Third Line Highly Active Antiretroviral Therapy (HAART) in HIV-infected Children

NCT ID: NCT01225406

Last Updated: 2020-07-17

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

Total Enrollment

56 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-08-31

Study Completion Date

2013-12-31

Brief Summary

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This is an observational cohort study of virologic and immunologic outcome after at least 48 weeks of third line antiretroviral therapy. Upto 150 children at 8 Thai sites will be enrolled. Third line antiretroviral therapy in this study is defined as an antiretroviral (ARV) regimen in a patient who has failure or intolerance to first line NNRTI-based therapy and second line PI-based therapy. Such regimens may contain new drugs or drug classes such as darunavir, tipranavir, etravirine and raltegravir The knowledge gained from this study will help the Thai government in planning its strategy to provide third line ARV therapy to children within the national program.

Detailed Description

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The primary objective of this study is to assess the virological efficacy, as measured by the proportions of children with HIV RNA below 400 and 50 copies/ml at 48 weeks after initiating third line ARV therapy.

Third line ARV therapy is defined as an ARV regimen in a patient who has failure or intolerance to first line NNRTI-based therapy and second line PI-based therapy. Such regimens may contain new drugs or drug classes such as darunavir, tipranavir, etravirine and raltegravir

Conditions

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This Study is Designed to Collect Treatment Data of Thai Children on Third Line ARV Therapy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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third line naive

Children on second line or other regimen who switch or start third line regimen

Tenofovir

Intervention Type DRUG

third line experienced

children who are on third line regimen

Tenofovir

Intervention Type DRUG

Interventions

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Tenofovir

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Children (\< 18 years old) with HIV infection may enroll if one of the following criteria is met:

1. Have resistance to at least one drug in each of the 3 classes (NRTI, NNRTI and PI) and have plasma HIV RNA \> 1000 copies/ml prior to switching to third line ARV therapy
2. Have intolerance to the current NRTI, NNRTI or PI treatment and need to receive darunavir, etravirine, tipranavir or raltegravir

Exclusion Criteria

1. Have hepatic impairment with ALT ≥ 5 upper limit of normal
2. Pregnant or breastfeeding
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Education, Thailand

OTHER

Sponsor Role collaborator

National Health Security Office, Thailand

OTHER

Sponsor Role collaborator

The HIV Netherlands Australia Thailand Research Collaboration

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thanyawee Puthanakit, MD

Role: PRINCIPAL_INVESTIGATOR

Chulalongkorn University Bangkok

Kulkanya Chokephaibulkit, MD

Role: PRINCIPAL_INVESTIGATOR

Siriraj Hospital

Locations

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Prapokklao Chantaburi

Chanthaburi, Changwat Chanthaburi, Thailand

Site Status

Chulalongkorn University

Bangkok, , Thailand

Site Status

HIV-NAT

Bangkok, , Thailand

Site Status

Siriraj Hospital, Mahidol University

Bangkok, , Thailand

Site Status

Nakornping Hospital

Chiang Mai, , Thailand

Site Status

Chiang Rai Regional Hospital

Chiang Rai, , Thailand

Site Status

Khon Kaen University

Khon Kaen, , Thailand

Site Status

Bamrasnaradura Institute

Nonthaburi, , Thailand

Site Status

Surin Hospital

Surin, , Thailand

Site Status

Countries

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Thailand

References

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Chokephaibulkit K, Prasitsuebsai W, Wittawatmongkol O, Gorowara M, Phongsamart W, Sophonphan J, Kerr SJ, Vanprapar N, Puthanakit T, Pasomsap C, Suwanlerk T, Sekar V, Burger D, Ananworanich J; HIV-NAT 113 Pharmacokinetic Study Group. Pharmacokinetics of darunavir/ritonavir in Asian HIV-1-infected children aged >/=7 years. Antivir Ther. 2012;17(7):1263-9. doi: 10.3851/IMP2347. Epub 2012 Sep 6.

Reference Type RESULT
PMID: 22954687 (View on PubMed)

Related Links

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http://www.hivnat.org

The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT)

Other Identifiers

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HIV-NAT 113

Identifier Type: -

Identifier Source: org_study_id

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