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Clinical Trials/NCT02935075
NCT02935075
Completed
Phase 4

Optimization of Antiretroviral Therapy

Shanghai Public Health Clinical Center3 sites in 1 country184 target enrollmentMarch 5, 2018

Overview

Phase
Phase 4
Intervention
Tenofovir disoproxil fumarate
Conditions
HIV Infections
Sponsor
Shanghai Public Health Clinical Center
Enrollment
184
Locations
3
Primary Endpoint
Percentage of patients with HIV viral road < 50 copies/ml
Status
Completed
Last Updated
6 years ago

Overview

Brief Summary

The combination antiretroviral therapy (cART) inhibit HIV replication effectively. However, synergy among these drugs has not been well considered. The dose of drugs used as monotherapy is the same as that used in combination therapy. Tenofovir+lamivudine+efavirenz is still the first line regimen of cART in developing countries. The side effects of these drugs are related to the concentration of drugs. Based on our previous data, we aim to evaluate whether reduce the dose of tenofovir and efavirenz could decreasing the incidence of the side effects while not scarifying their virological efficacy.

Registry
clinicaltrials.gov
Start Date
March 5, 2018
End Date
August 31, 2019
Last Updated
6 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Hongzhou Lu

Doctor

Shanghai Public Health Clinical Center

Eligibility Criteria

Inclusion Criteria

  • HIV antibody positive
  • Chinese nationality
  • Naïve to antiretroviral therapy
  • Willing to start antiretroviral therapy
  • Provision of written informed consent

Exclusion Criteria

  • Pregnant, breastfeeding, or lactating
  • Females try to get pregnant during the research period
  • Subjects who allergic to any of the research drugs
  • Subjects that taking other drugs that known to impact the absorption, distribution, metabolism and excretion of the research drugs
  • Any serious or active medical or psychiatric illness which, in the opinion of the Investigator, would interfere with treatment, assessment, compliance with the protocol, or subject safety. This would include any active clinically significant renal, cardiac, pulmonary, vascular, or metabolic (thyroid disorders, adrenal disease) illness, or malignancy
  • Medical or psychiatric condition or occupational responsibilities that may preclude compliance with the protocol
  • Laboratory blood values:
  • Haemoglobin \<9.0 grams/decilitre (g/dL)
  • Neutrophil count \<1500/mm3
  • Platelet count \<75,000/mm3

Arms & Interventions

Reduced dose

Tenofovir 200mg +lamivudine 300mg +efavirenz 400mg PO q.d.

Intervention: Tenofovir disoproxil fumarate

Reduced dose

Tenofovir 200mg +lamivudine 300mg +efavirenz 400mg PO q.d.

Intervention: Lamivudine

Reduced dose

Tenofovir 200mg +lamivudine 300mg +efavirenz 400mg PO q.d.

Intervention: Efavirenz

Standard dose

Tenofovir 300mg +lamivudine 300mg +efavirenz 600mg PO q.d.

Intervention: Tenofovir disoproxil fumarate

Standard dose

Tenofovir 300mg +lamivudine 300mg +efavirenz 600mg PO q.d.

Intervention: Lamivudine

Standard dose

Tenofovir 300mg +lamivudine 300mg +efavirenz 600mg PO q.d.

Intervention: Efavirenz

Outcomes

Primary Outcomes

Percentage of patients with HIV viral road < 50 copies/ml

Time Frame: 48 weeks

calculate the percentage of patients who with HIV viral road \<50 copies/ml every month in two groups

Secondary Outcomes

  • Cell Differentiation 4 (CD4) T cell counts(48 weeks)

Study Sites (3)

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