A Study of HIV-Disease Development in Aging
A Phase II Exploratory Study Examining Immunologic and Virologic Indices in Two Age-Differentiated Cohorts of HIV-Infected Subjects to Explore the Basis of Accelerated HIV-Disease Progression Associated With Aging
The purpose of this study is to better understand the relationship between age and HIV disease progression.
This study will explore the possible relationship between age and HIV disease progression. Older age is an important risk factor for faster disease development, but older people may respond better to combination drug therapy. This relationship needs to be understood better.
調査の概要
詳細な説明
Older age is an important risk factor for accelerated HIV-disease progression. However, the virologic response to highly active antiretroviral therapy (HAART) may be superior in older persons. A better understanding of the immunologic, virologic, and behavioral mechanisms that underlie these age-related differences may help to elucidate critical immune responses that are necessary to control the progression of HIV-disease.
Patients are grouped according to age. Group A consists of patients between the ages of 13 and 30 years. Group B consists of patients age 45 years or older. All patients receive open-label lopinavir/ritonavir (LPV/RTV) plus emtricitabine (FTC) plus stavudine (d4T) for 96 [AS PER AMENDMENT 06/04/02: 192] weeks. Study visits occur at pre-entry, entry, and Weeks 4, 8, 12, 16, and 24 then every 12 weeks thereafter through Week 96 [AS PER AMENDMENT 06/04/02: Week 192]. Clinical assessments, safety laboratory tests, CD4 cell count monitoring, lymphocyte phenotyping, and HIV-1 RNA determinations are performed routinely. Blood samples are stored for further immunology and virology studies. Patients may volunteer to participate in virology substudy A5020s and either immunology substudy A5016s or A5017s [AS PER AMENDMENT 06/04/02: Substudy A5017s has been eliminated.]
研究の種類
入学
段階
- フェーズ2
連絡先と場所
研究場所
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California
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Los Angeles、California、アメリカ、900331079
- USC CRS
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Palo Alto、California、アメリカ、943055107
- Stanford CRS
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San Francisco、California、アメリカ、941102859
- Ucsf Aids Crs
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San Jose、California、アメリカ、951282699
- Santa Clara Valley Med. Ctr.
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San Mateo、California、アメリカ、943055107
- San Mateo County AIDS Program
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San Rafael、California、アメリカ、94903
- Marin County Dept. of Health & Human Services, HIV/AIDS Program & Specialty Clinic
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Colorado
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Aurora、Colorado、アメリカ、80262
- University of Colorado Hospital CRS
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Florida
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Miami、Florida、アメリカ、331361013
- Univ. of Miami AIDS CRS
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Hawaii
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Honolulu、Hawaii、アメリカ、96816
- Univ. of Hawaii at Manoa, Leahi Hosp.
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Honolulu、Hawaii、アメリカ、96816
- Queens Med. Ctr.
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Illinois
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Chicago、Illinois、アメリカ、60611
- Northwestern University CRS
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Chicago、Illinois、アメリカ、60612
- Rush Univ. Med. Ctr. ACTG CRS
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Indiana
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Indianapolis、Indiana、アメリカ、46202
- Methodist Hosp. of Indiana
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Indianapolis、Indiana、アメリカ、46202
- Indiana Univ. School of Medicine, Wishard Memorial
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Indianapolis、Indiana、アメリカ、462025250
- Indiana Univ. School of Medicine, Infectious Disease Research Clinic
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Maryland
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Baltimore、Maryland、アメリカ、21287
- Johns Hopkins Adult AIDS CRS
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Massachusetts
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Boston、Massachusetts、アメリカ、02114
- Massachusetts General Hospital ACTG CRS
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Boston、Massachusetts、アメリカ、02118
- Bmc Actg Crs
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Boston、Massachusetts、アメリカ、02215
- Brigham and Women's Hosp. ACTG CRS
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Boston、Massachusetts、アメリカ
- Beth Israel Deaconess Med. Ctr., ACTG CRS
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Fall River、Massachusetts、アメリカ
- SSTAR, Family Healthcare Ctr.
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Minnesota
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Minneapolis、Minnesota、アメリカ、55455
- University of Minnesota, ACTU
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Missouri
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Saint Louis、Missouri、アメリカ
- Washington U CRS
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New York
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New York、New York、アメリカ、10003
- Beth Israel Med. Ctr., ACTU
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New York、New York、アメリカ、10016
- NY Univ. HIV/AIDS CRS
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New York、New York、アメリカ、10029
- Mt. Sinai Med. Ctr. A0404 CRS
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New York、New York、アメリカ
- Columbia Univ., HIV Prevention and Treatment Medical Ctr.
