Examining Factors That May Influence Resistance to HIV-1 Infection
Prospective Study of the Determinants of Host Resistance to HIV-1 Infection
2 other identifiers
observational
522
2 countries
3
Brief Summary
Some people who are exposed to the HIV-1 virus are capable of either controlling or completely preventing viral infection. Multiple genetic factors may contribute to preventing or controlling HIV-1 infection. The purpose of this study is to analyze the immune system responses of individuals who are exposed to HIV-1 but remain uninfected.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2007
Typical duration for all trials
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 11, 2006
CompletedFirst Posted
Study publicly available on registry
July 12, 2006
CompletedStudy Start
First participant enrolled
February 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2010
CompletedApril 9, 2014
April 1, 2014
3.6 years
July 11, 2006
April 8, 2014
Conditions
Keywords
Study Arms (3)
1
Inidividuals who have been exposed to HIV but remain uninfected.
2
HIV infected regular sexual partners of Group 1 participants.
3
HIV uninfected individuals or couples who have not been exposed to HIV.
Eligibility Criteria
Community sample, including HIV infected individuals and their uninfected partners.
You may qualify if:
- Willing to provide adequate location information
- Planning to remain in the area for the duration of the study
- HIV-1 antibody positive AND nucleic acid test (NAT) or p24 antigen negative
- Report unprotected receptive or insertive vaginal, oral, or anal intercourse with Group 2 partner on at least 12 occasions (St. Mary's cohort) or 25 occasions (MRC/UVRI Uganda cohort) during the 12 months prior to screening; the first sexual exposure with Group 2 partner must have occurred at least 10 months prior to screening
- HIV-1 infected at screening, as determined by enzyme immunoassay and western blot
- Documentation of HIV-1 infection for at least 12 months prior to screening, as determined by enzyme immunoassay and western blot
- Willing to provide clinical information about HIV-1 RNA and CD4 cell count
- Report unprotected receptive or insertive vaginal, oral, or anal intercourse with Group 1 partner on at least 12 occasions during the 12 months prior to screening; the first sexual exposure with Group 1 partner must have occurred at least 10 months prior to screening
- HIV-1 infected, as determined by enzyme immunoassay and western blot
- Report unprotected receptive or insertive vaginal, oral, or anal intercourse with Group 1 partner on at least 25 occasions during the 12 months prior to screening; the first sexual exposure with Group 1 partner must have occurred at least 10 months prior to screening
- HIV-1 infected for at least 12 months prior to screening, as determined by one of the following criteria:
- Report a past medical history indicating Herpes zoster infection within the prior 5 years or report a medical history indicating WHO Clinical Staging Criteria for HIV/AIDS of III or IV within the prior 5 years, OR
- CD4 cell count no greater than 450/mm3 for females or no greater than 400/mm3 for males
- Report no prior HIV testing, test HIV-1 seropositive at screening, and meet one of the following criteria:
- Report a past medical history indicating Herpes zoster infection within the prior 5 years or report a past medical history indicating WHO Clinical Staging Criteria for HIV/AIDS of III or IV in the prior 5 years, OR
- +4 more criteria
You may not qualify if:
- Injection drug use in the 5 years prior to screening
- Any condition that, in the opinion of the investigator, would be unsafe or interfere with the study
- Any obligations that may require long absences from the area
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Uganda Virus Research Institute, MRC/UVRI Uganda Research Unit on AIDS CHAVI CRS
Entebbe, Uganda
King's College Hosp., Caldecot Ctr. CHAVI CRS
London, United Kingdom
St. Mary's Hosp. of London, Imperial College School of Medicine, Clinical Trials Ctr. CHAVI CRS
London, United Kingdom
Related Publications (5)
An P, Bleiber G, Duggal P, Nelson G, May M, Mangeat B, Alobwede I, Trono D, Vlahov D, Donfield S, Goedert JJ, Phair J, Buchbinder S, O'Brien SJ, Telenti A, Winkler CA. APOBEC3G genetic variants and their influence on the progression to AIDS. J Virol. 2004 Oct;78(20):11070-6. doi: 10.1128/JVI.78.20.11070-11076.2004.
PMID: 15452227BACKGROUNDKebba A, Kaleebu P, Rowland S, Ingram R, Whitworth J, Imami N, Gotch F. Distinct patterns of peripheral HIV-1-specific interferon- gamma responses in exposed HIV-1-seronegative individuals. J Infect Dis. 2004 May 1;189(9):1705-13. doi: 10.1086/383227. Epub 2004 Apr 19.
PMID: 15116309BACKGROUNDKebba A, Kaleebu P, Serwanga J, Rowland S, Yirrell D, Downing R, Gilmour J, Imami N, Gotch F, Whitworth J. HIV type 1 antigen-responsive CD4+ T-lymphocytes in exposed yet HIV Type 1 seronegative Ugandans. AIDS Res Hum Retroviruses. 2004 Jan;20(1):67-75. doi: 10.1089/088922204322749512.
PMID: 15000700BACKGROUNDMissale G, Papagno L, Penna A, Pilli M, Zerbini A, Vitali P, Pieroni G, Urbani S, Uggeri J, Pinheiro S, Rowland-Jones S, Ferrari C. Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection. Eur J Immunol. 2004 Nov;34(11):3208-15. doi: 10.1002/eji.200424889.
PMID: 15459901BACKGROUNDO'Brien SJ, Nelson GW. Human genes that limit AIDS. Nat Genet. 2004 Jun;36(6):565-74. doi: 10.1038/ng1369.
PMID: 15167933BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Andrew J. McMichael, MD, PhD
University of Oxford, Weatherall Institute of Molecular Medicine
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 11, 2006
First Posted
July 12, 2006
Study Start
February 1, 2007
Primary Completion
September 1, 2010
Study Completion
September 1, 2010
Last Updated
April 9, 2014
Record last verified: 2014-04