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ACTU Clinical Trials

Updated 10-21-02
How To Choose a Clinical Trial
Please refer to the titles and desciptions of the protocols listed below - they contain information about the study and the eligible participants. Unless otherwise specified, all studies listed are for subjects who are HIV-positive.  Please feel free to call 212 - 263 - 6565 to obtain more information.
The studies are further classified:

Naive
Observational
Prospective
Treatment
subject has never received antiretroviral medications
subject will be monitored closely for stated objectives
watching the subject to see if what is likely, or expected, will happen
subject will receive medication

*You may click on one of the links above for specific classifications, or see all of the studies listed below.
Clinical Trials on the ACTU currently enrolling subjects
Study Number Title and Desciption
ACTG 371
NAIVE
TREATMENT
(those who have not tested HIV-positive but suspect they may have had an exposure may come in to be tested)
A Trial to Evaluate the Safety and Efficacy of Induction Treatment with Lamivudine plus Stavudine plus Abacavir plus Amprenavir/Ritonavir Followed by Supervised Treatment Interruption in Subjects with Acute HIV Infection or Recent Seroconversion
Patient Population:
Subjects with acute HIV infection or recent seroconversion
Study Objective
:
To assess if potent antiretroviral intervention early in the course of HIV infection, followed by supervised treatment interruption, can lead to sustained controlled viral load levels (<5000) off study therapy
ACTG 723
PROSPECTIVE
Effect of Antiretroviral Therapy on Viral Burden and Immune Function in the Lungs of HIV-Infected Subjects
Patient Population
:
HIV-positive subjects scheduled to begin potent antiretroviral treatment. Subjects must have no prior exposure to protease inhibitors or non-nucleoside reverse transcriptase inhibitors.

Study Objective
:
To evaluate if HIV viral load in bronchoalveolar lavage cells and fluid correlates with viremia
ACTG 736
OBSERVATIONAL
Cerebrospinal Fluid Human Immunodeficiency Virus and Cognitive Function in Individuals Receiving Potent Antiretroviral Therapy
Patient Population
:
Subjects enrolled in AACTG-sponsored potent antiretroviral therapy trials

Study Objective
:
To compare the magnitude of durability of suppression of viral load in plasma and CSF compartments in response to potent antiretroviral therapy
ACTG A5029
NAIVE
PROSPECTIVE
OBSERVATIONAL
Assessment of Prevalence and Persistence of Human Papilloma Virus (HPV) DNA in HIV-Infected Women Who are Antiretroviral Naive and have Initiated HAART
Patient Population
:
HIV infected, antiretroviral-naïve women

Study
Objectives:
1) To estimate the prevalence of HPV DNA detection at baseline
2) To estimate the rate of conversion from positive at baseline to negative HPV DNA at week 48 for women responding to HAART at week 48
ACTG A5030
PROSPECTIVE
TREATMENT
A Phase III, Prospective, Randomized, Double-Blind Trial of Valganciclovir Pre-Emptive Therapy for Cytomegalovirus (CMV) Viremia as Detected by Plasma CMV DNA PCR Assay 
Patient Population
:
HIV-infected, CMV-seropositive persons who currently are receiving no CMV prophylaxis and have no evidence of CMV end-organ disease. Subjects must be already chronically receiving potent antiretroviral therapy or not be receiving potent antiretroviral therapy and be unlikely to receive it in the future.

Study Objectives
:
To evaluate pre-emptive oral valganciclovir in preventing CMV end-organ disease in CMV DNA PCR positive subjects
ACTG A5068
TREATMENT
A Randomized Phase I/II Study of Intermittent Withdrawal of
Antiretroviral Therapy as an Immunization Strategy and Double-Blinded Immunization with ALVAC-HIV vCP1452 in Subjects with Persistent CD4+
Cell Counts Greater than 500 cells/mm3 & Undetectable Pl

Patient Population
:
Subjects currently receiving their first potent antiretroviral treatment (potent ART). Subjects known to have HIV-1 seroconverted within a year before study entry will not be eligible to participate in the study.

