The Raltegravir 60+ Study
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Purpose
This is a phase I, open label, prospective, one phase pharmacokinetic and observational study.
Twenty HIV-1 infected subjects will be recruited. Eligible subjects will currently be receiving stable antiretroviral therapy with undetectable plasma HIV RNA and have no evidence of previous HIV- resistance mutations on genotypic resistance testing.
At baseline, subjects will switch antiretroviral therapy to:
- tenofovir/emtricitabine 245/200 mg daily (Truvada™) plus
- raltegravir 400 mg twice daily On day 28, all subjects will attend for an intensive 24 hour pharmacokinetic visit.
Follow up over 6 months, subjects will attend on days 14, 90 and 180 for follow up visits that will include standard safety parameters. Assessment of cardiac biomarkers at baseline and on days 90 and 180 and assessment of neurocognitive function at screening, baseline and on day 180 will also be undertaken.
Following completion of this study, subjects will recommence their usual antiretroviral treatment regimen and attend for a study follow up visit.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV |
Drug: Raltegravir |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open Label Study to Investigate the Safety, Pharmacokinetic Profile and Efficacy of Raltegravir in HIV-infected Patients at Least 60 Years of Age |
- Pharmacokinetics [ Time Frame: Day 28 ] [ Designated as safety issue: No ]maraviroc, darunavir and ritonavir maximum and minimum plasma concentrations will be measured and the time to reach each level
- Changes in haematology, biochemistry and virology tests [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]full blood count, electrolytes and blood lipids will be measured at all visits to assess for changes through out the study. HIV viral load will also be measured to assess the efficacy of the medication at controlling the virus
- cardiovascular disease markers [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]• To investigate cardiovascular disease markers before and after a switch in antiretroviral therapy to raltegravir.
- Cerebral function [ Time Frame: 6 months ] [ Designated as safety issue: No ]To investigate cerebral function via cognitive testing before and after a switch in antiretroviral therapy to raltegravir.
| Estimated Enrollment: | 20 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | January 2012 |
| Estimated Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Truvada plus Raltegravir
Single arm study
|
Drug: Raltegravir
400 mg twice daily
Other Name: Isentress
|
Eligibility| Ages Eligible for Study: | 60 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- HIV-1 infected males or females
- 60 years of age or greater*
- signed informed consent
- willing to switch therapy as per study protocol
- no previous exposure to raltegravir or HIV-1 integrase inhibitors
- plasma HIV RNA < 50 copies/mL at screening and on at least one other occasion over the last 3 months
- currently receiving a stable antiretroviral regimen with no antiretroviral drug switches for at least 3 months
- no previous clinically-significant resistance documented on HIV-1 genotypic resistance
- subjects in good health upon medical history, physical exam, and laboratory testing
- BMI above or equal to 18 and below 32
- Male subjects who are heterosexually active must use two forms of barrier contraception (e.g., condom with spermicide) during heterosexual intercourse, from screening through completion of the study.
- Have local screening laboratory results (haematology and chemistry that fall within the normal range of the central laboratory's reference ranges unless the results have been determined by the Investigator to have no clinical significance * 50% of total enrolled cohort will be 65 years of age or over. Subsequent to 10 subjects aged between 60 and 64 recruited, only subjects aged 65 or over will be eligible.
Exclusion Criteria:
- current alcohol abuse or drug dependence
- positive urine drug of abuse screening
- active opportunistic infection or significant co-morbidities
- current disallowed concomitant medication
Contacts and Locations| Contact: Alan Winston, MB BS | +44 (0)20 3312 1603 | a.winston@imperial.ac.uk |
| Contact: Ken Legg, BSc | +44 (0)20 3312 1464 | k.legg@imperial.ac.uk |
| United Kingdom | |
| Imperial College Healthcare NHS Trust | Recruiting |
| London, United Kingdom, W2 1NY | |
| Contact: Ken Legg, BSc +44 (0)20 3312 1464 k.legg@imperial.ac.uk | |
| Principal Investigator: Alan Winston, MB BS | |
| Chelsea & Westminster Hospital NHS Trust | Recruiting |
| London, United Kingdom, SW10 9TH | |
| Contact: Carl Fletcher 020 3315 6323 | |
| Principal Investigator: Marta Boffito | |
| Principal Investigator: | Alan Winston, MB BH | Imperial College London |
| Principal Investigator: | Marta Boffito | Chelsea & Westminster Hospital |
More Information
No publications provided
| Responsible Party: | Imperial College London |
| ClinicalTrials.gov Identifier: | NCT01335620 History of Changes |
| Other Study ID Numbers: | RTG_60, 2010-022907-23 |
| Study First Received: | March 25, 2011 |
| Last Updated: | November 4, 2011 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
ClinicalTrials.gov processed this record on May 16, 2013