search
Back to results

Clinical Trial, Open-label, Randomised, in Order to Compare the Quality of Life for Those VIH+ Patients That Start With Monotherapy on LPV/r Tablets Vs. Triple Therapy With a Boosted Protease Inhibitor (QoLKAMON)

Primary Purpose

HIV Infection

Status
Completed
Phase
Phase 4
Locations
Spain
Study Type
Interventional
Intervention
Lopinavir and ritonavir
Triple therapy with ritonavir
Sponsored by
Sociedad Andaluza de Enfermedades Infecciosas
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infection

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients infected with HIV-1, documented with a positive HIV-1 antibodies test and/or positive PCR confirmed for HIV-1 RNA.
  • Patients on triple antiretroviral therapy with any boosted protease inhibitor.
  • Patients with an undetectable viral load, which will be defined as <50 viral RNA copies/mL within the last six months.
  • Men or women aged≥18.
  • For women with childbearing potential, negative urine pregnancy test during the Screening visit.
  • Patients who would have granted a written informed consent prior to any Study-specific screening procedure.

Exclusion Criteria:

  • Patients with a written proof of resistance in the accumulated genotype, which would lead to a sensibility loss to lopinavir/ritonavir, or, in case of genotype absence, a documented failure to a protease inhibitor therapy.
  • Patients with a CD4 cells nadir CD4 <100 cell/microL.
  • Patients who, for any reason, could not be treated with lopinavir/ritonavir.
  • Prior medical history of psychiatric disorders, such as depressive syndrome, schizophrenia or psychotic disease.
  • Known previous medical history of drug abuse/addiction or alcohol chronic consumption, which in the Investigator's opinion, would be incompatible with his/her Study participation.
  • Pregnant or breastfeeding women, or women of childbearing potential who do not use an appropriate contraceptive method, according to the Investigator's opinion.
  • Documented past(within four weeks prior to screening) or active current opportunistic infection.
  • Patients who, due to severe toxicities related to any of their current HAART compounds, there is a planned discontinuation or modification concerning any of the drugs from their triple therapy.
  • Patients for which, according to the Investigator, will have to change their HAART, regardless of the reason, within the next six months.
  • Renal disease with creatinine clearance <60 mL/min.
  • Concomitant use of Lopinavir/ritonavir contraindicated drugs, such as rifampicin, dihydroergotamine, ergotamine, methylergonovine, cisapride, hypericum perforatum, lovastatin, simvastatin, pimozide, midazolam and triazolam.
  • Concomitant use of nephrotoxic or immunosuppressor drugs.
  • Patients currently treated with systemic corticosteroids, interleukine-2 or chemotherapy.
  • Patients treated with other Investigative Medical Product.
  • Patients with acute hepatitis.
  • Any disease or condition that, according to the Investigator, would be incompatible with the patient's participation in the Study.

Sites / Locations

  • Hospital de San Juan
  • Hospital de Torrevieja
  • Hospital de Villajoyosa
  • Hospital Universitario de Bellvitge
  • Hospital General de l'Hospitalet
  • Hospital Universitario Marqués de Valdecilla
  • Hospital Clínico Santiago de Compostela
  • Hospital Dr. Negrín
  • Hospital Severo Ochoa
  • Hospital Virgen de la Cinta
  • Hospital de Cruces
  • Hospital de Basurto
  • Hospital de Torrecárdenas
  • Hospital General Yagüe
  • Hospital Puerta del Mar
  • Hospital Puerto Real
  • Hospital Clínico San Cecilio
  • Hospital Virgen de las Nieves
  • Pilar Vázquez Rodríguez
  • Hospital Universitario de La Princesa
  • Hospital Gregorio Marañón
  • Hospital Clínico San Carlos
  • Hospital Universitario La Paz
  • Hospital Carlos Haya
  • Hospital Clínico de Málaga
  • Hospital Universitario de Canarias
  • Hospital de Valme
  • Hospital Universitario Virgen Macarena
  • Hospital Clínico de Valencia
  • Hospital Arnau de Vilanova
  • Hospital Clínico Lozano Blesa

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Triple therapy

Monotherapy

Arm Description

The patients who would be allocated to this arm will continue with their triple therapy treatment, based on any protease inhibitor boosted with ritonavir

Those patients allocated to this arm will start to take Kaletra (lopinavir200mg/ritonavir50mg)two tablets bid

Outcomes

Primary Outcome Measures

Quality of Life comparison for HIV patients that start monotherapy with lopinavir/ritonavir (LPV/r) tablets vs patients with triple therapy which would include any boosted protease inhibitor (PI).

