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| ID | Type | Description | Link |
|---|---|---|---|
| EUDRACT: 2004-816-24 | |||
| MONARK |
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The purpose of this pilot study is to obtain a preliminary assessment of the antiviral activity and tolerability of Kaletra single agent therapy as initial treatment for HIV infection, relative to a Kaletra three drug standard of care reference arm
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Kaletra Monotherapy: lopinavir/ritonavir |
|
| 2 | Active Comparator | Kaletra based triple therapy: lopinavir/ritonavir + lamivudine/zidovudine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lopinavir/ritonavir | Drug | 400 mg lopinavir/ 100 mg ritonavir, BID |
|
| Measure | Description | Time Frame |
|---|---|---|
| Antiviral efficacy by HIV RNA | 48 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Arm comparisons: CD4 evolution, occurrence of HIV protease and RT mutation, occurrence of AIDS clinical events, safety of NRTI-sparing vs. a PI with 2 NRTIs regimen: clinical and biological tolerance, patient's adherence and quality of life. | 48 weeks | |
| To assess in the LPV/r single-drug regimen arm: virological control, CD4 evolution, safety |
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Inclusion Criteria:
Antiretroviral naïve
HIV RNA <100,000 copies/mL
CD4 cell count >100 cells/mL at screening
with Karnofsky Score > 70
If female,
No AIDS opportunistic infection within 30 days of screening
Exclusion Criteria:
Subject with an HIV primo-infection status
Recent history of drug and/or alcohol abuse
History of psychiatric illness
If presence of the following mutations :
If abnormal laboratory results such as :
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| Name | Affiliation | Role |
|---|---|---|
| Global Medical Information | Abbott | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26023212 | Derived | Tran TA, Ghosn J, Avettand-Fenoel V, Hendel-Chavez H, de Goer de Herve MG, Cohen-Codar I, Rouzioux C, Delfraissy JF, Taoufik Y. Residual HIV-1 replication may impact immune recovery in patients on first-line lopinavir/ritonavir monotherapy. J Antimicrob Chemother. 2015 Sep;70(9):2627-31. doi: 10.1093/jac/dkv138. Epub 2015 May 28. | |
| 19682100 |
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| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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| ID | Term |
|---|---|
| D061466 | Lopinavir |
| C558899 | lopinavir-ritonavir drug combination |
| C109078 | lamivudine, zidovudine drug combination |
| ID | Term |
|---|---|
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| lamivudine/zidovudine | Drug | 300mg lamivudine/150mg zidovudine, BID |
|
| 96 weeks |
| Ghosn J, Flandre P, Cohen-Codar I, Girard PM, Chaix ML, Raffi F, Dellamonica P, Ngovan P, Norton M, Delfraissy JF; MONARK Study Group. Long-term (96-week) follow-up of antiretroviral-naive HIV-infected patients treated with first-line lopinavir/ritonavir monotherapy in the MONARK trial. HIV Med. 2010 Feb;11(2):137-42. doi: 10.1111/j.1468-1293.2009.00752.x. Epub 2009 Aug 13. |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |