A randomised, triple-arm study to compare the viral and immunological outcome of highly active anti-retroviral therapy during six versus 15 months versus no treatment in patients with primary human immunodeficiency virus-1 (HIV 1) infection

ISRCTN ISRCTN59497461
DOI https://doi.org/10.1186/ISRCTN59497461
Secondary identifying numbers NTR101
Submission date
23/02/2007
Registration date
23/02/2007
Last edited
16/01/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Dr. J.M. Prins
Scientific

Academic Medical Centre (AMC)
University of Amsterdam
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Phone +31 (0)20 566 4380
Email j.m.prins@amc.uva.nl

Study information

Study designRandomised, active controlled, parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific titleA randomised, triple-arm study to compare the viral and immunological outcome of highly active anti-retroviral therapy during six versus 15 months versus no treatment in patients with primary human immunodeficiency virus-1 (HIV 1) infection
Study acronymPrimo-SHM
Study objectivesThe aim of this study is to provide data on the effect of treatment during primary human immunodeficiency virus infection (PHI) on the viral set-point and the optimal duration of such treatment.
Ethics approval(s)Approval received from the AMC Medical Ethics Committee (ref: MEC 03/059).
Health condition(s) or problem(s) studiedHuman immunodeficiency virus (HIV), primary human immunodeficiency virus-1 (HIV-1) infection
InterventionSix or 15 months of highly-active anti-retroviral therapy (HAART) initiated during primary HIV-1 infection.

As of 11/08/2010 the status of this record is that inclusion to the trial has stopped and follow-up is ongoing.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Highly active anti-retroviral therapy (HAART)
Primary outcome measurePlasma HIV-1 RNA at week 96:
1. Magnitude of viral set-point will be evaluated for both treatment groups 36 weeks after treatment discontinuation, and a comparison will be made between all groups at week 96 (= study end)
2. Comparison between all three groups of viral kinetics (including rebound) during the off-treatment periods
Secondary outcome measures1. CD4+ cell counts
2. Safety: (serious) adverse events, HIV related events and death
3. Quality of life
4. Time between diagnosis and start/reinitiation of HAART
5. Time between treatment discontinuation and reinitiation of HAART

In selected groups/individuals:
6. HIV-1 specific CD4+ and CD8+ T-cell response and their state of activation and maturation
7. Humoral immune response parameters
Overall study start date01/05/2003
Completion date01/02/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants173
Key inclusion criteriaDiagnosis of acute/recent human immunodeficiency virus-1 (HIV-1) infection: plasma HIV-1 ribonucleic acid (RNA) load detectable and/or detectable serum p24 antigen and one of the following:
1. Enzyme-linked immunosorbent assay (ELISA): HIV-1 specific antibodies negative, or
2. ELISA: low level antibodies or HIV-1 specific antibodies positive and a negative, incomplete or indeterminate Western Blot (antibodies against a maximum of three of the HIV specific proteins), or
3. ELISA: HIV-1 specific antibodies positive and positive Western Blot, but with documented negative HIV-1 ELISA in the preceding 180 days
Key exclusion criteriaDoes not comply with the above inclusion criteria
Date of first enrolment01/05/2003
Date of final enrolment01/02/2012

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Centre (AMC)
Amsterdam
1105 AZ
Netherlands

Sponsor information

Academic Medical Centre (AMC) (The Netherlands)
Hospital/treatment centre

University of Amsterdam
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Website http://www.amc.uva.nl
ROR logo "ROR" https://ror.org/03t4gr691

Funders

Funder type

Government

Dutch Government (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2012 16/01/2019 Yes No

Editorial Notes

16/01/2019: Publication reference added.
10/08/2010: This record was updated with protocol amendments; at this time, the overall trial end date was extended to 01/02/2012, the initial overall trial end date was 01/05/2006. At this time, the target number of participants was also increased from 60 to 173.