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Treatment Intensification for HIV Infected Patients With Multi-Drug Resistant Virus

This study is ongoing, but not recruiting participants.

Sponsored by: National Institute of Allergy and Infectious Diseases (NIAID)
Information provided by: National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier: NCT00102934
  Purpose

Drug resistance may develop in HIV infected patients who take anti-HIV drugs, but most patients do well if they continue taking them. The purpose of this study is to test the effectiveness of a short, intensified course of anti-HIV drugs for controlling HIV infection in adults who have virus resistant to multiple drugs.


Condition Intervention
HIV Infections
Drug: Enfuvirtide-intensified HAART

MedlinePlus related topics:   AIDS   

ChemIDplus related topics:   Enfuvirtide   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title:   Treatment Intensification in HIV-1 Patients With Multi-Drug Resistant Virus

Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):

Primary Outcome Measures:
  • HIV viral load [ Time Frame: Throughout study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Frequency of HIV-specific T cells [ Time Frame: Thoughout study ] [ Designated as safety issue: No ]

Enrollment:   20
Study Start Date:   March 2003
Estimated Study Completion Date:   March 2009
Primary Completion Date:   December 2005 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
Participants will receive enfuvirtide for 6 months
Drug: Enfuvirtide-intensified HAART
90 mg tablet taken orally twice daily

Detailed Description:

While an HIV infected patient is taking highly active antiretroviral therapy (HAART), drug-resistant HIV may emerge; however, it has been observed that HIV viral loads while on HAART are usually lower than baseline levels. Expansion of the T cell population during early HAART may explain this phenomenon. It is hoped that a short but aggressive HAART regimen to treatment-experienced patients who have drug-resistant virus will produce immune cells that will better control drug-resistant virus. This study will determine if a 6-month HAART regimen intensified by enfuvirtide (T-20) is effective in eliciting a stronger immune response against drug-resistant virus.

This study will last 48 weeks. All participants will receive T-20 as part of a HAART intensification regimen; HAART other than T-20 will not be provided by the study. There will be 17 study visits. Prior to beginning treatment intensification, participants will have weekly study visits for three weeks. Once treatment intensification has started, participants will be followed weekly for four weeks, then weekly for four weeks after treatment intensification, then monthly thereafter. Blood collection will occur at each visit.

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • HIV viral load of more than 1000 copies/ml
  • On stable antiretroviral therapy
  • Have multidrug resistance

Exclusion Criteria:

  • Require immunomodulatory drugs
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00102934

Locations
United States, California
San Francisco General Hospital    
      San Francisco, California, United States, 94110

Sponsors and Collaborators

Investigators
Principal Investigator:     Steven G. Deeks, MD     Department of Medicine, University of California - San Francisco    
  More Information


Click here for more information about enfuvirtide  This link exits the ClinicalTrials.gov site
 

Responsible Party:   Department of Medicine, University of California - San Francisco ( Steven G. Geeks, MD )
Study ID Numbers:   5R21AI055273-02, Protocol 834, 5R21-AI055273-02
First Received:   February 4, 2005
Last Updated:   September 16, 2008
ClinicalTrials.gov Identifier:   NCT00102934
Health Authority:   United States: Federal Government

Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):
HIV  
Drug Resistance  
Viral Fitness  
HIV Specific Immunity  
T Cell Activation
Drug Resistant Viremia
Treatment Experienced

Study placed in the following topic categories:
Virus Diseases
Sexually Transmitted Diseases, Viral
HIV Infections
Sexually Transmitted Diseases
Acquired Immunodeficiency Syndrome
Viremia
Retroviridae Infections
Enfuvirtide
Immunologic Deficiency Syndromes

Additional relevant MeSH terms:
Anti-Infective Agents
RNA Virus Infections
Slow Virus Diseases
Anti-HIV Agents
Immune System Diseases
Molecular Mechanisms of Pharmacological Action
Infection
Antiviral Agents
Pharmacologic Actions
Anti-Retroviral Agents
Therapeutic Uses
Lentivirus Infections
HIV Fusion Inhibitors

ClinicalTrials.gov processed this record on October 17, 2008




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