此页面是自动翻译的，不保证翻译的准确性。请参阅英文版对于源文本。

Post-Licensure Safety Study of ISENTRESS™ (Raltegravir) in a United States Managed Care Network (MK-0518-268)

2018年7月24日更新者：Merck Sharp & Dohme LLC

Post-Licensure Safety Study of ISENTRESS™ in a US Managed Care Network

The objective of this study is to monitor Health Outcomes of Interest (HOI) in participants with human immunodeficiency virus-1 (HIV-1) infection following treatment with Raltegravir.

研究概览

地位

完全的

条件

HIV-1 感染

详细说明

Study participants contributed data to one or more of 3 cohorts: 1) Historical Cohort: HIV-infected participants treated with antiretroviral therapy in the course of ordinary clinical practice at the clinics and medical centers of Kaiser Permanente (KP) between 1 January 2000 and 12 October 2007 (date of market authorization for raltegravir in USA), 2) Concurrent Cohort: HIV-infected participant treated with a new non-raltegravir antiretroviral therapy in the course of ordinary clinical practice at the clinics and medical centers of KP on or after 12 October 2007, and 3) Raltegravir Cohort: HIV-infected participant treated with raltegravir in the course of ordinary clinical practice at the clinics and medical centers of KP on or after 12 October 2007. Participants could contribute data to more than one cohort, but no overlap in follow-up time was allowed.

研究类型

观察性的

注册 (实际的)

7124

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Adults 18 years old and older

描述

Inclusion Criteria:

Historical Cohort: HIV-infected participant treated with antiretroviral therapy in the course of ordinary clinical practice at the clinics and medical centers of Kaiser Permanente (KP) between 1 January 2000 and 12 October 2007 (date of market authorization for raltegravir in USA)
Raltegravir Cohort: HIV-infected participant treated with raltegravir in the course of ordinary clinical practice at the clinics and medical centers of KP on or after 12 October 2007
Concurrent Cohort: HIV-infected participant treated with a new non-raltegravir antiretroviral therapy in the course of ordinary clinical practice at the clinics and medical centers of KP on or after 12 October 2007
All participants must have at least one year of continuous membership with KP prior to date when the participant received the first dispensed prescription for study drug (index date) to allow for the assessment of medical and treatment history

Exclusion Criteria:

Less than 18 years of age
Do not receive their medications through the KP pharmacy system
Do not receive their laboratory examinations through the KP system
Participating in the raltegravir phase III or expanded access program

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

团体/队列数

队列和干预

团体/队列
Raltegravir Cohort Only Participants with HIV-1 infection who received raltegravir (RAL) on or after 12 October 2007 (the market authorization date in the United States) (Raltegravir Cohort). These participants contributed data to the Raltegravir Cohort only.
Historical and Raltegravir Cohorts Only Participants with HIV-1 infection who 1) received antiretroviral therapy (non-RAL) between 1 January 2005 and 11 October 2007 (Historical Cohort), and 2) received RAL on or after 12 October 2007 (Raltegravir Cohort). These participants contributed data to the Historical and Raltegravir Cohorts only.
Historical Cohort Only Participants with HIV-1 infection who received antiretroviral therapy (non-RAL) between 1 January 2005 and 11 October 2007 (Historical Cohort). These participants contributed data to the Historical Cohort only.
Historical and Concurrent Cohorts Only Participants with HIV-1 infection who 1) received antiretroviral therapy (non-RAL) between 1 January 2005 and 11 October 2007 (Historical Cohort), and 2) received therapy with a new non-RAL antiretroviral therapy after 12 October 2007 (Concurrent Cohort). These participants contributed data to the Historical and Concurrent Cohorts only.
Concurrent Cohort Only Participants with HIV-1 infection who received therapy with a new non-RAL antiretroviral therapy after 12 October 2007 (Concurrent Cohort). These participants contributed data to the Concurrent Cohort only.
Concurrent and Raltegravir Cohorts Only Participants with HIV-1 infection who 1) received therapy with a new non-RAL antiretroviral therapy on or after 12 October 2007 (Concurrent Cohort), and 2) received RAL after 12 October 2007 (Raltegravir Cohort). These participants contributed data to the Concurrent and Raltegravir Cohorts only.
Historical, Concurrent and Raltegravir Cohorts Participants with HIV-1 infection who 1) received antiretroviral therapy (non-RAL) between 1 January 2005 and 11 October 2007 (Historical Cohort), 2) received therapy with a new non-RAL antiretroviral therapy on or after 12 October 2007 (Concurrent Cohort), and 3) received RAL after 12 October 2007 (Raltegravir Cohort). These participants contributed data to all three cohorts.

