Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43881   clinical trials with a EudraCT protocol, of which   7295   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    NEW ERA STUDY HIV and Eradication: A multicenter, open-label, non-randomized trial to evaluate treatment with multi-drug class (MDC) HAART and its impact on the decay rate of latently infected CD4+ T cells

    Summary
    EudraCT number
    2008-002070-35
    Trial protocol
    DE  
    Global end of trial date
    03 Apr 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    02 Nov 2019
    First version publication date
    02 Nov 2019
    Other versions
    Summary report(s)
    _

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    MUC_NewEra_3.3
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00908544
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    MUC Research GmbH
    Sponsor organisation address
    Karlsplatz 8, Munich, Germany, 80335
    Public contact
    MUC Research, MUC Research GmbH, 0049 089558703630, info@mucresearch.de
    Scientific contact
    MUC Research, MUC Research GmbH, 0049 089558703630, info@mucresearch.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    03 Apr 2018
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    03 Apr 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    03 Apr 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objectives of this trial were to halt residual viral replication in plasma and to deplete HIV DNA in peripheral blood mononuclear cells (PBMC), thereby achieving HIV eradication using MDC (multi-drug class) HAART (Highly Active Antiretroviral Therapy) in patients with primary HIV-infection (PHI patients) and in successfully treated chronically HIV-infected patients (CHI patients) after an overall treatment period of at least 5 years including MDC HAART for at least 2 years. Further objectives of this trial were to provide good estimates of the latently infected reservoir size (infectious copies/10exp6 PBMC and infectious copies/10exp6 resting CD4+ T cells) and to evaluate the decay rates (i.e. changes) of latently infected PBMC (CD4+ T cells).
    Protection of trial subjects
    Patients were asked about all adverse experiences (AEs) at each study visit. Guidelines for grading the severity of adverse experiences were based on the criteria published by the Division of Acquired Immunodeficiency Syndrome (DAIDS; Version 1.0, December 2004; clarification August 2009).
    Background therapy
    Patients with primary HIV infection (PHI) are immediately treated with 2 NRTI + 1 PI/r + study drugs Maraviroc + Raltegravir. Therapy in patients with chronic HIV infection (CHI) and with suppressed plasma viral load for at least three years under continuous HAART (2 NRTI + 1 PI/r) is intensified by study drugs Maraviroc + Raltegravir.
    Evidence for comparator
    Two cooperating HIV-specialized centres represented by Dr. med. Hans Jaeger and Prof. Dr. Johannes Bogner planed to perform an IIT (investigator initiated trial) with the goal to eradicate HIV in N=40 HIV-infected patients with either primary infection or chronic infection and successful HAART (Highly Active Antiretroviral Treatment) of several years. All patients has been started on a multi-drug HAART including two Nucleoside-Reverse-Transcriptase-Inhibitors (NRTI´s), one Protease-Inhibitor (PI), a CCR5-inhibitor and an Integrase-Inhibitor (INI). Decay of viral reservoirs like latently HIV-infected CD4+ T-cells were monitored over time.
    Actual start date of recruitment
    15 May 2009
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy
    Long term follow-up duration
    7 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 47
    Worldwide total number of subjects
    47
    EEA total number of subjects
    47
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    47
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Participants from 7 clinical sites in Germany were recruited between May 2009 and February 2011.

    Pre-assignment
    Screening details
    Planned count of participant: 40 patients (20 patients per arm); 58 pts were assessed for eligibility, 11 pts were excluded; 47 were started on study drugs ; 5 pts with primary infection immediately started on study drugs (as defined by the study protocol) turned out to be screening failures; 42 eligible pts continued treatment: 22 PHI, 20 CHI

    Pre-assignment period milestones
    Number of subjects started
    47
    Number of subjects completed
    42

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    non fulfillment of eligiblity criteria: 5
    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CHI-group
    Arm description
    Patients with chronic HIV infection (CHI) and with suppressed plasma viral load for at least three years under continuous HAART (Highly active antiretroviral treatment) consisting of 2 NRTI + 1 PI/r (see also "Eligibility") intensified by Maraviroc + Raltegravir CHI-patients: Treatment intensification of PI-based HAART with Maraviroc and Raltegravir. Therapy: 2 NRTI + 1 PI/r + Maraviroc + Raltegravir
    Arm type
    Experimental

    Investigational medicinal product name
    Maraviroc
    Investigational medicinal product code
    J05AX09
    Other name
    Celsentri
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Dosing of antiretrovirals including study drug Maraviroc was according to standard dosing as outlined in respective product informations: • Maraviroc 150 mg (one 150 mg tablet) PO b.i.d. (without regard to food), if the co-administered PI was RTV-boosted Lopinavir, RTV-boosted Atazanavir, RTV-boosted Saquinavir, RTV-boosted Darunavir • Maraviroc 300 mg (two 150 mg tablets) PO b.i.d. (without regard to food), if the co-administered PI was Fosamprenavir or Tipranavir

    Investigational medicinal product name
    Raltegravir
    Investigational medicinal product code
    J05AX08
    Other name
    Isentress
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Dosing of antiretrovirals including study drugs Raltegravir was according to standard dosing as outlined in respective product informations: • Raltegravir 400 mg (one 400 mg tablet) PO b.i.d. (without regard to food).

