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Induction-maintenance of Lopinavir/r in HIV-infected Subjects

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Lopinavir/ritonavir simplification strategy
Sponsored by
Fundación Huésped
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring HIV, Simplification, Monotherapy, Treatment Naive, HIV-1 infection

Eligibility Criteria

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

Inclusion Criteria: Subject has confirmed his or her willingness to participate in this study after being informed of all aspects of the trial that are relevant to his or her decision to take part, by signing and dating the IRB / IEC approved informed consent form. Subject is HIV positive and on their first antiretroviral treatment regimen, based on any two NRTIs plus lopinavir/ritonavir or a ritonavir-boosted PI combination. Subject must have had no previous exposure to other regimens. Subject has a viral load <50 copies/ml at the time of baseline evaluation for at least 6 months. Subject has a CD4 cell count ³ 100 cells/mm3. Subject is aged >18 years. Vital signs, physical examination and laboratory results do not exhibit evidence of acute illness. Subject has not been treated for an active opportunistic infection within 30 days of screening. If female, subject has a negative pregnancy test and agrees to use, for the duration of the study, a barrier method of birth control that has a history of proven reliability as judged by the investigator. Subject does not require and agrees not to take, for the duration of the study, any medication that is contraindicated with any of the antiretroviral drugs in their treatment regimen. The subject agrees not to take any medication, including over-the-counter medicine, alcohol, or recreational drugs without the knowledge and permission of the principal investigator Exclusion Criteria: Subject has current uncontrolled substance abuse or psychiatric illness that could preclude compliance with the protocol. Subject has a viral load of > 50 copies/ml Subject is HBsAg + Subject has active tuberculosis or an opportunistic infection. Subject has active malignancy (except Kaposi's Sarcoma). Subject has liver failure as evidenced by ALT / AST > 5 x Upper Limit of Normal (ULN). Female subject is pregnant or lactating. Subject has received an investigational drug within 30 days prior to the initiation of the study. Subject has modified his/her antiretroviral therapy during the 3 months prior to baseline or is intending to do so during the course of the study.

Sites / Locations

  • Helios Salud
  • Fundacion Huesped
  • University of British Columbia
  • Instituto Nacional de Ciencias Medicas y Nutrición "Salvador Zubirán

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Lopinavir/ritonavir monotherapy

Lopinavir/Ritonavir plus 2 NRTIs

Arm Description

Patients with undetectable viral load while on 1st line ARV therapy will be randomized to the expermental arm: Lopinavir/ritonavir monotherapy

Patients randomized to this arm will continue with standard of care triple therapy, based on Lopinavir/Ritonavir plus 2 NRTIs

Outcomes

Primary Outcome Measures

Proportion of patients remaining undetectable below 50 copies/mL at 48 weeks

Secondary Outcome Measures

Full Information

First Posted
September 7, 2005
Last Updated
September 4, 2015
Sponsor
Fundación Huésped
Collaborators
Abbott
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1. Study Identification

Unique Protocol Identification Number
NCT00159224
Brief Title
Induction-maintenance of Lopinavir/r in HIV-infected Subjects
Official Title
Study ACA-ARGE-04-001 "A Pilot, Open-Label Study Assessing Safety, Tolerability, Efficacy of a Simplified Lopinavir/Ritonavir Induction/Maintenance Therapy in HIV-Infected Subjects on Their First Protease Inhibitor-Based Regimen".
Study Type
Interventional

2. Study Status

Record Verification Date
September 2015
Overall Recruitment Status
Completed
Study Start Date
April 2005 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Fundación Huésped
Collaborators
Abbott

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will assess the safety, tolerability and antiviral activity of a simplified PI-based treatment regimen (Kaletra,ä) compared to conventional HAART regimens in patients infected with HIV-1 who are on their first boosted-PI antiretroviral treatment regimen. The potency of the antiviral activity of Kaletra has been clearly demonstrated in a wide spectrum of patients in a number of different clinical trials.6-9 The durable viral suppression seen after 4 years of therapy10 proves that it can provide effective, long-term treatment for people with HIV-1. Data from one of these trials (M97-720),6 an ongoing Phase II study of lopinavir/ritonavir in combination with NRTIs suggests there may be a role for monoclass therapy with Kaletra in the treatment of HIV-1-infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
HIV, Simplification, Monotherapy, Treatment Naive, HIV-1 infection

