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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

Phase 4
Completed
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
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Proportion of patients with a HIV plasma RNA<50 copies/ml at 48 weeks48 weeks

Proportion of patients with a HIV plasma RNA\<50 copies/ml at 48 weeks

Secondary Outcome Measures
NameTimeMethod
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 resistanceup 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 W24, 48, 96 weeks

CD4 count profile at baseline 24,48, and 96 weeks

Determination of compliance of patient to treatmentup 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 weeksup 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.

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