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Fosamprenavir

Phase 3

Infection, Human Immunodeficiency Virus I | Small molecule | Infectious Disease |GSK plc|Last Updated: Apr 18, 2018

Success Probability

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Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment526

FDA Designations

No designations recorded

Clinical trial landscape

Fosamprenavir · 5 trials · 5 indications

Phase 3 4Phase 2 1
NCT00450580HIV-1 Infection Study of Once a Day Versus Twice a Day Protease Inhibitor in Antiretroviral Treatment Naive AdultsInfection, Human Immunodeficiency Virus I
COMPLETED212 Analytics
NCT00094523Fosamprenavir Versus Other Protease InhibitorsInfection, Human Immunodeficiency Virus I
COMPLETED314 Analytics
NCT00043888Study to Explore Safety And Tolerability of Fosamprenavir With or Without Ritonavir in Combination With TRIZIVIR or COMBIVIRHIV Infections
COMPLETED60 Analytics
NCT00296504A Study To Assess GW433908 (Fosamprenavir) Containing Regimens In HIV-1 Infected SubjectsInfection, Human Immunodeficiency Virus
COMPLETED753 Analytics
PHASE3COMPLETED
HIV-1 Infection Study of Once a Day Versus Twice a Day Protease Inhibitor in Antiretroviral Treatment Naive Adults
Infection, Human Immunodeficiency Virus IUnlock trial analytics
PHASE3COMPLETED
Fosamprenavir Versus Other Protease Inhibitors
Infection, Human Immunodeficiency Virus IUnlock trial analytics
PHASE3COMPLETED
Study to Explore Safety And Tolerability of Fosamprenavir With or Without Ritonavir in Combination With TRIZIVIR or COMBIVIR
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study To Assess GW433908 (Fosamprenavir) Containing Regimens In HIV-1 Infected Subjects
Infection, Human Immunodeficiency VirusUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With HIV-1 RNA <400 and >=400 Copies/mL Over 48 Weeks
Week 48

A blood sample was drawn to determine the amount of HIV-1 RNA virus in copies/mL at week 48. The percentage of participants with HIV-1 RNA \<400 copies/mL at Week 48 was determined by the Time to Loss Of Virologic Response (TLOVR) algorithm.

Percentage of subjects with HIV-1 RNA less than 400 copies/mL
Week 24
To assess the overall short term tolerance of the regimens under investigation
Number of Participants With Any Adverse Event (AE): Interim Analysis
Baseline (Day 1) up to 31 January 2006 (up to Week 264)

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A list of all adverse events is reported in the "Other (Non-Serious) Adverse Events" section.

Number of Participants With Any Adverse Event (AE): Final Analysis
Post January 2006; for up to 241 weeks

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A list of all adverse events is reported in the "Other (Non-Serious) Adverse Events" section.

Change From Baseline in the Indicated Clinical Chemistry Parameters at Weeks 48, 96, 120, 132, 168, 180, 204, and 216
Baseline (Day 1) and Weeks 48, 96, 120, 132, 168, 180, 204, and 216

Fasting blood samples of participants were collected for the assessment of triglycerides (Tri.), cholesterol (Chol.), high density cholesterol (HDL), low density cholesterol (LDL), and fasting blood glucose (FBG). Change from Baseline at Weeks (W) 48, 96, 120, 132, 168, 180, 204, and 216 was calculated as the value at that particular week minus the value at Baseline (Day 1).

Median Values of the Indicated Clinical Chemistry Parameters at Weeks 120, 180, 204, 216, and 432
Weeks 120, 180, 204, 216, and 432

Fasting blood samples of participants were collected for the assessment of triglycerides, cholesterol, high density cholesterol (HDL), low density cholesterol (LDL), and fasting blood glucose (FBG).

Change From Baseline in the Total Cholesterol/HDL Ratio at Weeks 48, 120, 180, 204, and 216
Baseline (Day 1) and Weeks 48, 120, 180, 204, and 216

blood samples of participants were collected for the assessment of the total cholesterol/HDL ratio. The ratio of total cholesterol/HDL was calculated by dividing the value of total cholesterol by the value of HDL. Change from Baseline at Weeks 48, 120, 180, 204, and 216 was calculated as the value at that particular week minus the value at Baseline (Day 1).

Change From Baseline in the Total Cholesterol/HDL Ratio at Weeks 48, 96, 132, and 168
Baseline (Day 1) and Weeks 48, 96, 132, and 168

Fasting blood samples of participants were collected for the assessment of the total cholesterol/HDL ratio. The ratio of total cholesterol/HDL was calculated by dividing the value of total cholesterol by the value of HDL. Change from Baseline at Weeks 48, 96, 132, and 168 was calculated as the value at that particular week minus the value at Baseline (Day 1).

Median Value of the Total Cholesterol/HDL Ratio at Weeks 120, 180, 204, 216, and 432
Weeks 120, 180, 204, 216, and 432

Fasting blood samples of participants were collected for the assessment of the total cholesterol/HDL ratio. The ratio of total cholesterol/HDL was calculated by dividing the value of total cholesterol by the value of HDL.

