Atorvastatin for HAART Suboptimal Responders

NCT ID: NCT01766076

Last Updated: 2015-05-21

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

PHASE3

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2014-03-31

Brief Summary

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We hypothesise that atorvastatin changes immune activation among HAART-treated adults with suboptimal cluster cell differentiation 4 (CD4) recovery by 25%

Detailed Description

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The investigators have previously shown that up to 40% of HAART-treated adults have suboptimal CD4 recovery despite viral suppression. The investigators have also shown that immune activation and exhaustion are significantly higher among patients that do not exhibit satisfactory rise in CD4 counts despite viral suppression (suboptimal responders); when compared with their counterparts with viral suppression and satifactory CD4 count recovery (optimal responders). Given that atorvastatin changes immune activation in this pilot study, then larger studies can be done to understand its effect on CD4 count increase among suboptimal responders.

Conditions

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Acquired Immune Deficiency Syndrome Virus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Investigators

Study Groups

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atorvastatin, Lipitor®

Intervention is be atorvastatin, Lipitor® (40mg) 2 tablets daily (as adjuvant to HAART) for 12 weeks.

Peripheral blood mononuclear cells (PBMC) will be collected for immune activation assays using flowcytometry

Group Type EXPERIMENTAL

atorvastatin, Lipitor®

Intervention Type OTHER

PBMC collected for immune activation assays using flowcytometry

Placebo

Intervention Type DRUG

PBMC collected for immune activation assays using flowcytometry

Placebo

Intervention for the placebo comparator arm is Placebo 2 tablets daily for 12 weeks PBMC will be collected for immune activation assays using flowcytometry

Group Type PLACEBO_COMPARATOR

atorvastatin, Lipitor®

Intervention Type OTHER

PBMC collected for immune activation assays using flowcytometry

Placebo

Intervention Type DRUG

PBMC collected for immune activation assays using flowcytometry

Interventions

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atorvastatin, Lipitor®

PBMC collected for immune activation assays using flowcytometry

Intervention Type OTHER

Placebo

PBMC collected for immune activation assays using flowcytometry

Intervention Type DRUG

Other Intervention Names

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Lipitor® atorvastatin placebo

Eligibility Criteria

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Inclusion Criteria

List of inclusion Criteria: HIV-infected adults on antiretroviral therapy for at least 6 years with sustained viral suppression (viral load\<400 copies), and CD4 increase below 300 cells (difference between current and baseline CD4 count).

List of exclusion Criteria: History of an opportunistic infection within the previous six months, Pregnancy, History of myositis, History of ingestion of lipid-lowering agents at the baseline visit, Use of therapeutic agents known to have substantial drug-drug interactions with statins, and individuals on PI-containing HAART
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vaccine and Gene Therapy Institute, Florida

OTHER

Sponsor Role collaborator

Makerere University

OTHER

Sponsor Role lead

Responsible Party

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College of Health Sciences

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Damalie Nakanjako, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Makerere University

References

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Ganesan A, Crum-Cianflone N, Higgins J, Qin J, Rehm C, Metcalf J, Brandt C, Vita J, Decker CF, Sklar P, Bavaro M, Tasker S, Follmann D, Maldarelli F. High dose atorvastatin decreases cellular markers of immune activation without affecting HIV-1 RNA levels: results of a double-blind randomized placebo controlled clinical trial. J Infect Dis. 2011 Mar 15;203(6):756-64. doi: 10.1093/infdis/jiq115. Epub 2011 Feb 15.

Reference Type BACKGROUND
PMID: 21325137 (View on PubMed)

Nakanjako D, Ssewanyana I, Mayanja-Kizza H, Kiragga A, Colebunders R, Manabe YC, Nabatanzi R, Kamya MR, Cao H. High T-cell immune activation and immune exhaustion among individuals with suboptimal CD4 recovery after 4 years of antiretroviral therapy in an African cohort. BMC Infect Dis. 2011 Feb 8;11:43. doi: 10.1186/1471-2334-11-43.

Reference Type BACKGROUND
PMID: 21299909 (View on PubMed)

Other Identifiers

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HS1258

Identifier Type: -

Identifier Source: org_study_id

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