Study of the Effectiveness and Safety of Darunavir/Cobicistat (DRV/c) Containing Regimens in Routine Clinical Practice (CoDAR)
Multicenter Retrospective Study of the Effectiveness and Safety of Darunavir/Cobicistat (DRV/c) Containing Regimens in Routine Clinical Practice
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
-
Barcelona, Spain
- Hospital Del Mar
-
Barcelona, Spain
- Hospital de La Santa Creu i Sant Pau
-
Barcelona, Spain
- Hospital Clinic I Provincial
-
Barcelona, Spain
- Hospital Germans Trías i Pujol
-
Barcelona, Spain
- Hospital del Vall d'Hebron
-
Guadalajara, Spain
- Hospital de Guadalajara
-
Madrid, Spain
- Hospital Ramon y Cajal
-
Madrid, Spain
- Hospital La Paz
-
Madrid, Spain
- Hospital La Princesa
-
Madrid, Spain
- Hospital Infanta Leonor
-
Madrid, Spain
- Hospital Puerta de Hierro
-
Madrid, Spain
- Hospital Principe de Asturias
-
Malaga, Spain
- Hospital Virgen de la Victoria
-
Palma de Mallorca, Spain
- Hospital de Son Llàtzer
-
Sevilla, Spain
- Hospital De Valme
-
Toledo, Spain
- Complejo Hospitalario de Toledo
-
Valencia, Spain
- Hospital Clínico de Valencia
-
Valencia, Spain
- Hospital La Fe
-
Vigo, Spain
- Complejo Hospitalaria Alvaron Cunqueiro
-
-
Marbella
-
Malaga, Marbella, Spain
- Hospital Costa del Sol
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients with HIV infection
- Inform consent document.
- To have initiated therapy containing DRV / c and have a follow-up of at least 24 Weeks.
Exclusion Criteria:
- Not having evaluable clinical data of the patient
- Patients not routinely followed in the center
- Patient less than 18 years of age.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
|
DArunavir/cobicistat
Patients starting treatment with a regimen containing Darunavir / cobicistat for at least 24 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Virological effectiveness data: Percentage of patients with undetectable viral load
Time Frame: 24 weeks
|
Virological effectiveness data at 24 weeks: Percentage of patients with undetectable viral load, defined as HIV RNA <50 copies / m.
|
24 weeks
|
|
Virological effectiveness data: change in the number of CD4 + T cells at 24 weeks
Time Frame: 24 weeks
|
Change in the number of CD4 + T cells at 24 weeks
|
24 weeks
|
|
Virological effectiveness data: time to loss of virological efficacy.
Time Frame: 24 weeks
|
Defined virological failure as two consecutive levels of HIV RNA > 50 copies / mL or single HIV RNA ≥ 500 copies / mL
|
24 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Virological effectiveness data: Percentage of patients with undetectable viral load, defined as HIV RNA levels ≤ 50 copies / mL or limit of detection of the center, at 48 weeks
Time Frame: 48 weeks
|
Virological effectiveness data at 48 weeks
|
48 weeks
|
|
Virological effectiveness data: change in the number of CD4 + T cells, at 48 weeks
Time Frame: 48 weeks
|
Virological effectiveness data at 48 weeks: change in the number of CD4 + T cells
|
48 weeks
|
|
Changes in the renal profile: Comparison of mean values of Creatinine and eFG (CKD-EPI).
Time Frame: Basal and 24 weeks/48 weeks
|
Creatinine (mg/dl), eFG (CKD-EPI) (ml/min/1,73 m2),
|
Basal and 24 weeks/48 weeks
|
|
Changes in the lipid profile: Comparison of mean values of total cholesterol values, Col LDL, Col HDL and TG.
Time Frame: basal and 24 weeks/48 weeks
|
Units: mg/dl or mmol/l
|
basal and 24 weeks/48 weeks
|
|
Changes in the hepatic profile: comparison of mean values of GOT, GPT, FA, GGT and BrT
Time Frame: basal and 24 weeks/48 weeks
|
GOT, GPT, FA, GGT in units: UI/l or μKat/l or mU/ml.
BrT in units: mg/dl or micromol/l
|
basal and 24 weeks/48 weeks
|
|
Tolerability data:Rate of patients discontinuing treatment for toxicity.
Time Frame: 24 weeks/48 weeks
|
Toxicity to the treatment or virological failure
|
24 weeks/48 weeks
|
|
Tolerability data: Rate of patients discontinuing treatment for virological failure at 24 weeks / 48 weeks
Time Frame: 24 weeks/48 weeks
|
Virological failure defined as two consecutive levels of HIV RNA > 50 copies / mL or single HIV RNA ≥ 500 copies / mL
|
24 weeks/48 weeks
|
|
Rate of patients who develop any adverse effects:frequency of adverse events,frequency of serious adverse events, frequency of adverse events leading to discontinuation of treatment, number of deaths and frequency of laboratory abnormalities.
Time Frame: 24 weeks/48 weeks
|
24 weeks/48 weeks
|
|
|
Representative subgroups of patients according to the treatment that patient is taking: Percentage of patients with different Darunavir/cobicistat based regimens (Monotherapy, Bitherapy, triple Therapy, others)
Time Frame: 24 weeks / 48 weeks
|
24 weeks / 48 weeks
|
|
|
Provenance treatments: Percentage of patients with different prior therapies (Darunavir Therapy, Other PI therapies, NNRTI based regimen, INI bases regimen
Time Frame: 24 weeks / 48 weeks
|
24 weeks / 48 weeks
|
|
|
Reason for the change prior the initiation:Percentage of patients with each main reason to change to a DRV/c based regimen (first regimen, simplification, intolerance or toxicity, prior adherence problems, prior interactions, prior failure, others)
Time Frame: 24 weeks / 48 weeks
|
24 weeks / 48 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Perez Elias MJ, Alejos B, Gutierrez MM, Crespo M, De Los Santos Gil I, Ribera E, Galindo MJ, Lozano F, Payeras Cifre A, Boix V, Montero-Alonso M, Sanz J, De La Torre Lima J, Palacios R, De La Fuente Moral S, Martinez E; Codar Study Group. Dynamics of creatinine estimated glomerular filtration rate using one or more antiretrovirals that inhibit creatinine tubular secretion. J Antimicrob Chemother. 2021 Mar 12;76(4):1046-1050. doi: 10.1093/jac/dkaa547.
- Perez Elias MJ, Alejos B, Vivancos MJ, Ribera E, Galindo MJ, Vilanova-Trillo L, Garcia-Fraile Fraile LJ, de La Fuente Moral S, Garcia De Lomas J, Lozano F, Mateo Garcia MG, Tasias Pitarch M, Diez Martinez M, Rojas J, Raya-Cruz M, Sepulveda MA, Troya J, Del Campo S, Martinez E; CODAR study group. Outcomes by sex following treatment initiation with darunavir/cobicistat in a large Spanish cohort of the CODAR study (GeSIDA 9316). J Antimicrob Chemother. 2019 Oct 1;74(10):3044-3048. doi: 10.1093/jac/dkz254. Erratum In: J Antimicrob Chemother. 2019 Oct 1;74(10):3124.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GESIDA 9316
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.