Efficacy of Treatment Intensification With Maraviroc on HIV-1 Viral Latency in Recently Infected Hiv-1 naïve Patients Starting Raltegravir Plus Tenofovir/Emtricitabine
1 other identifier
interventional
30
1 country
2
Brief Summary
The intensification with maraviroc in recently HIV-1-infected patients of a preferred gold-standard triple therapy composed of raltegravir plus tenofovir/emtricitabine could accelerate the decay of the HIV-1 reservoir in latently infected cells established early in HIV-1 infection. This could provide further insight into this area, decrease the size of latent reservoir, and translate into clinical benefits for patients.
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 Feb 2009
2 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
First Submitted
Initial submission to the registry
December 12, 2008
CompletedFirst Posted
Study publicly available on registry
December 15, 2008
CompletedStudy Start
First participant enrolled
February 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2011
CompletedJanuary 31, 2020
January 1, 2020
2.7 years
December 12, 2008
January 30, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change at 48 weeks in the slope of decay of integrated and unintegrated viral DNA in PBMCs.
BL, W2, W4, W12, W24, W48
Secondary Outcomes (10)
Decay of residual HIV-1 replication under maraviroc intensification assessed by an ultrasensitive RT-PCR assay with a lower limit of quantification of 5 copies/mL.
BL, W2, W4, W8, W12, W24, W36, W48
Blips during the study (viral load >50 copies/mL, preceded and followed by determinations <50 copies/mL in previous and posterior controls).
From Baseline to W48
HIV-1 RNA below 50 copies/mL at 48 weeks.
W48
Change in the lymphocyte activation marker HLADR+CD38+ from baseline to week 48.
BL, W4, W12, W24, W48, W60, W72
Relationship between maraviroc and/or raltegravir plasma concentrations and change in the slope of decay of integrated viral DNA in PBMCs
W12, W24, W48
- +5 more secondary outcomes
Study Arms (2)
1
EXPERIMENTALFrom Baseline to Week48: Raltegravir BID + Tenofovir/Emtricitabine QD + Maraviroc BID From W48 to W72: Raltegravir BID + Tenofovir/Emtricitabine QD
2
ACTIVE COMPARATORStart ARV treatment with : Raltegravir BID + Tenofovir/Emtricitabine
Interventions
Eligibility Criteria
You may qualify if:
- HIV-1 infected adults (\>=18 years old).
- No previous antiretroviral therapy for more than 2 weeks.
- HIV-1 infection documented in the past 6 months by a previous negative ELISA test, or a documented clinical acute seroconversion in the past 6 months.
- CCR5-tropism confirmed at screening.
- 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 NRTI mutations in the screening genotype.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
Hospital Clinic i Provincial de Barcelona
Barcelona, 08916, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bonaventura Clotet, MD,PhD
LLuita contra la SIDA Foundation-HIV Unit
- PRINCIPAL INVESTIGATOR
Josep Mª Llibre, MD,PhD
LLuita contra la SIDA Foundation-HIV Unit
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr. Bonaventura Clotet
Study Record Dates
First Submitted
December 12, 2008
First Posted
December 15, 2008
Study Start
February 1, 2009
Primary Completion
November 1, 2011
Study Completion
November 1, 2011
Last Updated
January 31, 2020
Record last verified: 2020-01