Secondary Outcome Measures

Virologic efficacy assessment for HIV patients on monotherapy based on LPV/r tablet vs triple therapy which would include any protease inhibitor
Immune response changes assessment for those HIV patients who start monotherapy with LPV/r tablets vs HIV patients on triple therapy which would include any protease inhibitor
Patient satisfaction assessment for HIV patients that start monotherapy with LPV/r tablets vs triple therapy which would include any protease inhibitor
Treatment adherence assessment for HIV patients who start on LPV/r monotherapy tablets vs triple therapy which include any protease inhibitor
Tolerability and safety assessment for the HIV patients who start monotherapy treatment with LPV/r tablets vs triple therapy which would include any protease inhibitor

Full Information

First Posted
July 19, 2010
Last Updated
March 19, 2013
Sponsor
Sociedad Andaluza de Enfermedades Infecciosas
search

1. Study Identification

Unique Protocol Identification Number
NCT01166477
Brief Title
Clinical Trial, Open-label, Randomised, in Order to Compare the Quality of Life for Those VIH+ Patients That Start With Monotherapy on LPV/r Tablets Vs. Triple Therapy With a Boosted Protease Inhibitor
Acronym
QoLKAMON
Official Title
Ensayo clínico, Abierto, Aleatorizado Para Comparar la Calidad de Vida de Los Pacientes VIH+ Que Inician Monoterapia Con Comprimidos de LPV/r vs Triple Terapia Que Contenga un IP Potenciado
Study Type
Interventional

2. Study Status

Record Verification Date
October 2009
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sociedad Andaluza de Enfermedades Infecciosas

