Valganciclovir to Reduce T Cell Activation in HIV Infection

NCT ID: NCT00264290

Last Updated: 2020-07-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2008-11-30

Brief Summary

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The purpose of this study is to determine whether treatment with valganciclovir decreases T cell activation levels among HIV-infected patients with asymptomatic cytomegalovirus (CMV) co-infection, potentially improving immune responses to antiretroviral therapy.

Detailed Description

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Conditions

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HIV Infections Cytomegalovirus Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Valganciclovir

900mg PO qd

Group Type EXPERIMENTAL

Valganciclovir

Intervention Type DRUG

900mg PO qd x 8 weeks followed by 4 weeks of observation on background antiretroviral (ARV) regimen alone.

Placebo

900mg PO qd

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo designed to resemble Valganciclovir

Interventions

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Valganciclovir

900mg PO qd x 8 weeks followed by 4 weeks of observation on background antiretroviral (ARV) regimen alone.

Intervention Type DRUG

Placebo

Placebo designed to resemble Valganciclovir

Intervention Type DRUG

Other Intervention Names

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Valganciclovir (Valcyte) Placebo

Eligibility Criteria

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Inclusion Criteria

* Infection with HIV \>1 year in duration.
* Age \>18
* Cytomegalovirus (CMV) antibody positive.
* All Cluster of Differentiation 4 (CD4)+ T cell counts in the last year and at screening \<350 cells/mm3
* On a stable highly addictive antiretroviral therapy (HAART) regimen (DHHS definition) for the preceding 6 months.

* 90% adherence to antiretroviral therapy within the preceding 30 days.
* Females of childbearing potential must have a negative serum pregnancy test at screening and all subjects must agree to use a double-barrier method of contraception throughout the study period.
* Screening %Cluster of differentiation 38 (CD38)+ Human leukocyte antigen-D-related (HLA-DR)+ Cluster of differentiation 8 (CD8)+ T cells \>10%

Exclusion Criteria

* Patients intending to modify antiretroviral therapy in the next 16 weeks.
* Serious illness requiring hospitalization or parental antibiotics within preceding 3 months.
* Evidence of active symptomatic CMV end-organ disease.
* Treatment with valganciclovir or ganciclovir in the past 30 days.
* Concurrent treatment with immunomodulatory drugs.
* Concurrent treatment with nephrotoxic drugs
* Screening absolute neutrophil count \<1,000 cells/mm3, platelet count \<100,000 cells/mm3, hemoglobin \< 8mg/dL, estimated creatinine clearance \<50 mL/minute.
* Men who are considering having children will also be excluded given potential effects of valganciclovir on spermatogenesis.
* Pregnant or breastfeeding women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Roche Pharma AG

INDUSTRY

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter W. Hunt, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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San Francisco General Hospital - General Clinical Research Center

San Francisco, California, United States

Site Status

Countries

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United States

References

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Hunt PW, Martin JN, Sinclair E, Bredt B, Hagos E, Lampiris H, Deeks SG. T cell activation is associated with lower CD4+ T cell gains in human immunodeficiency virus-infected patients with sustained viral suppression during antiretroviral therapy. J Infect Dis. 2003 May 15;187(10):1534-43. doi: 10.1086/374786. Epub 2003 Apr 23.

Reference Type BACKGROUND
PMID: 12721933 (View on PubMed)

Hunt PW, Martin JN, Sinclair E, Epling L, Teague J, Jacobson MA, Tracy RP, Corey L, Deeks SG. Valganciclovir reduces T cell activation in HIV-infected individuals with incomplete CD4+ T cell recovery on antiretroviral therapy. J Infect Dis. 2011 May 15;203(10):1474-83. doi: 10.1093/infdis/jir060.

Reference Type RESULT
PMID: 21502083 (View on PubMed)

Other Identifiers

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SFGH GCRC #976

Identifier Type: -

Identifier Source: secondary_id

5 P30 AI 27763 - Hunt

Identifier Type: -

Identifier Source: secondary_id

Roche VAL 104

Identifier Type: -

Identifier Source: secondary_id

5P30AI027763

Identifier Type: NIH

Identifier Source: secondary_id

View Link

H10775-26933-01

Identifier Type: -

Identifier Source: org_study_id

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