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Pharmacokinetic Study of Rosuvastatin and Lopinavir/Ritonavir in HIV Patients

Information source: Radboud University
Information obtained from ClinicalTrials.gov on March 21, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: HIV Infections; Hyperlipidemia

Intervention: Rosuvastatin (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Radboud University

Official(s) and/or principal investigator(s):
David M. Burger, Dr, Principal Investigator, Affiliation: Radboud University

Summary

open-label, multiple dose, single-group, 12 week trial in HIV-infected patients with hyperlipidemia while using lopinavir/ritonavir; both male or female subjects.

Clinical Details

Official title: Pharmacodynamics and Pharmacokinetics of Combined Use of Rosuvastatin (Crestor) and Lopinavir/Ritonavir (Kaletra) in HIV-Infected Patients With Hyperlipidemia (ROSALKA)

Study design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics/Dynamics Study

Primary outcome: pharmacokinetics on week 0,4,8 and 12

Secondary outcome:

evaluation of lipid lowering activity on week 0,4,8,12

endothelial function will be measured at week 0 & 12 (optional for patients from Leiden and Nijmegen)

Detailed description: To determine the effect of rosuvastatin on plasma lipids, lipoproteins, and endothelial function in HIV-infected patients on stable lopinavir/ritonavir therapy and to evaluate the safety of combined use of rosuvastatin and lopinavir/ritonavir. Also to determine the effect of lopinavir/ritonavir on the pharmacokinetics of rosuvastatin compared to historical controls an to determine the effect of rosuvastatin on the pk of lopinavir/ritonavir compared to historical controls and by intrapatient comparison.

Eligibility

Minimum age: 18 Years. Maximum age: 65 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- use of lopinavir 400mg/ritonavir 100mg bid > 3months

- HIV-1 RNA <400cop/mL

- fasting total cholesterol > 6. 2mmol/L

Exclusion Criteria:

- history of sensitivity/idiosyncrasy to the drug or compounds used

- history or current condition that might interfere with absorption,distribution

metabolism or excretion

- pregnant or breast-feeding

- serum transaminase levels >3 times upper limit of normal, creatinine clearance

<60ml/min

- fasting plasma triglycerides level >8. 0 mmol/L

- history of statin-related rhabdomyolysis or inheritable muscle diseases in family

history

- clinical symptoms of myopathy or abnormal CK level

- change in antiretroviral medication within the 3 months immediately preceding first

dose of rosuvastatin

- use of any statin or fibrate within 6 weeks immediately preceding first dose of

rosuvastatin

- concomitant use of medications that interfere with rosuvastatin or lopinavir

pharmacokinetics

- active hepatobiliary or hepatic disease

- hypothyroidism

- alcohol abuse

- japanese or chinese patients

Locations and Contacts

University of Cologne, Cologne, Germany

University of Bonn, Bonn, Germany

University of Leiden, Leiden, Netherlands

University of Nijmegen, Nijmegen, Netherlands

University of Amsterdam, Amsterdam, Netherlands

Additional Information

Starting date: April 2004
Ending date: July 2005
Last updated: August 21, 2007

Page last updated: March 21, 2008

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