Trial Outcomes & Findings for Prevalence and Predictors of Neurocognitive Impairment Among HIV-infected Patients (NCT NCT00893815)

NCT ID: NCT00893815

Last Updated: 2025-08-28

Results Overview

All participants underwent a comprehensive battery of standardized neuropsychological test and questionnaires that have been shown to be sensitive to HIV-associated neurocognitive disorders. Neuropsychological test were scored by trained psychometrists. Raw scores were converted to demographically adjusted t scores corrected for effects of age, education, gender, and ethnicity. Scores were then converted to deficit scores that give differential weight to impair rather than normal scores. The Global Deficit score was used to summarize neuropsychological test results by quantifying the number and degree of impaired performances. A score of of ≥0.5 has been shown to be a sensitive and specific indicator of global neurocognitive impairment.

Recruitment status

COMPLETED

Target enrollment

250 participants

Primary outcome timeframe

within 30 days

Results posted on

2025-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
HIV-Positive and Early HIV Infection
\<6 years of HIV infection since diagnosis, no prior AIDS-defining condition, and CD4 count nadir \> 200 cells/mm3
HIV-Positive and Late HIV-infection
\>6 years of HIV infection since diagnosis, prior AIDS-defining condition, or CD4 count nadir \< 200 cells/mm3
HIV-negative
HIV-negative, control group
Overall Study
STARTED
100
100
50
Overall Study
COMPLETED
100
100
50
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prevalence and Predictors of Neurocognitive Impairment Among HIV-infected Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HIV-Positive and Early HIV Infection
n=100 Participants
\<6 years of HIV infection since diagnosis, no prior AIDS-defining condition, and CD4 count nadir \> 200 cells/mm3
HIV-Positive and Late HIV-infection
n=100 Participants
\>6 years of HIV infection since diagnosis, prior AIDS-defining condition, or CD4 count nadir \< 200 cells/mm3
HIV-negative
n=50 Participants
HIV-negative, control group
Total
n=250 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
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
100 Participants
n=5 Participants
100 Participants
n=7 Participants
50 Participants
n=5 Participants
250 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
28.8 years
n=5 Participants
42.1 years
n=7 Participants
36.0 years
n=5 Participants
36.4 years
n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
6 Participants
n=7 Participants
2 Participants
n=5 Participants
11 Participants
n=4 Participants
Sex: Female, Male
Male
97 Participants
n=5 Participants
94 Participants
n=7 Participants
48 Participants
n=5 Participants
239 Participants
n=4 Participants
Race/Ethnicity, Customized
White
44 Participants
n=5 Participants
53 Participants
n=7 Participants
25 Participants
n=5 Participants
122 Participants
n=4 Participants
Race/Ethnicity, Customized
Black
27 Participants
n=5 Participants
31 Participants
n=7 Participants
4 Participants
n=5 Participants
62 Participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic
17 Participants
n=5 Participants
11 Participants
n=7 Participants
9 Participants
n=5 Participants
37 Participants
n=4 Participants
Race/Ethnicity, Customized
Other
12 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
29 Participants
n=4 Participants
Region of Enrollment
United States
100 Participants
n=5 Participants
100 Participants
n=7 Participants
50 Participants
n=5 Participants
250 Participants
n=4 Participants

PRIMARY outcome

Timeframe: within 30 days

Population: To highlight HIV-positive to HIV-negative comparison, HIV-Positive early and late groups were combined in the paper for statistical analyses. Data are presented here in disaggregated form.

All participants underwent a comprehensive battery of standardized neuropsychological test and questionnaires that have been shown to be sensitive to HIV-associated neurocognitive disorders. Neuropsychological test were scored by trained psychometrists. Raw scores were converted to demographically adjusted t scores corrected for effects of age, education, gender, and ethnicity. Scores were then converted to deficit scores that give differential weight to impair rather than normal scores. The Global Deficit score was used to summarize neuropsychological test results by quantifying the number and degree of impaired performances. A score of of ≥0.5 has been shown to be a sensitive and specific indicator of global neurocognitive impairment.

Outcome measures

Outcome measures
Measure
HIV-Positive-Early
n=100 Participants
Early HIV infection Participants
HIV-Positive-Later
n=100 Participants
HIV positive later stage group
HIV-negative
n=50 Participants
HIV-negative, control group
The Prevalence of Neurocognitive Deficits Among HIV-positive Patients as Defined by the Global Deficit Score Based on the Neuropsychological Testing Battery and to Compare This Rate to HIV-negative Military Personnel.
18 percentage with Impairment
Interval 10.0 to 26.0
20 percentage with Impairment
Interval 12.0 to 28.0
30 percentage with Impairment
Interval 17.0 to 43.0

SECONDARY outcome

Timeframe: within 30 days

Population: To highlight HIV-positive to HIV-negative comparison, HIV-Positive early and late groups were combined in the paper for statistical analyses. Data are presented here in disaggregated form.

All participants underwent a comprehensive battery of standardized neuropsychological tests and questionnaires that have been shown to be sensitive to HIV-associated neurocognitive disorders. Neuropsychological tests were scored by trained psychometrists. Raw scores were converted to demographically adjusted t scores corrected for effects of age, education, gender, and ethnicity. Score were then converted to deficit scores that give differential weight to impaired rather than normal scores. The Global Deficit score was used to summarize neuropsychological test results by quantifying the number and degree of impaired performances. A score of ≥0.5 has been shown to be a sensitive and specific indicator of global neurocognitive impairment.

Outcome measures

Outcome measures
Measure
HIV-Positive-Early
n=100 Participants
Early HIV infection Participants
HIV-Positive-Later
n=100 Participants
HIV positive later stage group
HIV-negative
n=50 Participants
HIV-negative, control group
The Prevalence of Neurocognitive Impairment Among HIV-positive Compared to HIV-negative Military Beneficiaries in Seven Major Ability Areas.
Verbal Fluency
15 Participants
20 Participants
11 Participants
The Prevalence of Neurocognitive Impairment Among HIV-positive Compared to HIV-negative Military Beneficiaries in Seven Major Ability Areas.
Abstraction Executive Functioning
19 Participants
19 Participants
12 Participants
The Prevalence of Neurocognitive Impairment Among HIV-positive Compared to HIV-negative Military Beneficiaries in Seven Major Ability Areas.
Speed of Information Processing
10 Participants
7 Participants
3 Participants
The Prevalence of Neurocognitive Impairment Among HIV-positive Compared to HIV-negative Military Beneficiaries in Seven Major Ability Areas.
Attention/Working Memory
23 Participants
22 Participants
9 Participants
The Prevalence of Neurocognitive Impairment Among HIV-positive Compared to HIV-negative Military Beneficiaries in Seven Major Ability Areas.
Learning
17 Participants
25 Participants
19 Participants
The Prevalence of Neurocognitive Impairment Among HIV-positive Compared to HIV-negative Military Beneficiaries in Seven Major Ability Areas.
Recall
18 Participants
19 Participants
7 Participants
The Prevalence of Neurocognitive Impairment Among HIV-positive Compared to HIV-negative Military Beneficiaries in Seven Major Ability Areas.
Motor Speed & Dexterity
25 Participants
19 Participants
12 Participants

Adverse Events

HIV-Positive and Early HIV Infection

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

HIV-Positive and Late HIV-infection

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

HIV-negative

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Infectious Diseases Clinical Research Program

Henry Jackson Foundation

Results disclosure agreements

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