HIV Infections
Conditions
Keywords
HIV-1, Drug Therapy, Combination, HIV Protease Inhibitors, Ritonavir, Indinavir, Reverse Transcriptase Inhibitors, Anti-HIV Agents, Viral Load, Nelfinavir
Brief summary
The purpose of this study is to see if it is safe and effective to give indinavir plus ritonavir plus 2 NRTIs to HIV-infected patients who need early intervention treatment.
Detailed description
Patients receive indinavir bid plus ritonavir bid, plus 2 NRTIs bid (2 new NRTIs or 1 new NRTI and 1 NRTI without evidence of resistance). CD4 cell counts and plasma viral RNA are measured every 4 weeks for the duration of the study. Physical examination and laboratory tests of blood and urine are performed every 4 weeks for the duration of the study. Chest x-ray and 12-lead ECG are done prestudy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Patients may be eligible for this study if they: * Are HIV-positive. * Are 18 years of age or older. * Have a CD4 cell count of at least 50 cells/mm3. * Have a viral load (level of HIV in the blood) of at least 400 copies/ml but no more than 20,000 copies/ml. * Have had an initial response to protease inhibitor therapy with a viral load of less than 400 copies/ml in two consecutive tests at least 1 week apart. * Have been on anti-HIV (antiretroviral) treatment including indinavir or nelfinavir for at least 16 weeks. * Have had virologic failure (two consecutive viral loads that were greater than or equal to 400 copies/ml and less than or equal to 20,000 copies/ml at least 1 week apart) that is not due to another infection, vaccination, or a temporary stop in treatment. * Are naive to at least one of the selected NRTIs.
Countries
United States