Efficacy and Safety of Varenicline Among HIV-infected Patients (Inter-ACTIV)
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Purpose
Cigarette smoking is a major cause of illness among HIV-infected patients (non-AIDS defining malignancies (especially lung cancer), non-AIDS bacterial infections and cardio-vascular diseases). Approximately 50% of HIV-infected patients are regular tobacco smokers. Tobacco smoking cessation has well known benefits on mortality and morbidity in the general population where tobacco cessation assistance programs are increasingly implemented. However, smoking cessation interventions have never been evaluated among HIV-infected patients. This trial aims at evaluating the efficacy and safety of varenicline for smoking cessation compared with placebo.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections Tobacco Dependence |
Drug: Varenicline Drug: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Comparison of the Efficacy and Safety of Varenicline Versus Placebo for Smoking Cessation Among HIV-infected Patients. A Randomized Double Blind Controlled Trial |
- Continuous abstinence from smoking from week 9 to week 48 without the use of any other smoking cessation treatments other than trials' treatment [ Time Frame: from week 9 to week 48 ] [ Designated as safety issue: No ]
- Continuous abstinence from smoking from week 9 to week 12 without the use of any other smoking cessation treatments other than trials' treatment [ Time Frame: from week 9 to week 12 ] [ Designated as safety issue: No ]
- Change in Lung capacity (FEV1 and FVC) between inclusion and week 48 [ Time Frame: week 48 ] [ Designated as safety issue: No ]
- Frequency of depressive episodes. Diagnosed by a psychiatrist [ Time Frame: continuously ] [ Designated as safety issue: Yes ]
- Change in cardiovascular risk score (Framingham and PROCAM scores) between inclusion and week 48. [ Time Frame: week 48 ] [ Designated as safety issue: No ]
- Quality of life evaluation (SF-12) [ Time Frame: inclusion, W12, W24, W48 ] [ Designated as safety issue: No ]
| Enrollment: | 248 |
| Study Start Date: | October 2009 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Varenicline
Varenicline titrated to 2 x 0.5 mg twice daily for 12 weeks
|
Drug: Varenicline
Day 1 to day 3 : 0.5 mg daily ; Day 4 to day 7 : 0.5 mg twice daily ; Day 8 to week 12 : 2 x 0.5 mg twice daily
Other Name: Champix
|
|
Placebo Comparator: Placebo
placebo titrated to 2 pills twice daily for 12 weeks
|
Drug: Placebo
Day 1 to day 3 : 1 pill daily ; Day 4 to day 7 : 2 pills daily ; Day 8 to week 12 : 2 pills twice daily
|
Detailed Description:
Cigarette smoking is a major cause of illness among HIV-infected patients (non-AIDS defining malignancies (especially lung cancer), non-AIDS bacterial infections and cardio-vascular diseases). Approximately 50% of HIV-infected patients are regular tobacco smokers. Tobacco smoking cessation has well known benefits on mortality and morbidity in the general population where tobacco cessation assistance programs are increasingly implemented. However, smoking cessation interventions have never been evaluated among HIV-infected patients. This trial aims at evaluating the efficacy and safety of varenicline for smoking cessation compared with placebo. A pharmacokinetic study will be conducted to evaluate the effect of smoking cessation on the plasma concentration of antiretroviral treatment.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- HIV-infected patients
- adults
- regular smokers (at least 10 cigarettes a day during the last year)
- motivated to stop smoking
- followed in one of the participating clinical ward,
- signed written inform consent
Exclusion Criteria:
- current co-dependency to another psychoactive substance
- ongoing depressive episode
- history of suicidal attempt
- ongoing treatment by interferon
- treatment by efavirenz for less than three months or not tolerated
- previous use of varenicline
- ongoing treatment by bupropion-SR or nicotinic substitute
- ongoing pregnancy
- ongoing breastfeeding
- hypersensitivity to varenicline or to one of its excipients
- drivers, air traffic controller
Contacts and Locations| France | |
| CHU de Bordeaux | |
| Bordeaux, France, 33075 | |
| Principal Investigator: | Patrick MERCIE, MD | CHU de Bordeaux, F-33000 |
| Study Chair: | Geneviève CHENE, MD, PHD | INSERM U897 |
More Information
Additional Information:
No publications provided
| Responsible Party: | French National Institute for Health and Medical Research-French National Agency for Research on AIDS and Viral Hepatitis (Inserm-ANRS) |
| ClinicalTrials.gov Identifier: | NCT00918307 History of Changes |
| Other Study ID Numbers: | 2008-007948-34, ANRS 144 |
| Study First Received: | June 9, 2009 |
| Last Updated: | February 12, 2013 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by French National Institute for Health and Medical Research-French National Agency for Research on AIDS and Viral Hepatitis (Inserm-ANRS):
|
Tobacco Dependence HIV infection varenicline |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Tobacco Use Disorder Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases |
Slow Virus Diseases Substance-Related Disorders Mental Disorders Varenicline Nicotinic Agonists Cholinergic Agonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 21, 2013