Tenofovir Alafenamide Fumarate (TAF) Effect on Residual Intrathecal Immune Activation
1 other identifier
interventional
22
1 country
1
Brief Summary
Many HIV-infected individuals on effective antiretroviral therapy with suppressed HIV RNA levels in blood as well as in cerebrospinal fluid have signs of low-level intrathecal inflammation. Our aim is to study if changing the nucleoside backbone in an antiretroviral regimen can decrease the residual intrathecal immune activation.
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 May 2016
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 27, 2016
CompletedStudy Start
First participant enrolled
May 2, 2016
CompletedFirst Posted
Study publicly available on registry
May 12, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 15, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 15, 2018
CompletedNovember 5, 2018
November 1, 2018
2.2 years
April 27, 2016
November 1, 2018
Conditions
Outcome Measures
Primary Outcomes (3)
Reduction of CSF immune activation as measured by CSF neopterin
12 months
Reduction of CSF immune activation as measured by CSF beta-2-microglobulin
12 months
Reduction of CSF immune activation as measured by CSF immunoglobulin G index
12 months
Secondary Outcomes (1)
Reduction of CSF HIV RNA levels, quantified with a Roche Cobas Taqman version 2 after ultracentrifugation from 10 mL (detection limit 1-2 copies/mL).
12 months
Study Arms (1)
TAF/emtricitabine (FTC)
EXPERIMENTALAll 20 patients will switch their nucleoside backbone, either ABC/3TC or TDF/FTC to TAF/FTC
Interventions
Eligibility Criteria
You may qualify if:
- Stable ART with TDF/FTC or ABC/3TC + 3rd agent (PI/r, NNRTI, or INI) \>18 months
- Plasma HIV RNA \< 50 copies/mL \>12 months
- Lumbar puncture performed in the longitudinal CSF study (University of Gothenburg) between 6 and 18 months before study entry
You may not qualify if:
- Neurological symptoms or severe neurocognitive impairment
- Pre-treatment CNS opportunistic infection/ tumour or HIV-associated dementia
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sahlgrenska University Hospital
Gothenburg, 416 85, Sweden
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 27, 2016
First Posted
May 12, 2016
Study Start
May 2, 2016
Primary Completion
July 15, 2018
Study Completion
July 15, 2018
Last Updated
November 5, 2018
Record last verified: 2018-11
Data Sharing
- IPD Sharing
- Will share