Plasma pharmacokinetic study of once versus twice daily abacavir as part of combination antiretroviral therapy in children with human immunodeficiency virus-1 infection aged 3 months to less than 36 months

ISRCTN ISRCTN38147516
DOI https://doi.org/10.1186/ISRCTN38147516
Protocol serial number PENTA 15/Version 3.0
Sponsor PENTA Foundation (Italy)
Funders PENTA Foundation (Italy) (mainly funded by the European Commission), GlaxoSmithKline (USA)
Submission date
07/12/2005
Registration date
17/01/2006
Last edited
14/07/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://www.ctu.mrc.ac.uk/research_areas/study_details.aspx?s=26

Contact information

Dr Carlo Giaquinto
Scientific

Clinica Pediatrica
Universita di Padova
Via Giustiniani 3
Padova
35128
Italy

Phone +39 (0)49 821 3563
Email carlog@pediatria.unipd.it

Study information

Primary study designInterventional
Study designA non-randomised, cross-over, open label pharmacokinetic multi-centre study
Secondary study designNon randomised controlled trial
Study type Participant information sheet
Scientific title
Study acronymPENTA 15
Study objectivesAim is to assess the pharmacokinetics, feasibility and acceptability of dosing abacavir (ABC) or ABC in combination with lamivudine (3TC) once daily in children aged 3 to less than 36 months.

Please note that the previous anticipated end date of this trial was 01/05/2007; the information held in this record was updated on the 17/09/2007 (from version 1.0 to version 3.0) at the request of the PI. The changes made for this version update included the above mentioned change to the anticipated end date, the addition of ethics approval, and a change to the countries of recruitment (which previously included Austria, Brazil, Germany, Ireland, Italy, Netherlands, Poland, Sweden, Thailand, United Kingdom, Argentina, Belgium, Denmark, France, Portugal, Romania, Spain, Switzerland).
Ethics approval(s)Trent Multi-centre Research Ethics Committee (MREC) on 01/02/2006 (submitted 02/11/2005).
Health condition(s) or problem(s) studiedPaediatric HIV
Intervention1. At week 0, while children enrolled in the study are on a twice-daily regimen containing ABC or ABC and 3TC, serial pharmacokinetic samples will be collected
2. Following collection of these samples, children will cross over and begin a regimen of ABC 16 mg/kg once-daily (and 3TC 8 mg/kg once-daily if applicable) for at least 12 weeks, with the second pharmacokinetic sample collected at week 4
3. The same daily dose will be maintained within 25% (allowing for dose adjustment for growth as appropriate)
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Abacavir (ABC), Lamivudine (3TC)
Primary outcome measure(s)

Area under curve (AUC), Cmin and Cmax values of ABC after once and twice daily dosing

Key secondary outcome measure(s)

1. AUC, Cmin and Cmax values of 3TC after once and twice daily dosing
2. Assessment of adherence and satisfaction with twice and once daily dosage regimens, using questionnaires

Completion date01/06/2008

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit3 Months
Upper age limit36 Months
SexAll
Target sample size at registration18
Key inclusion criteria1. Infants and children with confirmed presence of human immunodeficiency virus (HIV-1) infection
2. Infants and children aged 3 to less than 36 months
3. Parents able/willing to give consent
4. Currently on combination anti-retroviral therapy (ART) including ABC oral solution or a combination of ABC and 3TC, for at least 12 weeks, and expected to stay on this regimen for at least a further 12 weeks
5. HIV-1 ribonucleic acid (RNA) viral load - either suppressed HIV-1 RNA viral load (i.e. less than 400 copies/ml) or non-suppressed but low HIV-1 RNA viral load (i.e. 400 - 20,000 copies/ml). The non-suppressed children should have had a stable or decreasing HIV-1 RNA viral load prior to study entry and should be considered to still be gaining benefit from the current regimen.
6. Children should have stable or rising cluster of differentiation-4 (CD4+) cell percentage prior to study entry and their CD4+ cell percentage should not be expected to fall within the next 12 weeks
Key exclusion criteria1. Intercurrent illnesses
2. Receiving concomitant therapy except prophylactic antibiotics
3. Abnormal renal or liver function (grade 3 or above)
Date of first enrolment01/01/2006
Date of final enrolment01/06/2008

Locations

Countries of recruitment

  • United Kingdom
  • France
  • Germany
  • Italy
  • Spain

Study participating centre

Clinica Pediatrica
Padova
35128
Italy

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2010 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Study website Study website 11/11/2025 11/11/2025 No Yes