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LEXIVA

Phase 3

HIV Infection | Small molecule | Infectious Disease |GSK plc|Last Updated: Mar 7, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials1
Total Enrollment866

FDA Designations

No designations recorded

Clinical trial landscape

LEXIVA · 2 trials · 3 indications

Phase 3 1Phase 2 1
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.

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)

Interventions

NameTypeDescription
LEXIVA (GW433908)DRUG -
RitonavirDRUG -
KALETRADRUG -
EPIVIRDRUG -
ZiagenDRUG -
Abacavir/LamivudineDRUG -
FosamprenavirDRUG -
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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 Africa
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Frequently asked questions about LEXIVA

What is LEXIVA used for in HIV infection?

LEXIVA is a small molecule drug being developed for the treatment of HIV infection, specifically Human Immunodeficiency Virus I. It is intended for use in patients with HIV, and clinical development has included studies in both naive and pediatric populations. The drug is being studied in combination with other antiretroviral agents.

Who makes LEXIVA?

LEXIVA 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 patients with HIV infection. GSK is responsible for the drug's development program.

What phase is LEXIVA in?

LEXIVA is in Phase 3 clinical development. One Phase 3 trial has been completed, along with a Phase 2 trial. The drug remains investigational and is not yet approved for commercial use. It is being studied for the treatment of HIV infection.

What clinical trials is LEXIVA in?

LEXIVA has been studied in clinical trials including NCT00085943, a Phase 3 study comparing KALETRA or LEXIVA with ritonavir combined with EPIVIR and abacavir in naive subjects over 48 weeks, and NCT00089583, a Phase 2 study of GW433908 and ritonavir or GW433908 alone in pediatric patients with HIV infection.

Is LEXIVA the same as GW433908?

LEXIVA is also known as GW433908. Clinical trial NCT00089583 refers to GW433908, which is the same drug as LEXIVA. This alternative name is used in some research contexts, particularly in studies involving pediatric patients with HIV infection.