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OpenTrials
Completed

NCT Number: NCT00318123

Study to Evaluate the Effectiveness of ABC+3TC +EFV in Once-Daily Regimens Versus KLT in Twice-Daily Regimens in Naive HIV Patients

To evaluate the therapeutic equivalence between the two arms of treatment in virological and immunological response after 48 weeks and to evaluate the presence of side effects during the follow-up period.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Institute of Infections and Tropical Diseases University of Brescia, Brescia, Italy

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About this study

The efficacy of the highly active antiretroviral treatment (HAART) has been demonstrated in several clinical trials. Even so, a substantial proportion of patients do not manage to maintain correct viral suppression in daily clinical practice.

Adherence to HAART treatment is critical to obtain lasting viral suppression. Thus, factors that are related to adherence such as high pill load or takes, the complexity of the antiretroviral system, tolerability and food restrictions may have an effect on viral replication.

It has been demonstrated that simpler regimens with a scant number of tablets, without food restrictions and with a single take a day are safe, efficacious and that adherence improves.

The combination of abacavir 600 mg + lamivudine 300 mg QD in a single tablet is a novel dosage that may help increase treatment adherence.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age> 18 years.
  • HIV-1 infected patients.
  • Naive to antiretroviral treatment.
  • Candidate patient for initiating antiretroviral treatment*.
  • Subject able to follow the treatment period.
  • Signature of the informed consent.
  • Women may not be fertile age (defined as at least one year from menopause or undergoing any surgical sterilisation technique), or must undertake to use two contraceptive methods during the study, one of them at least being a barrier method.

Exclusion criteria

  • Hepatic tests > 5 times above normality.
  • Pregnancy or breastfeeding.
  • Treatment for opportunistic infections or neoplasms associated with the stable HIV over the last 6 weeks.
  • Suspected or documented resistance to any of the investigational drugs.
  • Known allergic hypersensitivity to any of the investigational drugs or any similar drug.
  • Subjects with abusive consumption of alcohol or illegal drugs.
  • Patients participating in another clinical trial.
  • Terminal renal disease.

Treatment and study plan

Kivexa

Drug

abacavir 600mg + lamivudine 300mg in one tablet QD

Primary outcomes

  1. To evaluate the virological response over the 48 weeks of the study.

    Time frame: At 12, 24, 36 and 48 weeks

Secondary outcomes

  1. To evaluate the immunological efficacy (changes in CD4 and CD8 counts) of the combination studied over the follow-up period.

    Time frame: At 12, 24, 36 and 48 weeks.

  2. To evaluate the impact of treatment on the lipid profile.

    Time frame: At 12, 24, 36 and 48 weeks

  3. To evaluate the tolerance and safety of the combination of Efavirenz + lamivudine + abacavir given once daily over the 48-week treatment period.

    Time frame: At 12, 24, 36 and 48 weeks.

  4. To evaluate treatment adherence (assessed by a self-reported questionnaire and with graduated satisfaction scales) and patient quality of life (assessed by means of the MOS-HIV questionnaire).

    Time frame: At 12, 24, 36 and 48 weeks.

  5. To analyse the mutations that appear in patients that present virological failure.

    Time frame: When there is a virological failure.

Sponsors and collaborators

Lead sponsor

Germans Trias i Pujol Hospital

Other

Collaborators

  • Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia

Registry information

Official study title

Multicentre, Open Label, Prospective, Randomised Clinical Trial to Evaluate the Effectiveness of Abacavir 600 mg+ Lamivudine 300 mg as QD+ Efavirenz 600 mg QD Versus Kaletra 400/100 mg BID as Initial Antiretroviral Treatment

Important dates

Study start
2004
Primary completion
2007
Study completion
2007
First posted
Apr 26, 2006
Registry last updated
Jan 29, 2008

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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