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HIV InfectionsPhase 3NCT00819052

Switching Nevirapine Immediate Release( IR) Based Regimen to Nevirapine Extended Release (XR) Based Regimen in Human Immunodeficiency Virus One (HIV-1) Infected Patients

A Phase 3 study testing Nevirapine XR and Nevirapine IR in people with HIV Infections, run by Boehringer Ingelheim at 39 sites in 4 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

The primary objective of this study is to demonstrate the efficacy of nevirapine extended release (NVP XR) based regimen for HIV-1 infected patients who were receiving nevirapine immediate release (NVP IR) based regimen for at least 18 prior weeks of therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV Infections
What is being tested?
Nevirapine XR and Nevirapine IR
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
445 participants
Where
39 sitesin 4 countries
Study dates
Dec 2008to Jan 2012
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • HIV infected subjects treated with a Viramune based regimen.
  • A subject that meets the following inclusion criteria will be eligible for participation in this study:
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation.
  • HIV-1 infected males or females of at least 18 years.
  • Treatment with Viramune regimen for at least the preceding 18 weeks.
  • Background therapy with lamivudine/ abacavir(3TC/ABC) (Kivexa® in EU; Epzicom in US), emtricitabine/tenofovir( FTC/TDF) (Truvada) or lamivudine/zidovudine 3TC/AZT (Combivir®).
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  • An HIV viral load < 50 copies/mL in preceding 3 months.
  • An HIV viral load of < 50 copies/mL at screening (Visit 1).
  • Acceptable screening laboratory values that indicate adequate baseline organ function with the following exceptions: alanine aminotrnasferase (ALT) and asparatate aminotransferase (AST) < 2.5 × upper limit of normal (ULN) Division of Acquired Immunodeficiency Syndrome (DAIDS Grade 1).
  • Willingness to abstain from ingesting medications that are listed as contraindicated in the Summary of Product Characteristics (SPC) or package insert (or PI) or Investigator's Brochure during the study.
  • Karnofsky performance score of < 70

Who cannot join

  • Subjects who meet one or more of the following criteria will be excluded from the study:
  • Current treatment with an HIV protease inhibitor
  • Participation in another trial or use of an investigational medicine within two months prior to Day 1 of this study
  • Female patients of child-bearing potential who:
  • Have a positive serum pregnancy test at screening.
  • Are breast feeding.
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  • Are planning to become pregnant
  • Are not willing to use a double-barrier methods (simultaneous use of two different methods such as diaphragm with spermicidal substance and condom) of contraception, or require ethinyl estradiol administration. Barrier methods of contraception include diaphragm with spermicidal substance, condom for females, cervical caps and condoms..
  • Laboratory parameters > DAIDS grade 2 Coagulation prothrombin time (PT), partial thromboplastin time (PTT), International Normalized ratio (INR) Hematology (absolute platelets, white blood cells (WBC), absolute neutrophil count, hemoglobin) Biochemistry (total bilirubin, amylase, serum creatinine, fasting glucose, lactate, alkaline phosphatase)
  • Laboratory parameters > DAIDS grade 3 Total triglycerides (total cholesterol no restriction)
  • Hypersensitivity to any ingredients of the test products
  • Active drug abuse or chronic alcoholism.
  • Hepatic cirrhosis stage Child-Pugh B or C
  • History of severe or acute illness within 60 days prior to Day 1, malignancy or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the trial
  • Inability to comply with protocol requirements

Trial locations and contacts

39 sites in 4 countries.

39 sites in 4 countries

Germany15 sites
  • 1100.1526.4902 Boehringer Ingelheim Investigational Site

    Berlin

  • 1100.1526.4903 Boehringer Ingelheim Investigational Site

    Berlin

  • 1100.1526.4904 Boehringer Ingelheim Investigational Site

    Bochum

  • 1100.1526.4905 Boehringer Ingelheim Investigational Site

    Bonn

  • 1100.1526.4907 Boehringer Ingelheim Investigational Site

    Cologne

  • 1100.1526.4914 Boehringer Ingelheim Investigational Site

    Cologne

  • 1100.1526.4906 Boehringer Ingelheim Investigational Site

    Düsseldorf

  • 1100.1526.4909 Boehringer Ingelheim Investigational Site

    Frankfurt

  • 1100.1526.4908 Boehringer Ingelheim Investigational Site

    Frankfurt am Main

  • 1100.1526.4901 Boehringer Ingelheim Investigational Site

    Freiburg im Breisgau

  • 1100.1526.4910 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1100.1526.4911 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1100.1526.4912 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1100.1526.4913 Boehringer Ingelheim Investigational Site

