CClinicalTrials.gg
CompletedNCT00000902Updated Oct 29, 2021

A Study on the Management of Combination Anti-HIV Drug Therapy in HIV-Positive Children With Prior Treatment

A Phase 1 interventional study of Ritonavir and Nelfinavir mesylate in HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 62 sites in 2 countries. Open to participants aged 6 Months to 21 Years. Per ClinicalTrials.gov, last updated 2021-10-29.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
217
Ages
6 Months to 21 Years
Sex
All
01

Study summary

The purpose of this study is to determine the value of changing anti-HIV medications in children with progressive HIV disease who have received previous treatment.

Plasma viral load (the level of HIV in the blood) is probably most effectively reduced by giving patients anti-HIV drugs which affect the virus at various stages of development. Changing the medications may enhance the results of treatment.

Read the detailed description

The Master RAD Protocol is based on the concept that optimal suppression of viral load in vivo will be achieved in patients with rapidly progressing or advanced HIV disease (RAD) using antiretroviral combinations inhibiting viral replication at distinct sites of action. Antiretroviral combinations are chosen with the hypothesis that simultaneous change to as many new agents as possible is necessary to maximally reduce plasma viral load.

In this open-label, multicenter study patients are randomized into 1 of 4 groups based on prior antiretroviral experience. Each regimen consists of 4 drugs that include a combination of nucleoside reverse transcriptase inhibitors (stavudine, lamivudine, zidovudine, didanosine, zalcitabine) plus nevirapine (NVP), nelfinavir (NFV), or ritonavir (RTV). Patients must be naive to at least 2 of the 4 drugs in the regimen and at least 1 of the novel drugs must be NVP, NFV, or RTV.

Prior to randomization to a NFV- or RTV-containing regimen, patients are stratified by HIV RNA (greater than or equal to 50,000 or less than 50,000) and must able to receive 2 or more novel drugs.

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Conditions studied

  • HIV Infections

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Keywords

  • Zalcitabine
  • Didanosine
  • Drug Therapy, Combination
  • Zidovudine
  • Nevirapine
  • Stavudine
  • Ritonavir
  • Lamivudine
  • RNA, Viral
  • Anti-HIV Agents
  • Nelfinavir
03

In context

HIV Infections

4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 217 is above the median of 83 across 3,251 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.

Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Months to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Your child may be eligible for this study if he or she:

  • Is HIV-positive.
  • Is between the ages of 6 months and 21 years (consent of parent or guardian required if under 18).
  • Has an HIV blood level above 50,000 copies/mL on 2 consecutive occasions, while taking anti-HIV therapy.
  • Has advanced HIV disease or disease progression while receiving 8 weeks or more of continuous unchanged anti-HIV therapy.
  • Is able to receive at least one of the following: RTV, NVP, or NFV.

Exclusion criteria

Exclusion Criteria

Your child will not be eligible for this study if he or she:

  • Is receiving treatment for a serious bacterial, viral, or opportunistic (HIV-associated) infection within 14 days prior to study entry.
  • Has a history of pancreatitis or peripheral neuropathy.
  • Has cancer requiring chemotherapy.
  • Is allergic to the study medications.
  • Is taking certain medications.
  • Is pregnant.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Enrollment
217 participants

Interventions

  • DrugRitonavir
  • DrugNelfinavir mesylate
  • DrugNevirapine
  • DrugLamivudine
  • DrugStavudine
  • DrugZidovudine
  • DrugZalcitabine
  • DrugDidanosine
06

