Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as Lamivudine (3TC), Heptodin, LAM group, tenofovir, abacavir
Lamivudine · 10 trials · 5 indications
The percentage of PAR with HIV-1 RNA virus \<50 c/ml determined from a blood sample drawn at Week 84 was tabulated by treatment arm with stratification by baseline HIV-1 RNA (\<100,000 c/ml and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed viral load \<50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA \<50 c/ml, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 50 c/ml, or had an unconfirmed HIV RNA of at least 50 c/ml at last visit.
Change from baseline was the difference of the HBV DNA copy numbers (log10) in serum collected by blood draw between baseline and Week 52
Relative potencies of two monotherapy regimens (TDF alone vs. ABC alone) compared to the dual NRTI regimen of TDF+ABC as assessed by the short-term virologic response. (Change in HIV RNA copies/mL at baseline and day 7 for monotherapy, baseline and day 49 for dual therapy.)
At day 49 of Sequence 2 a 24-hour post dose plasma sample should be collected and processed. All 7 samples from the sparse PK (time 0, 30-min, 1-hr, 2-hr, 3-hr, 6-hr and 24-hr post dose) should be sent overnight to appropriate off-site lab for analysis. Since the patient is on dual therapy and the each drug is measured in separate labs each PBMC samples should be split at each time-point with half of the samples shipped to Gilead and half shipped to USC (two separate shipments). ALL plasma samples should be sent to USC. Since samples have to be split we will need to collect double the blood for the intracellular (PBMC) PK: Blood volume (PBMC-plasma): 40 mL - each draw Blood volume (plasma only): 3 mL - each draw Blood volume: 169 mL- over 2 days Plasma NRTI and intracellular ddNTP concentrations were measured 7 days after treatment with ABC or TDF alone and were compared to levels obtained after 7 days of treatment with both drugs
At day 49 of Sequence 2 a 24-hour post dose intracellular (PBMC) should be collected and processed. All 7 samples from the sparse PK (time 0, 30-min, 1-hr, 2-hr, 3-hr, 6-hr and 24-hr post dose) should be sent overnight to appropriate off-site lab for analysis. Since the patient is on dual therapy and the each drug is measured in separate labs each PBMC samples should be split at each time-point with half of the samples shipped to Gilead and half shipped to USC (two separate shipments). ALL intracellular (PBMC) samples should be sent to USC. Since samples have to be split we will need to collect double the blood for the intracellular (PBMC) PK: Blood volume (PBMC-plasma): 40 mL - each draw Blood volume (plasma only): 3 mL - each draw Blood volume: 169 mL- over 2 days Intracellular ddNTP concentrations were measured after 7 days on monotherapy and after 7 days on dual therapy
| Arm | Type | Description |
|---|---|---|
| Simplification | OTHER | Atazanavir (ATV) 400 mg QD + abacavir (ABC) 600 mg/lamivudine (3TC) 300 mg fixed dose combination (FDC) QD for 48 weeks followed by optional treatment extension for 60 weeks on the same regimen. |
| Continuation | OTHER | Atazanavir (ATV) 300 mg QD + ritonavir (/r) 100 mg QD + abacavir (ABC) 600mg/lamivuidine (3TC )300 mg FDC QD for 48 weeks followed by optional treatment extension for 60 weeks on the same regimen. |
| Adefovir Dipivoxil (ADV) | EXPERIMENTAL | - |
| Lamivudine (LAM) | ACTIVE_COMPARATOR | - |
| Tenofovir | ACTIVE_COMPARATOR | As part of this study visit, you participants will be assigned by chance to receive either TDF alone or ABC alone |
| Abacavir | ACTIVE_COMPARATOR | As part of this study visit, you participants will be assigned by chance to receive either TDF alone or ABC alone |
| Lamivudine and Adefovir dipivoxil | ACTIVE_COMPARATOR | One 100mg Lamivudine tablet and One 10mg Adefovir dipivoxil tablet |
| Fixed dose combination | EXPERIMENTAL | One capsule (100mg lamivudine and 10mg adefovir dipivoxil) |
| Name | Type | Description |
|---|---|---|
| Abacavir (ABC)/lamivudine (3TC) + atazanavir (ATV) + ritonavir (/r) | DRUG | Abacavir (ABC)/lamivudine (3TC) FDC + atazanavir (ATV)+ ritoanvir (/r) for 36weeks followed by ABC/3TC + ATV + /r for 48wks followed by optional treatment extension for 60 weeks on the same regimen |
| Abacavir (ABC)/lamivudine (3TC) + atazanavir (ATV) | DRUG | Abacavir (ABC)/lamivudine (3TC) FDC + atazanavir (ATV) + ritonavir (/r) for 36 weeks followed by ABC/3TC + ATV for 48wks followed by optional treatment extension for 60 weeks on the same regimen |
| LAM group | DRUG | Subjects took one LAM 100mg tablet orally once daily and one ADV placebo tablet orally once daily. |
| ADV group | DRUG | Subjects took one ADV 10mg tablet orally once daily and one LAM placebo tablet orally once daily. |
| Abacavir/Lamivudine | DRUG | - |
| abacavir | DRUG | - |
| lamivudine | DRUG | - |
| tenofovir | DRUG | - |
| Lamivudine plus Polyethylene glyco-interferon alfa-2b | DRUG | - |
| Pegylated Interferon | DRUG | - |
| Adefovir dipivoxil | DRUG | 10mg tablet |
| Fixed dose combination (Lamivudine and Adefovir dipivoxil) | DRUG | 100mg/10mg capsule |
Inclusion criteria: * Subject is ≥ 18 years of age and has documented evidence of HIV-1 infection. (A female is eligible to enter and participate in this study if she is of: non child-bearing potential, child bearing potential with a negative pregnancy test and agrees to approved contraception meth...
Lamivudine is a small molecule antiviral developed by GSK plc for chronic hepatitis B. It has been studied both as monotherapy and in combination regimens, including with interferon and with adefovir dipivoxil, in patients with chronic hepatitis B virus infection. Its clinical program includes a Phase 3 trial in HBeAg positive chronic hepatitis B.
Lamivudine targets HIV reverse transcriptase. It is a small molecule antiviral, and this enzyme target underlies its activity in the chronic hepatitis B program, where it has been evaluated in combination regimens such as lamivudine plus interferon and lamivudine plus adefovir dipivoxil.
Lamivudine is developed by GSK plc, which trades under the ticker GSK. The company is the sponsor associated with the clinical development program for lamivudine in chronic hepatitis B, including the Phase 3 study of lamivudine plus interferon versus lamivudine.
Lamivudine has reached Phase 3 in chronic hepatitis B. Its program includes a Phase 3 trial, a Phase 2 trial of pegylated interferon and lamivudine combination therapy, and a Phase 1 study of a lamivudine and adefovir dipivoxil fixed dose combination. All three listed trials are completed.
Lamivudine has been studied in three registered trials in chronic hepatitis B: NCT00140725, a Phase 3 study of lamivudine plus interferon versus lamivudine in HBeAg positive chronic HBV; NCT00226447, a Phase 2 study of pegylated interferon and lamivudine combination regimens; and NCT01353742, a Phase 1 fixed dose combination study with adefovir dipivoxil.