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Seronegatives and Metabolic Abnormalities Protocol 2 (SAMA002): Study to Compare the Effect of Kaletra and Combivir® in HIV-Negative Healthy Subjects

Primary Purpose

HIV Infections, Dyslipidemias, Glucose Metabolism Disorders

Status
Completed
Phase
Phase 4
Locations
Australia
Study Type
Interventional
Intervention
Combivir (zidovudine [AZT] / lamivudine [3TC])
Kaletra (lopinavir [LPVr])
Sponsored by
Kirby Institute
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional basic science trial for HIV Infections focused on measuring HIV negative healthy subjects, Lipid metabolism, Glucose metabolism, Metabolic abnormality, Lipodystrophy, Cardiovascular disease, Treatment Naive, HIV

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Age >18 Be able to provide written consent to perform in the trial. HIV antibody negative and HIV DNA negative at time of entry to the study. Exclusion Criteria: Any history of, or ongoing, mental or physical condition (including suspected or known diagnosis of ischaemic heart disease), which, in the opinion of the investigator, would impede the subject's ability to participate in the trial. History of type I or type II diabetes mellitus or previous treatment with antidiabetic medication. Prior use of testosterone, oestrogen, growth hormone or other oral glucocorticoid or anabolic steroid products within the previous six months. Alcohol or substance abuse which in the opinion of the investigator would affect the subject's ability to participate in the trial. Prior use of anti-retroviral agents (including protease inhibitors, nucleoside or non-nucleoside reverse transcriptase inhibitors, investigational antiretroviral agents or fusion inhibitors either in a previous study, as treatment or as part of post-exposure prophylaxis). Prior use of any retinoid-containing compound within the previous six months. Abnormal coagulation. Previous allergic reaction or known allergy to local anaesthetic. Previous use of psychotropic medications. Concomitant use of medications, including those metabolised by CYP3A4 enzyme system, which, in the opinion of the investigator, would affect the subject's ability to participate in all activities involved in the trial. Any grade-three laboratory abnormality recorded from screening bloods. Any grade-two laboratory abnormality recorded from screening bloods, which, in the opinion of the investigator, would impede the subject's ability to safely complete all study requirements. Gastrointestinal disorders, which may affect drug absorption. Any finding on screening clinical examination, which, in the opinion of the investigator, would impede the subject's ability to participate in the rest of the trial. Pregnancy Evidence of acute or chronic active hepatitis B virus infection by serology performed at baseline. Evidence of hepatitis C infection by serology performed at baseline.

Sites / Locations

  • St Vincents Hospital

Outcomes

Primary Outcome Measures

To determine effect of 6 wks ART with LPVr and CBV, alone and in combination, in HIV negative healthy subjects with respect to changes from baseline in genes related to mitochondrial and lipid metabolism in adipocytes

Secondary Outcome Measures

includes: To determine the effect of 6 wks of ART with LPVr and CBV in HIV negative subjects with respect to: changes from baseline in genes related to mitochondrial and lipid and glucose metabolism in monocytes.

Full Information

First Posted
September 12, 2005
Last Updated
April 11, 2012
Sponsor
Kirby Institute
Collaborators
St Vincent's Hospital, Sydney, National Heart, Lung, and Blood Institute (NHLBI), Garvan Institute of Medical Research, Prince of Wales Hospital, Sydney
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1. Study Identification

Unique Protocol Identification Number
NCT00192621
Brief Title
Seronegatives and Metabolic Abnormalities Protocol 2 (SAMA002): Study to Compare the Effect of Kaletra and Combivir® in HIV-Negative Healthy Subjects
Official Title
A 3 Arm, Prospective Study to Compare the Effect of 6 Weeks Exposure to the Combination of Lopinavir (LPVr)/Combivir® (AZT/3TC) Versus Lopinavir Alone or Combivir® Alone in HIV-negative Healthy Subjects on the Development of Abnormalities of Lipid and Glucose Metabolism
Study Type
Interventional

2. Study Status

Record Verification Date
April 2012
Overall Recruitment Status
Completed
Study Start Date
November 2004 (undefined)
Primary Completion Date
December 2006 (Actual)
Study Completion Date
December 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kirby Institute
Collaborators
St Vincent's Hospital, Sydney, National Heart, Lung, and Blood Institute (NHLBI), Garvan Institute of Medical Research, Prince of Wales Hospital, Sydney

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomised study of the effect of treatment with Combivir (zidovudine [AZT] and lamivudine [3TC]) and Kaletra (lopinavir [LPVr]), alone and in combination, on the development of abnormalities in lipid and glucose metabolism in HIV negative healthy subjects.
Detailed Description
Antiretroviral medications, used to treat HIV infection, cause side effects. These include changes in the way that fat is laid down on the body. This results in fat loss from some parts of the body, with fat deposits at other sites, giving a characteristic look known as "HIV associated lipodystrophy" or HIVLD. With these changes, there are also abnormalities in glucose and fat metabolism (collectively termed metabolic abnormalities). In HIV negative populations, these metabolic changes are associated with an increased risk of developing cardiovascular disease (CVD). The aim of this study is to investigate if changes in the body's handling of fats and glucose occur with a short course of treatment in HIV negative subjects and if these correlate to an increased risk of CVD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections, Dyslipidemias, Glucose Metabolism Disorders, Metabolic Diseases, Lipodystrophy, Cardiovascular Disease
Keywords
HIV negative healthy subjects, Lipid metabolism, Glucose metabolism, Metabolic abnormality, Lipodystrophy, Cardiovascular disease, Treatment Naive, HIV

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Combivir (zidovudine [AZT] / lamivudine [3TC])
Intervention Type
Drug
Intervention Name(s)
Kaletra (lopinavir [LPVr])
Primary Outcome Measure Information:
Title
To determine effect of 6 wks ART with LPVr and CBV, alone and in combination, in HIV negative healthy subjects with respect to changes from baseline in genes related to mitochondrial and lipid metabolism in adipocytes
Secondary Outcome Measure Information:
Title
includes: To determine the effect of 6 wks of ART with LPVr and CBV in HIV negative subjects with respect to: changes from baseline in genes related to mitochondrial and lipid and glucose metabolism in monocytes.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age >18 Be able to provide written consent to perform in the trial. HIV antibody negative and HIV DNA negative at time of entry to the study. Exclusion Criteria: Any history of, or ongoing, mental or physical condition (including suspected or known diagnosis of ischaemic heart disease), which, in the opinion of the investigator, would impede the subject's ability to participate in the trial. History of type I or type II diabetes mellitus or previous treatment with antidiabetic medication. Prior use of testosterone, oestrogen, growth hormone or other oral glucocorticoid or anabolic steroid products within the previous six months. Alcohol or substance abuse which in the opinion of the investigator would affect the subject's ability to participate in the trial. Prior use of anti-retroviral agents (including protease inhibitors, nucleoside or non-nucleoside reverse transcriptase inhibitors, investigational antiretroviral agents or fusion inhibitors either in a previous study, as treatment or as part of post-exposure prophylaxis). Prior use of any retinoid-containing compound within the previous six months. Abnormal coagulation. Previous allergic reaction or known allergy to local anaesthetic. Previous use of psychotropic medications. Concomitant use of medications, including those metabolised by CYP3A4 enzyme system, which, in the opinion of the investigator, would affect the subject's ability to participate in all activities involved in the trial. Any grade-three laboratory abnormality recorded from screening bloods. Any grade-two laboratory abnormality recorded from screening bloods, which, in the opinion of the investigator, would impede the subject's ability to safely complete all study requirements. Gastrointestinal disorders, which may affect drug absorption. Any finding on screening clinical examination, which, in the opinion of the investigator, would impede the subject's ability to participate in the rest of the trial. Pregnancy Evidence of acute or chronic active hepatitis B virus infection by serology performed at baseline. Evidence of hepatitis C infection by serology performed at baseline.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew D Carr, MD
Organizational Affiliation
National Centre in HIV Epidemiology and Clinical Research.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
David A Cooper, MD
Organizational Affiliation
National Centre in HIV Epidemiology and Clinical Research.
Official's Role
Study Director
Facility Information:
Facility Name
St Vincents Hospital
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2010
Country
Australia

12. IPD Sharing Statement

Links:
URL
http://www.med.unsw.edu.au/nchecr/
Description
National Centre in HIV Epidemiology and Clinical Research Homepage

Learn more about this trial

Seronegatives and Metabolic Abnormalities Protocol 2 (SAMA002): Study to Compare the Effect of Kaletra and Combivir® in HIV-Negative Healthy Subjects

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