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Phase IIa Dose-Ranging Study of GSK1349572 in HIV-1 Infected Adults
This study has been completed.
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00708110
  Purpose

GSK1349572 is an integrase inhibitor that will be evaluated for the treatment of HIV infection. This phase IIa, multicenter, randomized, parallel, double-blind, dose ranging, placebo-controlled 'proof of concept' study is to be conducted to compare antiviral effect, safety, tolerability, and pharmacokinetics of GSK1349572 monotherapy versus placebo over 10 days in ART-naïve and experienced, but integrase inhibitor naïve (meaning never having had an integrase inhibitor) HIV-1 infected adults who are not currently receiving antiretroviral therapy. This study consists of a screening visit, a treatment period and a follow-up evaluation. Thirty subjects will be randomized to receive one of three doses of GSK1349572 or placebo q24h over 10 days. Antiviral effect measures include viral load and CD4 cell count.


Condition Intervention Phase
HIV-1 Infection
Drug: GSK1349572
Phase I

MedlinePlus related topics: AIDS
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Parallel Assignment, Pharmacokinetics/Dynamics Study
Official Title: A Phase 2a, Multicenter, Randomized, Parallel, Double-Blind, Dose Ranging, Placebo-Controlled Study to Compare Antiviral Effect, Safety, Tolerability and Pharmacokinetics of GSK1349572 Monotherapy Versus Placebo Over 10 Days in HIV-1 Infected Adults (ING111521)

Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • 1) Change from baseline in plasma HIV-1 RNA to Day 11, 2) GSK1349572 PK parameters following dose administration on Day 1 and Day 10, 3) Safety and tolerability parameters

Secondary Outcome Measures:
  • Change from baseline in plasma HIV-1 RNA to nadir (maximum change)
  • Proportion of subjects with HIV-1 RNA<400 and <50 copies/mL
  • Change from baseline in CD4+ cell count to Day 11
  • Emergence of drug resistance mutations, if appropriate

Estimated Enrollment: 30
Study Start Date: June 2008
Study Completion Date: August 2008
Primary Completion Date: August 2008 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female >/18 and </ 65 years of age.
  • A female subject is eligible to participate if she is of:
  • • Non-childbearing potential defined as pre-menopausal females with a documented tubal ligation, hysterectomy or bilateral oophorectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) > 40 MlU/ml and estradiol < 40 pg/ml (<140 pmol/L) is confirmatory]. Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the contraception methods in Section 8.1 if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment. For most forms of HRT, at least 2-4 weeks will elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can resume use of HRT during the study without use of a contraceptive method.
  • Male subjects must agree to use one of the contraception methods listed in Section 8.1. This criterion must be followed from the time of the first dose of study medication until 14 days after the last dose of study drug.
  • CD4+ cell count >/ 100 cells/mm3.
  • Documented HIV-1 infection and a screening plasma HIV-1 RNA >/ 5000 copies/mL.
  • No current antiretroviral therapy and have not received any in the 12 weeks prior to first dose.
  • Capable of giving written informed consent, which includes compliance

Exclusion Criteria:

