ARTiBIOME: Observational Study on the Effect of HIV and ART on Gut Microbiome
ARTiBIOME: Effect of HIV and ART on Gut Microbiome
Antiretroviral treatment for HIV has allowed patients to have undetectable viral load indefinitely. Despite that, HIV infection has become a chronic inflammatory disease, with increased mortality. This pro-inflammatory state is in part explained by the dysbiosis of intestinal bacterial populations. However, little is known on the impact of the antiretroviral treatment on this population and very few studies have evaluated these alterations.
The aim of this study is to study microbiome on healthy patients and HIV-infected patients exposed to antiretroviral treatment with integrase strand transfer inhibitors.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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-
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Madrid, Spain, 28034
- Hospital Ramón y Cajal and Hospital Clínico San Carlos
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
We will compare 20 MSM HIV negative patients starting PEP with INSTI with:
- 20 MSM HIV-uninfected and ART naïve (A)
- 20 MSM HIV-infected starting ART (B)
- 20 MSM HIV-infected on ART with >500 CD4 Tcells ( C )
- 20 MSM HIV-infected on ART with <350 CD4 Tcells (D) (the study population has been restricted to MSM given the strong influence of sexual orientation on the microbiota composition
Description
Inclusion criteria:
- Willing to sign consent form
- Men with an age >18 years
Engagement in insertive or receptive anal intercourse with another men
*Exclusion criteria:
- Previous history of ART exposure
- Use of antibiotics in the past 3 months
- Previous history of inflammatory bowel disease, autoimmune disease or cirrhosis.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
MSM HIV-uninfected and ART naïve
Men who have sex with men without HIV infection, not receiving ART
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|
|
MSM HIV-infected starting ART
Men who have sex with men with HIV infection, starting ART
|
Integrase strand transfer inhibitors as post-exposure prophylaxis or as antiretroviral treatment
|
|
MSM HIV-infected on ART with >500 CD4 Tcells
Men who have sex with men with HIV infection, on ART and with >500 CD4 T cells/uL
|
Integrase strand transfer inhibitors as post-exposure prophylaxis or as antiretroviral treatment
|
|
MSM HIV-infected on ART with <350 CD4 Tcells
Men who have sex with men with HIV infection, on ART and with <350 CD4 T cells/uL
|
Integrase strand transfer inhibitors as post-exposure prophylaxis or as antiretroviral treatment
|
|
MSM HIV negative patients starting PEP with INST
Men who have sex with men without HIV infection, starting post-exposure prophylaxis with raltegravir
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Integrase strand transfer inhibitors as post-exposure prophylaxis or as antiretroviral treatment
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Alpha diversity changes of fecal microbiota composition
Time Frame: Baseline and 1 month, 3 months, 12 months
|
Alpha diversity changes of fecal microbiota composition between study groups
|
Baseline and 1 month, 3 months, 12 months
|
|
Beta diversity changes of fecal microbiota composition
Time Frame: Baseline and 1 month, 3 months, 12 months
|
Beta diversity changes of fecal microbiota composition between study groups
|
Baseline and 1 month, 3 months, 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
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 (Actual)
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
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- Urogenital Diseases
- Genital Diseases
- HIV Infections
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Integrase Inhibitors
Other Study ID Numbers
Other Study ID Numbers
- ARTiBIOME: Observational study
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
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