HIV Infections Clinical Trial
Official title:
HIV Antigen-Specific Immune Responses - A Comparison of Alternative In Vitro Assays From Subjects Characterized as Either "Stable HAART" or "Efficient Immune Control"
Some people's immune systems are able to control HIV infection without anti-HIV drugs. Other people with HIV must take drugs to prevent the virus from destroying their immune systems. There are many different laboratory tests that measure immune function in people with HIV. This study will compare some of these tests to see if they consistently measure differences between people who control the HIV without anti-HIV drugs and those who must take drugs.
The efficiency of the immune response to HIV antigens is the critical feature that allows
some individuals with chronic HIV infection to maintain low level viremia (less than 3000
copies/ml). The fundamental measurement of this response is the steady state level of
viremia in the absence of antiretroviral drugs. However, using this clinical endpoint in
vaccine and drug trials is time-consuming. Several laboratory assays of HIV T cell function
have been developed to measure the key characteristics of an efficient immune response. This
study will evaluate these assays in two distinct patient populations.
Two patient cohorts will be followed in this study. Cohort A will enroll patients who are
stable on highly active antiretroviral therapy (HAART). These patients will have been on the
same HAART regimen for at least 9 months prior to study entry. Cohort B will enroll patients
with chronic HIV infection and efficient immune control. These patients will have not been
on any antiretroviral drugs for at least 6 months and will have viral loads less than 3,000
copies/ml. Participants in both cohorts will have blood drawn at study entry and Weeks 12
and 24. Blood samples will be used for CD4/CD8 cell count, plasma HIV-1 RNA, and immunologic
assays.
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Time Perspective: Prospective
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