HIVPhase 4NCT01232127
Effects of Famotidine on the Pharmacokinetics of Atazanavir When Coadministered to Participants With HIV Infection
A Phase 4 study testing Atazanavir, Ritonavir and Tenofovir (TDF) in people with HIV, run by Bristol-Myers Squibb at 2 sites in 2 countries.
Trial summary
The purpose of this study is to assess the effects of famotidine, given twice daily, on atazanavir administered with ritonavir and tenofovir in HIV-infected participants. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- HIV
- What is being tested?
- Atazanavir, Ritonavir and Tenofovir (TDF)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 25 participants
- Where
- 2 sitesin 2 countries
- Study dates
- Feb 2011to Jun 2011
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males and females, 18 to 65 years of age, with HIV infection and a body mass index of 18.0 to 35.0 kg/m^2
- HIV-infected participants receiving a treatment regimen containing only atazanavir/ritonavir, 300/100 mg once daily (QD) + tenofovir, 300 mg QD + at least 1 other nucleotide reverse transcriptase inhibitor continuously for at least 3 months prior to study day 1
- Plasma HIV RNA levels of <50 copies/mL and a CD4 count >200 cells/mm^3.
- No history of virologic failure on a protease inhibitor (PI), documented phenotypic PI resistance, or primary PI mutations, according to International AIDS Society recommendations
- No documented phenotypic resistance to atazanavir or primary genotypic mutations causing resistance to atazanavir
- Women of childbearing potential who were not nursing or pregnant and were using an acceptable method of contraception for at least 4 weeks before dosing, during the study, and for 8 weeks from the last dose of study drug.
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- Women with a negative pregnancy test result within 24 hours prior to dosing with study medication
- Women not breastfeeding
- Men willing or able to agree to practice barrier contraception for the duration of the study and at least 3 months after dosing.
Who cannot join
- Any history of CD4 cell count <50 cells/mm^3
- Previously documented phenotypic or genotypic resistance to any of the currently prescribed NRTIs
- Any significant acute illness within 6 months of study day 1 or chronic medical illness unless stable or controlled by a nonprohibited medication
- Any major surgery within 4 weeks of study day 1
- Any gastrointestinal surgery that could impact upon the absorption of any study drug
- Inability to be venipunctured and/or tolerate venous access
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- History of Gilbert's syndrome, hemophilia, chronic pancreatitis, hypochlorhydria, achlorhydria, clinically relevant gastroesophageal reflux disease, hiatal hernia, or peptic/gastric ulcer disease
- Intractable diarrhea (≥ 6 loose stools/day for at least 7 consecutive days) within 30 days prior to study day 1
- Recent (within 6 months prior to study day 1) drug or alcohol abuse
- Evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, electrocardiogram (ECG)
- Evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, ECG, or clinical laboratory determinations, which would not be expected for the extent of HIV disease
- Any of the following on 12-lead ECG prior to dosing on study day 1, confirmed by repeat: PR ≥ 210 msec; QRS ≥ 120 msec; QT ≥ 500 msec; QTcF ≥ 450 msec
- Second- or third-degree A-V block or clinically relevant ECG abnormalities
- Positive urine screen for drugs of abuse at screening or prior to dosing without a valid prescription. Positive urine drug screen for cannabinoids with or without a prescription is not exclusionary
- Creatinine clearance, as estimated by method of Cockcroft and Gault, less than 60 mL/min
- Liver enzyme levels > 3* the upper limit of normal (ULN) prior to dosing on study day 1
- Total bilirubin level >10*ULN prior to study day 1
- Positive blood screen for hepatitis B surface antigen or hepatitis C antibody.
Trial locations and contacts
2 sites in 2 countries.
