A Comparison of Virco®TYPE HIV-1 Testing Versus Expert Interpretation of Genotypic Results for Control of HIV-1 Replication
Recruitment status was Recruiting
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Purpose
The investigators seek to determine whether Virco®TYPE HIV-1 provides benefits equivalent to those provided by local expert review. The investigators propose that clinic patients of the Ruth M. Rothstein CORE Center who are having genotypic testing performed will be randomized in a 1:1 fashion to local expert review and to Virco®TYPE HIV-1. Results of either method will be shared with primary HIV care providers. Patient outcomes will be reviewed at a time point equal to or greater than 2 months and 6 months following the change in antiretroviral medications following the testing
| Condition | Intervention | Phase |
|---|---|---|
|
HIV-1 HIV Infections |
Other: VircoType HIV-1 genotypic interpretation Other: Local Expert Review of HIV Genotypic resistance testing |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Diagnostic |
| Official Title: | A Randomized Comparison of Virco®TYPE HIV-1 Testing Versus Expert Interpretation of Genotypic Results for Control of HIV-1 Replication |
- Proportion of patients with viral load <1000 60days after HIV regimen change [ Time Frame: 60 days ] [ Designated as safety issue: No ]
- Proportion of patients with viral load <1000 180 days after HIV regimen change [ Time Frame: 180 days ] [ Designated as safety issue: No ]
- Proportion of patients with undetectable viral load 60days after HIV regimen change [ Time Frame: 60 days ] [ Designated as safety issue: No ]
- Proportion of patients with undetectable viral load 180days after HIV regimen change [ Time Frame: 180 days ] [ Designated as safety issue: No ]
- CD4 Cell count change in each arm at 60 and 180 days [ Time Frame: 60 and 180 days ] [ Designated as safety issue: No ]
- Proportion of patients whose regimen fails and who require repeat resistance testing at 180 and 360 days [ Time Frame: 180 and 360 days ] [ Designated as safety issue: No ]
- Comparison of number of active drugs predicted by each review method and number of actual active drugs prescribed [ Time Frame: 180 days ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 756 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | July 2012 |
| Estimated Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: VircoType HIV-1
Genotypic HIV resistance testing results interpreted by VircoType HIV-1 algorithm
|
Other: VircoType HIV-1 genotypic interpretation
VircoType HIV-1 genotypic interpretation
|
|
Active Comparator: Local Expert review
Local Expert HIV genotypic review, as per Badri, S. et al CID 2003
|
Other: Local Expert Review of HIV Genotypic resistance testing
Local Expert Review of HIV Genotypic resistance testing
|
Detailed Description:
Patients having some documented genotypic HIV resistance but having more than one fully active medication will be randomized to either local review or algorithmic review by VircoType HIV-1.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- HIV resistance testing that demonstrates resistance to at least one drug
- Patients of the CORE Center, Chicago Illinois
Exclusion Criteria:
- Wild type HIV on resistance testing or less than or equal to one active antiretroviral medication
Contacts and Locations| Contact: David E Barker, MD | 312-572-4503 | dbarker@corecenter.org |
| Contact: Karen Kroc, MPH | 312-572-4765 | kkroc@corecenter.org |
| United States, Illinois | |
| The Ruth M. Rothstein CORE Center | Recruiting |
| Chicago, Illinois, United States, 60612 | |
| Principal Investigator: David E Barker, MD | |
| Sub-Investigator: Harold A Kessler, MD | |
| Sub-Investigator: Sheila M Badri, MD | |
| Sub-Investigator: Blake Max, PharmD | |
| Sub-Investigator: Kathleen G Beavis, MD | |
| Principal Investigator: | David E Barker, MD | Ruth M. Rothstein CORE Center |
More Information
Additional Information:
Publications:
| Responsible Party: | David E. Barker, MD, The Ruth M. Rothstein CORE Center of Cook County |
| ClinicalTrials.gov Identifier: | NCT00840762 History of Changes |
| Other Study ID Numbers: | 07-118 |
| Study First Received: | February 9, 2009 |
| Last Updated: | January 25, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Ruth M. Rothstein CORE Center:
|
HIV-1 HIV HIV Genotypic testing resistance |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases |
Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases |
ClinicalTrials.gov processed this record on May 16, 2013