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The Study will help to compare the Quality of Life for those HIV patients that are on monotherapy with LPV/r Vs. triple therapy with a boosted protease inhibitor
Detailed Description
The Study will help to compare the Quality of Life for those HIV patients that are on monotherapy with LPV/r Vs. triple therapy with a boosted protease inhibitor.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
228 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Triple therapy
Arm Type
Active Comparator
Arm Description
The patients who would be allocated to this arm will continue with their triple therapy treatment, based on any protease inhibitor boosted with ritonavir
Arm Title
Monotherapy
Arm Type
Experimental
Arm Description
Those patients allocated to this arm will start to take Kaletra (lopinavir200mg/ritonavir50mg)two tablets bid
Intervention Type
Drug
Intervention Name(s)
Lopinavir and ritonavir
Intervention Description
The patients will take Kaletra (lopinavir200mg/ritonavir50mg)two tablets bid
Intervention Type
Drug
Intervention Name(s)
Triple therapy with ritonavir
Intervention Description
The patients will continue to take their usual triple therapy, as established in the summary of product characteristics
Primary Outcome Measure Information:
Title
Quality of Life comparison for HIV patients that start monotherapy with lopinavir/ritonavir (LPV/r) tablets vs patients with triple therapy which would include any boosted protease inhibitor (PI).
Time Frame
24 weeks per patients
Secondary Outcome Measure Information:
Title
Virologic efficacy assessment for HIV patients on monotherapy based on LPV/r tablet vs triple therapy which would include any protease inhibitor
Time Frame
24 weeks per patient
Title
Immune response changes assessment for those HIV patients who start monotherapy with LPV/r tablets vs HIV patients on triple therapy which would include any protease inhibitor
Time Frame
24 weeks per patients
Title
Patient satisfaction assessment for HIV patients that start monotherapy with LPV/r tablets vs triple therapy which would include any protease inhibitor
Time Frame
24 weeks per patient
Title
Treatment adherence assessment for HIV patients who start on LPV/r monotherapy tablets vs triple therapy which include any protease inhibitor
Time Frame
24 weeks per patient
Title
Tolerability and safety assessment for the HIV patients who start monotherapy treatment with LPV/r tablets vs triple therapy which would include any protease inhibitor
Time Frame
24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients infected with HIV-1, documented with a positive HIV-1 antibodies test and/or positive PCR confirmed for HIV-1 RNA. Patients on triple antiretroviral therapy with any boosted protease inhibitor. Patients with an undetectable viral load, which will be defined as <50 viral RNA copies/mL within the last six months. Men or women aged≥18. For women with childbearing potential, negative urine pregnancy test during the Screening visit. Patients who would have granted a written informed consent prior to any Study-specific screening procedure. Exclusion Criteria: Patients with a written proof of resistance in the accumulated genotype, which would lead to a sensibility loss to lopinavir/ritonavir, or, in case of genotype absence, a documented failure to a protease inhibitor therapy. Patients with a CD4 cells nadir CD4 <100 cell/microL. Patients who, for any reason, could not be treated with lopinavir/ritonavir. Prior medical history of psychiatric disorders, such as depressive syndrome, schizophrenia or psychotic disease. Known previous medical history of drug abuse/addiction or alcohol chronic consumption, which in the Investigator's opinion, would be incompatible with his/her Study participation. Pregnant or breastfeeding women, or women of childbearing potential who do not use an appropriate contraceptive method, according to the Investigator's opinion. Documented past(within four weeks prior to screening) or active current opportunistic infection. Patients who, due to severe toxicities related to any of their current HAART compounds, there is a planned discontinuation or modification concerning any of the drugs from their triple therapy. Patients for which, according to the Investigator, will have to change their HAART, regardless of the reason, within the next six months. Renal disease with creatinine clearance <60 mL/min. Concomitant use of Lopinavir/ritonavir contraindicated drugs, such as rifampicin, dihydroergotamine, ergotamine, methylergonovine, cisapride, hypericum perforatum, lovastatin, simvastatin, pimozide, midazolam and triazolam. Concomitant use of nephrotoxic or immunosuppressor drugs. Patients currently treated with systemic corticosteroids, interleukine-2 or chemotherapy. Patients treated with other Investigative Medical Product. Patients with acute hepatitis. Any disease or condition that, according to the Investigator, would be incompatible with the patient's participation in the Study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Juan Pasquau, MD
Organizational Affiliation
Sociedad Andaluza de Enfermedades Infecciosas
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital de San Juan
City
San Juan
State/Province
Alicante
ZIP/Postal Code
03550
Country
Spain
Facility Name
Hospital de Torrevieja
City
Torrevieja
State/Province
Alicante
ZIP/Postal Code
03186
Country
Spain
Facility Name
Hospital de Villajoyosa
City
Villajoyosa
State/Province
Alicante
ZIP/Postal Code
03570
Country
Spain
Facility Name
Hospital Universitario de Bellvitge
City
Hospitalet de Llobregat
State/Province
Barcelona
ZIP/Postal Code
08907
Country
Spain
Facility Name
Hospital General de l'Hospitalet
City
L'Hospitalet de Llobregat
State/Province
Barcelona
ZIP/Postal Code
08906
Country
Spain
Facility Name
Hospital Universitario Marqués de Valdecilla
City
Santander
State/Province
Cantabria
ZIP/Postal Code
39008
Country
Spain
Facility Name
Hospital Clínico Santiago de Compostela
City
Santiago de Compostela
State/Province
La Coruña
ZIP/Postal Code
15706
Country
Spain
Facility Name
Hospital Dr. Negrín
City
Las Palmas de Gran Canaria
State/Province
Las Palmas
ZIP/Postal Code
35010
Country
Spain
Facility Name
Hospital Severo Ochoa
City
Leganés
State/Province
Madrid
ZIP/Postal Code
28911
Country
Spain
Facility Name
Hospital Virgen de la Cinta
City
Tortosa
State/Province
Tarragona
ZIP/Postal Code
43500
Country
Spain
Facility Name
Hospital de Cruces
City
Barakaldo
State/Province
Vizcaya
ZIP/Postal Code
48904
Country
Spain
Facility Name
Hospital de Basurto
City
Basurto
State/Province
Vizcaya
ZIP/Postal Code
48013
Country
Spain
Facility Name
Hospital de Torrecárdenas
City
Almería
ZIP/Postal Code
04009
Country
Spain
Facility Name
Hospital General Yagüe
City
Burgos
ZIP/Postal Code
09005
Country
Spain
Facility Name
Hospital Puerta del Mar
City
Cádiz
ZIP/Postal Code
11009
Country
Spain
Facility Name
Hospital Puerto Real
City
Cádiz
ZIP/Postal Code
11510
Country
Spain
Facility Name
Hospital Clínico San Cecilio
City
Granada
ZIP/Postal Code
18012
Country
Spain
Facility Name
Hospital Virgen de las Nieves
City
Granada
ZIP/Postal Code
18014
Country
Spain
Facility Name
Pilar Vázquez Rodríguez
City
La Coruña
ZIP/Postal Code
15006
Country
Spain
Facility Name
Hospital Universitario de La Princesa
City
Madrid
ZIP/Postal Code
28006
Country
Spain
Facility Name
Hospital Gregorio Marañón
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Hospital Clínico San Carlos
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitario La Paz
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Hospital Carlos Haya
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Hospital Clínico de Málaga
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Hospital Universitario de Canarias
City
Santa Cruz de Tenerife
ZIP/Postal Code
38320
Country
Spain
Facility Name
Hospital de Valme
City
Sevilla
ZIP/Postal Code
41014
Country
Spain
Facility Name
Hospital Universitario Virgen Macarena
City
Sevilla
ZIP/Postal Code
41071
Country
Spain
Facility Name
Hospital Clínico de Valencia
City
Valencia
ZIP/Postal Code
46010
Country
Spain
Facility Name
Hospital Arnau de Vilanova
City
Valencia
ZIP/Postal Code
46015
Country
Spain
Facility Name
Hospital Clínico Lozano Blesa
City
Zaragoza
ZIP/Postal Code
50009
Country
Spain

12. IPD Sharing Statement

Learn more about this trial

Clinical Trial, Open-label, Randomised, in Order to Compare the Quality of Life for Those VIH+ Patients That Start With Monotherapy on LPV/r Tablets Vs. Triple Therapy With a Boosted Protease Inhibitor

We'll reach out to this number within 24 hrs