    Arm title
    PHI-group
    Arm description
    Patients with primary HIV infection (PHI) (see also "Eligibility") are immediately treated with 2 NRTI + 1 PI/r + Maraviroc + Raltegravir PHI-patients: Treatment initiation with multi drug class (MDC) HAART. Therapy: 2 NRTI + 1 PI/r + Maraviroc + Raltegravir
    Arm type
    Experimental

    Investigational medicinal product name
    Maraviroc
    Investigational medicinal product code
    J05AX09
    Other name
    Celsentri
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Dosing of antiretrovirals including study drug Maraviroc was according to standard dosing as outlined in respective product informations: • Maraviroc 150 mg (one 150 mg tablet) PO b.i.d. (without regard to food), if the co-administered PI was RTV-boosted Lopinavir, RTV-boosted Atazanavir, RTV-boosted Saquinavir, RTV-boosted Darunavir • Maraviroc 300 mg (two 150 mg tablets) PO b.i.d. (without regard to food), if the co-administered PI was Fosamprenavir or Tipranavir

    Investigational medicinal product name
    Raltegravir
    Investigational medicinal product code
    J05AX08
    Other name
    Isentress
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Dosing of antiretrovirals including study drugs Raltegravir was according to standard dosing as outlined in respective product informations: • Raltegravir 400 mg (one 400 mg tablet) PO b.i.d. (without regard to food).

    Number of subjects in period 1 [1]
    CHI-group PHI-group
    Started
    20
    22
    Completed
    15
    16
    Not completed
    5
    6
         Consent withdrawn by subject
    2
    4
         Pregnancy
    1
    -
         Relocation abroad
    1
    1
         Unable to visit study center
    1
    -
         Lack of efficacy
    -
    1
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: Overall 47 patients signed informed consent, of which five patients turned out to be screening failures due to nonfulfillment of the eligibility criteria (tropism test showed X4 tropism in three patients or Western blot bands >2 in two patients). The safety data are described for N=47 patients. The efficacy dataset (efficacy population) is based on patients who were enrolled in the study, received at least one dose of study drugs and met the inclusion criteria (N=42 pts.).

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    CHI-group
    Reporting group description
    Patients with chronic HIV infection (CHI) and with suppressed plasma viral load for at least three years under continuous HAART (Highly active antiretroviral treatment) consisting of 2 NRTI + 1 PI/r (see also "Eligibility") intensified by Maraviroc + Raltegravir CHI-patients: Treatment intensification of PI-based HAART with Maraviroc and Raltegravir. Therapy: 2 NRTI + 1 PI/r + Maraviroc + Raltegravir

    Reporting group title
    PHI-group
    Reporting group description
    Patients with primary HIV infection (PHI) (see also "Eligibility") are immediately treated with 2 NRTI + 1 PI/r + Maraviroc + Raltegravir PHI-patients: Treatment initiation with multi drug class (MDC) HAART. Therapy: 2 NRTI + 1 PI/r + Maraviroc + Raltegravir

    Reporting group values
    CHI-group PHI-group Total
    Number of subjects
    20 22 42
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    20 22 42
        From 65-84 years
    0 0 0
        85 years and over
    0 0 0
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    43.3 (33.8 to 51.0) 40.2 (29.4 to 42.7) -
    Gender categorical
    Units: Subjects
        Female
    6 1 7
        Male
    14 21 35
    HIV DNA in PBMC (peripheral blood mononuclear cells)
    Measure Analysis Population Description: One Patient of CHI-Group had no HIV DNA measurement.
    Units: log copies/10exp6 PBMC
        median (inter-quartile range (Q1-Q3))
    2.5 (0.2 to 2.7) 3.6 (3.5 to 3.8) -
    HIV DNA in CD4+T cells
    Measure Analysis Population Description: One Patient of CHI-Group had no HIV DNA measurement.
    Units: log copies/10exp6 CD4+T cells
        median (inter-quartile range (Q1-Q3))
    3 (2.6 to 3.3) 4.4 (4.1 to 4.6) -
    HIV RNA in Plasma
    Measure Description: For PHI-Group HIV RNA at Baseline was measured by Standard Assay. For CHI-Group HIV RNA at Baseline was measured by Single Copy Assay. Measurements between both Groups not comparable (NA) Measure Analysis Population Description: Two Patients of CHI-Group had no single copy measurement.
    Units: log copies/ml
        median (inter-quartile range (Q1-Q3))
    0.3 (0.2 to 0.5) 6.2 (5.3 to 6.9) -
    Absolute CD4+T cells
    Units: cells/µl
        median (inter-quartile range (Q1-Q3))
    763 (555 to 1065) 485 (393 to 577) -
    Relative CD4+T cells
    Units: percent
        median (inter-quartile range (Q1-Q3))
    33 (29 to 44) 24 (17 to 27) -
    CD4+T/CD8+T ratio
    Measure Analysis Population Description: One Patient had no measurement of CD8+T cells .
    Units: units on a scale
        median (inter-quartile range (Q1-Q3))
    0.9 (0.6 to 1.3) 0.4 (0.3 to 0.6) -
    Absolute CD8+T cells
    Measure Analysis Population Description: One Patient had no measurement of CD8+T cells.
    Units: cells/µl
        median (inter-quartile range (Q1-Q3))
    864 (782 to 1132) 1117 (836 to 1615) -
    Relative CD8+T cells
    Units: percent
        median (inter-quartile range (Q1-Q3))
    39 (34 to 47) 55 (44 to 64) -
    Absolute CD8+/CD38+ cells
    Measure Analysis Population Description: Not all patients had a value for this measurement.
    Units: cells/µl
        median (inter-quartile range (Q1-Q3))
    104 (66 to 160) 872 (506 to 1555) -
    Relative CD8+/CD38+ cells
    Measure Analysis Population Description: Not all patients had a value for this measurement.
    Units: percent
        median (inter-quartile range (Q1-Q3))
    14 (3.7 to 17) 89.9 (85 to 94) -
    Subject analysis sets

