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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01258439
Registration number
NCT01258439
Ethics application status
Date submitted
9/12/2010
Date registered
13/12/2010
Date last updated
12/01/2015
Titles & IDs
Public title
Post-prandial Lipid Effects of Raltegravir (RAL) vs Ritonavir -Boosted Darunavir (DRV-r) in Anti-retroviral Therapy (ART)- Naive Adults or Adults Recommencing ART.
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Scientific title
Post-prandial Lipid Effects of Raltegravir (RAL) vs Ritonavir-boosted Darunavir (DRV-r) in Anti-retroviral Therapy (ART)-Naive Adults or Adults Recommencing ART.
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Secondary ID [1]
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ROaR+
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Universal Trial Number (UTN)
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Trial acronym
ROaR+
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HIV
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Cardiovascular Disease
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - raltegravir plus truvada
Treatment: Drugs - Darunavir, ritonavir, tenofovir/emtricitabine (Truvada)
Active comparator: 1.Raltegravir plus truvada - Raltegravir 400mg twice daily plus truvada 300mg/200mg once daily for 24 weeks
Active comparator: 2. ritonavir boosted darunavir plus truvada - Darunavir 800mg with ritonavir 100mg plus truvada 300mg/200mg once daily for 24 weeks
Treatment: Drugs: raltegravir plus truvada
raltegravir 400 mg tablet with truvada 300/200 mg tablet for 24 weeks
Treatment: Drugs: Darunavir, ritonavir, tenofovir/emtricitabine (Truvada)
Darunavir two 400mg tablets with one ritonavir 100mg capsule once daily plus Tenofovir/emtricitabine (Truvada) one 300mg/200mg tablet once daily with food for 24 weeks
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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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To compare the effects of ritonavir plus darunavir daily to raltegravir twice daily on post prandial lipid responses over 24 weeks
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Assessment method [1]
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Fasting samples will be taken for total cholesterol, LDL and HDL cholesterol, and triglycerides. Repeat lipid samples will be collected before a high fat meal is consumed. After the meal is completed , blood will be collected at 1, 2, 3, and 4 hours at baseline, week 4 and week 24 visits.
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Timepoint [1]
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24 weeks
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Secondary outcome [1]
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safety
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Assessment method [1]
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Safety parameters will be assessed by measurement of urea and electrolytes, LFTs, urine protein to creatinine ratio
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Timepoint [1]
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24 weeks
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Secondary outcome [2]
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Other metabolic parameters
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Assessment method [2]
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Fasting metabolic parameters will be assessed. Study staff and participants will be blinded to the results fo these tests until completion of the study or parameters become sginificantly abnormal
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Timepoint [2]
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24 weeks
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Secondary outcome [3]
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Arterial stiffness
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Assessment method [3]
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Timepoint [3]
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24 weeks
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Eligibility
Key inclusion criteria
* Provision of signed, informed consent
* Age >18 years
* HIV infection documented by HIV antibody test and Western Blot prior to study entry
* No previous ART OR no ART for 6 months prior to randomisation
* CD4+ count of <500 cells/mm or viral load >10,000 copies/ml within 60 days prior to randomisation
* No genotypic resistance to Raltegravir, Tenofovir/emtricitabine, Darunavir, Ritonavir
* Body mass index less than 30kg/m2
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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
* Primary HIV infection within the last 6 months
* Active infection or opportunistic illness within the previous 30 days
* Use of any medication contra-indicated with ritonavir-boosted darunavir or raltegravir
* Use of lipid-lowering therapy
* Diabetes mellitus (fasting glucose >7.0mml/l or a prior diagnosis of diabetes)
* Use of oral prednisolone > 7.5mg daily or equivalent
* pregnancy or Breast feeding
* proven hypersensitivity to one or more components of the study meal
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
Parallel
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Other design features
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Phase
Phase 4
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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
1/11/2010
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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
1/07/2014
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Sample size
Target
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Accrual to date
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Final
25
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Holdsworth House Medical Practice - Sydney
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Recruitment hospital [2]
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St Vincent Hospital, Clinical Research Program - Sydney
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Recruitment postcode(s) [1]
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2010 - Sydney
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Funding & Sponsors
Primary sponsor type
Other
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Name
St Vincent's Hospital, Sydney
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Address
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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
This is a research study into the effects of three drugs used to treat HIV infection. Some drugs used to treat HIV have been associated with changes in blood fats such as cholesterol that could be harmful over the long-term, because these blood fat changes have been associated with a small, increased risk of heart disease and stroke in some studies of adults with HIV. Now that HIV can be controlled for long periods in most patients, and because heart disease is one of the biggest causes of illness and death in the general population, it is important to develop new HIV treatments that control HIV effectively but do not cause abnormal blood fats. Hypothesis: That Raltegravir will result in less post-prandial lipid disturbances than ritonavir-boosted darunavir.
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Trial website
https://clinicaltrials.gov/study/NCT01258439
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Andrew D Carr, Professor
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Address
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St Vincent's Hospital - Sydney, Australia
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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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01258439
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