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This study aims to evaluate the safety and effectiveness of the tenofovir disoproxil fumarate (TDF) + lamivudine (3TC) + efavirenz (EFV) regimen in antiretroviral therapy (ART)-naive Chinese HIV/AIDS patients.
This study is a prospective, open-label, multi-centered clinical trial to assess the virologic suppression and immune recovery rates as well as tolerability of the regimen 3TC+TDF+EFV in ARV-naive Chinese population.
500 eligible participants will be recruited to take the regimen If the patient fails to tolerate EFV, it can be substituted by NVP when CD4 < 250/μL, and by LPV/r when CD4 > 250/uL. If the patient fails to tolerate TDF, AZT will be an alternative, except when Hb < 90/L or neutrophil count < 0.75×109/L. The participants will be followed up by months 0.5, 1, 2 ,3 and every 3 months subsequently for 2 years.
The efficacy of the regimen will be evaluated by comparison between different points along the time line and previous regimens. The safety of the regimen will be assessed by monitoring kidney function, bone density, cardiovascular profile, lipid profile, liver function etc as well as other adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TDF+3TC+EFV | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TDF+3TC+EFV | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 48 | 48 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 96 | 96 weeks | |
| Percentage of Participants With HIV-1 RNA < 40 Copies/mL at Week 96 | 96 weeks | |
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Inclusion Criteria:
Exclusion Criteria:
patients in acute phase of HIV infection
patients with ongoing opportunistic infection or AIDS-related malignancies; or with opportunistic infection within previous 3 months and still unstable within 14 days before inclusion
patients with the any of the following test results during screening for inclusion:
CCr < 60ml/min
Pregnancy and breastfeeding
Intravenous drug user
Severe neuropathy or mental disorder
history of alcohol abuse and unable to withdrawal
Severe peptic ulcer disease
Non-Chinese nationality
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tai sheng Li, MD | Contact | 86-10-69155086 | litsh@263.net |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Beijing | Beijing Municipality | 100730 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32487185 | Derived | Fan H, Guo F, Hsieh E, Chen WT, Lv W, Han Y, Xie J, Li Y, Song X, Li T. Incidence of hypertension among persons living with HIV in China: a multicenter cohort study. BMC Public Health. 2020 Jun 1;20(1):834. doi: 10.1186/s12889-020-08586-9. | |
| 30871484 | Derived | Luo L, Wang N, Yue Y, Han Y, Lv W, Liu Z, Qiu Z, Lu H, Tang X, Zhang T, Zhao M, He Y, Shenghua H, Wang M, Li Y, Huang S, Li Y, Liu J, Tuofu Z, Routy JP, Li T. The effects of antiretroviral therapy initiation time on HIV reservoir size in Chinese chronically HIV infected patients: a prospective, multi-site cohort study. BMC Infect Dis. 2019 Mar 14;19(1):257. doi: 10.1186/s12879-019-3847-0. |
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| Change From Baseline in CD4 count at Week 48 |
| Baseline and 48 weeks |
| Change From Baseline in CD4 count at Week 96 | Baseline and 96 weeks |
| Incidence of adverse events and laboratory abnormalities from baseline to week 48 | 48 weeks |
| Incidence of adverse events and laboratory abnormalities from baseline to week 96 | 96 weeks |