    Subject analysis set title
    Efficacy dataset
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The “efficacy dataset” (efficacy population) was based on patients who were enrolled in the study, received at least one dose of study drugs and met the inclusion criteria.

    Subject analysis set title
    Safety Analysis set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety dataset (safety population) is based on all patients enrolled in the study and having received at least one dose of study drugs, i.e. 42 eligible patients enrolled in the study (=efficacy dataset), and in addition 5 patients with primary HIV infection, who immediately started on study drugs (as defined by the study protocol) but turned out to be screening failures upon laboratory findings. The count of patients differed between both datasets (safety dataset N=47; CHI N=20, PHI N=27).

    Subject analysis sets values
    Efficacy dataset Safety Analysis set
    Number of subjects
    42
    47
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    42
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    41.0 (31.7 to 46.3)
    Gender categorical
    Units: Subjects
        Female
    7
        Male
    35
    HIV DNA in PBMC (peripheral blood mononuclear cells)
    Measure Analysis Population Description: One Patient of CHI-Group had no HIV DNA measurement.
    Units: log copies/10exp6 PBMC
        median (inter-quartile range (Q1-Q3))
    3 (2.5 to 3.6)
    HIV DNA in CD4+T cells
    Measure Analysis Population Description: One Patient of CHI-Group had no HIV DNA measurement.
    Units: log copies/10exp6 CD4+T cells
        median (inter-quartile range (Q1-Q3))
    3.6 (3.1 to 4.4)
    HIV RNA in Plasma
    Measure Description: For PHI-Group HIV RNA at Baseline was measured by Standard Assay. For CHI-Group HIV RNA at Baseline was measured by Single Copy Assay. Measurements between both Groups not comparable (NA) Measure Analysis Population Description: Two Patients of CHI-Group had no single copy measurement.
    Units: log copies/ml
        median (inter-quartile range (Q1-Q3))
    Absolute CD4+T cells
    Units: cells/µl
        median (inter-quartile range (Q1-Q3))
    570 (453 to 766)
    Relative CD4+T cells
    Units: percent
        median (inter-quartile range (Q1-Q3))
    28 (23 to 36)
    CD4+T/CD8+T ratio
    Measure Analysis Population Description: One Patient had no measurement of CD8+T cells .
    Units: units on a scale
        median (inter-quartile range (Q1-Q3))
    0.6 (0.4 to 0.9)
    Absolute CD8+T cells
    Measure Analysis Population Description: One Patient had no measurement of CD8+T cells.
    Units: cells/µl
        median (inter-quartile range (Q1-Q3))
    975 (790 to 1268)
    Relative CD8+T cells
    Units: percent
        median (inter-quartile range (Q1-Q3))
    46 (36 to 56)
    Absolute CD8+/CD38+ cells
    Measure Analysis Population Description: Not all patients had a value for this measurement.
    Units: cells/µl
        median (inter-quartile range (Q1-Q3))
    204 (104 to 870)
    Relative CD8+/CD38+ cells
    Measure Analysis Population Description: Not all patients had a value for this measurement.
    Units: percent
        median (inter-quartile range (Q1-Q3))
    33 (14 to 89)

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    CHI-group
    Reporting group description
    Patients with chronic HIV infection (CHI) and with suppressed plasma viral load for at least three years under continuous HAART (Highly active antiretroviral treatment) consisting of 2 NRTI + 1 PI/r (see also "Eligibility") intensified by Maraviroc + Raltegravir CHI-patients: Treatment intensification of PI-based HAART with Maraviroc and Raltegravir. Therapy: 2 NRTI + 1 PI/r + Maraviroc + Raltegravir

    Reporting group title
    PHI-group
    Reporting group description
    Patients with primary HIV infection (PHI) (see also "Eligibility") are immediately treated with 2 NRTI + 1 PI/r + Maraviroc + Raltegravir PHI-patients: Treatment initiation with multi drug class (MDC) HAART. Therapy: 2 NRTI + 1 PI/r + Maraviroc + Raltegravir

    Subject analysis set title
    Efficacy dataset
    Subject analysis set type
    Per protocol
    Subject analysis set description
    The “efficacy dataset” (efficacy population) was based on patients who were enrolled in the study, received at least one dose of study drugs and met the inclusion criteria.

