HIV Infection Clinical Trial
— CO19 COVERTEOfficial title:
Long Term Evaluation of Young Adults Born to HIV-infected Mothers. A Cohort of Young Adults Infected With HIV Since Birth or During Childhood
Background: With the improvement of the prognosis for HIV-infected infants, thanks to the availability of antiretroviral therapies, young adults infected with HIV since birth are becoming an emerging group among the HIV-infected population. Morbidity, mortality and immunovirological evolution in these young adults need to be studied in a large population and compared to patients infected with HIV later in adulthood or to the general population in terms of mortality. Moreover, the study of accelerated or premature ageing, linked to HIV and/or antiretroviral therapy, is particularly interesting in this population. Objectives: To study the transition to adulthood and the further evolution of HIV-1 or -2 perinatally infected young adults: 1) To study the teenager to adult transition in terms of clinical and immunovirological status, schooling and professional integration, sexuality and reproductive life, transition from paediatrics to adult departments; 2) To study prognosis, morbidity and mortality according to age, infection stage at the time of antiretroviral initiation and therapeutic history; 3) To study the incidence and expression of adverse events and the potential link to antiretroviral therapies; 4) To study the markers of a potential premature ageing, from the metabolic, cardiovascular and immunological points of view.
Status | Completed |
Enrollment | 469 |
Est. completion date | December 27, 2018 |
Est. primary completion date | December 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 25 Years |
Eligibility | Group of HIV Infection Inclusion Criteria: - Age = 18 and < 25 years - Able to give written consent - Covered by French Social Security - diagnosis of HIV-1 et/ou-2 documented before age 13 Exclusion Criteria (for physiopathological module only) - Under protection(saving) of justice Control Group Inclusion Criteria: - Age = 18 and = 25 years - Able to give written consent - Covered by French Social Security - With a brother or sister, cousin, father or mother HIV infected, inbred or adopted - With a negative serology for HIV infection, HBV, HCV - Without diabetes mellitus - able to go to Clinical Investigation Center of Necker and to Hospital St. Antoine for the recruitment and monitoring Exclusion Criteria: - Under protection(saving) of justice |
Country | Name | City | State |
---|---|---|---|
France | Hôpitaux (voir liste jointe) | De France |
Lead Sponsor | Collaborator |
---|---|
French National Agency for Research on AIDS and Viral Hepatitis |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Immuno virological and clinical prognosis: HIV RNA <50c/mL, CD4 cells count>500 cells/mL, vital status, CDC stage | at inclusion and annually up to 06 years follow-up | ||
Secondary | Professional and schooling integration, social life:marital status, type of accommodation, education level, type and age at first employment | at inclusion and annually up to 6 years follow up | ||
Secondary | sexuality, sexual risk behaviour: age at first intercourse, condom use at first, last sexual intercourse, and during last year, unplanned pregnancy, interruption of pregnancy | at inclusion and annually up to 6 year follow-up | ||
Secondary | metabolic and cardiovascular abnormalities: abnormalities in glucose tolerance and insulino-resistance, dyslipidemia, lipodystrophy, adipocyte dysfunction, atherosclerosis,dysfunction, median of intima media thickness and pulse wave velocity | at inclusion and after 3 years follow-up | ||
Secondary | Lymphocyte phenotype and functional capacity of T lymphocyte: description of dysfunctional CMV-specific T cell, T cell responses measured at inclusion, and their evolution during follow-up | at inclusion and after 3 years follow-up |
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