HIV Infections Clinical Trial
Official title:
Utilization of HIV Drug Resistance Testing in Treatment Experienced Patients (UTILIZE Study)
The primary objective of this trial was to assess the presence of susceptibility to tipranavir and other ARVs of the HIV-1 isolates in treatment experienced patients. The secondary objective was to examine clinicians' use of HIV drug resistance testing in treatment experienced patients currently failing a PI based HAART regimen.
| Status | Completed |
| Enrollment | 246 |
| Est. completion date | January 2008 |
| Est. primary completion date | January 2008 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 18 Years to 18 Years |
| Eligibility |
Inclusion criteria Patients that meet the following inclusion criteria will be eligible for participation in this study: 1. Signed patient informed consent prior to study participation. 2. HIV-1 infected male or female ?18 years of age. 3. Have confirmed (2 consecutive) HIV RNA ?1000 copies/mL (one of the results must be within 3 months of enrollment into the study). 4. Current HAART regimen contains a protease inhibitor for ?3 months. 5. Physicians considering a change in the patient?s HAART regimen. f.) History of treatment with 2 or more protease inhibitors (including the current PI). Low dose ritonavir (i.e.< 400 mg. bid) is not counted as one of the PIs. Exclusion criteria A patient with any of the following criteria will be excluded from participation in the study: 1. ARV medication naive. 2. Active opportunistic infection. c.) Known or suspected non-adherence to current HAART regimen as assessed by the investigator. |
Observational Model: Cohort, Time Perspective: Prospective
| Country | Name | City | State |
|---|---|---|---|
| Puerto Rico | Boehringer Ingelheim Investigational Site | Ponce | |
| Puerto Rico | Boehringer Ingelheim Investigational Site | Ponce | |
| United States | Boehringer Ingelheim Investigational Site | Akron | Ohio |
| United States | Boehringer Ingelheim Investigational Site | Bakersfield | California |
| United States | Boehringer Ingelheim Investigational Site | Baltimore | Maryland |
| United States | Boehringer Ingelheim Investigational Site | Berkley | Michigan |
| United States | Boehringer Ingelheim Investigational Site | Beverly Hills | California |
| United States | Boehringer Ingelheim Investigational Site | Camden | New Jersey |
| United States | Boehringer Ingelheim Investigational Site | Charlotte | North Carolina |
| United States | Boehringer Ingelheim Investigational Site | Chicago | Illinois |
| United States | Boehringer Ingelheim Investigational Site | Dallas | Texas |
| United States | Boehringer Ingelheim Investigational Site | Daytona Beach | Florida |
| United States | Boehringer Ingelheim Investigational Site | Fort Worth | Texas |
| United States | Boehringer Ingelheim Investigational Site | Fountain Valley | California |
| United States | Boehringer Ingelheim Investigational Site | Ft. Lauderdale | Florida |
| United States | Boehringer Ingelheim Investigational Site | Ft. Lauderdale | Florida |
| United States | Boehringer Ingelheim Investigational Site | Hampton | Virginia |
| United States | Boehringer Ingelheim Investigational Site | Houston | Texas |
| United States | Boehringer Ingelheim Investigational Site | Huntersville | North Carolina |
| United States | Boehringer Ingelheim Investigational Site | Los Angeles | California |
| United States | Boehringer Ingelheim Investigational Site | Los Angeles | California |
| United States | Boehringer Ingelheim Investigational Site | Miami | Florida |
| United States | Boehringer Ingelheim Investigational Site | Miami | Florida |
| United States | Boehringer Ingelheim Investigational Site | New Orleans | Louisiana |
| United States | Boehringer Ingelheim Investigational Site | Newark | New Jersey |
| United States | Boehringer Ingelheim Investigational Site | Newark | New Jersey |
| United States | Boehringer Ingelheim Investigational Site | Newport Beach | California |
| United States | Boehringer Ingelheim Investigational Site | North Palm Beach | Florida |
| United States | Boehringer Ingelheim Investigational Site | Oakland | California |
| United States | Boehringer Ingelheim Investigational Site | Pensacola | Florida |
| United States | Boehringer Ingelheim Investigational Site | Portland | Oregon |
| United States | Boehringer Ingelheim Investigational Site | Rochester | New York |
| United States | Boehringer Ingelheim Investigational Site | Springfield | Massachusetts |
| United States | Boehringer Ingelheim Investigational Site | St. Louis | Missouri |
| United States | Boehringer Ingelheim Investigational Site | Stanford | California |
| United States | Boehringer Ingelheim Investigational Site | Voorhees | New Jersey |
| Lead Sponsor | Collaborator |
|---|---|
| Boehringer Ingelheim |
United States, Puerto Rico,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Level of sensitivity of a patient's HIV-1 isolate to tipranavir | Day 1 | No | |
| Primary | Levels of sensitivity of a patient's HIV-1 isolate to other marketed ARVs (PIs, NRTIs, and NNRTIs). | Day 1 | No | |
| Secondary | Protease inhibitor(s) (PI) identified by the clinician prior to resistance testing to which a patient's HIV-1 virus was thought to be susceptible | Day 1 | No | |
| Secondary | PI that was discontinued or initiated after receiving resistance testing results | up to 45 days | No | |
| Secondary | Non-PI ARVs that were discontinued or initiated after receiving resistance testing results | up to 45 days | No | |
| Secondary | Rationale reported for modifying or not modifying baseline ARV regimen after receiving resistance testing results | up to 45 days | No | |
| Secondary | Utilization (yes/no) of expert interpretation by a clinician after receiving resistance testing results | up to 45 days | No | |
| Secondary | Relationship between prior number of PIs utilized and number of available (sensitive) PIs as determined by resistance testing | up to 45 days | No | |
| Secondary | The physician's assessment of whether the phenotypic testing (as part of combined testing) provided more information than the genotypic test alone did | up to 45 days | No | |
| Secondary | Physician reported limitations that influence access to resistance testing | day 1 | No | |
| Secondary | Clinician reported reasons why tipranavir was or was not considered as an option for each patient | up to 45 days | No |
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