    Subject analysis set title
    Safety Analysis set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety dataset (safety population) is based on all patients enrolled in the study and having received at least one dose of study drugs, i.e. 42 eligible patients enrolled in the study (=efficacy dataset), and in addition 5 patients with primary HIV infection, who immediately started on study drugs (as defined by the study protocol) but turned out to be screening failures upon laboratory findings. The count of patients differed between both datasets (safety dataset N=47; CHI N=20, PHI N=27).

    Primary: Combined Endpoint Including HIV RNA and HIV DNA

    Close Top of page
    End point title
    Combined Endpoint Including HIV RNA and HIV DNA [1]
    End point description
    The primary outcome measure (i.e. achievement of 'eradication') is a combined endpoint including cell-associated proviral DNA and plasma HIV RNA and is defined as undetectable cell-associated HIV DNA (copies per 10exp6 PBMC (peripheral blood mononuclear cells) and per 10exp6 CD4 cells) for at least 2 years (measurement by the French ANRS Group) combined with plasma viral load < 50 copies/ml for at least 5 years and undetectable plasma viral load (HIV RNA < 1 copy/ml, 1-copy assay) for at least 2 years.
    End point type
    Primary
    End point timeframe
    Screening, month -3 (= pre-baseline only for CHI-patients), baseline, months 1, 3, 6 and then every 6 months until month 84
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary outcome measure is a combined endpoint including cell-associated proviral DNA and plasma HIV RNA and is defined as undetectable cell-associated HIV DNA (copies per 10exp6 PBMC (peripheral blood mononuclear cells) and per 10exp6 CD4 cells) for at least 2 years combined with plasma viral load < 50 copies/ml for at least 5 years and undetectable plasma viral load (HIV RNA < 1 copy/ml, 1-copy assay) for at least 2 years. None of the patients reached that endpoint.
    End point values
    CHI-group PHI-group Efficacy dataset
    Number of subjects analysed
    20
    22
    42
    Units: Percent
        Primary outcome measure
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Mean Change in HIV DNA in PBMC

    Close Top of page
    End point title
    Mean Change in HIV DNA in PBMC
    End point description
    Mean changes (CI=95% Confidence Intervall) in HIV DNA copies/10exp6 PBMC (= peripheral blood mononuclear cells) from baseline, to evaluate the decay rates of latently infected cell reservoir.
    End point type
    Secondary
    End point timeframe
    Changes from baseline at months 36 and 84
    End point values
    CHI-group PHI-group Efficacy dataset
    Number of subjects analysed
    20 [2]
    22 [3]
    42 [4]
    Units: log copies/10exp6 PBMC
    log mean (confidence interval 95%)
        Month 36
    0.2 (0.0 to 0.4)
    -1.4 (-1.7 to -1.1)
    -0.6 (-0.9 to -0.3)
        Month 84
    0.1 (-0.1 to 0.3)
    -1.3 (-1.6 to -1.0)
    -0.6 (-0.9 to -0.3)
    Notes
    [2] - Month 36 N=17 participants Month 84 N=14 participants
    [3] - Month 36 N= 18 participants Month 84 N= 15 participants
    [4] - Month 36 N= 35 participants Month 84 N= 29 participants
    No statistical analyses for this end point

    Secondary: Mean Change in HIV DNA in CD4+T cells

    Close Top of page
    End point title
    Mean Change in HIV DNA in CD4+T cells
    End point description
    Mean change (CI=95% Confidence Intervall) in HIV DNA copies/10exp6 CD4+T cells from baseline, to evaluate the decay rates of latently infected cell reservoir.
    End point type
    Secondary
    End point timeframe
    Change from baseline at months 36 and 84
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [5]
    22 [6]
    Units: log copies/10exp6 CD4+T cells
    log mean (confidence interval 95%)
        Month 36
    0.2 (0.0 to 0.4)
    -1.7 (-2.0 to -1.5)
        Month 84
    0.2 (-0.0 to 0.3)
    -1.7 (-2.0 to -1.4)
    Notes
    [5] - Month 36 N=17 participants Month 84 N=14 participants
    [6] - Month 36 N= 18 participants Month 84 N= 15 participants
    No statistical analyses for this end point

    Secondary: HIV RNA <50 Copies/ml

    Close Top of page
    End point title
    HIV RNA <50 Copies/ml
    End point description
    Count of patients with Plasma HIV RNA <50 copies/ml at Month 36 and Month 84.
    End point type
    Secondary
    End point timeframe
    Month 36 and Month 84
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [7]
    22 [8]
    Units: Count
        Baseline
    20
    0
        Month 36
    19
    18
        Month 84
    14
    14
    Notes
    [7] - Month 36 N=19/19 (100%) Month 84 N=14/15 (93,3%)
    [8] - Month 36 N=18/18 (100%) Month 84 N=14/15 (93,3%)
    No statistical analyses for this end point

