HIV-1 infection MedDRA version: 9.1 Level: LLT Classification code 10020192 Term: HIV-1
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Documented HIV-1 infection. • In the judgement of the investigator, it is appropriate to initiate ARV therapy based on the subject’s medical condition and taking into account applicable guidelines for the treatment of HIV-1 infection. • Subject has access to an investigator-selected ARV regimen post-study in accordance with applicable guidelines for the treatment of HIV-1 infection. • HIV-1 plasma viral load at screening = 5,000 HIV-1 RNA. • Predicted phenotypic sensitivity at screening to the currently approved NNRTIs (EFV, ETR and NVP) and to the N(t)RTIs in their background regimen. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Any previous treatment with a therapeutic HIV vaccine or use of ARVs, including use of NVP for the prevention of vertical HIV transmission. • The presence of at least one of the mutations that are specific indicators of transmitted (or primary) drug resistance as described by Bennet et al. • Known infection with HIV-2 or with HIV-1 group O. • Subject has any currently active AIDS defining illness (Category C conditions). • Grade 3 or 4 laboratory abnormalities (with exceptions, as per section 4).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the proportion of subjects with at least one treatment-emergent Grade 1-4 CNS or psychiatric adverse event, observed between Baseline through Week 12 and judged by the investigator to be at least possibly related to the study drug, in the ETR group versus the control group (EFV), respectively.;Primary end point(s): The primary endpoint is the proportion of subjects with at least one treatment-emergent Grade 1-4 CNS or psychiatric adverse event, observed between Baseline through Week 12, as judged by the investigator to be at least possibly drug related to the study drug, in the ETR group versus the control group (EFV). ;Secondary Objective: To evaluate and compare ETR vs EFV over 48 wks regarding • Antiviral activity as determined by plasma viral load • Mean worst score during the treatment period in IMP tolerability according to the CNS and total Tolerability score, as calculated from subject report on the HIV Patient Symptoms Profile • Percentage of subjects with at least one treatment-emergent Grade 1-4 CNS or psychiatric adverse event, judged by the investigator to be at least possibly related to the study drug • Incidence of treatment-limiting psychiatric and/or CNS adverse events • Safety and tolerability • Immunologic changes (as measured by CD4+ T-cell count change from Baseline, absolute and percentage) • Adverse events of special interest, including but not limited to rash, hyperlipidaemia and lipoatrophy • To assess the evolution of the viral genotype and phenotype • To evaluate the population pharmacokinetics and the pharmacokinetic/pharmacodynamic relationships for efficacy and safety of ETR. | — |
Countries
Austria, Denmark, France, Germany, Hungary, Italy, Spain, United Kingdom