A 72-week Randomized Clinical Trial Comparing the Safety and Efficacy of Three Initial Antiretroviral Regimens -GPO-VIR S (d4T/3TC/NVP) for 24 Weeks Followed by GPO-VIR Z (AZT/3TC/NVP) vs GPO-VIR Z vs TDF/FTC/NVP
1 other identifier
interventional
150
1 country
1
Brief Summary
This protocol aims to determine the risk/benefits of this policy by comparing head-to-head a regimen of GPO-VIR Z or TDF/FTC/NVP for 18 months in ARV-naïve patients to a 6-month lead in with GPO-VIR S followed by 12 months of GPO-VIR Z. The primary outcomes to be assessed will be anemia, neuropathy, lipoatrophy and renal function.
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 Apr 2008
1 active site
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
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
April 24, 2008
CompletedFirst Posted
Study publicly available on registry
April 30, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2011
CompletedMay 28, 2015
May 1, 2015
2.7 years
April 24, 2008
May 27, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change from baseline in mean hemoglobin at 24 weeks and 72 weeks
72 weeks
Proportion of participants with peripheral neuropathy at 24 weeks and 72 weeks
72 weeks
Secondary Outcomes (4)
Changes from baseline in body weight, limb fat, and lean body mass by DEXA scan at 24 weeks and 72 weeks
72 weeks
Change from baseline in serum creatinine at 24 weeks and 72 weeks
72 weeks
Proportion of participants with plasma HIV-1 RNA less than 50 copies/mL at 24 weeks and 72 weeks
72 weeks
Change from baseline in CD4 count at 24 weeks and 72 weeks
72 weeks
Study Arms (3)
1. GPO-VIR S 1 pill orally every 12 hours
EXPERIMENTAL2 GPO-VIR Z 1 pill orally every 12 hours
EXPERIMENTAL3 Truvada 1 pill oral q 24 hr and NVP 1 pill oral q 12 hr
EXPERIMENTALInterventions
Truvada(FTC200mg+TDF300mg) every 24 hours + NVP 200 mg every 12 hours orally until week 72
Eligibility Criteria
You may qualify if:
- Documented HIV-1 infection
- Age ≥ 18 years old.
- Subjects must be naïve to ARV. Individuals with past exposure to ARV associated with pregnancy will be allowed to enroll as long as the exposure is at least 3 months prior to entry.
- CD4 \< 350 cells/mm3
- Subject understands the study and is able to sign informed consent
You may not qualify if:
- Evidence of symptomatic persistent symptoms of tingling or numbness of lower extremities and bilateral lower extremity neuropathy on exam at entry. Abnormal exam includes 1) Diminished (compared with the knee) or absent ankle reflexes OR 2) Diminution of either vibration sensation in the legs (defined as perception of vibration for \< 10 seconds at the great toe with a tuning fork initially struck hard enough to be audible) OR 3) Diminution of pin or temperature sensation in lower extremities OR 4) Contact allodynia in the feet.
- Laboratory values 1) Absolute neutrophil count (ANC) \< 750/mm3 2) Hemoglobin \< 8.0 g/dL 3) ALT (SGPT) \> 5 x ULN 4) Creatinine \> 2 X ULN or \< creatinine clearance \< 30 cc per min by Cockroft-Gault formula
- Active AIDS-defining opportunistic infection (OI) within 30 days prior to entry. Subjects must be off all acute treatments for OI for at least 14 days prior to entry. Subjects on maintenance or prophylactic therapy for AIDS-related OIs will be eligible.
- Any immunomodulator, HIV vaccine or investigational therapy within 30 days of study entry
- Pregnancy or breast-feeding; intent to become pregnant during the course of the study.
- Presence of any active malignancy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- SEARCH Research Foundationlead
- Queen Savang Vadhana Memorial Hospital, Thailandcollaborator
- Thai Red Cross AIDS Research Centrecollaborator
- University of Hawaiicollaborator
Study Sites (1)
SEARCH Thailand
Bangkok, Bangkok, 10330, Thailand
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jintanat - Ananworanich, M.D.
SEARCH Thailand
- PRINCIPAL INVESTIGATOR
Jintanat - Ananworanich, M.D., Ph.D
SEARCH Thailand
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Jintanat Ananworanich
Study Record Dates
First Submitted
April 24, 2008
First Posted
April 30, 2008
Study Start
April 1, 2008
Primary Completion
December 1, 2010
Study Completion
April 1, 2011
Last Updated
May 28, 2015
Record last verified: 2015-05