跳至主要内容
临床试验/NCT01381328
NCT01381328Unknown不适用

GePheRal: Clinical Validation of the Genotypic Diagnosis of Hiv-1 Resistance to Raltegravir by Parallel Analysis of the Genotype and Phenotype Profiles of Resistance

Università Vita-Salute San Raffaele1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2011年12月最近更新:
适应症

试验速览

阶段
不适用
入组人数
100
试验地点
1
主要终点
- mean value of fold-change resistance determined by the phenotypic assay at baseline

研究概览

简要总结

The purpose of this study is to correlate the different patterns of resistance mutations observed in vivo in patients failing RAL treatment with the fold-change resistance determined by the phenotypic assay.

详细描述

The secondary objectives are, as follows:

  • to establish standardised genotypic assay for the HIV-1 pol gene region (region of interest, sensitivity, mutations involved as primary or compensatory changes, role of polymorphism present at baseline).
  • to reach consensus on the algorithm interpretation of in house ex-vivo genotypic evaluations.
  • to assess the genetic changes in RAL-failing patients under continuous drug pressure or drug discontinuation (dynamics of the reversion of resistance mutations).
  • to evaluate in RAL resistant HIV-1 variants the changes in replication capacity (RC) (baseline vs. following-timepoints).
  • to evaluate the immunological and virological trend associated with a raltegravir-regimen failure.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adult (at least 18 years of age) treatment-experienced, HIV-infected subjects of either sex and of any race, failing to a RAL-containing regimen will be enrolled in the study

排除标准

  • 未提供

结局指标

主要结局

- mean value of fold-change resistance determined by the phenotypic assay at baseline

时间窗: baseline

次要结局

  • changes of fold-change resistance determined by the phenotypic assay with respect to baseline.(24 and 48 hours, W1, W2, W3 and W4 upon discontinuation)
  • genetic changes under continuous drug pressure or drug discontinuation with respect to baseline(dynamics of the reversion of resistance mutations)(24 and 48 hours, W1, W2, W3 and W4 upon discontinuation.)
  • changes in CD4, CD4%, CD8, CD8% with respect to baseline(24 and 48 hours, W1, W2, W3 and W4 upon discontinuation)
  • changes of the replication capacity with respect to baseline(24 and 48 hours, W1, W2, W3 and W4 upon discontinuation.)
  • changes of HIV-RNA with respect to baseline(24 and 48 hours, W1, W2, W3 and W4 upon discontinuation)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Elisabetta Carini

Professor Massimo Clementi

Università Vita-Salute San Raffaele

研究点 (1)

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