Improving Prognosis in HIV Infection

NCT ID: NCT02640625

Last Updated: 2021-12-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2017-04-30

Brief Summary

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The primary objective of this study is to assess the safety of probiotics in cART-treated immunologic non-responder (INR) patients with chronic HIV infection.

The secondary objectives are to i) explore the biological effects of probiotics in combined antiretroviral therapy(cART)-treated INR patient with chronic HIV infection, and ii) investigate differences between cART-treated HIV-infected INR and non-INR patients with regards to gut microbial composition and mucosal barrier function.

Detailed Description

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Conditions

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Human Immunodeficiency Virus

Keywords

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HIV Probiotics Microbiota Mucosal immunology Gut biopsy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Probiotic compound

Lactobacillus rhamnosus GG, Lactobacillus acidophilus, Lactobacillus bulgaricus, Bifidobacterium animalis subsp. lactis, and Streptococcus thermophilus.

Group Type EXPERIMENTAL

Probiotic compound

Intervention Type DIETARY_SUPPLEMENT

Lactobacillus rhamnosus GG, Lactobacillus acidophilus, Lactobacillus bulgaricus, Bifidobacterium animalis subsp. lactis, and Streptococcus thermophilus.

Interventions

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Probiotic compound

Lactobacillus rhamnosus GG, Lactobacillus acidophilus, Lactobacillus bulgaricus, Bifidobacterium animalis subsp. lactis, and Streptococcus thermophilus.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* HIV seropositive \>4 years.
* Continuous combined antiretroviral treatment (cART) \>4 years.
* Plasma HIV RNA \<50 copies/mL \>3,5 years.
* Cluster of differentiation(CD)4+ T cell count \<400 cells/µL (OR \>600 cells/µl) \>3.5 years.
* Caucasian
* Signed informed consent and expected cooperation of the patients for the treatment and follow up must be obtained and documented according to International Committee on Harmonization (ICH) Good Clinical Practice (GCP), and national/local regulations.

Exclusion Criteria

* Plasma hepatitis C (HCV) RNA positive.
* Serum hepatitis B surface antigen (HBsAg) positive.
* Comorbidity of inflammatory bowel disease, coeliac disease or malnutrition.
* Concomitant use of non-steroid anti-inflammatory drugs (NSAID), corticosteroids, disease-modifying antirheumatic drugs, or other anti-inflammatory pharmaceutical substances.
* Concomitant use of antithrombotic pharmaceutical substances
* Regular (weekly) use of any probiotic substance within 3 months prior to inclusion.
* Use of antibiotics within 3 months prior to inclusion.
* Deranged liver function (serum albumin \<25 g/L or Child-Pugh ≥10)
* Renal failure (estimated glomerular filtration rate (eGFR) \<30 ml/min)
* Heart failure (NYHA class II-IV)
* Intolerance to milk or phenylalanine
* Any reason why, in the opinion of the investigator, the patient should not participate
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Oslo

OTHER

Sponsor Role collaborator

Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dag Henrik Reikvam

MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dag Henrik Reikvam, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Locations

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Oslo University Hospital (Ullevaal campus)

Oslo, , Norway

Site Status

Countries

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Norway

References

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Meyer-Myklestad MH, Medhus AW, Stiksrud B, Lorvik KB, Seljeflot I, Hansen SH, Holm K, Hov JR, Kvale D, Dyrhol-Riise AM, Kummen M, Troseid M, Reikvam DH. Probiotics to HIV-Infected Immunological Nonresponders: Altered Mucosal Immunity and Microbial Diversity Restricted to Ileum. J Acquir Immune Defic Syndr. 2022 Jan 1;89(1):77-86. doi: 10.1097/QAI.0000000000002817.

Reference Type DERIVED
PMID: 34878437 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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REK 2015/2125

Identifier Type: -

Identifier Source: org_study_id