Hepatitis B, Hepatitis C, Chronic, Human Immunodeficiency Virus
Conditions
Keywords
HIV and Hepatitis co-infection
Brief summary
Confirm the safety of maraviroc when used as a component of combination antiretroviral therapy in HIV and Hepatitis co-infected patients.
Interventions
maraviroc 150 mg. p.o. b.i.d., darunavir 600 mg. p.o. b.i.d., ritonavir 100 mg. p.o. b.i.d., raltegravir 400 mg. p.o. b.i.d.
etravirine 200 mg. p.o. b.i.d., darunavir 600 mg. p.o. b.i.d., ritonavir 100 mg. p.o. b.i.d., raltegravir 400 mg. p.o. b.i.d.
Sponsors
Study design
Eligibility
Inclusion criteria
HIV-1 RNA viral load of ≥1000 copies/mL at the screening visit. Detectable HCV RNA levels or Hepatitis B surface antigen (HBsAg) positive. Previous antiretroviral treatment experience with at least 2 antiretroviral drug classes for ≥3 months. Documented resistance to an NNRTI as well as documented resistance to another antiretroviral agent. CCR5 tropic virus detected by the TrofileTM assay.
Exclusion criteria
Suspected or documented active, untreated HIV-1 related Opportunistic Infection (OI) or other condition requiring acute therapy at the time of randomization (subjects on a stable (\>1 month) secondary OI prophylaxis regimen are eligible for the study; subjects on a primary OI prophylaxis regimen of any duration are also eligible for the study). Prior treatment with darunavir/ritonavir, raltegravir, or another integrase inhibitor, etravirine, maraviroc or another CCR5 inhibitor for more than 14 days at any time. Subjects receiving treatment for chronic Hepatitis or the expected need to initiate HCV treatment within 48 weeks of randomization. (Subjects who were previously treated for Hepatitis C are eligible for the study). AST and/or ALT greater than 5 times the upper limit of normal (ACTG Grade 3).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of subjects with Grade 3 and Grade 4 ALT test abnormalities associated with a change from baseline ALT ≥100 IU/L through Week 48. | 48 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Undetectable HCV viral load 24 weeks after stopping HCV treatment. | 240 weeks |
| Percentage of subjects with HIV-1 RNA levels <48 copies/mL at Week 48. | 48 weeks |
| Change from baseline in CD4+ cell count at Week 48. | 48 weeks |
| Change from baseline in mean hepatitis B DNA through Week 48 | 48 Weeks |
| Change from baseline in mean Hepatitis C viral load through Week 48 | 48 weeks |
| Time to development of Grade 3 and Grade 4 ALT test abnormalities associated with a change from baseline ALT ≥100 IU/L. | 96 weeks |
| Percentage of subjects with Hy's law abnormalities through Week 48. | 48 weeks |
| Percentage of HCV treated subjects with Hy's law abnormalities through Week 96. | 96 weeks |
| Percentage of HCV treated subjects with Grade 3 and Grade 4 ALT test abnormalities associated with a change from baseline ALT ≥100 IU/L through 96. | 48 weeks |
Countries
Canada, Poland, United States