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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01614626
Other study ID # H-31200
Secondary ID U01AA020780
Status Completed
Phase
First received
Last updated
Start date November 2012
Est. completion date December 15, 2020

Study information

Verified date December 2020
Source Boston Medical Center
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The purpose of this study is to assess the longitudinal association between alcohol consumption and biomarkers of microbial translocation (sCD14) and inflammation/altered coagulation (IL-6/D-dimer); to establish a cohort of HIV-infected Russian drinkers; and to establish a sample repository.


Description:

Heavy alcohol consumption in an HIV-infected person may accelerate HIV disease progression and end organ disease with one leading explanatory pathway being via enhanced microbial translocation and inflammation/altered coagulation. Heavy alcohol consumption and HIV infection are both causes of microbial translocation, the process by which bacterial products leak across the gastrointestinal membrane with resultant destructive immune activation. Among HIV-infected people, high levels of microbial translocation (as measured by soluble CD14) and inflammation/altered coagulation (as measured by IL-6 and D-dimer) are each associated with an increased risk of death. Of importance, among HIV-infected persons, heavy drinking is also significantly associated with higher levels of D-dimer in cross-sectional studies. Of note, initiation of antiretroviral therapy (ART) is associated with a reduction in D-dimer levels. Yet the following is not known: is there a longitudinal relationship between alcohol consumption and these biomarkers independent of ART? Thus, as part of the Uganda, Russia, Boston Alcohol Network for Alcohol Research Collaboration on HIV/AIDS (URBAN ARCH)Consortium, the investigators seek to create the Russia ARCH cohort (n=375) from participants of a recently completed NIAAA-funded randomized controlled trial (RCT) of HIV infected Russian heavy drinkers. The investigators will be collecting blood from participants at baseline, and at 12- and 24-months post enrollment. In addition to collecting and storing blood samples the investigators will be administering surveys to participants at all 3 timepoints. The investigators will conduct phone interviews with participants at 6- and 18-months post enrollment. The investigators will conduct laboratory tests on the stored samples, including measures of microbial translocation (sCD14) and inflammation/altered coagulation (IL-6/D-dimer) and PEth. This study will clarify the association between alcohol and key biomarkers over time in HIV-infected heavy drinkers. In addition, the investigators will be collecting and storing blood samples from participants in the study to use for the analyses specified and for future studies looking at HIV-infected heavy drinkers.


Recruitment information / eligibility

Status Completed
Enrollment 351
Est. completion date December 15, 2020
Est. primary completion date April 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Inclusion Criteria: - Age 18-70 years old - HIV-infected - Provision of contact information for two contacts to assist with follow-up - Stable address within St. Petersburg or districts within 100 kilometers of St. Petersburg - Possession of a home or mobile phone - ART-naive at the time of enrollment Exclusion Criteria: - Not fluent in Russian - Cognitive impairment resulting in inability to provide informed consent

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
Russian Federation Pavlov State Medical University St. Petersburg

Sponsors (2)

Lead Sponsor Collaborator
Boston Medical Center National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Country where clinical trial is conducted

Russian Federation, 

Outcome

Type Measure Description Time frame Safety issue
Primary Microbial translocation as measured by soluble CD14 (sCD14) Participants will be followed for up to 3 years
Secondary Inflammation/altered coagulation as measured by IL-6/D-dimer Participants will be followed for up to 3 years
Secondary Alcohol's association with immunologic aging as measured by flow cytometry Participants will be followed for up to 3 years
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