- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00001122
A Study of an Adherence Plan to Help HIV-Positive Patients Take Their First Anti-HIV Medications Correctly
A Phase II, Randomized, Open-Label Study of Maximally Assisted Therapy (MAT) Compared to Self-Administered Therapy (SAT) for the Treatment of HIV Infection in Antiretroviral Naive Subjects With CD4 Greater Than or Equal to 200 Cells/mm3
The purpose of this study is to see if observed therapy can help HIV-positive patients stick to their anti-HIV medication schedule. Observed therapy means that a nurse will watch patients take their medications to make sure that they take them correctly.
It is very important that HIV-positive patients take their anti-HIV medications correctly so they get the best possible benefit from them. Taking the drugs correctly, called "adherence," may keep HIV virus levels in the blood (viral load) low for a longer time. Adherence can also slow the development of drug resistance, and this is especially important in patients with early HIV infection who are just beginning treatment. However, anti-HIV medication schedules are often complicated, and many patients have difficulty remembering to take their drugs at the correct time. This study will look at the effectiveness of a plan to help patients with this problem.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Novel approaches are needed to improve adherence to combination antiretroviral therapy. Nonadherence can lead to reduced drug levels and inadequate viral suppression, which accelerates drug resistance. Thus nonadherence in the first few months of primary HIV infection can limit therapeutic options for an individual years later. Barriers to optimal treatment adherence in patients with early HIV infection include complex treatment regimens which disrupt daily routines, drug intolerance, and concomitant illness including depression. Directly observed therapy has been successful in improving overall effectiveness of antituberculosis therapy and may be a useful strategy in HIV-infected patients.
All patients receive combination antiretroviral therapy with didanosine (ddI), stavudine (d4T), efavirenz (EFV), and nelfinavir (NFV). Patients are randomized to self-administered (SAT) versus observed (MAT) therapy for 24 weeks. Patients randomized to MAT receive one directly observed dose (ddI, d4T, EFV, and NFV) of their antiretroviral regimen by a field worker or nurse at the clinic 5 days per week. As a reminder for the second NFV and d4T dose, MAT patients are provided with an alarm watch programmed to sound at dosing times. The alarm watch also serves as a reminder for weekend doses that will not be directly observed. Patients randomized to SAT receive standard care. All patients are monitored with monthly plasma HIV RNA levels and CD4 and CD8 cell counts. At Week 24, all patients are crossed over to SAT for an additional 48 weeks of follow-up.
Studietyp
Inskrivning
Fas
- Fas 2
Kontakter och platser
Studieorter
-
-
California
-
San Diego, California, Förenta staterna, 92103
- UCSD
-
-
Texas
-
Dallas, Texas, Förenta staterna, 75235
- Univ of Texas Southwestern Med Ctr
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria
Patients may be eligible for this study if they:
- Are HIV-positive.
- Are at least 13 years old (consent is required if you are under 18).
- Have a CD4 count of at least 200 cells/mm3 within 30 days of study entry.
- Have never taken anti-HIV drugs.
- Agree to practice effective methods of birth control.
Exclusion Criteria
Patients will not be eligible for this study if they:
- Have cancer (except for Kaposi's sarcoma) that requires treatment.
- Have a history of hepatitis or pancreatitis.
- Have peripheral neuropathy.
- Have an alcohol abuse problem.
- Are pregnant or breast-feeding.
