Trial Outcomes & Findings for Atorvastatin for HAART Suboptimal Responders (NCT NCT01766076)

NCT ID: NCT01766076

Last Updated: 2015-05-21

Results Overview

Immune activation was measured by co-expression of CD38 and HLADR on CD4 T-cells (CD4+CD38+HLADR+) Mean percentage change at 12 weeks was calculated

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

30 participants

Primary outcome timeframe

12 weeks

Results posted on

2015-05-21

Participant Flow

30 participants were recruited from the Infectious Diseases Institute research cohort (single site) and followed up for 12 weeks, 4 weeks wash out period and 12 weeks after cross over of treatment assignment

Participants were selected if they had sustained viral suppression for 7 years and CD4 increases below 300 cells/ul

Participant milestones

Participant milestones
Measure
Atorvastatin First, Then Placebo
Intervention is atorvastatin, Lipitor® (40mg) 2 tablets daily (as adjuvant to HAART) for 12 weeks. PBMC were collected for immune activation assays using flowcytometry 'atorvastatin, Lipitor®': PBMC collected for immune activation assays using flowcytometry
Placebo First, Then Atorvastatin
Intervention for the placebo comparator arm is Placebo 2 tablets daily for 12 weeks PBMC were collected for immune activation assays using flowcytometry Placebo: PBMC were collected for immune activation assays using flowcytometry
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Atorvastatin for HAART Suboptimal Responders

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Atorvastatin First, Then Placebo
n=15 Participants
Intervention is atorvastatin, Lipitor® (40mg) 2 tablets daily (as adjuvant to HAART) for 12 weeks. PBMC will be collected for immune activation assays using flowcytometry 'atorvastatin, Lipitor®': PBMC were collected for immune activation assays using flowcytometry
Placebo First, Then Atorvastatin
n=15 Participants
Intervention for the placebo comparator arm is Placebo 2 tablets daily for 12 weeks PBMC will be collected for immune activation assays using flowcytometry Placebo: PBMC were collected for immune activation assays using flowcytometry
Total
n=30 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
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 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
41 years
n=5 Participants
47 years
n=7 Participants
46 years
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
10 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Region of Enrollment
Uganda
15 participants
n=5 Participants
15 participants
n=7 Participants
30 participants
n=5 Participants
CD4 T-cell activation
4.2 percenatage of activated CD4 T-cells
n=5 Participants
2.9 percenatage of activated CD4 T-cells
n=7 Participants
4.2 percenatage of activated CD4 T-cells
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: There was no cross-over or carry-over effect (the sequence did not matter), so we present data for 30 patients for their 12 weeks exposure to atorvastatin

Immune activation was measured by co-expression of CD38 and HLADR on CD4 T-cells (CD4+CD38+HLADR+) Mean percentage change at 12 weeks was calculated

Outcome measures

Outcome measures
Measure
Atorvastatin
n=30 Participants
Intervention is be atorvastatin, Lipitor® (40mg) 2 tablets daily (as adjuvant to HAART) for 12 weeks. PBMC were collected for immune activation assays using flowcytometry 'atorvastatin, Lipitor®': PBMC were collected for immune activation assays using flowcytometry
Placebo
n=30 Participants
Intervention for the placebo comparator arm is Placebo 2 tablets daily for 12 weeks PBMC will be collected for immune activation assays using flowcytometry Placebo: PBMC were collected for immune activation assays using flowcytometry
Percentage Change in Immune Activation Levels After 12 Weeks of Atorvastatin 80mg Daily
60 percentage change in activated T-cells
Interval 50.0 to 68.0
21 percentage change in activated T-cells
Interval 2.0 to 31.0

Adverse Events

Atorvastatin First, Then Placebo

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Placebo First, Then Atorvastatin

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Atorvastatin First, Then Placebo
n=15 participants at risk
Intervention is atorvastatin, Lipitor® (40mg) 2 tablets daily (as adjuvant to HAART) for 12 weeks. PBMC were collected for immune activation assays using flowcytometry 'atorvastatin, Lipitor®': PBMCwere collected for immune activation assays using flowcytometry
Placebo First, Then Atorvastatin
n=15 participants at risk
Intervention for the placebo comparator arm is Placebo 2 tablets daily for 12 weeks PBMC wiere collected for immune activation assays using flowcytometry Placebo: PBMC were collected for immune activation assays using flowcytometry
Musculoskeletal and connective tissue disorders
Myalgia
20.0%
3/15 • Number of events 3 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
20.0%
3/15 • Number of events 3 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
Musculoskeletal and connective tissue disorders
Chest pain
20.0%
3/15 • Number of events 3 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
6.7%
1/15 • Number of events 1 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
General disorders
headache
6.7%
1/15 • Number of events 1 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
20.0%
3/15 • Number of events 3 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
Musculoskeletal and connective tissue disorders
Joint pains
13.3%
2/15 • Number of events 2 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
6.7%
1/15 • Number of events 1 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
Musculoskeletal and connective tissue disorders
backache
6.7%
1/15 • Number of events 1 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
0.00%
0/15 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
General disorders
Abdominal pain
0.00%
0/15 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
6.7%
1/15 • Number of events 1 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
Musculoskeletal and connective tissue disorders
Neck pain
6.7%
1/15 • Number of events 1 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
0.00%
0/15 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
Musculoskeletal and connective tissue disorders
right forearm pain
6.7%
1/15 • Number of events 1 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported
0.00%
0/15 • 12 weeks on study drug, 4 weeks wash out, then 12 weeks of placebo
No serious adverse event reported

Additional Information

Damalie Nakanjako

Makarere University

Phone: 41407000

Results disclosure agreements

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