Impact of MK-0518 (Raltegravir) Intensification on HIV-1 Viral Latency in Patients With Previous Complete Viral Suppression
1 other identifier
interventional
69
1 country
3
Brief Summary
An intensification with the HIV-1 integrase inhibitor Raltegravir (RAL) of a stable HAART regimen with persistent HIV-1 viral suppression could increase the slope of decay of the HIV-1 latent reservoir.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 hiv-infections
Started Nov 2007
Shorter than P25 for phase_3 hiv-infections
3 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
November 1, 2007
CompletedFirst Submitted
Initial submission to the registry
November 5, 2007
CompletedFirst Posted
Study publicly available on registry
November 6, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2009
CompletedDecember 4, 2019
December 1, 2019
1.5 years
November 5, 2007
December 3, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Quantification of integrated and unintegrated viral HIV-1 DNA in PBMCs
Basal, week 12, week 24 and week 48
Secondary Outcomes (5)
Quantification of residual HIV-1 (using an ultrasensitive RT-PCR assay with a lower limit of quantification of 5 copies/mL)
Basal, week 1, week 2, week 4, week 8, week 12, week 24, week 36 and week 48
Blips during the study (> 50 copies/mL, preceded and followed by determinations < 50 copies/mL in previous and posterior controls)
Basal, week 4, week 8, week 12, week 24, week 36 and week 48
Lymphocyte activation marker CD8+HLADR+CD38+
Basal, week 2, week 4, week 12, week 24 and week 48.
Raltegravir plasma trough concentration.
Week 12, week 24 and week 48
Level of apoptosis in CD4 and CD8 T cells.
Week 48 and week 60
Study Arms (2)
A
EXPERIMENTALMK-0518 400mg twice a day
B
NO INTERVENTIONNo intervention
Interventions
Eligibility Criteria
You may qualify if:
- HIV-1 infected adults (+18 years old).
- Complete virological suppression (\<50 copies/mL) for += 12 months, including at least 3 times during the last year.
- Patients on HAART regimen including a PI or an NNRTI and at least two nucleotide inhibitors.
- Voluntary written informed consent.
You may not qualify if:
- Pregnancy, or fertile women willing to be pregnant.
- Active substance abuse or major psychiatric disease.
- Presence of drug-related mutations or any polymorphism or mutation associated to MK-0518 resistance prior to first HAART (only if genotype is available).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025, Spain
Hospital Clínic I Provinical de Barcelona
Barcelona, 08036, Spain
Related Publications (1)
Llibre JM, Buzon MJ, Massanella M, Esteve A, Dahl V, Puertas MC, Domingo P, Gatell JM, Larrouse M, Gutierrez M, Palmer S, Stevenson M, Blanco J, Martinez-Picado J, Clotet B. Treatment intensification with raltegravir in subjects with sustained HIV-1 viraemia suppression: a randomized 48-week study. Antivir Ther. 2012;17(2):355-64. doi: 10.3851/IMP1917. Epub 2011 Sep 28.
PMID: 22290239DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martínez-Picado Javier, MD,PhD
Irsi Caixa -Hospital Germans Trias i Pujol
- PRINCIPAL INVESTIGATOR
Paredes Roger, MD,PhD
Lluita contra la Sida Foundation
- PRINCIPAL INVESTIGATOR
Clotet Bonaventura, MS,PhD
Lluita contra la Sida Foundation
- STUDY DIRECTOR
Llibre Josep Mª, MD,PhD
Lluita contra la SIDA Foundation
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 5, 2007
First Posted
November 6, 2007
Study Start
November 1, 2007
Primary Completion
May 1, 2009
Study Completion
September 1, 2009
Last Updated
December 4, 2019
Record last verified: 2019-12