HIV InfectionsNCT00000932
A Study of the Long-Term Outcomes of HIV-Positive Patients
An observational study of HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 91 sites in United States.
Trial summary
The purpose of this study is to collect information about life spans and HIV-related illnesses in multiple groups of HIV-positive patients with varying anti-HIV treatment experience, including no treatment at all. Anti-HIV treatment has been successful in slowing disease progression in many patients. Read more about this study
- Who is it for?
- Ages 13 years and older
- Conditions the study is for
- HIV Infections
- How many people
- 3,669 participants
- Where
- 91 sitesUnited States
- Study dates
- Mar 1999to Sep 2006
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 13 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: HIV infected individuals
Who may be able to join
- Patients may be eligible for this study if they:
- Are 13 years of age or older (consent of parent or guardian required if under the age of 18).
- Are HIV-positive.
- Have either: (1) no previous experience with anti-HIV treatment (defined as no previous protease inhibitor or nonnucleoside reverse transcriptase inhibitor use, 1 week or less of lamivudine use, and 4 weeks or less of cumulative nucleoside reverse transcriptase inhibitor use) or (2) current or previous enrollment in a qualifying CPCRA study.
Who cannot join
None listed.
Trial locations and contacts
91 sites in 1 country.
91 sites in 1 country
United States91 sites
Earl K. Long Med. Ctr., LSU - Mid City EIC Clinic CRS
Baton Rouge, Louisiana, 70805
James Osterberger, MD (Private Med. Practice) CRS
Baton Rouge, Louisiana, 70808-4390
CRI-Boston CRS
Boston, Massachusetts, 02115
Beacon Clinic at Boulder CRS
Boulder, Colorado, 80501-4507
Cooper Univ. Hosp. CRS
Camden, New Jersey, 08103
Klein & Slotten Medical Associates CRS
Chicago, Illinois, 60610
Cook County Hosp. CORE Ctr. INSIGHT CRS
Chicago, Illinois, 60612
Cook County Hosp. CORE Ctr.
Chicago, Illinois, 60612
Univ. of Illinois Family Ctr. for Infectious Disease CRS
Chicago, Illinois, 60612
Lakeshore Infectious Disease Associates CRS
Chicago, Illinois, 60657
North Side Family Medicine CRS
Chicago, Illinois, 60657
Northwestern Memorial Physicians Group CRS
Chicago, Illinois, 60657
Triad Health Practice/Ill. Masonic Med. Ctr. CRS
Chicago, Illinois, 60657
Denver Infectious Diseases Consultants CRS
Denver, Colorado, 80204-4507
Kaiser Permanente of Denver CRS
Denver, Colorado, 80204-4507
Univ. of Colorado Health Science Ctr. CRS
Denver, Colorado, 80204-4507
Denver Public Health CRS
Denver, Colorado, 80204
Eastside Family Health Ctr. CRS
Denver, Colorado, 80205
APEX Family Medicine CRS
Denver, Colorado, 80206
South Denver Infectious Diseases Specialists, Accord Med. Ctr. CRS
Denver, Colorado, 80218
Denver Public Health CRS - INSIGHT
Denver, Colorado
Harper Hosp., Detroit CRS
Detroit, Michigan, 48201
Wayne State Univ. INSIGHT CRS
Detroit, Michigan, 48201
Henry Ford Hosp. CRS
Detroit, Michigan, 48202
Detroit Community Health Connection, Inc. CRS
Detroit, Michigan, 48215
Detroit Community Health Connection-2 CRS
Detroit, Michigan, 48215
Univ. of Connecticut Health Ctr. CRS
Farmington, Connecticut, 06030
ID Care Inc. - Hillsborough CRS
Hillsborough, New Jersey, 08844
Legacy Community Health Services, Inc. CRS
Houston, Texas, 77006
Baylor College of Medicine, Thomas St. Clinic CRS
Houston, Texas, 77030
Houston AIDS Research Team CRS
Houston, Texas, 77030
Michael E. DeBakey VAMC CRS
Houston, Texas, 77030
Thomas Street Clinic CRS
Houston, Texas, 77030
