HIV Infections
Conditions
Brief summary
This is a 48 week study for HIV-infected patients who have failed several regimens including PI's, NNRTs and NRTIs. Patients will be randomly selected to be in 1 of 4 groups. Three of the 4 groups will contain capravirine in different doses combined with Kaletra and nucleosides and one of the groups will be a combination of Kaletra and nucleosides without the capravirine.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV-infected male or female at least 18 years of age * HIV RNA level \>1000 copies/mL at screening * Subject has failed regimens that included at least 1 protease inhibitor but not more than 3 protease inhibitors, at least 1 nonnucleoside reverse transcriptase inhibitor, and least 2 nucleoside reverse transcriptase inhibitors * Adequate renal function * Adequate hematological function * Adequate liver function
Exclusion criteria
* Women who are pregnant or lactating * No previous experience with Kaletra
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the optimal safe and effective dose of capravirine in combination with Kaletra plus at least 2 NRTIs | — |
Secondary
| Measure | Time frame |
|---|---|
| the population pharmacokinetics of capravirine and lopinavir/ritonavir (Kaletra) using mixed-effects modeling | — |
| the pharmacokinetic drug-drug interactions between capravirine and Kaletra and selected concomitant medications | — |
| the relationship of HIV baseline resistance (genotype and phenotype) to virologic outcome | — |
| changes in subject-reported health status and HIV symptoms using the Medical Outcomes Study - HIV Health Survey (MOS-HIV) and the Symptoms Distress Module (National Institute of Allergy and Infectious Diseases Adult AIDS Clinical Trials Group) | — |