HIV Infection
Conditions
Keywords
HIV, paediatric, Abacavir, lamivudine
Brief summary
Cross-over 28 week study of the plasma pharmacokinetic profiles of twice daily 3TC (4mg/kg/dose BD) with once daily 3TC (8mg/kg/dose OD) and twice daily ABC (8mg/kg/dose BD) with daily ABC (16mg/kg/dose OD) where one or both drugs are being taken as part of combination antiretroviral therapy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Children with definitive HIV infection * Age \> 2 and \< 13 years * Currently on combination ART including 3TC and / or ABC, for at least 6 months, with stable CD4 cell count and HIV RNA viral load and expected to stay on this regimen for at least a further 3 months.
Exclusion criteria
* • Intercurrent illness * Receiving concomitant therapy except prophylaxis against Pneumocystis carinii pneumonia (PCP) * Abnormal renal or liver function (grade 3 or above)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cmax of abacavir after qd and bid dosing | week 0 and week 4 |
| AUC of abacavir after qd and bid dosing | week 0 and week 4 |
| Cmin of abacavir after qd and bid dosing | week 0 and week 4 |
| Area Under Curve (AUC) of lamivudine after qd and bid dosing | week 0 and Week 4 |
| Cmin of lamivudine after qd and bid dosing | week 0 and week 4 |
| Cmax of lamivudine after qd and bid dosing | week 0 and week 4 |
Secondary
| Measure | Time frame |
|---|---|
| To describe trough intracellular levels of 3TC on twice daily and once daily dosage regimens | Week 0 and week 4 |
Other
| Measure | Time frame |
|---|---|
| To describe patient and family acceptability of and adherence to once daily compared to twice daily dosing | week -2 and week 24 |
Countries
United Kingdom