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OpenTrials
Completed

NCT Number: NCT01471821

Study to Evaluate the Activity and Tolerability of Lopinavir/Ritonavir and Lamivudine Bitherapy in HIV Patients With Viral Suppression

This is a prospective, open controlled trial in which HIV-1 with viral suppression patients will be randomized to continue with their current treatment (lopinavir/ritonavir plus emtricitabine or lamivudine plus any nucleoside analogue reverse transcriptase inhibitor) or to simplify to lopinavir/ritonavir plus lamivudine.

Randomization will be stratified according to the values of nadir CD4 and time of viral suppression.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Hospital Clínic i Provincial Barcelona, Barcelona, Spain

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients of either sex (female or male) and 18 years or older.
  • Patients seropositive for HIV-1 using standard diagnostic criteria.
  • There is confirmation of viral load to be lower than 50 cop/ml during the 6 previous months to inclusion. The requirement is to have at least two viral loads lower than 50 cop/mL separated by 6 months and no one >50cop/mL during the 6 months before inclusion.
  • Patients on continuous HAART consisting of LPV/r, emtricitabine (FTC) or 3TC (lamivudine) and an NRTI for at least 2 months before being randomized in this study.
  • Patients who are clinically stable, in the opinion of the investigator, at entry into the study (clinical status and chronic medication must not have not been modified at least 14 days prior to randomization). Patients receiving therapy for an active opportunistic infection are eligible for enrollment if the above criteria are met. Standard prophylaxis of opportunistic infections is permitted.

Exclusion criteria

  • Pregnancy, nursing, or planned pregnancy during the study period.
  • Previous failure with regimens including a protease inhibitor (PI) or 3TC/FTC.
  • Known resistance mutations to PIs or 3TC/FTC.
  • Patients with an active opportunistic infection or malignancy. Patients with a stable chronic opportunistic infection may be included in the study.
  • Any disease or history of disease which, in the opinion of the investigator, might confound the results of the study or pose additional risk to patient treatment.
  • Patients diagnosed with visceral Kaposi's sarcoma (KS), patients with lymphoedema secondary to cutaneous KS or cutaneous or palatine KS who have been treated with systemic immunosuppressive therapy must also be excluded.
  • Patients with chronic hepatitis B on treatment with tenofovir + 3TC/FTC

Treatment and study plan

antiretroviral treatment

Drug

antiretroviral treatment

Primary outcomes

  1. Proportion of patients with no treatment failure

    Time frame: 48 weeks

    • viral failure, defined as two viral loads above 50 copies/ml at least two weeks apart
    • death
    • developing new CDC-C events
    • withdrawing consent
    • being lost to follow-up
    • switching assigned treatment for any cause

Secondary outcomes

  1. Proportion of patients with no viral failure

    Time frame: 48 weeks

    defined as two viral loads above 50 copies/ml. Patients lost to follow-up or changing treatment will not be taken into account for this analysis

  2. Proportion of patients with no therapeutical failure

    Time frame: 48 weeks

    defined as in the primary outcome but with two viral loads above 400 copies/ml, not 50 as in the primary outcome.

  3. Proportion of patients with no viral failure

    Time frame: 48 weeks

    defined as two viral loads above 400 copies/ml

  4. Time to viral failure

    Time frame: 48 weeks

    Two different analysis will be carried out: with 50 copies/ml threshold and with 400 copies/ml threshold

  5. Proportion of patients with blips

    Time frame: 48 weeks

    Defined as one viral load above 50 and below 400 copies/ml with next viral load below 50 copies/ml

  6. Change from baseline CD4

    Time frame: 48 weeks

  7. Lipidic profile change from baseline

    Time frame: 48 weeks

  8. Creatinine clearance change from baseline

    Time frame: 48 weeks

  9. Proportion of patients with proximal tubular renal disfunction

    Time frame: 48 weeks

  10. Lipodystrophy changes from baseline

    Time frame: 48 weeks

    evaluated using two questionnaires: lipoatrophy and fat accumulation

  11. Adherence to treatment

    Time frame: 48 weeks

  12. Mortality and progression to AIDS

    Time frame: 48 weeks

  13. Adverse events per treatment branch

    Time frame: 48 weeks

  14. Proportion of patients switching study treatment due to an adverse event

    Time frame: 48 weeks

  15. Proportion of serious adverse events related to treatment

    Time frame: 48 weeks

Sponsors and collaborators

Lead sponsor

Juan A. Arnaiz

Other

Registry information

Official study title

Study to Evaluate the Activity and Tolerability of Lopinavir/Ritonavir and Lamivudine Bitherapy Instead of a Triple Therapy That Includes Lopinavir/Ritonavir and Lamivudine or Emtricitabine in HIV Patients With Viral Suppression: Controlled Clinical Trial, Open Label, Randomized, of 48 Weeks of Follow-up

Acronym: OLE

Important dates

Study start
2011
Primary completion
2014
Study completion
2014
First posted
Nov 16, 2011
Registry last updated
Jul 29, 2014

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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