Can Resistance Enhance Selection of Treatment? (CREST)
A Randomised Comparator Study to Assess the Relative Efficacy of Genotypic Versus Virtual Phenotypic Resistance Tests in Treatment Experienced Patients With HIV Infection for Whom a Change in Therapy is Indicated
2 other identifiers
interventional
338
1 country
19
Brief Summary
To compare two commercially available platforms for assessment of HIV drug resistance to determine which provides superior virological results. We hypothesise that one test will be significantly superior to the other.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2001
Longer than P75 for not_applicable
19 active sites
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
March 1, 2001
CompletedFirst Submitted
Initial submission to the registry
December 6, 2005
CompletedFirst Posted
Study publicly available on registry
December 7, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 30, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2006
CompletedJune 26, 2025
June 1, 2025
4.9 years
December 6, 2005
June 23, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The comparison between randomly assigned study arms in the mean area under the curve plasma HIV RNA at 48 weeks.
at 48 weeks follow-up
Secondary Outcomes (1)
Proportion of patients with undetectable plasma HIV RNA, Changes in CD4+ cell count, use of resistance test result in selecting new ART regimen
at 48 weeks
Study Arms (2)
Group A: subjects assign to receive a GENOTYPE
EXPERIMENTALrandomised prior to the selection of their new cART regimen
Group B: subjects assign to receive a VIRTUAL PHENOTYPE
EXPERIMENTALrandomised prior to the selection of their new cART regimen
Interventions
Eligibility Criteria
You may qualify if:
- HIV infected patients taking combination antiretroviral therapy, with plasma HIV RNA\> 2000copies/mL, who were willing to change ARVs and who provided informed consent.
You may not qualify if:
- Patients who were ARV naïve, who were experiencing an acute illness or judged to be unable to comply with the protocol requirements.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Kirby Institutelead
- Abbottcollaborator
- Boehringer Ingelheimcollaborator
- GlaxoSmithKlinecollaborator
- Bristol-Myers Squibbcollaborator
- Merck Sharp & Dohme LLCcollaborator
- Roche Pharma AGcollaborator
- Vircocollaborator
- Diagnostic Technologycollaborator
- Perkin Elmer Inc.collaborator
Study Sites (19)
Interchange General Practice
Canberra, Australian Capital Territory, Australia
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050, Australia
Sydney Sexual Health Clinic
Sydney, New South Wales, 2000, Australia
AIDS Research Initiative
Sydney, New South Wales, 2010, Australia
Albion Street Centre
Sydney, New South Wales, 2010, Australia
Holdsworth House General Practice
Sydney, New South Wales, 2010, Australia
St. Vincent's Hospital
Sydney, New South Wales, 2010, Australia
Taylor Square Private Clinic
Sydney, New South Wales, 2010, Australia
Prince of Wales Hospital
Sydney, New South Wales, 2031, Australia
Livingston Road Sexual Health
Sydney, New South Wales, Australia
QLD Health - AIDS Medical Unit
Brisbane, Queensland, 4002, Australia
Cairns Base Hospital
Cairns, Queensland, 4870, Australia
Gold Coast Sexual Health Clinic
Miami, Queensland, 4220, Australia
Care and Prevention Programme
Adelaide, South Australia, Australia
Alfred Hospital
Melbourne, Victoria, 3004, Australia
Melbourne Sexual Health Centre
Melbourne, Victoria, 3053, Australia
Prahran Market Clinic
Melbourne, Victoria, 3141, Australia
Fremantle Hospital
Fremantle, Western Australia, 6160, Australia
Royal Perth Hospital
Perth, Western Australia, 6000, Australia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Sean Emery, PhD
The National Centre in HIV Epidemiology and Clinical Research at the University of New South Wales
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 6, 2005
First Posted
December 7, 2005
Study Start
March 1, 2001
Primary Completion
January 30, 2006
Study Completion
July 31, 2006
Last Updated
June 26, 2025
Record last verified: 2025-06