Drugs / Stavudine
last change Jun 2025 re-read 9 days ago

Stavudine

Other / unclassified

Developed for
HIV infectious disease · AIDS · AIDS dementia complex · Kaposi's sarcoma
Investigated by
National Institute of Allergy and Infectious Diseases (NIAID) · Bristol-Myers Squibb · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · Merck Sharp & Dohme LLC · Gilead Sciences · Glaxo Wellcome
+38 more · Triangle Pharmaceuticals · AIDS Care Research in Africa · Boehringer Ingelheim · Dupont Merck · Makerere University · Pharmacia and Upjohn · AIDS Malignancy Consortium · Botswana Ministry of Health · Cipla Medpro · Department of Foreign Affairs, Ireland · Dermatological Society of South Africa · Doris Duke Charitable Foundation · Groupe Hospitalier Pitie-Salpetriere · HIV Prevention Trials Network · Harvard School of Public Health (HSPH) · Hoffmann-La Roche · International Maternal Pediatric Adolescent AIDS Clinical Trials Group · Kirby Institute · Mbarara University of Science and Technology · McGill University Health Centre/Research Institute of the McGill University Health Centre · Ministry of Science and Technology of the People´s Republic of China · National Cancer Institute (NCI) · National Heart, Lung, and Blood Institute (NHLBI) · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · National Research Foundation, Singapore · PENTA Foundation · PPD Development, LP · Peking Union Medical College · Princess Marina Hospital, Botswana · Shanghai Public Health Clinical Center · St Vincent's Hospital, Sydney · The Wistar Institute · University of Cape Town · University of KwaZulu · University of Minnesota · University of North Carolina, Chapel Hill · University of Zimbabwe · Weill Medical College of Cornell University

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (4) US (FDA) ZERIT — 1995-12-21 – 2002-03-29 fda.gov ↗
Approved EU (EMA) Zerit — 1996-05-08 europa.eu ↗
Approved US (FDA) ZERIT — 1994-06-24 fda.gov ↗

