Efficacy and Safety of 2 Raltegravir Doses in Naive HIV-1-infected Patients Receiving Rifampin for Active Tuberculosis

NCT ID: NCT00822315

Last Updated: 2013-07-17

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

PHASE2

Total Enrollment

155 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2012-05-31

Brief Summary

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Raltegravir is a potent antiretroviral agent that could be used as an alternative to efavirenz in HIV-1 infected patients with tuberculosis. However due to pharmacokinetic interactions, the optimal dose of raltegravir to be used in combination with rifampin is currently unknown.

This phase II open-label randomized multicenter trial is designed to estimate the antiviral efficacy of two doses of raltegravir and one dose of efavirenz at week 24, in HIV-1 naive patients co-infected with active tuberculosis (TB) treated with rifampin.

Detailed Description

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Conditions

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HIV Infections Tuberculosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

efavirenz

Group Type ACTIVE_COMPARATOR

efavirenz

Intervention Type DRUG

tenofovir 245 mg / lamivudine 300 mg / efavirenz 600 mg

2

raltegravir 400 mg

Group Type EXPERIMENTAL

raltegravir

Intervention Type DRUG

tenofovir 245 mg / lamivudine 300 mg / raltegravir 400 mg

3

raltegravir 800 mg

Group Type EXPERIMENTAL

raltegravir

Intervention Type DRUG

tenofovir 245 mg / lamivudine 300 mg / raltegravir 800 mg

Interventions

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efavirenz

tenofovir 245 mg / lamivudine 300 mg / efavirenz 600 mg

Intervention Type DRUG

raltegravir

tenofovir 245 mg / lamivudine 300 mg / raltegravir 400 mg

Intervention Type DRUG

raltegravir

tenofovir 245 mg / lamivudine 300 mg / raltegravir 800 mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients (at least 18 years old)
* Plasma HIV RNA \> 1000 copies/ml
* HIV-1-infection confirmed by ELISA and Western blot or Immunofluorescence
* ART naïve patients or
* ART for less than 3 months and more than 6 months ago ; an HIV resistance genotype at baseline showing no mutation to NNRTI and TDF or 3TC will be required
* For women of childbearing age, negative urinary test for pregnancy and to accept contraceptive methods: condom use and intra-uterine device when possible or declare no wish of pregnancy in the coming year.
* Confirmed or probable TB
* TB treatment including rifampin started since 2 to 8 weeks before randomisation
* Signed informed consent form
* For French patients, to be affiliated to the National Health Care System

Exclusion Criteria

* HIV-2 infection (single or with HIV-1)
* Woman who is pregnant or likely to become so, is breastfeeding or refuses to use contraception
* ALT\>2.5N, Hb \<7g/dl, neutrophils \< 750/mm3, platelet\<50 000/mm3, bilirubin \>5N, lipase \>3N
* Creatinine clearance \<60ml/min as assessed by the Cockcroft method
* Ongoing psychiatric pathology or any condition (including, but not limited to, the consumption of alcohol or drugs) which might, in the investigator's opinion, compromise the safety of treatment and/or patient compliance with the protocol
* Concomitant treatments including phenytoin or phenobarbital (compounds interacting with UGT1A1)
* Prior TB with a Mycobacterium tuberculosis strain resistant to rifampin
* TB treatment started for more than 8 weeks before randomisation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role collaborator

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

ANRS, Emerging Infectious Diseases

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Beatriz Grinsztejn, MD

Role: STUDY_CHAIR

Fiocruz, Rio de Janiero, Brazil

Jean-Michel Molina, MD

Role: STUDY_CHAIR

Hôpital Saint-Louis, Paris, France

Locations

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Hospital Genral de Nova Iguaçu

Nova Iguaçu, , Brazil

Site Status

Hospital Nossa Senhora da Coceiçao

Porto Alegre, , Brazil

Site Status

Hospital Sanatorio Pertenon

Porto Alegre, , Brazil

Site Status

Ipec/Fiocruz

Rio de Janeiro, , Brazil

Site Status

Hospitral Universitario Pr Edgar Santos

Salvador, , Brazil

Site Status

STD/AIDS department

São Paulo, , Brazil

Site Status

Hôpital Lariboisière

Paris, , France

Site Status

Hôpital Saint-Louis

Paris, , France

Site Status

CHI Villeneuve Saint Georges

Villeneuve-Saint-Georges, , France

Site Status

Countries

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Brazil France

References

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Grinsztejn B, De Castro N, Arnold V, Veloso VG, Morgado M, Pilotto JH, Brites C, Madruga JV, Barcellos NT, Santos BR, Vorsatz C, Fagard C, Santini-Oliveira M, Patey O, Delaugerre C, Chene G, Molina JM; ANRS 12 180 Reflate TB study group. Raltegravir for the treatment of patients co-infected with HIV and tuberculosis (ANRS 12 180 Reflate TB): a multicentre, phase 2, non-comparative, open-label, randomised trial. Lancet Infect Dis. 2014 Jun;14(6):459-67. doi: 10.1016/S1473-3099(14)70711-X. Epub 2014 Apr 9.

Reference Type DERIVED
PMID: 24726095 (View on PubMed)

Other Identifiers

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ANRS 12180 REFLATE TB

Identifier Type: -

Identifier Source: org_study_id

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