Dolutegravir and Clinical Outcomes Among ART-recipients in Brazil
NCT ID: NCT04326504
Last Updated: 2024-02-26
Study Results
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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RECRUITING
5000 participants
OBSERVATIONAL
2021-02-01
2025-02-28
Brief Summary
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This study aims to describe the outcomes of drug-naïve and experienced patients starting a dolutegravir (DTG)-based regimen in a large cohort of HIV - infected patients in Brazil and compare to outcomes obtained from a retrospective control group of subjects who initiated non-DTG-based ART.
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Patients starting DTG-based regimens
ART-naïve patients, starting cART regimens based on DTG
No intervention
This will be an observational study, no intervention will be performed
Switch cohort
Patients on stable ART regimens switching to DTG (any reason)
No intervention
This will be an observational study, no intervention will be performed
Therapy failure
ART-experienced patients switching to DTG-containing regimens due to virological failure
No intervention
This will be an observational study, no intervention will be performed
Non-DTG group
Patients who started a non-DTG containing regimen
No intervention
This will be an observational study, no intervention will be performed
Interventions
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No intervention
This will be an observational study, no intervention will be performed
Eligibility Criteria
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Inclusion Criteria
* HIV infection documented by plasma HIV RNA viral load, a rapid HIV test or any licensed ELISA test; and confirmed by another test using a different method, including but not limited to a rapid HIV test, Western Blot, HIV culture, HIV antigen, or HIV pro-viral DNA at any time prior to study entry.
* Age ≥ 15 years.
* For women of child-bearing potential, willingness to use effective contraceptives.
* Starting use of DTG-based regimen, or being initiated on a non-DTG based ART between 2014 - 2016.
Exclusion Criteria
* Current imprisonment, or compulsory detention (involuntary incarceration). For treatment of a psychiatric or physical illness.
18 Years
ALL
No
Sponsors
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University of New Mexico
OTHER
Instituto Infectologia Evandro Chagas, Rio de Janeiro
UNKNOWN
Fundação de Medicina Tropical de Manaus
UNKNOWN
Hospital de Clinicas de Porto Alegre
OTHER
Centro de Referência e Tratamento, CRT, São Paulo, SP
UNKNOWN
Hospital Partenon, Porto Alegre
UNKNOWN
Universidade Municipal de São Caetano do Sul
UNKNOWN
Universidade Federal do Rio Grande do Norte
OTHER
Hospital Universitário Cassiano Antônio de Moraes/HUCAM
UNKNOWN
Hospital das Clínicas da Faculdade de Medicina de Ribeirao Preto/USP
UNKNOWN
Faculdade de Medicina de Botucatu, Unesp
UNKNOWN
Sociedade Campineira de Educação e Instrução - Campinas
UNKNOWN
Fundação Universidade de Caxias do Sul - FUCS/RS
UNKNOWN
Fundação Bahiana de Infectologia
OTHER
Responsible Party
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Locations
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Fundação Bahiana de Infectologia/SEI
Salvador, Estado de Bahia, Brazil
Fundação Bahiana de Infectologia
Salvador, Estado de Bahia, Brazil
Centro de Referência e Treinamento
São Paulo, São Paulo, Brazil
Countries
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Central Contacts
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Facility Contacts
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References
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Dutertre M, Cuzin L, Demonchy E, Pugliese P, Joly V, Valantin MA, Cotte L, Huleux T, Delobel P, Martin-Blondel G; Dat'AIDS Study Group. Initiation of Antiretroviral Therapy Containing Integrase Inhibitors Increases the Risk of IRIS Requiring Hospitalization. J Acquir Immune Defic Syndr. 2017 Sep 1;76(1):e23-e26. doi: 10.1097/QAI.0000000000001397. No abstract available.
de Boer MG, van den Berk GE, van Holten N, Oryszcyn JE, Dorama W, Moha DA, Brinkman K. Intolerance of dolutegravir-containing combination antiretroviral therapy regimens in real-life clinical practice. AIDS. 2016 Nov 28;30(18):2831-2834. doi: 10.1097/QAD.0000000000001279.
Ciccullo A, Baldin G, Cossu MV, Passerini M, Borghetti A, Capetti A, Di Giambenedetto S. Dolutegravir Plus Lamivudine as First-Line Regimen in a Multicenter Cohort of HIV-1-Infected Patients: Preliminary Data from Clinical Practice. AIDS Res Hum Retroviruses. 2020 Jan;36(1):4-5. doi: 10.1089/AID.2019.0147. Epub 2019 Sep 30. No abstract available.
Elzi L, Erb S, Furrer H, Cavassini M, Calmy A, Vernazza P, Gunthard H, Bernasconi E, Battegay M; Swiss HIV Cohort Study Group. Adverse events of raltegravir and dolutegravir. AIDS. 2017 Aug 24;31(13):1853-1858. doi: 10.1097/QAD.0000000000001590.
Hoffmann C, Welz T, Sabranski M, Kolb M, Wolf E, Stellbrink HJ, Wyen C. Higher rates of neuropsychiatric adverse events leading to dolutegravir discontinuation in women and older patients. HIV Med. 2017 Jan;18(1):56-63. doi: 10.1111/hiv.12468. Epub 2016 Nov 10.
Norwood J, Turner M, Bofill C, Rebeiro P, Shepherd B, Bebawy S, Hulgan T, Raffanti S, Haas DW, Sterling TR, Koethe JR. Brief Report: Weight Gain in Persons With HIV Switched From Efavirenz-Based to Integrase Strand Transfer Inhibitor-Based Regimens. J Acquir Immune Defic Syndr. 2017 Dec 15;76(5):527-531. doi: 10.1097/QAI.0000000000001525.
Taramasso L, Ricci E, Menzaghi B, Orofino G, Passerini S, Madeddu G, Martinelli CV, De Socio GV, Squillace N, Rusconi S, Bonfanti P, Di Biagio A; CISAI Study Group. Weight Gain: A Possible Side Effect of All Antiretrovirals. Open Forum Infect Dis. 2017 Nov 3;4(4):ofx239. doi: 10.1093/ofid/ofx239. eCollection 2017 Fall.
Zash R, Makhema J, Shapiro RL. Neural-Tube Defects with Dolutegravir Treatment from the Time of Conception. N Engl J Med. 2018 Sep 6;379(10):979-981. doi: 10.1056/NEJMc1807653. Epub 2018 Jul 24. No abstract available.
American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019 Jan;42(Suppl 1):S13-S28. doi: 10.2337/dc19-S002.
Cruz LN, Fleck MP, Oliveira MR, Camey SA, Hoffmann JF, Bagattini AM, Polanczyk CA. Health-related quality of life in Brazil: normative data for the SF-36 in a general population sample in the south of the country. Cien Saude Colet. 2013 Jul;18(7):1911-21. doi: 10.1590/s1413-81232013000700006.
Laguardia J, Campos MR, Travassos C, Najar AL, Anjos LA, Vasconcellos MM. Brazilian normative data for the Short Form 36 questionnaire, version 2. Rev Bras Epidemiol. 2013 Dec;16(4):889-97. doi: 10.1590/s1415-790x2013000400009. English, Portuguese.
Other Identifiers
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FBAI
Identifier Type: -
Identifier Source: org_study_id
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