Optimization of Antiretroviral Therapy
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.
Investigators
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)