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A randomised open-label study comparing the safety and efficacy of ritonavir boosted lopinavir and 2-3N(t)RTI backbone versus ritonavir boosted lopinavir and raltegravir in participants virologically failing first-line NNRTI/2N(t)RTI therapy: the SECOND-LINE study. - SECOND-LINE

A randomised open-label study comparing the safety and efficacy of ritonavir boosted lopinavir and 2-3N(t)RTI backbone versus ritonavir boosted lopinavir and raltegravir in participants virologically failing first-line NNRTI/2N(t)RTI therapy: the SECOND-LINE study. - SECOND-LINE

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2009-012283-14-IE
Enrollment
550
Registered
2010-02-15
Start date
2010-08-16
Completion date
Unknown
Last updated
2019-12-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic HIV infection MedDRA version: 12.0 Level: LLT Classification code 10008919 Term: Chronic HIV infection

Interventions

Trade Name: KALETRA Product Name: KALETRA Pharmaceutical Form: Tablet INN or Proposed INN: LOPINAVIR CAS Number: 192725170

Sponsors

National Centre in HIV Epidemiology and Clinical Research
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. HIV-1 positive by licensed diagnostic test 2. Aged 16 years or older (or minimum age as determined by local regulations or as legal requirements dictate) 3. Have received first antiretroviral regimen consisting of an NNRTI plus 2N(t)RTIs for = 24 weeks 4. No change in antiretroviral therapy within 12 weeks prior to screening 5. Failed first-line NNRTI + 2N(t)RTI combination therapy according to virological criteria defined by two consecutive (=7 days apart) HIV RNA results of >500 copies/mL 6. No prior or current exposure to HIV protease inhibitors and/or HIV integrase inhibitors 7. Able to provide written informed consent Are the trial subjects under 18? yes 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) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1. The following laboratory variables: a) absolute neutrophil count (ANC) 5 x ULN 2. Pregnant or nursing mothers 3. Patients with active viral hepatitis B infection defined by the presence in serum of hepatitis B surface antigen 4. Use of immunomodulators within 30 days prior to screening 5. Use of any prohibited medications (rifampicin, midazolam, triazolam, cisapride, pimozide, amiodarone, dihydroergotamine, ergotamine, ergonovine, methylergonovine, astemizole, terfenadine, vardenafil, and St. John’s wort) 6. Intercurrent illness requiring hospitalisation 7. Active opportunistic disease not under adequate control in the opinion of the site Principal Investigator 8. Patients with current alcohol or illicit substance abuse that in the opinion of the site Principal Investigator might adversely affect participation in the study 9. Patients deemed by the site Principal Investigator unlikely to be able to remain in follow-up for the protocol-defined period

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective of this study is to compare the virological efficacy of the two strategies as measured by the proportion of patients with HIV RNA <200 copies/mL 48 weeks after randomisation. ; Secondary Objective: A number of secondary outcomes will be assessed which are of relevance and interest in the assessment of the performance of the two study treatment regimens. These will include (but will not necessarily be limited to) virological, immunological, safety and antiretroviral treatment change. In addition some exploratory objectives will also be examined including clinical, metabolic, anthropometric, medication adherence and quality of life. ;Primary end point(s): To compare the virological efficacy of the two regimens as measured by the proportion of participants with HIV RNA <200 copies/mL 48-weeks and 96 weeks after randomisation in the intention-to-treat (ITT) population.

Countries

France, Germany, Ireland, United Kingdom

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026