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LEXIVA

Phase 4FDA approved 2003

HIV Infection | Small molecule | Infectious Disease |GSK plc|Trials Updated: Oct 10, 2023

LEXIVA development status

FDA approval Oct 20, 2003
Approval holderViiv Hlthcare
ApplicationNDA021548
Highest phase Phase 4 (NCT00240552)
Phase scored for GSKPhase 3
Registered trials 12 across 5 sponsors since Oct 2001

LEXIVA target and mechanism

ModalitySmall molecule

Also known as LEXIVA (GW433908), Fosamprenavir, TELZIR, GW433908

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials3
Total Enrollment1,035

FDA Designations

No designations recorded

LEXIVA clinical trials

LEXIVA · 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 LEXIVA

What is LEXIVA used for?

LEXIVA is used to treat HIV infection, including infection with human immunodeficiency virus type I. It is a small molecule antiviral medicine studied in adults and children with HIV. In clinical research it has been given alone or together with ritonavir as part of combination antiretroviral treatment.

Who makes LEXIVA?

LEXIVA is developed by GSK plc, which trades under the ticker GSK. GSK is the company behind the drug's clinical development program in HIV infection.

What phase is LEXIVA in?

LEXIVA has been studied in Phase 3 clinical development for HIV infection. One completed Phase 3 trial and one completed Phase 2 trial are registered for the drug, and no trials are currently listed as active.

What clinical trials is LEXIVA in?

LEXIVA has been evaluated in registered trials including NCT00085943, a completed Phase 3 study of LEXIVA or KALETRA with ritonavir combined with EPIVIR and abacavir in treatment-naive subjects over 48 weeks, and NCT00089583, a completed Phase 2 pediatric study of GW433908 with ritonavir or alone.

Is LEXIVA the same as GW433908?

Yes, GW433908 is another name for LEXIVA. The two names refer to the same drug, and the pediatric trial NCT00089583 is registered under the GW433908 designation.

How many patients were enrolled in LEXIVA trials?

The LEXIVA clinical program enrolled 866 participants in its Phase 3 trial, NCT00085943, which was randomized and included sites across the United States and Europe. A separate completed Phase 2 pediatric trial, NCT00089583, enrolled 110 patients.