Hanover Med. Park (Mechanicsville, VA) CRS
Mechanicsville, Virginia, 23116
Dr. M. Estes Med. Practice CRS
Mill Valley, California, 94941-3013
Jersey Shore Univ. Med. Ctr. CRS
Neptune City, New Jersey, 07754
Yale Univ. School of Medicine, NE ProACT - New Haven CRS
New Haven, Connecticut, 06510
Hosp. of St. Raphael CRS
New Haven, Connecticut, 06511
Med. Ctr. of Louisiana at New Orleans, HIV Outpatient Clinics CRS
New Orleans, Louisiana, 70112
Tulane University Health Sciences Center, Louisiana Community AIDS Research Program(LaCARP) CRS
New Orleans, Louisiana, 70112
Memorial Med. Ctr., Hematology-Oncology Services CRS
New Orleans, Louisiana, 70115
New Orleans VAMC CRS
New Orleans, Louisiana, 70146
St. Vincent Hosp. & Med. Ctr. CRS
New York, New York, 10011
HHC Methadone Maintenance, Treatment Program Unit 1 CRS
New York, New York, 10026
Harlem Hospital Ctr./Columbia University CRS (Gordin CTU)
New York, New York, 10037-1802
Cathedral Healthcare System, St. Michael's Med. Ctr. CRS
Newark, New Jersey, 07103
New Jersey Community Research Initiative, Jeffrey Bomser Clinic CRS
Newark, New Jersey, 07103
Eastern Virginia Med. School, Ctr. for the Comprehensive Care of Immune Deficiency CRS
Norfolk, Virginia, 23507
Dr. Robert Scott Med. Practice CRS
Oakland, California, 94609
East Bay AIDS Ctr. CRS
Oakland, California, 94609
St. Joseph's Hosp. & Med. Ctr. of New Jersey CRS
Paterson, New Jersey, 07503
Raritan Bay Med. Ctr., Perth Amboy Division CRS
Perth Amboy, New Jersey, 08861
Petersburg Health Care Alliance CRS
Petersburg, Virginia, 23803
Philadelphia FIGHT - Dr. Jay Kostman CRS
Philadelphia, Pennsylvania, 19107
Temple Univ. School of Medicine CRS
Philadelphia, Pennsylvania, 19140
Multnomah County Health Dept., HIV Health Services Ctr. CRS
Portland, Oregon, 97204
Legacy Clinic Good Samaritan CRS
Portland, Oregon, 97210
The Research & Education Group-Portland CRS
Portland, Oregon, 97210
Providence Portland Med. Ctr., Ambulatory Care and Education Ctr. CRS
Portland, Oregon, 97213
Kaiser Immune Deficiency Clinic of Portland CRS
Portland, Oregon, 97227
Legacy Clinic Emanuel CRS
Portland, Oregon, 97227
Oregon Health & Sciences Univ. Internal Medicine (L-475) CRS
Portland, Oregon, 97239
ID Care - Randolph CRS
Randolph Township, New Jersey, 07869
CrossOver Health Ctr. CRS
Richmond, Virginia, 23224
South Richmond Health Care Ctr. CRS
Richmond, Virginia, 23224
Hunter Holmes McGuire VAMC CRS
Richmond, Virginia, 23249
VCU Health Systems, Infectious Disease Clinic CRS
Richmond, Virginia, 23298
Virginia Commonwealth Univ. Medical Ctr. CRS
Richmond, Virginia, 23298
Salem Hosp. CRS
Salem, Oregon, 97301
Kaiser Permanente Lancaster Clinic CRS
Salem, Oregon, 97305
Dr. Shawn Hassler Med. Practice CRS
San Francisco, California, 94102
Positive Health Program Clinic (San Francisco Gen. Hosp.) CRS
San Francisco, California, 94110
Dr. Virginia Cafaro Med. Practice CRS
San Francisco, California, 94114-1010
Dr. William Owen Med. Practice CRS
San Francisco, California, 94114-1010
Castro-Mission Health Ctr. CRS
San Francisco, California, 94114
Dr. Martin Mass Med. Practice CRS
San Francisco, California, 94114
St. Mary's Med. Ctr. of San Francisco CRS
San Francisco, California, 94117
San Francisco VAMC, Infectious Diseases Clinic CRS
San Francisco, California, 94121
UCSF PHP, Gen. Internal Medicine Practice CRS
San Francisco, California, 94143
CRI-Springfield CRS
Springfield, Massachusetts, 01107
Bronx Prevention Center CRS
The Bronx, New York, 10452
Bronx-Lebanon Hosp. Ctr. CRS
The Bronx, New York, 10457
Jacobi Med. Ctr., Ambulatory Care Pavillion CRS
The Bronx, New York, 10461
Jacobi Med. Ctr.
