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CompletedNCT00820118TIPIUpdated Apr 7, 2026

Early and Intermittent Antiretroviral Therapy in Naive HIV Infected Adults

A Phase 2 interventional study of Structured treatment interruption in HIV Infections, sponsored by ANRS, Emerging Infectious Diseases. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-07.

Sponsored by ANRS, Emerging Infectious Diseases · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The primary objective of the trial is to assess the ability of an early and intermittent antiretroviral therapy in maintaining an immunological stability in antiretroviral naive HIV infected adults, to offer a potential alternative strategy to differed and continuous antiretroviral treatment.This is a 2-year phase II, open-label, multicentric "proof of concept" trial. The patients included are treated following a pulse-therapy scheme, i.e. 6-month periods with once daily boosted-PI based therapy in alternance with 6-month periods without antiretroviral therapy. The preferentially recommended treatment of the study is atazanavir boosted with ritonavir, associated with a fixed combination of abacavir and lamivudine or emtricitabine + tenofovir.The patients are closely followed to assess the efficacy and the tolerance of the strategy, with clinical, biochemical, immunological, virological and pharmacokinetic evaluations.

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Conditions studied

  • HIV Infections

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Keywords

  • ANTIRETROVIRAL THERAPY
  • STRUCTURED TREATMENT INTERRUPTIONS
  • treatment naive
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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 45 is below the median of 83 across 3,251 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

ANRS, Emerging Infectious Diseases is the lead sponsor of 212 studies on the registry; 40 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • adult confirmed HIV-1 infection
  • no previous treatment with antiretroviral drugs or interleukin-2
  • CD4 count ≥ 500/mm3
  • no active opportunistic infection
  • written informed consent

Exclusion criteria

Exclusion Criteria:

  • non barrier contraception in women of child bearing potential, pregnant or breastfeeding woman, pregnancy project within the next 2 years
  • HIV-2 infection (with or without HIV-1), recent HIV primary infection, resistance to trial drugs at study entry, Ag HBs+, HCV requiring specific therapy
  • previous history of cerebrovascular accident or coronary heart disease, splenectomy
  • previous CD4 count \< 400/mm3
  • CD4 percentage \< 15%
  • hemoglobin \< 8 g/dl, neutrophils \< 750/mm3, platelets \< 100.000/mm3, creatinine clearance \< 50 ml/mn, AST or ALT or total bilirubin > 3 ULN
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    Intermittent treatment

    6 months on antiretroviral treatment and 6 months off treatment

    Drug: Structured treatment interruption

Interventions

  • DrugStructured treatment interruption

    The preferentially recommended treatment of the study is atazanavir boosted with ritonavir, associated with a fixed combination of abacavir and lamivudine or emtricitabine + tenofovir Usual dosage recommended : * atazanavir : 300 mg/d * ritonavir : 100 mg/d * abacavir 600 mg and lamivudine 300 mg : once a day * tenofovir 245 mg and emtricitabine 200 mg : once a day

    Also known as: Reyataz, Truvada, Kivexa, Treatment interruption, STI

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What researchers measure

Primary outcomes

  1. proportion of patients with mean CD4 count at M21 and M24 above or equal to the mean CD4 count at screening and inclusion, without experiencing a decrease below 400/mm3 throughout the study.

    Time frame: M21 and M24

Secondary outcomes

  1. proportion of patients following the strategy of the trial and with AIDS related and non AIDS-related (cardiovascular, renal, hepatic, infectious, cancerous) serious clinical event

    Time frame: M12 and M24

  2. number, type and time to AIDS and non AIDS-related serious clinical events

    Time frame: from week 0 to M24

  3. number, type and time to clinical and biological events (whatever the grade of severity)

    Time frame: from week 0 to M24

  4. existence and nature of HIV genotypic mutations associated with antiretroviral resistance

    Time frame: M9 and M24 and at any time visit in case of failure

  5. proportion of patients having followed the strategy of the trial

    Time frame: from week 0 to M24

  6. evolution of HIV RNA and HIV DNA throughout the study

    Time frame: from week 0 to M24 for RNA and each 6 months for DNA

  7. Quality of life and observance (questionnaires)

    Time frame: QL each 6 months, observance at M1, M6, M13 and M18

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Study locations

1 site
  • Services maladies infectieuses et tropicales CHU
    Dijon, France
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References and documents

Publications

  • Piroth L, Moinot L, Yeni P, Avettand-Fenoel V, Reynes J, Girard PM, Marchou B, Georget A, Rouzioux C, Autran B, Duvillard L, Chene G, Fagard C; ANRS 141 TIPI Trial Study Group. Immunity, inflammation and reservoir in patients at an early stage of HIV infection on intermittent ART (ANRS 141 TIPI Trial). J Antimicrob Chemother. 2016 Feb;71(2):490-6. doi: 10.1093/jac/dkv369. Epub 2015 Nov 14. PubMed 26568566 ↗

Related links

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2026, 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
NCT00820118
Lead sponsor
ANRS, Emerging Infectious Diseases
Responsible party
Sponsor
First posted
Jan 9, 2009
Start date
May 2009
Primary completion
May 2012
Completion
May 2012
Last update
Apr 7, 2026

Study contacts

Lionel PIROTH, MD, PHD
principal investigator · Hôpital de Dijon, France

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2012. You cannot join it, but the record below documents what was studied.

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