Prevention of Lipoatrophy in Patients Treated With Lopinavir/Ritonavir in Monotherapy Versus ZDV + 3TC + ABC
KALIPO
A Randomized Comparative Clinical Trial of ZDV + 3TC + ABC (Trizivir) vs Monotherapy With Lopinavir/R (Kaletra) in Patients With Viral Suppression on Previous Treatment With ZDV + 3TC + ABC (Trizivir) for Preventing Lipoatrophy
3 other identifiers
interventional
38
1 country
7
Brief Summary
The aim of this study is to measure the prevention of lipoatrophy in patients treated with Lopinavir/R in monotherapy versus ZDV + 3TC + ABC
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Dec 2008
Longer than P75 for phase_4
7 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
December 1, 2008
CompletedFirst Submitted
Initial submission to the registry
March 18, 2009
CompletedFirst Posted
Study publicly available on registry
March 19, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedSeptember 12, 2013
September 1, 2013
4.2 years
March 18, 2009
September 11, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Limb Fat changes measured by DEXA
48 weeks
Secondary Outcomes (3)
20 % loss peripheral fat measured by DEXA
96 weeks
Perception of change on body fat by physician and patient.
96 weeks
Lipohypertrophy
96 weeks
Study Arms (2)
TZV (Trizivir)
NO INTERVENTIONKeeping on TZV in patients with viral suppression
2
EXPERIMENTALSwitching to LPV/r monotherapy
Interventions
Patients on treatment with TZV and viral suppression will be randomized to keep on TZV vs switching to LPV/r monotherapy
Patients on AZT+3TC+ABV with viral suppression will be randomized to keep on vs switching to LPV/r
Eligibility Criteria
You may qualify if:
- Patients infected with HIV 1 documented by positive HIV 1 antibody test and/or positive PCR test confirmed for HIV 1 RNA.
- Patients on treatment with Trizivir with an undetectable viral burden defined as \< 50 copies/ml in the past 6 months.
- Men or women aged ≥ 18 years.
- CD4 cell count ≥ 200 cells/μl.
- For women of child bearing age, a negative urine pregnancy test at the screening visit.
- Patients giving their written informed consent before completing any study specific screening procedure.
You may not qualify if:
- Patients with previously failed therapy with protease inhibitors (PI) or those receiving sub optimum therapy with nucleoside analogue reverse transcriptase inhibitors (NRTI) for the study disease.
- Presence of lipoatrophy defined by the investigator (any grade) or by the patient (in this case, at least two sites of mild degree or one of at least moderate degree).
- Known history of drug addiction or chronic use of alcohol that, in the investigator's opinion, contraindicates participation in the study.
- Pregnant or nursing women or women of child bearing age not using an adequate contraceptive method according to the investigator's criterion.
- Current active opportunistic infection or documented infection in the 4 weeks prior to screening.
- Renal disease with creatinine clearance \< 50 ml/min.
- Concomitant use of nephrotoxic or immunosuppressive agents.
- Patient currently treated with systemic corticosteroids, interleukine 2, or chemotherapy.
- Patients treated with other investigational agents.
- Patients with acute hepatitis.
- Any disease that, at the criterion in the investigator, contraindicates the patient's participation in the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fundacion SEIMC-GESIDAlead
- Abbottcollaborator
Study Sites (7)
Hospital Ntra.Sra. de Zumarraga
Zumarraga, Guipuzcua, 28700, Spain
Hospital Severo Ochoa
Leganés, Madrid, 28911, Spain
Hospital Doce de Octubre
Madrid, Madrid, 28041, Spain
Hospital La Paz
Madrid, Madrid, 28046, Spain
Hospital de Donostia
Donostia / San Sebastian, San Sebastian, 20014, Spain
Hospital de Basurto
Bilbao, Vizcaya, 48013, Spain
H. Son Dureta
Mallorca, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Jose Antonio Iribarren
Hospital de Donostia
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 18, 2009
First Posted
March 19, 2009
Study Start
December 1, 2008
Primary Completion
March 1, 2013
Study Completion
March 1, 2013
Last Updated
September 12, 2013
Record last verified: 2013-09