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A Study of Lopinavir/Ritonavir in Infants with HIV



A Study of Lopinavir/Ritonavir in Infants with HIV

For Condition: HIV Infections
Status: Recruiting
Sponsor(s): National Institute of Allergy and Infectious Diseases (NIAID) , National Institute of Child Health and Human Development (NICHD)
Synopsis: The purpose of this study is to find out if the drug lopinavir/ritonavir (LPV/RTV) is safe and well tolerated in infants infected with HIV. The study wants to find the best LPV/RTV dose range for infants and to find out how the drug treatment affects the amount of HIV and the number of certain T cells (cells that fight HIV) in the blood of HIV-infected infants. LPV/RTV has been approved by the U.S. Food and Drug Administration to treat older children and adults with HIV. It has not been approved for infants less than 6 months old, and the appropriate dosage for young infants is not known. This study will help doctors decide if LPV/RTV is a good treatment for infants with HIV and will help establish dosing guidelines for children under 6 months old.
Details: LPV/RTV has shown significant antiviral activity and tolerability in clinical trials in adults and children over 6 months of age. Data for children under 6 months, however, have not been available. Dosing guidelines are needed for young infants, most of whom are in the early stages of primary infection. This study will help identify an appropriate dose range of LPV/RTV and evaluate response to therapy in infants less than 6 months of age. The study will also evaluate whether early therapy allows normal development of the immune system. Infants between 14 days and 6 months of age receive LPV/RTV in combination with 2 nucleoside reverse transcriptase inhibitors (NRTIs). Patients are followed for 24 months after enrollment of the last patient. Twelve-hour pharmacokinetic sampling is performed on Day 14 of drug treatment and when the patient reaches 12 months of age. HIV RNA levels, drug resistance, and immunologic profiles are monitored regularly. Patients visit the clinic every other week for the first 8 weeks, then every 4 weeks until the end of the first year of the study. Patients visit the clinic every 12 weeks for the remainder of the study, and the parent or guardian is contacted by phone every 6 weeks to monitor adverse effects.
Eligibility:
Study Type:
  Interventional, Treatment, Dose Comparison, Safety/Efficacy Study
Minimum Age/Maximum Age: /6 Months
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Patients may be eligible for this study if they: - Are between the ages of 14 days and 6 months old. - Are infected with HIV. - Have a viral load of over 10,000 copies/ml within 30 days of study entry. - Have a parent or legal guardian able and willing to provide signed informed consent and to have the infant followed at a PACTG site. - Weigh more than 5.5 pounds at the time of enrollment. - Agree to take 2 nucleoside reverse transcriptase inhibitors (NRTIs) in addition to LPV/RTV. Exclusion Criteria Patients may not be eligible for this study if they: - Have a newly diagnosed acute opportunistic or serious bacterial infection requiring therapy at the time of enrollment. - Have any other clinically significant conditions, other than HIV infection, that would interfere with the study. - Were less than 34 weeks gestation at delivery (patients less than 6 weeks old at time of enrollment) or less than 32 weeks gestation at delivery (patients 6 or more weeks old at time of enrollment). - Plan on using a non-nucleoside reverse transcriptase inhibitor (NNRTI) or protease inhibitor (PI) while on study. - Have used Kaletra (LPV/RTV) in the past.
Total Enrollment: 12

Location and Contact Information:

Overall Study Official:
EllenChadwick,  Study Chair,  Chicago Children's Memorial Hosp

UCSF Moffitt Hosp (Pediatric) *Recruiting*
San Francisco,  California,  94143-0105
United States
Recruiting Debbie  Trevithick 415-476-6480

Univ of Miami (Pediatric) *Recruiting*
Miami,  Florida,  33136
United States
Recruiting Patricia  Bryan 305-243-4447

UCSD Mother, Child, & Adolescent HIV Program *Recruiting*
San Diego,  California,  92103
United States
Recruiting Linda  Proctor 619-543-8080