    Hanover

  • 1100.1526.4915 Boehringer Ingelheim Investigational Site

    München

Other trials in Germany

United States11 sites
  • 1100.1526.1007 Boehringer Ingelheim Investigational Site

    Austin, Texas

  • 1100.1526.1003 Boehringer Ingelheim Investigational Site

    Berkley, Michigan

  • 1100.1526.1012 Boehringer Ingelheim Investigational Site

    Beverly Hills, California

  • 1100.1526.1014 Boehringer Ingelheim Investigational Site

    Beverly Hills, California

  • 1100.1526.1006 Boehringer Ingelheim Investigational Site

    Clearwater, Florida

  • 1100.1526.1011 Boehringer Ingelheim Investigational Site

    Long Beach, California

  • 1100.1526.1013 Boehringer Ingelheim Investigational Site

    Los Angeles, California

  • 1100.1526.1002 Boehringer Ingelheim Investigational Site

    Miami, Florida

  • 1100.1526.1005 Boehringer Ingelheim Investigational Site

    Miami Beach, Florida

  • 1100.1526.1001 Boehringer Ingelheim Investigational Site

    Washington D.C., District of Columbia

  • 1100.1526.1004 Boehringer Ingelheim Investigational Site

    Washington D.C., District of Columbia

Other trials in United States

France9 sites
  • 1100.1526.3306A Boehringer Ingelheim Investigational Site

    Bobigny

  • 1100.1526.3311A Boehringer Ingelheim Investigational Site

    Bordeaux

  • 1100.1526.3307A Boehringer Ingelheim Investigational Site

    La Roche-sur-Yon

  • 1100.1526.3312A Boehringer Ingelheim Investigational Site

    Le Kremlin-Bicêtre

  • 1100.1526.3301A Boehringer Ingelheim Investigational Site

    Lyon

  • 1100.1526.3310A Boehringer Ingelheim Investigational Site

    Marseille

  • 1100.1526.3308A Boehringer Ingelheim Investigational Site

    Montpellier

  • 1100.1526.3302A Boehringer Ingelheim Investigational Site

    Nantes

  • 1100.1526.3304A Boehringer Ingelheim Investigational Site

    Nice

Other trials in France

United Kingdom4 sites
  • 1100.1526.4403 Boehringer Ingelheim Investigational Site

    London

  • 1100.1526.4405 Boehringer Ingelheim Investigational Site

    London

  • 1100.1526.4404 Boehringer Ingelheim Investigational Site

    Manchester

  • 1100.1526.4402 Boehringer Ingelheim Investigational Site

    Tooting, London

Other trials in United Kingdom

About this study

Official title: An Open Label, Phase IIIb, Randomised Parallel Group Study to Assess the Efficacy and Safety of Switching HIV-1 Infected Patients Successfully Treated With a Nevirapine IR Based Regiment to Nevirapine XR 400 mg QD or Remaining on Nevirapine IR 200 mg BID Based Program

The primary objective of this study is to demonstrate the efficacy of nevirapine extended release (NVP XR) based regimen for HIV-1 infected patients who were receiving nevirapine immediate release (NVP IR) based regimen for at least 18 prior weeks of therapy.

