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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-A01621-44 | Other Identifier | ansm |
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Despite undetectable plasma viral load under treatment, about 30% of HIV infected patients show asymptomatic neurocognitive impairment or minor cognitive disorder. These symptoms impact the compliance of the treatment, though its performance and daily life quality. To this day, no therapy tested has proved its efficiency, including the strategy of the antiretroviral therapy (cART) optimization according to the Cerebral Penetration effectiveness Score (CPE).
Description of the study: an open prospective comparative monocentric pilote study, randomised in three groups which investigates the efficiency of a 6 months-cognitive rehabilitation program on improving asymptomatic or minor cognitive disorder for undetectable HIV+ patients. This study gathers HIV-1 patients undetectable under stable cART with a good cerebral penetration who develop asymptomatic or minor cognitive disorders connected to HIV infection. Those who have severe psychiatric disorder or who are on medication that could interfere with psychometrical tests will be excluded.
Main Objective: to compare the impact of a cognitive rehabilitation program over a 6 months period on the evolution of minor cognitive disorders and asymptomatic patients to a control group and a group treated with psychological support.
This is an open prospective comparative monocentric study, pilote, that randomised 60 patients in three groups of 20. This study will select 18 to 55 years old patients, with HIV infection controlled under antiretroviral therapy stble for 12 months and cognitive impairment objective on two neuropsychological evaluations separated from 6 months at least. All selected patients must have been explored by cerebral RMN or scanner
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Active Comparator | patients without taking into cognitive or psychological treatment for 6 months (period 1) and
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| group with cognitive rehabilitation, | Experimental | patients treated for 6 months Cognitive remediation (period 1), then
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| group with psychological support. | Experimental | patients treated with counseling for six months (period 1) and
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| neuropsychological tests | Other |
| ||
| Measure | Description | Time Frame |
|---|---|---|
| cognitive remediation strategy (BREF test) | - BREF test | 6 months |
| cognitive remediation strategy (grooved pegboard test) | - grooved pegboard test | 6 months |
| cognitive remediation strategy (RLRI-16 test6.) | - RLRI-16 test6. | 6 months |
| cognitive remediation strategy (Digit Symbol Substitution Test) | - Digit Symbol Substitution Test | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| impact on daily life quality (SF-12 Medical Outcomes Study Short-Form General Health Survey) | SF-12 Medical Outcomes Study Short-Form General Health Survey" | 6 months |
| impact on daily life quality (Trail Making Test) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Olivia ZAEGEL- FAUCHER | Contact | olivia.zaegel@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| Urielle DESALBRES | Assistance Publique Hopitaux De Marseille | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assistance Publique Hopitaux de Marseille | Recruiting | Marseille | Paca | 13354 | France |
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| STAI-Y scale for anxiety |
| Other |
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| Beck scale for depression | Other |
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| without intervention | Other |
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-Trail Making Test
| 6 months |
| ID | Term |
|---|---|
| D009483 | Neuropsychological Tests |
| D008722 | Methods |
| ID | Term |
|---|---|
| D011581 | Psychological Tests |
| D004191 | Behavioral Disciplines and Activities |
| D008919 | Investigative Techniques |
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