Long-term Follow-up of HIV Infected Patients Identified During Early Infection

NCT ID: NCT00086372

Last Updated: 2012-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

157 participants

Study Classification

OBSERVATIONAL

Study Start Date

2003-07-31

Study Completion Date

2007-04-30

Brief Summary

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This is a long-term follow-up study of people who are identified during acute or recent HIV infection and are being followed at clinical research sites associated with the Acute HIV Infection and Early Disease Research Program (AIEDRP).

Detailed Description

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AIEDRP was established to develop and evaluate data from studies of patients with acute or recent HIV infection. Long-term effects of antiretroviral therapies raise questions regarding the value and necessity of therapeutic interventions during acute and early HIV infection. Conventional randomized clinical trials are generally designed with finite endpoints; most patients who reach an endpoint or complete a protocol are no longer followed. As a result, long-term virologic, immunologic, and clinical outcome data are not available. This is particularly true for participants who fail therapy, require changes in treatment, or develop a treatment-limiting toxicity in a time-limited study.

This database study will establish a cohort of HIV infected individuals who are participating in HIV studies at AIEDRP sites and of HIV infected individuals who have chosen to defer therapy but agree to be followed by this study. The study will facilitate longitudinal and prospectively planned meta-analyses or cross-protocol analyses of AIEDRP studies by developing data collection guidelines, defining common research goals, and creating data templates. The primary aim is to determine the long-term virologic, immunologic, and clinical outcomes and complications for patients who were diagnosed during acute or early HIV infection.

Participants in this study will be followed for at least 5 years. Study visits will occur at Weeks 2, 4, and 12, and then every 12 weeks thereafter, through Week 96. After 2 years, study visits will occur every 24 weeks until the end of the study. Participants who start antiretroviral therapy at or after Week 2 will restart the study visit schedule. Study visits will include a medical interview, adherence questionnaire, and blood tests. Duplicate tests performed as part of another study will not be performed if the results of those tests are available.

Conditions

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HIV Infections

Keywords

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Acute Infection Treatment Experienced Treatment Naive

Eligibility Criteria

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Inclusion Criteria

* Documented acute or recent HIV infection
* Willing to allow study investigators access to and use of participant's medical information from other AIEDRP clinical trials
* Parent or guardian willing to provide informed consent, if applicable
* If enrolled at an AIDS Clinical Trial Group (ACTG) site, must also be participating in one of the following clinical trials: AIN501/ACTG A5216, AIN503/ACTG A5217, or AIN504/ACTG A5218

Exclusion Criteria

* More than 7 days of antiretroviral therapy prior to study entry without adequate documentation of pretreatment viral load and CD4 count. Individuals who have failed postexposure prophylaxis with antiretroviral treatment are not excluded from enrollment.
* Any factor that, in the opinion of the study official, may interfere with study participation
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections

NETWORK

Sponsor Role collaborator

Acute Infection and Early Disease Research Program

NETWORK

Sponsor Role collaborator

National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin Markowitz, MD

Role: STUDY_CHAIR

Aaron Diamond AIDS Research Center, Rockefeller University

Susan Little, MD

Role: STUDY_CHAIR

University of California, San Diego

Locations

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University of Alabama - Birmingham

Birmingham, Alabama, United States

Site Status

Cedars-Sinai

Los Angeles, California, United States

Site Status

University of California, San Diego

San Diego, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

University of Colorado Health Sciences Center

Denver, Colorado, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Fenway Community Health

Boston, Massachusetts, United States

Site Status

Community Research Initiative of New England-Sprin

Springfield, Massachusetts, United States

Site Status

Washington University (St. Louis)

St Louis, Missouri, United States

Site Status

State University of NY Downstate

Brooklyn, New York, United States

Site Status

Beth Israel Medical Center

New York, New York, United States

Site Status

Aaron Diamond AIDS Research Center

New York, New York, United States

Site Status

Columbia University

New York, New York, United States

Site Status

Community Health Network, Inc.

Rochester, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

University of North Carolina, Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Presbyterian Medical Center - Univ. of PA

Philadelphia, Pennsylvania, United States

Site Status

University of Pennsylvania, Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt University

Nashville, Tennessee, United States

Site Status

University of New South Wales

Darlinghurst, New South Wales, Australia

Site Status

Prahran Market Clinic

St Kilda, Victoria, Australia

Site Status

The Centre Clinic

St Kilda, Victoria, Australia

Site Status

Carlton Clinic

Carlton VID, , Australia

Site Status

Centro de Referencia Estadual de AIDS (CREAIDS)

Salvador, Estado de Bahia, Brazil

Site Status

University of British Columbia, Vancouver, BC

Vancouver, British Columbia, Canada

Site Status

Montreal Chest Institute of the McGill University

Montreal, Quebec, Canada

Site Status

University of Zimbabwe Clinical Research Centre

Harare, , Zimbabwe

Site Status

Countries

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United States Australia Brazil Canada Zimbabwe

References

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Kassutto S, Rosenberg ES. Primary HIV type 1 infection. Clin Infect Dis. 2004 May 15;38(10):1447-53. doi: 10.1086/420745. Epub 2004 Apr 30.

Reference Type BACKGROUND
PMID: 15156484 (View on PubMed)

Pilcher CD, Eron JJ Jr, Galvin S, Gay C, Cohen MS. Acute HIV revisited: new opportunities for treatment and prevention. J Clin Invest. 2004 Apr;113(7):937-45. doi: 10.1172/JCI21540.

Reference Type BACKGROUND
PMID: 15057296 (View on PubMed)

Falster K, Gelgor L, Shaik A, Zablotska I, Prestage G, Grierson J, Thorpe R, Pitts M, Anderson J, Chuah J, Mulhall B, Petoumenos K, Kelleher A, Law M. Trends in antiretroviral treatment use and treatment response in three Australian states in the first decade of combination antiretroviral treatment. Sex Health. 2008 Jun;5(2):141-54. doi: 10.1071/sh07082.

Reference Type RESULT
PMID: 18588779 (View on PubMed)

Other Identifiers

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ACTG A5228

Identifier Type: -

Identifier Source: secondary_id

AIEDRP CORE01

Identifier Type: -

Identifier Source: org_study_id