Study Objectives
:
1) To compare the effect of different methods of antigen stimulation (intermittent potent ART withdrawal versus ALVAC versus both) versus no antigen stimulation
2) To establish the safety of intermittent withdrawal of antiretroviral therapy with and without HIV-specific vaccine in subjects
ACTG A5073
NAIVE
TREATMENT
A Randomized Phase II Open Label Study to Compare Twice Daily Potent Antiretroviral Therapy With Once Daily Potent Antiretroviral Therapy and to Compare Self-Administered Therapy and Therapy Administererd Under Direct Observation
Patient Population
:

HIV-infected subjects who are antiretroviral naive, and who have plasma HIV RNA levels >2000 copies
Study Objectives:

To compare the ability of a potent antiretroviral regimen to achieve a sustained virologic response in HIV-1 infected subjects through week 48 when given twice daily and when given once daily
To compare the ability of a potent antiretroviral regimen to achieve a sustained virologic response in HIV-1 infected subjects through week 24 when self-administered and when administered under direct observation
ACTG A5079
PROSPECTIVE

TREATMENT
Prospective, Multicenter, Randomized, Placebo-controlled trial of Physiologic Testosterone Supplementation for Men with Mild to Moderately Reduced Serum Testosterone Levels and Abdominal Obesity
Patient Population
:
HIV-positive men with abdominal obesity and mild to moderately reduced serum
testosterone levels who have been on a stable potent antiretroviral regimen for at least three months

Study Objective
:
To test the hypothesis that the change in the visceral fat cross-sectional area will be greater with testosterone replacement than with placebo
ACTG A5082
PROSPECTIVE

TREATMENT
A Randomized, Double-Blind, Placebo-Controlled Study of Metformin and Rosiglitazone, Alone or in Combination, in HIV-infected Subjects with Fasting Hyperinsulinemia and Elevated Waist/Hip Ratio
Patient Population
:

Men and women who are HIV-infected, viral load < 10,000 copies, have fasting hyperinsulinemia, and have developed fat redistribution during the course of their HIV disease
Study Objective
:

