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GW433908

Phase 4FDA approved 2003

Infection, Human Immunodeficiency Virus | Small molecule | Infectious Disease |GSK plc|Trials Updated: Oct 10, 2023

GW433908 development status

FDA approval Oct 20, 2003 as Lexiva
Approval holderViiv Hlthcare
ApplicationNDA021548
Highest phase Phase 4 (NCT00717067)
Phase scored for GSKPhase 2
Registered trials 179 across 34 sponsors since Nov 1999

GW433908 target and mechanism

ModalitySmall molecule

Also known as ritonavir, Fosamprenavir, TELZIR, LEXIVA

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials3
Total Enrollment1,035

FDA Designations

No designations recorded

GW433908 clinical trials

GW433908 · 3 trials · 4 indications

Phase 3 1Phase 2 2
NCT00085943KALETRA Or LEXIVA With Ritonavir Combined With EPIVIR And Abacavir In Naive Subjects Over 48 WeeksHIV Infection
COMPLETED866 Analytics
PHASE3COMPLETED
KALETRA Or LEXIVA With Ritonavir Combined With EPIVIR And Abacavir In Naive Subjects Over 48 Weeks
HIV InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of subjects with plasma HIV-1 RNA <400 copies/mL at Week 48. Proportion of subjects who permanently discontinue randomized treatment due to adverse events.
Plasma Amprenavir (APV) AUC (0-tau[τ])
Week 48

Plasma samples were assayed for APV concentrations using a validated assay. The GlaxoSmithKline (GSK) Department of Clinical Pharmacology Modeling and Simulation conducted pharmacokinetic (PK) analysis of the plasma APV concentration-time data using a model-independent approach. As a measure of total drug exposure, the area under the plasma-concentration-versus-time curve over the dosing interval at steady-state (AUC\[0-τ\]), where τ is the length of the dosing interval, was calculated by the linear up/log down trapezoidal method. hr, hour; µg, micrograms; mL, milliliter.

Plasma APV Cmax
Week 48

The maximum concentration at steady state (Cmax) was measured.

Plasma APV Cτ
Week 48

The plasma concentration at the end of the dosing interval at steady-state (Cτ) was measured.

Plasma APV CL/F Following Dosing Expressed in mg/kg
Week 48

Apparent clearance of drug from plasma following extravascular administration (CL/F) was calculated using the formulation: APV Dose in mg/kg units divided by AUC(0-τ). For FPV, doses were expressed in APV molar equivalents (50 mg of FPV = 43.2 mg of APV). Normalizing CL/F for bodyweight allows for comparison of CL/F across populations.

Plasma APV CL/F Following Dosing Expressed in mg
Week 48

Apparent clearance of drug from plasma following extravascular administration (CL/F) was calculated as dose/AUC(0-τ). For FPV, doses were expressed in APV molar equivalents (50 mg of FPV = 43.2 mg of APV).

Plasma APV Tmax
Week 48

The time to reach the maximum concentration (Cmax) at steady state is defined as tmax.

Plasma APV t1/2
Week 48

The apparent terminal phase half-life (t1/2) is calculated as loge2/λz. The apparent terminal phase rate constant (λz) is the slope of the terminal portion of the logarithmically transformed concentration-time data as estimated by linear regression.

Number of Participants Who Permanently Discontinued the Treatment Due to Any Adverse Event (AE)
Week 48

An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Change From Baseline in Triglycerides, Total Cholesterol, Low-density Lipoprotein (LDL) Cholesterol, High-density Lipoprotein (HDL) Cholesterol, and Serum Glucose at Week 48
Baseline (Day 1) and Week 48

Blood samples of all participants were collected under fasting conditions for the evaluation of triglycerides, total cholesterol, HDL cholesterol, LDL cholesterol, and serum glucose. Clinical chemistry analyses were carried out using the observed analysis strategy. Change from Baseline in triglycerides, total cholesterol, HDL cholesterol, LDL cholesterol, and serum glucose was calculated as the value at Week 48 minus the value at Baseline.

Change From Baseline in Serum Lipase at Week 48
Baseline (Day 1) and Week 48

Blood samples of all participants were collected for the evaluation of serum lipase. Clinical chemistry analyses were carried out using the observed analysis strategy. Change from Baseline in serum lipase was calculated as the value at Week 48 minus the value at Baseline.

