HIV Infections Clinical Trial
Official title:
A Pilot, Open Label, Multicenter, Randomized Clinical Trial on Lopinavir/Ritonavir-Monotherapy vs Lopinavir/Ritonavir Plus Selected Nucs, in HIV/HCV Coinfected Patients With Chronic Hepatitis C or Compensated Cirrhosis, Starting Treatment With Ribavirin and Pegylated Interferon
The purpose of this study is to evaluate if the combination of Lpv/r monotherapy and
anti-HCV drugs does not match with additional toxicity induced by the association of HAART
and Peg-IFN + ritonavir in HIV/HCV coinfected patients.
Secondary objective is to assess if Lpv/r monotherapy during HCV-treatment is associated
with HIV efficacy versus optimized HAART.
This is a pilot, randomised, open label, controlled clinical trial. All eligible
patients(CD4>350, HIV RNA<50 copies and no PI mutations) will be randomized (1:1) to receive
LPV/r new tabs (200/50 mg, 2 cpr BID) monotherapy (arm A) or LPV/r + selected NUCS (arm B)
associated to anti-HCV therapy for 12 months. The number of subjects to recruit, in each arm
of the study, is equal to 25, the total number of subjects to enrol will be 50.
- Group A: will receive LPV/r monotherapy and anti HCV drugs for 12 months.
- Group B: will receive LPV/r+ selected NUCS and anti HCV drugs for 12 months. All the
patients will be followed-up for six months after the end of anti-HCV drugs for the
evaluation of Sustained Virological Response (SVR). At the end of the co-treatment for
HCV/HIV, each subject will be treated for HIV infection according to physician
decisions.As anti-HCV drugs the patients will receive PEG-IFNa 2a 180 mcg/week +
Ribavirin 1-1.2 g/day .At the end of the third month of combined therapy, only patients
who reach an early virological response will continue anti-HCV drugs.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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