/kg for Saquinavir and100 mg/kg for Ritonavir.
Measured: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an NNRTI containing regimen and at Week 24
Area Under the Plasma Concentration-time Curve Over the Time Interval From Zero to Twelve Hours (AUC0-12h) for Ritonavir
The area under the plasma concentration-time curve from time zero to twelve hours (AUC0-12h) is area under the plasma concentration-time curve from time zero through actual tlast. The area under the plasma concentration-time curve from time zero to twelve hours of ritonasvir was normalized to a dose of 100 mg/kg.
Measured: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an NNRTI containing regimen).
Change From Baseline in Mean Human Immunodeficiency Virus Viral Load
Change from baseline in plasma HIV-1 RNA was derived as Change from baseline = Log10 (HIV-1 RNA at week x) - Log10 (HIV-1 RNA at baseline)
Measured: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.
Number of Participants With Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA) <400 Copies/mL
The number of participants with HIV-1 RNA results <400 copies/mL were reported
Measured: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.
Number of Participants With Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA) <50 Copies/mL
The number of participants with HIV-1 RNA results <50 copies/mL were reported.
Measured: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.
Number of Participants With >1 Log Decrease From Baseline in Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA )
The number of participants experiencing a greater than 1 log drop from baseline (day 1) (log 10 transformed) were reported
Measured: From Week 8 till Week 48
Number of Participants With Virological Failure
Virological failure was defined as: viral load >= 400 copies/mL on two consecutive occasions (missing visits was assumed to be above 400 copies/mL). The number of participants classified as virological failure by Age Group and viral load (≤ 10,000 copies, >10,000 copies) were presented.
Measured: From Week 12 till Week 48
Change From Baseline in Cluster Differentiation Antigen 4 (CD4) Lymphocyte Count
Change from Baseline in CD4+ lymphocyte count at 24 weeks and 48 weeks were presented by age group. Change from baseline in CD4+ lymphocyte count was derived as follows: Change from baseline = (CD4+ count at week 24/48) - (CD4+ count at baseline). A baseline collection was made if there was not already a value available taken within the previous 4 weeks. Baseline was on Day 1.
Measured: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 or upon premature discontinuation
Change From Baseline in Cluster Differentiation Antigen 8 (CD8) Lymphocyte Count
Change from baseline in CD8+ lymphocyte count at 24 weeks and 48 weeks were presented by age group. Change from baseline in CD8+ lymphocyte count was derived as follows: Change from baseline = (CD8+ count at week 24/48) - (CD8+ count at baseline). A baseline collection was made if there was not already a value available taken within the previous 4 weeks. Baseline was on Day 1.
Measured: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 or upon premature discontinuation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Feb 2008 (estimated)
- Study startJun 2008
- Primary completionMar 2010
- Study completionMar 2010
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.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe 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
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 18 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00623597
- Sponsor's protocol ID
- NV20911
- Other IDs
- 2007-004617-34
- Status last verified
- Feb 2016
- First submitted
- 18 Feb 2008
- Last updated
- 7 Mar 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 7 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II Study of Invirase® Boosted With Ritonavir in HIV Infected Infants and Children 4 Months to Less Than 6 Years Old
- ClinicalTrials.gov ID
- NCT00623597
- Acronym / sponsor ID
- NV20911
- Conditions
- HIV Infections
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 18 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Jun 2008
- Primary completion
- Mar 2010 (actual)
- Study completion
- Mar 2010 (actual)
- First posted
- 26 Feb 2008 (estimated)
- Results
- Posted 14 Jan 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This single arm study will assess the pharmacokinetics, safety and activity of saquinavir (Invirase hard gel capsules, film coated tablets or opened capsules) boosted by combination with ritonavir, in HIV-1 infected infants and children between the ages of 4 months and 6 years. Patients will commence treatment with saquinavir 50mg/kg bid plus ritonavir 2.5mg/kg or 3.0mg/kg (dependent on body weight), and a background antiretroviral regimen. If drug exposures are found to be dissimilar to those previously seen in older children and adults, or are associated with toxicities, subsequent dose adjustments will be made. The anticipated time on study treatment is 3-12 months, and the target sample size is <100 individuals.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: ritonavir, Drug: saquinavir [Invirase] |
Who may qualify
- Ages
- 4 months to 6 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- infants and children, 4 months to <6 years;
- confirmed HIV-1 infection;
- patients for whom saquinavir/ritonavir together with >=2 background ARVs is considered appropriate.
