Title
Effects of 2 Initial Standard Antiretroviral Combinations Therapies on Lipid Metabolism
Effects of 2 Initial Standard Antiretroviral Combinations Therapies on Lipid Metabolism in ARV-naive HIV-infected Subjects
Phase
Phase 4Lead Sponsor
University of BarcelonaStudy Type
InterventionalStatus
Unknown statusIndication/Condition
HIV InfectionsIntervention/Treatment
efavirenz tenofovir ritonavir lopinavir emtricitabine ...Study Participants
50This study is an open-label, randomized, pilot comparison of the effects of either lopinavir/ritonavir or efavirenz in combination with tenofovir plus emtricitabine on cholesterol metabolism, mitochondrial functioning and immune response in 50 naive HIV patients after 48 weeks.
Tenofovir 300 mg + emtricitabine 200 mg, (Truvada, Gilead Sciences) + Efavirenz 600 mg, (Sustiva, Bristol-Myers Squibb) once daily
Tenofovir 300 mg + emtricitabine 200 mg, (Truvada, Gilead Sciences)QD Lopinavir/ritonavir 400 mg/100 mg, (Kaletra, Abbott) BID
Tenofovir (TDF) + emtricitabine (FTC) + efavirenz (EFV)
Tenofovir (TDF) + emtricitabine (FTC) + lopinavir/ritonavir (LPV/RTV)
Inclusion Criteria: Chronic HIV-1 infection Age 18 or above Antiretroviral-naive Criteria for antiretroviral therapy in accordance with current guidelines Plasma LDL-cholesterol below 190 mg/dL Not receiving lipid-lowering agents Written informed consent Exclusion Criteria: Use of phytosterol-enriched food previous month. Pregnancy or breastfeeding Cardiovascular disease Secondary Hypercholesterolemia Plasma creatinine above 1,2 mg/dL) Aminotransferases above 5 times ULN Current treatment for hepatitis C coinfection Diabetes mellitus (fasting glycemia > 124 mg/dL) Illegal drug use or alcohol abuse Active AIDS-defining opportunistic disease