研究衡量的是什么？

主要结果指标

结果测量	措施说明	大体时间
Incidence of AIDS-defining and Non-AIDS-defining Malignancy 大体时间：Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)	All new malignancies occurring during the risk period, including Acquired Immune Deficiency Syndrome (AIDS)-defining and non-AIDS-defining malignancies, were identified through the Kaiser Permanente cancer registries. The registry data was supplemented by the use of computer-stored records of outpatient visits, Emergency Department visits and hospitalizations to identify cancers that would not be captured through the cancer registries (e.g. cutaneous Kaposi's sarcoma).The AIDS-defining malignancies reported for any cohort were invasive cervical cancer, Kaposi's sarcoma, and non-Hodgkin lymphoma. Incidence is reported as unadjusted, crude rates.	Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)
Incidence of Clinically Important Hepatic Events 大体时间：Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)	Hepatic events occurring during the risk period were identified through computer-stored records of laboratory values, outpatient visits, Emergency Department visits, and hospitalizations. Significant hepatic events were identified based on algorithms utilizing a combination of diagnoses, procedures, and laboratory results. Incidence is reported as unadjusted, crude rates.	Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)
Incidence of Clinically Important Skin Events 大体时间：Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)	Significant skin events (e.g. Stevens-Johnson syndrome and toxic epidermal necrolysis) occurring during the risk period were identified through the use of computer-stored records of outpatient visits, Emergency Department visits and hospitalizations. The identification of potential significant skin events was based on algorithms utilizing a combination of diagnoses, procedures and/or medications. Surveillance of outpatient visits was limited to rashes coded as drug-related and requiring use of steroid (e.g. prednisone) administration. Incidence is reported as unadjusted, crude rates.	Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)
Incidence of Clinically Important Muscle Events 大体时间：Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)	Significant muscle events (e.g. rhabdomyolysis) occurring during the risk period were identified through the use of computer-stored records of laboratory values, outpatient visits, Emergency Department visits and hospitalizations. The identification of potential significant muscle events was based on algorithms utilizing a combination of diagnoses, procedures and/or laboratory results for creatinine kinase. The number of muscle events did not meet the threshold for statistical analysis per protocol. Incidence is reported as unadjusted, crude rates.	Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)
Incidence of Lipodystrophy 大体时间：Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)	Lipodystrophy (e.g. lipoatrophy, facial wasting) occurring during the risk period was identified through the use of computer-stored records of outpatient visits, Emergency Department visits and hospitalizations. The identification of potential lipodystrophy was based on two coded diagnoses codes indicative of lipodystrophy appearing at least 6 months apart over the course of patient care, the identification of interventions to treat such conditions (e.g. sculptra therapy), or procedural codes for Computerized Tomography indicating incident neck or abdominal lipoaccumulation. Incidence is reported as unadjusted, crude rates.	Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)

次要结果测量

结果测量	措施说明	大体时间
Incidence of Clinically Important Cardiovascular Events 大体时间：Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)	Significant cardiovascular events occurring during the risk period were identified through the use of computer-stored records and defined as inpatient events based on algorithms that utilize a combination of diagnosis and/or procedure codes. The identification of potential significant cardiovascular events was based on the occurrence of major adverse cardiovascular events (MACE) which include acute myocardial infarction (MI), ischemic stroke, unstable angina, revascularization (e.g. percutaneous coronary intervention (PCI) and coronary bypass graft surgery (CABG)), and cardiovascular death. Incidence is reported as unadjusted, crude rates.	Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)
Incidence of All-cause Mortality 大体时间：Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)	All-cause mortality occurring during the risk period was identified through the use of computer-stored records of Emergency Department visits, hospitalizations, and state death certificates. Deaths were identified from administrative Kaiser Permanente databases, including Kaiser Permanente regional research and respective state(s) mortality files as well as the Social Security Administrative files. Incidence is reported as unadjusted, crude rates.	Historical Cohort: up to 33 months (January 2005 to October 2007); Raltegravir and Concurrent Cohorts: up to 69 months (October 2007 to June 2013)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Merck Sharp & Dohme LLC

合作者

Kaiser Permanente

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

有用的网址

EUPAS Register (EUPAS17981)

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2009年8月31日

初级完成 (实际的)

2014年12月9日

研究完成 (实际的)

2014年12月9日

研究注册日期

首次提交

2010年2月26日

首先提交符合 QC 标准的

2010年3月1日

首次发布 (估计)

2010年3月2日

研究记录更新

最后更新发布 (实际的)

