Status:

COMPLETED

Pharmacokinetics (PK) and Safety of 2 Different Doses of Lopinavir/Ritonavir in in HIV/Tuberculosis (TB) Co-infected Patients Receiving Rifampicin Containing Anti-tuberculosis Therapy

Lead Sponsor:

The HIV Netherlands Australia Thailand Research Collaboration

Collaborating Sponsors:

Ministry of Health, Thailand

Conditions:

HIV Infections

Tuberculosis

Eligibility:

All Genders

18-60 years

Phase:

PHASE2

Brief Summary

To assess safety, efficacy and impact of Lopinavir/ritonavir 400/100mg bid or Lopinavir/ritonavir 600/150mg bid in combination with rifampicin-containing anti-TB therapy.

Detailed Description

Fixed dose combination of d4T+3TC+NVP (GPOvir) is widely used in Thai HIV infected since June 2002. The prevalence of NNRTI resistance has increased since 2005. Tuberculosis can develop following NNRT...

Eligibility Criteria

Inclusion

  • Confirmed HIV positive after voluntary counseling and testing
  • Aged \>18-60years of age
  • ARV naïve and NNRTI failure ( PI naive)
  • CD4+ cell count of \<350 cells/mm3 at the time of diagnosed TB
  • ALT \<5 times ULN
  • Serum creatinine \<1.4 mg/dl
  • Hemoglobin \>8 mg/L
  • TB is diagnosed and planned to receive stable doses of rifampicin-containing anti-TB therapy for at least a 2 week period after initiation of ART
  • No other active OI (CDC class C event), except oral candidiasis or disseminated MAC
  • Able to provide written informed consent

Exclusion

  • Current use of steroid (except short course steroid for IRIS) and other immunosuppressive agents.
  • Current use of any prohibited medications related to drug pharmacokinetics.
  • Patients with current alcohol or illicit substance use that in the opinion of the site Principal Investigator would conflict with any aspect of the conduct of the trial.
  • Unlikely to be able to remain in follow-up for the protocol defined period.
  • Patients with proven or suspected acute hepatitis. Patients with chronic viral hepatitis are eligible provided ALT, AST \< 5 x ULN.
  • Karnofsky performance score \<30%

Key Trial Info

Start Date :

November 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2015

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT01138202

Start Date

November 1 2010

End Date

December 1 2015

Last Update

July 17 2020

Active Locations (1)

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HIV-NAT Thai Red Cross AIDS Research Center

Bangkok, Thailand, 10330