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Rosuvastatin Versus Pravastatin in HIV Patients Treated With Boosted Protease Inhibitors (PI) (ANRS126)

F

French National Agency for Research on AIDS and Viral Hepatitis

Status and phase

Completed
Phase 4

Conditions

Hyperlipidemia
HIV Infections

Treatments

Drug: Rosuvastatin
Drug: Pravastatin

Study type

Interventional

Funder types

Other

Identifiers

NCT00117494
2005-001451-38
ANRS 126

Details and patient eligibility

About

In HIV hypercholesterolemic patients treated with protease inhibitors, some drugs of the statin group are used to control cholesterol level. New and potentially more efficient statins may interfere with protease inhibitors and hence loose a part of their activity. They have thus to be compared with a more established drug of the same class (e.g. pravastatin). The protocol compares the efficacy and safety of rosuvastatin and pravastatin.

Full description

The study compares the efficacy and safety of rosuvastatin and pravastatin among dyslipidemic HIV-seropositive patients treated with antiretroviral agents including a boosted protease inhibitor.

It is an open, multicenter, randomised trial, with two parallel groups comparing rosuvastatin with pravastatin.

Statins are administered from D0, with a single daily dose in the morning, for 45 consecutive days.

The duration of the study for each patient will be 45 days not including the preselection period (maximum 15 days).

The primary end-point compares the change in LDL cholesterol between D0 and D45, in patients receiving rosuvastatin (10 mg/day) or pravastatin (40 mg/day) and treated by antiretroviral agents including a boosted Protease Inhibitor.

Secondary end-points compares changes in triglycerides and HDL cholesterol; percentage of patients with a normal value of LDL cholesterol, HDL cholesterol and triglycerides on D45; clinical safety and laboratory safety parameters of rosuvastatin and pravastatin; distribution profile of the diameter of LDL cholesterol particles.

Cmin of rosuvastatin, pravastatin and protease inhibitors (PI) are controlled at D15 for statins and PI.

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Fasting LDL cholesterol over 4.1 mmol/L (1.6 g/l)
  • Blood triglycerides over 8.8 mmol/L (8 g/l)
  • HIV-1 infection
  • Viral load above or equal to 10.000 copies/ml
  • Stable antiretroviral regimen for past two months

Exclusion criteria

  • Coronary disease
  • Genetic muscular disease
  • CPK over 5N
  • Hepatic or renal insufficiency
  • Alcohol intake more than 40g/d
  • Hypothyroidism
  • Pregnancy and breast feeding

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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