University of North Carolina at Chapel Hill *Recruiting*
Chapel Hill,  North Carolina,  27599-7220
United States
Recruiting Elizabeth  Pitkin 919-966-9110

Univ of Florida Health Science Ctr / Pediatrics *Recruiting*
Jacksonville,  Florida,  32209
United States
Recruiting Michelle  Eagle 904-244-5331

Saint Jude Children's Research Hosp of Memphis *Recruiting*
Memphis,  Tennessee,  381052794
United States
Recruiting Jill  Utech 901-495-3490

Baystate Med Ctr of Springfield *Recruiting*
Springfield,  Massachusetts,  01199
United States
Recruiting MariPat  Toye 413-794-5399

State Univ of New York at Stony Brook *Recruiting*
Stony Brook,  New York,  11776
United States
Recruiting Michell  Davi 631-444-1313

Univ of Massachusetts Med School *Recruiting*
Worcester,  Massachusetts,  016550001
United States
Recruiting Donna  Christian 508-856-1692

Univ of Med & Dentistry of NJ/Univ Hospital *Recruiting*
Newark,  New Jersey,  07103
United States
Recruiting Mary  Hoyt 973-972-3118

Duke University (Pediatric) *Recruiting*
Durham,  North Carolina,  27705
United States
Recruiting John  Swetnam 919-416-3447

Univ of Maryland (Pediatric) *Recruiting*
Baltimore,  Maryland,  21201
United States
Recruiting Mary  MacFadden 410-706-8933

Univ of South Florida *Recruiting*
St. Petersburg,  Florida,  33701
United States
Recruiting Carolyn  Graisbery 727-892-4184

The Univ of Chicago Childrens Hospital *Recruiting*
Chicago,  Illinois,  60637
United States
Recruiting Pamela  Lofton 773-702-3853

Tulane Univ., Charity Hosp of New Orleans *Recruiting*
New Orleans,  Louisiana,  70112
United States
Recruiting Margaret  Cowie 504-586-3804

Johns Hopkins Univ (Pediatric) *Recruiting*
Baltimore,  Maryland,  21287
United States
Recruiting Suzanne  Marvin 410-955-9749

Childrens Hosp, Oakland (Pediatric) *Recruiting*
Oakland,  California,  94609-1809
United States
Recruiting Teresa  Courville 510-428-3885

Chicago Children's Memorial Hosp *Recruiting*
Chicago,  Illinois,  606143394
United States
Recruiting Debbie  Fonken-Cloutier 773-880-3669

Children's National Med Ctr *Recruiting*
Washington D.C.,  District of Columbia,  20010-2970
United States
Recruiting Veronica  Amos 202-884-2837

Howard Univ Hosp *Recruiting*
Washington D.C.,  District of Columbia,  20060
United States
Recruiting Patricia  Yu 202-865-4578

SUNY Upstate Med Univ *Recruiting*
Syracuse,  New York,  13210
United States
Recruiting Maureen  Famiglietti 312-464-6331

New York University School of Medicine *Recruiting*
New York City,  New York,  10016
United States
Recruiting Nagamah  Deygoo 212-263-5680

Children's Hosp of Boston *Recruiting*
Boston,  Massachusetts,  021155724
United States
Recruiting Kirk  Bertelsen 617-355-8198

Harlem Hosp *Recruiting*
New York City,  New York,  10037
United States
Recruiting Delia  Calo 212-939-4045

Bronx Lebanon Hosp Ctr *Recruiting*
Bronx,  New York,  10457
United States
Recruiting Caroline  Nubel 718-960-1020

San Juan City Hosp *Recruiting*
San Juan,  , 
Puerto Rico
Recruiting Maria  Pilar Thurin 787-765-4186

Columbia Presbyterian Med Ctr *Recruiting*
New York City,  New York,  10032
United States
Recruiting Marie  Donahue 212-305-7222


Additional Information:
Study ID Numbers:
  PACTG P1030; 
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00038480

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