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CompletedNCT00007488Updated Nov 20, 2013

HIV in Specific Parts of the Body of Patients Who Are Changing or Starting Potent Anti-HIV Drugs

An observational study in HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 23 sites in United States. Open to participants aged 13 Years and older. Per ClinicalTrials.gov, last updated 2013-11-20.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Observational

Study type
Observational
Enrollment
164
Ages
13 Years and older
Sex
All
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Study summary

The purpose of this study is to gain information on how the type and amount of HIV present in certain places in the body and in the blood are affected when potent (powerful) anti-HIV drugs are given.

Researchers know that the type and amount of HIV may differ in certain places in the body (called compartments) but are not sure how anti-HIV treatment affects these differences. This study gathers information to help understand how the virus grows and changes between blood and nonblood compartments in patients receiving anti-HIV treatment.

Read the detailed description

The goal of antiretroviral therapy is maximal suppression of HIV-1 replication. Yet studies show that there is ongoing replication of latent virus in the blood and lymphoid tissues of some patients receiving potent antiretroviral therapy who have had suppressed plasma HIV-1 RNA levels for prolonged periods of time. This continued viral persistence and replication could eventually result in virologic failure and clinical progression as well as selection and transmission of resistant HIV-1. There is a need to identify, quantify, and determine significance of viral reservoirs in compartments other than blood. A5077 is designed to evaluate the relationship between viral load in blood and nonblood compartments and time to virologic failure in patients initiating or changing potent antiretroviral therapy.

Patients contribute samples of blood at study entry (prior to changing or initiating potent antiretroviral therapy), Week 8 and every 8 weeks thereafter until Week 96, and (if applicable) within 30 days of confirmed virologic failure. Samples of saliva and either genital secretions or lymphoid tissue, or both, are collected at study entry (prior to changing or initiating potent antiretroviral therapy), Weeks 16, 48, and 96, and within 30 days of confirmed virologic failure. Clinical assessments and medication updates are done at study visits. Blood samples are tested for HIV-1 genotypic resistance studies, HIV-1 proviral DNA studies, and HIV-1 quantitation. If total blood volumes exceed safe limits, blood samples will not be drawn for A5077 but the A5077 protocol team will request access to plasma and PBMC samples from any coenrolled study if applicable.

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Conditions studied

  • HIV Infections

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Keywords

  • HIV-1
  • Lymphoid Tissue
  • Viremia
  • RNA, Viral
  • Saliva
  • Anti-HIV Agents
  • Viral Load
  • Genitalia, Female
  • Genitalia, Male
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In context

HIV Infections

4,257 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 164 is below the median of 200 across 713 observational studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.

Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
13 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Patients may be eligible for this study if they:

  • Are at least 13 years old.
  • Are HIV-positive.
  • Are changing or beginning anti-HIV therapy (not provided by the study). Anti-HIV therapy should be an approved 3-drug combination.
  • Have a viral load of at least 2,000 copies/ml within 60 days of study entry.
  • Have signed consent of parent or guardian if under 18 years of age.
  • Are willing to contribute samples of blood, saliva, and either genital fluids or lymph tissue, or both, at study visits.
  • Are willing to give permission to allow records from any coenrolled studies to be used while participating in this study.
  • Have a negative pregnancy test within 14 days of study entry, if women able to have children. Women who become pregnant while on the study are allowed only to contribute blood and saliva samples until the pregnancy ends. After the pregnancy has ended, collection of genital fluids and/or lymphoid tissue will continue.
  • Agree to receive HIV-related care at an AACTG site, if not enrolled in another AACTG trial.

Exclusion criteria

Exclusion Criteria

Patients will not be eligible for this study if they:

  • Have had any active opportunistic (AIDS-related) infection or disease, or have another illness occurring at the same time, or other infections, including an active lower genital tract infection that requires a new drug or change in drug in 14 days or less before study entry. There may be an exception for some conditions.
  • Have used immunomodulatory agents in 14 days or less before study entry.
  • Have had an immunization in 14 days or less before study entry.
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Study design

Enrollment
164 participants
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Study locations

23 sites
  • Univ of Southern California / LA County USC Med Ctr
    Los Angeles, California 900331079, United States
  • Willow Clinic
    Menlo Park, California 94025, United States
  • Univ of California, San Diego
    San Diego, California 92103, United States
  • University of California San Francisco
    San Francisco, California 941104206, United States
  • Univ of California San Francisco
    San Francisco, California 94110, United States
  • San Mateo AIDS Program / Stanford Univ
    Stanford, California 943055107, United States
  • Stanford Univ Med Ctr
    Stanford, California 943055107, United States
  • Univ of Colorado Health Sciences Ctr
    Denver, Colorado 80262, United States
  • Emory Univ
    Atlanta, Georgia 30308, United States
  • Univ of Hawaii
    Honolulu, Hawaii 96816, United States
  • Rush Presbyterian - Saint Luke's Med Ctr
    Chicago, Illinois 60612, United States
  • The CORE Ctr
    Chicago, Illinois 60612, United States
  • Johns Hopkins Hosp
    Baltimore, Maryland 21287, United States
  • Univ of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Washington Univ / St Louis Connect Care
    Saint Louis, Missouri 63108, United States
  • Washington Univ School of Medicine
    St Louis, Missouri 63108, United States
  • Community Health Network Inc
    Rochester, New York 14642, United States
  • Univ of Rochester Medical Center
    Rochester, New York 14642, United States
  • Univ of North Carolina
    Chapel Hill, North Carolina 275997215, United States
  • Ohio State Univ Hosp Clinic
    Columbus, Ohio 432101228, United States
  • Brown Univ / Miriam Hosp
    Providence, Rhode Island 02906, United States
  • Miriam Hosp / Brown Univ
    Providence, Rhode Island 02906, United States
  • Univ of Washington
    Seattle, Washington 98104, United States
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References and documents

Publications

  • Kantor R, Bettendorf D, Bosch RJ, Mann M, Katzenstein D, Cu-Uvin S, D'Aquila R, Frenkel L, Fiscus S, Coombs R; ACTG A5077 Study Team. HIV-1 RNA levels and antiretroviral drug resistance in blood and non-blood compartments from HIV-1-infected men and women enrolled in AIDS clinical trials group study A5077. PLoS One. 2014 Apr 3;9(4):e93537. doi: 10.1371/journal.pone.0093537. eCollection 2014. PubMed 24699474 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00007488
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
First posted
Aug 31, 2001
Start date
Nov 2000
Completion
Aug 2004
Last update
Nov 20, 2013

Study contacts

Alejo Erice
study chair
Robert Coombs
study chair
Susan Fiscus
study chair
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2013. You cannot join it, but the record below documents what was studied.

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