Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication ZIAGEN tablets and oral solution, in combination with other antiretroviral agents, are indicated for the treatment of human immunodeficiency virus (HIV-1) infection. ZIAGEN, a nucleoside analogue human immunodeficiency virus (HIV-1) reverse transcriptase inhibitor, is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection. ( 1 ) FDA label
Also known as lamivudine, tenofovir
abacavir · 9 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.
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. |
| 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 |
| 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...
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Abacavir is used to treat HIV infection, including infection with human immunodeficiency virus type I. It is studied both as a single agent and as part of fixed-dose combination regimens, such as abacavir plus lamivudine, often given with atazanavir and ritonavir. It belongs to the infectious disease therapeutic area.
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 once-daily and twice-daily dosing and combination regimens.
Abacavir has been studied in Phase 3 clinical development for HIV infection. Its trial record includes Phase 3 studies such as the ALOHA study and the induction/simplification study of atazanavir plus ritonavir plus abacavir/lamivudine, alongside earlier Phase 1 and Phase 2 studies.
Abacavir has been evaluated in completed trials including NCT00440947, a Phase 3 study of atazanavir plus ritonavir plus abacavir/lamivudine in HIV-1 infection; NCT00094367, the Phase 3 ALOHA study; NCT00320307, a Phase 1 once-daily versus twice-daily comparison; and NCT00214890, a Phase 2 viral dynamics and pharmacokinetics study.
Across the four completed trials, 1,466 participants were enrolled. The largest was the Phase 3 ALOHA study with 900 participants, followed by NCT00440947 with 515, while the Phase 1 and Phase 2 studies enrolled 30 and 21 participants respectively.