A Study to Assess the Long-term Efficacy (24 Weeks) of MPC-4326 in Combination With a 2-3 Drug OBR Relative to the Efficacy of a 3-4 Drug ARV Regimen in Treatment Experienced HIV-1 Infected Subjects Who Are Failing Current Antiretroviral Therapy

Exclusion Criteria

• •1. Be pregnant or breast feeding
• •2. Presence of any significant acute illness (as determined by the investigator) within 14 days of study entry.
• •3. Presence of any AIDS-related opportunistic infection (Category C according to the CDC Classification System for HIV-1 Infection, 1993 Revised Version) that is unstable in the Investigator's opinion or diagnosed in the 30 days prior to study entry (i.e., Run in Period Day 1).
• •4. A history of cerebrovascular accident or transient ischemic attacks.
• •5. Subjects with the following laboratory parameters within 14 days prior to first dose of study drug:
• •1. Hemoglobin \< 10 g/dL for men and \< 9 g/dL for women
• •2. Absolute neutrophil count \< 1000/mm3
• •3. Platelet count \< 50,000/mm3
• •4. AST or ALT \> 5 times the upper limit of normal inclusive of subjects with a positive HBV surface antigen or HCV antibody test at screening
• •5. Calculated creatinine clearance (ClCr) \<40 mL/min as determined by the Cockcroft-Gault equation
• •6. Subjects who have received radiation therapy or cytotoxic chemotherapeutic agents within 4 weeks prior to the first dose of study drug.
• •7. Subjects who have received treatment with immunomodulating agents such as IL-2, α IFN, β IFN or γ IFN within 4 weeks prior to the first dose of study drug.
• •8. Subjects who use or require a prohibited therapy within 30 days prior to or while participating in this study.
• •9. Receipt of an investigational drug or product, or participation in a drug study within a period of 30 days prior to receiving study medication. For investigational drugs with an elimination half life greater than 10 days, this period will be extended to 60 days and for antibody-based products (i.e., CD4 antibody products, etc.) this period will be extended to 3 months.