Genotypic Tropism Testing In Proviral Dna To Guide CCR5 Antagonist Treatment In Subjects With Undetectable HIV-1 Viremia
Use Of Genotypic HIV-1 Tropism Testing In Proviral DNA To Guide CCR5 Antagonist Treatment In Subjects With Undetectable HIV-1 Viremia
1 other identifier
interventional
74
1 country
24
Brief Summary
CCR5 antagonists might be an adequate alternative for HIV-1-infected individuals with suppressed viremia who experience antiretroviral-related toxicity. The assessment of HIV-1 tropism in proviral DNA could be helpful to inform in which of these subjects CCR5 antagonists could be efficacious.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4 hiv
Started Jun 2011
Typical duration for phase_4 hiv
24 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
June 1, 2011
CompletedFirst Submitted
Initial submission to the registry
June 17, 2011
CompletedFirst Posted
Study publicly available on registry
June 23, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2014
CompletedNovember 14, 2019
July 1, 2014
2.8 years
June 17, 2011
November 11, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of patients with viral load under 50 copies/mL
Week 48
Secondary Outcomes (36)
Percentage of patients without confirmed virological failure.
Up to week 48
Time to loss of virological response (TLOVR) < 200 copies/mL
Up to week 48
Time to loss of virological response (TLOVR) < 50 copies/mL
Up to week 48
Proportion of patients treated with maraviroc with viral load under 50 copies/mL
Week 12
Proportion of patients treated with maraviroc with viral load under 50 copies/mL
Week 24
- +31 more secondary outcomes
Study Arms (1)
Change of 3rd drug to maraviroc
EXPERIMENTALChange of PI, NNRTI or integrase inhibitor to CCR5 antagonist (maraviroc)
Interventions
Change of PI, NNRTI or integrase inhibitor to CCR5 antagonist (maraviroc)
Eligibility Criteria
You may qualify if:
- HIV-1 infected patients.
- Age 18 or more.
- Antiretroviral treatment containing 2 Nucleoside/Nucleotide Reverse Transcriptase Inhibitors (NRTIs) plus 1 Non-nucleoside reverse-transcriptase inhibitor (NNRTI) or 1 protease inhibitor (PI) or 1 integrase inhibitor (ININ)
- Patients receiving stable antiretroviral treatment for at least 6 months.
- Viral load under 50 copies/mL in the last 6 months
- Patients with CCR5 tropism based in V3 genotyping in proviral DNA using the G2P with a false positive rate of 10% interpretation method.
- A change of treatment is needed due to toxicity / tolerability problems with the 3rd drug (PI, NNRTI or ININ), according to investigator criteria.
- An antiretroviral regimen containing a CCR5-antagonist is suitable for the patient (physician criteria).
- Voluntary written informed consent.
You may not qualify if:
- Pregnancy or breast-feeding.
- Patient previously treated with maraviroc.
- Patients with documented resistance to maraviroc or any other drug considered for the new ARV regimen.
- Bad adherence history or anticipated (investigator criteria).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (24)
Hospital Xeral de Vigo
Santiago de Compostela, A Coruña, 15781, Spain
Hospital de Elche
Elche, Alicante, 03203, Spain
Hospital Son Espases
Palma de Mallorca, Balearic Islands, 07011, Spain
H. U. Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
H. de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
Hospital U. Marqués de Valdecilla
Santander, Cantabria, 39011, Spain
Hospital General de Castellón
Castellon, Castelló, 12004, Spain
Hospital Sta. Lucía/ H. Sta. Mª del Rosell
Cartagena, Murcia, 30203, Spain
Hospital de Cruces
Bilbao, Vizcaya, 48903, Spain
Hospital Gral. U. de Alicante
Alicante, 03010, Spain
Hospital Vall d'Hebron
Barcelona, 08035, Spain
Hospital de Mataró
Barcelona, 08304, Spain
Hospital Virgen de las Nieves
Granada, 18014, Spain
Hospital U. San Cecilio
Granada, 28012, Spain
Hospital U. Gregorio Marañón
Madrid, 28007, Spain
Hospital Carlos III
Madrid, 28029, Spain
Hospital Ramón y Cajal
Madrid, 28034, Spain
Hospital Clínico San Carlos
Madrid, 28040, Spain
Hospital Reina Sofía de Murcia
Murcia, 30003, Spain
Hospital Sant Pau i Santa Tecla
Tarragona, 43007, Spain
Hospital La Fe
Valencia, 46009, Spain
Hospital Gral. U. de Valencia
Valencia, 46014, Spain
Hospital Arnau de Vilanova
Valencia, 46015, Spain
Hospital U. Dr. Peset
Valencia, 46017, Spain
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 17, 2011
First Posted
June 23, 2011
Study Start
June 1, 2011
Primary Completion
April 1, 2014
Study Completion
May 1, 2014
Last Updated
November 14, 2019
Record last verified: 2014-07