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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in Thailand

Argentina3 sites
  • Study site

    Buenos Aires, 1202

  • Study site

    Buenos Aires, 1425

  • Study site

    Santa Fe, 3000

Other trials in Argentina

Spain3 sites
  • Study site

    Madrid, Madrid, 28046

  • Study site

    Madrid, Madrid, 28905

  • Study site

    Valencia, Valencia, 46009

Other trials in Spain

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 groups in NCT00623597
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: ritonavir; Drug: saquinavir [Invirase]

What is being measured

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

  1. 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.

  2. 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).

  3. 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)

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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)
  1. 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

  2. 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

  3. 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).

  4. 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.

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. 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

  10. 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.

  1. First posted26 Feb 2008 (estimated)
  2. Study startJun 2008
  3. Primary completionMar 2010
  4. Study completionMar 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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
18 participants (actual)
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
Data monitoring committee
No
Individual data sharing
Yes

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.

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