NCT Number: NCT00144261
An Open-label, Non-randomized, Single-arm Study to Investigate the Mechanism(s) by Which Nevirapine Increases Plasma HDL in HIV+ Subjects
1. In order to obtain further insight as to how NVP affects HDL metabolism, the in vivo kinetics of the HDL apolipoprotein, Apo A-1, before and 6 weeks after initiation of NVP containing treatment were evaluated. In addition, the activity of the key enzymes related to HDL metabolism were assessed.
[ Designated as safety issue: No ] 2. In order to determine the relevance of the HDL increase in decreasing cardiovascular risk in HIV-positive subjects we evaluated endothelial function (FMD) as a surrogate marker for cardiovascular disease in patients.
[ Designated as safety issue: No ]
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Notify MeKey information
Conditions
Age range
18 year and older
Sex eligibility
All sexes
Study type
Interventional
Phase
Phase 4
Primary location
1100.1426.01 Academic Medical Centre, Amsterdam, Netherlands
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Patients will be included when they meet the following criteria:
- 18 years of age or older.
- Ability and willingness to provide signed and dated written informed consent prior to admission to the study in accordance with GCP and local legislation.
- Patients on stable therapy with Trizivir only (or its equivalent component drugs), for at least 6 months prior to screening.
- Patients with plasma HIV-1-RNA <=50 copies/mL documented on at least two occasions within 6 months prior to enrollment.
- Documentation of plasma HIV-1 RNA of <=50 copies/mL for >=6 months while on Trizivir without other antiretroviral agent. Documentation will include dates and results of all viral load testing from the previous six months.
- Ability and willingness to complete the study.
Exclusion criteria
Patients will not be included when they meet one or more of the following criteria:
- Previous exposure to NNRTI drugs.
- Documented diabetes mellitus.
- Documented hypertension (systolic >155 mmHg and/or diastolic >95 mmHg).
- Fasting hypertriglyceridemia (>5.6 mmol/L or 500 mg/dl).
- Use of lipid-lowering medication during the 90 days prior to study enrollment.
- Chronic active hepatitis B and/or C infection by history.
- Anemia (Hb <7.0 mmol/l or 11 g/dl hematocrit <32%).
- Active opportunistic infection or neoplasm within 3 months prior to screening visit with the exception of cutaneous Kaposi's sarcoma without evidence of progressive disease.
- Any history of cardiovascular disease (infarction, heart failure, peripheral vascular disease, cerebrovascular disease).
- Hepatic, renal or thyroid abnormalities, as determined significant by the Principal Investigator.
- Pregnancy or lactation.
- Active anticoagulation therapy (coumarin derivates, heparin).
- History of HIV-2 infection.
- Female patients with CD4 counts >250 cells/mm3.
- Male patients with CD4 counts >400 cells/mm3. Others which can not be listed here.
Treatment and study plan
Primary outcomes
-
Percentage change of fractional synthetic rate (FSR) of Apo A-1
Time frame: after 6 weeks of treatment
-
Percentage change of flow mediated dilatation (FMD)
Time frame: after 6 and 24 weeks of treatment
Secondary outcomes
-
Percentage change in the proteins involved in HDL metabolism
Time frame: after 6 and 24 weeks of treatment
-
The percentage change in plasma levels of lipoproteins in the fasting lipid panel (TC, LDL, HDL, TG) from Week 0 (baseline) to 6 and 24 weeks of treatment with NVP-based antiretroviral therapy
Time frame: from week 0 to 6, and 24 weeks of treatment
-
The percentage change in activity (and/or mass) of the constituents of the lipid enzymes panel from Week 0 to 24 weeks of NVP-based antiretroviral therapy
Time frame: from week 0 to 24 weeks of treatment
Sponsors and collaborators
Lead sponsor
Boehringer Ingelheim
Industry
Registry information
Official study title
An Open-label, Non-randomized, Single-arm Study, to Investigate the Mechanism(s) by Which Nevirapine Increases Plasma High Density Lipoproteins Concentration in HIV+ Subjects Treated With VIRAMUNE® Tablets
Important dates
- Study start
- 2003
- Primary completion
- 2006
- First posted
- Sep 5, 2005
- Registry last updated
- Jan 31, 2025
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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