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Not yet recruitingNCT07146529PRINAVIHUpdated Aug 28, 2025

Study of the Prevalence of Transmitted HIV-1 Resistance, Viral Diversity, and Cluster Identification in Patients at the Time of HIV-1 Diagnosis

An observational study in HIV Seropositivity, HIV Drug Resistance and HIV Infections, sponsored by ANRS, Emerging Infectious Diseases. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-28.

Sponsored by ANRS, Emerging Infectious Diseases · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
30,060
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of the study is to determine the frequency of transmission of viruses carrying at least one antiretroviral resistance mutation in all participants newly diagnosed with HIV-1

Read the detailed description

This is a national, multicenter, cross-sectional study with both retrospective and prospective data collection :

Retrospective phase (2019-2024): Data will be collected from all participants diagnosed at the time of primary HIV-1 infection during these six years.

Prospective phase (2025-2035): Data will be collected from all participants newly diagnosed with HIV-1, regardless of whether they are at the stage of primary infection.

The study will be offered to all virology laboratories that participated in the last quality control of genotyping of the resistance group of the ANRS MIE virology laboratory network.

For ten years, the virology laboratories that participated in the last quality control of HIV resistance genotyping of the ANRS MIE Virology network will be asked to systematically include all patients meeting the inclusion criteria. The virology laboratories must send the list of eligible patients to the associated clinical centers, according to their usual data transfer procedure, so that they can inform the participants and obtain their consent. An information form will then be distributed to the participant.

02

Conditions studied

  • HIV Seropositivity
  • HIV Drug Resistance
  • HIV Infections

Keywords

  • Genotyping
  • HIV-1
  • HIV drug resistance
  • Transmitted resistance
  • Viral diversity
  • Transmission clusters
  • Primary infection
03

In context

HIV Seropositivity

194 studies on the registry are indexed under HIV Seropositivity; 11 are open to participants now.

This study's planned enrollment of 30,060 is above the median of 251 across 74 observational studies indexed under HIV Seropositivity.

Browse HIV Seropositivity studies →

Lead sponsor

ANRS, Emerging Infectious Diseases is the lead sponsor of 215 studies on the registry; 38 are open to participants now.

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
Sampling method
Probability sample

Study population

The study population includes adult participants (male or female) aged 18 years or older, newly diagnosed with HIV-1 in participating laboratories where mandatory reporting to Santé Publique France (SPF) is required. Participants must be antiretroviral treatment-naïve (except for PrEP or PEP) and have an available HIV resistance genotype including amplification of at least reverse transcriptase and protease. Participants who have not objected to participation in the study are eligible. Excluded are participants currently on antiretroviral treatment, those who object to the use of their data, and individuals under legal protection measures (safeguard of justice)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant (male or female) aged 18 years or older ;
  • Participant newly diagnosed in the laboratory, for whom mandatory seropositivity reporting to Santé Publique France (SPF) is required ;
  • Participant naïve to all antiretroviral treatments (except PrEP and/or post-exposure prophylaxis [PEP]) ;
  • Participant with an available HIV resistance genotype, including amplification of at least reverse transcriptase and protease ;
  • Participant who has not objected to participating in the study.

Exclusion criteria

Exclusion Criteria:

  • Participant who objects to the use of their data ;
  • Participant currently on antiretroviral treatment ;
  • Participant subject to legal protection measures (safeguard of justice).
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Observational model
Other
Time perspective
Other
Enrollment
30,060 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Proportion of treatment-naïve or acutely infected participants with a virus carrying at least one antiretroviral resistance mutation

    Data will be collected once, at the time of HIV diagnosis. The participant's genotypic resistance test is performed locally and is part of the standard pre-therapeutic assessment. The presence of resistance mutations will be defined by the identification of at least one resistance mutation included in the Stanford and IAS resistance mutation lists. Antiretroviral resistance will be analyzed using the latest versions of the ANRS and Stanford algorithms. The χ² (chi-square) or Fisher exact test will be used to compare categorical variables and the Mann Whitney test will be used to compare continuous variables between groups. 95% confidence intervals will be constructed for each calculated proportion. Univariate and multivariate logistic regression models will be used to identify the factors associated with the detection of viruses resistant or possibly resistant to antiretrovirals. The statistical tests will be bilateral with a significance threshold set at 5%.

    Time frame: At baseline (at the time of HIV diagnosis)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2025; primary completion for Sep 2036, 132 months later.

Of 24 observational studies under HIV Seropositivity, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 130. This study's planned 132 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 21, 2025
First posted
Aug 28, 2025
StartEst.
Sep 2025
Primary completionEst.
Sep 2036
CompletionEst.
Sep 2036
Last update
Aug 28, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07146529
Collaborators
INSERM UMR S 1136, iPLesp
Responsible party
Sponsor
First posted
Aug 28, 2025
Start date
Sep 2025 (estimated)
Primary completion
Sep 2036 (estimated)
Completion
Sep 2036 (estimated)
Last update
Aug 28, 2025

Study contacts

Clara AVERLANT, Master's degree
Contact
clara.averlant@iplesp.upmc.fr
07 64 45 38 49
Tounes SAIDI
Contact
tounes.saidi@inserm.fr
+33 (0) 1 53 94 60 34

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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