Trials 89 · started per year

today
US approved 1994
EU approved 1996
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1991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 19 trials
Phase 1 NCT00001108 ? → Jun 2000 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00001091 ? → Oct 2000 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00002381 — HIV infectious disease Boehringer Ingelheim Completed No outcome recorded
Phase 1 NCT00000865 ? → Apr 1998 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00000878 ? → Oct 2001 HIV infectious disease, pregnancy disorder National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00000686 — HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Terminated No outcome recorded
Phase 1 NCT00004736 — HIV infectious disease, tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00000902 ? → Apr 2002 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00000988 — HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT00312091 Dec 2006 → Sep 2008 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 228 trials · 1 met primary · 2 missed
Phase 2 NCT00000940 May 1999 → Oct 2006 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT00001688 Jan 1998 → Nov 2001 HIV infectious disease National Cancer Institute (NCI) Completed No outcome recorded
Phase 2 NCT00000885 ? → Jun 2003 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed Missed primary
Phase 2 NCT00000831 ? → May 1998 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT00036452 ? → Jan 2006 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed Missed primary
Phase 2 NCT00000882 ? → May 1999 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT00000838 ? → Mar 1998 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT00006339 — HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Withdrawn No outcome recorded
Phase 2 NCT00000872 ? → Jan 2005 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT00002227 — HIV infectious disease Dupont Merck Completed No outcome recorded
Phase 2/31 trial · 1 missed
Phase 2/3 NCT00039741 Aug 2002 → Aug 2009 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed Missed primary
Phase 314 trials · 1 met primary · 1 missed
Phase 3 NCT00074581 Feb 2005 → May 2015 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed Met primary
Phase 3 NCT00197613 Dec 2002 → Dec 2007 AIDS Harvard School of Public Health (HSPH) Completed No outcome recorded
Phase 3 NCT00135369 Sep 2002 → Jul 2005 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
Phase 3 NCT00116298 Jan 2001 → Jan 2005 AIDS Bristol-Myers Squibb Completed No outcome recorded
Phase 3 NCT00006397 Aug 2000 → ? HIV infectious disease PPD Development, LP Unknown No outcome recorded
Phase 3 NCT00006208 Aug 2000 → ? HIV infectious disease Triangle Pharmaceuticals Unknown No outcome recorded
Phase 3 NCT00005918 Jun 2000 → Apr 2002 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
Phase 3 NCT00002429 Jul 1999 → Jan 2001 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
Phase 3 NCT00002246 Oct 1997 → Mar 1999 AIDS dementia complex, HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
Phase 3 NCT00002371 Jun 1996 → Dec 1997 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
Phase 415 trials · 1 met primary · 2 missed
Phase 4 NCT06337032 Aug 2024 → Mar 2034 expected HIV infectious disease Gilead Sciences Recruiting No outcome recorded
Phase 4 NCT01075152 Nov 2010 → Oct 2012 AIDS, Cryptococcal meningitis University of Minnesota Completed Missed primary
Phase 4 NCT00753324 May 2009 → Jan 2012 HIV infectious disease University of North Carolina, Chapel Hill Completed Met primary
Phase 4 NCT00455585 Jan → May 2007 HIV infectious disease Makerere University Completed No outcome recorded
Phase 4 NCT00618176 Jan 2005 → Sep 2006 HIV infectious disease Peking Union Medical College Completed No outcome recorded
Phase 4 NCT00235222 Jun 2004 → Mar 2006 HIV infectious disease Groupe Hospitalier Pitie-Salpetriere Unknown No outcome recorded
Phase 4 NCT00055120 Mar 2003 → Sep 2006 AIDS-related disorder, HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed Missed primary
Phase 4 NCT00192660 Feb 2003 → Oct 2006 cardiovascular disorder, lipodystrophy Kirby Institute Completed No outcome recorded
Phase 4 NCT00380770 Jan 2003 → Feb 2009 AIDS, Kaposi's sarcoma, human herpesvirus 8 infection University of KwaZulu Completed No outcome recorded
Phase 4 NCT00116116 Mar 2002 → Jun 2005 AIDS Bristol-Myers Squibb Completed No outcome recorded
Phase not applicable21 trials · 3 missed
— NCT01344148 Feb 2009 → Jun 2011 AIDS Shanghai Public Health Clinical Center Unknown No outcome recorded
— NCT00100646 Mar 2007 → Mar 2010 HIV infectious disease The Wistar Institute Completed Missed primary
— NCT00830856 Oct 2006 → Oct 2008 Cryptococcal meningitis, HIV infectious disease University of Zimbabwe Completed Missed primary
— NCT00080522 Feb 2005 → Jan 2007 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
— NCT00002411 Mar 1998 → Sep 1999 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
— NCT00002176 May 1997 → Mar 2000 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
— NCT00002177 May 1997 → Mar 2000 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
— NCT00002349 Jan 1995 → May 1999 HIV infectious disease Bristol-Myers Squibb Completed No outcome recorded
— NCT00000922 ? → Jan 2003 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed Missed primary
— NCT00000896 ? → Oct 2000 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Comparator or background therapy55 trials
Phase 1 NCT00032669 Background Mar 2002 → Apr 2006 HIV infectious disease National Cancer Institute (NCI) Completed No outcome recorded
Phase 1 NCT00002427 Background May 1999 → ? HIV infectious disease Research Institute for Genetic and Human Therapy Completed No outcome recorded
Phase 1 NCT00000901 Background ? → Oct 2000 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00000899 Background ? → Oct 2001 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT00000822 Background ? → May 1999 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded

News releases announcing trial results or a regulatory action · 11

DateIssuerRelease
2004-07-11 Gilead Sciences Results Pivotal Studies of Gilead's Viread and Emtriva Published in Special International Aids Conference Issue of Journal of the American Medical Association gilead.com ↗
Gilead Sciences, Inc. (Nasdaq:GILD) today announced the publication of results from two separate studies evaluating the efficacy and safety of Viread(R) (tenofovir disoproxil fumarate) and Emtriva(R) (emtricitabine), respectively, compared with stavudine (d4T), in combination with other antiretroviral agents.
2004-02-04 Gilead Sciences Results Gilead Announces Data from Landmark Three-Year Clinical Trial of Viread; 144-Week Data Highlight Viread Efficacy, Safety and Side Effect Profile gilead.com ↗
At 144 weeks, treatment with stavudine was associated with greater elevations in fasting triglyceride and cholesterol levels and a notably higher incidence of investigator-defined lipodystrophy compared to treatment with Viread.
2003-10-28 Gilead Sciences Results New Data Highlight Safety and Tolerability Profile of Gilead's Viread for Periods up to Four Years; Data Presented at European AIDS Conference in Warsaw gilead.com ↗
Results suggest that the use of Viread may improve dyslipidemia associated with stavudine-based regimens, while maintaining viral suppression.
2003-07-14 Gilead Sciences Results Phase III Trial of Emtriva, New Once-Daily Capsule for HIV, Shows Continued Response Through 60 Weeks gilead.com ↗
This study suggests that over time Emtriva continues to outperform stavudine, a thymidine-analogue NRTI, in terms of both its efficacy and tolerability,
2003-06-13 Gilead Sciences Results 96-Week Data from Gilead's Study 903 Show Low Rate of Virologic Failure among Patients Taking Viread gilead.com ↗
From week 48 through week 96, the K65R mutation developed in one additional Viread-treated patient resulting in a total of 2.7 percent of patients through 96 weeks versus 0.7 percent in the d4T arm.
2003-02-11 Gilead Sciences Results 96-Week Data From Phase III Study Show Long-Term Efficacy With Reduced Risk of Lipid and Metabolic Changes for Viread Versus Stavudine in Treatment-Naive HIV Patients gilead.com ↗
The 96-week results presented today show that the Viread and stavudine arms reduced HIV RNA to less than 400 copies/mL in 82 and 78 percent of patients respectively, using the most conservative "missing equals failure" analysis.
2002-09-27 Gilead Sciences Results Phase III Study of Viread Shows Favorable Lipid and Mitochondrial DNA Profile in Treatment-naive HIV Patients; Data Presented in Late-Breaker Session at 42nd ICAAC gilead.com ↗
In addition, the incidence of nucleoside analogue-associated toxicities, such as peripheral neuropathy and lipodystrophy, was three percent in the Viread-containing arm, compared with 10 percent in the stavudine-containing arm (p less than 0.001) after 48 weeks of treatment.
2002-07-08 Gilead Sciences Results 48-Week Data Compare Viread to Stavudine When Used as Part of Patients' First Anti-HIV Regimen; Data Presented at XIV International AIDS Conference in Barcelona gilead.com ↗
Importantly, analyses of measurements of laboratory markers reveal that patients in the stavudine arm of the study experienced significant increases in triglyceride and cholesterol levels compared to those in the Viread arm through 48 weeks.
2002-05-07 Gilead Sciences Results Gilead Announces Preliminary 48-Week Study Results Showing Viread Comparable to Stavudine in Treatment-Naive HIV Patients gilead.com ↗
These data demonstrate that as a part of combination therapy for 48 weeks Viread can provide efficacy and safety comparable to stavudine, one of the most commonly prescribed nucleoside reverse transcriptase inhibitors.
2001-06-05 Gilead Sciences Results Gilead Sciences Presents Data Characterizing Resistance Profile of Tenofovir DF, Investigational Agent for the Treatment of HIV gilead.com ↗
The results demonstrate that chain-terminator removal occurs more readily with nucleosides than nucleotides and may contribute to the higher-level of resistance associated with nucleosides.
1998-09-23 Gilead Sciences Results Gilead Sciences Provides Update on PREVEON® Clinical Program for the Treatment of HIV gilead.com ↗
These data demonstrate that PREVEON has durable anti-HIV activity in treatment-experienced patients, including those infected with strains of HIV resistant to most currently approved therapies.

All press releases naming this drug 11 releases

DateIssuerRelease

Evidence & citations 13 cited values

Every value below carries the sentence it was read from. 150 sources stand behind the page.

