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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Germany1 site
  • Local Institution

    Berlin, 14050

Other trials in Germany

United Kingdom1 site
  • Local Institution

    London, Greater London, SW10 9NH

Other trials in United Kingdom

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.

Conditions
HIV
Being tested
Atazanavir, Ritonavir, Tenofovir (TDF), Nucleoside Reverse Transcriptase Inhibitor (NRTI), Famotidine (FAM)

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 groups in NCT01232127
Study groupRoleWhat they receive
Atazanavir/ritonavir (300/100 mg) + TDF + ≥ 1 NRTIOtherThe 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)OtherFAM=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)OtherFAM=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.

  1. 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.

  2. 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.

  3. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  1. First posted2 Nov 2010 (estimated)
  2. Study startFeb 2011
  3. Primary completionJun 2011
  4. Study completionJun 2011

Resources

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)
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
Data monitoring committee
No

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.

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