Status:

COMPLETED

Efavirenz to Nevirapine Switch and Low-Density Lipoprotein (LDL)-Dyslipidemia

Lead Sponsor:

University Hospital, Caen

Collaborating Sponsors:

Boehringer Ingelheim

Conditions:

HIV Infections

Hypercholesterolemia

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Dyslipidemia and coronary heart disease (CHD) are increasingly recognized in persons with human immunodeficiency virus (HIV) infection. Many antiretrovirals, including efavirenz (EFV), are associated ...

Eligibility Criteria

Inclusion

  • HIV-1 infected adults, who were receiving antiretroviral therapy including efavirenz for at least 6 months
  • plasma HIV RNA\<400 cp/ml during the previous 4 months on 2 occasions 14 days apart
  • Severe dyslipidemia with Low-Density Lipoprotein cholesterol (LDL-c) \>3.4 mmol/L in the presence of at least one of the 3 following coronary heart disease (CHD) risk factors: age\>45 among males or age\>55 among females, hypertension, current smoking, family history of CHD
  • Low-Density Lipoprotein cholesterol (LDL-c)\>4.1 mmol/L regardless of CHD risk factors.

Exclusion

  • Protease inhibitors use within the previous 6 months,
  • Prior exposure to nevirapine
  • Asparate aminotransferase (AST) or alanine aminotransferase (ALT) \>2.5N if hepatitis virus B or C were negative
  • AST or ALT\>1.25N if hepatitis virus B or C were positive
  • Fasting glycemia\>1.26g/L,
  • Current CHD
  • Triglycerides\>4.6 mmol/L
  • Introduction of lipid lowering drugs, corticoïds, retinoïds and betablockers within the previous 3 months.

Key Trial Info

Start Date :

June 1 2003

Trial Type :

INTERVENTIONAL

End Date :

February 1 2006

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT00405171

Start Date

June 1 2003

End Date

February 1 2006

Last Update

October 28 2010

Active Locations (1)

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1

Côte de Nacre University hospital

Caen, France, 14033