FieldValueCited text
Known as stavudine “It may include one or two nucleoside reverse transcriptase inhibitors, such as zidovudine, didanosine, lamuvidine, zalcitabine, stavudine), a non- nucleoside reverse...” NCT00032669 ↗
143

“NRTIs included abacavir, emtricitabine, Combivir (lamivudine/zidovudine, coformulated), Epzicom (abacavir/lamivudine, coformulated), lamivudine, stavudine, tenofovir DF,...” NCT01252940 ↗

“Triomune is manufactured by a generic drug company and consists of three drugs combined in a single pill given twice daily (stavudine 30mg plus lamivudine 150mg plus nevirapine 200mg).” NCT00617643 ↗

“Participants who will be enrolled in this trial would keep their previous combined antiretroviral therapy, such as zidovudine or stavudine plus lamivudine plus nevirapine or efavirenz.” NCT02002286 ↗

“Triomune® (Cipla, Mumbai) Stavudine 40mg b.d \> 60 kg , 30mg bd \<60kg Lamivudine 150mg b.d \> 50 kg 2mg/kg \< 50 kg Nevirapine 200mg b.d ( 200mg daily for first 2 weeks)” NCT00380770 ↗

“The Fixed Drug Combination (FDC) nevirapine (NVP)-lamivudine-stavudine is the first line ART available for low-income countries.” NCT00495326 ↗

“lamivudine 150 mg/zidovudine 300 mg twice a day (or stavudine 40 mg twice a day plus lamivudine 150 mg twice a day);” NCT00650637 ↗

“Stavudine will be used in the event that a participant is unable to take Abacavir for safety or other reasons.” NCT00978068 ↗

“Patients who develop intolerence to AZT may use Stavudine (d4T) at a dose of 40 mg daily.” NCT00006441 ↗

“In women who with moderate to severe anemia, ZDV is substituted with stavudine (d4T).” NCT00753324 ↗

“or stavudine 30 mg BID if hemoglobin is \< 8 g/L) and 1 NNRTI” NCT01192035 ↗

Show 133 more sources

Known as 2',3'-Didehydro-2',3'-Dideoxythymidine “A Randomized Blinded Evaluation of Two Doses of Stavudine (2',3'-Didehydro-2',3'-Dideoxythymidine; d4T) to Make Treatment Available to Severely Immunocompromised Patients With...” NCT00002308 ↗
Known as 2',3'-Didehydro-3'-Deoxythymidine “A Phase I Safety and Pharmacokinetics Study of BMY-27857 (2',3'-Didehydro-3'-Deoxythymidine) Administered Twice Daily to Patients With AIDS or AIDS Related Complex” NCT00000988 ↗
Known as 2',3'-Dideoxy-2',3'-Didehydrothymidine “To evaluate the safety, minimum effective dose (MED), pharmacokinetics and efficacy of orally administered 2',3'-dideoxy-2',3'-didehydrothymidine (d4T) in patients with AIDS or...” NCT00000988 ↗
1

“A Phase I Safety Study of BMY-27857 (2',3'-Dideoxy-2',3'-Didehydrothymidine [d4T]) Administered Four Times Daily to AZT-Intolerant Patients With AIDS or AIDS-Related Complex” NCT00000686 ↗

Known as BMY-27857 “A Double-Blind Comparison of Zidovudine (AZT) Versus Stavudine (d4T; BMY 27857) for the Treatment of Patients With HIV Infection Who Have Absolute CD4 Lymphocyte Counts Between...” NCT00002307 ↗
2

“A Phase I Safety Study of BMY-27857 (2',3'-Dideoxy-2',3'-Didehydrothymidine [d4T]) Administered Four Times Daily to AZT-Intolerant Patients With AIDS or AIDS-Related Complex” NCT00000686 ↗

“A Phase I Safety and Pharmacokinetics Study of BMY-27857 (2',3'-Didehydro-3'-Deoxythymidine) Administered Twice Daily to Patients With AIDS or AIDS Related Complex” NCT00000988 ↗

Known as d4T “The purpose of this study is to compare long-term safety and tolerability of stavudine (d4T) extended release (ER) versus conventional (immediate release [IR]) formulations,...” NCT00116298 ↗
80

