
Inflammatory Pathogenesis of Coronary Atherosclerosis in HIV
Coronary Artery DiseaseHuman Immunodeficiency VirusThe investigators are studying whether an anti-inflammatory intervention improves impaired coronary endothelial function (CEF) in HIV+ people with no clinical coronary artery disease (CAD).

A Trial to Assess the Functionality of Female Condom With a Silicone Elastomer Vaginal Ring
Human Immunodeficiency VirusA multi-center, open-label, randomized, two-period, crossover non-inferiority trial to assess the functionality of female condoms with a silicone elastomer vaginal ring.

Evaluating the Safety and Pharmacokinetics of Raltegravir in Infants
HIV InfectionsThe purpose of this study was to determine the washout pharmacokinetics (PK) and safety of in utero/intrapartum exposure to maternal raltegravir (RAL) in infants born to pregnant women with HIV infection who received RAL 400 mg twice daily. The study also provided data for the development of an infant RAL starting dosing regimen for IMPAACT P1110 (NCT01780831).

Quantifying Drug Adherence and Drug Exposure to Antiretroviral Therapy
HIV/AIDSThe purpose of this study is to evaluate cumulative exposure to tenofovir diphosphate (TFV-DP) using dried blood spots (DBS) in treated HIV-infected patients who are receiving a TFV-based regimen. Using DBS will allow the investigators to assess this simple method to measure drug exposure in the clinical setting. The investigators hypothesize that TFV-DP levels will be lowest in individuals with a detectable viral load and highest in those with viral suppression.

Novel Therapy for Glucose Intolerance in HIV Disease
Insulin ResistanceThis research is to investigate the nutritional supplement chromium picolinate. The investigators are testing to see how effective this supplement is in treating insulin resistance associated with HIV disease.

Pre-ART Retention in Care in Tanzania
HIV (Human Immunodeficiency Virus)AIDS (Acquired Immunodeficiency Syndrome)Retention of patients in HIV care following diagnosis and enrollment is critical to the long-term success of HIV care and treatment scale-up. The goal of this study is to better understand the factors that influence retention and engagement in HIV care among adult patients who are enrolled in HIV care and are not yet eligible for antiretroviral therapy (ART). The study will be conducted at four HIV care and treatment clinics (CTCs) in Kagera Region, Tanzania. This is a mixed-methods study with both qualitative (interviews) and quantitative (surveys) data collection. Our findings will be important towards designing programs that help patients remain in HIV care.

AIDS 347: IL-6 Blockade in Treated HIV Infection
HIV InfectionsThe study is a phase I/II, double-blind, placebo-controlled, randomized cross-over clinical trial of tocilizumab (TCZ) or placebo in HIV-infected subjects receiving antiretroviral therapy with suppressed viral replication and CD4+ T cell count ≥350 and ≤1,000 cells/mm3)

Pharmacokinetic Evaluation of Changes in Nevirapine AUC Due to Differences in Weight
HIV InfectionThis study would be a prospective cohort study, stratified by weight. Patients who are stable on nevirapine for at least 3 months prior to study entry, but no more than 1year will be recruited. For 1 week, subjects will take their morning dose of nevirapine in the clinic (and be observed taking it), and given their evening dose to take at home. Subjects will need to record the date and time they take their evening dose. At the end of the week, the subjects will be sequestered at the clinic for blood draws for a 12hr pharmacokinetic sampling. They will not be brought back in at 24hrs as they will need to be redosed after 12hrs. They will have Liver Function Tests (LFT's) and other labs drawn at study entry, and one month after the end of study. Pharmacokinetic levels will be analyzed using standard mathematical models, and Area Under the Curve (AUC), Maximum concentration (Cmax), and Minimum Concentration (Cmin) will be compared between groups.

Long-Term Study of Liver Disease in People With Hepatitis B and/or Hepatitis C With or Without HIV...
Hepatitis BHepatitis C1 moreBackground: - Hepatitis B and hepatitis C can cause liver damage. They can also cause serious illness, including liver cancer, and even death. This study will follow people who have hepatitis B or hepatitis C. The purpose is to understand more about how these viruses affect the immune system over the long term (up to 10 years). The study will also compare how these viruses affect people who do and do not have HIV, the virus that causes AIDS. Objectives: To do a long-term study of hepatitis B and hepatitis C infection. To study the effects of hepatitis B and hepatitis C infection in people do and do not have HIV. Eligibility: - People at least 18 years of age who have hepatitis B or hepatitis C and have a regular doctor for their medical care. Design: Participants will be screened with a physical exam and medical history. Those who do not have a regular doctor to provide medical care during the study will not be able to take part. Participants will have yearly visits with study researchers for up to 10 years. These tests will be done at each visit. Medical history and physical exam. Questionnaire (optional) on emotions, sexual behaviors, use of alcohol and drugs, and quality of life. Blood and urine tests, including HIV testing. Tissue sample collections for those who have had a liver or other tissue biopsy. Participants may leave the study at any time. They will receive the standard of care from their regular doctor throughout the study.

Qualitative and Quantitative HIV RNA Detection in Saliva Using the Oragene RNA Kit
HIV InfectionsThe purpose of this study is to determine if the Oragene.RNA kit is able to detect HIV RNA in saliva.