HIV Clinical Trial
Official title:
Bone and Body Comp: A Sub Study of the SECOND-LINE Study
The use of anti HIV drugs (ART), and in particular a class of drugs known as nucleoside
reverse transcriptase inhibitors (N(t)RTI), has been associated with changes in body fat and
in particular loss of peripheral fat in the limbs. Low bone mineral density and osteoporosis
are also common in HIV-infected patients. There appears to be some association between ART
and bone loss, but this is poorly understood and requires further research. The SECOND-LINE
study provides an opportunity to examine if a new anti-HIV drug (raltegravir) can result in
greater increase in limb fat than a drug regimen containing N(t)RTI, which is currently
standard of care. This study also provides an opportunity to examine if additional bone loss
occurs with the second regimen of anti-HIV drugs and whether non-N(t)RTI regimens of ART used
in second line therapy result in more or less bone loss than use of other classes of anti-HIV
drugs such as protease inhibitors or N(t)RTI combinations.
It is hypothesized that subjects randomised into Raltegravir arm will demonstrate greater
increases in limb fat and smaller reductions in bone density at the proximal femur over 48
weeks than those randomised into the control arm (LPV/r + 2-3N(t)RTIs).
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