Status:

TERMINATED

Evaluation of a Blood Test to Measure Immune Function in HIV Positive People Compared With HIV Negative People

Lead Sponsor:

QIAGEN Gaithersburg, Inc

Conditions:

HIV Positive

Eligibility:

All Genders

18-65 years

Brief Summary

The health of the immune system in HIV infected people is currently determined from a blood test measuring the number of cluster of differentiation 4 (CD4) T lymphocytes. These cells play a critical r...

Detailed Description

Routine virologic and immunologic tests to monitor HIV-1 in infected individuals on highly active antiretroviral therapy (HAART) include CD4 T-cell enumeration, HIV-1 plasma viral load, and HIV-1 geno...

Eligibility Criteria

Inclusion

  • Anti-retroviral drug naïve, (never on treatment, or \>60 days off treatment), n=30
  • All plasma viral load results within the last 24 months; most recent plasma viral load result of any value used for enrollment.
  • All CD4 results within the last 24 months; most recent CD4 result used for enrollment: CD4\>500/microliter (uL) (n=15) or CD4\<500/uL (n=15).
  • Successful HAART \> 24 months with two undetectable plasma viral load within the last 12 months, n=30
  • All plasma viral load results within the last 24 months; two most recent plasma viral load results within last 12 months must be undetectable and used for enrollment.
  • All CD4 results within the last 24 months; most recent CD4 result used for enrollment: CD4\>500/uL (n=15) or CD4\<500/uL (n=15).
  • On HAART \> 24 months with latest plasma viral load \>200, n=30
  • All plasma viral load results within the last 24 months; most recent plasma viral load result \>200 and used for enrollment.
  • All CD4 results within the last 24 months; most recent CD4 result used for enrollment: CD4\>500/uL (n=15) or CD4\<500/uL (n=15).
  • HIV Uninfected Controls (n=30):
  • Documentation of HIV seronegative status at time of enrollment

Exclusion

  • Key Exclusion Criteria for all HIV Infected only:
  • Primary infection: \< 6 months after documented HIV-1 antibody positive test
  • Key Exclusion Criteria for drug naïve HIV Infected only
  • Ended HIV medications less than 2 months before the study
  • Key Exclusion Criteria for HIV uninfected only:
  • On HIV-1 pre-or post exposure prophylaxis \<21 days before enrolment
  • Key Exclusion Criteria for all subjects:
  • \<18 or \>65 years of age
  • Pregnant or lactating subjects
  • Documented hepatitis B virus (HBV) and/or hepatitis C virus (HCV) Infection
  • Proven or suspected acute hepatitis
  • Transient clinical manifestation (i.e., cold, flu, measles, etc). Eligible when resolved
  • Evidence of a gastrointestinal malabsorption syndrome, chronic inflammatory disease (i.e. Crohn's Disease) or chronic nausea or vomiting
  • Prior history of significant renal or bone disease
  • Malignancy other than cutaneous Kaposi's sarcoma or basal cell carcinoma
  • \< 30 days after any vaccination. Eligible 30 days post vaccination.
  • Current alcohol or substance abuse
  • Active, serious infections (other than HIV infection) requiring parenteral antimicrobial therapy within 30 days prior to enrollment.
  • Any other clinical condition in the opinion of the PI, would make the subject unsuitable for the study i.e. active cytomegalovirus (CMV) and Epstein-Barr virus (EBV) infection, diabetes, Rheumatoid Arthritis, etc.
  • Previous therapy with agents with systemic myelosuppressive, pancreotoxic, hepatotoxic or cytotoxic potential within 3 months of study start or the expected need for such therapy at the time of enrollment
  • On therapy that suppresses bone marrow, toxic to liver and pancreas
  • On ongoing therapy that is toxic to kidneys including aminoglycoside antibiotics, amphotericin B, cidofovir, cisplatin, foscarnet, IV pentamidine, other agents with significant nephrotoxic potential
  • Creatinine clearance \< 60 mL/min
  • On anti-cancer therapy
  • On ongoing therapy with immunosuppressive agents
  • On ongoing chemotherapeutic agents
  • On ongoing systemic corticosteroids
  • On ongoing systemic interleukin 2 or other cytokine therapy
  • Anticonvulsants (eg. Carbamazepine, Phenytoin, Valproate)
  • Monoclonal antibody therapy (eg. Muromonab OKT3)
  • Any other prior therapy that, in the opinion of the PI, would make the subject unsuitable for the study.
  • How long will it take? One visit for about 1 hour with Dr. Gatpolintan and his Clinical Study Coordinator to answer questions, then about 10 minutes for a blood draw (nine blocks from Dr. Gatpolintan' office).

Key Trial Info

Start Date :

July 1 2013

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

June 1 2014

Estimated Enrollment :

57 Patients enrolled

Trial Details

Trial ID

NCT01904201

Start Date

July 1 2013

End Date

June 1 2014

Last Update

July 9 2014

Active Locations (1)

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1

Sutter Street Internal Medicine

San Francisco, California, United States, 94109