HIV-1 infection MedDRA version: 14.0 Level: LLT Classification code 10068341 Term: HIV-1 infection System Organ Class: 10021881 - Infections and infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. HIV-1 infected adults (?18 years old). 2. Absence of prior virological failure with PIs. 3. No mono or dual protease inhibitor therapy previous to HAART initiation. 4. Patients had to be on monotherapy with ritonavir-boosted lopinavir (LPV/r 200/50 mg BID) or darunavir (DRV/r 800/100 mg QD) for ? 12 months. Switching from standard HAART to protease inhibitor monotherapy had to happen with undetectable plasma viremia. 5. Complete virological suppression (=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Lactating, Pregnancy, or fertile women willing to be pregnant. 2. Active substance abuse or major psychiatric disease. 3. Presence of any polymorphism or mutation associated to RAL resistance at baseline (prior to first HAART).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the extend of persistent viral reservoir and the level of immune activation in patients receiving suppressive treatment with protease inhibitors.;Primary end point(s): ? Change over a 24-week period in the detection of HIV-1 episomal DNA (2-LTR circles). ? Change over a 24-week period in lymphocyte activation markers in PBMCs.;Timepoint(s) of evaluation of this end point: From baseline to 24 weeks;Secondary Objective: ? To asses the slope of decay of integrated and unintegrated viral DNA. ? An ultrasensitive RT-PCR assay with a lower limit of quantification of 3 copies/ml will be used to assess the possible decay of residual HIV-1 replication under RAL intensification. ? Effect of RAL intensification on the frequency of blips during the study. ? Changes in soluble CD14 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): ? The slope of decay of integrated and unintegrated viral DNA. ? An ultrasensitive RT-PCR assay with a lower limit of quantification of 3 copies/ml will be used to assess the possible decay of residual HIV-1 replication under RAL intensification. ? Effect of RAL intensification on the frequency of blips during the study. ? Changes in soluble CD14;Timepoint(s) of evaluation of this end point: From baseline to 24 weeks | — |
Countries
Spain
Contacts
FLS Research Support