    Secondary: Median change in absolute CD4+T cells

    Close Top of page
    End point title
    Median change in absolute CD4+T cells
    End point description
    Median Change from baseline (IQR, interquartile range) in absolute CD4+T cells/µl.
    End point type
    Secondary
    End point timeframe
    Month 36 and Month 84
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [9]
    22 [10]
    Units: Cells/µl
    median (inter-quartile range (Q1-Q3))
        Month 36
    45 (-19 to 150)
    395 (192 to 678)
        Month 84
    49 (-142 to 180)
    457 (242 to 578)
    Notes
    [9] - Month 36 N=19 participants Month 84 N=15 participants
    [10] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Median change in absolute CD8+T cells

    Close Top of page
    End point title
    Median change in absolute CD8+T cells
    End point description
    Median Change from baseline (IQR, interquartile range) in absolute CD8+T cells/µl.
    End point type
    Secondary
    End point timeframe
    Month 36 and Month 84
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [11]
    22 [12]
    Units: Cells/µl
    median (inter-quartile range (Q1-Q3))
        Month 36
    170.0 (41.0 to 350.0)
    -456.0 (-826.0 to -310.0)
        Month 84
    35.0 (-161.0 to 143)
    -443.0 (-1670.0 to -185.0)
    Notes
    [11] - Month 36 N=19 participants Month 84 N=15 participants
    [12] - Month 36 N=17 participants Month 84 N=14 participants
    No statistical analyses for this end point

    Secondary: Median change in CD4+/CD8+ ratio

    Close Top of page
    End point title
    Median change in CD4+/CD8+ ratio
    End point description
    Median change in CD4+/ CD8+ ratio from baseline (IQR, interquartile range)
    End point type
    Secondary
    End point timeframe
    Month 36 and Month 84
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [13]
    22 [14]
    Units: Ratio
    median (inter-quartile range (Q1-Q3))
        Month 36
    -0.0 (-0.3 to 0.1)
    1.0 (0.8 to 1.2)
        Month 84
    0.1 (-0.2 to 0.1)
    0.9 (0.7 to 1.8)
    Notes
    [13] - Month 36 N=19 participants Month 84 N=15 participants
    [14] - Month 36 N=17 participants Month 84 N=14 participants
    No statistical analyses for this end point

    Secondary: Median Change in HIV DNA in PBMC

    Close Top of page
    End point title
    Median Change in HIV DNA in PBMC
    End point description
    Median Change from baseline (IQR, interquartile range) in HIV DNA copies/10exp6 PBMC (= peripheral blood mononuclear cells), to evaluate the decay rates of latently infected cell reservoir.
    End point type
    Secondary
    End point timeframe
    Month 36 and month 84
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [15]
    22 [16]
    Units: log copies/10exp6 PBMC
    median (inter-quartile range (Q1-Q3))
        Month 36
    0.2 (-0.1 to 0.4)
    -1.4 (-1.8 to -1.0)
        Month 84
    0.0 (-0.1 to 0.4)
    -1.4 (-1.8 to -0.8)
    Notes
    [15] - Month 36 N=17 participants Month 84 N=14 participants
    [16] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Median change in HIV DNA in CD4+T cells

    Close Top of page
    End point title
    Median change in HIV DNA in CD4+T cells
    End point description
    Median Change from baseline (IQR, interquartile range) in HIV DNA in CD4+T cells, to evaluate the decay rates of latently infected cell reservoir.
    End point type
    Secondary
    End point timeframe
    Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [17]
    22 [18]
    Units: log copies/10^6 CD4+T cells
    median (inter-quartile range (Q1-Q3))
        Month 36
    0.1 (-0.0 to 0.4)
    -1.7 (-2.1 to -1.3)
        Month 84
    0.1 (-0.1 to 0.4)
    -1.7 (-2.2 to -1.4)
    Notes
    [17] - Month 36 N=17 participants Month 84 N=14 participants
    [18] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Median change in relative CD4+T cells

    Close Top of page
    End point title
    Median change in relative CD4+T cells
    End point description
    Median Change from baseline (IQR, interquartile range) in relative CD4+T cells/µl.
    End point type
    Secondary
    End point timeframe
    Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [19]
    22 [20]
    Units: percentage of Lymphocytes
    median (inter-quartile range (Q1-Q3))
        Month 36
    -0.6 (-4.0 to 2.0)
    19 (13.0 to 25.0)
        Month 84
    0 (-6.1 to 5.0)
    22 (11.0 to 31.0)
    Notes
    [19] - Month 36 N=19 participants Month 84 N=15 participants
    [20] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Median Change in absolute CD8+CD38+T cells

