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临床试验/ISRCTN11193709
ISRCTN11193709已完成2 期

A two-arm, Phase 2/3 multicentre, open-label, randomised study evaluating safety and antiviral effect of current standard antiretroviral therapy compared to once daily integrase inhibitor administered with darunavir/ritonavir (DRV/r) in HIV-1 infected, virologically suppressed paediatric participants.

PENTA Foundation0 个研究点目标入组 318 人开始时间: 2015年3月6日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
318

研究概览

简要总结

2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37304494/ (added 12/06/2023)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. HIV-1 infected children weighing = 17 kg at the screening visit
  • 2. Aged 6 to < 18 years old
  • 3. Parents or guardians, and children where appropriate, willing and able to give informed consent and to adhere to the protocol
  • 4. Children must have all HIV-1 RNA viral load <50c/mL for at least 12 months with a minimum of two separate results before screening.
  • 5. Children on a 3-drug PI/r or NNRTI containing regimen for at least 6 months.
  • 6. Children/parents/guardians prepared to switch if randomised to elvitegravir + darunavir/ritonavir arm
  • 7. Children and parents prepared to restart the current ART regimen after simplification if viral load restart criteria are met (see Section 5.5)
  • 8. For children aged 6-12 either:
  • 8.1. Children and caregivers are willing to participate in the lead-in PK study if the child is aged 6-12 and the PK study is still enrolling children in their weight band* OR
  • 8.2. Data from the lead-in PK study have been analysed and children aged 6-12 can be enrolled directly into the main study
  • * only children randomised to Arm 1 will take part

排除标准

  • 1. Receiving or requiring agents with interactions with darunavir, RTV, or EVG
  • 2. Evidence of resistance to DRV or integrase inhibitors (for participants in clinical sites where resistance testing is standard of care)
  • 3. Previous exposure to integrase inhibitors for more than 2 weeks
  • 4. History of previous encephalopathy
  • 5. Intercurrent illness (randomisation can take place after the illness resolves)
  • 6. Creatinine, AST or ALT of grade 3 or above at screening.
  • 7. Diagnosis of tuberculosis and on anti-tuberculosis treatment (children can be enrolled after successful tuberculosis treatment)
  • 8. Hepatitis B or Hepatitis C co-infection
  • 9. Pregnancy or risk of pregnancy in girls of child-bearing potential unless committed to taking effective contraception

研究者

发起方
PENTA Foundation

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