Change From Baseline in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) at Week 48
Baseline (Day 1) and Week 48

Blood samples of the participants were collected for the evaluation of AST and ALT. Clinical chemistry analyses were carried out using the observed analysis strategy. Change from Baseline in AST and ALT was calculated as the value at Week 48 minus the value at Baseline.

Number of Participants With Treatment-emergent (TE) Grade 3/4 Clinical Chemistry Laboratory Abnormalities
Baseline (Day 1) until Week 48

A toxicity was considered TE if it was \> than the Baseline grade, and if it was observed on/after the date of the first dose of study drug (SD), and on/before the date of the last dose of SD. Leucopenia is the decrease in the number of leucocytes (white blood cells \[WBCs\]); neutropenia is the decrease in the number of neutrophils (type of WBCs). Per the Division of AIDS Table for Grading the Severity of Adult and Pediatric AEs: Grade 3 is "severe"; Grade 4 is "potentially life-threatening." ULN, upper limit of normal; LDL, low-density lipoprotein; PC, platelet count.

Plasma APV CL/F Following Dosing Expressed in mL/Min/kg
Week 48

Apparent clearance of drug from plasma following extravascular administration (CL/F) was calculated using the formulation: APV Dose in mg/kg units divided by AUC(0-τ). For FPV, doses were expressed in APV molar equivalents (50 mg of FPV = 43.2 mg of APV). Normalizing CL/F for bodyweight allows for comparison of CL/F across populations.

Plasma APV CL/F Following Dosing Expressed in mL/Min
Week 48

Apparent clearance of drug from plasma following extravascular administration (CL/F) was calculated as dose/AUC(0-τ). For FPV, doses were expressed in APV molar equivalents (50 mg of FPV = 43.2 mg of APV).

Plasma Unbound APV Cτ
Week 48

Participants who are \<2 years old may have reduced protein binding; therefore, plasma unbound APV concentrations were measured to determine dosing recommendations at acceptable dosing volumes. Unbound or "free" APV is the fraction of drug that is not bound to protein. Cτ is the plasma concentration at the end of the dosing interval at steady state.

Plasma Unbound APV Percent Protein Binding (%Cτ)
Week 48

Participants who are \<2 years old may have reduced protein binding; therefore, plasma unbound APV concentrations were measured to determine dosing recommendations at acceptable dosing volumes. APV %Cτ unbound is the percentage of the total APV Cτ that is unbound.

Absolute Values of Alanine Amino Transferase (ALT) and Aspartate Amino Transferase (AST) at Baseline (Day 1), Weeks 4, 12, 24, 36, and 48
Baseline (Day 1) and Weeks 4, 12, 24, 36, and 48

Blood samples of the participants were collected for the evaluation of ALT and AST. Clinical chemistry analyses were carried out using the observed analysis strategy.

Absolute Values of Cholesterol, Glucose, High Density Lipoprotein (HDL) Cholesterol, Low Density Lipoprotein (LDL) and Triglyceride (TG) at Baseline (Day 1), Weeks 4, 12, 24, 36, and 48
Baseline (Day 1) and Weeks 4, 12, 24, 36, and 48

Blood samples of all participants were generally collected under non-fasting conditions (given the age of participants) for the evaluation of cholesterol, serum glucose, HDL cholesterol, LDL cholesterol and triglyceride (TG). Clinical chemistry analyses were carried out using the observed analysis strategy.

Absolute Values of Serum Lipase at Baseline (Day 1), Weeks 4, 12, 24, and 48
Baseline (Day 1) and Weeks 4, 12, 24, and 48

Blood samples of all participants were collected for the evaluation of serum lipase. Clinical chemistry analyses were carried out using the observed analysis strategy. Change from Baseline in serum lipase was calculated as the value at the indicated time point minus the value at Baseline.

Number of Participants With the Indicated Treatment-emergent (TE) Grade 3/4 Laboratory Abnormalities
Baseline (Day 1) until Week 48

TE toxicities were presented for each laboratory parameter. A toxicity was considered TE if it was greater than the Baseline grade, and if it was observed on/after the date of the first dose of study drug (SD), and on/before the date of the last dose of SD. Per the Division of AIDS Table for Grading the Severity of Adult and Pediatric AEs, Grade 3=severe; Grade 4=potentially life-threatening.