Change From Baseline in Aspartate Aminotransferase (AST), Alanine Transaminase (ALT), and Serum Lipase at Weeks 48, 120, 180, 204, and 216
Baseline (Day 1) and Weeks 48, 120, 180, 204, and 216

Blood samples of participants were collected for the assessment of AST, ALT, and serum lipase. Change from Baseline at Weeks 48, 120, 180, 204, and 216 was calculated as the value at that particular week minus the value at Baseline (Day 1).

Change From Baseline in Aspartate Aminotransferase (AST), Alanine Transaminase (ALT), and Serum Lipase at Weeks 48, 96, 132, and 168
Baseline (Day 1) and Weeks 48, 96, 132, and 168

Blood samples of participants were collected for the assessment of AST, ALT, and serum lipase. Change from Baseline at Weeks 48, 96, 132, and 168 was calculated as the value at that particular week minus the value at Baseline (Day 1).

Median Aspartate Aminotransferase (AST), Alanine Transaminase (ALT), and Serum Lipase Values at Weeks 120, 180, 204, 216, and 432
Weeks 120, 180, 204, 216, and 432

Blood samples of participants were collected for the assessment of AST, ALT, and serum lipase.

Number of Participants Who Discontinued Treatment Due to Adverse Events
Baseline through end of study (at least Week 168)

The number of participants who prematurely discontinued study drug due to adverse events was tabulated. Data are summarized by individual adverse event.

Number of Participants With Any Drug-related Grade 2 to 4 Adverse Event
Baseline through end of study (at least Week 168)

The number of participants with drug-related adverse events coded as Grade 2 (mild), Grade 3 (severe), or Grade 4 (life-threatening).

Number of Participants With Grade 3 or 4 Treatment-emergent Laboratory Abnormalities
Baseline through end of study (at least Week 168)

The number of participants with Grade 3 (severe) or Grade 4 (life-threatening) laboratory abnormalities while on study treatment.

Geometric Mean of Steady State Plasma Amprenavir (APV) Parameter: AUC(0-tau)
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4

Geometric mean is a type of "average" that indicates the central tendency of a set of values and is calculated by multiplying all the numbers in a set, and then taking the nth root of the resulting product. AUC(0-tau)=area under the concentration curve from time 0 to tau.

Geometric Mean of Steady State Plasma APV Parameter: Cmax
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4

Geometric mean is a type of "average" that indicates the central tendency of a set of values and is calculated by multiplying all the numbers in a set, and then taking the nth root of the resulting product. Cmax= concentration maximum.

Median Steady State Plasma APV Tmax
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4

tmax: time after administration of the drug when maximum concentration is reached

Geometric Mean of Steady State Plasma APV Parameter: CL/F
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4

Geometric mean is a type of "average" that indicates the central tendency of a set of values and is calculated by multiplying all the numbers in a set, and then taking the nth root of the resulting product. CL/F=apparent plasma clearance.

Geometric Mean of Steady State Plasma APV Parameter: t1/2
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4

Geometric mean is a type of "average" that indicates the central tendency of a set of values and is calculated by multiplying all the numbers in a set, and then taking the nth root of the resulting product. t1/2=elimination half-life. t1/2=elimination half-life.

Least Squares Mean of Plasma APV Parameter: AUC0-tau
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4

A blood sample was drawn on Week 4 over 24 hours (at 0, 1, 2, 4, 8, 12, and 24 hours post dosing). Ratio of geometric least squares mean (90% CI) are presented. Ctau=trough concentration. PK Parameters for QD and BID are compared with Historical adult data. Least squares mean (LSM) are the group means after having controlled for a covariate (i.e., holding it constant at some typical value of the covariate, such as its mean value). LSM is calculated by taking the average of the means within a treatment.

Least Squares Mean of Plasma APV Parameter: Cmax
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4.

A blood sample was drawn on Week 4 over 24 hours (at 0, 1, 2, 4, 8, 12, and 24 hours post dosing). Ratio of geometric least squares mean (90% CI) are presented. Ctau=trough concentration. PK Parameters for QD and BID are compared with Historical adult data. Least squares mean (LSM) are the group means after having controlled for a covariate (i.e., holding it constant at some typical value of the covariate, such as its mean value). LSM is calculated by taking the average of the means within a treatment.

Least Squares Mean of Plasma APV Parameter: Ctau
0, 1, 2, 4, 8, 12, and 24 hours post dosing at Week 4.

A blood sample was drawn on Week 4 over 24 hours (at 0, 1, 2, 4, 8, 12, and 24 hours post dosing). Ratio of geometric least squares mean (90% CI) are presented. Ctau=trough concentration. PK Parameters for QD and BID are compared with Historical adult data. Least squares mean (LSM) are the group means after having controlled for a covariate (i.e., holding it constant at some typical value of the covariate, such as its mean value). LSM is calculated by taking the average of the means within a treatment.

