Multicentric Trial Comparing Three Therapeutical Strategies in Patients With Acute Primary HIV Infection
Primary Purpose
HIV Infections, Primary Acute Infection
Status
Terminated
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Antiretroviral combination (drugs)
Pegylated Interferon alpha (drug)
Sponsored by
About this trial
This is an interventional treatment trial for HIV Infections focused on measuring HIV infections, Primary acute infection, Interferon-alpha
Eligibility Criteria
Inclusion Criteria: P24 antigen with positive neutralization or positive plasma HIV RNA Negative or not complete Western Blot With symptoms or not Written informed consent Exclusion Criteria: Previous antiretroviral treatment Pregnancy Biological abnormalities Hepatitis C or B
Sites / Locations
Outcomes
Primary Outcome Measures
Plasma HIV RNA at Week 92 and 96 (mean)
Secondary Outcome Measures
Plasma HIV RNA kinetics after treatment interruption
CD4 cell count
Proviral DNA
Adherence
Full Information
NCT ID
NCT00196638
First Posted
September 12, 2005
Last Updated
August 28, 2006
Sponsor
French National Agency for Research on AIDS and Viral Hepatitis
Collaborators
Hoffmann-La Roche
1. Study Identification
Unique Protocol Identification Number
NCT00196638
Brief Title
Multicentric Trial Comparing Three Therapeutical Strategies in Patients With Acute Primary HIV Infection
Official Title
Multicentric Trial Comparing Three Therapeutical Strategies in Patients With Acute Primary HIV Infection.ANRS 112 INTERPRIM
Study Type
Interventional
2. Study Status
Record Verification Date
August 2006
Overall Recruitment Status
Terminated
Study Start Date
May 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 2006 (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
French National Agency for Research on AIDS and Viral Hepatitis
Collaborators
Hoffmann-La Roche
4. Oversight
5. Study Description
Brief Summary
Treatment of acute primary HIV infection may improve long-term outcome. However, optimal treatment is still debated. The ANRS 112-INTERPRIM trial evaluates three different therapeutical strategies, combining permanent or intermittent HAART and a cytokine, interferon alpha, in order to determine which combination allows the best control of HIV viremia after 24 weeks of antiretroviral treatment interruption
Detailed Description
Treatment of acute primary HIV infection may improve long-term outcome. However, optimal treatment is still debated. The main objective of this multicentric randomized phase II/III study is to compare HIV viremia 92 and 96 weeks after acute primary HIV infection, between patients treated with 3 different strategies. In the first group, patients receive antiretroviral drugs (HAART) continuously up to week 72. In the second group, patients receive HAART continuously up to week 36, then intermittently up to week 72. In the third group, patients receive HAART as in group II, and pegylated interferon alpha is administered for the initial 14 weeks, then for 3 weeks at each of the 3 HAART interruption between week 36 and week 72. All patients are monitored without any HAART up to week 96. Enrolled patients have circulating p24 antigen and/or HIV viremia, an uncompleted HIV western blot, between 18 and 65 years old, and agree to participate to the study. They should have received no antiretroviral drugs, not be pregnant, without neuro-psychological or autoimmune disorders, without chronic hepatitis. Secondary objectives of the study are: the quality of immune restoration, the anti-HIV immune response, safety and adhesion to treatment. A total of 90 patients (30 in each group) have been enrolled.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections, Primary Acute Infection
Keywords
HIV infections, Primary acute infection, Interferon-alpha
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
90 (false)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
Antiretroviral combination (drugs)
Intervention Type
Drug
Intervention Name(s)
Pegylated Interferon alpha (drug)
Primary Outcome Measure Information:
Title
Plasma HIV RNA at Week 92 and 96 (mean)
Secondary Outcome Measure Information:
Title
Plasma HIV RNA kinetics after treatment interruption
Title
CD4 cell count
Title
Proviral DNA
Title
Adherence
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
P24 antigen with positive neutralization or positive plasma HIV RNA
Negative or not complete Western Blot
With symptoms or not
Written informed consent
Exclusion Criteria:
Previous antiretroviral treatment
Pregnancy
Biological abnormalities
Hepatitis C or B
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dominique Emilie, MD
Organizational Affiliation
Hôpital Antoine Béclère, Clamart, France
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Genevieve Chene, MD, PhD
Organizational Affiliation
INSERM U593, Bordeaux, France.
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Multicentric Trial Comparing Three Therapeutical Strategies in Patients With Acute Primary HIV Infection
We'll reach out to this number within 24 hrs