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New York、New York、アメリカ
- Mt.Sinai Med. Ctr. A1009 CRS
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Rochester、New York、アメリカ、14642
- Univ. of Rochester ACTG CRS
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Rochester、New York、アメリカ、14642
- AIDS Care CRS
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Rochester、New York、アメリカ、14607
- Trillium Health ACTG CRS
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North Carolina
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Chapel Hill、North Carolina、アメリカ、275997215
- Unc Aids Crs
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Durham、North Carolina、アメリカ、27710
- Duke Univ. Med. Ctr. Adult CRS
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Ohio
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Cleveland、Ohio、アメリカ、44106
- Case CRS
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Cleveland、Ohio、アメリカ、441091998
- MetroHealth CRS
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Columbus、Ohio、アメリカ、432101228
- The Ohio State University Medical Center
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Pennsylvania
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Philadelphia、Pennsylvania、アメリカ、19104
- Hosp. of the Univ. of Pennsylvania CRS
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Philadelphia、Pennsylvania、アメリカ、19104
- Philadelphia Veterans Admin. Med. Ctr. A6205 CRS
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Rhode Island
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Providence、Rhode Island、アメリカ、02906
- The Miriam Hosp. ACTG CRS
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Providence、Rhode Island、アメリカ
- Rhode Island Hosp.
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Tennessee
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Nashville、Tennessee、アメリカ
- Vanderbilt Therapeutics CRS
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Texas
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Dallas、Texas、アメリカ、75235-9173
- Univ. of Texas Southwestern Med. Ctr., Amelia Court Continuity Clinic
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Galveston、Texas、アメリカ、77555-0435
- Univ. of Texas Medical Branch, ACTU
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Washington
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Seattle、Washington、アメリカ、98104
- University of Washington AIDS CRS
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San Juan、プエルトリコ、009365067
- Puerto Rico-AIDS CRS
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria
Patients may be eligible for this study if they:
- Are HIV-positive.
- Are between 13 and 30 years old (need consent of parent or guardian if under 18), or are more than 44 years of age.
- Have a viral load of more than 2000 copies/ml within 60 days of study entry.
- Have a CD4 cell count of less than 600 cells/mm3 within 60 days of study entry. (This reflects a change in the CD4 cell count requirement.)
- Agree to use effective methods of birth control (such as condoms) during and for 12 weeks after the study.
Exclusion Criteria
Patients will not be eligible for this study if they:
- Are pregnant or breast-feeding.
- Have an AIDS-related cancer (except Kaposi's sarcoma) requiring chemotherapy.
- Have hepatitis within 30 days of study entry.
- Have diarrhea (more than 3 liquid stools/day for at least 14 days) within 30 days of study entry.
- Are receiving chemotherapy or radiation treatment.
- Have taken antiretroviral drugs for more than 14 days.
- Have received an HIV vaccine within 30 days of study.
- Have a serious illness or infection within 14 days of the study.
- Have other serious conditions that might interfere with study participation.
- Have taken or plan to take certain other drugs that might affect the study results.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
協力者と研究者
捜査官
- スタディチェア:Robert Kalayjian
出版物と役立つリンク
一般刊行物
- Tenorio AR, Spritzler J, Martinson J, Gichinga CN, Pollard RB, Lederman MM, Kalayjian RC, Landay AL. The effect of aging on T-regulatory cell frequency in HIV infection. Clin Immunol. 2009 Mar;130(3):298-303. doi: 10.1016/j.clim.2008.10.001. Epub 2008 Nov 12.
- Kalayjian R, Landay A, Pollard R, Pu M, Spritzer J, Tebas P, Gross B, Valcour V, Cu-Uvin S, Fiscus S, Fidel P, Wu A, Fox L, Stocker V, Lederman M, and AIDS Clinical Trials Group Protocol 5015. ACTG 5015: NaIve T-cell Reconstitution is Associated with Immune Activation. CROI 2004. Abstract 232.
研究記録日
主要日程の研究
研究開始
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- A5015
- 10168 (レジストリ識別子:DAIDS ES)
- ACTG A5015
- AACTG A5015
- Substudy ACTG A5016s
- Substudy ACTG A5020s
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。