Clinical Trial to Assess the Effect of the Change of Efavirenz (EFV) for Lopinavir/Ritonavir (LPV/r) in Lipoatrophy in HIV-infected Patients (LIPOKAL)
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| ClinicalTrials.gov Identifier: NCT00978237 |
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Recruitment Status :
Completed
First Posted : September 16, 2009
Last Update Posted : September 18, 2014
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Sponsor:
Juan A. Arnaiz
Information provided by (Responsible Party):
Juan A. Arnaiz, Hospital Clinic of Barcelona
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Brief Summary:
Eligible HIV-infected patients with clinically evident lipoatrophy despite treatment with efavirenz and fixed-dose combination of thymidine nucleoside analogues will be informed and asked to enroll in the study; will be randomized (1:1) into two branches, A: EFV + Fixed combinations of analogue tenofovir + emtricitabine.B (experimental): LPV/r + combination of correspondent analogues. The main variable is the evaluation of the absolute change in limb fat mass at 24 months from baseline in both groups.
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| HIV Infections Lipoatrophy | Drug: EFV Drug: LPV/r | Phase 4 |
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 20 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | None (Open Label) |
| Primary Purpose: | Treatment |
| Official Title: | CT to Assess the Effect on the Subcutaneous Fat of Change of EFV for LPV/r in HIV-infected Patients Who Developed Lipoatrophy and Remains Despite Treatment With Efavirenz and Fixed-dose Combination of no Thymidine Nucleoside Analogues. |
| Study Start Date : | October 2009 |
| Actual Primary Completion Date : | November 2013 |
| Actual Study Completion Date : | November 2013 |
Resource links provided by the National Library of Medicine
MedlinePlus related topics:
HIV/AIDS
Drug Information available for:
Efavirenz
| Arm | Intervention/treatment |
|---|---|
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Active Comparator: EFV and Fixed combinations of analogues
EFV + Fixed combinations of analogue tenofovir + emtricitabine, or abacavir + lamivudine
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Drug: EFV
one pill QD VO. |
| Experimental: LPV/r and combination of analogues. |
Drug: LPV/r
2 pills QD VO |
Primary Outcome Measures :
- Absolute change in limb fat mass measured by DEXA. [ Time Frame: 24 months. ]
Information from the National Library of Medicine
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| Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Patients HIV positive > 18 years.
- Patients in treatment with Sustiva(r)+Truvada(r); or Sustiva (r)+Kivexa(r).
- HIV-ARN < 50 copies/mL in the las six months.
- Clinically evident lipoatrophy (moderate or severe).
- Negative pregnancy test.
- Signed informed consent.
Exclusion Criteria:
- Evidence of failure or mutation to therapy with protease inhibitors.
- Patients that can not be treated with LPV/r.
- Mild lipoatrophy.
- History of alcoholism or drug addiction that discourages participation in the study.
- Pregnancy or breastfeeding.
- Documented current or 4 weeks prior opportunistic infection.
- Creatinin clearance < 60mL/min.
- Concomitant use of nephrotoxic drugs or immunosuppressants.
- Actual treatment with systemic corticosteroids, IL-2 or chemotherapy.
- Patients under treatment with other drugs in investigation.
- Acute hepatitis.
- Any other disease that discourages participation.
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): NCT00978237
Locations
| Spain | |
| Hospital de Bellvitge | |
| L'Hospitalet de LLobregat, Barcelona, Spain | |
| Hospital Universitario Central de Asturias | |
| Asturias, Spain | |
| Hospital Clínic de Barcelona | |
| Barcelona, Spain | |
| Hospital de la Santa Creu i Sant Pau de Barcelona | |
| Barcelona, Spain | |
| Hospital Clínico San Carlos | |
| Madrid, Spain | |
| Hospital La Fe | |
| Valencia, Spain | |
| Hospital Xeral-Cíes | |
| Vigo, Spain | |
Sponsors and Collaborators
Juan A. Arnaiz
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Juan A. Arnaiz, MD, PhD, Hospital Clinic of Barcelona |
| ClinicalTrials.gov Identifier: | NCT00978237 History of Changes |
| Other Study ID Numbers: |
LIPOKAL |
| First Posted: | September 16, 2009 Key Record Dates |
| Last Update Posted: | September 18, 2014 |
| Last Verified: | September 2014 |
Keywords provided by Juan A. Arnaiz, Hospital Clinic of Barcelona:
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HIV - Lipoatrophy treatment experienced |
Additional relevant MeSH terms:
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HIV Infections Lipodystrophy Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Skin Diseases, Metabolic Skin Diseases Lipid Metabolism Disorders Metabolic Diseases |
Efavirenz Reverse Transcriptase Inhibitors Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Cytochrome P-450 CYP2C9 Inhibitors Cytochrome P-450 Enzyme Inhibitors Cytochrome P-450 CYP2C19 Inhibitors Cytochrome P-450 CYP2B6 Inducers Cytochrome P-450 Enzyme Inducers Cytochrome P-450 CYP3A Inducers |