The Bronx, New York, 10461
Montefiore Med. Ctr., AIDS Ctr. CRS
The Bronx, New York, 10467
Infectious Disease Specialists of N.J., North Jersey Community Research Initiative CRS
Union, New Jersey, 07083
The Early Intervention Program at Kennedy Hosp. CRS
Voorhees Township, New Jersey, 08043
Dotson & Hodge Med. Group, L.L.C. CRS
Washington D.C., District of Columbia, 20003
Dr. Timothy A. Price Med. Practice CRS
Washington D.C., District of Columbia, 20036
Washington DC VAMC, Washington Regional AIDS Program, Infectious Diseases CRS
Washington D.C., District of Columbia, 20422
Western Infectious Disease Consultants CRS
Wheat Ridge, Colorado, 80033
About this study
Official title: A Prospective Study of Long-Term Clinical, Virologic, and Immunologic Outcomes in HIV-Infected Individuals
The purpose of this study is to collect information about life spans and HIV-related illnesses in multiple groups of HIV-positive patients with varying anti-HIV treatment experience, including no treatment at all.
Anti-HIV treatment has been successful in slowing disease progression in many patients. However, there are still questions regarding the best way to use anti-HIV drugs. This study is designed to provide long-term monitoring of patients who have already received anti-HIV treatment as well as patients who are just beginning treatment or have decided not to receive treatment.
Read the detailed description
Highly active antiretroviral therapy (HAART) often results in short-term benefits for people with HIV in terms of reduced plasma viral levels and increased CD4 cell counts. When used at an early stage of HIV disease, however, the clinical benefit of HAART is uncertain. Many questions still remain regarding the optimal use of antiretroviral therapies, such as the timing of initial antiretroviral therapy and the composition of the best combination regimen to use initially or after virologic failure. Randomized trials of different starting antiretroviral regimens (e.g., FIRST [CPCRA 058]), different regimens after initial virologic failure (e.g., PIP [CPCRA 057]), and different management strategies for HIV infection (e.g., bis-POM [CPCRA 039], NvR [CPCRA 042], GART [CPCRA 046], and IL-2 VL/Dose [CPCRA 059] are being conducted by the CPCRA. [AS PER AMENDMENT 2/28/01: The MDR-HIV (CPCRA 064) protocol is now included as an example of a different management strategy for HIV infection, whereas the bis-POM (CPCRA 039) protocol is no longer included.] This study provides a mechanism for long-term monitoring of patients enrolled in these trials as well as antiretroviral-naive patients who are either starting treatment or electing to defer treatment.
Patients are divided into 3 groups. Group A consists of patients currently enrolled in or currently being followed in an ongoing qualifying study (see Purpose for CPCRA trials which qualify). Group B consists of patients previously enrolled in but not currently being followed in a qualifying study. Group C consists of antiretroviral-naive patients not enrolling in a qualifying study (i.e., patients starting treatment outside the FIRST study or patients deferring treatment). Patients in Group A undergo monitoring of selected clinical and laboratory parameters (including plasma HIV RNA levels and CD4 cell counts) once every 4 weeks beginning after completion of all follow-up appointments for all other protocols in which they were enrolled. Patients in Groups B and C undergo monitoring of selected clinical and laboratory parameters (including plasma HIV RNA levels and CD4 cell counts) once every 4 months. Patients are followed for at least 5 years. [AS PER AMENDMENT 2/28/01: Patients who are not being followed in a qualifying protocol and are antiretroviral naive at enrollment or were previously enrolled in the FIRST (CPCRA 058) protocol undergo blood draws at enrollment and then annually for measurement of plasma HIV levels by a CPCRA-approved laboratory and future CPCRA-approved, HIV-related research. Patients who relocate to a non-CPCRA affiliated site are asked to sign a consent for ongoing release (every 4 months) of their medical records from their new health care provider to the CPCRA.]
