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Artery Elasticity After Switch From Epzicom to Truvada

Information source: Minneapolis Medical Research Foundation
Information obtained from ClinicalTrials.gov on October 04, 2010
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: HIV Infections

Intervention: Tenofovir disoproxil (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Minneapolis Medical Research Foundation

Official(s) and/or principal investigator(s):
Jason Baker, MD, MS, Principal Investigator, Affiliation: University of Minnesota; HCMC

Overall contact:
Jason Baker, MD, Phone: 612-873-2705, Email: baker459@umn.edu

Summary

Recent research as suggested that use of the HIV medication abacavir (Ziagen, or co-formulated with lamivudine as Epzicom) may increase risk for heart disease, though findings from multiple studies have been inconsistent. This pilot study will examine vascular function, a marker of heart disease risk, among patients taking abacavir as part of their HIV medications and are then randomized to: 1) switch to tenofovir, another HIV medication, or 2) continue to take abacavir.

Clinical Details

Official title: Artery Elasticity After Switch From Epzicom to Truvada

Study design: Allocation: Randomized, Control: Active Control, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome:

Small and large artery elasticity

Biomarkers of endothelial activation

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Adult (≥18 years) males or non-pregnant females, non-lactating females.

- HIV-infected participants currently receiving fixed-dose abacavir/lamivudine based

regimen for ≥3 months preceding the screening visit.

- HIV-infection documented by a positive HIV-1 antibody (confirmatory western-blot) or

an HIV RNA level ≥1000 copies/mL

- Two consecutive plasma HIV RNA concentrations below the limit of detection for

clinical-based assays used for HCMC and ANW HIV clinics. The 1st HIV RNA concentration must be at least 3 months prior to study entry.

- Subjects receiving lipid lowering agents will be allowed; however, dosing for these

medications must be stable for ≥3 months prior to study entry

- Adequate renal function defined as a calculated creatinine clearance (CLCr) ≥50

mL/min according to the Cockcroft-Gault formula:

- MALE: (140 - age in years) x (wt in kg) = CLCr (mL/min) 72 x (serum creatinine

in mg/dL)

- FEMALE: (140 - age in years) x (wt in kg) x 0. 85 = CLCr (mL/min) 72 x (serum

creatinine in mg/dL)

- Negative serum pregnancy test (females of childbearing potential only)

- Hepatic transaminases (AST and ALT) ≤ 5 x upper limit of normal (ULN).

- Males and females (of childbearing potential) must agree to avoid pregnancy by sexual

abstinence, or utilization of a highly effective method of birth control throughout the study period and for 30 days following discontinuation of study drug (refer to Appendix A for definitions of 'childbearing potential' and 'highly effective method of birth control')

Exclusion Criteria:

- Subjects with known resistance to abacavir, lamivudine, tenofovir DF, or

emtricitabine at anytime in the past (including but not limited to K65R, L74V/I, M184V/I, or thymidine analog mutations).

- A new AIDS-defining condition diagnosed (with the exception of CD4 criteria) within

30 days of baseline

- Previous therapy with agents with systemic myelosuppressive, pancreatoxic,

hepatotoxic or cytotoxic potential within 3 months of study entry or the expectation for such therapy at the time of enrollment

- Proven or suspected acute hepatitis in the 30 days prior to study entry

- Receiving ongoing therapy with any of the following (administration of any of the

following medications must be discontinued at least 30 days prior to the baseline visit and for the duration of the study period):

- Nephrotoxic agents (aminoglycoside antibiotics, amphotericin B, cidofovir,

cisplatin, foscarnet, IV pentamidine, other agents with significant nephrotoxic potential)

- Adefovir dipivoxil

- Probenecid

- Systemic chemotherapeutic agents (i. e., cancer treatment medications)

- Systemic corticosteroids

- Interleukin-2 (IL-2)

- Evidence of gastrointestinal malabsorption syndrome or chronic nausea or vomiting

which may confer an inability to receive an orally administered medication.

- Current alcohol or substance abuse judged by the investigator to potentially

interfere with subject adherence

- Malignancy other than cutaneous Kaposi's sarcoma (KS) or basal cell carcinoma.

Participants with biopsy-confirmed cutaneous KS are eligible, but must not have received any systemic therapy for KS within 30 days of baseline and are not anticipated to require systemic therapy during the study.

- Active, serious infections (other than HIV-1 infection) requiring parenteral

antimicrobial therapy within 15 days prior to screening.

- Prior history of significant renal or bone disease.

- Any other clinical condition or prior therapy that, in the opinion of the

investigator, would make the subject unsuitable for the study or unable to comply with the dosing requirements.

- Known hypersensitivity to the study drugs, the metabolites or formulation excipients

Locations and Contacts

Jason Baker, MD, Phone: 612-873-2705, Email: baker459@umn.edu

Hennepin County Medical Center, Minneapolis, Minnesota 55415, United States; Recruiting
Rachel Prosser, CNP, Phone: 612-873-2788, Email: rachel.prosser@hcmed.org
Jason Baker, MD, MS, Principal Investigator

Abbott Northwestern Hospital and Clinics, Minneapolis, Minnesota, United States; Not yet recruiting
Deb Wood, Email: Deborah.Wood@allina.com
Frank Rhame, MD, Principal Investigator

Additional Information

Starting date: October 2009
Last updated: June 2, 2010

Page last updated: October 04, 2010

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