    Close Top of page
    End point title
    Median Change in absolute CD8+CD38+T cells
    End point description
    Median Change from baseline (IQR, interquartile range) in absolute CD8+CD38+T cells/µl.
    End point type
    Secondary
    End point timeframe
    Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [21]
    22 [22]
    Units: cells/µl
    median (inter-quartile range (Q1-Q3))
        Month 36
    11 (-32 to 73)
    -1077 (-2170 to -500)
        Month 84
    -22.5 (-82 to 17.9)
    -1201.5 (-2454 to -621)
    Notes
    [21] - Month 36 N=13 participants Month 84 N=10 participants
    [22] - Month 36 N= 9 participants Month 84 N= 8 participants
    No statistical analyses for this end point

    Secondary: Absolute HIV DNA in PBMC

    Close Top of page
    End point title
    Absolute HIV DNA in PBMC
    End point description
    Absolute HIV DNA in PBMC (= peripheral blood mononuclear cells) at baseline and during follow-up at month 36 and 84 (IQR, interquartile range).
    End point type
    Secondary
    End point timeframe
    Baseline, Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [23]
    22 [24]
    Units: log copies/10^6 PBMC
    median (inter-quartile range (Q1-Q3))
        Month 36
    2.7 (2.5 to 2.8)
    2.2 (1.9 to 2.3)
        Month 84
    2.4 (2.4 to 2.8)
    2.3 (2.0 to 2.6)
        Baseline
    2.5 (2.0 to 2.7)
    3.6 (3.5 to 3.8)
    Notes
    [23] - Month 36 N=17 participants Month 84 N=15 participants
    [24] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Absolute HIV DNA in CD4+T cells

    Close Top of page
    End point title
    Absolute HIV DNA in CD4+T cells
    End point description
    Absolute HIV DNA in CD4+T cells at baseline and during follow-up at month 36 and 84 (IQR, interquartile range).
    End point type
    Secondary
    End point timeframe
    Baseline, Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [25]
    22 [26]
    Units: log copies/10^6 CD4+T cells
    median (inter-quartile range (Q1-Q3))
        Month 36
    3.2 (3.0 to 3.4)
    2.7 (2.4 to 2.8)
        Month 84
    3.1 (2.9 to 3.4)
    2.7 (2.3 to 3.1)
        Baseline
    3.0 (2.6 to 3.3)
    4.4 (4.1 to 4.6)
    Notes
    [25] - Month 36 N=17 participants Month 84 N=15 participants Baseline N= 19 participants
    [26] - Month 36 N=18 participants Month 84 N=15 participants Baseline N=22 participants
    No statistical analyses for this end point

    Secondary: Absolute CD4+T cells

    Close Top of page
    End point title
    Absolute CD4+T cells
    End point description
    Absolute CD4+T cells at baseline and during follow-up at month 36 and 84 (IQR, interquartile range).
    End point type
    Secondary
    End point timeframe
    Baseline, Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [27]
    22 [28]
    Units: cells/µl
    median (inter-quartile range (Q1-Q3))
        Month 36
    827 (565 to 1145)
    915.5 (638 to 1179)
        Month 84
    733 (545 to 964)
    938 (739 to 1164)
        Baseline
    762.5 (554 to 1065)
    484.5 (393 to 577)
    Notes
    [27] - Month 36 N=19 participants Month 84 N=15 participants
    [28] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Relative CD4+ T cells

    Close Top of page
    End point title
    Relative CD4+ T cells
    End point description
    Relative CD4+T cells at baseline and during follow-up at month 36 and 84 (IQR, interquartile range).
    End point type
    Secondary
    End point timeframe
    Baseline, Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [29]
    22 [30]
    Units: percentage of Lymphocytes
    median (inter-quartile range (Q1-Q3))
        Baseline
    32.5 (28.5 to 43.5)
    24.0 (17.0 to 27.0)
        Month 36
    33.0 (28.0 to 43.6)
    41.0 (38.0 to 46.0)
        Month 84
    32.0 (24.0 to 39.0)
    43.0 (36.6 to 48.0)
    Notes
    [29] - Month 36 N=19 participants Month 84 N=15 participants Baseline N=19
    [30] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: CD4+/CD8+ Ratio

    Close Top of page
    End point title
    CD4+/CD8+ Ratio
    End point description
    Median CD4+/CD8+ ratio at baseline (IQR, interquartile range) and during follow-up at month 36 and 84 (IQR, interquartile range).
    End point type
    Secondary
    End point timeframe
    Baseline, Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [31]
    22 [32]
    Units: ratio
    median (inter-quartile range (Q1-Q3))
        Baseline
    0.9 (0.6 to 1.3)
    0.4 (0.3 to 0.6)
        Monrth 36
    0.8 (0.6 to 1.1)
    1.3 (1.1 to 1.9)
        Month 84
    0.7 (0.5 to 1.0)
    1.4 (1.0 to 2.1)
    Notes
    [31] - Month 36 N=19 participants Month 84 N=15 participants
    [32] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Absolute CD8+T cells