- Conditions
- HIV Infections
- Keywords
- Prospective Studies, HIV-1, Drug Therapy, Combination, Drug Resistance, Microbial, CD4 Lymphocyte Count, Disease Progression, Treatment Outcome, Genotype, Anti-HIV Agents, Viral Load
- Medical subject headings
- HIV Infections, Disease Progression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| A | Participants currently enrolled in or currently being followed in an ongoing qualifying study. Qualifying studies can be found in the protocol. | |
| B | Participants previously enrolled in but not currently being followed in a qualifying study. Qualifying studies can be found in the protocol. | |
| C | Antiretroviral-naive participants not enrolling in a qualifying study (i.e., patients starting treatment outside the first study or patients deferring treatment) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Clinical disease progression or death
Measured: Throughout study
Secondary outcomes (5)
Survival
Measured: Throughout study
Selected metabolic, hepatic, and cardiovascular conditions
Measured: Throughout study
Changes in viral load
Measured: Throughout study
Changes in CD4 count
Measured: Throughout study
Changes in HIV treatment methods
Measured: Throughout study
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Aug 2001 (estimated)
- Study startMar 1999
- Primary completionSep 2006
- Study completionSep 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- More trials run by National Institute of Allergy and Infectious Diseases (NIAID)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 3,669 participants (actual)
Sponsor and investigators
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Jay Kostman, Study chairRoberta Luskin-Hawk, Study chair
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00000932
- Sponsor's protocol ID
- CPCRA 060
- Other IDs
- 10110
- Status last verified
- Apr 2014
- First submitted
- 2 Nov 1999
- Last updated
- 15 Apr 2014
- Results posted
- No
Publications
Goetz MB, Leduc R, Kostman JR, Labriola AM, Lie Y, Weidler J, Coakley E, Bates M, Luskin-Hawk R; Long-Term Monitoring Study (CPCRA 060) and Terry Beirn Community Programs for Clinical Research on AIDS (CPCRA). Relationship between HIV coreceptor tropism and disease progression in persons with untreated chronic HIV infection. J Acquir Immune Defic Syndr. 2009 Mar 1;50(3):259-66. doi: 10.1097/QAI.0b013e3181989a8b.
PubMed 19194318
Study at a glance
From the registry record, last updated by the sponsor on 15 Apr 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Study of Long-Term Clinical, Virologic, and Immunologic Outcomes in HIV-Infected Individuals
- ClinicalTrials.gov ID
- NCT00000932
- Acronym / sponsor ID
- CPCRA 060
- Conditions
- HIV Infections
- Keywords
- Prospective Studies, HIV-1, Drug Therapy, Combination, Drug Resistance, Microbial, CD4 Lymphocyte Count, Disease Progression, Treatment Outcome, Genotype
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 3,669 participants (actual)
- Lead sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)US National Institutes of Health
- Study start
- Mar 1999
- Primary completion
- Sep 2006 (actual)
- Study completion
- Sep 2006 (actual)
- First posted
- 31 Aug 2001 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to collect information about life spans and HIV-related illnesses in multiple groups of HIV-positive patients with varying anti-HIV treatment experience, including no treatment at all.
Anti-HIV treatment has been successful in slowing disease progression in many patients. However, there are still questions regarding the best way to use anti-HIV drugs. This study is designed to provide long-term monitoring of patients who have already received anti-HIV treatment as well as patients who are just beginning treatment or have decided not to receive treatment.
