Study to Evaluate the Activity and Tolerability of Lopinavir/Ritonavir and Lamivudine Bitherapy in HIV Patients With Viral Suppression

NCT ID: NCT01471821

Last Updated: 2014-07-29

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

PHASE4

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2014-04-30

Brief Summary

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This is a prospective, open controlled trial in which HIV-1 with viral suppression patients will be randomized to continue with their current treatment (lopinavir/ritonavir plus emtricitabine or lamivudine plus any nucleoside analogue reverse transcriptase inhibitor) or to simplify to lopinavir/ritonavir plus lamivudine.

Randomization will be stratified according to the values of nadir CD4 and time of viral suppression.

Detailed Description

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Conditions

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HIV Infection

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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simplification

Lopinavir/ritonavir (400/100 BID) plus lamivudine (300 QD)

Group Type EXPERIMENTAL

antiretroviral treatment

Intervention Type DRUG

antiretroviral treatment

Continue with current treatment

Group Type ACTIVE_COMPARATOR

antiretroviral treatment

Intervention Type DRUG

antiretroviral treatment

Interventions

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antiretroviral treatment

antiretroviral treatment

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients of either sex (female or male) and 18 years or older.
* Patients seropositive for HIV-1 using standard diagnostic criteria.
* There is confirmation of viral load to be lower than 50 cop/ml during the 6 previous months to inclusion. The requirement is to have at least two viral loads lower than 50 cop/mL separated by 6 months and no one \>50cop/mL during the 6 months before inclusion.
* Patients on continuous HAART consisting of LPV/r, emtricitabine (FTC) or 3TC (lamivudine) and an NRTI for at least 2 months before being randomized in this study.
* Patients who are clinically stable, in the opinion of the investigator, at entry into the study (clinical status and chronic medication must not have not been modified at least 14 days prior to randomization). Patients receiving therapy for an active opportunistic infection are eligible for enrollment if the above criteria are met. Standard prophylaxis of opportunistic infections is permitted.

Exclusion Criteria

* Pregnancy, nursing, or planned pregnancy during the study period.
* Previous failure with regimens including a protease inhibitor (PI) or 3TC/FTC.
* Known resistance mutations to PIs or 3TC/FTC.
* Patients with an active opportunistic infection or malignancy. Patients with a stable chronic opportunistic infection may be included in the study.
* Any disease or history of disease which, in the opinion of the investigator, might confound the results of the study or pose additional risk to patient treatment.
* Patients diagnosed with visceral Kaposi's sarcoma (KS), patients with lymphoedema secondary to cutaneous KS or cutaneous or palatine KS who have been treated with systemic immunosuppressive therapy must also be excluded.
* Patients with chronic hepatitis B on treatment with tenofovir + 3TC/FTC
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Juan A. Arnaiz

OTHER

Sponsor Role lead

Responsible Party

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Juan A. Arnaiz

Clinical Trial Manager

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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José Ramón Arribas, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Uniuversitario La Paz

Locations

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Hospital Clínic i Provincial Barcelona

Barcelona, Barcelona, Spain

Site Status

Hospital Universitario La Paz

Madrid, Madrid, Spain

Site Status

Countries

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Spain

References

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Arribas JR, Girard PM, Landman R, Pich J, Mallolas J, Martinez-Rebollar M, Zamora FX, Estrada V, Crespo M, Podzamczer D, Portilla J, Dronda F, Iribarren JA, Domingo P, Pulido F, Montero M, Knobel H, Cabie A, Weiss L, Gatell JM; OLE/RIS-EST13 Study Group. Dual treatment with lopinavir-ritonavir plus lamivudine versus triple treatment with lopinavir-ritonavir plus lamivudine or emtricitabine and a second nucleos(t)ide reverse transcriptase inhibitor for maintenance of HIV-1 viral suppression (OLE): a randomised, open-label, non-inferiority trial. Lancet Infect Dis. 2015 Jul;15(7):785-92. doi: 10.1016/S1473-3099(15)00096-1. Epub 2015 Jun 7.

Reference Type DERIVED
PMID: 26062880 (View on PubMed)

Other Identifiers

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OLE

Identifier Type: -

Identifier Source: org_study_id

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