2 sites in 2 countries
United Kingdom1 site
Local Institution
London, Greater London, SW10 9NH
About this study
Official title: Open-Label, Multiple-Dose, Drug Interaction Study to Assess the Effect of Famotidine on the Pharmacokinetics of Atazanavir in HIV-Infected Subjects Receiving Atazanavir With Ritonavir and Tenofovir
The purpose of this study is to assess the effects of famotidine, given twice daily, on atazanavir administered with ritonavir and tenofovir in HIV-infected participants.
Read the detailed description
This protocol was designed to compare the pharmacokinetic parameters of atazanavir administered as atazanavir/ritonavir, 400/100 mg once daily (QD), plus famotidine, 20 mg and 40 mg twice daily, with the parameters found at the usual clinical dose of atazanavir/ritonavir, 300/100 mg QD, without famotidine in HIV-infected participants receiving tenofovir disoproxil fumarate and at least 1 other nucleoside reverse transcriptase inhibitor.
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtazanavirDrug
Also called Reyataz, BMS-232632
Capsule, oral, 300 mg, once daily, 10 days
AtazanavirDrug
Also called Reyataz, BMS-232632
Capsule, oral, 400 mg, once daily, 7 days
RitonavirDrug
Capsule, oral, 100 mg, once daily, 10 days
RitonavirDrug
Capsule, oral, 100 mg, once daily, 7 days
Tenofovir (TDF)Drug
Capsule, oral, 300 mg, once daily, 10 days
Tenofovir (TDF)Drug
Capsule, oral, 300 mg, once daily, 7 days
Nucleoside Reverse Transcriptase Inhibitor (NRTI)Drug
Oral, 10 days
Nucleoside Reverse Transcriptase Inhibitor (NRTI)Drug
Oral, 7 days
Famotidine (FAM)Drug
Tablet, oral, 20 mg, twice daily, 7 days
Famotidine (FAM)Drug
Tablet, oral, 40 mg, twice daily, 7 days
| Study group | Role | What they receive |
|---|---|---|
| Atazanavir/ritonavir (300/100 mg) + TDF + ≥ 1 NRTI | Other | The protocol required that participants enrolled in this study already be receiving atazanavir, ritonavir, TDF, and 1 or more NRTIs. Receives: Drug: Atazanavir; Drug: Ritonavir; Drug: Tenofovir (TDF); Drug: Nucleoside Reverse Transcriptase Inhibitor (NRTI) |
| Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (20) | Other | FAM=famotidine. The protocol required that participants enrolled in this study already be receiving atazanavir, ritonavir, TDF, and 1 or more NRTIs. Receives: Drug: Atazanavir; Drug: Ritonavir; Drug: Tenofovir (TDF); Drug: Nucleoside Reverse Transcriptase Inhibitor (NRTI); Drug: Famotidine (FAM) |
| Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (40) | Other | FAM=famotidine. The protocol required that participants enrolled in this study already be receiving atazanavir, ritonavir, TDF, and 1 or more NRTIs. Receives: Drug: Atazanavir; Drug: Ritonavir; Drug: Tenofovir (TDF); Drug: Nucleoside Reverse Transcriptase Inhibitor (NRTI); Drug: Famotidine (FAM) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and Ritonavir
Measured: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and Ritonavir
Measured: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and Ritonavir
Measured: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Secondary outcomes (4)
Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical Interest
An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. An SAE is any unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization.
Measured: Days 1 through 25 (end of study), continuously, and at study discharge for those who discontinued prematurely.
Number of Participants With Abnormalities in Vital Signs
Vital signs include temperature, respiratory rate, seated blood pressure, and heart rate.
Measured: Days 1, 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Number of Participants With Abnormalities in Electrocardiogram (ECG) Findings
ECG findings include heart rate, ECG intervals (including PR, QRS, QT, and corrections to QT using both Bazett's and Fridericia's formulae), and Investigator-identified ECG abnormalities.
Measured: Days 1 and 25 (end of study) and at study discharge for those who discontinued prematurely.
