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CompletedNCT00511368Updated Jan 20, 2010

Phase 2 Safety and Efficacy Study of Bevirimat Functional Monotherapy in HIV Treatment-Experienced Patients for 2 Weeks*

A Phase 2 interventional study of matching placebo and Bevirimat in HIV Infections, sponsored by Myrexis Inc.. Completed at 18 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2010-01-20.

Sponsored by Myrexis Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate antiretroviral activity of up to five different oral doses administered for two weeks of bevirimat versus placebo in HIV treatment experienced patients, who have documented genotypic resistance to at least one major mutation from the IAS-USA list (2007)of resistance mutations for NRTIs, NNRTIs, or PIs. Patients will also be monitored for side effects, and the pharmacokinetics of bevirimat will be determined.

Read the detailed description

Bevirimat (PA103001-04) represents a new class of antivirals that blocks HIV replication by disrupting virus maturation; specifically, by inhibiting a late step in the Gag processing cascade. Short term (7-10 days) functional monotherapy studies (conducted in patients with detectable viral loads on a failing regimen)help in determining the potency of the drug, and enable dose finding. This is a two part (A and B)randomized, placebo-controlled, double-blind, multiple-dose, dose-escalation study in HIV treatment-experienced patients on a failing regimen (harboring resistance mutations to at least one member of the NRTI, NNRTI or PI classes. The antiretroviral activity, safety, and pharmacokinetics of up to 5 different dose levels of bevirimat will be compared to placebo when added to a failing approved antiretroviral regimen. The study is conducted in two parts: A and B. In Part A following 14 days of daily dosing patients commenced a new optimized ART regimen in addition to their randomized treatment. In Part Part B dosing with the randomized treatment ends after the initial 14 days of daily dosing.

02

Conditions studied

  • HIV Infections

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Keywords

  • HIV
  • treatment experienced
  • AIDS
03

In context

HIV Infections

4,257 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 92 is above the median of 83 across 3,250 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

Myrexis Inc. is the lead sponsor of 15 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female. Females of child-bearing potential, must have a documented negative pregnancy test and be willing to utilize double-barrier contraception through-out the study period.
  • Have HIV-1-infection.
  • Have a screening plasma HIV-1 RNA value, measured by the Roche Amplicor assay, of 2,000 - 250,000 copies/ml (inclusive).
  • Have documented evidence of genotypic resistance in their medical records (at screening) or have resistance at screening by genotype to any major mutation from the IAS-USA list of resistance drug mutations, defined as: NRTI resistance: M41L, K65R, D67N, K70R, K70E, L74V, Y115F, M184V, M184V/I, L210W, T215Y/F, K219Q/E; NNRTI resistance: L100I, K103N, V106M, V106A/M, V108I, Y181C, Y181C/I, Y188L, Y188C/L/H, G190S/A, G190A, P225H; Major PI resistance: D30N, V32I, L33F, M46I/L, I47V/A, G48V, I50L, I50V, I54M/L, L76V, V82A/F/T, V82A/F/T/S, V82L/T, I84V, N88S, L90M
  • Be receiving an antiretroviral therapy regimen containing at least 3 drugs (regimens containing ritonavir must not exceed a total daily dose of 400 mg) which has been unchanged for at least 8 weeks prior to initial screening.
  • Be able to receive an optimized background regimen.
  • Be free from any acute infection or serious medical illness within 14 days prior to study entry.
  • Be informed of the nature of the study and provide written informed consent.
  • Be willing to comply with the meal requirements described in the protocol.

Exclusion criteria

Exclusion Criteria:

  • Current opportunistic infection characteristic of AIDS
  • Patients unable or unwilling to comply with the dosing schedule and protocol evaluations.
  • Patients with malabsorption syndromes affecting drug absorption.
  • Patients with systolic blood pressure \< 90 mmHg or > 140 mmHg or diastolic blood pressure \< 60 mmHg or > 90 mmHg measured in a semi-recumbent position after at least 10 minutes of rest at the screening or qualification visit.
  • A history of seizures (excluding pediatric febrile seizures), migraines, cluster and/or chronic headaches, cerebrovascular accident (CVA) or transient ischemic attacks (TIA).
  • Patients with abnormal Hemoglobin (\< 10.0 g/dL for men and \< 9.0 g/dL for women), Neutrophil count (\< 1000/mm3), Platelet count (\< 100,000/mm3), AST or ALT > 2.5 times the upper limit of normal (patients with a positive HBV surface antigen or HCV antibody test at screening must have AST and ALT no more than 1.5 times the upper limit of normal)
  • Patients who have received radiation therapy or cytotoxic chemotherapeutic agents, immunomodulating agents, HIV immunotherapeutic vaccine, an investigational drug or product, or participation in a drug study within 4 weeks prior to the first dose of study drug.
  • A history of alcoholism or drug addiction within the past 1 year (unless enrolled in a treatment program and approved by the sponsor). Recent use of any recreational drugs (except marijuana).
  • A history of difficulty donating blood or inadequate venous access.
  • The donation of blood or plasma within 30 days prior to receiving study medication.

Note: patients with a CD4 count \<100 cells/mm3 will be considered for enrollment following discussion and agreement between the Investigator and the Sponsor.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Investigator)
Enrollment
92 participants (actual)

Study arms

  • Placebo comparator
    1

    placebo

    Drug: matching placebo

  • Experimental
    2

    Bevirimat

    Drug: matching placebo · Drug: Bevirimat

Interventions

  • Drugmatching placebo

    Also known as: PA103001-04, PA-457N

  • DrugBevirimat
06

What researchers measure

Primary outcomes

  1. HIV-1 RNA change from baseline over the first 14 days of study

    Time frame: 14 days

Secondary outcomes

  1. safety and tolerability; pharmacokinetics

    Time frame: 14 days

07

Study locations

18 sites
  • UCLA Medical Center
    Los Angeles, California 90035, United States
  • Quest Clinical Research
    San Francisco, California 94115, United States
  • University of Colorado Health Science Center
    Denver, Colorado 80262, United States
  • George Washington University Medical Center
    Washington, District of Columbia 20037, United States
  • Whitman-Walker Clinic
    Washington, District of Columbia 20037, United States
  • Gary Richmond
    Fort Lauderdale, Florida 33316, United States
  • Orlando Immunology Center
    Orlando, Florida 32803, United States
  • AIDS Research Consortium of Atlanta, Inc.
    Atlanta, Georgia 30308, United States
  • Northwestern University Feinberg School of Medicine
    Chicago, Illinois 60611, United States
  • The Research Insitute
    Boston, Massachusetts 02215, United States
  • UNC at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • University Hospitals of Cleveland
    Cleveland, Ohio 44106, United States
  • Ohio State University Medical Center
    Columbus, Ohio 43210, United States
  • Drexel University College of Medicine
    Philadelphia, Pennsylvania 19102, United States
  • Miriam Hospital/Brown University
    Providence, Rhode Island 02906, United States
  • Central Texas Clinical Research
    Austin, Texas 78705, United States
  • Southwest Infectious Diseases
    Dallas, Texas 75204, United States
  • University of Texas Medical Branch Internal Medicine
    Galveston, Texas 77210-4786, United States
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00511368
Lead sponsor
Myrexis Inc.
First posted
Aug 3, 2007
Start date
Apr 2006
Primary completion
Jul 2008
Completion
Jul 2008
Last update
Jan 20, 2010

Study contacts

Andrew Beelen, M.D.
study director · Myrexis Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2010. You cannot join it, but the record below documents what was studied.

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