Treataware

Browse the clinical trials database - open trials

Open clinical trials in the NAPWA database are listed below – the most recently-added entries are shown at the top of the list.

(‘Open’ clinical trials are those listed as enrolling now or not yet started.)

TMC278 (rilpivirine) versus efafirenz (2 trials)

Enrolling | new_drug | Last update: 11 Nov 2008
Entry status: 
rilpivirine
TMC278
efavirenz
tenofovir
emtricitabine
non-nucleosides
Complete, approved
randomised
phase III
parallel assessment
double-blind
Keywords: 
rilpivirine
TMC278
efavirenz
tenofovir
emtricitabine
non-nucleosides
Design keywords: 
randomised
phase III
parallel assessment
double-blind

These two trials are for people who have never taken any anti-HIV drugs in the past.

They are both comparing the effectiveness, safety and tolerability of rilpivirine (TMC278) - a new Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI)- against efavirenz - another NNRTI.

One trial stipulates the use of tenofovir/emtricitabine(FTC) as the background regimen.

The other trial gives you the choice of background regimen from these combinations: abacavir/lamivudine(3TC), tenofovir/emtricitabine(FTC) or zidovudine(AZT)/lamivudine(3TC).

Elvitegravir versus raltegravir

Enrolling | new_drug | Last update: 11 Nov 2008
Entry status: 
elvitegravir
raltegravir
ritonavir
Complete, approved
randomised
phase III
multicentre
double-blind
active control
Keywords: 
elvitegravir
raltegravir
ritonavir
Design keywords: 
randomised
phase III
multicentre
double-blind
active control

This study is looking at the safety, tolerability and efficacy of elvitegravir, a new protease inhibitor, boosted with ritonavir.

They are comparing the drug to the newly approved integrase inhibitor - raltegravir.

People who are treatment experienced will be given either drug with a background regimen including another protease inhibitor.

Impact of HIV and Its Treatment on Reverse Cholesterol Transport

Enrolling | se_management | Last update: 11 Nov 2008
Entry status: 
cardiovascular disease
Complete, approved
prospective
observational
cohort
Keywords: 
cardiovascular disease
Design keywords: 
prospective
observational
cohort

This is an observational study, looking at the effect HIV treatment has on the health of our heart. The investigators are comparing how well cholesterol is processed by those not on therapy with those who are on treatment. They are also comparing those on NNRTI-based regimens with those on PI- based ones.

The Structured Treatment Interruption (STI) Study

Not yet started | tx_strategy | Last update: 6 Nov 2008
Entry status: 
Complete, approved
randomised
phase III
multicentre
Design keywords: 
randomised
phase III
multicentre

The purpose of this study is to see if giving antiretrovirals to people soon after they have been infected with HIV can help them control HIV. The study will also see if the immune system can control the amount of HIV virus in the blood (viral load) even after a person has stopped taking the medications. The study will evaluate three different schedules of stopping and starting anti-HIV medications to see which schedule is best able to boost a patient's immune system to control HIV viral load.

AVX-301 (apricitabine)

Enrolling | new_drug | Last update: 24 Jul 2008
Entry status: 
randomised
phase III
phase II
multicentre
international
double-blind
Complete, approved
lamivudine
apricitabine
Keywords: 
lamivudine
apricitabine
Design keywords: 
randomised
phase III
phase II
multicentre
international
double-blind

This is a trial for a new antiretroviral called apricitabine - an experimental nucleoside reverse transcriptase inhibitor for  people who are resistant to other NRTIs, and who have the M184V mutation.

This study will look at how safe, easy to take and effective apricitabine is in people who are resistant to 3TC. If successful, it is hoped to use it as an alternative.

