Status:

COMPLETED

Efavirenz (EFV) Intensification

Lead Sponsor:

Washington University School of Medicine

Conditions:

HIV

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The goal of this clinical trial is to see if Efavirenz (EFV) intensification to a baseline combination antiretroviral regimen (cART) can help reduce the size of the latent reservoir in people living w...

Detailed Description

To evaluate the safety and tolerability of efavirenz (EFV) intensification on the HIV-1 reservoir. Participants with well controlled HIV, specifically with a HIV VL \<500 for at least 48 weeks will be...

Eligibility Criteria

Inclusion

  • At least 18 years of age
  • Diagnosis of HIV
  • Documentation of at least two historical HIV-1 RNA measurements \<500 copies/mL while on ART obtained by standard assay.
  • No known non-nucleoside reverse transcriptase inhibitor (NNRTI) resistance mutations.
  • Currently on a stable regimen including an integrase strand transfer inhibitor (INSTI) and two nucleoside reverse transcriptase inhibitors (NRTI). Receiving the current regimen for at least 90 days prior to study entry with no intention to change for the duration of the study.

Exclusion

  • Untreated depression, defined as a PHQ-9 \> 15 at time of enrollment
  • Known prior NNRTI resistance, or INSTI resistance.
  • Cytochrome 450 polymorphism resulting in rapid or delayed metabolism of Efavirenz
  • Not currently on a PI based regimen.
  • Does not have an immunocompromising medical condition. (ie malignancies particularly leukemia, lymphoma, use of immunosuppressive or antineoplastic drugs or X-ray treatment).
  • Chronic, acute, or recurrent infections that are current and serious, in the opinion of the site investigator.
  • Breastfeeding patients as well as those whom are pregnant or plan to become pregnant during period of the study.
  • Those with active Hepatitis C or Hepatitis B.

Key Trial Info

Start Date :

February 9 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 16 2024

Estimated Enrollment :

7 Patients enrolled

Trial Details

Trial ID

NCT07193875

Start Date

February 9 2023

End Date

December 16 2024

Last Update

September 26 2025

Active Locations (1)

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1

Washington University in St Louis

St Louis, Missouri, United States, 63110