跳至主要内容
临床试验/PER-066-14
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.

研究者

发起方
Centro de Investigacion del Cancer Fred Hutchinson, Estados Unidos,

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