Expanded Access Program for Maraviroc at Multiple Centres

Enrolling | new_drug | Last update: 22 Jul 2008
Entry status: 
phase III
open-label
multicentre
Complete, approved
multiple resistance
maraviroc
entry inhibitors
CCR5
Keywords: 
multiple resistance
maraviroc
entry inhibitors
CCR5
Design keywords: 
phase III
open-label
multicentre

This trial is providing people who have limited treatment options open to them access to maraviroc until it offically becomes available. In the process, the trial will collect more safety data on the drug.

VERxVE (fast and slow release nevirapine)

Enrolling | tx_strategy | Last update: 8 Jul 2008
Entry status: 
randomised
phase III
double-blind
Complete, approved
Truvada
side effects and toxicities
optimised background regimens
non-nucleosides
nevirapine
liver
Keywords: 
Truvada
side effects and toxicities
optimised background regimens
non-nucleosides
nevirapine
liver
Design keywords: 
randomised
phase III
double-blind

This study is looking at two versions of the same drug - nevirapine - and comparing the effectiveness and safety of one that releases the drug over a long period against one that does so immediately.

It's a double-blind/double-dummy trial so no-one knows who's on which version of the drug - the slow release one or the immediate release one. Everyone will be put on the same background regimen - Truvada  (tenofovir-emtracitabine).

You need to be treatment naive to enrol.

SWITCH (to raltegravir)

Not yet started | tx_strategy | Last update: 30 Jun 2008
Entry status: 
randomised
open-label
Complete, approved
side effects and toxicities
raltegravir
protease inhibitors
nucleosides
lipoatrophy
cardiovascular disease
Keywords: 
side effects and toxicities
raltegravir
protease inhibitors
nucleosides
lipoatrophy
cardiovascular disease
Design keywords: 
randomised
open-label

A treatment regimen containing one protease inhibitor (PI) and two nucleoside/nucleotide reverse transcriptase inhibitors ('nucleosides' or NRTIs) is standard practice these days. While this 'PI+2NRTI' combination is very good at suppressing the virus it can also cause some major side effects. Significantly, PIs have been associated with cardiovascular disease (heart attack) and NRTIs with mitochondrial toxicity (see background info).

Second line

Not yet started | tx_strategy | Last update: 30 Jun 2008
Entry status: 
randomised
open-label
Complete, approved
raltegravir
protease inhibitors
nucleosides
non-nucleosides
first-line therapy
Keywords: 
raltegravir
protease inhibitors
nucleosides
non-nucleosides
first-line therapy
Design keywords: 
randomised
open-label

A treatment regimen consisting of one non-nucleoside (1NNRTI) and two nucleosides (2NRTIs) has become the internationally accepted first-line therapy of choice. But affective as the combination is, it doesn't work for everyone. And those it fails need a reliable back-up. At the moment there is no "internationally accepted" second-line.

Intensification study (raltegravir and bovine colostrum)

Not yet started | tx_strategy | Last update: 30 Jun 2008
Entry status: 
randomised
placebo controlled
multicentre
double-blind
Complete, approved
raltegravir
integrase inhibitors
immune-based therapies
colostrum
Keywords: 
raltegravir
integrase inhibitors
immune-based therapies
colostrum
Design keywords: 
randomised
placebo controlled
multicentre
double-blind

We don't know why antiretroviral treatment can suppress some people's viral load but not give them a good T cell count.

This study will test two theories:

The first is that even a low level of viral activity prevents some people from rebuilding their immune system and therefore they need a stronger treatment regimen, in this case one boosted with the new integrase inhibitor - raltegravir.

Raltegravir versus ritonavir

Not yet started | new_drug | Last update: 30 Jun 2008
Entry status: 
randomised
phase IV
open-label
Complete, approved
ritonavir
raltegravir
lipids
integrase inhibitors
HIV-negative
Keywords: 
ritonavir
raltegravir
lipids
integrase inhibitors
HIV-negative
Design keywords: 
randomised
phase IV
open-label

This study will compare the effect of the new integrase inhibitor, raltegravir, with that of low-dose ritonavir on triglyceride and lipid (fat) levels. Volunteers who don't have HIV will be given either 100mg of ritonavir once a day or 400mg of raltegravir twice a day for 4 weeks.

