Hiv
Conditions
Keywords
HIV reservoirs, HIV persistence, Viral rebound
Brief summary
Phylogenic analysis of viruses hosted in marker positive reservoir cells including CD32a+ CD4 T lymphocytes and rebounding viruses after treatment interruption
Interventions
Stopping antiretroviral therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* \- Age\>18year old * Nadir CD4\>200/mm3 * CD4/CD8 ratio\> 0.5 * Continuous antiretroviral therapy for more than 2 years * Plasma Human Immunodeficiency Virus (HIV) 1 Ribonucleic acid (RNA) \<50 copies/ml in the last 2 years * Viral Load (VL)\<20copies at inclusion * Patients who are willing to participate and who understand the trial (particularly, the obligation to have protected intercourse during the study). * Informed consent * Short half-life treatment * Health insurance * A subset of CD4 (T4cells) express CD32a.
Exclusion criteria
* \- Acquired Immune Deficiency Syndom (AIDS) * Pregnancy * Human immunodeficiency virus (HIV)-2 co infection * Thrombopenia * Neurological events during primary infection * Hepatitis B + (HBV+) * Hepatitis C + (HCV+) * Cancer during the last 5 years. * Life expectancy \< 12 months * Autoimmunity * Acute infectious disease in the last 60 days. * Hemoglobin\<7g/dl * Glomerular filtration \< 60ml/min * Refusing protected intercourse * Risk of HIV transmission * Psychiatric disorders. * Alcool and drug abuse * Involvement in another clinical trial evaluating a therapeutic. * Being under tutorship * Being deprived of liberty
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Genetic Cartography | Week 1 | Measuring the genetic distance between viruses contained in marker positive reservoir cells including CD32a+ CD4 T (T4cells) lymphocytes and viruses rebounding after treatment interruption. This cartography will be made when Plasma Human Immunodeficiency Virus -1 ribonucleic acid (RNA) superior or equal to 1000 copies/ml |
Countries
France