    Close Top of page
    End point title
    Absolute CD8+T cells
    End point description
    Median CD8+T cells/µl at baseline and during follow-up at month 36 and 84 (IQR, interquartile range).
    End point type
    Secondary
    End point timeframe
    Baseline, Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [33]
    22 [34]
    Units: cells/µl
    median (inter-quartile range (Q1-Q3))
        Baseline
    864 (782 to 1132)
    1117 (836 to 1615)
        Month 36
    1010 (858 to 1330)
    589 (466 to 851)
        Month 84
    1000 (820 to 1189)
    692 (511 to 825)
    Notes
    [33] - Month 36 N=19 participants Month 84 N=15 participants
    [34] - Month 36 N=18 participants Month 84 N=15 participants
    No statistical analyses for this end point

    Secondary: Absolute CD8+CD38+T cells

    Close Top of page
    End point title
    Absolute CD8+CD38+T cells
    End point description
    Absolute CD8+CD38+T cells/µl at baseline and during follow-up at month 36 and 84 (IQR, interquartile range).
    End point type
    Secondary
    End point timeframe
    Baseline, Month 36 and month 84.
    End point values
    CHI-group PHI-group
    Number of subjects analysed
    20 [35]
    22 [36]
    Units: cells/µl
    median (inter-quartile range (Q1-Q3))
        Baseline
    104 (66 to 160)
    871.5 (506 to 1555)
        Month 36
    163 (63 to 191)
    79 (12 to 121)
        Month 84
    120 (48 to 170)
    64 (37 to 156)
    Notes
    [35] - Baseline N=15 participants Month 36 N=17 participants Month 84 N=14 participants
    [36] - Baseline N=14 participants Month 36 N=15 participants Month 84 N=13 participants
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    During the course of the study, the adverse events were reported over all patients who started with study drugs (N=47, safety population) at every patient visit, including events occurring during post-follow-up observation period.
    Adverse event reporting additional description
    The safety dataset (safety population) is based on all patients enrolled in the study and having received at least one dose of study drugs (N=47 patients).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21.1
    Reporting groups
    Reporting group title
    CHI group
    Reporting group description
    -

    Reporting group title
    PHI-group
    Reporting group description
    -

    Serious adverse events
    CHI group PHI-group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    7 / 20 (35.00%)
    8 / 27 (29.63%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Injury, poisoning and procedural complications
    Concussion
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tendon rupture
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Limb injury
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fracture
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tendon rupture follow-up
    Additional description: Follow-up
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Hypertensive crisis
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Embolism arterial
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebral infarction
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Basal ganglia stroke
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Renal stone removal
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hip arthroplasty
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Inguinal hernia repair
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Leg amputation
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abortion induced
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal stone removal follow-up
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Pregnancy
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Haemorrhoids
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Anal prolapse
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pneumothorax
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Burnout syndrome
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal colic
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal pain
         subjects affected / exposed
    1 / 20 (5.00%)
    0 / 27 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Calculus urinary
    Additional description: Hospitalization due to suspected urolithiasis (not confirmed)
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Rectal abscess
         subjects affected / exposed
    0 / 20 (0.00%)
    1 / 27 (3.70%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    CHI group PHI-group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    20 / 20 (100.00%)
    26 / 27 (96.30%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    4
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    2 / 20 (10.00%)
    5 / 27 (18.52%)
         occurrences all number
    6
    6
    Oedema peripheral
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    3
    0
    Pyrexia
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Immune system disorders
    Seasonal allergy
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    3 / 20 (15.00%)
    2 / 27 (7.41%)
         occurrences all number
    4
    2
    Psychiatric disorders
    Depression
         subjects affected / exposed
    3 / 20 (15.00%)
    6 / 27 (22.22%)
         occurrences all number
    4
    7
    Sleep disorder
         subjects affected / exposed
    4 / 20 (20.00%)
    3 / 27 (11.11%)
         occurrences all number
    4
    3
    Investigations
    Weight decreased
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Injury, poisoning and procedural complications
    Concussion
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Contusion
         subjects affected / exposed
    3 / 20 (15.00%)
    0 / 27 (0.00%)
         occurrences all number
    3
    0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    3 / 20 (15.00%)
    0 / 27 (0.00%)
         occurrences all number
    4
    0
    Headache
         subjects affected / exposed
    0 / 20 (0.00%)
    4 / 27 (14.81%)
         occurrences all number
    0
    6
    Paraesthesia
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    4
    Abdominal pain upper
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Abdominal tenderness
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Anal fissure
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Diarrhoea
         subjects affected / exposed
    8 / 20 (40.00%)
    10 / 27 (37.04%)
         occurrences all number
    9
    20
    Dysphagia
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Enteritis
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Flatulence
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Haemorrhoids
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    3
    Nausea
         subjects affected / exposed
    4 / 20 (20.00%)
    3 / 27 (11.11%)
         occurrences all number
    4
    4
    Proctalgia
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Proctitis
         subjects affected / exposed
    0 / 20 (0.00%)
    4 / 27 (14.81%)
         occurrences all number
    0
    4
    Vomiting
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Hepatobiliary disorders
    Ocular icterus
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Skin and subcutaneous tissue disorders
    Acne
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    3
    Alopecia
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Night sweats
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Pruritus
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Rash
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    4
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    3 / 20 (15.00%)
    0 / 27 (0.00%)
         occurrences all number
    6
    0
    Back pain
         subjects affected / exposed
    2 / 20 (10.00%)
    6 / 27 (22.22%)
         occurrences all number
    2
    6
    Musculoskeletal pain
         subjects affected / exposed
    3 / 20 (15.00%)
    0 / 27 (0.00%)
         occurrences all number
    4
    0
    Myalgia
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Osteoarthritis
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Pain in extremity
         subjects affected / exposed
    2 / 20 (10.00%)
    2 / 27 (7.41%)
         occurrences all number
    2
    3
    Spinal pain
         subjects affected / exposed
    0 / 20 (0.00%)
    4 / 27 (14.81%)
         occurrences all number
    0
    5
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    11 / 20 (55.00%)
    14 / 27 (51.85%)
         occurrences all number
    26
    30
    Acute hepatitis C
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Anal abscess
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Anal chlamydia infection
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Epididymitis
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Folliculitis
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Gastroenteritis
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    4
    Gastrointestinal viral infection
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Gingivitis
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    3
    Gonorrhoea
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    3
    Herpes virus infection
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    3
    Herpes zoster
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Oral herpes
         subjects affected / exposed
    0 / 20 (0.00%)
    4 / 27 (14.81%)
         occurrences all number
    0
    4
    Otitis media
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    2
    0
    Pharyngitis
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Respiratory tract infection
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    4
    Sinusitis
         subjects affected / exposed
    4 / 20 (20.00%)
    3 / 27 (11.11%)
         occurrences all number
    5
    4
    Syphilis
         subjects affected / exposed
    3 / 20 (15.00%)
    8 / 27 (29.63%)
         occurrences all number
    9
    11
    Tonsillitis
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    4
    0
    Urethritis
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Urethritis gonococcal
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 27 (7.41%)
         occurrences all number
    0
    2
    Urinary tract infection
         subjects affected / exposed
    2 / 20 (10.00%)
    0 / 27 (0.00%)
         occurrences all number
    3
    0
    Bronchitis
         subjects affected / exposed
    4 / 20 (20.00%)
    5 / 27 (18.52%)
         occurrences all number
    7
    6
    Chlamydial infection
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 27 (11.11%)
         occurrences all number
    0
    3
    Metabolism and nutrition disorders
    Vitamin D deficiency
         subjects affected / exposed
    7 / 20 (35.00%)
    4 / 27 (14.81%)
         occurrences all number
    8
    4

