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Effects of Dolutegravir Based Regimen on HIV-1 Reservoir and Immune Activation

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ClinicalTrials.gov Identifier: NCT02557997
Recruitment Status : Unknown
Verified September 2015 by University Hospital, Strasbourg, France.
Recruitment status was:  Recruiting
First Posted : September 23, 2015
Last Update Posted : September 23, 2015
Sponsor:
Information provided by (Responsible Party):
University Hospital, Strasbourg, France

Brief Summary:
We aim at comparing markers of HIV reservoir, monocyte function and immune activation between antiretroviral therapy (ART)-naïve (chronic infection or primary infection), ART-controlled or ART-failing HIV infected adults initiating a dolutegravir (DTG)-based regimen. The investigators' purpose is to measure cell associated HIV-1 DNA, monocyte function [soluble CD14 (sCD14), soluble CD163 (sCD163)], and immune activation [neopterine, interleukin-6 (IL-6) and high-sensitivity C-reactive protein (hsCRP)] biomarkers at different time points between baseline and week 48 post DTG-based regimen initiation in each group.

Condition or disease Intervention/treatment
HIV-1 Infection Other: Blood tube bottom analyses

Study Type : Observational
Estimated Enrollment : 202 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Effects of Dolutegravir Based Regimen on HIV-1 Reservoir and Immune Activation
Study Start Date : April 2014
Estimated Primary Completion Date : September 2016
Estimated Study Completion Date : September 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Group/Cohort Intervention/treatment
ART-naive (primary infection)
ART-naive (primary infection) HIV infected adults
Other: Blood tube bottom analyses
ART-naïve (chronic infection)
ART-naïve (chronic infection) HIV infected adults
Other: Blood tube bottom analyses
ART-controlled
ART-controlled HIV infected adults
Other: Blood tube bottom analyses
ART-failing
ART-failing HIV infected adults
Other: Blood tube bottom analyses



Primary Outcome Measures :
  1. Change from baseline in Proviral HIV-1 DNA at Week 48 [ Time Frame: Baseline and 48 weeks post DTG-based regimen initiation ]

Secondary Outcome Measures :
  1. Quantification of biomarkers of immune activation [ Time Frame: Baseline, 24 and 48 weeks post DTG-based regimen initiation ]
    Soluble CD14 (sCD14), soluble CD163 (sCD163), neopterine, interleukin-6 (IL-6), high-sensitivity C-reactive protein (hsCRP)



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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients visiting an HIV Infection care center at a university hospital will be selected
Criteria

Inclusion Criteria:

  • Male or female aged from de 18 to 80 years
  • Patient starting a DTG-regimen
  • Patients agreeing to use methods of birthcontrol while on the study and during the 6 weeks after stopping DTG treatment
  • Signed and dated written informed consent is obtained from the subject or the subject's legal representative prior to screening

Exclusion Criteria:

  • Women who are pregnant or breastfeeding
  • HBV or HCV coinfection
  • Participation in another clinical drug or device trial where the last dose of drug was within the past 30 days or an investigational medical device is currently implanted
  • Documented resistance to DTG
  • Allergy or intolerance to the study drugs or their components or drugs of their class
  • Any acute or verified Grade 4 laboratory abnormality (with the exception of Grade 4 lipids) at Screening.
  • Coadministration with Dofelitide

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02557997


Contacts
Contact: Samira FAFI-KREMER, PhD samira.fafi-kremer@unistra.fr
Contact: Pierre GANTNER, PhD pierre.gantner@chru-strasbourg.fr

Locations
France
Hôpitaux Universitaires de Strasbourg - Trait d'Union Recruiting
STRASBOURG Cedex, France, 67091
Contact: David REY, MD       david.rey@chru-strasbourg.fr   
Sponsors and Collaborators
University Hospital, Strasbourg, France

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: University Hospital, Strasbourg, France
ClinicalTrials.gov Identifier: NCT02557997     History of Changes
Other Study ID Numbers: 6074
First Posted: September 23, 2015    Key Record Dates
Last Update Posted: September 23, 2015
Last Verified: September 2015

Keywords provided by University Hospital, Strasbourg, France:
HIV reservoir
HIV-1 DNA
Immune activation
Monocyte function
Activation biomarkers

Additional relevant MeSH terms:
Dolutegravir
HIV Integrase Inhibitors
Integrase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-HIV Agents
Anti-Retroviral Agents
Antiviral Agents
Anti-Infective Agents