Number of Participants With the Indicated Treatment-emergent (TE) Grade 3/4 Adverse Events (AE)
Baseline (Day 1) until Week 48

An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE is considered TE if it has an onset date on or after the date of the first dose of study drug, and on or before the date of the final dose of study drug. As per the Division of AIDS Table for Grading the Severity of Adult and Pediatric AEs, Grade 3=severe; Grade 4=potentially life-threatening.

Number of Participants Who Permanently Discontinued the Treatment Due to an AE
Baseline (Day 1) until Week 48

An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Secondary Endpoints

Proportion of subjects with plasma HIV-1 RNA <400 copies/mL at Week 48. Proportion of subjects who permanently discontinue randomized treatment due to adverse events.
Plasma Ritonavir (RTV) AUC (0-τ)
Week 48
Plasma RTV Cmax
Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
2 - 18 yrs old (FPV/RTV BID)EXPERIMENTALCohort 1B - 2 - less than 6yrs old (FPV/RTV BID) Cohort 2 - 6 to less than 12 yrs old (FPV/RTV BID) Cohort 3 - 12 - 18 yrs old (FPV/RTV BID) Cohort 4 - 2 - 18 yrs (FPV/RTV BID)
2 - less than 6yrs old (FPV BID)EXPERIMENTALCohort 1A - 2 - less than 6yrs old (FPV BID)
Arm A - 4weeks - less than 2 years old (FPV/RTV bid)EXPERIMENTALCohort 2A - 4weeks - less than 6 months old. Fosamprenavir (FPV) 50 mg/mL oral suspension/ritonavir (RTV) 80 mg/mL oral solution twice daily (BID) Cohort 1A - 6 months - less than 2yrs old. Fosamprenavir (FPV) 50 mg/mL oral suspension/ritonavir (RTV) 80 mg/mL oral solution twice daily (BID)
Arm B- 4weeks - less than 2 years old (FPV bid)EXPERIMENTALCohort 2B - 4weeks - less than 6 months old. Fosamprenavir (FPV) 50 mg/mL oral suspension twice daily (BID) Cohort 1B - 6 months - less than 2yrs old. Fosamprenavir (FPV) 50 mg/mL oral suspension twice daily (BID)

Interventions

NameTypeDescription
LEXIVA (GW433908)DRUG -
RitonavirDRUG -
KALETRADRUG -
EPIVIRDRUG -
ZiagenDRUG -
Abacavir/LamivudineDRUG -
FosamprenavirDRUG -
GW433908DRUGFosamprenavir suspension bid
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites119

Inclusion Criteria: * HIV infected subjects that are naive to anti-HIV therapy. * History of a positive HIV test. * At least 1000 copies/mL of HIV in their blood as screening. Exclusion Criteria: * Active HIV-related diseases. * Taking other investigational drugs. * Pregnant or breastfeeding fema...

Countries:United StatesAustriaBelgiumCanadaFranceGermanyItalyLatviaLuxembourgPolandPortugalRomaniaSpainSwitzerlandRussiaSouth AfricaArgentinaMexicoPuerto Rico
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Frequently asked questions about GW433908

What is GW433908 used for?

GW433908 is an investigational small molecule being studied for the treatment of Human Immunodeficiency Virus (HIV) infection. It is being developed by GSK plc (ticker: GSK) and is currently in Phase 2 clinical development for this infectious disease indication.

What does GW433908 target?

GW433908 is a small molecule being developed for the treatment of HIV infection. The specific molecular target of GW433908 has not been disclosed in the available clinical trial information, so its precise mechanism of action is not detailed here.

Who makes GW433908?

GW433908 is being developed by GSK plc, a pharmaceutical company listed on the stock exchange under the ticker GSK. The drug is currently in Phase 2 clinical development for the treatment of HIV infection.

What phase is GW433908 in?

GW433908 is in Phase 2 clinical development. It is an investigational drug for the treatment of HIV infection and has not been approved by regulatory authorities. One Phase 2 clinical trial has been completed for this drug.

What clinical trials is GW433908 in?

GW433908 has been studied in one clinical trial, identified as NCT00071760. This was a Phase 2, controlled study of an investigational regimen including FDA-approved HIV drugs in HIV-infected pediatric subjects. The trial enrolled 59 participants and has been completed.

Is GW433908 the same as other HIV drugs?

GW433908 is an investigational small molecule being developed for HIV infection. The available information does not indicate that GW433908 is known by any alternative names or that it is the same as other marketed HIV drugs. It is being studied in combination with FDA-approved HIV drugs.