Mycophenolate mofetil in Antiretroviral Naive patients 2 (MAN2 study)

ISRCTN ISRCTN43218409
DOI https://doi.org/10.1186/ISRCTN43218409
ClinicalTrials.gov number NCT00120419
Secondary identifying numbers NTR428
Submission date
27/01/2006
Registration date
27/01/2006
Last edited
30/01/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr J.N. Vermeulen
Scientific

Academic Medical Center
T0-111
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Phone +31 (0)20 5668992
Email j.n.vermeulen@amc.uva.nl

Study information

Study designMulticentre randomised open label active controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleMycophenolate mofetil in Antiretroviral Naive patients 2 (MAN2 study)
Study acronymMAN2
Study objectivesDuring chronic HIV-1 infection the immune system is chronically hyperactivated. This hyperactivation is considered as the main cause of CD4+ T-cell loss. Furthermore, HIV replicates most efficiently in activated CD4+ T-cells. In this study we try to inhibit the activation of the immune system with mycophenolate mofetil (MMF). Previous studies in which HIV-1 infected patients have been treated with MMF in addition to antiretroviral treatment (ART) have not shown any additional effect, compared to ART alone. In this study MMF will be used without antiretroviral medication.
Ethics approval(s)Received from local medical ethics committee
Health condition(s) or problem(s) studiedHIV
InterventionPatients will be randomized (1:1) to mycofenolate mofetil (MMF) 500 mg BID versus no treatment.

The secondary sponsor for this trial is:
National AIDS Therapy Evaluation Centre (NATEC) (Netherlands)
Intervention typeOther
Primary outcome measureChange over time (baseline–week 48) in CD4+ T cell count and peripheral blood lymphocyte (PBMC) activation markers.
Secondary outcome measures1. Changes over time (baseline–week 48) in plasma HIV-1 RNA
2. Time to reach indication to start ART - separated in three groups:
2.1. Two consecutive measurements of CD4+ T cell count below 250 x 10^6 cells/l with at least 4 weeks interval
2.2. The occurrence of a CDC class B or C event
2.3. Any other reason
3. Safety data
Overall study start date01/03/2005
Completion date01/03/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants90
Key inclusion criteria1. Patient is ≥18 years of age
2. Patient has a proven HIV-1 infection (with antibodies against HIV-1 and a detectable plasma HIV-1 RNA measured for the first time at least 6 months prior to inclusion)
3. Patient is HIV-1 treatment naive
4. CD4+ T lymphocyte count >250 and ≤450 x 10^6/l
5. No signs or history of AIDS defining events
6. No use of other medications that might possibly influence the effects of MMF
7. Male or female sex and willingness to practice effective contraception during the study
Key exclusion criteria1. Plasma HIV-1 RNA <10,000 copies/ml
2. Autoimmune disease
3. Active hepatitis B or C virus infection
4. Other chronic diseases
5. Recent infectious disease other than HIV-1
6. Treatment with immunomodulatory or anti-inflammatory medication in the past 6 months
7. For female patients: pregnancy and lactation
8. Any other condition, illness or use of medication which according to the investigator is not compatible with the use of the study medication or which could interfere with the evaluations required by the study
Date of first enrolment01/03/2005
Date of final enrolment01/03/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Center
Amsterdam
1105 AZ
Netherlands

Sponsor information

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

AMC T0-113
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

ROR logo "ROR" https://ror.org/03t4gr691

Funders

Funder type

Other

Private fund that does not wish to be named

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

Editorial Notes

30/01/2019: No publications found, verifying results with the principle investigator