HIV Infections Clinical Trial
Official title:
Double-Blind, Randomized, Dose Optimization Trial of Three Doses of Tipranavir Boosted With Low Dose Ritonavir (TPV/RTV) in Multiple Antiretroviral Drug-Experienced Subjects.
The purpose of this research study is to determine which of three different dose combinations of tipranavir and ritonavir, when taken with a standard approved anti-HIV drug therapy, is most effective and safe. Tipranavir is an investigational protease inhibitor which has been demonstrated to have in vitro activity against HIV-1.
This study will be conducted in HIV+, multiple ARV medication experienced patients. All
patients must have received treatment from each of three ARV classes: NRTIs, NNRTIs and PIs,
have received at least two PI-based ARV regimens (may include the current regimen) with a
viral load greater than or equal to 1000 copies/mL at the time of study entry. The two
separate PI-based regimens must each have been taken for at least 3 months. At least one
resistance-conferring PI-mutation (from a pre-established panel) must be present. Baseline
genotypic screening will be performed and will be used in conjunction with ARV medication
history to determine new background therapy for each individual subject to use.
Following genotypic screening at baseline, qualifying subjects will be randomized to one of
three blinded treatment regimens. Subjects will discontinue their current protease inhibitor
and initiate TPV/RTV for 2 weeks of functional monotherapy. Thereafter, the background ARV
medications will be optimized and subjects will remain on blinded TPV/RTV plus optimized
background therapy for the duration of the trial. Trial duration ranges between 12-32 weeks,
depending on when the subject is entered into the trial and the interim analyses for
determination of optimized TPV/RTV regimen is completed. On determination of the optimal
TPV/RTV dose, subjects may opt to continue open-label treatment.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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