E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10020161 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine whether being treated at the time when a person has recently become infected, referred to as 'primary HIV infection', is beneficial. The treatment would be limited to either 12 weeks or 48 weeks and is compared to no treatment being given. This benefit would be assessed by how long it takes individuals to reach a point beyond which there is concern that the immune system could be seriously damaged. This damage is measured by the number of CD4 helper cells present in the plasma, which HIV targets and destroys, and are an integral part of the human immune system. Over time CD4 cell numbers would decrease resulting in gradual damage to the immune system. |
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E.2.2 | Secondary objectives of the trial |
How long we can delay the time before an HIV infected person needs to be treated, as such treatment is likely to be life-long. We also want to determine whether early treatment could lessen the chances of treatment failure when it is started, and whether it lessens the chance of developing severe life-threatening infections. |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Have reached the age of consent in their country for participating in a clinical study
2. Are confirmed primary HIV infection by at least one of the following criteria: - HIV positive antibody test within 6 months of an HIV negative antibody test - HIV antibody negative with positive RT-PCR test - Test "incident" at low level (<0.6) using detuned assay (must be subtype B) - Equivocal HIV antibody test supported by a repeat test within a 2 week period showing a rising optical density - Have clinical manifestations of symptomatic HIV seroconversion illness supported by antigen positivity and <4 bands on Western Blot
3. Are able and willing to give written informed consent |
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E.4 | Principal exclusion criteria |
1. Pregnant 2. Unlikely to comply with protocol, and in particular adhere to therapeutic regimen 3. Likely to use narcotics during the study period 4. Antiretroviral therapy is indicated 5. Antiretroviral therapy is contraindicated |
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E.5 End points |
E.5.1 | Primary end point(s) |
Time from randomisation to reaching a CD4 count of below 350 cells/µl or initiating clinically indicated anti-retroviral therapy. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
48 weeks treatment, 12 weeks treatment, or No therapy |
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E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The trial will end 5 years after the first patient has been randomised. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 0 |