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CompletedNCT00107029Updated Feb 28, 2017

Evaluation of Genetic Markers as Explanations for the Observed Differences in Disease Progression in HIV+ Youth

An observational study in HIV Infection, sponsored by University of North Carolina, Chapel Hill. Completed at 10 sites in United States. Per ClinicalTrials.gov, last updated 2017-02-28.

Sponsored by University of North Carolina, Chapel Hill · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
113
Sex
All
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Study summary

This protocol is a study of HIV+ young people who were identified as having certain HIV-1 specific T-cell responses and genetic markers while previously enrolled in the 5-year longitudinal adolescent study, "REACH." Blood samples will be collected, a medical and medication history and physical examination will be performed every 6 months for a total of 2 years.

Read the detailed description

Numerous studies have demonstrated an association between HLA class I genotypes with differing progression to AIDS in individuals who are followed after being off antiretroviral therapy. These studies do not always associate the same HLA class I alleles with the risks of HIV-1 disease progression; however they consistently demonstrated that HLA-B*35 and B*53 portend a bad outcome compared to the better outcome observed in HLA-B*27 and B*57 carriers. Despite this information, very little data exists to explain the mechanism of this association.

This longitudinal study will look at the HIV-1 specific CD8+ T-cell responses and the dominant HIV-1 genotype among individuals identified as HLA-B*27, B*35, B*53 and B*57 positive through studies done in collaboration with the REACH project.

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Conditions studied

  • HIV Infection

Keywords

  • HIV infection
  • CD8+ T-cells
  • HIV-1 genotype
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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 113 is below the median of 200 across 713 observational studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,340 studies on the registry; 133 are open to participants now.

Of its 155 completed or terminated interventional studies of FDA-regulated products, 136 (88%) have results posted.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects who were identified as HLA Class I HLA-B*27, B*35, B*53, and/or B*57 positive from the REACH study will be contacted for their interest in participating in this study. Only former REACH sites in the ATN will be eligible to enroll subjects into this study.

Inclusion criteria

  • HLA-Class I HLA-B*27, B*35, B*53 and/or B*57 positive identified through the REACH study
  • Subject's ability and willingness to provide written informed consent
  • Subject's ability and willingness to be followed at least one year on this ATN 026 study

Exclusion criteria

Exclusion Criteria:

  • On chronic immunosuppressive therapy, not including topical or inhaled steroid use.
  • Any prohibited medication listed in protocol within 2 weeks prior to the Entry visit labs
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
113 participants (actual)
Biospecimen retention
Samples without dna
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What researchers measure

Primary outcomes

  1. Demonstrate that few CTL escape mutations occur in HIV-1 specific CD8+ T cell epitopes that are HLA-B*27 and B*57 restricted, when compared to those restricted by HLA-B*35 and B*53.

    Demonstrate that few CTL escape mutations occur in HIV-1 specific CD8+ T cell epitopes that are HLA-B\*27 and B\*57 restricted, when compared to those restricted by HLA-B\*35 and B\*53.

    Time frame: 96 Weeks

Secondary outcomes

  1. Demonstrate that CD8+ T cells have a high functional avidity to HLA-B*27 and B*57 bound epitopes when compared to those responding to HLA-B*35 and B*53 bound epitopes.

    Demonstrate that CD8+ T cells have a high functional avidity to HLA-B\*27 and B\*57 bound epitopes when compared to those responding to HLA-B\*35 and B\*53 bound epitopes.

    Time frame: 96 Weeks

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Study locations

10 sites
  • Children's Hospital of Los Angeles
    Los Angeles, California 90027, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
  • Children's Diagnostic and Treatment Center
    Ft. Lauderdale, Florida 33101, United States
  • University of Miami-Jackson Memorial Medical Center
    Miami, Florida 33101, United States
  • Cook County Children's Hospital
    Chicago, Illinois 60612, United States
  • Tulane Medical Center
    New Orleans, Louisiana 70112, United States
  • University of Maryland
    Baltimore, Maryland 21201, United States
  • Children's Hospital at Montefiore Medical Center
    Bronx, New York 10467, United States
  • Mount Sinai Medical Center
    New York, New York 10128, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 28, 2017, 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
NCT00107029
Lead sponsor
University of North Carolina, Chapel Hill
Collaborators
National Institute on Drug Abuse (NIDA), National Institute of Mental Health (NIMH), National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Responsible party
Sponsor
First posted
Apr 5, 2005
Start date
Dec 2002
Primary completion
Sep 2005
Completion
Sep 2005
Last update
Feb 28, 2017

Study contacts

Paul Goepfert, MD
study chair · University of Alabama at Birmingham

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.

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