To determine the effects of metformin and rosiglitazone on fasting insulin levels
ACTG A5084
PROSPECTIVE
OBSERVATIONAL
Evaluation of Metabolic Complications Associated With Antiretroviral Medications in HIV-1 Infected Pregnant Women
Patient Population:
HIV-infected pregnant women aged > 13 years and between 20 and 34 weeks gestation and their infants
Study Objectives:
To determine whether PI therapy increases the relative risk for impaired glucose tolerance (IGT) among HIV-infected pregnant women
ACTG A5092S
OBSERVATIONAL
Pharmacokinetics Evaluation of the Effects of Ribavirin on Zidovudine (ZDV) or Stavudine (d4T) Triphosphate Formation
Patient Population:
HIV-infected subjects who also have Hepatitis C. Subjects are eligible if
they are receiving ZDV or d4T and ready to initiate ribavirin treatment for their Hepatitis C
Study Objectives:
To evaluate any alterations ribavarin may have on ZDV or d4T
ACTG A5110
PROSPECTIVE
OBSERVATIONAL
A Restrictively Randomized, Open-Label, Controlled, Pilot Study of the Effect of a Thymidine Analogue Substitution or Change to a Nucleoside-Sparing Regimen on Peripheral Fat Wasting
Patient Population:
HIV-infected subjects with CD4 >100 who present with peripheral fat wasting
Study Objectives:
To investigate the effect of treatment changes on subcutaneous and visceral fat tissue distribution in the abdomen, and changes in adipose and lean tissue.
ACTG A5115
TREATMENT
PROSPECTIVE
A Phase II Randomized, Controlled, Pilot Study of Antiretroviral Switch at Lower versus Higher HIV-1 RNA Levels in Subjects Experiencing Virologic Relapse on a Current HAART Regimen
Patient Population:
HIV-infected subjects who has experienced virologic relapse on their current stable HAART regimen with three most recent viral loads prior to pre-entry between 200-10,000 copies and CD4 cell counts 200
Study Objectives:
To evaluate whether low levels of immune activation are maintained in subjects in the delayed switch arm as compared to subjects in the immediate switch arm. Additionally, to compare the evolution of genotypic drug resistance at week 48 in the two arms using a quantitative measure of future drug options.
ACTG A5126
TREATMENT
PROSPECTIVE
OBSERVATIONAL
A Phase II Study of the Predictive Value of Pharmacokinetic-Adjusted
Phenotypic Susceptibility (C12/IC50) on Antiretroviral Response to
Ritonavir-Enhanced Protease Inhibitors in Subjects with Failure of
Previous Protease Inhibitor-Based Regimens
Patient Population:
HIV-infected subjects with HIV-RNA >5000 who have experienced failure of previous protease inhibitor regimens
Study Objectives:
To compare antiretroviral responses of ritonavir-enhanced protease inhibitors (indinavir, kaletra, amprenavir 908); tenofovir will be added at Day 15
ACTG A5127
TREATMENT
A Randomized, Phase II, Controlled Trial of the Activity of Adefovir Dipivoxil and Tenofovir Disoproxil Fumarate for the Treatment of Lamivudine - Resistant Hepatitis B Virus (HBV) in Subjects who are
Co-infected with HIV
Patient Population:
HIV and HBV coinfected subjects
Study Objectives:
To assess the clinical response of adefovir versus tenofovir in combination with 3TC in chronic HIV/HBV-coinfected subjects
ACTG A5141
TREATMENT
PROSPECTIVE
OBSERVATIONAL
Randomized Study to Evaluate Immediate Potent Antiretroviral Therapy for HIV-Infected Subjects with CD4 Cell Counts < 200 Cells/mm3 Admitted to Intensive Care Areas with an AIDS-Defining Illness, Pneumonia, or Sepsis
Patient Population:
This study will look at whether starting Highly Active Antiretroviral Therapy (HAART) in patients with CD4 counts < 200 who are sick enough to be in an Intensive Care Area will help people survive and get better faster
Study Objectives:
To learn whether starting medicines that fight HIV while hospitalized in the Intensive Care Areas will help people survive and get better faster
ACTG A5143
TREATMENT
A Randomized, Comparative Study of LPV/RTV vs.GW433908 + RTV vs. LPV/RTV + GW433908 (in Combination with Tenofovir Disoproxil Fumarate and One or Two Nucleoside Reverse Transcriptase inhibitors) in HIV-1-Infected Subjects with Virologic Treatment Failure
Patient Population:
HIV-infected individuals, PI experienced, with extensive prior exposure to
antiretroviral therapy. Viral load >5000 copies and naïve to either: 1) LPV or 2) APV and 908, or 3) LPV and APV and 908.

Study Objectives:
To compare the antiretroviral activity, safety and tolerability of LPV/RTV + 908 to the combined 908 + RTV andLPV/RTV arms.
ACTG A5146
PROSPECTIVE
OBSERVATIONAL
A Randomized Controlled Trial Evaluating the Impact of Therapeutic Drug Monitoring on Virologic Response to Salvage Regimen Selected Using Phenotypic Resistance testing or VirtualPhenotype
Patient Population:
HIV-infected subjects who are virologically failing their second, third, or fourth combination antiretroviral regimen. At least one of these failing regimens must have contained a PI. For this protocol, virologic failure on a prior regimen is defined as HIV RNA of >400 copies. The screening HIV RNA value must be > 2000.
Study Objectives:
To compare the mean change in HIV RNA between the Therapeutic Drug Monitoring + Standard of Care (SOC) and SOC arms
ACTG A5165
TREATMENT
A Phase I/II Randomized, Double-Blind, Placebo-Controlled Pilot Study of b-D-2,6-Diaminopurine Dioxolane (DAPD) vs. DAPD plus MMF (Mycophenolate mofetil) Treatment Experienced Patients
Patient Population:
Antiretroviral-experienced HIV-infected men and women who have virologic failure on their current antiretroviral regimen
Study Objectives:
To compare the short-term safety, tolerability, and antiretroviral activity of DAPD and MMF in antiretroviral-experienced subjects

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