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CompletedNCT01606722MonDarUpdated Jul 11, 2013

Darunavir Levels, Virological Efficacy, Proviral ADN and Resistances in Patients on Darunavir/Ritonavir Monotherapy

An observational study in HIV-infection, sponsored by Hospitales Universitarios Virgen del Rocío. Completed at 1 site in Spain. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-07-11.

Sponsored by Hospitales Universitarios Virgen del Rocío · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
18 Years to 65 Years
Sex
All
01

Study summary

To evaluate the relationship between plasma and intracellular darunavir (DRV) concentrations and virological efficacy in HIV-infected patients on DRV/rtv monotherapy.

Read the detailed description

To be enrolled, subjects had a plasma HIV-RNA \<50 copies/mL for at least 6 months based, virologic failure while on a PI-containing regimen was allowed if the genotypic resistance tests showed no major resistance mutation associated to reduced susceptibility to DRV/rtv according to the International AIDS Society. Patients with transitory episodes of detectable plasma HIV-RNA viral load ("blip") preceded and followed by a plasma viral load \<50 copies/mL without changes in antiretroviral treatment could also been included. The only exclusion criteria were pregnancy, hepatitis B coinfection and the concomitant use of drugs with potential major interactions with DRV/rtv pharmacokinetics.

02

Conditions studied

  • HIV-infection

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Keywords

  • Antiretroviral therapy
  • Boosted-Darunavir monotherapy
  • Resistance
  • Proviral DNA-HIV
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 150 is below the median of 200 across 713 observational studies indexed under HIV Infections.

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Lead sponsor

Hospitales Universitarios Virgen del Rocío is the lead sponsor of 32 studies on the registry; 7 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 to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

HIV-infected patients who started an antiretroviral regimen based on darunavir-ritonavir (800/100 mg) once daily monotherapy between June 2010 and September 2010

Inclusion criteria

  • Older than 18 years, starting an antiretroviral regimen based on darunavir-ritonavir (800/100 mg) once daily monotherapy between June 2010 and September 2010
  • Plasma RNA-VIH \< 50 copies/ml on stable antiretroviral treatment for ≥ 6 months
  • Absence of resistance mutations in the protease gene, based on treatment history and/or genotypic resistance testing. that would decrease darunavir susceptibility

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Chronic B hepatitis
  • Genotypic resistance tests with evidence of resistance mutations in the protease gene that would decrease darunavir susceptibility
  • Concomitant use of drugs with potentially adverse interactions with darunavir-ritonavir pharmacokinetics, such as rifampin
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Darunavir-ritonavir monotherapy

    HIV-infected patients with undetectable viral load for at least for 6 months on stable therapy and no darunavir related mutations in the HIV-protease gene

    Drug: Darunavir/ritonavir

Interventions

  • DrugDarunavir/ritonavir

    Darunavir/ritonavir (800/100 mg once daily) monotherapy

    Also known as: Prezista/norvir

06

What researchers measure

Primary outcomes

  1. Virological efficacy

    To correlate the plasma and intracellular (cell-associated)) DRV levels with the virological efficacy analyzed by the time to loss of virological response (TLOVR) algorithm, considering VF as either: 1) two consecutive viral load \>200 copies/mL, 2) a unique HIV-RNA \>200 copies/mL if followed by lost to follow-up, or 3) the reintroduction of nucleos(t)ides because any reason.

    Time frame: 48 and 96 weeks

Secondary outcomes

  1. Impact of viral breakthrough on DNA-HIV reservoirs and immunologic activation

    Impact of blips and persistent viraemia on DNA-HIV reservoirs and immunologic activation

    Time frame: 48 and 96 weeks

07

Study locations

1 site
  • Hospital Universitarios Virgen del Rocio
    Seville, 41013, Spain
08

References and documents

Publications

  • Gutierrez-Valencia A, Torres-Cornejo A, BenMarzouk-Hidalgo OJ, Ruiz-Valderas R, Lluch A, Viciana P, Lopez-Cortes LF. Darunavir minimum plasma concentration and ritonavir-boosted darunavir monotherapy outcome in HIV-infected patients. Antivir Ther. 2014;19(5):443-7. doi: 10.3851/IMP2722. Epub 2014 Jan 16. PubMed 24434370 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01606722
Lead sponsor
Hospitales Universitarios Virgen del Rocío
Responsible party
Luis F. Lopez-Cortes (MD, PhD., Hospitales Universitarios Virgen del Rocío) — Principal investigator
First posted
May 28, 2012
Start date
Jan 2010
Primary completion
Jun 2013
Completion
Jun 2013
Last update
Jul 11, 2013

Study contacts

Luis F Lopez-Cortes, MD, PhD.
study chair · Hospital Universitario Virgen del Rocio. Sevilla. Spain

Oversight

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

Not currently enrolling

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

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