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Lopinavir/ritonavir monotherapy
Arm Type
Experimental
Arm Description
Patients with undetectable viral load while on 1st line ARV therapy will be randomized to the expermental arm: Lopinavir/ritonavir monotherapy
Arm Title
Lopinavir/Ritonavir plus 2 NRTIs
Arm Type
Active Comparator
Arm Description
Patients randomized to this arm will continue with standard of care triple therapy, based on Lopinavir/Ritonavir plus 2 NRTIs
Intervention Type
Drug
Intervention Name(s)
Lopinavir/ritonavir simplification strategy
Other Intervention Name(s)
Kaletra monotherapy simplification strategy
Intervention Description
Simplification
Primary Outcome Measure Information:
Title
Proportion of patients remaining undetectable below 50 copies/mL at 48 weeks
Time Frame
48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has confirmed his or her willingness to participate in this study after being informed of all aspects of the trial that are relevant to his or her decision to take part, by signing and dating the IRB / IEC approved informed consent form. Subject is HIV positive and on their first antiretroviral treatment regimen, based on any two NRTIs plus lopinavir/ritonavir or a ritonavir-boosted PI combination. Subject must have had no previous exposure to other regimens. Subject has a viral load <50 copies/ml at the time of baseline evaluation for at least 6 months. Subject has a CD4 cell count ³ 100 cells/mm3. Subject is aged >18 years. Vital signs, physical examination and laboratory results do not exhibit evidence of acute illness. Subject has not been treated for an active opportunistic infection within 30 days of screening. If female, subject has a negative pregnancy test and agrees to use, for the duration of the study, a barrier method of birth control that has a history of proven reliability as judged by the investigator. Subject does not require and agrees not to take, for the duration of the study, any medication that is contraindicated with any of the antiretroviral drugs in their treatment regimen. The subject agrees not to take any medication, including over-the-counter medicine, alcohol, or recreational drugs without the knowledge and permission of the principal investigator Exclusion Criteria: Subject has current uncontrolled substance abuse or psychiatric illness that could preclude compliance with the protocol. Subject has a viral load of > 50 copies/ml Subject is HBsAg + Subject has active tuberculosis or an opportunistic infection. Subject has active malignancy (except Kaposi's Sarcoma). Subject has liver failure as evidenced by ALT / AST > 5 x Upper Limit of Normal (ULN). Female subject is pregnant or lactating. Subject has received an investigational drug within 30 days prior to the initiation of the study. Subject has modified his/her antiretroviral therapy during the 3 months prior to baseline or is intending to do so during the course of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pedro E Cahn, MD, PhD
Organizational Affiliation
Fundacion Huesped, Buenos Aires, Argentina
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Julio SG Montaner, MD
Organizational Affiliation
University of British Columbia
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Isabel L Cassetti, MD
Organizational Affiliation
Helios Salud, Buenos Aires, Argentina
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Juan Sierra Madero, MD
Organizational Affiliation
Instituto Nacional de Ciencias Medicas y Nutricio Salvador Zurbaran, Mexico
Official's Role
Principal Investigator
Facility Information:
Facility Name
Helios Salud
City
Buenos Aires,
ZIP/Postal Code
1141
Country
Argentina
Facility Name
Fundacion Huesped
City
Buenos Aires
ZIP/Postal Code
C1202ABB
Country
Argentina
Facility Name
University of British Columbia
City
Vancouver
State/Province
British Columbia
Country
Canada
Facility Name
Instituto Nacional de Ciencias Medicas y Nutrición "Salvador Zubirán
City
Mexico DF
Country
Mexico

12. IPD Sharing Statement

Citations:
PubMed Identifier
21886816
Citation
Cahn P, Montaner J, Junod P, Patterson P, Krolewiecki A, Andrade-Villanueva J, Cassetti I, Sierra-Madero J, Casiro AD, Bortolozzi R, Lupo SH, Longo N, Rampakakis E, Ackad N, Sampalis JS. Pilot, randomized study assessing safety, tolerability and efficacy of simplified LPV/r maintenance therapy in HIV patients on the 1 PI-based regimen. PLoS One. 2011;6(8):e23726. doi: 10.1371/journal.pone.0023726. Epub 2011 Aug 19.
Results Reference
derived

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Induction-maintenance of Lopinavir/r in HIV-infected Subjects

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