Recent Updates
Recently added Catalysts

saquinavir

Phase 4FDA approved

HIV Infections | Small molecule | Infectious Disease |Roche Holding AG|Trials Updated: Mar 29, 2018

saquinavir development status

FDA approval on record Dec 24, 2003
Approval holderHoffmann La Roche
ApplicationNDA020828
Highest phase Phase 4 (NCT00002229)
Phase scored for RHHBYPhase 3
Registered trials 39 across 6 sponsors since Aug 2001

saquinavir target and mechanism

ModalitySmall molecule

Also known as saquinavir [Invirase]

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials18
Total Enrollment10,419

FDA Designations

No designations recorded

saquinavir clinical trials

saquinavir · 18 trials · 2 indications

Phase 3 10Phase 2 5Phase 1 3
NCT00105079GEMINI Study - A Study of Saquinavir/Ritonavir in Treatment-Naive Patients With HIV-1 InfectionHIV Infections
COMPLETED337 Analytics
NCT00002448A Study to Compare the Effects of Two Anti-HIV Drug Combinations on the Immune Systems of HIV-Infected PatientsHIV Infections
COMPLETED40 Analytics
NCT00002447A Study to Compare Two Anti-HIV Drug CombinationsHIV Infections
COMPLETED146 Analytics
NCT00002397A Study of Saquinavir Soft Gel Capsules (SGC) Used in Combination With Two Other Anti-HIV Drugs in Patients With HIV-Associated Kidney DiseaseHIV Infections
COMPLETED24 Analytics
NCT00002382A Study of Saquinavir Used Alone or in Combination With Other Anti-HIV Drugs in HIV-Infected PatientsHIV Infections
COMPLETED4,000 Analytics
NCT00002378A Comparison of Three Anti-HIV Drug Combinations Containing Saquinavir Soft Gelatin Capsules Used in HIV-1 Infected PatientsHIV Infections
COMPLETED825 Analytics
NCT00002374A Study of Saquinavir Soft Gelatin Capsules Combined With Other Anti-HIV Drugs in HIV-1 Infected PatientsHIV Infections
COMPLETED120 Analytics
NCT00002367A Study of Saquinavir Soft Gelatin Capsules Plus Zidovudine Plus Lamivudine in the Treatment of HIV-1 Infected Patients Who Have Never Taken Anti-HIV DrugsHIV Infections
COMPLETED40 Analytics
NCT00002334A Study of Zidovudine (AZT) Used Alone or in Combination With Other Anti-HIV Drugs in HIV-Infected Patients With Little or No Previous TreatmentHIV Infections
COMPLETED3,000 Analytics
NCT00002178A Phase IIIB Open-Label, Comparative Study to Evaluate Saquinavir Soft Gel Capsule (SGC) Treatment in Combination With Other Antiretrovirals in HIV-1 Infected Antiretroviral-Naive PatientsHIV Infections
COMPLETED375 Analytics
PHASE3COMPLETED
GEMINI Study - A Study of Saquinavir/Ritonavir in Treatment-Naive Patients With HIV-1 Infection
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study to Compare the Effects of Two Anti-HIV Drug Combinations on the Immune Systems of HIV-Infected Patients
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study to Compare Two Anti-HIV Drug Combinations
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study of Saquinavir Soft Gel Capsules (SGC) Used in Combination With Two Other Anti-HIV Drugs in Patients With HIV-Associated Kidney Disease
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study of Saquinavir Used Alone or in Combination With Other Anti-HIV Drugs in HIV-Infected Patients
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Comparison of Three Anti-HIV Drug Combinations Containing Saquinavir Soft Gelatin Capsules Used in HIV-1 Infected Patients
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study of Saquinavir Soft Gelatin Capsules Combined With Other Anti-HIV Drugs in HIV-1 Infected Patients
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study of Saquinavir Soft Gelatin Capsules Plus Zidovudine Plus Lamivudine in the Treatment of HIV-1 Infected Patients Who Have Never Taken Anti-HIV Drugs
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study of Zidovudine (AZT) Used Alone or in Combination With Other Anti-HIV Drugs in HIV-Infected Patients With Little or No Previous Treatment
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
A Phase IIIB Open-Label, Comparative Study to Evaluate Saquinavir Soft Gel Capsule (SGC) Treatment in Combination With Other Antiretrovirals in HIV-1 Infected Antiretroviral-Naive Patients
HIV InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Patients With Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) Viral Load <50 Copies/mL
Week 48

The primary objective of this study was to evaluate the efficacy of saquinavir/ritonavir BID plus emtricitabine/tenofovir QD versus lopinavir/ritonavir BID plus emtricitabine/tenofovir QD in treatment-naïve HIV-1 infected adults. Blood samples for HIV-1 RNA viral load measurement were collected at the Week 48 clinic visit. The number of participants with HIV-1 RNA results \<50 copies/mL is reported.

Plasma Trough Concentrations (Ctrough) for Saquinavir
Pre-dose at Weeks 8, 12, 24.

Plasma trough concentration is the average steady state concentration prior to morning and evening dose. Ctrough of Saquinavir was normalized to a dose of 50 mg/kg.

Area Under the Plasma Concentration-time Curve Over the Time Interval From Zero to Twelve Hours (AUC0-12h) for Saquinavir
Pre-dose and 3, 4, 8, 12 hours (post-dose) on Day 14 (± 2 days), or Day 28(+ 2 days) for patients switching from an Non-nucleoside reverse transcriptase inhibitor [NNRTI] containing regimen).

The area under the plasma concentration-time curve from time zero to twelve hours (AUC0-12h) is area under the plasma concentration-time curve from time zero through actual tlast. The area under the plasma concentration-time curve from time zero to twelve hours of saquinavir was normalized to a dose of 50 mg/kg.

Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)
From Baseline (Day 1) till Week 48 and Follow-up (Week 52)

An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes

Change In Hematocrit From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Change In Hemoglobin, Total Protein And Total Albumin From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Change In White Blood Cell (WBC), Platelet, Basophil, Lymphocyte, Monocyte, Neutrophil And Eosinophil Cell Counts From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Change In Red Blood Cell (RBC) Counts From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Change In Creatine Kinase (CK), Serum Glutamic Oxaloacetic Transaminase (SGOT), Alkaline Phosphatase (ALP), Serum Glutamic-Pyruvic Transaminase (SGPT), Gamma-Glutamyl Transferase (GGT) Counts From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Change In Total Bilirubin, Creatinine, Uric Acid From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Change In Blood Urea Nitrogen (BUN), Low Density Lipoprotein (LDL) Cholesterol, High Density Lipoprotein (HDL Cholesterol), Triglycerides, Calcium, Potassium, Sodium, Chloride, Phosphate, Fasting Glucose From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Change In Hematuria, Glycosuria And Proteinuria From Baseline
Baseline (Day 1), Week 24 and Week 48

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Area Under the Plasma Concentration-Time Curve From Time of Administration to 12 Hours After Dosing (AUC 0-12h) of Saquinavir (SQV) and Ritonavir (RTV)
Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post-dose on Day 14

Area Under the Plasma Concentration-Time Curve (AUC) is a measure of the plasma concentration of the drug over time. It is used to characterize drug absorption. The pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the area under the plasma concentration-time curve from 0 to 12 hours after dosing (AUC (0-12h) of SQV and RTV The AUC (0-12hours) was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Maximum Observed Plasma Concentration (Cmax) of SQV and RTV
Pre-dose and at 0.5 hr, 1hr, 2hrs, 3hrs, 4hrs, 5hrs, 6hrs, 8hrs, 10hrs, and 12 hrs post-dose on Day 14

The plasma concentration (Cmax) is defined as maximum observed analyte concentration. The pharmacokinetic profile for following 14 days of administration with SQV/RTV 1000/100 mg BID included determining the maximum observed plasma concentration (C max) of SQV and Ritonavir RTV The Cmax was analyzed for SQV and RTV by non-compartmental methods, using WinNonlin.

Secondary Endpoints

Number of Patients With HIV-1 RNA Viral Load <50 and <400 Copies/mL
Week 48
Change From Baseline in HIV-1 RNA Viral Load
Baseline to Week 48
Change From Baseline in Cluster Differentiation Antigen 4 Positive (CD4+) Lymphocyte Count
Baseline to Week 48
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
saquinavir/ritonavirEXPERIMENTALsaquinavir mesylate 1000 mg twice daily (BID) + ritonavir 100 mg BID + emtricitabine/tenofovir disoproxil fumarate 200/300 mg orally every day for 48 weeks.
lopinavir/ritonavirACTIVE_COMPARATORlopinavir/ritonavir 400/100 mg BID + emtricitabine/tenofovir disoproxil fumarate 200/300 mg orally every day for 48 weeks.
1EXPERIMENTAL -
2EXPERIMENTAL -

Interventions

NameTypeDescription
saquinavir [Invirase]DRUG1000 milligram (mg) Oral (po) twice daily (bid)
Lopinavir/ritonavirDRUGLopinavir/ritonavir 400/100 mg po bid
Emtricitabine/tenofovir disoproxil fumarateDRUGEmtricitabine/tenofovir disoproxil fumarate 200/300 mg po qd
RitonavirDRUG100 mg po bid
EfavirenzDRUG -
SaquinavirDRUG -
Nelfinavir mesylateDRUG -
LamivudineDRUG -
StavudineDRUG -
Delavirdine mesylateDRUG -
ZidovudineDRUG -
ZalcitabineDRUG -
DidanosineDRUG -
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites44

Inclusion Criteria: * adult patients \>=18 years of age; * chronic HIV-1 infection; * treatment-naive; * HIV-1 RNA viral load \>=10,000copies/mL; * women of childbearing potential must have a negative pregnancy test, and must use reliable contraception for the duration of the study and for 90 days ...

Countries:United StatesCanadaFrancePuerto RicoThailandGermanyItalySpainUnited KingdomArgentina
Unlock Eligibility Criteria

Frequently asked questions about saquinavir

What is saquinavir used for?

Saquinavir is used to treat HIV Infections. It is an antiretroviral medicine studied in adults and children living with HIV, including treatment-naive patients and those with liver impairment. It is given in combination with ritonavir, a booster, as part of HIV therapy.

Who makes saquinavir?

Saquinavir is developed by Roche Holding AG, which trades under the ticker RHHBY. Roche is the company behind the Invirase brand of saquinavir.

What phase is saquinavir in?

Saquinavir has been studied in Phase 3 clinical development for HIV Infections. Eighteen trials are recorded, all completed, with no active trials ongoing. The Phase 3 program includes studies such as GEMINI, which evaluated saquinavir plus ritonavir in treatment-naive patients with HIV-1.

What clinical trials is saquinavir in?

Saquinavir has completed 18 clinical trials, including NCT00105079, the Phase 3 GEMINI study in treatment-naive HIV-1 patients, NCT00002448, a Phase 3 comparison of two anti-HIV drug combinations, NCT00623597, a Phase 2 study in HIV-infected infants and children, and NCT00435929, a Phase 1 study in liver-impaired patients with HIV.

Is saquinavir the same as Invirase?

Yes, saquinavir is also known as saquinavir [Invirase]. Invirase is the brand name under which Roche Holding AG markets saquinavir, so searches for Invirase refer to the same medicine.