Hepatitis-B, HIV
Conditions
Keywords
HIV infection, Hepatitis coinfection
Brief summary
The trial will randomise HIV/HBV co-infected individuals to different HBV-active antiretroviral therapy treatment regimens.
Detailed description
Longitudinal study of circulating and intra-hepatic HBV-specific T-cell immunity in the setting of a randomised, controlled, international, multi-centre outpatient trial. The trial will randomise HIV/HBV co-infected individuals to different HBV-active antiretroviral therapy treatment regimens. Study population: Patients with HIV/HBV co-infection who are naive to HIV/HBV therapy, have detectable HBV viremia and are willing to start antiretroviral therapy.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV positive * hepatitis-B co-infected * HBV/HIV therapy naive * \>18 years of age
Exclusion criteria
Unable to sign consent form.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To characterize circulating and intra-hepatic anti-HBV T-cell responses longitudinally in HIV-1/HBV co-infected individuals, following effective anti-HBV therapy | 48 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To identify novel CD4 and CD8 T cell HBV epitopes associated with HBV clearance. | 48 weeks |
| To identify emergence of cytotoxic T lymphocyte (CTL) escape mutants following anti-HBV therapy | 48 weeks |
| To determine the effect of HIV-1 co-infection and anti-HBV T-cell responses on clearance of free virions and HBV reservoirs using viral dynamic parameters and direct quantification of HBV hepatic reservoirs | 48 weeks |
Countries
Thailand