Key exclusion criteria (3 listed)
- body weight >4kg/8.8 pounds;
- use of any concomitant medications that may interfere with the pharmacokinetics of saquinavir or ritonavir;
- malabsorption, severe chronic diarrhea or vomiting within 28 days of the study.
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 |
|---|---|---|
| ritonavir2.5-3.0mg/kg po bid (starting dose) for 48 weeks | Drug | 1 |
| saquinavir [Invirase]50mg/kg po bid (starting dose) for 48 weeks | Drug | 1 |
Primary outcome
Plasma Trough Concentrations (Ctrough) for Saquinavir
Time frame: Pre-dose at Weeks 8, 12, 24.
Plasma trough concentration is the average steady state concentration prior to morning and evening dose. Ctrough of Saquinavir was normalized to a dose of 50 mg/kg.
Area Under the Plasma Concentration-time Curve Over the Time Interval From Zero to Twelve Hours (AUC0-12h) for Saquinavir
Time frame: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an Non-nucleoside reverse transcriptase inhibitor [NNRTI] containing regimen).
The area under the plasma concentration-time curve from time zero to twelve hours (AUC0-12h) is area under the plasma concentration-time curve from time zero through actual tlast. The area under the plasma concentration-time curve from time zero to twelve hours of saquinavir was normalized to a dose of 50 mg/kg.
Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)
Time frame: From Baseline (Day 1) till Week 48 and Follow-up (Week 52)
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes
Change In Hematocrit From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Change In Hemoglobin, Total Protein And Total Albumin From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Change In White Blood Cell (WBC), Platelet, Basophil, Lymphocyte, Monocyte, Neutrophil And Eosinophil Cell Counts From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Change In Red Blood Cell (RBC) Counts From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Change In Creatine Kinase (CK), Serum Glutamic Oxaloacetic Transaminase (SGOT), Alkaline Phosphatase (ALP), Serum Glutamic-Pyruvic Transaminase (SGPT), Gamma-Glutamyl Transferase (GGT) Counts From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Change In Total Bilirubin, Creatinine, Uric Acid From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Change In Blood Urea Nitrogen (BUN), Low Density Lipoprotein (LDL) Cholesterol, High Density Lipoprotein (HDL Cholesterol), Triglycerides, Calcium, Potassium, Sodium, Chloride, Phosphate, Fasting Glucose From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Change In Hematuria, Glycosuria And Proteinuria From Baseline
Time frame: Baseline (Day 1), Week 24 and Week 48
Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
10 secondary outcomes
Plasma Trough Concentrations (Ctrough) for Ritonavir
Time frame: Pre-dose at Weeks 8, 12, 24
Maximum Observed Concentration (Cmax) for Saquinavir and Ritonavir
Time frame: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an NNRTI containing regimen and at Week 24
Area Under the Plasma Concentration-time Curve Over the Time Interval From Zero to Twelve Hours (AUC0-12h) for Ritonavir
Time frame: Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an NNRTI containing regimen).
Change From Baseline in Mean Human Immunodeficiency Virus Viral Load
Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.
Number of Participants With Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA) <400 Copies/mL
Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.
Number of Participants With Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA) <50 Copies/mL
Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 (or upon premature discontinuation); a baseline collection was made if there was not already a value available taken within the previous 4 weeks.
Number of Participants With >1 Log Decrease From Baseline in Human Immunodeficiency Virus (HIV) -Ribonucleic Acid (RNA )
Time frame: From Week 8 till Week 48
Number of Participants With Virological Failure
Time frame: From Week 12 till Week 48
Change From Baseline in Cluster Differentiation Antigen 4 (CD4) Lymphocyte Count
Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 or upon premature discontinuation
Change From Baseline in Cluster Differentiation Antigen 8 (CD8) Lymphocyte Count
Time frame: Baseline (Day 1), Weeks 8, 12, 24, 36, and 48 or upon premature discontinuation
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Mar 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes
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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.
Clinical Trials study director
Hoffmann-La Roche
10 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ritonavir and saquinavir [Invirase] in people with HIV Infections, run by Hoffmann-La Roche at 10 sites in 3 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 3 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 7 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 10 sites in Thailand, Argentina, Spain. 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 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 14 Jan 2016). 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?
Plasma Trough Concentrations (Ctrough) for Saquinavir (time frame: Pre-dose at Weeks 8, 12, 24.). The study lists 11 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 7 Mar 2016.