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CompletedNCT02592174HAND55-70Updated Jan 8, 2018

Prevalence, Characteristics and Risk Factors of HIV-Associated Neurocognitive Disorders in Subjects Between the Ages of 55 and 70 Years: An Exposed/Unexposed Cross Sectional Study

An interventional study of Health related quality of life and social and demographic informations and Neurocognitive assessment in HIV-1 Infection, sponsored by ANRS, Emerging Infectious Diseases. Completed at 6 sites in France. Open to participants aged 55 Years to 70 Years. Per ClinicalTrials.gov, last updated 2018-01-08.

Sponsored by ANRS, Emerging Infectious Diseases · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
220
Allocation
Not applicable
Ages
55 Years to 70 Years
Sex
All
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Study summary

The primary objective is to measure the prevalence of according to the Frascati classification in a HIV-infected population aged between 55 and 70 years (exposed group) and to compare it with the prevalence of HIV-Associated Neurocognitive Disorders (HAND) in unexposed subjects from the general population-based cohort CONSTANCES, matching subjects on age, gender, geographical origin and socioprofessional category.

Read the detailed description

Secondary objectives are:

  • To study factors associated with Asymptomatic Neurocognitive Impairment (ANI) or Mild Neurocognitive Disorders (MND) by distinguishing the impact of traditional risk factors of neurocognitive impairment and those related to HIV infection,
  • To compare in the exposed and unexposed population physical characteristics, complaints and comorbidities,
  • To compare global neurocognitive scores in both populations after standardized normal reduction of each test.

Methodology:

HIV-infected subjects aged between 55 and 70 years will be recruited in centres that support people who living with HIV usually. The study will be proposed consecutively to all subjects aged between 55 and 70 year. A brief inquiry will collect motives on subjects that refuse to participate. A minimum of 70 subjects by 5 years age categories will be included. Unexposed subjects will be recruited in the same regions as their HIV-infected counterparts from the CONSTANCES database, a general population health cohort, after random selection matched on age, gender, geographical origin and socioprofessional category (2 HIV-unexposed subjects for 1 exposed subject). Data collection will follow the same methods as in the CONSTANCES cohort, in particular the neurocognitive tests by trained neuropsychologists.

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Conditions studied

  • HIV-1 Infection
03

In context

Neurocognitive Disorders

246 studies on the registry are indexed under Neurocognitive Disorders; 88 are open to participants now.

This study's enrollment of 220 is above the median of 72 across 150 interventional studies indexed under Neurocognitive Disorders.

Browse Neurocognitive Disorders 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
55 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

For the HIV-infected, inclusion criteria are:

  • An age between 55 and 70 years including,
  • A HIV-viral load \<50 copies/mL for at least 24 months (with a minimum of three viral loads during the 24 months period, and a last viral load within 6 months of inclusion). Blips, defined by a transitory elevation of viral load \< 200 copies/ml, are not considered as an exclusion criteria if objectified twice or less during the 24 months period,
  • A CD4 cells level ≥ 200 cells/µL during the 12 months preceding inclusion, with a last CD4 cells value \< 6 months from inclusion,
  • free and informed consent,
  • Patient enrolled in or a beneficiary of a Social Security programme (State Medical Aid is not a Social Security programme)

Non-inclusion criteria are:

  • Delirium or active central nervous system disease
  • Major psychiatric disease, sensory loss, illiteracy, language barrier inducing difficulties in neurocognitive assessment,
  • Neurocognitive extensive evaluation in the last 6 months,
  • History of neurological disease with clinical sequels,
  • Subjects participating in a study excluding participating in another study,
  • Vulnerability, such as an age under 18, tutorship, guardianship, or subjects deprived of liberty by a legal or administrative decision.

Inclusion criteria for the subjects from the CONSTANCES cohort are an age between 55 and 70 years. Non-inclusion criteria are the same as the HIV-infected subjects, as well as reported HIV-infection or antiretroviral treatment.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
220 participants (actual)

Study arms

  • Other
    HIV subjects

    * Evaluation of health-related quality of life and collection of social and demographic informations at the inclusion visit. * Neurocognitive assessment with neuropsychologist and walking speed, grasp force and one leg stand assessments at the neurocognitive visit. * Two substudies will be proposed: * cerebral images sub-study (80 patients in the centers of Montpellier and the centers of Nîmes) * sub-study on immune activating markers with sample's collection (plasma), 85 patients in the centers of Montpellier and the centers of Nîmes.