Study locations

62 sites
  • Univ of Alabama at Birmingham - Pediatric
    Birmingham, Alabama 35233, United States
  • Univ of South Alabama
    Mobile, Alabama 36604, United States
  • UCSD Med Ctr / Pediatrics / Clinical Sciences
    La Jolla, California 920930672, United States
  • Long Beach Memorial (Pediatric)
    Long Beach, California 90801, United States
  • Los Angeles County - USC Med Ctr
    Los Angeles, California 90033, United States
  • Cedars Sinai / UCLA Med Ctr
    Los Angeles, California 900481804, United States
  • Harbor - UCLA Med Ctr / UCLA School of Medicine
    Los Angeles, California 905022004, United States
  • Children's Hosp of Oakland
    Oakland, California 946091809, United States
  • UCSF / Moffitt Hosp - Pediatric
    San Francisco, California 941430105, United States
  • Children's Hosp of Denver
    Denver, Colorado 802181088, United States
  • Connecticut Children's Med Ctr
    Farmington, Connecticut 060303805, United States
  • Yale Univ Med School
    New Haven, Connecticut 06504, United States
  • Howard Univ Hosp
    Washington, District of Columbia 20060, United States
  • North Broward Hosp District
    Fort Lauderdale, Florida 33311, United States
  • Univ of Florida Health Science Ctr / Pediatrics
    Jacksonville, Florida 32209, United States
  • Univ of Miami (Pediatric)
    Miami, Florida 33161, United States
  • Emory Univ Hosp / Pediatrics
    Atlanta, Georgia 30306, United States
  • Med College of Georgia
    Augusta, Georgia 30912, United States
  • The Med Ctr Inc
    Columbus, Georgia 31901, United States
  • Cook County Hosp
    Chicago, Illinois 60612, United States
  • Univ of Illinois College of Medicine / Pediatrics
    Chicago, Illinois 60612, United States
  • Chicago Children's Memorial Hosp
    Chicago, Illinois 606143394, United States
  • Tulane Univ / Charity Hosp of New Orleans
    New Orleans, Louisiana 701122699, United States
  • Univ of Maryland at Baltimore / Univ Med Ctr
    Baltimore, Maryland 21201, United States
  • Johns Hopkins Hosp - Pediatric
    Baltimore, Maryland 212874933, United States
  • Children's Hosp of Boston
    Boston, Massachusetts 021155724, United States
  • Boston City Hosp / Pediatrics
    Boston, Massachusetts 02118, United States
  • Baystate Med Ctr of Springfield
    Springfield, Massachusetts 01199, United States
  • Univ of Massachusetts Med School
    Worcester, Massachusetts 016550001, United States
  • Univ of Mississippi Med Ctr
    Jackson, Mississippi 39213, United States
  • UMDNJ - Robert Wood Johnson Med School / Pediatrics
    New Brunswick, New Jersey 089030019, United States
  • Univ of Medicine & Dentistry of New Jersey / Univ Hosp
    Newark, New Jersey 071032714, United States
  • Saint Joseph's Hosp and Med Ctr/UMDNJ - New Jersey Med Schl
    Newark, New Jersey 07103, United States
  • Children's Hosp at Albany Med Ctr
    Albany, New York 12208, United States
  • Bronx Lebanon Hosp Ctr
    Bronx, New York 10457, United States
  • SUNY - Brooklyn
    Brooklyn, New York 11203, United States
  • North Shore Univ Hosp
    Great Neck, New York 11021, United States
  • Schneider Children's Hosp
    New Hyde Park, New York 11040, United States
  • Bellevue Hosp / New York Univ Med Ctr
    New York, New York 10016, United States
  • Cornell Univ Med College
    New York, New York 10021, United States
  • Metropolitan Hosp Ctr
    New York, New York 10029, United States
  • Columbia Presbyterian Med Ctr
    New York, New York 10032, United States
  • Incarnation Children's Ctr / Columbia Presbyterian Med Ctr
    New York, New York 10032, United States
  • Harlem Hosp Ctr
    New York, New York 10037, United States
  • Univ of Rochester Med Ctr
    Rochester, New York 146420001, United States
  • State Univ of New York at Stony Brook
    Stony Brook, New York 117948111, United States
  • SUNY Health Sciences Ctr at Syracuse / Pediatrics
    Syracuse, New York 13210, United States
  • Duke Univ Med Ctr
    Durham, North Carolina 277103499, United States
  • Univ of North Carolina at Chapel Hill / Duke Univ Med Ctr
    Durham, North Carolina 27710, United States
  • Columbus Children's Hosp
    Columbus, Ohio 432052696, United States
  • Children's Hosp of Philadelphia
    Philadelphia, Pennsylvania 191044318, United States
  • Saint Christopher's Hosp for Children
    Philadelphia, Pennsylvania 191341095, United States
  • Med Univ of South Carolina
    Charleston, South Carolina 294253312, United States
  • Saint Jude Children's Research Hosp of Memphis
    Memphis, Tennessee 381052794, United States
  • Vanderbilt Univ Med Ctr
    Nashville, Tennessee 372322581, United States
  • Children's Med Ctr of Dallas
    Dallas, Texas 75235, United States
  • Texas Children's Hosp / Baylor Univ
    Houston, Texas 77030, United States
  • Children's Hosp of the King's Daughters
    Norfolk, Virginia 23507, United States
  • Med College of Virginia
    Richmond, Virginia 23219, United States
  • Ramon Ruiz Arnau Univ Hosp / Pediatrics
    Bayamon, 00956, Puerto Rico
  • Univ of Puerto Rico / Univ Children's Hosp AIDS
    San Juan, 009365067, Puerto Rico
  • San Juan City Hosp
    San Juan, 009367344, Puerto Rico
07

