Study To Evaluate Long Term Maintenance With TRIZIVIR After Boosted Protease Inhibitor (PI) Or Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI) In HIV-1 Infected Adults
- Conditions
- HIV Infections
- Registration Number
- NCT00449436
- Lead Sponsor
- GlaxoSmithKline
- Brief Summary
The current goal of antiretroviral therapy is to use a potent regimen that will suppress plasma viral load and maintain this suppression as long as possible. However, for most patients treated with such potent regimen, several problems can limit their long term effectiveness and contribute to incomplete viral suppression. These problems include poor tolerability, metabolic toxic effects. In order to avoid common problems as toxicity it might be interested to simplify treatment with fewer toxicity, lower pill burden. In this study we will evaluate the safety and efficacy of a simplification treatment with TRIZIVIR in long term after a Boosted PI or NNRTI containing regimen as first line therapy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 152
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Proportion of patients with a HIV plasma RNA<50 copies/ml at 48 weeks 48 weeks Proportion of patients with a HIV plasma RNA\<50 copies/ml at 48 weeks
- Secondary Outcome Measures
Name Time Method Proportion of patients with a HIV plasma RNA <50copies/ml at 96 weeks. up to 96 weeks Proportion of patients with a HIV plasma RNA \<50copies/ml at 96 weeks
Genotypic profile resistance up to 96 weeks Genotypic profile resistance
Quantitative measurement of the residual replicative capacity (using cell-based assay) using number of quiescent cells and quantification of proviral DNA. up to 96 weeks Quantitative measurement of the residual replicative capacity (using cell-based assay) using number of quiescent cells and quantification of proviral DNA.
Proportion of patients having a viral load <50 copies/mlL at 96 weeks in the ITT (M=F) population; up to 96 weeks Proportion of patients having a viral load \<50 copies/mlL at 96 weeks in the ITT (M=F) population
CD4 count profile at baseline 24 W,48 and 96 W 24, 48, 96 weeks CD4 count profile at baseline 24,48, and 96 weeks
Determination of compliance of patient to treatment up to 96 weeks Determination of compliance of patient to treatment
Proportion of patients with a virl load <50 copies/mL at 96 weeks (per protocol population) up to 96 weeks Proportion of patients with a viral load \<50 copies/mL at 96 weeks (per protocol population)
Proportion of patients with a viral load <5 copies/mL at 96 weeks up to 96 weeks Proportion of patients with a viral load \<5 copies/mL at 96 weeks
Change from baseline in CD4 counts at 24, 48, 96 weeks; Genotypic resistance profile of the HIV-1 in the event of virological failure CV >1000 copies/mL, as confirmed twice; Time to virologic failure (by Kaplan - Meier) 24, 48, 96 weeks Change from baseline in CD4 counts at 24, 48, 96 weeks; Genotypic resistance profile of the HIV-1 in the event of virological failure CV \>1000 copies/mL, as confirmed twice; Time to virologic failure (by Kaplan - Meier)
Patient adherence (using the PMAQ3 instrument); Retrospective determination of HLAB57 as a marker for hypersensitivity reaction in patients randomized to the Trizivir arm. up to 96 weeks Patient adherence (using the PMAQ3 instrument); Retrospective determination of HLAB57 as a marker for hypersensitivity reaction in patients randomized to the Trizivir arm.