    Other: Health related quality of life and social and demographic informations · Other: Neurocognitive assessment · Radiation: cerebral images sub-study

Interventions

  • OtherHealth related quality of life and social and demographic informations

    At the inclusion visit with a self-assessment questionnaire

  • OtherNeurocognitive assessment

    At the neurocognitive visit, with standard test as CONSTANCES cohort

  • Radiationcerebral images sub-study

    Standard magnetic resonance imaging

06

What researchers measure

Primary outcomes

  1. The Prevalence of Neurocognitive troubles HAND in the HIV-infected and to compare it with the prevalence in the HIV-unexposed population in the CONSTANCES cohort.

    Neurocognitive assessment with neuropsychologist and walking speed, grasp force and one leg stand assessments at month 3 (the neurocognitive visit).

    Time frame: at month 3 (neurocognitive evaluation)

Secondary outcomes

  1. The prevalence of Asymptomatic Neurocognitive Impairment (ANI)

    Neurocognitive assessment with neuropsychologist and walking speed, grasp force and one leg stand assessments at month 3 (the neurocognitive visit).

    Time frame: at month 3 (neurocognitive evaluation)

  2. The prevalence of HIV-Associated Dementia(HAD)

    Neurocognitive assessment with neuropsychologist and walking speed, grasp force and one leg stand assessments at month 3 (the neurocognitive visit).

    Time frame: at month 3 (neurocognitive evaluation)

  3. The prevalence of Mild Neurocognitive Disorder (MND)

    Neurocognitive assessment with neuropsychologist and walking speed, grasp force and one leg stand assessments at month 3 (the neurocognitive visit).

    Time frame: at month 3 (neurocognitive evaluation)

  4. Cognitive score distributions untreated or after transformation according to their distribution characteristics

    Time frame: at month 3 (neurocognitive evaluation)

  5. Physical score distributions untreated or after transformation according to their distribution characteristics

    Time frame: at month 3 (neurocognitive evaluation)

  6. A comparison of a global cognitive score in both populations after standardized normal reduction of each test.

    Time frame: at month 3 (neurocognitive evaluation)

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Study locations

6 sites
  • Centre Hospitalier de Cannes - Service de Médecine Interne Oncologie
    Cannes, 06401, France
  • Hôpital Michallon- Service des Maladies Infectieuses
    Grenoble, 38043, France
  • Hôpial Sainte Marguerite - Service d'hématologie-Cisih
    Marseille, 13274, France
  • Hôpital Gui de Chauliac - Service des Maladies Infectieuses
    Montpellier, 34295, France
  • Hôpital Carémeau - Service des Maladies Infectieuses
    Nîmes, 30029, France
  • Hôpital Bretonneau - Service des Maladies Infectieuses
    Tours, 37044, France
08

References and documents

Publications

  • Makinson A, Dubois J, Eymard-Duvernay S, Leclercq P, Zaegel-Faucher O, Bernard L, Vassallo M, Barbuat C, Geny C, Thouvenot E, Costagliola D, Ozguler A, Zins M, Simony M, Reynes J, Berr C. Increased Prevalence of Neurocognitive Impairment in Aging People Living With Human Immunodeficiency Virus: The ANRS EP58 HAND 55-70 Study. Clin Infect Dis. 2020 Jun 10;70(12):2641-2648. doi: 10.1093/cid/ciz670. PubMed 31755936 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2018, 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
NCT02592174
Lead sponsor
ANRS, Emerging Infectious Diseases
Collaborators
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Oct 30, 2015
Start date
Jan 26, 2016
Primary completion
Oct 27, 2017
Completion
Oct 27, 2017
Last update
Jan 8, 2018

Study contacts

Claudine Berr
study director · Inserm U1061

Oversight

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

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