Effect of a Change in HIV Therapy on Liver Steatosis, Inflammation, and Fibrosis
Effect of Change to a Nucleoside Reverse Transcriptase Inhibitor (NRTI)-Sparing Regimen of Efavirenz (EFV) and Lopinavir/Ritonavir (LPV/r) on Liver Histology in HIV-1-Infected Individuals With Lactic Acidemia and Persistent Alanine Aminotransferase (ALT) Elevations on NRTI-Containing Antiretroviral Therapy
2 other identifiers
interventional
N/A
1 country
3
Brief Summary
The purpose of this study is to look at how 2 different anti-HIV drug treatments affect the liver. The use of anti-HIV drugs like the nucleoside reverse transcriptase inhibitors (NRTIs) may be linked to liver problems like fatty changes, scarring, abnormal liver function tests (LFTs), and lactic acidemia (an increase in lactic acid in the blood). Increased liver enzymes may mean liver damage. The way that the liver changes in people with abnormal LFTs and lactic acidemia is not completely understood.
Trial Health
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3 active sites
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 29, 2001
CompletedFirst Posted
Study publicly available on registry
August 31, 2001
CompletedMarch 9, 2015
June 1, 2003
August 29, 2001
March 5, 2015
Conditions
Keywords
Interventions
Eligibility Criteria
You may qualify if:
- Patients may be eligible for this study if they:
- Have a higher than normal level of lactic acid and liver enzymes in blood within 45 days prior to study entry.
- Are HIV infected.
- Have been receiving an anti-HIV drug combination containing an NRTI for more than 12 months continuously before entering the study.
- Have an HIV viral load (amount of HIV in the blood) of less than 200 copies/ml within 70 days prior to study entry.
- Have a negative pregnancy test within 45 days prior to study entry.
- Agree to use 2 approved methods of birth control while participating in sexual activity that could lead to pregnancy, while receiving study medications and for 6 weeks after stopping the medications, both men and women and their partners, if able to have children.
- Are at least 13 years of age.
You may not qualify if:
- Patients will not be eligible for this study if they:
- Have hepatitis B according to certain lab tests.
- Have known causes for liver disease other than HCV or anti-HIV therapy.
- Regularly and excessively use alcohol.
- Are unwilling to restrict alcohol use to the amount allowed during the study.
- Have untreated endocrine disease such as diabetes and Cushing's disease. Diabetes that is under good control, stable hypothyroidism on replacement therapy, and stable hypogonadism on replacement therapy will be allowed.
- Receive prednisone within 1 month of study entry or high levels of prednisone (greater than 10 mg/day) within 90 days of study entry.
- Have had poorly controlled congestive heart failure within the last 12 months.
- Have signs and symptoms of abnormal liver function.
- Are unwilling to have a liver biopsy.
- Have a swollen abdomen due to accumulated fluid.
- Are suspected of having liver cancer.
- Are pregnant and breast-feeding.
- Abuse drugs.
- Have a serious illness within 14 days prior to entry.
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Univ of Hawaii
Honolulu, Hawaii, 96816, United States
Tripler Army Med Ctr
Tripler AMC, Hawaii, 96859, United States
Beth Israel Med Ctr
New York, New York, 10003, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Cecilia Shikuma
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Purpose
- TREATMENT
- Sponsor Type
- NIH
Study Record Dates
First Submitted
August 29, 2001
First Posted
August 31, 2001
Last Updated
March 9, 2015
Record last verified: 2003-06