Study to Evaluate the Replacement of Reverse Transcriptase Nucleoside/Nucleotide Inhibitors by Nevirapine in Patients on Triple Treatment With Analogues Only
Substitution by Nevirapine in HIV-1 Infected Patients on Triple Treatment of Reverse Transcriptase Nucleoside/Nucleotide Inhibitors
1 other identifier
interventional
28
1 country
17
Brief Summary
The purpose of this study is to evaluate the proportion of patients with viral load of HIV-1 \< 50 copies after 48 weeks of follow-up after randomization to change or not to nevirapine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 hiv-infections
Started Aug 2004
17 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
August 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2006
CompletedFirst Submitted
Initial submission to the registry
December 19, 2006
CompletedFirst Posted
Study publicly available on registry
December 22, 2006
CompletedOctober 31, 2008
October 1, 2008
1.9 years
December 19, 2006
October 30, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of patients with plasma viral load below 50 copies/mL .
after 48 weeks of follow-up
Secondary Outcomes (6)
Time to the appearance of viral load >50 copies/mL in both branches (two consecutive determinations with 4-week separation between both).
During the 48 weeks of follow-up.
Evolution of the CD4 lymphocyte count at 48 weeks.
during 48 weeks of follow-up
Pattern of mutations associated with resistance in patients presenting virological failure.
When there is a virological failure
Incidence of adverse clinical effects and laboratory alterations, giving rise or not to the withdrawal of the investigational treatment.
during the 48 weeks of follow-up
Incidence of AIDS-defining events (CDC C events, 1993).
during the 48 weeks of follow-up
- +1 more secondary outcomes
Study Arms (2)
1
NO INTERVENTIONFollow with same ARV treatment
2
EXPERIMENTALSwitch one of ARV drugs to Nevirapine
Interventions
Switch one of ARV drugs to Nevirapine
Eligibility Criteria
You may qualify if:
- Patients on triple treatment with 3 nucleoside analogues or transcriptase nucleotide inhibitors in virological suppression.
- Age \>= 18 years.
- Confirmed diagnosis of HIV-1 infection.
- Viral load \< 50 copies/ml over the previous six months, including at least two consecutive determinations.
- Value of ALT transaminase £ 2.5 times the normal value of the laboratory of each centre.
- Acceptance and signature of the informed consent form.
You may not qualify if:
- Pregnant women or those who intend to become pregnant in the study period.
- Having had an active infection in the previous month.
- Previous exposure to any reverse transcriptase non-nucleoside inhibitor (nevirapine, efavirenz or delavirdine).
- Simultaneous treatment with methadone.
- Patients with serious hepatic dysfunction
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (17)
Hospital.Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
Centre Penitenciari Brians
Barcelona, Barcelona, 08009, Spain
Hopsital de Sant Pau
Barcelona, Barcelona, 08025, Spain
Hospital Vall d'Hebron
Barcelona, Barcelona, 08035, Spain
Hospital Clínic i Provincial de Barcelona
Barcelona, Barcelona, 08036, Spain
Hospital Sant Jaume de Calella
Barcelona, Barcelona, 08370, Spain
Centre Penitenciari Homes
Barcelona, Barcelona, Spain
Hospital General de Granollers
Granollers, Barcelona, 08400, Spain
Centre Penitenciari Quatre Camins
Granollers, Barcelona, 08430, Spain
Hospital de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
Mutua de Terrassa
Terrassa, Barcelona, 08221, Spain
Hospital La Candelaria
Santa Cruz de Tenerife, Canary Islands, 38010, Spain
Hospital Clínico San Carlos de Madrid
Madrid, Madrid, 28040, Spain
Hospital Universitari Sant Joan de Reus
Reus, Tarragona, 43201, Spain
Hospital La Fe de Valencia
Valencia, Valencia, 46009, Spain
Hospital Miguel Servet
Zaragoza, Zaragoza, 50009, Spain
Hospital de Tortosa
Tortosa, 43500, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Josep Mª Llibre, MD,PhD
Hospital Sant Jaume de Calella
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 19, 2006
First Posted
December 22, 2006
Study Start
August 1, 2004
Primary Completion
July 1, 2006
Study Completion
July 1, 2006
Last Updated
October 31, 2008
Record last verified: 2008-10