Effects of Losartan and Antiretroviral Regimen Containing Raltegravir in Fibrosis Inflammation Mediators, Cardiovascular Risk and Neurocognitive Disorders in HIV Infected Patients Previously Effectively Treated

NCT ID: NCT01529749

Last Updated: 2019-08-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2016-02-29

Brief Summary

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This is a open controlled trial in which 48 HIV-1 patients successfully treated with EFV/FTC/TDF will be randomized to one of 4 groups in equal proportion between arms (1:1). The four arms are as follows:

Arm I: EFV / FTC / TDF (n = 12) Arm II: EFV / FTC / TDF + LST (n = 12) Arm III: FTC / TDF + MK-0518 (n = 12) Arm IV: FTC / TDF + LST + MK-0518 (n = 12)

The allocation will take place in two phases:

Phase I: 24 patients 1:1 receiving EFV/FTC/TDF vs. EFV/FTC/TDF + Losartan

If losartan arm shows benefits we will proceed to the second phase:

Phase II: 24 patients 1:1 to receive FTC/TDF+ MK-0518 versus FTC/TDF + MK-0518 + losartan.

Patients will be followed up during 12 months to determinate the proportion of patients with decreased collagen deposition in TL equal to or greater than 50%.

Detailed Description

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Conditions

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HIV-1 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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EFV/FTC/TDF

Group Type ACTIVE_COMPARATOR

EFV/FTC/TDF

Intervention Type DRUG

600/200/245 mg, od, oral

EFV/FTC/TDF + Losartan

Group Type EXPERIMENTAL

EFV/FTC/TDF + Losartan

Intervention Type DRUG

EFV/FTC/TDF --\> oral, 600/200/245 mg, od Losartan --\> initial dose 50 mg/24h, in patients with good tolerance, dose will be increased to 100 mg/24H in week 12.

FTC/TDF + MK-0518

Group Type EXPERIMENTAL

FTC/TDF + MK-0518

Intervention Type DRUG

FTC/TDF --\> 200/245 mg, oral MK-0518 --\> 400 mg, oral

FTC/TDF+MK-0518+Losartan

Group Type EXPERIMENTAL

FTC/TDF+MK-0518+Losartan

Intervention Type DRUG

FTC/TDF --\> 200/245 mg, oral MK-0518 --\> 400 mg, oral Losartan --\> -\> initial dose 50 mg/24h, in patients with good tolerance, dose will be increased to 100 mg/24n in week 12.

Interventions

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EFV/FTC/TDF + Losartan

EFV/FTC/TDF --\> oral, 600/200/245 mg, od Losartan --\> initial dose 50 mg/24h, in patients with good tolerance, dose will be increased to 100 mg/24H in week 12.

Intervention Type DRUG

EFV/FTC/TDF

600/200/245 mg, od, oral

Intervention Type DRUG

FTC/TDF + MK-0518

FTC/TDF --\> 200/245 mg, oral MK-0518 --\> 400 mg, oral

Intervention Type DRUG

FTC/TDF+MK-0518+Losartan

FTC/TDF --\> 200/245 mg, oral MK-0518 --\> 400 mg, oral Losartan --\> -\> initial dose 50 mg/24h, in patients with good tolerance, dose will be increased to 100 mg/24n in week 12.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients older than 18 years.
2. Patients with HIV infection in antiretroviral treatment with EFV / FTC / TDF with undetectable viral load (VL \<37 copies) for at least 48 weeks.
3. Nadir CD4 +\> 250 cells/mm3.
4. Patients, properly informed, give their written consent to participate in the study.

Exclusion Criteria

1. Criteria for patients with AIDS.
2. Patients with active opportunistic diseases.
3. Patients coinfected with HCV.
4. Patients without tonsillar tissue.
5. Treatment with other drugs receptor antagonists or angiotensin II converting enzyme inhibitors, angiotensin II.
6. Kidney failure.(Glomerular Filtration Rate (GFR \< 60 mL/mn)
7. Severe liver failure (PT\> 60% ).
8. Pregnant women
9. Known hypersensitivity or contraindication to any study drug.
10. determination of blood pressure (BP) \<100/60 mmHg
11. Hyponatremia with serum Na numbers \<132 Meq / l
12. History of chronic vomiting the last 6 months
13. History of chronic diarrhea the last 6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Felipe Garcia

OTHER

Sponsor Role lead

Responsible Party

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Felipe Garcia

Dr

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Hospital Clinic

Barcelona, , Spain

Site Status

Countries

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Spain

Other Identifiers

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2011-002071-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

HIV-IMMUNESARTAN

Identifier Type: -

Identifier Source: org_study_id

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