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4-Day-A-Week Treatment Plan for HIV Infected Adolescents Clinical Trials Facts presented on Clinical Trials Search is not designed to be a substitute for certified medical advice, travels to or treatment with a real dr.. We aren't doctors. Always consult your mD on 4-Day-A-Week Treatment Plan for HIV Infected Adolescents conditions. Clinical Trials Search.org is a website dedicated to listing clinical research studies in human subjects. 4-Day-A-Week Treatment Plan for HIV Infected Adolescents Clinical research trials and 4-Day-A-Week Treatment Plan for HIV Infected Adolescents medical trials occur in many of places across the U.S.A.. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials generally assess the effectiveness of new does drugs. The role of the studies / undertakings is to figure out certain human healthcare questions. Clinical trials are a popular means for doctors, government agencies, and private sector corporations to locate treatments for all forms of circumstances, including 4-Day-A-Week Treatment Plan for HIV Infected Adolescents. 4-Day-A-Week Treatment Plan for HIV Infected Adolescents Clinical Trials and other clinical trials permit volunteers to get medical treatment options before they are available to the masses. Most times the human subjects acquire treatment for free of charge, and sometimes they are paid for their time. Occasionally there is a cost for a 4-Day-A-Week Treatment Plan for HIV Infected Adolescents clinical trial. Participants oftentimes recieve the finest healthcare available for their 4-Day-A-Week Treatment Plan for HIV Infected Adolescents condition. Dangers are a reality, nonetheless, and might include extra or frequent physician calls, health hazards (potentially life-endangering), and/or the treatment being ineffectual. Trials are federally regulated with strict guidelines to protect clinical trials subjects.

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4-Day-A-Week Treatment Plan for HIV Infected Adolescents



4-Day-A-Week Treatment Plan for HIV Infected Adolescents

For Condition: HIV Infections
Status: Recruiting
Sponsor(s): National Institute of Child Health and Human Development (NICHD) , National Institute on Drug Abuse (NIDA),National Institute of Mental Health (NIMH),National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Synopsis: This study will determine if taking anti-HIV drugs 4 days a week will control HIV-1 viral replication in patients who have already had at least 6 months of documented viral suppression with full-time treatment. If this strategy is shown to be safe in this study, a larger study will be undertaken to determine if the strategy can decrease overall drug exposure and help young people adjust more easily to a chronic medication schedule.
Details: HIV infected adolescents who require therapy face a lifetime of antiretroviral treatment. Highly active antiretroviral therapy (HAART) is associated with short- and long-term complications, and concerns are mounting about the cumulative effect of these complications as adolescents enter the third and fourth decade of life. A management strategy that can suppress the virus and decrease overall drug exposure is needed. In addition, the scheduling requirements for antiretroviral therapies interfere with the socialization and independence that an adolescent must accomplish to gain skills for a successful adult life. Not surprisingly, nonadherence to prescribed medications is common in teens. This multicenter, prospective, randomized Phase II study will evaluate Short Cycle Therapy (SCT) in adolescents with sustained viral suppression of at least 6 months. While maintenance of viral load suppression can be viewed as either a safety or efficacy endpoint, the trial is constructed as an assessment of safety. Participants will be randomized to one of two groups: SCT (4 days on treatment, 3 days off treatment each week) or continuous (standard) therapy. Participants will be seen in the clinic every other Monday during the first month, then monthly until the end of the 24-week study period. Plasma HIV RNA levels and CD4 cell counts will be performed at every visit. Medication adherence by self-report will be conducted every 2 weeks. Fasting serum triglycerides and cholesterol will be measured at baseline and at study end.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Open Label, Active Control, Factorial Assignment, Safety Study
Minimum Age/Maximum Age: 12 Years/24 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria - HIV infected after the age of 9 years - HAART regimen with documented viral control for at least 6 months prior to study entry - HAART regimen containing a protease inhibitor (PI) and no nonnucleoside reverse transcriptase inhibitor (NNRTI) for at least 3 months prior to study entry - Willing to remain on PI-containing regimen throughout the study duration - At least three plasma HIV-1 RNA levels =< 400 copies/ml within the past 12 months and no plasma HIV-1 RNA levels > 400 copies/ml within 6 months of pre-entry date - Pre-screening plasma HIV-1 RNA level < 50 copies/ml within 30 days of study entry - CD4 cell count > 350 cells/microL within 30 days prior to study entry - Ability of subject and parent/legal guardian to give assent/consent/permission - Acceptable methods of contraception Exclusion Criteria - HAART regimen containing an NNRTI or abacavir - Certain medications - Active HIV-related opportunistic infection or any malignancy at the time of screening - Current treatment for known or suspected active serious bacterial infection - Pregnancy - Any laboratory abnormalities Grade 3 or greater as defined by protocol toxicity table
Total Enrollment: 160

Location and Contact Information:

Overall Study Official:
BretRudy,  Study Chair,  Children's Hospital of Philadelphia, The University of Pennsylvania School of Medicine

University of Puerto Rico *Recruiting*
San Juan,  , 
Puerto Rico
Recruiting Evelyn  Rivera 787-759-9595

University of Miami
Miami,  Florida, 
United States
Donna  Maturo 305-243-3442

Children's Diagnostic and Treatment Center *Recruiting*
Ft. Lauderdale,  Florida, 
United States
Recruiting Esmine  Leonard 954-728-1125

University of California at San Diego *Recruiting*
San Diego,  California, 
United States
Recruiting Lisa  Stangl 619-543-8080

University of Miami *Recruiting*
Miami,  Florida, 
United States
Recruiting Donna  Maturo 305-243-3442

Stoger Hospital of Cook County *Recruiting*
Chicago,  Illinois, 
United States
Recruiting Kelly  Bojan 312-572-4571

Mt. Sinai Hospital *Recruiting*
New York City,  New York, 
United States
Recruiting Mary  Geiger 212-423-2867

Children's Hopsital of Los Angeles *Recruiting*
Los Angeles,  California, 
United States
Recruiting Diane  Tucker 323-660-2450

Children's Hospital of Philadelphia *Recruiting*
Philadelphia,  Pennsylvania, 
United States
Recruiting Mary  Tanney 215-590-4954

Children's National Medical Center *Recruiting*
Washington D.C.,  District of Columbia,  20010
United States
Recruiting Connie  Trexler 202-884-3714


Additional Information:
Study ID Numbers:
  ATN 015; 
Study Start Date: July 2003
Record last reviewed: November 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00068809

Other Hiv Infections Studies:
1. Diethylhomospermine (DEHSPM) for Refractory AIDS-Related Diarrhea

2. A Study to Compare the Effectiveness of Two Anti-HIV Drug Combinations

3. Study of Perinatal Transmission of Zidovudine-Resistant HIV Among Pregnant Women Treated with Zidovudine

4. Controlled Clinical Trial of Antiviral Cytotoxic T Lymphocyte (CTL) Infusion Following Combination Antiretroviral Drug Therapy for Asymptomatic HIV-1 Infection

5. A Study of Azidothymidine in HIV-Infected Children

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4-Day-A-Week Treatment Plan for HIV Infected Adolescents

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