- Are taking certain medications, such as rifabutin, rifampin, interleukin, or chemotherapy.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Interventionsmodell: Crossover tilldelning
Samarbetspartners och utredare
Utredare
- Huvudutredare: Susan Little
- Huvudutredare: Diane Havlir
Studieavstämningsdatum
Studera stora datum
Primärt slutförande (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
- RNA-virusinfektioner
- Virussjukdomar
- Blodburna infektioner
- Smittsamma sjukdomar
- Sexuellt överförbara sjukdomar, virala
- Sexuellt överförbara sjukdomar
- Lentivirusinfektioner
- Retroviridae-infektioner
- Immunologiska bristsyndrom
- Immunsystemets sjukdomar
- Långsamma virussjukdomar
- HIV-infektioner
- Infektioner
- Förvärvat immunbristsyndrom
- Molekylära mekanismer för farmakologisk verkan
- Anti-infektionsmedel
- Antivirala medel
- Omvända transkriptashämmare
- Nukleinsyrasynteshämmare
- Enzyminhibitorer
- Anti-HIV-medel
- Antiretrovirala medel
- Antimetaboliter
- Proteashämmare
- Cytokrom P-450 enzymhämmare
- Cytokrom P-450 enzyminducerare
- Cytokrom P-450 CYP3A-inducerare
- HIV-proteashämmare
- Virala proteashämmare
- Cytokrom P-450 CYP2B6-inducerare
- Cytokrom P-450 CYP2C9-hämmare
- Cytokrom P-450 CYP2C19-hämmare
- Stavudine
- Didanosin
- Nelfinavir
- Efavirenz
Andra studie-ID-nummer
- AIEDRP AI-05-003
- AEHIV 003: MAT
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
Kliniska prövningar på HIV-infektioner
-
Institut PasteurRekrytering
-
Duke UniversityAvslutadCentral Line-associated Bloodstream Infection (CLABSI)Förenta staterna
-
Catholic University of the Sacred HeartAvslutadCentral Line-associated Bloodstream Infection (CLABSI)
-
The University of Texas Health Science Center,...EurofinsAvslutadOdontogen Deep Space Neck InfectionFörenta staterna
-
Princess Maxima Center for Pediatric OncologyUMC Utrecht; Dutch Cancer SocietyRekryteringCentral Line-associated Bloodstream Infection (CLABSI)Nederländerna
-
University of MalayaTeleflexRekryteringCLABSI - Central Line Associated Bloodstream InfectionMalaysia
-
Johns Hopkins UniversityAvslutadCLABSI - Central Line Associated Bloodstream InfectionFörenta staterna
-
National Taiwan University Hospital Hsin-Chu BranchAvslutadCentral Line-associated Bloodstream Infection (CLABSI)
-
National Taiwan University HospitalAvslutadCentral Line-associated Bloodstream Infection (CLABSI)Taiwan
-
Boston Children's HospitalSterileCare Inc.Anmälan via inbjudanCentral Line komplikation | Central Line-associated Bloodstream Infection (CLABSI)Förenta staterna
Kliniska prövningar på Stavudine
-
University of ZimbabweAIDS Care Research in AfricaAvslutadHIV-infektioner | Cryptococcal meningitZimbabwe
-
Groupe Hospitalier Pitie-SalpetriereBristol-Myers SquibbOkänd
-
Makerere UniversityDepartment of Foreign Affairs, IrelandAvslutadHIV-infektionerUganda
-
Harvard School of Public Health (HSPH)Bristol-Myers Squibb; McGill University Health Centre/Research Institute... och andra samarbetspartnersAvslutadHIV-infektion | AIDSBotswana
-
National Institute of Allergy and Infectious Diseases...AvslutadHIV-infektionerFörenta staterna, Puerto Rico, Sydafrika
-
University of KwaZuluAIDS Malignancy Consortium; National Research Foundation, Singapore; AIDS... och andra samarbetspartnersAvslutadHIV | Kaposis sarkom | AIDS | Humant herpesvirus 8Sydafrika
-
National Institute of Allergy and Infectious Diseases...Eunice Kennedy Shriver National Institute of Child Health and Human Development... och andra samarbetspartnersAvslutad
-
Makerere UniversityUniversity of California, San FranciscoAvslutad
-
University of WashingtonEunice Kennedy Shriver National Institute of Child Health and Human Development...Avslutad
-
The Ojai FoundationAvslutad