Status:

COMPLETED

ALTAIR - Alternative Antiretroviral Strategies : a Comparison of Three Initial Regimens

Lead Sponsor:

Kirby Institute

Collaborating Sponsors:

The University of New South Wales

Conditions:

Human Immunodeficiency Virus (HIV)

Eligibility:

All Genders

16+ years

Phase:

PHASE4

Brief Summary

In treatment naïve HIV infected subjects, combination antiretroviral therapy including efavirenz combined with tenofovir and emtricitabine will offer non-inferior antiretroviral efficacy over 48 weeks...

Detailed Description

The primary objective of this study is to compare the virological efficacy, as measured by the time-weighted mean change from baseline plasma HIV-RNA, and safety, of three strategic regimens of initia...

Eligibility Criteria

Inclusion

  • HIV-1 positive by licensed diagnostic test with presumed duration of infection \> 6 months from date of randomisation.
  • Aged \> 16 years of age (or minimum age as determined by local regulations or as legal requirements dictate).
  • Antiretroviral treatment naïve.
  • Qualifying plasma HIV RNA \> 2,000 copies/mL and a CD4+ T cell count of ≥ 50 cells/µL.
  • No evidence of harbouring a drug resistant HIV (based upon genotypic drug testing).
  • Calculated creatinine clearance (CLCr) greater than or equal to 70 mL/min (Cockcroft-Gault formula).
  • Able to provide written informed consent.

Exclusion

  • The following laboratory variables,
  • absolute neutrophil count (ANC) \< 750 cells/µL
  • haemoglobin \< 8.0 g/dL
  • platelet count \< 50,000 cells/µL
  • serum AST, ALT \> 5 x upper limit of normal (ULN)
  • serum bilirubin \> 1.5 x ULN
  • Pregnant or nursing mothers.
  • Current use of human growth hormone, testosterone or other anabolic steroid.
  • Current use of any prohibited medications as described in product specific information.
  • Acute therapy for serious infection or other serious medical illness (in the judgement of the site Principal Investigator) requiring systemic treatment and/or hospitalisation.
  • Patients with current alcohol or illicit substance use that in the opinion of the site Principal Investigator would conflict with any aspect of the conduct of the trial.
  • Patients unlikely to be able to remain in follow-up for the protocol-defined period.
  • Patients with known renal insufficiency.
  • Patients with obstructive liver disease.
  • Patients with intractable diarrhoea (six loose stools/day for at least seven consecutive days).
  • History of acute or chronic pancreatitis.
  • Presence of cardiomyopathy (due to any cause) or any significant cardiovascular disease, such as unstable ischemic heart disease.
  • Prisoners or subjects who are compulsorily detained (involuntarily incarcerated).

Key Trial Info

Start Date :

February 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2011

Estimated Enrollment :

329 Patients enrolled

Trial Details

Trial ID

NCT00335322

Start Date

February 1 2007

End Date

November 1 2011

Last Update

September 26 2019

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