Lopinavir/r/ Lamivudine/ Abacavir as an Easy to Use Paediatric Formulation

Last updated: June 5, 2019
Sponsor: Drugs for Neglected Diseases
Overall Status: Active - Recruiting

Phase

1/2

Condition

Hiv

Treatment

N/A

Clinical Study ID

NCT03836833
DNDi-4in1-01-PHIV
  • All Genders

Study Summary

A phase I/II, open label, randomized crossover pharmacokinetic, safety and acceptability study of the Abacavir/Lamivudine/ Lopinavir/Ritonavir (30/15/ 40/10mg ;4-in-1) Fixed-Dose Combination vs. Lopinavir/Ritonavir (40/10mg pellets) plus dual Abacavir/Lamivudine (60/30mg tablets) in HIV infected Children.

The study is intended to support the adoption of the 4-in-1 by healthcare providers and will provide data that may support its registration in certain countries. The study will be carried out in HIV-infected children in Uganda weighing 3 to 25 kg (inclusive) and unable to swallow tablets and will provide supportive clinical data on the pharmacokinetics, safety, tolerability and acceptability of the 4-in-1.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Children > 4 weeks old and weighing ≥3 and <25 kg at the time of enrolment

  • Past or current documentation of a confirmed diagnosis of HIV infection defined as twopositive assays from two different samples. The two results may be in any combinationof the following:

  • At any age: HIV-1 DNA PCR positive

  • Documented past HIV-1 RNA viral load > 1,000 copies/mL plasma

  • At any age >18 months of age: HIV-1 antibody reactive on two different rapid testsbased on national testing algorithm

  • ARV treatment eligible children with LPV-based treatment indication* as defined bycountry-specific guidelines or the WHO paediatric treatment guidelines and confirmedby the investigator

  • HIV RNA viral load <1000 copies/mL (suppressed) at the screening visit*

  • Inability to swallow LPV/r tablets

  • Parent or guardian able and willing to provide written informed consent.

  • For lowest weight band (≥3 and ≤ 5.9kgs) ONLY: under treatment for at least 3 weeksbut not more than 12 weeks.

  • Does not apply to the youngest children (≥3 and ≤ 5.9kgs)

Exclusion

Exclusion Criteria:

  • Planned or concurrent use of NNRTIs, integrase inhibitors, entry inhibitors, orProtease Inhibitors (PIs) other than LPV/r.

  • Treatment failure with proven resistances to PIs.

  • Contraindication to use of PIs

  • Clinical condition requiring the use of a prohibited medication (see section 7.6) inassociation with LPV/r, ABC/3TC (Refer to section 7.2- 7.3 of the IB)

  • Pulmonary Tuberculosis and any clinically significant disease or finding duringscreening that, in the investigator's opinion, would compromise participation in thisstudy.

  • Treatment with experimental drugs (except for LPV/r Pellets) for any indication within 30 days prior to study entry

  • Anticipated transfer of care to a non-participating health facility during the studyperiod

Study Design

Total Participants: 50
Study Start date:
June 04, 2019
Estimated Completion Date:
December 31, 2019

Study Description

The primary objective is to estimate the population average exposure to LPV, ABC and 3TC provided by the 4-in-1 formulation in HIV-infected children dosed per WHO weight bands.

The secondary objectives:

  • To determine the proportion of children overall, and within each weight band, with a lopinavir C12 <1.0 mg/L while receiving the 4-in-1 formulation

  • To evaluate and compare the safety and tolerability of the 4-in-1 formulation versus a reference treatment regimen.

  • To compare the bioavailability of LPV, ABC and 3TC in the 4-in-1 formulation versus a reference treatment regimen.

  • To assess post exposure CD4 and viral load

  • To assess the factors that contribute to acceptability of the new 4-in-1 formulation.

Connect with a study center

  • Baylor College of Medicine Children's Foundation Uganda

    Kampala,
    Uganda

    Active - Recruiting

  • Joint Clinical research Centre

    Kampala,
    Uganda

    Active - Recruiting

  • Epicentre Mbarara Research Centre

    Mbarara,
    Uganda

    Active - Recruiting

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