Overview

Study Evaluating the Impact on Fat Distribution of Nucleoside Reverse Transcriptase Inhibitor (NRTI)-Sparing Regimens in Antiretroviral Experienced Patients With Lipoatrophy

Status:
Terminated
Trial end date:
2005-06-01
Target enrollment:
0
Participant gender:
All
Summary
The aim of this trial is to evaluate the impact on fat distribution of switching to NRTI-sparing regimens in lipoatrophic antiretroviral experienced patients with complete viral suppression. Maintenance of virological suppression and immunological factors are also assessed.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
French National Agency for Research on AIDS and Viral Hepatitis
Treatments:
HIV Protease Inhibitors
Protease Inhibitors
Reverse Transcriptase Inhibitors
Criteria
Inclusion Criteria:

- Males and non-pregnant females

- Confirmed laboratory diagnosis of HIV infection

- Patients receiving a 2 or 3 NRTI-containing antiretroviral treatment for at least 3
months

- Viral load below 400 copies/ml

- Patients with a clinical peripheral lipoatrophy isolated or associated with a
lipohypertrophy self reported by the patient and confirmed by physical examination

Exclusion Criteria:

- Current antiretroviral therapy with 3 classes of antiretroviral therapy

- Previous virologic failure with a non-nucleoside reverse transcriptase inhibitor
(NNRTI) or protease inhibitor (PI)

- Intolerance to nevirapine and efavirenz

- Acute opportunistic infection

- Diabetes

- Transaminase levels over 5 times above the upper normal limit

- Hepatitis B virus (HBV) co-infection if the patient is receiving lamivudine therapy

- Ongoing immunotherapy including interleukin-2 (IL-2) and interferon

- Pregnancy or planned pregnancy