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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01436136
Registration number
NCT01436136
Ethics application status
Date submitted
14/09/2011
Date registered
19/09/2011
Date last updated
12/05/2015
Titles & IDs
Public title
Reducing Cardiovascular Disease (CVD) Risk in HIV on Antiretroviral Therapy Over 12 Months
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Scientific title
Effectiveness of Team Intervention Over 12 Months in Reducing Modifiable CVD Risk Factors on Framingham 10yr Risk Scores Outcomes in HIV-1 Subjects on Antiretroviral Therapy
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Secondary ID [1]
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Reducing CVD risk in HIV
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Universal Trial Number (UTN)
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Trial acronym
CVD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HIV-1 Infection
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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
Other interventions - Control
Other interventions - Intervention Group
Active comparator: Intervention group - Patients randomised to the intervention group will follow an intensive 52 week period using a clinical protocol aimed to manage CVD risk in HIV individuals with the use of regular visits to a nurse led CVD risk management clinic, within a multi disciplinary approach to care with the involvement of treating physicians, nurses, dieticians, smoking cessation advisors and an exercise physiologist or personal trainer with the aim to reach their individualised CVD risk target.
Active comparator: Usual care (control) group - Within the context of an open, cohort study, GPs managing matched control patients allocated usual care will be unaware of the details of the intervention arm and asked to apply their usual pattern of patient visits and treatment strategies to achieve optimal reduction of CVD risk.
Other interventions: Control
GPs managing matched control patients allocated usual care will be unaware of the details of the intervention arm and asked to apply their usual pattern of patient visits and treatment strategies to achieve optimal reduction of CVD risk.
Other interventions: Intervention Group
Patients randomised to the intervention group will follow an intensive 52 week period using a clinical protocol aimed to manage CVD risk in HIV individuals with the use of regular visits to a nurse led CVD risk management clinic, within a multi disciplinary approach to care with the involvement of treating physicians, nurses, dieticians, smoking cessation advisors and an exercise physiologist or personal trainer with the aim to reach their individualised CVD risk target.
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Intervention code [1]
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Other interventions
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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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The primary outcome measure is percentage of patients with a reduction of Framingham risk score of at least 10% at week 52.
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Assessment method [1]
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The primary outcome measure is percentage of patients with a reduction of Framingham risk score of at least 10% at week 52.
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Timepoint [1]
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12 months
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Eligibility
Key inclusion criteria
intervention study intervention arm
Inclusion criteria:
1. Documented HIV-1 infection
2. Age 50 years or older
3. Stable on ART = 3/12
4. Undetectable plasma HIV RNA (< 50 copies/ml)
5. Moderate or high Framingham CVD risk score
6. Life expectancy > 12 months
7. Regular patient under care of non-director physician
8. Willing to adhere to pharmacological CVD risk reduction intervention
9. Willing to participate in lifestyle change advice intervention
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Minimum age
50
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
Exclusion criteria for intervention study
1. Life expectancy < 1yr
2. Unable to undertake exercise
3. Drug dependency
4. Cognitive impairment affecting ability to participate in study
5. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (> 5mI U/ml)
6. Women of childbearing potential who are unwilling to use reliable contraception for the duration of the study
Inclusion criteria for intervention study control arm (Group 2)
1. Documented HIV-1 infection
2. Age 50 years or older
3. Stable on ART =3/12
4. Undetectable plasma HIV RNA (<50 copies/ml)
5. Moderate or high Framingham risk score (>10%)
6. Life expectancy > 12 months
7. Regular patient under care of non-director physician
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Study design
Purpose of the study
Prevention
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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
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
1/10/2011
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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
1/06/2014
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Sample size
Target
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Accrual to date
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Final
92
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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 postcode(s) [1]
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2010 - Sydney
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Funding & Sponsors
Primary sponsor type
Other
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Name
Holdsworth House Medical Practice
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a cohort study which follows two groups of participants over a 12 months period. One group will access a team approach to care with the aim of reducing their cardiovascular disease (CVD) risks from a team of doctors, nurses and health care professionals. The other group will continue to access standard care from their treating doctor. Both groups will have CVD risk score evaluated after a 12 month period. The team care approach will involve specific tests to measure CVD risk as well as smoking cessation, exercise and dietary advice and support, including monitoring such as blood pressure and cholesterol levels
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Trial website
https://clinicaltrials.gov/study/NCT01436136
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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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Mark T Bloch
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Address
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Australian Health Practitioner Regulation Agency
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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/NCT01436136
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