Status:

COMPLETED

Structured Treatment Interruption for HIV Patients With Virologic Failure

Lead Sponsor:

University Health Network, Toronto

Collaborating Sponsors:

Canadian Institutes of Health Research (CIHR)

CIHR Canadian HIV Trials Network

Conditions:

HIV

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The purpose of this study is to assess the virologic impact of switching treatment-experienced HIV-infected patients with virologic failure to a salvage regimen with or without a 12 week STI prior to ...

Detailed Description

To prospectively determine the virologic impact of switching treatment-experienced HIV-infected patients with virologic failure to a salvage regimen with or without a 12 week STI prior to the switch. ...

Eligibility Criteria

Inclusion

  • Age \> 18 years.
  • On therapy with a triple ARV that includes a protease inhibitor and/or non-nucleoside reverse transcriptase inhibitor for the past 3 months with no changes in any agent of the combination in the past 14 days.
  • Virologic failure while on the combination as defined by a plasma HIV RNA \> 1000 copies/mL measured on 2 occasions at least 4 weeks apart.
  • HIV RNA \<500,000 copies/mL.
  • CD4 cell count must be \> 50/mm3
  • Patients must not have a present history of opportunistic infections or acute illness requiring treatment within the preceding 30 days.
  • The patient has at least two new ARV available based on history, and at least two of these new agents will be included in the new salvage regimen.

Exclusion

  • Active substance abuse which would interfere with the patient's ability to participate in this trial, or declared non-compliance.
  • Pregnancy or breast feeding.
  • Patients with any of the following abnormal laboratory test results at screening:· Hemoglobin\<80 g/L, neutrophil count\<750 cells/mL, Platelet\<20,000 /mL· AST or ALT \> 5X Upper Limit of Normal (ULN)· Creatinine \> 250 umol/L
  • End stage organ disease
  • Patient with malignancy receiving systemic chemotherapy
  • Patient has need for immune modulators (interleukin, interferon, GMCSF etc) or prednisone. This excludes a short course of inhaled or oral steroids for asthma exacerbation)

Key Trial Info

Start Date :

January 1 2001

Trial Type :

INTERVENTIONAL

End Date :

November 1 2005

Estimated Enrollment :

196 Patients enrolled

Trial Details

Trial ID

NCT00188851

Start Date

January 1 2001

End Date

November 1 2005

Last Update

September 16 2005

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