Efficacy Safety Study Comparing 2 Doses of NVP After Initiating Rifampin-containing TB Therapy

• Status: Completed
• Trial end date: 2009-12-01
• Target enrollment: 0
• Participant gender: All

Summary

A 48 week, randomized, open-label, two arm study to compare the efficacy, safety and tolerability of HAART containing nevirapine 400 mg/day versus nevirapine 600 mg/day in HIV-1 infected patients started at 2-6 weeks after initiating rifampicin containing antituberculosis therapy.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: The HIV Netherlands Australia Thailand Research Collaboration
• Collaborators: Bamrasnaradura Infectious Diseases Institute; Central General Chest Institute; Chiang Rai Hospital; King Chulalongkorn Memorial Hospital; Labor and Welfare; other sponsors:Japanese MOPH; Thai GPO; Thai MOPH; The Research Institute of Tuberculosis (Japan)
• Treatments: Nevirapine; Rifampin

Criteria

Inclusion Criteria:

1. Confirmed HIV positive after voluntary counseling and testing

2. Aged 18-60 years of age

3. Antiretroviral treatment naïve.

4. CD4+ cell count of < 200 cells/mm3 at the time of diagnosed TB

5. TB is diagnosed and using treatment with rifampin base therapy for at least 2 weeks but no longer than 4 weeks duration. The requirement for study entry is at least one acid-fast bacillus (AFB) positive smear with a typical syndrome and/or CXR findings consistent with pulmonary TB. Pulmonary TB and / or extra pulmonary TB will be included if AFB or culture for TB is positive.

6. No other active OI (CDC class C event)

7. Negative pregnancy test in females, and willing to use reliable contraception

8. Able to provide written informed consent.

Exclusion Criteria:

1. The following laboratory variables, i. absolute neutrophil count (ANC) < 1000 cells/uL ii. hemoglobin < 6.5 g/dL iii. platelet count < 50,000 cells/uL iv. serum AST, ALT > 5 x ULN vi. serum bilirubin > 2 x ULN vii. serum creatinine > 2 x ULN viii. Pregnant or nursing mothers.

2. Current use of steroid and other immunosuppressive agents.

3. Current use of any prohibited medications related to compliance and drug pharmacokinetics (see appendix )

4. Acute therapy for serious infection or other serious medical illness (in the judgment of the site Principal Investigator) requiring systemic treatment and/or hospitalization.

5. Patients with current alcohol or illicit substance use that in the opinion of the site Principal Investigator would conflict with any aspect of the conduct of the trial.

6. The persons who had been received a mono-therapy of nevirapine

7. Unlikely to be able to remain in follow-up for the protocol defined period.

8. Patients with chronic active liver disease.

9. Patients with proven or suspected acute hepatitis. Patients with chronic viral hepatitis are eligible provided ALT, AST < 5 x ULN.

10. Karnofsky performance score <30%