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abacavir

Phase 4

HIV Infection | Small molecule | Infectious Disease |GSK plc|Trials Updated: Sep 24, 2021

Development status

Highest phase Phase 4 (NCT00340080)
Phase scored for GSKPhase 3
Registered trials 17 across 9 sponsors since Nov 1999

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials6
Total Enrollment1,872

FDA Designations

No designations recorded

Clinical trial landscape

abacavir · 6 trials · 3 indications

Phase 3 4Phase 2 1Phase 1 1
NCT00440947Induction/Simplification With Atazanavir + Ritonavir + Abacavir/Lamivudine Fixed-Dose Combination In HIV-1 InfectionInfection, Human Immunodeficiency Virus I
COMPLETED515 Analytics
NCT00094367A Study Comparing Safety Of Abacavir And Lamivudine Administered Once-Daily As A Single Tablet Versus The Same Drugs Administered Twice-Daily As Separate Tablets (ALOHA Study)HIV Infection
COMPLETED900 Analytics
NCT00046176A HIV Study Of A Fixed-Dose Combination Tablet In Antiretroviral Experienced PatientsInfection, Human Immunodeficiency Virus I
COMPLETED240 Analytics
NCT00044577New Tablet Containing Two FDA Approved Anti-HIV Drugs For Antiretroviral Therapy Experienced HIV-1 Infected SubjectsInfection, Human Immunodeficiency Virus I
COMPLETED166 Analytics
PHASE3COMPLETED
Induction/Simplification With Atazanavir + Ritonavir + Abacavir/Lamivudine Fixed-Dose Combination In HIV-1 Infection
Infection, Human Immunodeficiency Virus IUnlock trial analytics
PHASE3COMPLETED
A Study Comparing Safety Of Abacavir And Lamivudine Administered Once-Daily As A Single Tablet Versus The Same Drugs Administered Twice-Daily As Separate Tablets (ALOHA Study)
HIV InfectionUnlock trial analytics
PHASE3COMPLETED
A HIV Study Of A Fixed-Dose Combination Tablet In Antiretroviral Experienced Patients
Infection, Human Immunodeficiency Virus IUnlock trial analytics
PHASE3COMPLETED
New Tablet Containing Two FDA Approved Anti-HIV Drugs For Antiretroviral Therapy Experienced HIV-1 Infected Subjects
Infection, Human Immunodeficiency Virus IUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 Visit
Week 84

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.

The occurrence of treatment-limiting adverse events after starting study drugs.
Proportion of non-virologic failures through Week 48. Treatment-limiting adverse events over 48 weeks.
48 weeks
HIV viral load response as measured by change from baseline in HIV-1 RNA over 24 and 48 weeks. Safety
48 weeks
Change in Short-term Virologic Response
49 days

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.)

Compare the Plasma Data of the Two Monotherapy Regimens to the Dual NRTI Regimen
49 days

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

Compare the Intracellular Pharmacokinetic (PK) Data of the Two Monotherapy Regimens to the Dual NRTI Regimen
49 days

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

To assess the pharmacokinetics of intracellular CBV-TP at steady state following administration of 600 mg QD and 300 mg BID ABC-containing regimens in HIV infected adult subjects.
throughout the study

Secondary Endpoints

Mean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized Phase
Baseline of Randomized Phase
Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 Visit
Week 36
Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 Visit
Week 84
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SimplificationOTHERAtazanavir (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.
ContinuationOTHERAtazanavir (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.
TenofovirACTIVE_COMPARATORAs part of this study visit, you participants will be assigned by chance to receive either TDF alone or ABC alone
AbacavirACTIVE_COMPARATORAs part of this study visit, you participants will be assigned by chance to receive either TDF alone or ABC alone

Interventions

NameTypeDescription
Abacavir (ABC)/lamivudine (3TC) + atazanavir (ATV) + ritonavir (/r)DRUGAbacavir (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)DRUGAbacavir (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
Abacavir/LamivudineDRUG -
abacavirDRUG -
lamivudineDRUG -
tenofovirDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites72

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...

Countries:United StatesCanadaPuerto RicoCosta RicaPanamaBelgiumFranceGermanyItalyPortugalSpainUnited Kingdom
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Frequently asked questions about abacavir

What is abacavir used for?

Abacavir is a small molecule antiviral medicine used to treat HIV infection, including infection with human immunodeficiency virus type I. It is studied and used as part of combination antiretroviral regimens, often alongside lamivudine, and sometimes with atazanavir plus ritonavir, rather than as a standalone treatment.

Who makes abacavir?

Abacavir is developed by GSK plc, which trades under the ticker GSK. The company has sponsored the clinical trial program evaluating abacavir in HIV infection, including studies of the fixed-dose combination of abacavir and lamivudine.

What phase is abacavir in?

Abacavir has been studied in Phase 3 clinical development for HIV infection, with completed Phase 3 trials as well as earlier Phase 1 and Phase 2 studies. The Phase 3 program includes the ALOHA study and a study of induction and simplification with atazanavir, ritonavir, and abacavir/lamivudine.

What clinical trials is abacavir in?

Abacavir has been evaluated in completed trials including NCT00440947, a Phase 3 study of induction and simplification with atazanavir, ritonavir, and abacavir/lamivudine in HIV-1 infection; NCT00094367, the Phase 3 ALOHA study of once-daily versus twice-daily abacavir and lamivudine; NCT00320307, a Phase 1 once-daily versus twice-daily comparison; and NCT00214890, a Phase 2 viral dynamics and pharmacokinetics study.

How many patients have been enrolled in abacavir trials?

Across the reported abacavir trials, total enrollment is 951 participants. The largest is the Phase 3 ALOHA study with 900 participants, followed by NCT00440947 with 515 participants, while the Phase 1 and Phase 2 studies enrolled 30 and 21 participants respectively.