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A Phase 4 Cross-Sectional Study of Bone Mineral Density in HIV-1 Infected Subjects

Completed
Conditions
HIV Infections
Registration Number
NCT01850212
Lead Sponsor
Gilead Sciences
Brief Summary

A Phase 4 study is to characterize the profile of low bone mineral density (BMD) in ≥ 50 year old male subjects and post-menopausal female subjects on any tenofovir disoproxil fumarate (TDF)-based regimen

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
476
Inclusion Criteria
  • Must have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of any study procedures.

  • HIV-1 infected subjects regardless of race or ethnicity

  • Use of one of the following taken as a stable, continuous, NRTI-containing antiretroviral (ARV) regimen for ≥ 3 years are allowed (within-class change of agents other than TDF within 3 years of study entry are permitted as specified):

    • TDF plus PI/r-containing regimen including subjects who switched from one TDF plus PI/r regimen to another TDF plus PI/r regimen
    • a TDF plus non-PI/r-containing regimen including subjects who switched from one TDF plus non-PI/r regimen to another TDF plus non-PI/r regimen
    • a Non-TDF NRTI plus a PI/r-containing regimen including subjects who switched from one non-TDF NRTI plus PI/r regimen to another non-TDF NRTI regimen plus PI/r regimen
    • a Non-TDF NRTI plus a non-PI/r-containing regimen including subjects who switched from one non-TDF NRTI plus non-PI/r regimen to another non-TDF NRTI regimen plus non-PI/r regimen
  • Of note, subjects in the non-TDF groups must have never taken a regimen that includes TDF (including previous exposure to TDF for pre-exposure prophylaxis (PrEP))

  • Subjects included in the TDF groups must have always taken a regimen that includes TDF. Non-PI/r agents include non-nucleoside reverse transcriptase inhibitors (NNRTIs), integrase inhibitors, triple nucleoside inhibitors and non-boosted protease inhibitors

  • Male subjects must be ≥ 50 years of age

  • Female subjects must be postmenopausal. Menopause can be assumed to have occurred in a woman when there is either appropriate medical documentation of prior complete bilateral oophorectomy or permanent cessation of previously occurring menses > 12 months as a result of ovarian failure or bilateral oophorectomy with documentation of hormonal deficiency by a certified healthcare provided

  • Adequate records available to evaluate medical history for the 3 years prior to study entry

Read More
Exclusion Criteria
  • Subject has a contraindication to dual-energy X-ray absorptiometry (DEXA) scans
  • Subject has a history of osteoporosis before initiating Highly Active Antiretroviral Treatment (HAART)
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Femoral Neck and Spine (L1-4) T-scoreDay 1

Femoral neck and spine (L1-4) T-score will be used to characterize the profile of low bone mineral density (BMD) in ≥ 50 year old male subjects and post-menopausal female subjects on any tenofovir disoproxil fumarate (TDF)-based regimen relative to those on any non-TDF-based regimen for HIV infection.

Secondary Outcome Measures
NameTimeMethod
Observed T-score < -2 (yes/no) for femoral neck and spine (L1-4)Day 1

Observed T-score for femoral neck and spine will be used to further characterize low BMD.

Observed -2 ≤ T-score < -1 (yes/no) for femoral neck and spine (L1-4)Day 1

Observed T-score for femoral neck and spine will be used to further characterize low BMD.

Trial Locations

Locations (73)

Universitäts-Hautklinik Essen

🇩🇪

Essen, Germany

Universitatsklinik Koln (AöR)

🇩🇪

Koln, Germany

Klinikum der Universität München-Großhadern

🇩🇪

Munchen, Germany

Ospedale San Raffaele Turro

🇮🇹

Milano, Italy

Hospital Joaquim Urbano

🇵🇹

Porto, Portugal

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Birmingham Heartlands Hospital

🇬🇧

Birmingham, United Kingdom

Universitätsklinik für Infektiologie

🇨🇭

Bern, Switzerland

Brighton & Sussex University Hospitals

🇬🇧

Brighton, United Kingdom

Kings College London

🇬🇧

London, United Kingdom

Royal Free Hospital and University College London Hospital

🇬🇧

London, United Kingdom

Chelsea & Westminster Hospital

🇬🇧

London, United Kingdom

Manchester Centre for Sexual Health

🇬🇧

Manchester, United Kingdom

AKh Allgemeines Krankenhaus der Stadt Linz GmbH

🇦🇹

Linz, Austria

CUB Hopital Erasme- Free University of Brussels

🇧🇪

Brussels, Belgium

UZ Leuven

🇧🇪

Leuven, Belgium

CHU Saint-Pierre University Hospital

🇧🇪

Brussels, Belgium

Cliniques Universitaires St. LUC (UCL)

🇧🇪

Brussels, Belgium

Centre Hospitalier Universitaire Sart Tilman Liège

🇧🇪

Liege, Belgium

UCD School of Medicine and Medical Sciences

🇮🇪

Dublin, Ireland

Medizinische Universitaet Innsbruck

🇦🇹

Innsbruck, Austria

Hospital de Santa Maria

🇵🇹

Lisboa, Portugal

Wroclawskie Centrum Zdrowia SP ZOZ

🇵🇱

Wroclaw, Poland

Hospital Santo António Capuchos

🇵🇹

Lisboa, Portugal

Erasmus MC

🇳🇱

Rotterdam, Netherlands

Hospital de Sao Joao, E.P.E.

🇵🇹

Porto, Portugal

Hôpital Saint André

🇫🇷

Bordeaux, France

Hôpital Raymond Poincaré

🇫🇷

Garches, France

Centre Hospitalier de Tourcoing

🇫🇷

Tourcoing, France

Maladie Infectieuses et Tropicales

🇫🇷

Paris, France

MVZ Ärzteforum Seestraße

🇩🇪

Berlin, Germany

MIB Dienstleistung GmbH

🇩🇪

Berlin, Germany

Azienda Ospedaliero-Universitaria di Bologna - Policlinico S.Orsola-Malpighi

🇮🇹

Bologna, Italy

Universitaria San Martino

🇮🇹

Genova, Italy

Azienda Ospedaliero-Universitaria di Modena Policlinico

🇮🇹

Modena, Italy

Istituto Nazionale per le Malattie Infettive

🇮🇹

Rome, Italy

Hôpital - Avicenne

🇫🇷

Bobigny, France

Groupe Hospitalier Pellegrin

🇫🇷

Bordeaux, France

Hopital Haut-Leveque

🇫🇷

Pessac, France

Hôpital Cochin

🇫🇷

Paris, France

Klinikum der Johann Wolfgang Goethe Universitaet

🇩🇪

Frankfurt, Germany

LKH Graz West

🇦🇹

Graz, Austria

Otto Wagner Spital

🇦🇹

Vienna, Austria

Medizinische Universitat Wien

🇦🇹

Vienna, Austria

Center for HIV and Hepatogastroenterology

🇩🇪

Dusseldorf, Germany

Hôpital Croix-Rousse

🇫🇷

Lyon, France

Hopital Tenon

🇫🇷

Paris, France

Charite-Universitatsmedizin Berlin

🇩🇪

Berlin, Germany

Hopital Saint Antoine

🇩🇪

Bonn, Germany

Universitatsklinikum Erlangen

🇩🇪

Erlangen, Germany

Ospedale Luigi Sacco

🇮🇹

Milan, Italy

Queen Elizabeth Hospital

🇬🇧

Birmingham, United Kingdom

MUC Research GmbH

🇩🇪

Munchen, Germany

Hospital Ramón y Cajal

🇪🇸

Madrid, Spain

Azienda Ospedale San Paolo

🇮🇹

Milano, Italy

Ospedale Civile Spirito Santo

🇮🇹

Pescara, Italy

Hospital Germans Trias i Pujol

🇪🇸

Badalona, Spain

Hospital Donostia

🇪🇸

San Sebastian, Spain

Hospital Vall D'Hebron

🇪🇸

Barcelona, Spain

Sahlgrenska University Hospital - Dpt of Infectious Diseases, SU/Östra

🇸🇪

Gothenburg, Sweden

Homerton University Hospital

🇬🇧

London, United Kingdom

Hospital Universitario Virgen del Rocio

🇪🇸

Sevilla, Spain

Cantons Hospital St. Gallen

🇨🇭

St. Gallen, Switzerland

Whittall Street Clinic

🇬🇧

Birmingham, United Kingdom

Karolinska University Hospital - Dept of Infectious Diseases

🇸🇪

Stockholm, Sweden

Royal London Hospital

🇬🇧

London, United Kingdom

Imperial College Healthcare NHS Trust St. Mary's Campus

🇬🇧

London, United Kingdom

St. George's Hospital

🇬🇧

London, United Kingdom

HPP Hospital de Cascais Dr. José de Almeida

🇵🇹

Alcabideche, Portugal

Infektionsmedizinisches Centrum Hamburg (ICH)

🇩🇪

Hamburg, Germany

Gemeinschaftspaxis Dres. Jessen & Kollegen

🇩🇪

Berlin, Germany

Universitätskrankenhaus Eppendorf

🇩🇪

Hamburg, Germany

University Medical Center Utrecht

🇳🇱

Utrecht, Netherlands

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