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- Klinische proef NCT01274780
Metabolic Effects of Atazanavir/Ritonavir Versus Darunavir/Ritonavir in Combination With Tenofovir/Emtricitabine in naïve HIV-1 Infected Patients
This is a prospective, open controlled trial in which naïve HIV-1 patients will be randomized to receive atazanavir / ritonavir or darunavir / ritonavir in combination with tenofovir / emtricitabine. They will be followed up during 96 weeks to determinate the cholesterol levels.
Randomization will be stratified according to the values of the ratio of total cholesterol/HDL cholesterol obtained during the screening visit (as they will be <4.5 or ≥ 4.5).
Studie Overzicht
Toestand
Conditie
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 4
Contacten en locaties
Studie Locaties
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Barcelona, Spanje, 08036
- Hospital Clinic
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Patients of both sexes aged 18 years or more. Women of childbearing potential must commit to sexual abstinence or use barrier contraceptive methods during the study.
- Diagnosis of infection by HIV-1 (according to standard diagnostic criteria)
- Not previously treated with antiretroviral drugs
- Plasma viral load > = 1000 copies / ml
- Clinically stable patients in the investigator's opinion at the time of inclusion
- Able to meet the schedule of study visits and other protocol requirements
- Written informed consent to participate in the study and undergo tests and examinations that entails
Exclusion Criteria:
- ALT, AST levels greater than or equal to 5 times ULN (upper limit of normal)
- serum creatinine level greater than 2 times ULN
- Diabetes Mellitus (according to clinical and / or use of anti-diabetic agents)
- Obesity (BMI ≥ 30 kg/m2)
- Use of drugs that may affect lipid and / or glucose metabolism for at least 30 days prior to inclusion in the study.
- Active opportunistic infection requiring intravenous treatment
- Patients with known hypersensitivity to any of the products under study
- Use of drugs formally contraindicated in the product information for any of the drugs under study
- Contraindication to the use of any of the drugs under study
- Women pregnant or lactating at the time of study inclusion or anticipating pregnancy in the follow-up period provided by the test
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Darunavir / Ritonavir
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oral, 800/100 mg, qd + oral, 300/200 mg, qd
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Experimenteel: Atazanavir / Ritonavir
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oral, 300/100 mg, qd + oral, 300/200 mg, qd
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Veranderingen in totaal cholesterol
Tijdsspanne: 24 weken
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24 weken
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Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Blood levels of: triglycerides, total cholesterol, LDL cholesterol, HDL cholesterol and ratio of total cholesterol/HDL cholesterol
Tijdsspanne: 24, 48 and 96 weeks
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24, 48 and 96 weeks
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Cardiovascular risk according to the Framingham scale.
Tijdsspanne: 24, 48 and 96 weeks.
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24, 48 and 96 weeks.
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Glycemic profile (including glucose, insulin and HOMA (homeostatic model assessment index))
Tijdsspanne: 24, 48 and 96 weeks
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24, 48 and 96 weeks
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inflammatory markers (protein C-reactive protein and interleukin-6) and anti-inflammatory (adiponectin)
Tijdsspanne: 24, 48 and 96 weeks
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24, 48 and 96 weeks
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RNA viral load <50 copies / mL
Tijdsspanne: 24, 48 and 96 weeks.
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24, 48 and 96 weeks.
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CD4+ cells count
Tijdsspanne: 24, 48 and 96 weeks
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24, 48 and 96 weeks
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clinical adverse events, including events related to depositional patterns, laboratory abnormalities and incidence of treatment discontinuation because of toxicity or intolerance in each of the treatment arms.
Tijdsspanne: 24, 48 and 96 weeks
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24, 48 and 96 weeks
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distribution of body fat by DEXA (X-ray densitometry dual energy level) and CT (Computerized Axial Tomography)scan
Tijdsspanne: 48 and 96 weeks
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48 and 96 weeks
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Medewerkers en onderzoekers
Sponsor
Publicaties en nuttige links
Algemene publicaties
- Gonzalez-Cordon A, Domenech M, Camafort M, Martinez-Rebollar M, Torres B, Laguno M, Rojas J, Lonca M, Blanco JL, Mallolas J, Gatell JM, de Lazzari E, Martinez E. Subclinical cardiovascular disease in patients starting contemporary protease inhibitors. HIV Med. 2018 May 10. doi: 10.1111/hiv.12619. Online ahead of print.
- Martinez E, Gonzalez-Cordon A, Ferrer E, Domingo P, Negredo E, Gutierrez F, Portilla J, Curran A, Podzamczer D, Ribera E, Murillas J, Bernardino JI, Santos I, Carton JA, Peraire J, Pich J, Deulofeu R, Perez I, Gatell JM; ATADAR Study Group. Differential body composition effects of protease inhibitors recommended for initial treatment of HIV infection: a randomized clinical trial. Clin Infect Dis. 2015 Mar 1;60(5):811-20. doi: 10.1093/cid/ciu898. Epub 2014 Nov 10.
- Martinez E, Gonzalez-Cordon A, Ferrer E, Domingo P, Negredo E, Gutierrez F, Portilla J, Curran A, Podzamczer D, Murillas J, Bernardino JI, Santos I, Carton JA, Peraire J, Pich J, Perez I, Gatell JM; ATADAR Study Group. Early lipid changes with atazanavir/ritonavir or darunavir/ritonavir. HIV Med. 2014 Jul;15(6):330-8. doi: 10.1111/hiv.12121. Epub 2014 Jan 12.
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Moleculaire mechanismen van farmacologische werking
- Anti-infectieuze middelen
- Antivirale middelen
- Reverse Transcriptase-remmers
- Nucleïnezuursyntheseremmers
- Enzymremmers
- Anti-hiv-middelen
- Antiretrovirale middelen
- Proteaseremmers
- Cytochroom P-450 CYP3A-remmers
- Cytochroom P-450 enzymremmers
- HIV-proteaseremmers
- Virale proteaseremmers
- Tenofovir
- Emtricitabine
- Ritonavir
- Darunavir
- Atazanavirsulfaat
Andere studie-ID-nummers
- ATADAR
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