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HIV Treatment Studies Anti-HIV Therapy Experienced and Virologically Failing
Principal Investigator:   Donna Mildvan, MD
Time frame of study:   Ongoing
Time frame of participation:   Up to 48 weeks
Number of participants needed:   Open
Location of Study:  

Beth Israel Medical Center
Clinical Trials Unit
Baird Hall
350 East 17th Street, 3rd Floor

New York, NY 10003

Contact Name, Number & Email:   (212)420-4519 or (800) 483-7339


Summary:
ACTG A5216;A Randomized Phase II Study of the Safety, Immunologic and Virologic Effects of Cyclosporine A in Conjunction with Trizivir and Kaletra versus Trizivir and Kaletra Alone during Primary HIV-1 Infection

This study is being done to determine if taking cyclosporine A (an immunosuppressant used in organ and tissue transplantation) shortly after infection with HIV and at the time anti-HIV medications are begun will reduce the amount of HIV in the blood as well as increase the overall number of T-cells while decreasing the number of T cells that are infected with HIV.

Study Design:

Upon entry into the study, participants will be randomized (like flipping a coin) to one of two study groups:
Arm A
· Weeks 1-4: Kaletra (a protease inhibitor) PLUS Trizivir (combination of AZT, 3TC, and Ziagen, all 3 are nucleoside reverse transcriptor inhibitors, or NRTIs) PLUS cyclosporine A.
· Weeks 5-48: Kaletra PLUS Trizivir
Arm B
· Weeks 1-48: Kaletra PLUS Trizivir

Criteria for Participation:
Acute HIV-1 infection, defined as documentation of the following within 14 days prior to entry:

  • HIV viral load greater than 500,000 AND
  • Negative ELISA OR
  • Negative Western Blot (with 3 bands or less)
  • Negative for hepatitis B and hepatitis C

Compensation:

Transportation reimbursement provided.