Secondary Endpoints

Percentage of Participants With HIV-1 RNA <50 and >=50 Copies/mL by Visit Over 48 Weeks
Week 48
Number of Participants With HIV-1 RNA <400 Copies/mL (Primary Endpoint) at Week 48 Categorised by Baseline Viral Load, TLOVR Analysis
Week 48
Number of Participants With HIV-1 RNA <400 Copies/mL (Primary Endpoint) at Week 48 Categorised by Baseline CD4+ Count, TLOVR Analysis
Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm AEXPERIMENTALFosamprenavir/ritonavir 1400mg/100mg QD + ABC/3TC FDC 600/300mg QD
Arm BACTIVE_COMPARATORFosamprenavir/ritonavir 700mg/100mg BID + ABC/3TC FDC 600/300mg QD
Treatment Arm AEXPERIMENTALSubjects switched their baseline PI for fosamprenavir (± ritonavir) while maintaining their baseline regimen of two nucleoside or nucleotide reverse transcriptase inhibitors for 48 weeks.
Treatment Arm BEXPERIMENTALSubjects continued baseline regimen for first 24 weeks with the option of switching their initial PI for fosamprenavir (± ritonavir) while maintaining their baseline nucleoside or nucleotide reverse transcriptase inhibitor regimen for another 24 weeks
2 to 5 years (FPV/RTV)EXPERIMENTALTwo to five years. Fosamprenavir (FPV) 700 mg tablets or 50 mg/mL oral suspension/ritonavir (RTV) 100 mg capsules or 80 mg/mL oral solution once daily (QD)
6 to 11 years (FPV/RTV)EXPERIMENTALSix to twelve years. Fosamprenavir (FPV) 700 mg tablets or 50 mg/mL oral suspension/ritonavir (RTV) 100 mg capsules or 80 mg/mL oral solution once daily (QD)
12 to 18 years (FPV/RTV)EXPERIMENTALTwelve to Eighteen years. Fosamprenavir (FPV) 700 mg tablets or 50 mg/mL oral suspension/ritonavir (RTV) 100 mg capsules or 80 mg/mL oral solution once daily (QD)

Interventions

NameTypeDescription
fosamprenavir/ritonavirDRUGFosamprenavir (FPV, TELZIR) is currently licensed in Europe for twice daily (BID) dosing in combination with ritonavir (RTV, Norvir) as a boosting agent
FosamprenavirDRUGFosamprenavir
COMBIVIRDRUG -
ritonavirDRUG -
TRIZIVIRDRUG -
fosamprenavir (GW433908)DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites69

Inclusion Criteria: * Subject is ≥18 years of age. * Subject is antiretroviral-naïve (defined as having ≤14 days of prior therapy with any antiretroviral agent). * Subject has plasma HIV-1 RNA ≥1,000 copies/mL at screening. * Subject is willing and able to understand and provide written informed co...

Countries:BelgiumFranceGermanyItalyRomaniaRussiaSpainSwitzerlandUnited KingdomUnited StatesPuerto RicoBrazilChilePortugalCanadaNetherlands
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Frequently asked questions about Fosamprenavir

What is Fosamprenavir used for?

Fosamprenavir is an investigational small molecule being developed for the treatment of HIV infections, including HIV-1 infection in adults and pediatric subjects. It is studied in combination with other antiretroviral agents such as ritonavir, TRIZIVIR, or COMBIVIR. The drug is in Phase 3 clinical development for these indications.

Who makes Fosamprenavir?

Fosamprenavir is being developed by GSK plc, which trades under the ticker symbol GSK. The company is conducting clinical trials to evaluate the drug's safety and efficacy in treating HIV infections across various patient populations, including pediatric subjects aged 2 to 18 years and adults.

What does Fosamprenavir target?

Fosamprenavir is a protease inhibitor that targets the HIV protease enzyme, which is essential for viral replication. By inhibiting this enzyme, the drug aims to prevent the maturation of infectious viral particles. It is being studied in combination with other antiretroviral medications for the treatment of HIV-1 infection.

What phase is Fosamprenavir in?

Fosamprenavir is in Phase 3 clinical development for the treatment of HIV infections. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials are ongoing to evaluate its safety and efficacy in various patient populations, including treatment-naive adults and pediatric subjects.

What clinical trials is Fosamprenavir in?

Fosamprenavir has been studied in several completed clinical trials, including NCT00040664 in pediatric subjects, NCT00043888 in adolescents and adults, NCT00094523 comparing it to other protease inhibitors, and NCT00450580 evaluating once-daily versus twice-daily dosing in treatment-naive adults. These trials enrolled a total of 753 participants.

Is Fosamprenavir the same as other HIV drugs?

Fosamprenavir is a distinct protease inhibitor used in combination with other antiretroviral agents. It is not the same as other HIV drugs, but it is often studied alongside medications like ritonavir, TRIZIVIR, and COMBIVIR to enhance its effectiveness. Its unique chemical structure and mechanism differentiate it from other protease inhibitors.