Efficacy and Safety of Kaletra Monotheraphy Compared to Kaletra Based Triple Therapy to Treat HIV in Antiretroviral Naїve Patients
MONARK
A Pilot, Open-Label, Randomized, Comparative Study of the Antiviral Efficacy of Lopinavir/Ritonavir Single-Drug Regimen Versus Lopinavir/Ritonavir in Combination With Lamivudine/Zidovudine in Antiretroviral Naïve Patients
3 other identifiers
interventional
138
0 countries
N/A
Brief Summary
The purpose of this pilot study is to obtain a preliminary assessment of the antiviral activity and tolerability of Kaletra single agent therapy as initial treatment for HIV infection, relative to a Kaletra three drug standard of care reference arm
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
October 10, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2007
CompletedApril 3, 2008
April 1, 2008
3.5 years
September 13, 2005
April 1, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Antiviral efficacy by HIV RNA
48 Weeks
Secondary Outcomes (2)
Arm comparisons: CD4 evolution, occurrence of HIV protease and RT mutation, occurrence of AIDS clinical events, safety of NRTI-sparing vs. a PI with 2 NRTIs regimen: clinical and biological tolerance, patient's adherence and quality of life.
48 weeks
To assess in the LPV/r single-drug regimen arm: virological control, CD4 evolution, safety
96 weeks
Study Arms (2)
1
ACTIVE COMPARATORKaletra Monotherapy: lopinavir/ritonavir
2
ACTIVE COMPARATORKaletra based triple therapy: lopinavir/ritonavir + lamivudine/zidovudine
Interventions
Eligibility Criteria
You may qualify if:
- Antiretroviral naïve
- HIV RNA \<100,000 copies/mL
- CD4 cell count \>100 cells/mL at screening
- with Karnofsky Score \> 70
- If female,
- non-pregnant and
- not breastfeeding
- No AIDS opportunistic infection within 30 days of screening
You may not qualify if:
- Subject with an HIV primo-infection status
- Recent history of drug and/or alcohol abuse
- History of psychiatric illness
- If presence of the following mutations :
- in the protease : one among 32,47,48,50,82,84,90
- OR more than 3 mutations from the other points of the LPV mutation score:10,20,24,46,53,54,63,71
- in the reverse transcriptase : 215 or 184.
- If abnormal laboratory results such as :
- Hb\<8 g/dl
- Absolute neutrophil count\<750 cells/µl
- Platelet count\<50 000/ml
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Abbottlead
Related Publications (2)
Tran TA, Ghosn J, Avettand-Fenoel V, Hendel-Chavez H, de Goer de Herve MG, Cohen-Codar I, Rouzioux C, Delfraissy JF, Taoufik Y. Residual HIV-1 replication may impact immune recovery in patients on first-line lopinavir/ritonavir monotherapy. J Antimicrob Chemother. 2015 Sep;70(9):2627-31. doi: 10.1093/jac/dkv138. Epub 2015 May 28.
PMID: 26023212DERIVEDGhosn J, Flandre P, Cohen-Codar I, Girard PM, Chaix ML, Raffi F, Dellamonica P, Ngovan P, Norton M, Delfraissy JF; MONARK Study Group. Long-term (96-week) follow-up of antiretroviral-naive HIV-infected patients treated with first-line lopinavir/ritonavir monotherapy in the MONARK trial. HIV Med. 2010 Feb;11(2):137-42. doi: 10.1111/j.1468-1293.2009.00752.x. Epub 2009 Aug 13.
PMID: 19682100DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Global Medical Information
Abbott
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 13, 2005
First Posted
October 10, 2005
Study Start
August 1, 2003
Primary Completion
February 1, 2007
Last Updated
April 3, 2008
Record last verified: 2008-04