Skip to main content
OpenTrials
Completed

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 ]

Completed

Looking for future studies?

Notify Me

Key information

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

Loading trial locations.

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

Nevirapine

Drug

Primary outcomes

  1. Percentage change of fractional synthetic rate (FSR) of Apo A-1

    Time frame: after 6 weeks of treatment

  2. Percentage change of flow mediated dilatation (FMD)

    Time frame: after 6 and 24 weeks of treatment

Secondary outcomes

  1. Percentage change in the proteins involved in HDL metabolism

    Time frame: after 6 and 24 weeks of treatment

  2. 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

  3. 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.

Published trials that share one or more normalized conditions with this study.