HIV Infections Clinical Trial
Official title:
Treatment Intensification in HIV-1 Patients With Multi-Drug Resistant Virus
Drug resistance may develop in HIV infected patients who take anti-HIV drugs, but most patients do well if they continue taking them. The purpose of this study is to test the effectiveness of a short, intensified course of anti-HIV drugs for controlling HIV infection in adults who have virus resistant to multiple drugs.
While an HIV infected patient is taking highly active antiretroviral therapy (HAART),
drug-resistant HIV may emerge; however, it has been observed that HIV viral loads while on
HAART are usually lower than baseline levels. Expansion of the T cell population during
early HAART may explain this phenomenon. It is hoped that a short but aggressive HAART
regimen to treatment-experienced patients who have drug-resistant virus will produce immune
cells that will better control drug-resistant virus. This study will determine if a 6-month
HAART regimen intensified by enfuvirtide (T-20) is effective in eliciting a stronger immune
response against drug-resistant virus.
This study will last 48 weeks. All participants will receive T-20 as part of a HAART
intensification regimen; HAART other than T-20 will not be provided by the study. There will
be 17 study visits. Prior to beginning treatment intensification, participants will have
weekly study visits for three weeks. Once treatment intensification has started,
participants will be followed weekly for four weeks, then weekly for four weeks after
treatment intensification, then monthly thereafter. Blood collection will occur at each
visit.
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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