Raltegravir Added to Stable HAART in HIV-1 Infected Subjects With Viral Suppression and Low CD4 Recovery

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2010 by The Huesped Foundation.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
Merck Sharp & Dohme Corp.
Information provided by:
The Huesped Foundation
ClinicalTrials.gov Identifier:
NCT00562510
First received: November 21, 2007
Last updated: April 13, 2010
Last verified: April 2010

November 21, 2007
April 13, 2010
August 2008
December 2010   (final data collection date for primary outcome measure)
Proportion of subjects increasing CD4 count > 50 cells/mm³. [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
Proportion of subjects increasing CD4 count > 50 cells/mm³. [ Time Frame: 48 weeks ]
Complete list of historical versions of study NCT00562510 on ClinicalTrials.gov Archive Site
  • Proportion of patients achieving plasma HIV-RNA < 5 copies/ml. [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
  • Proportion of subjects increasing CD4 count > 50 cells/mm³. [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients achieving CD4 count > 250 cells/mm3 [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients achieving an increase of 5 percentual points in CD4 percentage [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
  • Median change from baseline in CD4 count. [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients maintaining HIV RNA <50 copies/ml. [ Time Frame: 48 weeks ] [ Designated as safety issue: Yes ]
  • Proportion of patients achieving plasma HIV-RNA < 5 copies/ml. [ Time Frame: 48 weeks ]
  • Proportion of subjects increasing CD4 count > 50 cells/mm³. [ Time Frame: 24 weeks ]
  • Proportion of patients achieving CD4 count > 250 cells/mm3 [ Time Frame: 48 weeks ]
  • Proportion of patients achieving an increase of 5 percentual points in CD4 percentage [ Time Frame: 48 weeks ]
  • Median change from baseline in CD4 count. [ Time Frame: 48 weeks ]
  • Proportion of patients maintaining HIV RNA <50 copies/ml. [ Time Frame: 48 weeks ]
Not Provided
Not Provided
 
Raltegravir Added to Stable HAART in HIV-1 Infected Subjects With Viral Suppression and Low CD4 Recovery
A Phase 3, Randomized, Double Blinded, Placebo Controlled Study of Raltegravir Added to Stable HAART in HIV-1 Infected Subjects With Viral Suppression and Low CD4 Recovery

This is a Phase 3, randomized, double blinded, placebo-controlled study designed to compare the safety, tolerability, antiviral activity and immunological effect of raltegravir added to a previously stable HAART regimen in the treatment of HIV-1 infected subjects with undetectable viraemia and low CD4 recovery.

HYPOTHESIS:

Adding raltegravir to a stable HAART in patients with undetectable plasma viral load and low CD4 recovery will result in further viral suppression and therefore higher CD4 recovery.

Although HAART has reduced the morbidity and mortality from HIV-1 infection, some patients experience a discordant response characterized by HIV-1 RNA plasma levels below the limit of detection and low CD4 T-cell recovery (immunologic discordant responders). At present, recommendations for the clinical management of patients with discordant responses to antiretroviral therapy are largely based on observational, uncontrolled data.

The effect on CD4 count of adding raltegravir in already undetectable patients has not yet been evaluated.

The primary purpose of this study is to assess the ability of the HIV-1 integrase inhibitor, raltegravir, added to a stable HAART, to increase CD4 count in patients with undetectable plasma viral load and low CD4 recovery.

Interventional
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver)
Primary Purpose: Treatment
HIV Infections
  • Drug: Raltegravir
    Raltegravir 400 mg BID added to stable HAART
  • Drug: Placebo
    Placebo BID added to stable HAART
  • Experimental: Raltegravir
    Intervention: Drug: Raltegravir
  • Placebo Comparator: Raltegravir matching placebo
    Intervention: Drug: Placebo
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
60
December 2010
December 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Documented HIV-1 infection.
  • Subject has voluntarily signed and dated an informed consent form.
  • Documented sustained HIV RNA < 50 copies/ml (two consecutive pVL < 50 copies/ml, first VL > 12 months before the screening date) without documentation of HIV RNA > 50 copies/ml for at least 12 months while on previous stable HAART (PS_HAART).
  • HIV RNA < 50 copies/ml at screening.
  • Subject is currently receiving an antiretroviral regimen which has not changed for at least 12 months.
  • CD4 count < 200 cells/ mm3 AND CD4 increase < 100 cells/ mm3 in the last 12 months.
  • Subject's vital signs, physical examination and laboratory results do not exhibit evidence of acute illness.
  • Negative serum or urine pregnancy test and willing to use acceptable means of contraception.

Exclusion Criteria:

  • Patient is receiving tenofovir DF AND didanosine as a component of the background antiretroviral therapy.
  • Patient has a current (active) diagnosis of acute hepatitis due to any cause OR chronic hepatitis B and/or C WITH aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT)>2.5 x upper limit of normal (ULN) AND/OR is likely to require treatment in the next year.
  • Subject has significant history of cardiac, renal, neurologic, psychiatric, oncologic, metabolic, or hepatic disease or any condition that, in the investigators opinion, could compromise the subject's safety or adherence to the trial protocol.
  • Subject has a currently active AIDS defining illness (category C conditions according to the CDC Classification System for HIV infection 1993) within 30 days of screening. Subjects who are on stable maintenance therapy for an opportunistic infection may be enrolled.
  • Life expectancy < 1 year according to the judgment of the investigator.
  • Screening laboratory analysis show any of the following abnormal laboratory results:

    • Hemoglobin < 8.0 g/dL
    • Absolute neutrophil count < 750 cells/µL
    • Platelet count < 50,000 mm3
  • Use of any investigational agents within 30 days prior to screening.
  • Previous use of integrase inhibitors.
  • Use of immunosuppressive drugs, cytokine inhibitors or other cytokines in the last year.
  • Continuous use of systemic corticoids for more than a month in the last year or any use in the last 3 months.
  • Subject has an ongoing history of substance abuse or psychiatric illness.
  • Subject is pregnant or breast-feeding.
Both
18 Years to 65 Years
No
Contact information is only displayed when the study is recruiting subjects
Argentina
 
NCT00562510
FH-RAL-01, ANMAT-1-4721846/07-6
Yes
The Huesped Foundation
The Huesped Foundation
Merck Sharp & Dohme Corp.
Principal Investigator: Pedro E Cahn, MD, PhD Fundacion Huesped
The Huesped Foundation
April 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP