Patient Preference, Sleep Quality, and Anxiety/Depression: A Comparison of Raltegravir and Efavirenz

NCT ID: NCT00944957

Last Updated: 2010-01-12

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2010-04-30

Brief Summary

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Efavirenz causes neuropsychiatric side effects and sleep disturbance, including vivid dreams, dizziness, and abnormal tiredness. These symptoms are frequent during the first weeks of treatment, with subsequent attenuation but may not completely resolve even years after efavirenz initiation.

The investigators plan a four week, randomized, placebo-controlled, double-blind study. In group 1, efavirenz will be replaced with efavirenz placebo plus raltegravir, in group 2, efavirenz would be continued, and raltegravir placebo given in addition. After two weeks, patients in group 1 would switch to the regimen of group 2, and vice versa.

The primary endpoint of the trial will be patient preference. Sleep quality, daytime sleepiness, and anxiety will also be investigated.

Detailed Description

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Conditions

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Sleep Disorders HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Raltegravir first

Patients treated with Raltegravir for first 2 weeks

Group Type EXPERIMENTAL

Raltegravir for the first 2 weeks

Intervention Type DRUG

Patient receives raltegravir and efavirenz placebo during the first 2 weeks

Efavirenz for the last 2 weeks

Intervention Type DRUG

Patient receives efavirenz and raltegravir placebo during the last 2 weeks

Efavirenz first

Patients treated with Efavirenz for first 2 weeks

Group Type EXPERIMENTAL

Efavirenz for the first 2 weeks

Intervention Type DRUG

Efavirenz and raltegravir placebo for the first 2 weeks

Raltegravir for the last 2 weeks

Intervention Type DRUG

Raltegravir and efavirenz placebo for the last 2 weeks

Interventions

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Raltegravir for the first 2 weeks

Patient receives raltegravir and efavirenz placebo during the first 2 weeks

Intervention Type DRUG

Efavirenz for the last 2 weeks

Patient receives efavirenz and raltegravir placebo during the last 2 weeks

Intervention Type DRUG

Efavirenz for the first 2 weeks

Efavirenz and raltegravir placebo for the first 2 weeks

Intervention Type DRUG

Raltegravir for the last 2 weeks

Raltegravir and efavirenz placebo for the last 2 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients \> 18 years
* Signing the study consent form and agree to change ART regimen
* Stable HAART including EFV since at least 3 months
* HIV-RNA below 50 copies for at least 3 months

Exclusion Criteria

* No major psychiatric disease (psychosis, severe depression) diagnosed before the initiation of EFV
* Mentally incompetent patients
* Pregnancy or lactation Women of childbearing potential must use one or two reliable contraceptive methods during the trial, from day 1 to the end of week 12. Acceptable methods include the birth control pill, IUD, condoms with spermicides. Non-acceptable methods include (non-exhaustive list): Withdrawal, calendar (Onigo method), or spermicides alone.
* Concomitant renal or hepatic disease:

* Creatinine above 150 micromol/L
* Transaminases above 5 times upper normal limit
* Prothrombin (Quick) value below 50%
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bern

OTHER

Sponsor Role collaborator

University of Lausanne Hospitals

OTHER

Sponsor Role collaborator

Hospital Lugano

UNKNOWN

Sponsor Role collaborator

University Hospital, Basel, Switzerland

OTHER

Sponsor Role collaborator

Hospital of Neuchâtel

UNKNOWN

Sponsor Role collaborator

University Hospital, Zürich

OTHER

Sponsor Role collaborator

University Hospital, Geneva

OTHER

Sponsor Role lead

Responsible Party

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Geneva infectious diseases

Principal Investigators

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Bernard BH Hirschel, Professor

Role: PRINCIPAL_INVESTIGATOR

Geneva Hospital

Locations

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University Hopistal of Geneva

Geneva, Canton of Geneva, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Bernard BH Hirschel, Professor

Role: CONTACT

022 372 98 11 ext. +41

Facility Contacts

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Bernard BH Hirschel, Professor

Role: primary

022 372 98 11 ext. +41

Related Links

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http://www.shcs.ch

Swiss HIV Cohort Study

Other Identifiers

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IEC 09-087

Identifier Type: -

Identifier Source: org_study_id

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