  • The subject has a positive pre-study drug screen. Drugs that will be screened for include amphetamines, barbiturates, cocaine, and PCP.
  • The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  • History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation. In addition, if heparin is used during PK sampling, subjects with a history of sensitivity to heparin or heparin-induced thrombocytopenia should not be enrolled.
  • Prior treatment with an integrase inhibitor (> 1 dose).
  • Treatment with radiation therapy or cytotoxic chemotherapeutic agents within 30 days of study drug administration or anticipated need for such treatment within the study.
  • Treatment with immunomodulating agents (such as systemic corticosteroids, interleukins, interferons) or any agent with known anti-HIV activity (such as hydroxyurea or foscarnet) within 30 days of study drug administration
  • Treatment with any vaccine within 30 days prior to receiving study medication.
  • Use of multivitamins or antacids within 24 hours prior to the first dose of investigational product.
  • History of regular alcohol consumption within 6 months of the screening visit defined as:
  • • an average weekly intake of >14 drinks/week for men or >7 drinks/week for women. One drink is equivalent to (12 g alcohol) = 5 ounces (150 ml) of wine or 12 ounces (360 ml) of beer or 1.5 ounces (45 ml) of 80 proof distilled spirits.
  • Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
  • Pregnant females as determined by positive urine/serum hCG test at screening or prior to dosing.
  • Lactating females.
  • Unwillingness or inability to follow the procedures outlined in the protocol.
  • Any condition (including alcohol or drug abuse) which, in the opinion of the investigator, could interfere with the subject's ability to comply with the dosing schedule and protocol evaluations or which might compromise the safety of the subject.
  • An active Center for Disease Control and Prevention (CDC) Category C disease [see Appendix 1], except cutaneous Kaposi's sarcoma not requiring systemic therapy during the trial.
  • History of clinically relevant pancreatitis or hepatitis within the previous 6 months.
  • Subjects with a pre-existing condition interfering with normal gastrointestinal anatomy or motility, hepatic and/or renal function, that could interfere with the absorption, metabolism, and/or excretion of the study drugs.
  • Has a positive screening Hepatitis B surface antigen; positive screening hepatitis C virus (HCV) antibody and detectable HCV ribonucleic acid (RNA) on subsequent testing. If the hepatitis C antibody is positive but the HCV RNA is undetectable, the subject may be included in the study.
  • Inadequate renal function at Screening, defined as either a serum creatinine >1.5 mg/dL or a calculated creatinine clearance (CrCl) ≤ 50 mL/min. A single repeat serum creatinine is allowed to determine eligibility.
  • Any acute laboratory abnormality at screen which, in the opinion of the investigator, should preclude the subject's participation in the study of an investigational compound. Any grade 4 laboratory abnormality at screen, with the exception of CPK, will exclude a subject from study participation unless the investigator can provide a compelling explanation for the laboratory result(s) and has the assent of the sponsor. A single repeat is allowed for eligibility determination.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 3x times the upper limit of normal. A single repeat of ALT and/or AST is allowed for eligibility determination.
  • Exclusion Criteria for Screening ECG (A single repeat is allowed for eligibility determination):
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00708110

Locations
United States, California
GSK Investigational Site
San Francisco, California, United States, 94115
GSK Investigational Site
Newport Beach, California, United States, 92663
GSK Investigational Site
Bakersfield, California, United States, 93301
GSK Investigational Site
Long Beach, California, United States, 90813
United States, Colorado
GSK Investigational Site
Denver, Colorado, United States, 80220
United States, District of Columbia
GSK Investigational Site
Washington, District of Columbia, United States, 20009
United States, Florida
GSK Investigational Site
Orlando, Florida, United States, 32803
GSK Investigational Site
Vero Beach, Florida, United States, 32960
GSK Investigational Site
Fort Lauderdale, Florida, United States, 33316
GSK Investigational Site
Ft. Lauderdale, Florida, United States, 33306
United States, Georgia
GSK Investigational Site
Atlanta, Georgia, United States, 30308
United States, New Jersey
GSK Investigational Site
Voorhees, New Jersey, United States, 08043
GSK Investigational Site
Hillsborough, New Jersey, United States, 08844
United States, New Mexico
GSK Investigational Site
Santa Fe, New Mexico, United States, 87505
United States, North Carolina
GSK Investigational Site
Charlotte, North Carolina, United States, 28209
United States, Texas
GSK Investigational Site
Dallas, Texas, United States, 75204
GSK Investigational Site
Dallas, Texas, United States, 75246
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials, MD, MPH GlaxoSmithKline
  More Information

Responsible Party: GSK ( Study Director )
Study ID Numbers: 111521
Study First Received: June 30, 2008
Last Updated: October 27, 2008
ClinicalTrials.gov Identifier: NCT00708110  
Health Authority: United States: Food and Drug Administration

Keywords provided by GlaxoSmithKline:
HIV-1 infection
integrase inhibitor
dose-ranging study
phase IIa

Study placed in the following topic categories:
HIV Infections
Acquired Immunodeficiency Syndrome

Additional relevant MeSH terms:
Infection

ClinicalTrials.gov processed this record on January 14, 2009