HIV Clinical Trial
Official title:
Phase II Pilot Study of Simplification to Maraviroc - Raltegravir Dual Therapy After 6 Months of Maraviroc - Raltegravir - Tenofovir - Emtricitabine Quadruple Therapy in ARV Treatment-naive, HIV-1-infected Patients With CCR5- Virus
Background and Rationale
Raltegravir and Maraviroc, the first in class of 2 new families of antiretroviral drugs have
demonstrated a high potency in treatment experienced and naive patients. Both drugs appeared
well tolerated with low metabolic toxicity. No data are currently available concerning the
combination of these 2 drugs.
Hypothesis
Maraviroc + Raltegravir should be potent enough to maintain virological efficacy in naive
patients infected by CCR5 HIV-1 previously treated for 6 months with a
Maraviroc-Raltegravir-Tenofovir-Emtricitabine combination.
Objectives:
- To establish the ability of a Maraviroc-Raltegravir combination to maintain HIV-1 viral
load < 50 copies/ml at week 48 in naive patients infected by CCR5 HIV-1, following an
initial 6 month phase of Maraviroc-Raltegravir-Tenofovir-Emtricitabine combination
(Intent to treat and strategy analysis)
- To study CD4 progression from baseline to week 48
- To study the time to virological failure during the simplification phase of the study
(from week 24 to week 48)
- To study the proportion of patients with HIV RNA < 50 copies/ml at each time point
- To study the kinetics of viral load decrease from baseline to week 12
- To study the kinetics of proviral DNA decrease from baseline to week 12, 24, 36 and 48
- To study the clinical and biological tolerance of Maraviroc-Raltegravir combination
through week 48
Study Design/ Clinical Plan
Pilot, multicenter, national, uncontrolled study
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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