Trial Outcomes & Findings for Safety and Effectiveness of Short-Term Anti-HIV Drug Therapy for Recent HIV-1 Infection (NCT NCT00414518)

NCT ID: NCT00414518

Last Updated: 2013-02-20

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

16 participants

Primary outcome timeframe

At Week 24

Results posted on

2013-02-20

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Interruption
Oral tenofovir/emcitribine (TDF/FTC) and lopinavir/ritonavir(LPV/RTV) for 12 weeks followed by treatment interruption if CD4 count is 450 mm\^3 or higher. When CD4 count is less than 350 mm\^3 on two separate, consecutive measurements during treatment interruption, therapy will be resumed.
CD4 T Cell Guided Therapy
Antiretroviral therapy (ART) will not be initiated until AIDS-defining illness occurs or if CD4 is confirmed at less than 350 mm\^3 at two separate, consecutive measurements
Overall Study
STARTED
7
9
Overall Study
COMPLETED
7
9
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Effectiveness of Short-Term Anti-HIV Drug Therapy for Recent HIV-1 Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A
n=7 Participants
Oral tenofovir/emcitribine (TDF/FTC) and lopinavir/ritonavir(LPV/RTV) for 12 weeks followed by treatment interruption if CD4 count is 450 mm\^3 or higher. When CD4 count is less than 350 mm\^3 on two separate, consecutive measurements during treatment interruption, therapy will be resumed.
Arm B
n=9 Participants
Antiretroviral therapy (ART) will not be initiated until AIDS-defining illness occurs or if CD4 is confirmed at less than 350 mm\^3 at two separate, consecutive measurements
Total
n=16 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
4 participants
n=7 Participants
7 participants
n=5 Participants
Region of Enrollment
Zimbabwe
4 participants
n=5 Participants
5 participants
n=7 Participants
9 participants
n=5 Participants

PRIMARY outcome

Timeframe: At Week 24

Outcome measures

Outcome measures
Measure
12 Week Treatment Arm Followed by Treatment Interruption
n=7 Participants
Oral tenofovir/emcitribine (TDF/FTC) and lopinavir/ritonavir(LPV/RTV) for 12 weeks followed by treatment interruption if CD4 count is 450 mm\^3 or higher. When CD4 count is less than 350 mm\^3 on two separate, consecutive measurements during treatment interruption, therapy will be resumed.
CD4 T Cell Guided Therapyh
n=9 Participants
Antiretroviral therapy (ART) will not be initiated until AIDS-defining illness occurs or if CD4 is confirmed at less than 350 mm\^3 at two separate, consecutive measurements
Plasma HIV-1 Viral Load (Copies/ml) at Week 24 as Compared Between the Two Arms
4.8627 Log 10 copies of virus/ml
Standard Deviation 0.9055 • Interval to 1.5
4.2620 Log 10 copies of virus/ml
Standard Deviation 1.0867 • Interval to 1.37

PRIMARY outcome

Timeframe: At Week 24

Outcome measures

Outcome measures
Measure
12 Week Treatment Arm Followed by Treatment Interruption
n=7 Participants
Oral tenofovir/emcitribine (TDF/FTC) and lopinavir/ritonavir(LPV/RTV) for 12 weeks followed by treatment interruption if CD4 count is 450 mm\^3 or higher. When CD4 count is less than 350 mm\^3 on two separate, consecutive measurements during treatment interruption, therapy will be resumed.
CD4 T Cell Guided Therapyh
n=9 Participants
Antiretroviral therapy (ART) will not be initiated until AIDS-defining illness occurs or if CD4 is confirmed at less than 350 mm\^3 at two separate, consecutive measurements
Number of Participants Experiencing Either an AIDS-defining Event, a Grade 3 or 4 Adverse Event, or Acute Retroviral Syndrome
1 participants
1 participants

PRIMARY outcome

Timeframe: Throughout study

set point is reached after the immune system has developed HIV antibodies and begins to attempt to fight the virus

Outcome measures

Outcome measures
Measure
12 Week Treatment Arm Followed by Treatment Interruption
n=7 Participants
Oral tenofovir/emcitribine (TDF/FTC) and lopinavir/ritonavir(LPV/RTV) for 12 weeks followed by treatment interruption if CD4 count is 450 mm\^3 or higher. When CD4 count is less than 350 mm\^3 on two separate, consecutive measurements during treatment interruption, therapy will be resumed.
CD4 T Cell Guided Therapyh
n=9 Participants
Antiretroviral therapy (ART) will not be initiated until AIDS-defining illness occurs or if CD4 is confirmed at less than 350 mm\^3 at two separate, consecutive measurements
Viral Set Point
4.8627 Log 10 copies virus/ml
Standard Deviation 0.9055
4.2434 Log 10 copies virus/ml
Standard Deviation 0.7992