2018年8月22日

上次提交的符合 QC 标准的更新

2018年7月24日

最后验证

2018年7月1日

HIV-1 感染的临床试验

ANRS, Emerging Infectious Diseases
Institut National de la Santé Et de la Recherche Médicale, France; University of Bergen; Centre... 和其他合作者

完全的

使用响应性干预预防 HIV-1 的母婴传播 (PROMISE-EPI)

HIV-1

布基纳法索, 赞比亚
Hospital Universitari Vall d'Hebron Research Institute
Gilead Sciences

完全的

与继续使用 Atripla 相比，将 Atripla 改为 Eviplera 的 HIV1 患者血浆脂质谱的演变

HIV-1

西班牙
Hospital Universitari Vall d'Hebron Research Institute
University Hospital, Ghent; IrsiCaixa

完全的

在 PI 和 2 NRTI 基于方案的患者中转换为 Dolutegravir 后的 HIV 库动力学

HIV-1

西班牙
Gilead Sciences

完全的

将齐多夫定和拉米夫定换成特鲁瓦达后的外周体脂肪分布 (RECOMB)

HIV-1

西班牙
University of Aarhus
Aarhus University Hospital Skejby; Bandim Health Project; Abbott; Ministry of Health, Guinea-Bissau

完全的

PI or NNRTI as First-line Treatment of HIV in West Africa - the PIONA Trial (PIONA)

HIV-1

几内亚比绍
Tibotec Pharmaceuticals, Ireland

完全的

TMC125-TiDP35-C213：依曲韦林 (TMC125) 在接受过治疗的 HIV 感染儿童和青少年中的安全性和抗病毒活性

HIV-1

美国, 法国, 西班牙, 葡萄牙, 加拿大, 英国, 南非, 阿根廷, 巴西, 波多黎各, 泰国, 荷兰, 罗马尼亚
Tibotec Pharmaceuticals, Ireland

完全的

在 DUET 试验（TMC125-C206 或 TMC125-C216）中病毒学失败的患者中使用 TMC125 进行的开放标签试验。

HIV-1

美国, 加拿大, 法国, 比利时, 德国, 西班牙, 阿根廷, 智利, 巴拿马, 巴西, 波多黎各, 泰国, 墨西哥, 澳大利亚
Mymetics Corporation
Institut Cochin; San Raffaele University Hospital, Italy; Kinesis Pharma B.V.; CEVAC; M.A.R.C.O.; Mouton... 和其他合作者

完全的

对健康女性受试者肌肉注射和鼻内注射 HIV-1 疫苗的安全性调查

HIV-1

比利时
Janssen Pharmaceutica N.V., Belgium

完全的

使用匹配的安慰剂药片评估 Darunavir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (D/C/F/TAF) 固定剂量组合 (FDC) 片剂在人类免疫缺陷病毒 1 型 (HIV-1) 感染儿科参与者中的可接受性的研究

HIV-1

美国, 西班牙
Merck Sharp & Dohme LLC

完全的

Islatravir (MK-8591) 在未接受过抗逆转录病毒治疗的人类免疫缺陷病毒 1 感染参与者 (MK-8591-003) 中的研究

HIV-1

Post-Licensure Safety Study of ISENTRESS™ (Raltegravir) in a United States Managed Care Network (MK-0518-268)

Post-Licensure Safety Study of ISENTRESS™ in a US Managed Care Network

研究概览

地位

条件

详细说明

研究类型

注册 (实际的)

参与标准

资格标准

适合学习的年龄

接受健康志愿者

有资格学习的性别

取样方法

研究人群

描述

学习计划

研究是如何设计的？

设计细节

团体/队列数

队列和干预

团体/队列

研究衡量的是什么？

主要结果指标

结果测量

措施说明

大体时间

次要结果测量

结果测量

措施说明

大体时间

合作者和调查者

赞助

合作者

出版物和有用的链接

有用的网址

研究记录日期

研究主要日期

学习开始 (实际的)

初级完成 (实际的)

研究完成 (实际的)

研究注册日期

首次提交

首先提交符合 QC 标准的

首次发布 (估计)

研究记录更新

最后更新发布 (实际的)

上次提交的符合 QC 标准的更新

最后验证

更多信息

与本研究相关的术语

关键字

其他研究编号

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

IPD 计划说明

HIV-1 感染的临床试验

搜索类似试验

赞助者和合作者

医疗条件

药物干预

CROs by country

CROs in Kazakhstan

条件

罕见疾病

药物干预

膳食补充剂

赞助者/合作者

地点