HIV Infections Clinical Trial
Official title:
A Phase 3, Randomized, Double Blinded, Placebo Controlled Study of Raltegravir Added to Stable HAART in HIV-1 Infected Subjects With Viral Suppression and Low CD4 Recovery
This is a Phase 3, randomized, double blinded, placebo-controlled study designed to compare
the safety, tolerability, antiviral activity and immunological effect of raltegravir added
to a previously stable HAART regimen in the treatment of HIV-1 infected subjects with
undetectable viraemia and low CD4 recovery.
HYPOTHESIS:
Adding raltegravir to a stable HAART in patients with undetectable plasma viral load and low
CD4 recovery will result in further viral suppression and therefore higher CD4 recovery.
Although HAART has reduced the morbidity and mortality from HIV-1 infection, some patients
experience a discordant response characterized by HIV-1 RNA plasma levels below the limit of
detection and low CD4 T-cell recovery (immunologic discordant responders). At present,
recommendations for the clinical management of patients with discordant responses to
antiretroviral therapy are largely based on observational, uncontrolled data.
The effect on CD4 count of adding raltegravir in already undetectable patients has not yet
been evaluated.
The primary purpose of this study is to assess the ability of the HIV-1 integrase inhibitor,
raltegravir, added to a stable HAART, to increase CD4 count in patients with undetectable
plasma viral load and low CD4 recovery.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
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