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Lopinavir (LPV) Dose Reduction

Pharmacokinetics of Pediatric Aluvia® (Lopinavir /Ritonavir 100/25 mg) and Generic Lopinavir/Ritonavir Tablet Formulation (200/50 mg) in Clinically and Virologically Stable HIV-1 Infected Thai Adults

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01159275
Enrollment
20
Registered
2010-07-09
Start date
2009-07-31
Completion date
2010-03-31
Last updated
2020-07-17

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

Conditions

HIV-1 Infections

Keywords

lopinavir/ritonavir, pharmacokinetics, HIV-1 infected adults, aim to investigate the lower dose of boosted lopinavir in Thais and to compare the levels of lopinavir/ritonavir from Abbot and GPO

Brief summary

The purpose of this study is to study the pharmacokinetics profiles of generic lopinavir/ritonavir and Pediatric Aluvia® at reduced dose by assessing safety, tolerability and efficacy.

Detailed description

This is a prospective, 2 arms, randomized intensive PK study with cross over design. This design will provide us optimal information to answer our research question. First and most important, we can assess the PK when lopinavir/r is used in a dose reduced form. By randomizing the patients to either Abbott's pediatric Aluvia dose reduction or India generic LPV/r dose reduction will allow us to assess the differences in AE severity and frequency. Using the standard abbott product as a control our study will provide important information about the bioavailability of the generic product. Although it's not an original BE design we must be able to make preliminary comparisons.

Interventions

DRUGGeneric LPV/r and Aluvia (pharmacokinetics)

Generic LPV/r 200/50 mg BID 12 hr PK then cross over to Pediatric Aluvia 200/50 mg BID

DRUGAluvia and Generic LPV/r (pharmacokinetics)

First Pediatric Aluvia® 200/50 mg BID, then cross over to Generic LPV/r 200/50 mg BID

Sponsors

Ministry of Education, Thailand
CollaboratorOTHER
The HIV Netherlands Australia Thailand Research Collaboration
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Signed informed consent 2. Evidence of HIV infection (confirmed positive ELISA and/or documented history of measurable HIV RNA) 3. Age\> 18 years 4. Have been on standard dose of any PI containing regimen for at least 4 weeks prior to study entry 5. Currently having no AIDS defining illness 6. Plasma HIV RNA \< 50 copies/mL for at least 24 weeks 7. Willing to adhere to the protocol requirements

Exclusion criteria

1. Any history of taking CYP450 inhibitors or inducers, or any gastric acid-reducing drugs within 14 days of enrollment in the study 2. Current pregnancy or lactating 3. Active opportunistic infection 4. ALT/ AST more than 2x upper limit 5. creatinine more than 1.5 time the upper limit 6. Relevant history or current condition, illness that might interfere with drug absorption, distribution, metabolism or excretion 7. History of sensitivity/idiosyncrasy to the drug or chemically related compounds or pharmaceutical excipients which may be employed in the study. 8. Active drug abuse

Design outcomes

Primary

MeasureTime frameDescription
AUC, Cmin, Cmax of LPV/r between Aluvia and genericweek 2AUC, Cmin, Cmax of LPV/r between Aluvia and generic

Countries

Thailand

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026