Frailty in People Living With HIV Aged 70 Years or More

NCT ID: NCT03958786

Last Updated: 2022-05-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

512 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-15

Study Completion Date

2024-06-22

Brief Summary

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The ANRS EP66 SEPTAVIH Study aims to screen feasibility of evaluating frailty in people living with HIV aged 70 or older, to estimate its prevalence, to analyse associated risk factors and to evaluate the impact of frailty on pejorative events.

SEPTAVIH is a French, multicentre, prospective, observational study which will include 500 HIV-infected participants

Detailed Description

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The primary objective is to assess the prevalence of frailty at baseline in People living with HIV (PLWH) aged 70 years and older, using the Fried index.

The main secondary objectives of this study are :

* To assess frequency frailty according to different indexes or scores (Fried, Health deficits Index, HAS score, VACS index)
* To evaluate the association between frailty and specific HIV-related characteristics (for example known duration of HIV infection), or non-specific factors (such as non- HIV-related diseases or living conditions)
* To evaluate theproportion of subjects with a pejorative event at 60 months of follow-up (recurrent or serious falls, emergency department visit, unscheduled hospitalization, institutionalization, loss of one point on the IADL scale or death)
* To evaluate the association between baseline frailty status and early / long-term pejorative events incidence
* Association between baseline evaluation of frailty and pejorative events incidence during the 60 months of follow-up.
* Transition between frail or non frail status during the 60 months of follow-up
* To assess the prevalence of sarcopenia and osteoporosis
* To describe study population including :

* Demographic characteristics
* HIV medical history and antiretroviral therapy
* Comorbidities, polymedication and evaluation of drug-drug interactions
* Mental Health, quality of life, socioeconomic status
* Healthcare use and additional care implementation (nursing, physical therapy, home care services, …)
* Assessment of Inflammatory and Immunosenescence biomarkers at Baseline
* Anthropologic substudy about HIV and polypathologies management
* Focus on COVID-19 with clinical questionnaire, self-administrated questionnaire, SARS CoV2 serology and biobank (serum library)

Conditions

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HIV Infections

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Multicenter, prospective study
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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single arm

500 HIV-1 infected patients, aged 70 years and older

Group Type EXPERIMENTAL

Simplified Geriatric Evaluation

Intervention Type OTHER

* Questionnaires
* Self assessment questionnaires
* Mobility and balance tests

Sampling

Intervention Type OTHER

\- Blood samples : 35 ml will be collected at baseline, after signature of written informed consent, 7 ml at M12

Interventions

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Simplified Geriatric Evaluation

* Questionnaires
* Self assessment questionnaires
* Mobility and balance tests

Intervention Type OTHER

Sampling

\- Blood samples : 35 ml will be collected at baseline, after signature of written informed consent, 7 ml at M12

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient aged 70 years and older
* HIV-1 infection
* Antiretroviral therapy for at least 12 months
* Free and signed informed consent (article L1122-1-1-1 of the French Public Health Code)
* Person affiliated or benefiting from a social security scheme -

Exclusion Criteria

* Participation in another research study excluding participation in other studies
* Person under legal protection or deprived of liberty by a judicial or administrative decision
* Isolated HIV-2 infection
* Life expectancy of less than 6 months
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ANRS, Emerging Infectious Diseases

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clotilde ALLAVENA

Role: PRINCIPAL_INVESTIGATOR

Infectious Diseases - CHU Nantes- France

Laurence MEYER

Role: PRINCIPAL_INVESTIGATOR

INSERM CESP - France

Hubert BLAIN

Role: PRINCIPAL_INVESTIGATOR

Geriatric Department - CHU Montpellier - France

Alain MAKINSON

Role: PRINCIPAL_INVESTIGATOR

Infectious Diseases - CHU Montpellier- France

Laurence SLAMA

Role: PRINCIPAL_INVESTIGATOR

Infectious Diseases - Hôtel Dieu Hospital Paris- France

Locations

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Service de Maladies Infectieuses, CHU Hôtel-Dieu

Nantes, , France

Site Status

Countries

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France

References

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Sambou C, Pourette D, Debeaudrap P, Slama L, Katlama C, Cazanave C, Bonnet F, Meyer L, Allavena C. The burden of secrecy in the management of multimorbidity in older people living with HIV aged 70 and over. AIDS Care. 2024 Aug;36(8):1094-1101. doi: 10.1080/09540121.2024.2372723. Epub 2024 Jul 8.

Reference Type DERIVED
PMID: 38976641 (View on PubMed)

Other Identifiers

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ANRS EP66 SEPTAVIH

Identifier Type: -

Identifier Source: org_study_id

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