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A Pharmacokinetic Study of Once Daily Efavirenz 400 mg Versus 600 mg in Thai HIV-1 Infected Subjects

Information source: The HIV Netherlands Australia Thailand Research Collaboration
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: HIV Infections

Intervention: efavirenz (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: The HIV Netherlands Australia Thailand Research Collaboration

Official(s) and/or principal investigator(s):
Kiat Ruxrungtham, MD, Principal Investigator, Affiliation: The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT)

Summary

A Pharmacokinetic study of once daily Efavirenz 400 mg versus 600 mg in Thai HIV-1 infected subjects.

Clinical Details

Official title: A Pharmacokinetic Study of Once Daily Efavirenz 400 mg Versus 600 mg in Thai HIV-1 Infected Subjects

Study design: Treatment, Non-Randomized, Open Label, Active Control, Crossover Assignment, Pharmacokinetics Study

Primary outcome: Assess whether the low dose efavirenz is not inferior to the standard dose of efavirenz in terms of plasma concentration

Secondary outcome: Access efavirenz plasma level after discontinuation of this medication

Detailed description: Efavirenz Pharmacokinetic evaluation supports once-daily dosing (T1/2 is 10-52 hours). The recommended dosage of efavirenz in combination with nucleoside reverse transcriptase inhibitor (NRTI) and/or protease inhibitor (PI) is 600mg orally, once daily.

In Thai populations, many ARV levels are very high. We believe that 600 mg efavirenz is too high for Thai people and would like to see the pharmacokinetic data and safety and efficacy of efavirenz at 400 mg.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age > 18 years of age or older with HIV-1 infection

- Who are on stable PI-based highly active antiretroviral therapy and have HIV-1 RNA <50

copies/ml within 6 months.

- No active opportunistic infection.

- Sexually active subjects must be willing to use an effective form of birth control.

- Able to provide written informed consent.

Exclusion Criteria:

- Pregnant or breast-feeding females are excluded.

- Inability to understand the nature and extent of the study and the procedures

required.

- ALT/ AST more than 5x upper limit

- Relevant history or current condition, illness that might interfere with drug

absorption, distribution, metabolism or excretion.

- Use of concomitant medication that may interfere with the pharmacokinetics of

efavienz

- History of sensitivity/idiosyncrasy to the drug or chemically related compounds which

may be employed in the study.

- Active drug abuse

Locations and Contacts

The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT), Bangkok 10330, Thailand
Additional Information

The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT)

Starting date: June 2007
Ending date: March 2008
Last updated: March 13, 2008

Page last updated: June 20, 2008

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