Status:

COMPLETED

Mechanisms of Immune Reconstitution & Reduced Immune Activation Following Darunavir-based ART

Lead Sponsor:

University of California, Davis

Conditions:

Human Immunodeficiency Virus Infection

Eligibility:

All Genders

21+ years

Phase:

PHASE4

Brief Summary

Potent HIV suppression with Darunavir-based antiretroviral therapy (ART) will lead to repopulation of gastrointestinal-associated lymphoid tissue (GALT) cluster of differentiation (CD)4+ T-cell popula...

Detailed Description

Rationale Infection with HIV causes significant morbidity and mortality, even among individuals who are virologically suppressed with combination anti-retroviral therapy (ART). ART is effective in pro...

Eligibility Criteria

Inclusion

  • Willing to sign consent form
  • Naïve to ART (remote ART use \>5 years will be considered on a case by case basis)
  • No known GI or cardiovascular disease
  • Between the ages of 18 and 60
  • No active opportunistic infections or therapy for acute OI within 30 days of entry. Subjects can be on secondary prophylaxis with a history of AIDS defining illness.
  • All women of childbearing potential (WCBP) must have a negative urine pregnancy test before any of the invasive or radiation exposure study procedures.
  • Normal population should be free of chronic metabolic conditions such as diabetes, hypercholesterolemia, or coronary artery disease
  • There are no CD4+ T-cell count or HIV plasma viral load restrictions.

Exclusion

  • Abnormal coagulation parameters (PT\>1.2 upper limit of normal (ULN))
  • Thrombocytopenia (platelet count \<50.000 within 6 weeks)
  • Contra-indications to upper endoscopy or conscious sedation
  • Anemia (\>grade 1 \[appendix 1\])
  • Aspirin, ibuprofen, warfarin or other agents that interfere with the coagulation cascade are prohibited within 1 week of endoscopy.
  • Renal insufficiency (serum Creatinine \>1.2 ULN)
  • History of chronic proteinuria that could impact viread use.
  • Allergy to contrast used for CT angiography
  • Requirement to take medications that are contraindicated with study ART regimen.

Key Trial Info

Start Date :

June 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2016

Estimated Enrollment :

37 Patients enrolled

Trial Details

Trial ID

NCT01869634

Start Date

June 1 2013

End Date

December 1 2016

Last Update

March 4 2020

Active Locations (1)

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1

University of California Davis

Sacramento, California, United States, 95617