Effectiveness and Safety of Two Forms of Stavudine in HIV-Infected Patients
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Purpose
The purpose of this study is to compare the safety and effectiveness of 2 forms of stavudine (d4T). One form is taken once a day (extended release) and the other form is taken twice a day (immediate release).
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Drug: Efavirenz Drug: Lamivudine Drug: Stavudine |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | The Safety and Antiviral Efficacy of Stavudine Extended Release Formulation as Compared to Stavudine Immediate Release Formulation, Each as Part of Potent Antiretroviral Combination Therapy |
| Estimated Enrollment: | 730 |
| Study Start Date: | June 2000 |
| Study Completion Date: | April 2002 |
| Primary Completion Date: | April 2002 (Final data collection date for primary outcome measure) |
Patients are randomized to receive blinded stavudine extended release (d4T ER) or immediate release (d4T IR) formulation. Randomization is balanced by screening HIV viral load of less than 30,000 copies/ml or at least 30,000 copies/ml and by site. Patients also receive open-label efavirenz (EFV) and lamivudine (3TC). Efficacy is evaluated over 48 weeks of the dosing period and safety is evaluated over the entire dosing period (56 weeks).
Eligibility| Ages Eligible for Study: | 12 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria
Patients may be eligible for this study if they:
- Are at least 18 years old. Patients living in USA, Puerto Rico, Australia, Brazil, Singapore, and Thailand can be at least 12 years old (need consent of parent or guardian if under 18).
- Have a viral load of at least 2,000 copies/ml within 21 days of study entry.
- Have a CD4 count of at least 100 cells/mm3 within 21 days of study entry.
- Agree to use a barrier method of birth control (such as condoms) during the study.
- Are available for follow-up for at least 56 weeks.
Exclusion Criteria
Patients will not be eligible for this study if they:
- Are pregnant or breast-feeding.
- Have taken nonnucleoside reverse transcriptase inhibitors (NNRTIs) or protease inhibitors (PIs) for more than 30 days and within 14 days of study entry.
- Have a new opportunistic (HIV-related) infection or condition requiring treatment.
- Have acute (early) HIV infection.
- Have diarrhea (at least 6 loose stools/day for at least 7 days in a row) within 30 days prior to study entry.
- Abuse alcohol or drugs.
- Have active hepatitis within 30 days prior to study entry.
- Have a history of peripheral neuropathy (a condition affecting the nervous system).
- Cannot take medications by mouth.
- Are allergic to certain antiviral drugs.
- Need to take certain medications that should not be taken with EFV.
- Have certain other conditions or prior treatments that might affect the study.
Contacts and Locations
Hide Study Locations| United States, California | |
| AIDS Healthcare Foundation | |
| Los Angeles, California, United States, 90027 | |
| United States, District of Columbia | |
| Whitman Walker Clinic | |
| Washington, District of Columbia, United States, 20009 | |
| United States, Florida | |
| IDC Research Initiative | |
| Altamonte Springs, Florida, United States, 32701 | |
| Med Alternatives | |
| Fort Lauderdale, Florida, United States, 33308 | |
| Hillsborough County Health Dept | |
| Tampa, Florida, United States, 33602 | |
| United States, Illinois | |
| The CORE Ctr | |
| Chicago, Illinois, United States, 60612 | |
| United States, Kansas | |
| Univ of Kansas School of Medicine | |
| Wichita, Kansas, United States, 672143124 | |
| United States, Kentucky | |
| Univ of Louisville | |
| Louisville, Kentucky, United States, 40292 | |
| United States, Massachusetts | |
| CRI of New England | |
| Brookline, Massachusetts, United States, 02445 | |
| CRI - Springfield | |
| Springfield, Massachusetts, United States, 01107 | |
| United States, Nevada | |
| No Nevada HOPES | |
| Reno, Nevada, United States, 89520 | |
| United States, New York | |
| Saint Luke's - Roosevelt Hosp Ctr | |
| New York, New York, United States, 10019 | |
| United States, Oklahoma | |
| Univ Hospital | |
| Oklahoma City, Oklahoma, United States, 73104 | |
| United States, Texas | |
| Aesculapisu Medical Health Group | |
| Dallas, Texas, United States, 75204 | |
| Univ of Texas Southwestern Med Ctr | |
| Dallas, Texas, United States, 75390 | |
| Univ of Texas Med Branch | |
| Galveston, Texas, United States, 775550835 | |
