Trial Outcomes & Findings for Effects of Intensive cART During Acute/Early HIV Infection (NCT NCT01154673)

NCT ID: NCT01154673

Last Updated: 2016-04-05

Results Overview

The level of HIV Provirus in CD4 T cells obtained from peripheral blood at 48 weeks compared to baseline. A quantitative HIV PCR assay was done. The mean/median values from the standard HAART group is compared to the intensive HAART treatment regimen.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

32 participants

Primary outcome timeframe

Baseline to Week 48

Results posted on

2016-04-05

Participant Flow

Participant milestones

Participant milestones
Measure
Intensive HAART
Patients in this arm will receive the following HAART regimen: Raltegravir 400 mg BID + Maraviroc 150mg BID + emtricitabine 200mg /tenofovir 300mg QD + lopinavir 400 mg/ritonavir 100mg BID and endpoint is measured at 48 weeks
Placebo Arm
Placebo (in place of raltegravir and maraviroc) will be added to standard HAART (Emtricitabine 200mg /tenofovir 300mg QD + Lopinavir 400 mg/ritonavir 100mg BID) and endpoint is measured at 48 weeks
Overall Study
STARTED
16
16
Overall Study
COMPLETED
14
16
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Intensive HAART
Patients in this arm will receive the following HAART regimen: Raltegravir 400 mg BID + Maraviroc 150mg BID + emtricitabine 200mg /tenofovir 300mg QD + lopinavir 400 mg/ritonavir 100mg BID and endpoint is measured at 48 weeks
Placebo Arm
Placebo (in place of raltegravir and maraviroc) will be added to standard HAART (Emtricitabine 200mg /tenofovir 300mg QD + Lopinavir 400 mg/ritonavir 100mg BID) and endpoint is measured at 48 weeks
Overall Study
Lost to Follow-up
1
0
Overall Study
moved out of province
1
0

Baseline Characteristics

Effects of Intensive cART During Acute/Early HIV Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intensive HAART
n=16 Participants
Patients in this arm will receive the following HAART regimen: Raltegravir 400 mg BID + Maraviroc 150mg BID + emtricitabine 200mg /tenofovir 300mg QD + lopinavir 400 mg/ritonavir 100mg BID
Placebo Arm
n=16 Participants
Placebo (in place of raltegravir and maraviroc) will be added to standard HAART (Emtricitabine 200mg /tenofovir 300mg QD + Lopinavir 400 mg/ritonavir 100mg BID)
Total
n=32 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
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
34 years
n=5 Participants
30 years
n=7 Participants
32 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants
Region of Enrollment
Canada
16 participants
n=5 Participants
16 participants
n=7 Participants
32 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Week 48

The level of HIV Provirus in CD4 T cells obtained from peripheral blood at 48 weeks compared to baseline. A quantitative HIV PCR assay was done. The mean/median values from the standard HAART group is compared to the intensive HAART treatment regimen.

Outcome measures

Outcome measures
Measure
Intensive HAART
n=14 Participants
Patients in this arm will receive the following HAART regimen: Raltegravir 400 mg BID + Maraviroc 150mg BID + emtricitabine 200mg /tenofovir 300mg QD + lopinavir 400 mg/ritonavir 100mg BID
Placebo Arm
n=16 Participants
Placebo (in place of raltegravir and maraviroc) will be added to standard HAART (Emtricitabine 200mg /tenofovir 300mg QD + Lopinavir 400 mg/ritonavir 100mg BID)
Change in Proviral HIV-1 DNA in Total CD4+ T-cells From Baseline to Week 48 in Participants Randomized to the Intensified Arm Versus the Control Arm Who Received Placebo in Addition to Standard HAART.
279 HIV DNA copies/ million CD4 cells
Interval 26.0 to 2836.0
244 HIV DNA copies/ million CD4 cells
Interval 2.5 to 5186.0

Adverse Events

Intensive HAART

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

Placebo Arm

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

Serious adverse events

Serious adverse events
Measure
Intensive HAART
n=16 participants at risk
Patients in this arm will receive the following HAART regimen: Raltegravir 400 mg BID + Maraviroc 150mg BID + emtricitabine 200mg /tenofovir 300mg QD + lopinavir 400 mg/ritonavir 100mg BID
Placebo Arm
n=16 participants at risk
Placebo (in place of raltegravir and maraviroc) will be added to standard HAART (Emtricitabine 200mg /tenofovir 300mg QD + Lopinavir 400 mg/ritonavir 100mg BID)
Blood and lymphatic system disorders
Neutropenia
6.2%
1/16 • Number of events 1 • 2 years
0.00%
0/16 • 2 years

Other adverse events

Adverse event data not reported

Additional Information

Mario Ostrowski, Principal Investigator, Professor of Medicine

University of Toronto

Phone: 416-946-5805

Results disclosure agreements

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