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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00641641
Registration number
NCT00641641
Ethics application status
Date submitted
28/02/2008
Date registered
24/03/2008
Date last updated
31/08/2017
Titles & IDs
Public title
The Effect of Raltegravir on HIV Decay During Primary and Chronic Infection
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Scientific title
An Open Label Study to Examine the Characteristics of HIV Decay Following Introduction of Combination Antiretroviral Therapy Including Raltegravir During Primary and Chronic HIV Infection
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Secondary ID [1]
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PINT01
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Universal Trial Number (UTN)
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Trial acronym
PINT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HIV Infection
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Condition category
Condition code
Infection
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Studies of infection and infectious agents
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Infection
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Other infectious diseases
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Infection
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Sexually transmitted infections
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Infection
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Acquired immune deficiency syndrome (AIDS / HIV)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Tenofovir + emtricitabine + raltegravir.
Experimental: antiretroviral therapy - tenofovir (TDF) + emtricitabine (FTC) as a fixed dose combination administered orally once per day and raltegravir (RAL) administered orally twice per day.
Treatment: Drugs: Tenofovir + emtricitabine + raltegravir.
TDF 300mg once daily + FTC 200mg once daily + RAL 400mg twice daily.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mean Change From Baseline Plasma HIV RNA (Log Copies/mL)
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Assessment method [1]
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change was calculated as the mean of 12 assessments minus the baseline value
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Timepoint [1]
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12 times within 48 weeks.
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Eligibility
Key inclusion criteria
* Age at least 18 years.
* Provision of written, informed consent.
* Screening plasma HIV RNA > 10,000 copies/mL.
* Screening CD4+ T lymphocyte count > 100 x 10^6)/L.
* No previous antiretroviral therapy.
* Haemoglobin > 115 g/L (female) or > 130 g/L (male).
* Absolute neutrophil count > 1 x 10^9/L.
* Platelet count > 100 x 10^9/L
* Serum bilirubin < 1.5 x ULN.
* Serum alkaline phosphatase < 3 X ULN.
* Serum aspartate aminotransferase (AST) < 3 X ULN.
* Serum alanine aminotransferase (ALT) < 3 X ULN.
* Creatinine clearance > 50mL/min (Creatinine clearance (mL/min) =140 - age x weight creatinine Multiply the result by 1.2 for men).
Cohort A: Primary HIV infection:
Documented acute or early infection diagnosed by:
Acute infection:
< 3 bands on Western Blot and any one of: i. positive p24 antigen ii. positive proviral DNA
Early infection:
i. Positive detuned or BED ELISA result OR ii. Previously negative serology within 6 months of confirmed positive serology.
Cohort B: Chronic HIV infection:
Documented HIV-infection of at least 12 months duration.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Pregnancy or breastfeeding.
* Receipt of investigational products within 1 month of study entry.
* Receipt of any of the following within 6 months of study entry:
* interferon alpha or gamma
* oral corticosteroids (inhaled or topical corticosteroids are permitted)
* cyclosporin
* alkylating agents
* other immunosuppressive agents
* rifampin
* phenytoin
* phenobarbital
* Documented genotypic (IAS 2007) resistance to tenofovir or emtricitabine from any HIV drug resistance test.
* Any medications contraindicated with Truvada or raltegravir.
* Significant intercurrent illnesses apart from HIV infection such as viral hepatitis (diagnosed by core hepatitis B antigen and/or positive hepatitis B PCR or positive hepatitis C PCR) or any other condition which in the opinion of the investigator would compromise participation in the study.
* History of non-traumatic osteoporotic fracture.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/06/2011
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Sample size
Target
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Accrual to date
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Final
16
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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St Vincent's Hospital - Darlinghurst, Sydney
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Recruitment hospital [2]
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407 Doctors - Sydney
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Recruitment hospital [3]
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Holdsworth House Medical Practice - Sydney
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Recruitment hospital [4]
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Taylor Square Private Clinic - Sydney
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Recruitment postcode(s) [1]
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2010 - Darlinghurst, Sydney
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Recruitment postcode(s) [2]
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2010 - Sydney
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Kirby Institute
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Merck Sharp & Dohme LLC
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to measure the decay characteristics of HIV in the blood of patients after taking a combination of anti-HIV drugs, which includes a new class of anti-HIV drug, an integrase inhibitor. This study explores how this new combination of therapy reduces virus in various compartments of the body and immune system.
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Trial website
https://clinicaltrials.gov/study/NCT00641641
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Trial related presentations / publications
Koelsch KK, Boesecke C, McBride K, Gelgor L, Fahey P, Natarajan V, Baker D, Bloch M, Murray JM, Zaunders J, Emery S, Cooper DA, Kelleher AD; PINT study team. Impact of treatment with raltegravir during primary or chronic HIV infection on RNA decay characteristics and the HIV viral reservoir. AIDS. 2011 Nov 13;25(17):2069-78. doi: 10.1097/QAD.0b013e32834b9658. Erratum In: AIDS. 2012 Jul 17;26(11):1455. AIDS. 2012 Nov 28;26(18):2425. Murray JM, McBride K, Boesecke C, Bailey M, Amin J, Suzuki K, Baker D, Zaunders JJ, Emery S, Cooper DA, Koelsch KK, Kelleher AD; PINT STUDY TEAM. Integrated HIV DNA accumulates prior to treatment while episomal HIV DNA records ongoing transmission afterwards. AIDS. 2012 Mar 13;26(5):543-50. doi: 10.1097/QAD.0b013e328350fb3c. Hey-Cunningham WJ, Murray JM, Natarajan V, Amin J, Moore CL, Emery S, Cooper DA, Zaunders J, Kelleher AD, Koelsch KK; PINT study team. Early antiretroviral therapy with raltegravir generates sustained reductions in HIV reservoirs but not lower T-cell activation levels. AIDS. 2015 May 15;29(8):911-9. doi: 10.1097/QAD.0000000000000625.
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Public notes
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Contacts
Principal investigator
Name
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Anthony Kelleher, MBBS (Hons) PhD, FRACP, FRCPA
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Address
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Kirby Institute
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Koelsch KK, Boesecke C, McBride K, Gelgor L, Fahey...
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Journal
Murray JM, McBride K, Boesecke C, Bailey M, Amin J...
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Results are available at
https://clinicaltrials.gov/study/NCT00641641
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