Number of Participants With Abnormalities in Laboratory Test Results
PreRX=pretreatment; ULN=upper limit of normal. Neutrophils, (absolute), low (10*3 c/uL): <0.85*PreRx, if PreRx <1.5; <1.5 if PreRx ≥1.5. Alanine aminotransferase, high (U/L): >1.25*PreRx if PreRx >ULN; >1.25*ULN if PreRx ≤ULN. Bilirubin, direct (mg/dL), high: >1.1*ULN if PreRx ≤ULN;> 1.1*ULN if PreRx is missing; >1.25*PreRx if PreRx >ULN. Bilirubin, total (mg/dL), high: >1.1*ULN if PreRx ≤ULN;> 1.1*ULN if PreRx is missing; >1.25*PreRx if PreRx >ULN.
Measured: Days 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Nov 2010 (estimated)
- Study startFeb 2011
- Primary completionJun 2011
- Study completionJun 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for HIVStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 25 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01232127
- Sponsor's protocol ID
- AI424-398
- Other IDs
- 2009-016981-95, 2009
- Status last verified
- Aug 2012
- First submitted
- 29 Oct 2010
- Last updated
- 31 Aug 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Aug 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Open-Label, Multiple-Dose, Drug Interaction Study to Assess the Effect of Famotidine on the Pharmacokinetics of Atazanavir in HIV-Infected Subjects Receiving Atazanavir With Ritonavir and Tenofovir
- ClinicalTrials.gov ID
- NCT01232127
- Acronym / sponsor ID
- AI424-398
- Conditions
- HIV
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 25 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- Feb 2011
- Primary completion
- Jun 2011 (actual)
- Study completion
- Jun 2011 (actual)
- First posted
- 2 Nov 2010 (estimated)
- Results
- Posted 28 Aug 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the effects of famotidine, given twice daily, on atazanavir administered with ritonavir and tenofovir in HIV-infected participants.
Detailed description
This protocol was designed to compare the pharmacokinetic parameters of atazanavir administered as atazanavir/ritonavir, 400/100 mg once daily (QD), plus famotidine, 20 mg and 40 mg twice daily, with the parameters found at the usual clinical dose of atazanavir/ritonavir, 300/100 mg QD, without famotidine in HIV-infected participants receiving tenofovir disoproxil fumarate and at least 1 other nucleoside reverse transcriptase inhibitor.
Study design
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Atazanavir/ritonavir (300/100 mg) + TDF + ≥ 1 NRTI | Other | Drug: Atazanavir, Drug: Ritonavir, Drug: Tenofovir (TDF), Drug: Nucleoside Reverse Transcriptase Inhibitor (NRTI)The protocol required that participants enrolled in this study already be receiving atazanavir, ritonavir, TDF, and 1 or more NRTIs. |
| Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (20) | Other | Drug: Atazanavir, Drug: Ritonavir, Drug: Tenofovir (TDF), Drug: Nucleoside Reverse Transcriptase Inhibitor (NRTI), Drug: Famotidine (FAM)FAM=famotidine. The protocol required that participants enrolled in this study already be receiving atazanavir, ritonavir, TDF, and 1 or more NRTIs. |
| Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (40) | Other | Drug: Atazanavir, Drug: Ritonavir, Drug: Tenofovir (TDF), Drug: Nucleoside Reverse Transcriptase Inhibitor (NRTI), Drug: Famotidine (FAM)FAM=famotidine. The protocol required that participants enrolled in this study already be receiving atazanavir, ritonavir, TDF, and 1 or more NRTIs. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Males and females, 18 to 65 years of age, with HIV infection and a body mass index of 18.0 to 35.0 kg/m^2
- HIV-infected participants receiving a treatment regimen containing only atazanavir/ritonavir, 300/100 mg once daily (QD) + tenofovir, 300 mg QD + at least 1 other nucleotide reverse transcriptase inhibitor continuously for at least 3 months prior to study day 1
- Plasma HIV RNA levels of <50 copies/mL and a CD4 count >200 cells/mm^3.