Adverse Events

Arm A

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Arm B

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm A
n=7 participants at risk
Oral tenofovir/emcitribine (TDF/FTC) and lopinavir/ritonavir(LPV/RTV) for 12 weeks followed by treatment interruption if CD4 count is 450 mm\^3 or higher. When CD4 count is less than 350 mm\^3 on two separate, consecutive measurements during treatment interruption, therapy will be resumed.
Arm B
n=9 participants at risk
Antiretroviral therapy (ART) will not be initiated until AIDS-defining illness occurs or if CD4 is confirmed at less than 350 mm\^3 at two separate, consecutive measurements
Metabolism and nutrition disorders
grade 3 abnormal serum phosphorous level
14.3%
1/7 • Number of events 2
0.00%
0/9
Nervous system disorders
grade 3 headache
0.00%
0/7
11.1%
1/9 • Number of events 1

Other adverse events

Other adverse events
Measure
Arm A
n=7 participants at risk
Oral tenofovir/emcitribine (TDF/FTC) and lopinavir/ritonavir(LPV/RTV) for 12 weeks followed by treatment interruption if CD4 count is 450 mm\^3 or higher. When CD4 count is less than 350 mm\^3 on two separate, consecutive measurements during treatment interruption, therapy will be resumed.
Arm B
n=9 participants at risk
Antiretroviral therapy (ART) will not be initiated until AIDS-defining illness occurs or if CD4 is confirmed at less than 350 mm\^3 at two separate, consecutive measurements
Blood and lymphatic system disorders
low absolute neutrophil count (ANC)
42.9%
3/7 • Number of events 3
44.4%
4/9 • Number of events 4
Metabolism and nutrition disorders
Elevated aspartate amino transferase
14.3%
1/7 • Number of events 1
55.6%
5/9 • Number of events 5
Blood and lymphatic system disorders
abnormal hemoglobin
14.3%
1/7 • Number of events 1
11.1%
1/9 • Number of events 1
Metabolism and nutrition disorders
abnormal phosphorus
0.00%
0/7
22.2%
2/9 • Number of events 2
Musculoskeletal and connective tissue disorders
ache/pain/discomfort
28.6%
2/7 • Number of events 2
44.4%
4/9 • Number of events 4
Metabolism and nutrition disorders
abnormal alanine amino transferase
14.3%
1/7 • Number of events 1
33.3%
3/9 • Number of events 3
Endocrine disorders
abnormal glucose
42.9%
3/7 • Number of events 3
0.00%
0/9
Metabolism and nutrition disorders
fatigue/malaise
28.6%
2/7 • Number of events 2
11.1%
1/9 • Number of events 1
Infections and infestations
fever
28.6%
2/7 • Number of events 2
11.1%
1/9 • Number of events 1
Nervous system disorders
headache
14.3%
1/7 • Number of events 1
11.1%
1/9 • Number of events 1
Metabolism and nutrition disorders
abnormal uric acid
0.00%
0/7
33.3%
3/9 • Number of events 3
Respiratory, thoracic and mediastinal disorders
congestion/effusion
14.3%
1/7 • Number of events 1
11.1%
1/9 • Number of events 1
Blood and lymphatic system disorders
lymphadenopathy
0.00%
0/7
11.1%
1/9 • Number of events 1
Metabolism and nutrition disorders
abnormal sodium
28.6%
2/7 • Number of events 2
0.00%
0/9
Skin and subcutaneous tissue disorders
blister/ulcer/lesions
14.3%
1/7 • Number of events 1
0.00%
0/9
Infections and infestations
chills/rigors/sweats/night sweats
0.00%
0/7
11.1%
1/9 • Number of events 1
Gastrointestinal disorders
constipation
0.00%
0/7
11.1%
1/9 • Number of events 1
Gastrointestinal disorders
diarrhea
0.00%
0/7
11.1%
1/9 • Number of events 1
Endocrine disorders
abnormal fasting blood sugar
14.3%
1/7 • Number of events 1
0.00%
0/9
Skin and subcutaneous tissue disorders
macules/papules/rash
14.3%
1/7 • Number of events 1
0.00%
0/9
Skin and subcutaneous tissue disorders
mucous membrane/skin abnormality
14.3%
1/7 • Number of events 1
0.00%
0/9
Gastrointestinal disorders
nausea
14.3%
1/7 • Number of events 1
0.00%
0/9
Gastrointestinal disorders
nausea and vomiting/vomiting
0.00%
0/7
11.1%
1/9 • Number of events 1
Gastrointestinal disorders
vomiting
0.00%
0/7
11.1%
1/9 • Number of events 1
Blood and lymphatic system disorders
weakness
0.00%
0/7
11.1%
1/9 • Number of events 1
Respiratory, thoracic and mediastinal disorders
cough
0.00%
0/7
22.2%
2/9 • Number of events 2

Additional Information

Michelle A. Barron

University of Colorado Denver

Phone: 303-724-4939

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place