TMC125 (etravirine) for people who failed on the DUET studies

Enrolling | new_drug | Last update: 26 Jun 2008
Entry status: 
prospective
phase III
open-label
Complete, approved
TMC125
TMC114
multiple resistance
etravirine
darunavir
Keywords: 
TMC125
TMC114
multiple resistance
etravirine
darunavir
Design keywords: 
prospective
phase III
open-label

This trial is providing access to an experimental non-nucleoside (NNRTI) called etravirine for people who did not reach undetectable viral load levels on either of the prior DUET studies. 

The study will look at the long-term safety and tolerability of etravirine as part of an optimised background regimen including darunavir and other drugs chosen by their doctor.

All people will receive etravirine until the drug is approved and commercially available.

Predictors of drug hypersensitivity

Enrolling | se_management | Last update: 24 Jun 2008
Entry status: 
observational
case-control
Complete, approved
nevirapine
hypersensitivity
efavirenz
abacavir
Keywords: 
nevirapine
hypersensitivity
efavirenz
abacavir
Design keywords: 
observational
case-control

This study will compare people who are hypersensitive to three particular drugs with people who are not. The three drugs - nevirapine, efavirenz and abacavir - are all known to cause hypersensitivity reactions in a small number of people and so the study is looking for particular immune system markers which might predict who can safely take them and who might have reactions to them.

This is an observational study. There is no experimental treatment associated with this trial.

HIV/HBV coinfection and liver disease

Enrolling | other | Last update: 24 Jun 2008
Entry status: 
observational
cohort
Complete, approved
liver
hepatitis B
hepatitis
coinfection
Keywords: 
liver
hepatitis B
hepatitis
coinfection
Design keywords: 
observational
cohort

This study will investigate the impact hepatitis B has on liver disease in people who also have HIV and are currently on HIV treatments. It will also monitor to see if anyone develops any resistance to their HIV treatments because of their hepatitis B.

It involves six-monthly visits and physical examinations to track your health progression over five years

HIV/HBV coinfection and tenofovir resistance

Enrolling | existing_drug | Last update: 19 Jun 2008
Entry status: 
observational
Complete, approved
tenofovir
hepatitis B
coinfection
Keywords: 
tenofovir
hepatitis B
coinfection
Design keywords: 
observational

The aim of the study is to identify any changes in the HBV DNA that might be associated with resistance to tenofovir, to determine how long any changes take to occur and the effect of these changes on the clinical response to tenofovir.  

HIV/HBV or HIV/HCV coinfection

Enrolling | other | Last update: 19 Jun 2008
Entry status: 
observational
cohort
Complete, approved
innate immunity
HIV
hepatitis C
hepatitis B
coinfection
Keywords: 
innate immunity
HIV
hepatitis C
hepatitis B
coinfection
Design keywords: 
observational
cohort

This study is looking at how our immune system functions when we are coinfected with both HIV and either hepatitis B or C.

It might show us how some people can clear hepatitis from their system when they're on treatment while others can when they're not.

TMC114 (darunavir)

Enrolling | tx_strategy | Last update: 19 Jun 2008
Entry status: 
randomised
phase III
open-label
Complete, approved
ritonavir
optimised background regimens
darunavir
Keywords: 
ritonavir
optimised background regimens
darunavir
Design keywords: 
randomised
phase III
open-label

This study is testing whether taking 800mg of darunavir once-a-day is as effective as taking 600mg of darunavir twice-a-day. (Both doses will be boosted with 100mg of ritonavir).

Participants will also take an individually selected optimised background regimen. This trial is looking for people who are currently on treatments.

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This information was retrieved from the Treataware website (www.treataware.info) on 20 Nov 2008. For further information, please consult the website or call the NAPWA office on 02 8568 0300.