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Completed

NCT Number: NCT00334022

Fuzeon Viral Decay Pilot Study

In order to better understand the source(s) and the mechanism(s) of HIV persistence and to potentially lead to further suppression of HIV from viral reservoirs, we propose to examine the effect of co-administration of enfuvirtide, an entry inhibitor of HIV, on diminution of the size of the viral reservoir in infected individuals who are receiving effective antiviral therapy for extended periods of time (> 5 years).

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Key information

Conditions

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Maple Leaf Medical Clinic

Toronto, Ontario, M5B 1L6, Canada

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient must be HIV infected
  • Patient must be > 18 years old
  • Patient must be taking standard combination antiretroviral therapy with 2-3 NRTIs and 1-2 PIs or a NNRTIs for at least five years
  • Patient must have a viral load < 50 copies/mL (using the standard available methods of detection) during the entire time on standard combination antiretroviral therapy except for initial fall of viral load
  • Patient must have a CD4 count above 400 cells/mm3 in last 3 months
  • Female patient must agree to use two methods of birth control or abstinence during the period of the study
  • Patient has to have signed full informed consent

Exclusion criteria

  • Patient who would have difficulty participating in a trial due to non-adherence or substance abuse
  • Patient who have taken mono or dual antiretroviral therapy
  • Patient who have had a viral load > 50 copies/mL on any antiretroviral regimen
  • Patient with any of the following abnormal laboratory test results in screening:
  • Hemaglobin < 100 g/L
  • Neutrophil count < 750 cells/uL
  • Platelet count < 50,000 cells/L
  • AST or ALT > 5X the upper limit of normal
  • Creatinine > 250 umol/L
  • Patient with a malignancy
  • Patient with other significant underlying disease (non-HIV) that might impinge upon disease progression or death
  • Patient with an active AIDS-defining illnesses in the past six months
  • Patients who are pregnant

Treatment and study plan

Enfuvirtide

Drug

1ml BID

Primary outcomes

  1. The change of proviral HIV-1 DNA in both purified resting and activated CD4 T cells from baseline to month 6.

    Time frame: 6 months

    The change of proviral HIV-1 DNA in both purified resting and activated CD4 T cells from baseline to month 6.

Secondary outcomes

  1. To determine the change of proviral HIV-1 DNA from baseline to month 3

    Time frame: 3 months

    To determine the change of proviral HIV-1 DNA from baseline to month 3

  2. To determine the change of proviral HIV-1 DNA from months 6 to 9 after the enfurvitide has been stopped for 3 months in the treatment arm

    Time frame: 9 months

    To determine the change of proviral HIV-1 DNA from months 6 to 9 after the enfurvitide has been stopped for 3 months in the treatment arm

  3. To quantify plasma HIV (limit of detection 2 copies/ml of plasma)

    Time frame: 9 months

    To quantify plasma HIV (limit of detection 2 copies/ml of plasma)

  4. To quantify cell associated HIV RNA (unspliced and multiply spliced) in resting and activated CD4+ T cells

    Time frame: 9 months

    To quantify cell associated HIV RNA (unspliced and multiply spliced) in resting and activated CD4+ T cells

  5. To determine the decay characteristics of HIV in resting CD4+ T cells by quantitative co-culture assays

    Time frame: 9 months

    To determine the decay characteristics of HIV in resting CD4+ T cells by quantitative co-culture assays

  6. To determine the half-life of HIV in resting CD4+ T cells

    Time frame: 9months

    To determine the half-life of HIV in resting CD4+ T cells

  7. To carry out phylogenetic analysis of HIV in the plasma, resting, and activated CD4+ T cell compartments

    Time frame: 9 months

    To carry out phylogenetic analysis of HIV in the plasma, resting, and activated CD4+ T cell

  8. To quantify the amount of HIV in gastrointestinal-associated lymphoid tissue (GALT) by quantitative co-culture assays (as part of a sub-study - see GALT sub-study)

    Time frame: 9 months

    To quantify the amount of HIV in gastrointestinal-associated lymphoid tissue (GALT) by quantitative co-culture assays (as part of a sub-study - see GALT sub-study)

Sponsors and collaborators

Lead sponsor

Canadian Immunodeficiency Research Collaborative

Other

Collaborators

  • Hoffmann-La Roche

Registry information

Official study title

A Pilot Randomized Controlled Trial of Adding Enfuvirtide to Standard Combination Antiretroviral Therapy in HIV-infected Individuals With Full Virologic Suppression to Further Suppress Proviral HIV DNA

Important dates

Study start
2006
Primary completion
2007
Study completion
2010
First posted
Jun 6, 2006
Registry last updated
Jun 5, 2012

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.