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Peripheral Body Fat Distribution After Switching Zidovudine and Lamivudine to Truvada (RECOMB)
This study has been completed.
Study NCT00324649   Information provided by Gilead Sciences
First Received: May 9, 2006   Last Updated: November 20, 2009   History of Changes
Study Type: Interventional
Study Design: Randomized, Open Label, Active Control, Parallel Assignment
Condition: HIV-1
Interventions: Drug: Truvada
Drug: Zidovudine/lamivudine

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Truvada Truvada + nonnucleoside reverse transcriptase inhibitor (NNRTI) or protease inhibitor (PI).
Zidovudine/Lamivudine Zidovudine/lamivudine + nonnucleoside reverse transcriptase inhibitor (NNRTI) or protease inhibitor (PI).

Participant Flow:   Overall Study
  Truvada Zidovudine/Lamivudine
STARTED   39     41  
COMPLETED   37     36  
NOT COMPLETED   2     5  
      Adverse Event               1                 4  
      Withdrawal by Subject               0                 1  
      Noncompliance               1                 0  



  Baseline Characteristics
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Reporting Groups
  Description
Truvada Truvada + NNRTI or PI.
Zidovudine/Lamivudine Zidovudine/lamivudine + NNRTI or PI.

Baseline Measures
  Truvada Zidovudine/Lamivudine Total
Number of Participants  
[units: participants]
39 41 80
Age  
[units: years]
Mean ± Standard Deviation
44 ± 10.6 44 ± 7.4 44 ± 9.0
Gender  
[units: participants]
     
Female 11 4 15
Male 28 37 65
Race/Ethnicity, Customized  
[units: Participants]
     
White 36 38 74
Black, of African heritage 1 2 3
Asian 1 0 1
Other 1 1 2
Region of Enrollment  
[units: participants]
     
Spain 39 41 80
HIV-1 RNA Level  
[units: Participants]
     
< 50 copies/mL 38 39 77
50 to < 400 copies/mL 1 2 3
Cluster determinant 4 (CD4) cell count  
[units: cells/mm^3]
Median ( Inter-Quartile Range )
655.0
( 505.0 to 789.0 )
504.0
( 363.0 to 756.0 )
600.5
( 420.0 to 760.5 )
Total limb fat[1]
[units: gramsĀ (g)]
Median ( Full Range )
3565
( 511 to 15932 )
3589
( 903 to 28155 )
3589
( 511 to 28155 )
Years on AZT/3TC  
[units: Years]
Median ( Inter-Quartile Range )
5.8
( 4.2 to 7.2 )
6.2
( 4.7 to 7.2 )
5.9
( 4.6 to 7.2 )
[1] Measured using DEXA. Total limb fat is the sum of the left arm, right arm, left leg, and right leg.



  Outcome Measures
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1.  Primary:   Change From Baseline in Limb Fat at Week 48   [ Baseline to Week 48 ]

2.  Secondary:   Change From Baseline in the Mitochondrial DNA/Nuclear DNA Ratio (Oral Mucosa)   [ Baseline to Week 48 ]

3.  Secondary:   Change From Baseline in the Mitochondrial DNA/Nuclear DNA Ratio (Lymphocytes)   [ Baseline to Week 48 ]

4.  Secondary:   Change From Baseline in Lactate Concentration   [ Baseline to Week 48 ]

5.  Secondary:   Percentage of Days for Which Participants Were Compliant With Study Drug   [ Baseline to Week 72 ]

6.  Secondary:   Percentage of Participants Who Maintain Confirmed HIV-1 RNA < 50 Copies/mL   [ 48 weeks ]

7.  Secondary:   Percentage of Participants With HIV-1 RNA > 50 and < 400 Copies/mL   [ 48 weeks ]

8.  Secondary:   Percentage of Participants With Virologic Failure   [ 48 weeks ]

9.  Secondary:   Change From Baseline in Cluster Determinant 4 (CD4) Cell Count   [ Baseline to Week 48 ]

10.  Secondary:   Change From Baseline in Fasting Serum Triglycerides   [ Baseline to Week 48 ]

11.  Secondary:   Change From Baseline in Fasting Total Cholesterol   [ Baseline to Week 48 ]

12.  Secondary:   Change From Baseline in Fasting Low Density Lipoprotein Cholesterol (LDL)   [ Baseline to Week 48 ]

13.  Secondary:   Change From Baseline in Fasting High Density Lipoprotein Cholesterol (HDL)   [ Baseline to Week 48 ]

14.  Secondary:   Change From Baseline in Hemoglobin   [ Baseline to Week 48 ]

15.  Secondary:   Change From Baseline in Hematocrit   [ Baseline to Week 48 ]

16.  Secondary:   Change From Baseline in Waist Circumference/Hip Circumference Ratio   [ Baseline to Week 48 ]

17.  Secondary:   Percentage of Participants With Any Adverse Event   [ 72 weeks ]

18.  Secondary:   Percentage of Participants Who Discontinue the Study Prematurely (Before Week 48) Due to Adverse Events.   [ 48 weeks ]


  Serious Adverse Events
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  Other Adverse Events
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