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CompletedNCT00762892RANUpdated Jan 5, 2015Results posted

Raltegravir vs. Atazanavir in Combination With Truvada® for the Treatment of Antiretroviral naïve HIV Infected Patients

A Phase 4 interventional study of Raltegravir and truvada and Atazanavir, Norvir and Truvada in HIV Infections, sponsored by The University of Texas Health Science Center, Houston. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-01-05.

Sponsored by The University of Texas Health Science Center, Houston · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a pilot that will evaluate two regimens for treating HIV infected patients that haven't been on treatment before. HIV/AIDS patients may have an increased risk of myocardial infarction and antiretroviral therapy used may contribute to this. We will evaluate virological, immunological and cardiovascular effects of two HIV treatment regimens.

Read the detailed description

We will check blood studies used to evaluate HIV patients response to therapy including CD4 count and HIV viral load test. We will check routine safety labs done on HIV patients and also check homocysteine levels and creatine kinase level. We will evaluate homocysteine and IL6 levels at baseline, week 48, and week 96.

02

Conditions studied

  • HIV Infections

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Keywords

  • Raltegravir
  • Integrase inhibitor
  • Protease inhibitor
  • Naive patients
  • HIV disease
  • Lipids
  • Treatment Naïve
03

In context

HIV Infections

4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 33 is below the median of 83 across 3,251 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 880 studies on the registry; 209 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 140 (82%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Patients must be HIV-1 positive and naïve to HIV therapy.
  • Patients must plan to participate and be available for the trial for the 96-week study period.
  • Patients followed at Thomas Street Clinic.
  • Patients must be over 18 years old.

Exclusion criteria

Exclusion Criteria:

  • Patients must not be pregnant or plan to become pregnant over the 96-week study period.
  • Patients cannot be on a proton pump inhibitor.
  • Patients cannot be undergoing treatment for active tuberculosis.
  • Renal Insufficiency with a creatinine clearance \< 50 ml/min/1.73 m2 by the MDRD GFR calculation.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Active comparator
    Raltegravir

    Raltegravir in combination with truvada (tenofovir and emtricitabine)

    Drug: Raltegravir and truvada

  • Active comparator
    Atazanavir

    Atazanavir, low dose ritonavir, and truvada (tenofovir and emtricitabine)

    Drug: Atazanavir, Norvir and Truvada

Interventions

  • DrugRaltegravir and truvada

    Raltegravir 400 mg po bid, truvada 1 tab q daily

    Also known as: Truvada is tenofovir 300 mg and emtricitabine 200 mg

  • DrugAtazanavir, Norvir and Truvada

    Atazanavir 300 mg po q daily, Norvir 100 mg po q daily and Truvada 1 tablet po q daily

    Also known as: Truvada is tenofovir 300 mg and emtricitabine 200 mg

06

What researchers measure

Primary outcomes

  1. Change From Baseline in CD4 Count at 48 Weeks

    Time frame: Baseline and 48 weeks

  2. Change From Baseline in Log HIV Viral Load at 48 Weeks

    Time frame: Baseline and 48 weeks

Secondary outcomes

  1. Change From Baseline in Lipids at 48 Weeks

    Time frame: Baseline and 48 weeks

  2. Change From Baseline in Interleukin-6 (IL-6) at 48 Weeks

    Time frame: Baseline and 48 weeks

  3. Change From Baseline in Homocysteine at 6 Months

    Time frame: Baseline and 48 weeks

07

Results

Posted Jan 5, 2015
Limitations and caveats
Limitations are the relatively small sample size and loss to follow-up. Medical records of patients that were lost to follow up was reviewed to ensure that no SAE occurred. We also attempted multiple times to contact patients.

Participant flow

approached patients HIV positive, naive to therapy, single site, English and Spanish speaking/writing.

Participant flow — Overall Study
MilestoneRaltegravirAtazanavir
Started1414
Completed98
Not completed56
Withdrew: Lost to follow-up25
Withdrew: Withdrawal by subject01
Withdrew: Death10
Withdrew: Pregnancy10
Withdrew: Incarceration10

Outcome measures

PrimaryChange From Baseline in CD4 Count at 48 Weeks
Time frame:
Baseline and 48 weeks
Reported as:
Mean · cells/uL
Change From Baseline in CD4 Count at 48 Weeks
cells/uLRaltegravirAtazanavir
Change From Baseline in CD4 Count at 48 Weeks192 ± 26205 ± 27
SecondaryChange From Baseline in Lipids at 48 Weeks
Time frame:
Baseline and 48 weeks
Reported as:
Mean · mg/dL
Change From Baseline in Lipids at 48 Weeks
mg/dLRaltegravirAtazanavir
Total cholesterol-0.25 ± 7.668.13 ± 11.96
Triglycerides-15.50 ± 18.4716.88 ± 40.89
HDL cholesterol-1.5 ± 2.58-1.38 ± 3.08
LDL cholesterol4.13 ± 7.545.88 ± 14.46
PrimaryChange From Baseline in Log HIV Viral Load at 48 Weeks
Time frame:
Baseline and 48 weeks
Reported as:
Mean · copies/mL
Change From Baseline in Log HIV Viral Load at 48 Weeks
copies/mLRaltegravirAtazanavir
Change From Baseline in Log HIV Viral Load at 48 Weeks-3.05 ± 0.28-3.29 ± 0.26
SecondaryChange From Baseline in Interleukin-6 (IL-6) at 48 Weeks
Time frame:
Baseline and 48 weeks
Reported as:
Mean · pg/mL
Change From Baseline in Interleukin-6 (IL-6) at 48 Weeks
pg/mLRaltegravirAtazanavir
Change From Baseline in Interleukin-6 (IL-6) at 48 Weeks-2.71 ± 1.63-4.47 ± 2.51
SecondaryChange From Baseline in Homocysteine at 6 Months
Time frame:
Baseline and 48 weeks
Reported as:
Mean · umol/L
Change From Baseline in Homocysteine at 6 Months
umol/LRaltegravirAtazanavir
Change From Baseline in Homocysteine at 6 Months0.53 ± 0.830.10 ± 0.94

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Raltegravir—1/14 (7.1%)—
Atazanavir—0/14 (0%)—
Most frequent serious events
Most frequent serious events
EventRaltegravirAtazanavir
MAI infection, multi-organ failure, deathRenal and urinary disorders1/140/14

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)RaltegravirAtazanavirTotal
<=18 years000
Between 18 and 65 years141428
>=65 years000
Age, Continuous
Age, Continuous(year)RaltegravirAtazanavirTotal
Mean40.7 ± 1138.8 ± 1039.8 ± 10.4
Sex: Female, Male
Sex: Female, Male(Participants)RaltegravirAtazanavirTotal
Female7310
Male71118
Region of Enrollment
Region of Enrollment(participants)RaltegravirAtazanavirTotal
United States141428
08

Study locations

1 site
  • Thomas Street Clinic
    Houston, Texas 77009, United States
09

References and documents

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00762892
Lead sponsor
The University of Texas Health Science Center, Houston
Collaborators
Merck Sharp & Dohme LLC
Responsible party
Tanvir K. Bell, MD (Associate Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Sep 30, 2008
Start date
Jan 2009
Primary completion
Dec 2012
Completion
Jan 2013
Results posted
Jan 5, 2015
Last update
Jan 5, 2015

Study contacts

Tanvir K Bell, MD
principal investigator · UT-Houston

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2014. You cannot join it, but the record below documents what was studied.

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