PER-066-14招募中未知
HIV TESTING AND TREATMENT TO PREVENT ONWARD HIV TRANSMISSIONAMONG MSM AND TRANSGENDER WOMEN IN LIMA, PER
Centro de Investigacion del Cancer Fred Hutchinson, Estados Unidos,0 个研究点目标入组 2,138 人开始时间: 2015年3月27日最近更新:
试验速览
- 阶段
- 未知
- 状态
- 招募中
- 发起方
- 入组人数
- 2,138
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18 至 99(—)
- 性别
- Male
入选标准
- •In Step 1, potential participants must be MSM and transgender women , have sex with men,
- •HIV status, at high-risk for HIV acquisition. Each potential participant must have the ability and
- •willingness to provide informed consent for study participation, including being tested for HIV-1.
- •If HIV infection is not diagnosed, he must be willing to be enrolled in Step 2, and if diagnosed
- •with acute or recent HIV infection be willing to consider participation in Step 3. In particular, if
- •they are HIV seronegative on antibodies analysis, but with evidence of acute infection (HIV-1
- •RNA-positive confirmed by HIV antigen analysis), they should be willing to be re-contacted for
- •further HIV testing and linkage to care.
- •In Step 2, volunteers who were found to have no HIV infection from Step 1 will be re-tested at
- •variable times for incident HIV-1. Roughly, we anticipate testing 800 MSM and transgender
- •women per month and follow-up until July 2015.
- •In Step 3, men with acute or recent HIV-1 infection detected at Step 1 or Step 2; or individuals
- •who have been diagnosed with HIV in any health clinic or laboratory authorized by the Ministry
- •of Health, and that have had a documented negative result in the past three months with no
- •prior ART exposure, with normal hematological, renal and liver function, will be enrolled in a
- •randomized clinical trial for immediate vs. deferred ART, unless ART initiation criteria are met
排除标准
- •1. Any medical, psychological/psychiatric, occupational, or other condition that, in the
- •judgment of the investigator, would interfere with, or serve as a contraindication to,
- •protocol adherence, assessment of safety, or a participant’s ability to give informed
- •2. Seeking HIV test behavior for routine reasons.
- •3. Use of estrogens (or its derivatives) or anti-androgens, administered orally or intramuscularly,
- •during the past three months.
- •Any medical, psychological/psychiatric, occupational, or other condition that, in the judgment of
- •the investigator, would interfere with, or serve as a contraindication to, protocol adherence,
- •assessment of safety, or a participant’s ability to give informed consent;
- •1. Presentation with WHO clinical stage 3 or 4 irrespective of CD4 count.
- •2. Estimated creatinine clearance below 70 mL per minute
- •3. Use within 21 days prior to study entry of drugs that are highly dependent on CYP3A for
- •clearance and for which elevated plasma concentrations are associated with lifethreatening
- •adverse events or drugs that strongly induce CYP3A and lead to lower
- •exposure of one or more components and loss of efficacy of STRIBILD and possible
- •resistance: alfuzosin, astemizole cisapride, ergot aklaloids and derivatives, flecainide,
- •St. John’s wort, lovastatin, simvastatin, triazolam, oral midazolam, pimozide,
- •propafenone, rifampin, simvastatin, sildenafil terfenadine, and fluticasone-containing
- •antigen) confirmed by a second virological test obtained from a separate determination.
- •Test and Treat Early HIV among MSM and Transgender Women in Lima, Peru
- •Version 2.0 Page 36 of 85
- •15 October 2014
- •compounds.. Check the most recent co-formulated
- •elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (STRIBILD®) or coformulated
- •emtricitabine/tenofovir DF/efavirenz package inserts for other exclusionary
- •medications.
- •4. Prior receipt of investigational anti-HIV vaccine.
- •5. Ongoing therapy with any of the following:
- •a. Systemic corticosteroids. Short course less than or equal to 21 days of
- •corticosteroids is allowed;
- •b. Systemic chemotherapeutic agents;
- •c. Nephrotoxic systemic agents, including aminoglycosides, amphotericin B,
- •cidofovir, cisplatin, foscarnet, pentamidine;
- •d. Immunomodulatory treatments including Interleukin-2;
- •e. Investigational agents;
- •6. Known allergy/sensitivity or any hypersensitivity to components of study drugs or their
- •formulations;
- •7. Active drug or alcohol use or dependence that, in the opinion of the site investigator,
- •would interfere with adherence to study requirements;
- •8. Serious medical or psychiatric illness that, in the opinion of the site investigator, would
- •interfere with the ability to adhere to study requirements;
- •9. Chronic (HBsAg positive, anti-HBc positive, Ig M anti-HBc negative, and anti-HBs
- •negative) or acute (HBsAg positive, anti-HBc positive, Ig M anti-HBc positive, and anti-
- •HBs negative) hepatitis B infection.
- •10. Use of estrogens (or its derivatives) or anti-androgens, administered orally or intramuscularly,
- •during the past three months.
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