Switching the Non-nucleoside Reverse Transcriptase Inhibitor (NNRTI) or Protease Inhibitor (PI) to Maraviroc in HIV Subjects
Pilot Study to Assess the Safety and Efficacy of Switching the Nnrti or pi to Maraviroc in Hiv-1-infected Subjects With Persistent Viremia Suppression
1 other identifier
interventional
30
1 country
3
Brief Summary
Patients with HIV-1 infection on HAART regimen including 2 NRTI/NtRTIs plus one of the following : 1 PI/ritonavir or ATV/unboosted or 1 NNRTI, will be randomized to switch from the NNRTI/PI to maraviroc (300 mg /12 h) or to continue with the same approach.
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
Started Oct 2009
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 25, 2009
CompletedFirst Posted
Study publicly available on registry
August 26, 2009
CompletedStudy Start
First participant enrolled
October 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2012
CompletedJanuary 24, 2013
January 1, 2013
2.6 years
August 25, 2009
January 23, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Viral load
48 weeks
Secondary Outcomes (10)
Time to virological failure
48 weeks
Administration of lipid-lowering drugs
48 weeks
Changes in the SCORE equation
48 weeks
CD4 / CD8 cell counts
48 weeks
Antiretroviral resistance and viral tropism
48 weeks
- +5 more secondary outcomes
Study Arms (2)
to switch from the NNRTI/PI to maraviroc
EXPERIMENTALto switch from the NNRTI/PI to maraviroc
to continue with the same approach
ACTIVE COMPARATORto continue with the same approach
Interventions
HAART regimen including 2 NRTI/NtRTIs plus maraviroc
HAART regimen including 2 NRTI/NtRTIs plus one of the following : * 1 PI/ritonavir (lopinavir/ritonavir, atazanavir/ritonavir, fosamprenavir /ritonavir, tipranavir/ritonavir, darunavir/ritonavir) * or ATV/unboosted (in a regimen without tenofovir) * or 1 NNRTI (nevirapine or efavirenz).
Eligibility Criteria
You may qualify if:
- HIV-1 infected adults (=/+18 years old).
- Patient having a diagnosis of HIV infection, on stable HAART including 2 NRTI/NtRTIs plus one of the following: 1 PI/ritonavir or ATV/unboosted or 1 NNRTI.
- Undetectable plasma HIV-1 RNA (VL \< 50 copies/mL) while on HAART.
- Patient having at least one of the following conditions:
- Antiretroviral-related gastrointestinal disturbances, or
- Low patient's satisfaction associated with the current regimen posology (ritonavir use, ritonavir intolerance…), or
- Any toxicity drug related.
- Nadir CD4 cell count \> 350 cells/mm3.
- Absence of resistance mutations in the RT or PR by (TrugeneTM)
- Good treatment adherence.
- Voluntary written informed consent.
You may not qualify if:
- Virologic failure to a previous antiretroviral regimen.
- Any antiretroviral resistance mutation in a previous resistance test.
- Dual/mixed or X4 viruses detected at any time point, including the pre-treatment ES-Trofile test of the PBMC test done before treatment switch.
- Pregnancy or fertile women willing to be pregnant.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Germans Trias i Pujol Hospital
Badalona, Barcelona, 08916, Spain
Lluita contra la Sida Foundation, HIV Unit, Irsi Caixa Foundation
Badalona, Barcelona, 08916, Spain
Lluita contra la Sida Foundation, HIV Unit
Badalona, Barcelona, 08916, Spain
Related Publications (1)
Bonjoch A, Pou C, Perez-Alvarez N, Bellido R, Casadella M, Puig J, Noguera-Julian M, Clotet B, Negredo E, Paredes R. Switching the third drug of antiretroviral therapy to maraviroc in aviraemic subjects: a pilot, prospective, randomized clinical trial. J Antimicrob Chemother. 2013 Jun;68(6):1382-7. doi: 10.1093/jac/dks539. Epub 2013 Jan 25.
PMID: 23354282DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eugènia Negredo, MD,PhD
Lluita contra la Sida Foundation, HIV Unit
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dra. Eugenia Negredo
Study Record Dates
First Submitted
August 25, 2009
First Posted
August 26, 2009
Study Start
October 1, 2009
Primary Completion
May 1, 2012
Study Completion
May 1, 2012
Last Updated
January 24, 2013
Record last verified: 2013-01