Effects of Dolutegravir Based Regimen on HIV-1 Reservoir and Immune Activation
1 other identifier
observational
202
1 country
1
Brief Summary
We aim at comparing markers of HIV reservoir, monocyte function and immune activation between antiretroviral therapy (ART)-naïve (chronic infection or primary infection), ART-controlled or ART-failing HIV infected adults initiating a dolutegravir (DTG)-based regimen. The investigators' purpose is to measure cell associated HIV-1 DNA, monocyte function \[soluble CD14 (sCD14), soluble CD163 (sCD163)\], and immune activation \[neopterine, interleukin-6 (IL-6) and high-sensitivity C-reactive protein (hsCRP)\] biomarkers at different time points between baseline and week 48 post DTG-based regimen initiation in each group.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2014
Typical duration for all trials
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
Study Start
First participant enrolled
April 1, 2014
CompletedFirst Submitted
Initial submission to the registry
September 14, 2015
CompletedFirst Posted
Study publicly available on registry
September 23, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2016
CompletedSeptember 23, 2015
September 1, 2015
2.4 years
September 14, 2015
September 22, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline in Proviral HIV-1 DNA at Week 48
Baseline and 48 weeks post DTG-based regimen initiation
Secondary Outcomes (1)
Quantification of biomarkers of immune activation
Baseline, 24 and 48 weeks post DTG-based regimen initiation
Study Arms (4)
ART-naive (primary infection)
ART-naive (primary infection) HIV infected adults
ART-naïve (chronic infection)
ART-naïve (chronic infection) HIV infected adults
ART-controlled
ART-controlled HIV infected adults
ART-failing
ART-failing HIV infected adults
Interventions
Eligibility Criteria
Patients visiting an HIV Infection care center at a university hospital will be selected
You may qualify if:
- Male or female aged from de 18 to 80 years
- Patient starting a DTG-regimen
- Patients agreeing to use methods of birthcontrol while on the study and during the 6 weeks after stopping DTG treatment
- Signed and dated written informed consent is obtained from the subject or the subject's legal representative prior to screening
You may not qualify if:
- Women who are pregnant or breastfeeding
- HBV or HCV coinfection
- Participation in another clinical drug or device trial where the last dose of drug was within the past 30 days or an investigational medical device is currently implanted
- Documented resistance to DTG
- Allergy or intolerance to the study drugs or their components or drugs of their class
- Any acute or verified Grade 4 laboratory abnormality (with the exception of Grade 4 lipids) at Screening.
- Coadministration with Dofelitide
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hôpitaux Universitaires de Strasbourg - Trait d'Union
Strasbourg, 67091, France
Related Publications (2)
Gantner P, Barnig C, Partisani M, Lee GQ, Beck-Wirth G, Faller JP, Martinot M, Mosheni-Zadeh M, Cheneau C, Batard ML, Fischer P, Fuchs A, Uring-Lambert B, Bahram S, Rey D, Fafi-Kremer S. Distribution and reduction magnitude of HIV-DNA burden in CD4+ T cell subsets depend on art initiation timing. AIDS. 2018 Apr 24;32(7):921-926. doi: 10.1097/QAD.0000000000001770.
PMID: 29424775DERIVEDGantner P, Lee GQ, Rey D, Mesplede T, Partisani M, Cheneau C, Beck-Wirth G, Faller JP, Mohseni-Zadeh M, Martinot M, Wainberg MA, Fafi-Kremer S. Dolutegravir reshapes the genetic diversity of HIV-1 reservoirs. J Antimicrob Chemother. 2018 Apr 1;73(4):1045-1053. doi: 10.1093/jac/dkx475.
PMID: 29244129DERIVED
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 14, 2015
First Posted
September 23, 2015
Study Start
April 1, 2014
Primary Completion
September 1, 2016
Study Completion
September 1, 2016
Last Updated
September 23, 2015
Record last verified: 2015-09