To demonstrate that the antiviral activity and safety/tolerability of a test regimen of indinavir is equivalent to that of a control regimen of indinavir when each is coadministered with zidovudine (ZDV) (or stavudine, d4T) and lamivudine (3TC) for 24 weeks to protease inhibitor- and 3TC-naive HIV-1-seropositive patients. To characterize the steady-state pharmacokinetic profiles of indinavir, ZDV (or d4T), and 3TC in the presence of each other, for both the control and test regimen groups.
Patients are randomized to 1 of 2 arms: Arm A: Indinavir plus ZDV plus 3TC. Arm B: Indinavir (test dose) plus ZDV plus 3TC. NOTE: d4T may be substituted for zidovudine for toxicity management. Patients are stratified based on prior use of nucleoside analogs (naive vs experienced to ZDV, dideoxyinosine \[ddI\], dideoxycytidine \[ddC\], and d4T) and screening viral RNA results (lower than 50,000 copies/mL vs more than 50,000 copies/mL).
Study Type
INTERVENTIONAL
Purpose
TREATMENT
Enrollment
400
Univ of Alabama at Birmingham
Birmingham, Alabama, United States
LAC/USC Med Ctr
Los Angeles, California, United States
Kaiser Med Ctr
San Francisco, California, United States
Wilmington Hosp / Med Ctr of Delaware
Wilmington, Delaware, United States
Georgetown Univ Med Ctr
Washington D.C., District of Columbia, United States
AIDS Research Consortium of Atlanta
Atlanta, Georgia, United States
Cook County Hosp
Chicago, Illinois, United States
Johns Hopkins Hosp
Baltimore, Maryland, United States
Washington Univ
St Louis, Missouri, United States
Univ Hosp / SUNY at Stony Brook / AIDS TMT Unit
Stony Brook, New York, United States
...and 5 more locations
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