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Immune Recovery in Advanced , ARV-naïve, HIV-1-infected Individuals Taking Dolutegravir or Ritonavir-boosted Darunavir

Immune Reconstitution in Severely Immunosuppressed Antiretroviral-naive HIV-1-Infected Patients (<100 CD4+ T Cells/μL) Taking Antiretroviral Regimens Based on Dolutegravir or Ritonavir-boosted Darunavir (the Advanz-4 Trial).

Status
UNKNOWN
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02337322
Enrollment
104
Registered
2015-01-13
Start date
2015-03-31
Completion date
2019-12-31
Last updated
2018-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acquired Immune Deficiency Syndrome Virus

Keywords

Acquired Immune Deficiency Syndrome Virus, HIV, HIV-1, Antiretroviral treatment, HIV Advanced Disease, AIDS, Dolutegravir, Darunavir

Brief summary

There are few randomized clinical trials in advanced HIV patients. This is a multicenter, randomized, open clinical trial, comparing 2 parallel groups, to compare the immunological reconstitution and the virological efficacy and safety of 2 different combinations of antiretroviral therapy given once a day (QD): abacavir plus lamivudine plus either dolutegravir, or darunavir-ritonavir during 96 weeks in advanced antiretroviral naïve HIV-1 infected patients with less than 100 CD4+ T-cells/mm3. Primary endpoint is the median increase in CD4+ T-cell count at 48 weeks after starting HAART.

Interventions

DRUGDolutegravir
DRUGDarunavir/r

Sponsors

Juan A. Arnaiz
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. HIV patients \> 18 years old who provide signed and dated informed consent. 2. Male and female. 3. Chronic HIV infection. 4. Antiretroviral naïve. 5. Confirmed CD4+ T cell count below 100 cells/mm3 6. HLA B5701 negative patients.

Exclusion criteria

1. Active opportunistic infections requiring parenteral treatment 2. Patients with cryptococcal meningitis treated with voriconazole 3. AIDS-defining cancers needing chemotherapy. 4. Female patients pregnant or breastfeeding. 5. Patients with documented history of allergy to sulfonamides. 6. Any contraindications to study drugs.

Design outcomes

Primary

MeasureTime frame
Median CD4 T cell count increase48 weeks

Countries

Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 6, 2026