Treatment Failure Clinical Trial
— RESPECTOfficial title:
Virologic Treatment Failure and Drug Resistance in HIV-infected Kenyan Children
Verified date | July 2020 |
Source | Indiana University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The primary objective of this study is to use a well-characterized pediatric AMPATH cohort, with detailed medication-taking, drug level, and clinical data, to longitudinally evaluate treatment failure and drug resistance to improve long-term care for HIV-infected children in Kenya and other RLS. Examining treatment failure and drug resistance emergence in children on ART and what factors impact these negative outcomes, will provide needed data to critically evaluate the efficacy of current ART, weight-based pediatric drug dosing guidelines, and recommendations for subsequent therapies. The objective is to specifically characterize how non-adherence leads to a lack of viral suppression and to drug resistance evolution, and how this characterization can inform interventions to improve adherence and increase treatment success.
Status | Completed |
Enrollment | 499 |
Est. completion date | August 30, 2018 |
Est. primary completion date | August 30, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 4 Years to 19 Years |
Eligibility |
Inclusion Criteria: - Previous enrollment in CAMP study - Viable banked blood sample; HIV-infected documented by DNA-PCR (Amplicor, Roche, Basel, Switzerland) for children less than 18 months of age and by 2 parallel HIV rapid ELISA tests using Determine and Bioline for children older than 18 months of age. - < 19 years of age Exclusion Criteria: Mental or physical incapacity of legal caregiver leading to inability to provide informed consent |
Country | Name | City | State |
---|---|---|---|
Kenya | Moi Teaching and Referral Hospital - AMPATH Center | Eldoret |
Lead Sponsor | Collaborator |
---|---|
Rachel Vreeman, MD, MS | Brown University, Moi University |
Kenya,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Viral Resistance | Blood samples will be analyzed for viral resistance testing, both for retrospective and prospective samples samples (TP1) | 18 months | |
Secondary | Adherence MEMS | Adherence will be monitored via MEMS bottle caps | 3 months | |
Secondary | Adherence CAMP | Adherence will be assessed via CAMP questionnaire | 3 months | |
Secondary | Clinical Data: WHO stage | WHO stage will be analyzed for associations with viral resistance and treatment failure in this cohort. | 6 years | |
Secondary | Clinical Data: Viral Load | Longitudinal viral loads will be analyzed for associations with viral resistance and treatment failure in this cohort. | 6 years | |
Secondary | Clinical Data: Weight | Longitudinal weight will be analyzed for associations with viral resistance and treatment failure in this cohort. | 6 years | |
Secondary | Clinical Data: Height | Longitudinal height will be analyzed for associations with viral resistance and treatment failure in this cohort. | 6 years | |
Secondary | Clinical Data: Regimen | Longitudinal regimen will be analyzed for associations with viral resistance and treatment failure in this cohort. | 6 years | |
Secondary | Clinical Data: Opportunistic Infections | Longitudinal opportunistic infections will be analyzed for associations with viral resistance and treatment failure in this cohort. | 6 years | |
Secondary | Clinical Data: Disclosure Status | Longitudinal disclosure status will be analyzed for associations with viral resistance and treatment failure in this cohort. | 6 years |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT06146439 -
The Factors Causing Treatment Failure in Children Receiving Oxygen Therapy With High-flow Nasal Cannula
|
||
Completed |
NCT05499403 -
Incidence of the Treatment faIlure in Osteoporosis
|
||
Withdrawn |
NCT03159975 -
Safety and Immunogenicity Study of GX-70 in TB Patient
|
Phase 1 | |
Completed |
NCT03369093 -
RCT of Efficacy of Amoxicillin Over Ampicillin on Severe Pneumonia
|
N/A | |
Completed |
NCT04580589 -
DOAC ADRs Retrospective Study on Genetic Variations
|
||
Completed |
NCT01189695 -
Maintenance Boosted Lopinavir Monotherapy Following Salvage Protease-inhibitor (PI) Based Regimen in HIV With Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Based Regimen Failure
|
Phase 4 | |
Completed |
NCT00221650 -
Treatment of Chronic Hepatitis C With PEG Interferon alfa2a and Ribavirin in HIV-Infected Patients
|
Phase 2 |