Status:

COMPLETED

Raltegravir Switch for Toxicity or Adverse Events

Lead Sponsor:

Catholic University of the Sacred Heart

Conditions:

HIV/AIDS

Antiretroviral Therapy

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This study aims to verify the persistent control of the virus replication at 48 weeks after the simplification to tenofovir + emtricitabine + raltegravir or to lamivudine+abacavir+raltegravir in patie...

Eligibility Criteria

Inclusion

  • Patients treated with a combined antiretroviral therapy from at least 1 year
  • Aged 18 years or older
  • With one or more of the following conditions:
  • Grade 3 or 4 Dyslipidemia
  • Any Hyperglycemia
  • Lipodystrophy (patient's self report, confirmed by physician's physical examination)
  • Moderate/severe cardiovascular risk, defined as a calcium score higher than 40 or a Framingham score higher than 10 (estimated 10 years cardiovascular risk: 10%)
  • Diarrhea (at least 3 emissions of loose stool every day for at least 3 days every week)
  • With at least two HIV-RNA levels \<50 copies/mL on two consecutive determinations at least 3 months apart
  • With CD4 cell count \>200 cells/ μL for at least 6 months and absence of any opportunistic infection or AIDS-related disease during the last year before screening.
  • Who gave informed consent to the participation to the study

Exclusion

  • Pregnancy or breast feeding, desire of pregnancy in the short term
  • Previous virological failure (two consecutive HIV-RNA levels \> 50 copies/mL or a single value \>1000 copies/mL) to antiretroviral therapy and/or previous exposure to mono- or dual therapies with reverse transcriptase nucleoside analogues except for patients with subsequent genotypic resistance tests showing no resistance mutations to any of the study drugs.
  • Previous exposure to inhibitors of HIV-1 integrase
  • Previous major toxicity to any of the study drugs
  • Spontaneous treatment interruptions in disagreement with the treating physician in the last year or loss to follow-up for at least 6 months, at least once in the last two years
  • Current alcohol or drug abuse or any other condition which, in the judgment of the treating physician, may impair the patient's adherence to the new drug regimen and/or to the protocol's procedures
  • Patients with grade 3 or 4 laboratory abnormalities at screening (except for lipid and glucose levels)

Key Trial Info

Start Date :

August 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2010

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT00958100

Start Date

August 1 2009

End Date

December 1 2010

Last Update

February 4 2015

Active Locations (1)

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Policlinico A. Gemelli

Rome, Italy, 00168