Study to Evaluate the Activity and Tolerability of Lopinavir/Ritonavir and Lamivudine Bitherapy in HIV Patients With Viral Suppression
- Conditions
- HIV Infection
- Interventions
- Drug: antiretroviral treatment
- Registration Number
- NCT01471821
- Lead Sponsor
- Juan A. Arnaiz
- Brief Summary
This is a prospective, open controlled trial in which HIV-1 with viral suppression patients will be randomized to continue with their current treatment (lopinavir/ritonavir plus emtricitabine or lamivudine plus any nucleoside analogue reverse transcriptase inhibitor) or to simplify to lopinavir/ritonavir plus lamivudine.
Randomization will be stratified according to the values of nadir CD4 and time of viral suppression.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 250
- Patients of either sex (female or male) and 18 years or older.
- Patients seropositive for HIV-1 using standard diagnostic criteria.
- There is confirmation of viral load to be lower than 50 cop/ml during the 6 previous months to inclusion. The requirement is to have at least two viral loads lower than 50 cop/mL separated by 6 months and no one >50cop/mL during the 6 months before inclusion.
- Patients on continuous HAART consisting of LPV/r, emtricitabine (FTC) or 3TC (lamivudine) and an NRTI for at least 2 months before being randomized in this study.
- Patients who are clinically stable, in the opinion of the investigator, at entry into the study (clinical status and chronic medication must not have not been modified at least 14 days prior to randomization). Patients receiving therapy for an active opportunistic infection are eligible for enrollment if the above criteria are met. Standard prophylaxis of opportunistic infections is permitted.
- Pregnancy, nursing, or planned pregnancy during the study period.
- Previous failure with regimens including a protease inhibitor (PI) or 3TC/FTC.
- Known resistance mutations to PIs or 3TC/FTC.
- Patients with an active opportunistic infection or malignancy. Patients with a stable chronic opportunistic infection may be included in the study.
- Any disease or history of disease which, in the opinion of the investigator, might confound the results of the study or pose additional risk to patient treatment.
- Patients diagnosed with visceral Kaposi's sarcoma (KS), patients with lymphoedema secondary to cutaneous KS or cutaneous or palatine KS who have been treated with systemic immunosuppressive therapy must also be excluded.
- Patients with chronic hepatitis B on treatment with tenofovir + 3TC/FTC
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description simplification antiretroviral treatment Lopinavir/ritonavir (400/100 BID) plus lamivudine (300 QD) Continue with current treatment antiretroviral treatment -
- Primary Outcome Measures
Name Time Method Proportion of patients with no treatment failure 48 weeks * viral failure, defined as two viral loads above 50 copies/ml at least two weeks apart
* death
* developing new CDC-C events
* withdrawing consent
* being lost to follow-up
* switching assigned treatment for any cause
- Secondary Outcome Measures
Name Time Method Proportion of patients with no viral failure 48 weeks defined as two viral loads above 400 copies/ml
Proportion of patients with no therapeutical failure 48 weeks defined as in the primary outcome but with two viral loads above 400 copies/ml, not 50 as in the primary outcome.
Time to viral failure 48 weeks Two different analysis will be carried out: with 50 copies/ml threshold and with 400 copies/ml threshold
Proportion of patients with blips 48 weeks Defined as one viral load above 50 and below 400 copies/ml with next viral load below 50 copies/ml
Change from baseline CD4 48 weeks Lipidic profile change from baseline 48 weeks Creatinine clearance change from baseline 48 weeks Proportion of patients with proximal tubular renal disfunction 48 weeks Lipodystrophy changes from baseline 48 weeks evaluated using two questionnaires: lipoatrophy and fat accumulation
Adherence to treatment 48 weeks Mortality and progression to AIDS 48 weeks Adverse events per treatment branch 48 weeks Proportion of patients switching study treatment due to an adverse event 48 weeks Proportion of serious adverse events related to treatment 48 weeks
Trial Locations
- Locations (2)
Hospital Clínic i Provincial Barcelona
🇪🇸Barcelona, Spain
Hospital Universitario La Paz
🇪🇸Madrid, Spain