Acute HIV Infection Observational Study

NCT ID: NCT00296660

Last Updated: 2013-11-19

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

1300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-06-30

Study Completion Date

2013-06-30

Brief Summary

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The purpose of this study is to collect data and body fluid samples from people with acute or established HIV infection and from HIV uninfected people. Data from this study will be used to better understand properties of HIV, including HIV transmission and the differences between acute and established HIV infections.

Detailed Description

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Previous studies have identified strategies for the large-scale identification of acute HIV infections. One system using such strategies has already been implemented in North Carolina, and this system will be used in this study run by the Center of HIV/AIDS Vaccine Immunology (CHAVI). This study will collect data on the mechanism of HIV transmission and the genetic, biologic, antigenic, and structural characteristics of the virus. The study will enroll HIV infected people with acute HIV infection and their sexual partners, people with established HIV infection, and HIV uninfected people.

This study will last 96 weeks. Group 1 participants will be people with acute HIV infection. These participants will have 15 study visits; some visits will include a physical exam and medical history. Group 1 will also be asked to complete a sexual behavioral assessment at study entry and every 12 weeks thereafter. Group 2 participants will be people with established HIV infection. Group 3 participants will be HIV uninfected people. Groups 2 and 3 will have 10 study visits; some visits will include a physical exam and medical history. Groups 2 and 3 will also be asked to complete a sexual behavioral assessment at study entry, every 12 weeks until Week 72, and Week 96. Group 3 will undergo HIV testing at each visit and will receive pre- and post-test counseling.

At each visit, participants will undergo HIV safe sex counseling and will update their locator information. Blood, genital secretion, and breast milk collection will also occur at each visit.

Conditions

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HIV Infections

Keywords

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Acute Infection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Proven acute HIV-1 infection

No interventions assigned to this group

1A

Sexual partners of members of Group 1

No interventions assigned to this group

2

Established HIV-infection

No interventions assigned to this group

3

HIV-1 uninfected

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Willing to receive HIV test results
* Willing to provide updated locator information during the study


* Acute HIV infection OR sexual partner of a Group 1 participant with acute HIV infection


* Established HIV infection (positive HIV antibody test and positive HIV Western blot)


* HIV uninfected

Exclusion Criteria

* Plan to relocate out of the area during the study or have a job or other obligations that may require long absences from the area
* Currently on antiretroviral therapy. Women who previously took antiretroviral therapy for the prevention of mother-to-child transmission of HIV are not excluded.
* Any other condition that, in the opinion of the investigator, may interfere with the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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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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Myron S. Cohen, MD

Role: STUDY_CHAIR

Medicine, Microbiology, and Immunology and Public Health, Division of Infectious Diseases, University of North Carolina Center for Infectious Diseases

Locations

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UNC School of Medicine, Div. of Infectious Diseases CHAVI CRS

Chapel Hill, North Carolina, United States

Site Status

Duke Univ. Med. Ctr., Infectious Diseases Clinic CHAVI CRS

Durham, North Carolina, United States

Site Status

Queen Elizabeth Hosp., Malawi College of Medicine-Johns Hopkins Research Project CHAVI CRS

Blantyre, , Malawi

Site Status

Kamuzu Central Hosp. CHAVI CRS

Lilongwe, , Malawi

Site Status

Univ. of Witwatersrand, Chris Hani Baragwanath Hosp., Reproductive Health Research Unit CHAVI CRS

Johannesburg, Gauteng, South Africa

Site Status

CAPRISA eThekwini CHAVI CRS

Durban, KwaZulu-Natal, South Africa

Site Status

Aurum Institute for Health Research CHAVI CRS

Klerksdorp, , South Africa

Site Status

Kilimanjaro Christian Med. Ctr. CHAVI CRS

Moshi, , Tanzania

Site Status

Uganda Virus Research Institute, MRC/UVRI Uganda Research Unit on AIDS CHAVI CRS

Entebbe, , Uganda

Site Status

Countries

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United States Malawi South Africa Tanzania Uganda

References

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Lindback S, Thorstensson R, Karlsson AC, von Sydow M, Flamholc L, Blaxhult A, Sonnerborg A, Biberfeld G, Gaines H. Diagnosis of primary HIV-1 infection and duration of follow-up after HIV exposure. Karolinska Institute Primary HIV Infection Study Group. AIDS. 2000 Oct 20;14(15):2333-9. doi: 10.1097/00002030-200010200-00014.

Reference Type BACKGROUND
PMID: 11089621 (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)

Pilcher CD, Fiscus SA, Nguyen TQ, Foust E, Wolf L, Williams D, Ashby R, O'Dowd JO, McPherson JT, Stalzer B, Hightow L, Miller WC, Eron JJ Jr, Cohen MS, Leone PA. Detection of acute infections during HIV testing in North Carolina. N Engl J Med. 2005 May 5;352(18):1873-83. doi: 10.1056/NEJMoa042291.

Reference Type BACKGROUND
PMID: 15872202 (View on PubMed)

Pilcher CD, McPherson JT, Leone PA, Smurzynski M, Owen-O'Dowd J, Peace-Brewer AL, Harris J, Hicks CB, Eron JJ Jr, Fiscus SA. Real-time, universal screening for acute HIV infection in a routine HIV counseling and testing population. JAMA. 2002 Jul 10;288(2):216-21. doi: 10.1001/jama.288.2.216.

Reference Type BACKGROUND
PMID: 12095386 (View on PubMed)

Soogoor M, Daar ES. Primary human immunodeficiency virus type 1 infection. Curr HIV/AIDS Rep. 2005 Jun;2(2):55-60. doi: 10.1007/s11904-005-0019-1.

Reference Type BACKGROUND
PMID: 16091249 (View on PubMed)

Other Identifiers

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CHAVI 001

Identifier Type: -

Identifier Source: org_study_id