Comparing a Nucleoside-Analogue-Sparing Regimen and a Protease-Inhibitor-Sparing Regimen in HIV Infected Patients

NCT ID: NCT00135460

Last Updated: 2006-03-14

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-06-30

Study Completion Date

2007-11-30

Brief Summary

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Highly active antiretroviral therapy (HAART) has improved the long time survival of HIV infected individuals. However an increasing number of HIV-patients have developed metabolic and morphological alterations including peripheral lipoatrophy.

There is limited knowledge about lipodystrophic adverse events in nucleoside reverse transcriptase inhibitor (NRTI)-sparing regimens. The hypothesis is that nucleoside analogues are responsible for development of lipoatrophy, and, patients receiving an NRTI-sparing regimen will have little risk of peripheral lipoatrophy.

The researchers plan to perform a randomized study recruiting 100 antiretroviral naive patients that will be randomized to receive a nucleoside analogue sparing HAART regimen or a protease-inhibitor sparing regimen.

The main endpoint is changes in peripheral fat mass as determined by dual energy X-ray absortiometry (DEXA)-scanning.

Detailed Description

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Conditions

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HIV-Associated Lipodystrophy Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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nucleoside analogue sparing HAART regimen

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Antiretroviral naïve patients
* HIV-1 infection as documented by a licensed HIV-1 antibody ELISA.
* Fulfilling the criteria for starting antiretroviral therapy.
* Ability to understand and provide written informed consent.

Exclusion Criteria

* Women being pregnant or breast-feeding.
* Fertile women using no safe contraception.
* Patients with active intravenous drug use.
* Abuse of alcohol, which in the opinion of the treating physician will reduce the patient´s ability to follow a therapeutic regimen and evaluations of the protocol.
* Ongoing medical treatment, which has a clinically significant interaction with lopinavir, ritonavir or efavirenz.
* Creatinine \> 200 mmol/l.
* ALT or AST \> 5 times upper normal value (200U/l).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role collaborator

Hvidovre University Hospital

OTHER

Sponsor Role collaborator

Odense University Hospital

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role collaborator

Aalborg University Hospital

OTHER

Sponsor Role collaborator

Abbott

INDUSTRY

Sponsor Role collaborator

Danish HIV Research Group

OTHER

Sponsor Role lead

Principal Investigators

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Jan Gerstoft, M.D., DMSc

Role: STUDY_CHAIR

Rigshospitalet, Denmark

Niels Obel, M.D., DMSc

Role: PRINCIPAL_INVESTIGATOR

Odense University Hospital

Court Pedersen, Professor

Role: PRINCIPAL_INVESTIGATOR

Odense University Hospital

Lars Mathiesen, M.D.,DMSc

Role: PRINCIPAL_INVESTIGATOR

Hvidovre University Hospital

Henrik Nielsen, M.D.,DMSc

Role: PRINCIPAL_INVESTIGATOR

Aalborg University Hospital

Alex Laursen, M.D., DMSc

Role: PRINCIPAL_INVESTIGATOR

Aarhus University City

Ann-Brit E Hansen, M.D.

Role: PRINCIPAL_INVESTIGATOR

Copenhagen University Hospital Rigshospitalet and Odense University Hospital

Locations

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Department of Infectious Diseases, Hvidovre University Hospital

Hvidovre, Copenhagen, Denmark

Site Status

Department of Infectious Diseases, Aalborg Hospital

Aalborg, , Denmark

Site Status

Department of Infectious Diseases, Aarhus University Hospital

Aarhus, , Denmark

Site Status

Department of Infectious Diseases, Rigshospitalet

Copenhagen, , Denmark

Site Status

Department of Infectious Diseases, Odense University Hospital

Odense, , Denmark

Site Status

Countries

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Denmark

References

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Mathiesen IH, Salem M, Gerstoft J, Gaardbo JC, Obel N, Pedersen C, Ullum H, Nielsen SD, Hansen AE. Complete manuscript Title: Changes in RANKL during the first two years after cART initiation in HIV-infected cART naive adults. BMC Infect Dis. 2017 Apr 11;17(1):262. doi: 10.1186/s12879-017-2368-y.

Reference Type DERIVED
PMID: 28399815 (View on PubMed)

Other Identifiers

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2612-2198

Identifier Type: -

Identifier Source: org_study_id