Conditions
HIV Infections
Being tested
Nevirapine XR, Nevirapine IR
Medical subject headings
HIV Infections

What participants receive

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

  • Nevirapine XRDrug

    Nevirapine XR

  • Nevirapine XRDrug

    Nevirapine extended release

  • Nevirapine IRDrug

    Nevirapine Immediate Release

Study groups in NCT00819052
Study groupRoleWhat they receive
NVP IRActive comparator200 mg orally twice a day (po BID)
Receives: Drug: Nevirapine XR; Drug: Nevirapine IR
NVP XRExperimental400 mg orally once a day (po QD)
Receives: Drug: Nevirapine XR

What is being measured

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

  1. Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Primary endpoint was the number of patients with a sustained virologic response through week 24

    Measured: week 24

Secondary outcomes (42)
  1. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 2

    Measured: week 2

  2. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 4

    Measured: week 4

  3. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 8

    Measured: week 8

  4. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 12

    Measured: week 12

  5. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 400 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 24

    Measured: week 24

  6. Kaplan-Meier Estimates of the Proportions of Patients Without Loss of Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Measured: week 0 to 24

  7. Summary of CD4 Count (Cells/Cubic Millimeter) at Baseline, Full Analysis Set Population

    Measured: week 0

  8. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 2, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 2

  9. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 4, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 4

  10. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 8, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 8

  11. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 12, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 12

  12. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 24, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 24

  13. Comparison of CD4 Count (Cells/Cubic Millimeter) Change From Baseline at Week 24, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 24

  14. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 48

    Measured: week 48

  15. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 60

    Measured: week 60

  16. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 72

    Measured: week 72

  17. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 84

    Measured: week 84

  18. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 96

    Measured: week 96

  19. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 108

    Measured: week 108

  20. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 120

    Measured: week 120

  21. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 132

    Measured: week 132

  22. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response through week 144

    Measured: week 144

  23. Number of Participants With Virologic Response Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population

    Endpoint was the number of patients with a sustained virologic response at their last available visit

    Measured: last available visit, up to 144 weeks

  24. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 48, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 48

  25. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 60, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 60

  26. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 72, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 72

  27. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 84, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 84

  28. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 96, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 96

  29. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 108, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 108

  30. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 120, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 120

  31. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 132, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 132

  32. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Week 144, Observed Cases, Full Analysis Set Population

    Measured: baseline, week 144

  33. Change From Baseline in CD4 Count (Cells/Cubic Millimeter) at Last Available Visit, Observed Cases, Full Analysis Set Population

    Measured: baseline, last available visit (up to 144 weeks)

  34. Proportion of Virologic Response (Viral Load <400 Copies/mL) Trough Week 144

    Endpoint was the number of patients with a sustained virologic response through week 144

    Measured: week 144

  35. Change From Baseline in VL (HIV-1 Viral Load) at Each Visit

    Measured: week 48, 60, 72, 84, 96, 108, 120, 132, 144, last available visit

  36. Changes in Safety Parameters Related to Treatment

    Occurence of investigations related to treatment

    Measured: until week 144

  37. Occurence of Rashes

    drug-related rashes by severity

    Measured: 144 weeks

  38. Occurence of Hepatic Events

    Measured: 144 weeks

  39. New AIDS or AIDS-related Progression Event or Death

    Measured: 144 weeks

  40. Time to Loss of Virologic Response

    Kaplan-Meier Estimates of time to loss of virologic response defined as the time between the start of treatment and the time of treatment failure, up to and including the time when the last patient was on treatment for 48 weeks.

    Measured: 48 weeks

  41. Genotypic Resistance Associated With Virologic Failure

    Genotypic resistance associated with virologic failure.

    This endpoint was not analysed due to lack of data.

    Measured: 48 weeks

  42. Trough Plasma Concentration

    Trough plasma concentrations of Nevirapine at steady state after multiple oral administrations of Nevirapine treatments from day 1 (visit 2) to week 48 (visit 9).

    Measured: Day 1 to week 48

Timeline

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

  1. First posted8 Jan 2009 (estimated)
  2. Study startDec 2008
  3. Primary completionJan 2012
  4. Study completionJan 2012

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
445 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00819052
Sponsor's protocol ID
1100.1526
Other IDs
2008-004681-55, 2008
Status last verified
Nov 2014
First submitted
7 Jan 2009
Last updated
10 Nov 2014

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nevirapine XR and Nevirapine IR in people with HIV Infections, run by Boehringer Ingelheim at 39 sites in 4 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 11 inclusion and 15 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 10 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in Germany, United States, France, United Kingdom. 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 24 Feb 2012). 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?

Comparison of Virologic Response at Week 24 Using Lower Limit of Quantification (LLOQ) = 50 Copies/mL, Full Analysis Set Population (time frame: week 24). 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 10 Nov 2014.

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