To Assess Neuroinflammation and Neurocognitive Function in Patients With Acute Hepatitis C and Chronic HIV Co-Infection

October 21, 2019 updated by: Imperial College London

A Prospective Case-control Study to Assess Neuroinflammation and Neurocognitive Function in Patients With Acute Hepatitis C and Chronic HIV Co-infection - a PET Study

This study plans to evaluate what happens to the brain in patients with HIV and early hepatitis C. The investigators will be comparing 3 groups of individuals:

  • Group 1: Individuals with HIV infection and acute (early) hepatitis C infection
  • Group 2: Individuals with HIV infection
  • Group 3: Healthy volunteers

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Subtle changes to the brain, which doctors find difficult to detect through conversation or examination, may occur in patients with HIV and/or hepatitis C infection. It is not currently known whether the brain is affected in early (or acute) hepatitis C.

Individuals wishing to take part will complete a series of tests assessing different aspects of their brain including:

  • 2 brain scans using different technology:

    • Magnetic resonance imaging (MRI) brain scan with spectroscopy
    • CT PET brain scan
  • A computer game test which measures brain function
  • 2 short questionnaires

Results of these tests will be analyzed and compared between 3 groups.

Study Type

Interventional

Enrollment (Actual)

81

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

25 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Male

Description

Inclusion Criteria:

  1. HIV-1 antibody positive for at least 12 months
  2. Acute HCV (Blood HCV PCR positive with negative PCR within past 8 months)
  3. HCV genotype 1
  4. Ability to give informed consent
  5. Aged > 25 years
  6. Male
  7. Abbreviated Mental Test Score of at least 8/10

Exclusion Criteria:

  1. Evidence of established cirrhosis or encephalopathy
  2. Commencing or any change to HIV medications within 12 weeks
  3. Active opportunistic infection
  4. Taking anti-depressants or any psychoactive medications within past 4 weeks
  5. Use of benzodiazepines within past 4 weeks
  6. Recent significant head injury
  7. Established dementia
  8. Alcohol dependence or recreational drug misuse
  9. Untreated early syphilis
  10. Hepatitis B infection (HBsAg positive)
  11. Pregnancy
  12. Unable to give informed consent
  13. Any contraindication to MR scanning

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: HIV/acute HCV coinfection
Subjects with HIV/acute HCV coinfection (aHCV cases) were required to have acute HCV, defined by a new positive plasma HCV RNA test within 12 months of a negative HCV RNA test.
Other: PET scan
PET brain scan
Other: HIV mono
HIV-infected individuals without hepatitis C co-infection
Other: PET scan
PET brain scan

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Association of 11C-labelled PK11195 Uptake Using PET With Acute HCV and HIV Infection
Time Frame: 30 days
Association of 11C-labelled PK11195 uptake using PET with acute HCV and HIV infection by PK11195 PET ligand binding. The ligand PK11195 is selective for the peripheral benzodiazepine binding site and exhibits minimal binding in normal brain. In brain lesions, however, there is a massive increase in binding.
30 days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Ratio of NAA/Cr (N-acetyl Aspartate/Creatine) Cerebral Metabolites
Time Frame: 30 days

Association between patient characteristics and 11C-labelled PK11195 uptake using PET, CNS metabolite ratios.

By quantifying the surrogate markers of N-acetylaspartate (NAA), creatine (Cr) offers insight into the neuronal integrity, cell membrane synthesis and turnover, macrophage infiltration, inflammation status, and levels of microglial activation and gliosis within the sampled CNS tissue.
30 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Imperial College London

Investigators

  • Principal Investigator: Alan Winston, Imperial College London

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 1, 2009

Primary Completion (Actual)

June 1, 2011

Study Completion (Actual)

September 1, 2011

Study Registration Dates

First Submitted

August 13, 2009

First Submitted That Met QC Criteria

August 13, 2009

First Posted (Estimate)

August 14, 2009

Study Record Updates

Last Update Posted (Actual)

October 22, 2019

Last Update Submitted That Met QC Criteria

October 21, 2019

Last Verified

October 1, 2019

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 09/H0712/17

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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