“In Pediatric AIDS Clinical Trials Group (PACTG) Protocol 377, 181 infants and children were assigned to receive stavudine (d4T) plus nevirapine (NVP) and ritonavir (RTV); d4T...” PMID 11880966 ↗ Feb 2002

“A Randomized Blinded Evaluation of Two Doses of Stavudine (2',3'-Didehydro-2',3'-Dideoxythymidine; d4T) to Make Treatment Available to Severely Immunocompromised Patients With...” NCT00002308 ↗

“The efficacy and tolerance of switching from zidovudine (ZDV) and lamivudine (3TC) in clinically stable HIV-infected children with incomplete viral suppression to stavudine...” PMID 11840078 ↗ Feb 2002

“The purpose of this study is to compare the safety and effectiveness of saquinavir SGC plus stavudine (d4T) plus lamivudine (3TC) with that of saquinavir SGC plus nelfinavir...” NCT00002397 ↗

“An Investigation of the Potential Pharmacokinetic Interaction Between Nevirapine (Viramune) and Nelfinavir (Viracept) and the Efficacy of This Combination Therapy in HIV-1...” NCT00002381 ↗

“Arm I options are enteric-coated didanosine (ddI-EC) plus lamivudine (3TC), ddI-EC plus zidovudine (ZDV), ZDV plus 3TC (or Combivir), stavudine (d4T) plus 3TC, or ddI-EC plus...” NCT00014937 ↗

“Double reverse transcriptase inhibitor (RTI) therapy consisting of any two therapy combinations of: didanosine (ddI), lamivudine (3TC), stavudine (d4T) or zidovudine (ZDV),...” NCT00002376 ↗

“The purpose of this study is to compare the safety and effectiveness of 2 forms of stavudine (d4T). One form is taken once a day (extended release) and the other form is taken...” NCT00005918 ↗

“adding stavudine (d4T) to anti-HIV drug regimens (with or without zidovudine, ZDV) can improve symptoms of AIDS Dementia Complex (ADC, problems involving the brain or spinal...” NCT00002246 ↗

“To evaluate the safety, minimum effective dose (MED), pharmacokinetics and efficacy of orally administered 2',3'-dideoxy-2',3'-didehydrothymidine (d4T) in patients with AIDS or...” NCT00000988 ↗

Show 70 more sources

Known as d4T ER “Patients are randomized to receive blinded stavudine extended release (d4T ER) or immediate release (d4T IR) formulation.” NCT00005918 ↗
Known as d4T IR “Patients are randomized to receive blinded stavudine extended release (d4T ER) or immediate release (d4T IR) formulation.” NCT00005918 ↗
Known as d4T XR “Daily Antiretroviral Therapy (DART-II): An Open-Label, Single-Arm, Prospective, Multicenter Clinical Trial To Evaluate the Efficacy and Safety fo Stavudine Extended Release...” NCT00116116 ↗
2

“Arms A, B, and C receive the same daily dosage of lopinavir/ritonavir (LPV/r), emtricitabine (FTC), and stavudine extended release (d4T XR) or tenofovir DF (TDF).” NCT00036452 ↗

“stavudine extended release (d4T XR) once daily” NCT00050895 ↗

Known as Zerit “An Investigation of the Potential Pharmacokinetic Interaction Between Nevirapine (Viramune) and Nelfinavir (Viracept) and the Efficacy of This Combination Therapy in HIV-1...” NCT00002381 ↗
3

“100 patients will be randomized to receive Zerit (Stavudine) + Epivir (Lamivudine) + Crixivan (Indinavir) and 100 patients will be randomized to receive Retrovir (Zidovudine) +...” NCT00002369 ↗

“Zerit (Stavudine)” NCT00002168 ↗

“Zerit (Stavudine)” NCT00002420 ↗

Action Inhibit “Test-tube and animal studies of d4T show that the drug can inhibit replication (reproduction) of HIV” NCT00000686 ↗
Modality Other / unclassified “HIV nucleoside reverse transcriptase inhibitors (NRTI)” PMID 16103764 ↗ Sep 2005
Route Oral “oral dosing” NCT00000686 ↗