Optimal Treatment for Kidney Disease in HIV Infected Adults
A Phase III, Randomized, Placebo-Controlled, Double-Blind Trial of an Angiotensin Receptor Blocker (Valsartan) and Highly Active Antiretroviral Therapy (HAART) Versus HAART Alone for the Treatment of HIV-Associated Nephropathy
National Institute of Allergy and Infectious Diseases (NIAID)
The angiotensin receptor blocker (ARB) valsartan is a drug commonly used to treat high blood pressure. Valsartan may also help slow down the progression of kidney disease in HIV infected people. The purpose of this study is to compare valsartan and antiretroviral therapy (ART) to ART alone in slowing kidney disease progression in people with HIV.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
withdrawn
Actual enrollment (reported)
0 participants
Study completion date
Not reported
Date not reported
Listed locations
1 countries · 10 sites
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Kimmel PL, Barisoni L, Kopp JB. Pathogenesis and treatment of HIV-associated renal diseases: lessons from clinical and animal studies, molecular pathologic correlations, and genetic investigations. Ann Intern Med. 2003 Aug 5;139(3):214-26.
Division of Nephrology, Department of Medicine, Duke University Medical Center
STUDY CHAIR
Enrollment
0 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NIH
Study Record Dates
First Submitted
August 5, 2004
First Posted
August 6, 2004
Last Updated
March 9, 2015
Record last verified: 2009-08
Source record
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Source: ClinicalTrials.gov.
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On ART for at least 42 days prior to study entry and willing to continue ART while on study
Systolic blood pressure (BP) between 91 mm Hg and 170 mm Hg and diastolic BP 105 mm Hg or less within 24 hours of study entry
Stable kidney function, as indicated by two consecutive calculated creatinine clearance measurements higher than 30 ml/min
Serum potassium of less than Grade 1 within 7 days prior to study entry
Willing to follow dose adjustments of non-study antihypertensive drugs if necessary
Willing to use acceptable forms of contraception
You may not qualify if:
Current treatment with hemodialysis or peritoneal dialysis
History of kidney transplant
Condition other than HIVAN contributing to decreased kidney function
ALT or AST greater than 5 times the upper limit of normal (ULN) within 28 days of study entry
Total bilirubin greater than 2.5 times ULN within 28 days of study entry. Patients with total bilirubin between 2.5 times and 5 times ULN who are receiving indinavir or atazanavir and do not have cirrhosis or severe liver disease are not excluded.
Current heart indication for an angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB)
Use of an ACEI or ARB within 7 days prior to first creatinine clearance measurement obtained for screening or any time between screening and study entry
Systemic steroid therapy above a replacement level within 28 days of study entry, or possible need for ongoing systemic steroid therapy above replacement level during the study
Current use of cimetidine
Use of investigational agents, except when approved by the protocol chairs
Allergy or sensitivity to valsartan or its formulations
Blood pressure not measurable by the technique described in the protocol
Orthostatic drop in systolic BP of 30 mm Hg or more within 24 hours prior to study entry
Drug or alcohol use that, in the opinion of the investigator, would interfere with the study
Decreased mental capacity that, in the opinion of the investigator, would interfere with the study
+3 more criteria
Contact the study team to confirm eligibility.
Rhode Island Hospital
Providence, Rhode Island, 02906, United States
Stanley Street Treatment and Resource
Providence, Rhode Island, 02906, United States
The Miriam Hospital
Providence, Rhode Island, 02906, United States
Marras D, Bruggeman LA, Gao F, Tanji N, Mansukhani MM, Cara A, Ross MD, Gusella GL, Benson G, D'Agati VD, Hahn BH, Klotman ME, Klotman PE. Replication and compartmentalization of HIV-1 in kidney epithelium of patients with HIV-associated nephropathy. Nat Med. 2002 May;8(5):522-6. doi: 10.1038/nm0502-522.
Wei A, Burns GC, Williams BA, Mohammed NB, Visintainer P, Sivak SL. Long-term renal survival in HIV-associated nephropathy with angiotensin-converting enzyme inhibition. Kidney Int. 2003 Oct;64(4):1462-71. doi: 10.1046/j.1523-1755.2003.00230.x.