| Plaza Med Ctr | |
| Houston, Texas, United States, 77004 | |
| United States, Virginia | |
| Hampton Roads Med Specialists | |
| Hampton, Virginia, United States, 23666 | |
| Argentina | |
| Arnaldo Casiro MD | |
| Buenos Aires, Argentina | |
| Claudia Rodriguez MD | |
| Buenos Aires, Argentina | |
| Fundacion Huesped | |
| Buenos Aires, Argentina | |
| Elida Pallone MD | |
| Buenos Aires, Argentina | |
| Luis Maria Zieher MD | |
| Buenos Aires, Argentina | |
| Fernando Silva Nieto MD | |
| Prov Bs As, Argentina | |
| CAICI | |
| Rosario Santa Fe, Argentina | |
| Marcelo Beltran | |
| San Isidro, Argentina | |
| Australia | |
| Hugo Ree MD | |
| Brisbane, Australia | |
| Prahran Market Clinic | |
| South Yarra, Australia | |
| Belgium | |
| University Hospital Gent | |
| Gent, Belgium | |
| Domaine Universitaire Du SART-TILMAN | |
| Liege, Belgium | |
| Brazil | |
| Federal University of Minas, Dept. of Pediatrics | |
| Belo Horizonte-MG, Brazil | |
| Universidade Estadual de Botucatu | |
| Botucatu-SP, Brazil | |
| Ricardo Leite Hayden | |
| Santos, Brazil | |
| Fundacao Zerbini Casa Da Aids | |
| Sao Paulo, Brazil | |
| Instituto de Infectologia Emilio Ribas | |
| Sao Paulo, Brazil | |
| Canada, British Columbia | |
| Saint Paul's Hosp | |
| Vancouver, British Columbia, Canada | |
| Canada, Quebec | |
| Clinique Medicale L'Actuele | |
| Montreal, Quebec, Canada | |
| Dr Roger P Leblanc | |
| Montreal, Quebec, Canada | |
| Clinique Medicale du Quartier Latin | |
| Montreal, Quebec, Canada | |
| France | |
| Hopital Saint Andre | |
| Bordeaux, France | |
| Hopital Edouard Herriot | |
| Lyon Cedex 03, France | |
| Hopital De L'Hotel Dieu | |
| Nantes, France | |
| Srev Du Pr Gentilini | |
| Paris Cedex 13, France | |
| Hopital Pontachaillou | |
| Rennes, France | |
| Israel | |
| Kaplan Med Ctr | |
| Rehovot, Israel | |
| Sheba Med Ctr | |
| Tel Hashomer, Israel | |
| Italy | |
| Reparto Malattie Infettive | |
| Antella, Italy | |
| Universita Di Bari | |
| Bari, Italy | |
| Ospedali Riuniti | |
| Bergamo, Italy | |
| Ospedale Luigi Cacco Moroni | |
| Milano, Italy | |
| Ospedale Cotugno | |
| Napoli, Italy | |
| Ospedale Cisanello | |
| Pisa, Italy | |
| Ospedale Amedeo de Savoia | |
| Torino, Italy | |
| Ospedale Amedeo di Savoia | |
| Torino, Italy | |
| Mexico | |
| Instituto Nacional de la Nutricion | |
| Mexico City, Mexico | |
| Instituto Nacional de Enfermedades Respiratorias | |
| Mexico City, Mexico | |
| Hospital General | |
| Mexico City, Mexico | |
| Alberto Orneals MD | |
| Tijuana, Mexico | |
| Portugal | |
| Hospital Distrital de Almada | |
| Almada, Portugal | |
| Hospital Universidade De Coimbra | |
| Coimbra, Portugal | |
| Hosp De Santa Maria | |
| Lisboa, Portugal | |
| Puerto Rico | |
| San Cristobal Hosp | |
| Coto Laurel, Ponce, Puerto Rico, 00780 | |
| Clinical Research Puerto Rico Inc | |
| San Juan, Puerto Rico, 009091711 | |
| Russian Federation | |
| Federal AIDS Ctr | |
| Moscow, Russian Federation | |
| Nina Volkova MD | |
| St Petersburg, Russian Federation | |
| Singapore | |
| Tan tock Seng Hosp | |
| Unknown, Singapore | |
| South Africa | |
| Tygerberg Hosp | |
| Cape Town, South Africa | |
| Johannesburg Hosp | |
| Johannesburg, South Africa | |
| Innovir Institute / Saffer House | |
| Johannesburg, South Africa | |
| Chris Hani Baragwanath Hosp | |
| Johannesburg, South Africa | |
| Embassy Drive Medical Centre | |
| Pretoria, South Africa | |
| Spain | |
| Hosp Clinic | |
| Barcelona, Spain | |
| Hosp Gregorio Maranon | |
| Madrid, Spain | |
| Hosp son Dureta | |
| Palma de Mallorca, Spain | |
| Hosp de Navarra | |
| Pamplona, Spain | |
| Thailand | |
| Chulalongkorn Univ Hosp / HIV / NAT Rsch Collab | |
| Bangkok, Thailand | |
| Bamrasnaradura Hosp | |
| Nontaburi, Thailand | |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00005918 History of Changes |
| Other Study ID Numbers: | 244F, AI455-099 |
| Study First Received: | June 15, 2000 |
| Last Updated: | April 28, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Bristol-Myers Squibb:
|
Drug Therapy, Combination Stavudine Lamivudine RNA, Viral Dosage Forms |
Reverse Transcriptase Inhibitors Anti-HIV Agents Viral Load efavirenz |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases Stavudine Lamivudine |
Reverse Transcriptase Inhibitors Efavirenz Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Therapeutic Uses Anti-HIV Agents |
ClinicalTrials.gov processed this record on May 21, 2013