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    04 Feb 2015
    The New Era Study is an ongoing prospective 7-year clinical trial initiated in 2009 using 5-drug cART (combination antiretroviral therapy) in patients with primary HIV infection (PHI, ≤2 Western blot bands) and in patients with chronic HIV-infection on suppressive PI-based HAART for ≥3 years without prior virologic failure (CHI). The primary objectives of the study were to halt residual viral replication in plasma and to achieve depletion of cell-associated HIV-DNA (‘proviral DNA’) as a step towards (functional) HIV cure which could be proven by treatment interruption. The primary and secondary outcome measures of the New Era Study are cell-associated HIV-DNA copies per 10exp6 peripheral blood mononuclear cells (PBMC), plasma HIV-RNA level, absolute and relative CD4+ and CD8+ T-cell counts, CD4/CD8 ratio, and CD8+CD38+ T-cell count. The implementation of Amendment 1.0 comprising the measurement of additional laboratory parameters does not affect primary objectives but secondary objectives are amended. The rationale for amending additional laboratory markers to be measured is based on new questions arising from intensified worldwide cure research since the beginning of the New Era Study. According to the study protocol, treatment can be interrupted in case of plasma HIV-RNA <50 cop./ml for ≥5 years, undetectable HIV-RNA using single-copy assay for ≥2 years coupled with undetectable proviral DNA levels in PBMC for ≥2 years. As shown by the Visconti post-treatment controllers and other case reports of post treatment controlling (PTC) further virologic, immunologic and genetic markers are needed to better predict virus control after treatment interruption (Saez-Cirion 2013). Therefore, the measurement of laboratory parameters (one additional blood sampling per patient) will be extended in the population of the New Era Study in order to better characterize and discriminate these patients in terms of immunologic and virologic parameters.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/29760693
    http://www.ncbi.nlm.nih.gov/pubmed/1252566
    http://www.ncbi.nlm.nih.gov/pubmed/1609929
    http://www.ncbi.nlm.nih.gov/pubmed/10613829
    http://www.ncbi.nlm.nih.gov/pubmed/17784786
    http://www.ncbi.nlm.nih.gov/pubmed/18171475
    http://www.ncbi.nlm.nih.gov/pubmed/12754504
    http://www.ncbi.nlm.nih.gov/pubmed/10341272
    http://www.ncbi.nlm.nih.gov/pubmed/25047577
    http://www.ncbi.nlm.nih.gov/pubmed/21552772
    http://www.ncbi.nlm.nih.gov/pubmed/24152233
    http://www.ncbi.nlm.nih.gov/pubmed/23516360
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sun May 19 19:28:43 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA