Actively Recruiting

Phase 2
Age: 18Years - 60Years
All Genders
NCT06640192

Administration of High Doses of Antiretroviral Drugs to Eliminate the Latent HIV-1 Reservoir

Led by Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal · Updated on 2025-06-25

24

Participants Needed

2

Research Sites

83 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The HIV epidemic represents one of the greatest health challenges worldwide, with important social and economic implications for public health. Although combination antiretroviral therapy (TAR) is effective in controlling infection and delaying disease onset, as well as improving the quality of life of infected persons, the relevant medical needs caused by HIV-1 infection are not yet fully met by TAR. The main obstacle to curing HIV is the establishment and maintenance of the viral reservoir. Therefore, we believe that this clinical trial will provide knowledge, for the first time, of the increase of antiretroviral drug levels in lymphatic tissue achieved by simultaneous administration of antiretroviral drugs at higher than usual doses, and their effect on persistent viral replication in intestinal lymphatic tissue and, as a consequence, on the latent cellular reservoir of HIV.

CONDITIONS

Official Title

Administration of High Doses of Antiretroviral Drugs to Eliminate the Latent HIV-1 Reservoir

Who Can Participate

Age: 18Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients who give written consent after receiving study information
  • Age over 18 years and under 60 years
  • Understand the study purpose and are available for visits and procedures
  • Diagnosed with HIV and followed in HIV care
  • On triple antiretroviral therapy including an integrase inhibitor
  • Undetectable viral load (<50 copies/mL) for at least 12 months before inclusion
  • No history of prior virologic failure
  • No known gastrointestinal disease
  • R5 viral tropism confirmed on proviral DNA
  • Women of childbearing age must have a negative pregnancy test within 7 days before treatment start
  • Women of childbearing age and their male partners must agree to use effective contraception until 6 months after last treatment dose
Not Eligible

You will not qualify if you...

  • Chronic Hepatitis B infection (HBsAg positive)
  • Untreated chronic Hepatitis C
  • Viral tropism X4
  • Pregnancy or planning pregnancy during study
  • Breastfeeding
  • Abnormal coagulation parameters (PT ≥ 1.2 LSN)
  • Thrombocytopenia (platelet count <50000)
  • Transaminase levels more than 3 times normal
  • Impaired kidney function (creatinine >1.5 mg/dL or clearance <60 mL/min/1.73 m2)
  • Contraindications for colonoscopy, bowel biopsy, or conscious sedation
  • Anemia (grade 1 or higher)
  • Use of aspirin, ibuprofen, warfarin, or agents affecting coagulation within 1 week before endoscopy
  • Treatment with CYP3A inducers or inhibitors
  • Known hypersensitivity or contraindication to study drugs or judged unsuitable by investigator

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Hospital Universitario Ramón y Cajal

Madrid, Madrid, Spain, 28034

Not Yet Recruiting

2

Hospital Universitario 12 de Octubre

Madrid, Spain

Actively Recruiting

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Research Team

S

Santiago Moreno Guillen, PhD

CONTACT

E

Erick de la Torre

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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