Study to Compare the Virologic Efficacy in Cerebrospinal Fluid (CSF) and Neurocognitive State in Patients Infected by HIV-1 Long-term Treatment (> 3 Years) With Lopinavir / Ritonavir Monotherapy
Exploratory, Cross-sectional Study to Compare the Virologic Efficacy in Cerebrospinal Fluid (CSF) and Neurocognitive State in Patients Infected by HIV-1 Long-term Treatment (> 3 Years) With Lopinavir / Ritonavir Monotherapy
1 other identifier
interventional
35
1 country
1
Brief Summary
The aim of this study is to describe and compare the percentage of patients infected by HIV-1 to maintain a complete virology suppression at the CSF (CSF CV 1 copy / mL) in patients with CV \<50 copies / mL and treated with stable antiretroviral therapy for at least 3 years with LPV / r 400/100 mg twice daily + 2 NRTI.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 hiv
Started Aug 2010
Shorter than P25 for phase_4 hiv
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
First Submitted
Initial submission to the registry
April 30, 2010
CompletedFirst Posted
Study publicly available on registry
May 5, 2010
CompletedStudy Start
First participant enrolled
August 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2011
CompletedDecember 5, 2019
December 1, 2019
10 months
April 30, 2010
December 3, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Ultrasensitive HIV-1 RNA in CSF
week 0
Secondary Outcomes (6)
CD4 cell count
week 0
Plasmatic HIV-1 Viral load
week 0
Plasmatic and CSF trough-LPV concentration
weeks 0
Neurocognitive alteration, present when there is a diagnosis of any neurocognitive disorders associated with HIV (HAND).
week 0
Overall deficit ratio (GDS)
week 0
- +1 more secondary outcomes
Study Arms (2)
LPV/r monotherapy 400/100 mg twice daily, orally administered
EXPERIMENTALLPV/r monotherapy 400/100 mg twice daily, orally administered
Lumbar puncture
ACTIVE COMPARATORLPV/r 400/100 mg twice daily + 2 NRTI, orally administered.
Interventions
Lumbar puncture at week 0
Lumbar puncture at week 0
Eligibility Criteria
You may qualify if:
- Experimental group:
- Initiating monotherapy with lopinavir / ritonavir maintaining values of plasma HIV-1 RNA undetectable (cv \<50 copies / mL).
- Maintain complete virologic suppression (CV \<50 copies / ml) in plasma for at least 3 years in treatment with LPV / r monotherapy. (Or 2 years, if not complied with the expected number of patients with at least 3 years with LPV / r monotherapy).
- Good adherence to treatment (\> 90%).
- Signing of informed consent.
- Control group:
- Maintain complete virologic suppression (CV \<50 copies / ml) in plasma for at least 3 years in treatment with LPV / r monotherapy. (Or 2 years, if not complied with the expected number of patients with at least 3 years with LPV / r 400/100 mg 2 twice a day + 2 ITIAN).
- Good adherence to treatment (\> 90%).
- Signing of informed consent.
You may not qualify if:
- Pregnancy or breastfeeding.
- Therapies that include interferon, interleukin-2, cytotoxic chemotherapy or immunosuppressant at baseline.
- Do not sign the informed consent.
- Existence of any contraindication to the performance of lumbar puncture.
- Presence of psychiatric disorders or being in psychopharmacological treatment.
- Active alcohol consumption (\> 50 g / day) or illicit drugs.
- Existence current or past opportunistic infection involving CNS functioning alteration.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Germans Trias i Pujol Hospital
Badalona, Barcelona, 08916, Spain
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 30, 2010
First Posted
May 5, 2010
Study Start
August 1, 2010
Primary Completion
June 1, 2011
Study Completion
June 1, 2011
Last Updated
December 5, 2019
Record last verified: 2019-12