References and documents

Publications

  • Weinberg A, Kovacs A, Pahwa S, Carey V, Oyomopito R, Mofenson L, Khoury M, Zimmer B, Burchett S. HIV-infected children on HAART reconstitute tetanus-specific T cell responses without booster vaccination. 8th Conf Retro and Opportun Infect. 2001 Feb 4-8 (abstract no 688)
  • Frenkel LM, Burchett SK, Aldrovandi GM, Carey V, Oyomopito R, Mahalanibis M, Decker D, Kovacs A. HIV-1 reverse transcriptase (RT) M184V/I improves the rate of suppression of viral replication by salvage therapy. 8th Conf Retro and Opportun Infect. 2001 Feb 4-8 (abstract no 463)
  • Kovacs A, Burchett S, Khoury M, Carey V, Pahwa S, McIntosh K, Oyomopito R, Smith E, Mofenson L. Virologic and immunologic responses in children with advanced HIV disease on a new HAART regimen (PACTG 366). 8th Conf Retro and Opportun Infect. 2001 Feb 4-8 (abstract no 684)
  • Weinberg A, Pahwa S, Oyomopito R, Carey VJ, Zimmer B, Mofenson L, Kovacs A, Burchett SK; Pediatric AIDS Clinical Trials Group 366 Team. Antimicrobial-specific cell-mediated immune reconstitution in children with advanced human immunodeficiency virus infection receiving highly active antiretroviral therapy. Clin Infect Dis. 2004 Jul 1;39(1):107-14. doi: 10.1086/420931. Epub 2004 Jun 14. PubMed 15206061 ↗
  • Saitoh A, Sarles E, Capparelli E, Aweeka F, Kovacs A, Burchett SK, Wiznia A, Nachman S, Fenton T, Spector SA. CYP2B6 genetic variants are associated with nevirapine pharmacokinetics and clinical response in HIV-1-infected children. AIDS. 2007 Oct 18;21(16):2191-9. doi: 10.1097/QAD.0b013e3282ef9695. PubMed 18090046 ↗
  • EV Capparelli, SK Burchett, A Kovacs, M Khoury, R Oyomopito, L Mofenson, B Zimmer, D Holland. Characterization of the Ritonavir-Nelfinavir Pharmacokinetic Interaction in Pediatric Patients with Advanced HIV Disease Using a Mixed Effects Modeling Approach, Pharmacotherapy, (2003), Abstract 67, Vol.23, No.3, pp.401.
  • S. Burchett, M. Khoury, K. McIntosh, V. Carey, R. Oyomopito, L. Mofenson, E. Smith, A. Kovacs, Viral Load Reduction in Children with Advanced HIV Disease Treated with 4-Drug Antiretroviral Treatment Regimens Including NRTIs, Nevirapine, Nelfinavir and/or Ritonavir, CROI, 2000.
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 29, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00000902
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Responsible party
Sponsor
First posted
Aug 31, 2001
Completion
Apr 2002
Last update
Oct 29, 2021

Study contacts

Andrea Kovacs
study chair
Sandra Burchett
study chair
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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