- No history of virologic failure on a protease inhibitor (PI), documented phenotypic PI resistance, or primary PI mutations, according to International AIDS Society recommendations
- No documented phenotypic resistance to atazanavir or primary genotypic mutations causing resistance to atazanavir
Key exclusion criteria (18 listed)
- Any history of CD4 cell count <50 cells/mm^3
- Previously documented phenotypic or genotypic resistance to any of the currently prescribed NRTIs
- Any significant acute illness within 6 months of study day 1 or chronic medical illness unless stable or controlled by a nonprohibited medication
- Any major surgery within 4 weeks of study day 1
- Any gastrointestinal surgery that could impact upon the absorption of any study drug
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AtazanavirAlso: Reyataz, BMS-232632Capsule, oral, 300 mg, once daily, 10 days | Drug | Atazanavir/ritonavir (300/100 mg) + TDF + ≥ 1 NRTI |
| AtazanavirAlso: Reyataz, BMS-232632Capsule, oral, 400 mg, once daily, 7 days | Drug | Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (20), Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (40) |
| RitonavirCapsule, oral, 100 mg, once daily, 10 days | Drug | Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (20), Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (40) |
| RitonavirCapsule, oral, 100 mg, once daily, 7 days | Drug | Atazanavir/ritonavir (300/100 mg) + TDF + ≥ 1 NRTI |
| Tenofovir (TDF)Capsule, oral, 300 mg, once daily, 10 days | Drug | Atazanavir/ritonavir (300/100 mg) + TDF + ≥ 1 NRTI |
| Tenofovir (TDF)Capsule, oral, 300 mg, once daily, 7 days | Drug | Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (20), Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (40) |
| Nucleoside Reverse Transcriptase Inhibitor (NRTI)Oral, 10 days | Drug | Atazanavir/ritonavir (300/100 mg) + TDF + ≥ 1 NRTI |
| Nucleoside Reverse Transcriptase Inhibitor (NRTI)Oral, 7 days | Drug | Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (20), Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (40) |
| Famotidine (FAM)Tablet, oral, 20 mg, twice daily, 7 days | Drug | Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (20) |
| Famotidine (FAM)Tablet, oral, 40 mg, twice daily, 7 days | Drug | Atazanavir/ritonavir (400/100) + TDF + ≥1 NRTI + FAM (40) |
Primary outcome
Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and Ritonavir
Time frame: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Time of Maximum Observed Plasma Concentration (Tmax) for Atazanavir and Ritonavir
Time frame: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Area Under the Plasma Concentration-time Curve in 1 Dosing Interval (Time 0 to 24 Hours Postdose) (AUC[TAU]) for Atazanavir and Ritonavir
Time frame: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.
4 secondary outcomes
Number of Participants With Death as Outcome, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, AES, and AEs of Clinical Interest
Time frame: Days 1 through 25 (end of study), continuously, and at study discharge for those who discontinued prematurely.
Number of Participants With Abnormalities in Vital Signs
Time frame: Days 1, 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Number of Participants With Abnormalities in Electrocardiogram (ECG) Findings
Time frame: Days 1 and 25 (end of study) and at study discharge for those who discontinued prematurely.
Number of Participants With Abnormalities in Laboratory Test Results
Time frame: Days 11, 18, and 25 (end of study) and at study discharge for those who discontinued prematurely.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Aug 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
2 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Atazanavir, Ritonavir and Tenofovir (TDF) in people with HIV, run by Bristol-Myers Squibb at 2 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Germany, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 28 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maximum Observed Plasma Concentration (Cmax) and Trough Observed Plasma Concentration (Ctrough) for Atazanavir and Ritonavir (time frame: Days 10, 11, 17, 18, 24, and 25 (end of study) and at study discharge for those who discontinued prematurely.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Aug 2012.