Trial Outcomes & Findings for Study to Assess the ART Impact on the Brain Outcomes. The ARBRE Study (NCT NCT03835546)

NCT ID: NCT03835546

Last Updated: 2023-12-13

Results Overview

The measure used will be NPZ-12 (NeuroPsychological Z-12). Minimum value: -5 Maximum value: +5. Mean: 0. Lower score will represent worse global cognitive functioning; higher score will represent better global cognitive functioning.

Recruitment status

COMPLETED

Target enrollment

45 participants

Primary outcome timeframe

From Baseline to Week 48

Results posted on

2023-12-13

Participant Flow

Participant milestones

Participant milestones
Measure
Early Treated Patients
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Overall Study
STARTED
15
15
15
Overall Study
COMPLETED
12
15
15
Overall Study
NOT COMPLETED
3
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Assess the ART Impact on the Brain Outcomes. The ARBRE Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Total
n=42 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
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
42 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
34 years
STANDARD_DEVIATION 10 • n=5 Participants
31 years
STANDARD_DEVIATION 9 • n=7 Participants
32 years
STANDARD_DEVIATION 10 • n=5 Participants
32 years
STANDARD_DEVIATION 9 • n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
42 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
42 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
Spain
12 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
42 Participants
n=4 Participants

PRIMARY outcome

Timeframe: From Baseline to Week 48

The measure used will be NPZ-12 (NeuroPsychological Z-12). Minimum value: -5 Maximum value: +5. Mean: 0. Lower score will represent worse global cognitive functioning; higher score will represent better global cognitive functioning.

Outcome measures

Outcome measures
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Change in Global Cognitive Functioning
0.08 score on a scale
Standard Deviation 0.26
0.31 score on a scale
Standard Deviation 0.28
0.25 score on a scale
Standard Deviation 0.19

SECONDARY outcome

Timeframe: From Baseline to Week 48

The measure used will be a checklist of symptoms involving the central nervous system. Minimum value: 0; Maximum value: 140. Lower score will represent better neuropsychiatric status; higher score will represent worse neuropsychiatric status.

Outcome measures

Outcome measures
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Change in Neuropsychiatric Symptoms
-2.90 score on a scale
Standard Deviation 8.76
0.33 score on a scale
Standard Deviation 7.58
0.30 score on a scale
Standard Deviation 5.77

SECONDARY outcome

Timeframe: From Baseline to Week 48

Daily living functioning will be measured by a self-reported scale indicating daily living areas impaired. Minimum score: 0; Maximum score: 13. A lower score will represent better daily functioning; a higher score will represent worse daily functioning.

Outcome measures

Outcome measures
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Change in Daily Living Functioning
0.54 score on a scale
Standard Deviation 1.69
0.33 score on a scale
Standard Deviation 2.01
0.30 score on a scale
Standard Deviation 0.82

SECONDARY outcome

Timeframe: From baseline to week 48

Depressive symptoms will be measured by a self-reported scale that will assess depressive symptoms. Minimum score: 0; Maximum score: 21. A lower score will represent better depressive status; a higher score will represent worse depressive status.

Outcome measures

Outcome measures
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Change in Depressive Symptoms
-3.55 score on a scale
Standard Deviation 2.58
-0.50 score on a scale
Standard Deviation 3.84
-0.60 score on a scale
Standard Deviation 1.43

SECONDARY outcome

Timeframe: From Baseline to Week 48

Anxiety symptoms will be measured by a self-reported scale that will assess anxiety symptoms. Minimum score: 0; Maximum score: 21. A lower score will represent better anxiety status; a higher score will represent worse anxiety status.

Outcome measures

Outcome measures
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Change in Anxiety Symptoms
-5.18 score on a scale
Standard Deviation 3.46
-2.00 score on a scale
Standard Deviation 2.93
-1.30 score on a scale
Standard Deviation 2.49

SECONDARY outcome

Timeframe: From baseline to week 48

Perceived stress will be measured by a self-reported scale that will assess daily symptoms of perceived stress. Minimum score: 0; Maximum score: 40. A lower score will represent better perceived stress status; a higher score will represent worse perceived stress status.

Outcome measures

Outcome measures
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Change in Daily Perceived Stress
-7.55 score on a scale
Standard Deviation 3.88
-6.50 score on a scale
Standard Deviation 9.24
1.40 score on a scale
Standard Deviation 4.72

SECONDARY outcome

Timeframe: From Baseline to Week 48

Quality of life will be measured by a self-reported scale that will assess global quality of life. Minimum score: 1; Maximum score: 4. A lower score will represent worse quality of life; a higher score will represent better quality of life.

Outcome measures

Outcome measures
Measure
Early Treated Patients
n=12 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy presenting recent HIV-1 infection. Recent HIV-1 infection was defined as having a positive plasma viral load and/or p24 antigen with a negative ELISA or having a positive ELISA and undetermined Western-Blot, or having a positive ELISA and absence of p31 antigen in a positive Western-Blot, or seroconversion ELISA in less than 3 months.
Regularly Treated Patients
n=15 Participants
Patients with confirmed HIV-1 infection attended in the HIV Unit of the Hospital Universitari Germans Trias i Pujol who initiated therapy, did not fulfil the criteria for recent HIV-1 infection, and had an estimated time \>6 months reported by the patient and/or by the responsible physician since HIV transmission.
Seronegative Volunteers
n=15 Participants
HIV-uninfected volunteers, matched to age, sex, and educational level with groups A and B.
Change in Quality of Life
0.18 score on a scale
Standard Deviation 0.40
0.08 score on a scale
Standard Deviation 0.51
0.10 score on a scale
Standard Deviation 0.73

SECONDARY outcome

Timeframe: From Baseline to Week 48

Neuroimaging markers will be assessed by 3T magnetic resonance imaging (MRI). The specific markers will be caudate nucleus, ventral striatum/nucleus accumbens, putamen, pallidum, thalamus, dorsomedial, dorsolateral, cingulate, ventromedial, medial orbitofrontal, and lateral orbitofrontal cortex. The outcome will be based on change in any of them.

Outcome measures

Outcome data not reported

Adverse Events

Early Treated Patients

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

Regularly Treated Patients

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

Seronegative Volunteers

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jose A. Muñoz-Moreno

Fundació Lluita contra la SIDA

Phone: +34 93 497 84 14

Results disclosure agreements

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