Study of Viral Load Decay Rates in HIV Infected Participants Starting Treatment With Raltegravir (RAL) and Emtricitabine/Tenofovir Disoproxil Fumarate (TDF)

NCT ID: NCT00660972

Last Updated: 2021-11-01

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

Clinical Phase

PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2010-04-30

Brief Summary

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The HIV integrase inhibitor, raltegravir (RAL), which was recently approved by the FDA, has been shown in several trials to be highly effective. The purpose of this trial is to estimate the viral load decay rate in treatment-naive HIV infected participants receiving RAL and emtricitabine/tenofovir disoproxil fumarate (FTC/TDF).

Detailed Description

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Recent data suggests that early virologic response to HIV interventions may be predictive of long-term virologic outcomes. Defining early decay in viral load through carefully performed studies of viral dynamics may be a useful tool for assessing the likely outcome of long-term treatment. It may also be a useful screening tool to define which combinations should be studied further. In this trial, the viral load decay rate will be estimated in HIV infected, treatment-naive participants receiving RAL and FTC/TDF.

This study will last approximately 72 weeks. All participants will take RAL and FTC/TDF for 72 weeks. RAL will be provided by the study. FTC/TDF will not be provided.

This study will consist of 16 study visits. These visits will occur at study entry, Days 2, 7, 10, 14, 21, 28, and 56, and Weeks 12, 16, 20, 24, 36, 48, 60, and 72. Blood collection and pharmacokinetic studies will occur at all study visits. Self-reported adherence assessments will be submitted at each visit. A targeted physical exam will occur at most visits. Liver function tests and urine collection will occur at select visits. Pregnancy tests will occur whenever pregnancy is suspected.

Conditions

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HIV Infections

Keywords

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HIV Integrase Inhibitors HIV Nucleoside Reverse Transcriptase Inhibitors Treatment Naive Viral Load

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Oral RAL and FTC/TDF for 72 weeks

Group Type EXPERIMENTAL

Raltegravir

Intervention Type DRUG

400 mg tablet taken orally twice daily

Emtricitabine/tenofovir disoproxil fumarate

Intervention Type DRUG

Fixed dose tablet containing 200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate taken once daily. FTC/TDF will not be provided by the study and must be obtained by the particpant's health care provider.

Interventions

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Raltegravir

400 mg tablet taken orally twice daily

Intervention Type DRUG

Emtricitabine/tenofovir disoproxil fumarate

Fixed dose tablet containing 200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate taken once daily. FTC/TDF will not be provided by the study and must be obtained by the particpant's health care provider.

Intervention Type DRUG

Other Intervention Names

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RAL FTC/TDF

Eligibility Criteria

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Inclusion Criteria

* HIV infected
* Antiretroviral treatment naive
* Viral load at least 10,000 and less than 300,000 copies/ml within 42 days prior to study entry
* Agree to use appropriate form of contraception. More information on this criterion can be found in the protocol.

Exclusion Criteria

* Received HIV-specific immunizations within 6 months prior to study entry
* Received immunizations within 6 months prior to study entry
* Known allergy or sensitivity to study drugs
* Any participant with an acute AIDS-defining opportunistic infection (OI) who is not clinically stable or who has not been on therapy for the OI for at least 30 days prior to study entry
* Treatment with immune modulators or any investigational therapy within 30 days prior to study entry
* Evidence of HIV seroconversion within 6 months prior to study entry
* Illness requiring systemic treatment and/or hospitalization
* Substance abuse that, in the opinion of the investigator, would interfere with adherence to study requirements
* Requirement for any current medications that are prohibited with any study medication. More information on this criterion can be found in the protocol.
* Evidence of any major resistance-associated mutation on any genotype performed prior to study entry or at the time of screening. More information on this criterion can be found in the protocol.
* Abnormal laboratory values. More information on this criterion can be found in the protocol.
* Pregnant or breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Adult AIDS Clinical Trials Group

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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Adriana Andrade, MD, MPH

Role: STUDY_CHAIR

Johns Hopkins University

Locations

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UCSD Antiviral Research Center CRS

San Diego, California, United States

Site Status

University of Colorado Hospital CRS

Aurora, Colorado, United States

Site Status

Northwestern University CRS

Chicago, Illinois, United States

Site Status

IHV Baltimore Treatment CRS

Baltimore, Maryland, United States

Site Status

Johns Hopkins University CRS

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hospital Therapeutics Clinical Research Site (BWH TCRS) CRS

Boston, Massachusetts, United States

Site Status

Washington University Therapeutics (WT) CRS

St Louis, Missouri, United States

Site Status

Harlem ACTG CRS

New York, New York, United States

Site Status

Trillium Health ACTG CRS

Rochester, New York, United States

Site Status

Univ. of Rochester ACTG CRS

Rochester, New York, United States

Site Status

MetroHealth CRS

Cleveland, Ohio, United States

Site Status

Ohio State University CRS

Columbus, Ohio, United States

Site Status

The Miriam Hospital Clinical Research Site (TMH CRS) CRS

Providence, Rhode Island, United States

Site Status

Vanderbilt Therapeutics (VT) CRS

Nashville, Tennessee, United States

Site Status

Houston AIDS Research Team CRS

Houston, Texas, United States

Site Status

Countries

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United States

References

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Evering TH, Markowitz M. Raltegravir: an integrase inhibitor for HIV-1. Expert Opin Investig Drugs. 2008 Mar;17(3):413-22. doi: 10.1517/13543784.17.3.413.

Reference Type BACKGROUND
PMID: 18321239 (View on PubMed)

Sedaghat AR, Dinoso JB, Shen L, Wilke CO, Siliciano RF. Decay dynamics of HIV-1 depend on the inhibited stages of the viral life cycle. Proc Natl Acad Sci U S A. 2008 Mar 25;105(12):4832-7. doi: 10.1073/pnas.0711372105. Epub 2008 Mar 24.

Reference Type BACKGROUND
PMID: 18362342 (View on PubMed)

Funderburg NT, Xu D, Playford MP, Joshi AA, Andrade A, Kuritzkes DR, Lederman MM, Mehta NN. Treatment of HIV infection with a raltegravir-based regimen increases LDL levels, but improves HDL cholesterol efflux capacity. Antivir Ther. 2017;22(1):71-75. doi: 10.3851/IMP3091. Epub 2016 Oct 14.

Reference Type DERIVED
PMID: 27740536 (View on PubMed)

Funderburg NT, Andrade A, Chan ES, Rosenkranz SL, Lu D, Clagett B, Pilch-Cooper HA, Rodriguez B, Feinberg J, Daar E, Mellors J, Kuritzkes D, Jacobson JM, Lederman MM. Dynamics of immune reconstitution and activation markers in HIV+ treatment-naive patients treated with raltegravir, tenofovir disoproxil fumarate and emtricitabine. PLoS One. 2013 Dec 18;8(12):e83514. doi: 10.1371/journal.pone.0083514. eCollection 2013.

Reference Type DERIVED
PMID: 24367599 (View on PubMed)

Other Identifiers

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10532

Identifier Type: REGISTRY

Identifier Source: secondary_id

ACTG A5248

Identifier Type: -

Identifier Source: secondary_id

A5248

Identifier Type: -

Identifier Source: org_study_id