Detailed description
Highly active antiretroviral therapy (HAART) often results in short-term benefits for people with HIV in terms of reduced plasma viral levels and increased CD4 cell counts. When used at an early stage of HIV disease, however, the clinical benefit of HAART is uncertain. Many questions still remain regarding the optimal use of antiretroviral therapies, such as the timing of initial antiretroviral therapy and the composition of the best combination regimen to use initially or after virologic failure. Randomized trials of different starting antiretroviral regimens (e.g., FIRST [CPCRA 058]), different regimens after initial virologic failure (e.g., PIP [CPCRA 057]), and different management strategies for HIV infection (e.g., bis-POM [CPCRA 039], NvR [CPCRA 042], GART [CPCRA 046], and IL-2 VL/Dose [CPCRA 059] are being conducted by the CPCRA. [AS PER AMENDMENT 2/28/01: The MDR-HIV (CPCRA 064) protocol is now included as an example of a different management strategy for HIV infection, whereas the bis-POM (CPCRA 039) protocol is no longer included.] This study provides a mechanism for long-term monitoring of patients enrolled in these trials as well as antiretroviral-naive patients who are either starting treatment or electing to defer treatment.
Patients are divided into 3 groups. Group A consists of patients currently enrolled in or currently being followed in an ongoing qualifying study (see Purpose for CPCRA trials which qualify). Group B consists of patients previously enrolled in but not currently being followed in a qualifying study. Group C consists of antiretroviral-naive patients not enrolling in a qualifying study (i.e., patients starting treatment outside the FIRST study or patients deferring treatment). Patients in Group A undergo monitoring of selected clinical and laboratory parameters (including plasma HIV RNA levels and CD4 cell counts) once every 4 weeks beginning after completion of all follow-up appointments for all other protocols in which they were enrolled. Patients in Groups B and C undergo monitoring of selected clinical and laboratory parameters (including plasma HIV RNA levels and CD4 cell counts) once every 4 months. Patients are followed for at least 5 years. [AS PER AMENDMENT 2/28/01: Patients who are not being followed in a qualifying protocol and are antiretroviral naive at enrollment or were previously enrolled in the FIRST (CPCRA 058) protocol undergo blood draws at enrollment and then annually for measurement of plasma HIV levels by a CPCRA-approved laboratory and future CPCRA-approved, HIV-related research. Patients who relocate to a non-CPCRA affiliated site are asked to sign a consent for ongoing release (every 4 months) of their medical records from their new health care provider to the CPCRA.]
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| A | – | –Participants currently enrolled in or currently being followed in an ongoing qualifying study. Qualifying studies can be found in the protocol. |
| B | – | –Participants previously enrolled in but not currently being followed in a qualifying study. Qualifying studies can be found in the protocol. |
| C | – | –Antiretroviral-naive participants not enrolling in a qualifying study (i.e., patients starting treatment outside the first study or patients deferring treatment) |
Who may qualify
- Ages
- 13 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- HIV infected individuals
Key inclusion criteria (4 listed)
- Are 13 years of age or older (consent of parent or guardian required if under the age of 18).
- Are HIV-positive.
- Have either: (1) no previous experience with anti-HIV treatment (defined as no previous protease inhibitor or nonnucleoside reverse transcriptase inhibitor use, 1 week or less of lamivudine use, and 4 weeks or less of cumulative nucleoside reverse transcriptase inhibitor use) or (2) current or previous enrollment in a qualifying CPCRA study.
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Clinical disease progression or death
Time frame: Throughout study
5 secondary outcomes
Survival
Time frame: Throughout study
Selected metabolic, hepatic, and cardiovascular conditions
Time frame: Throughout study
Changes in viral load
Time frame: Throughout study
Changes in CD4 count
Time frame: Throughout study
Changes in HIV treatment methods
Time frame: Throughout study
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Apr 2014.
- Results publication: PubMed 19194318Goetz MB, Leduc R, Kostman JR, Labriola AM, Lie Y, Weidler J, Coakley E, Bates M, Luskin-Hawk R; Long-Term Monitoring Study (CPCRA 060) and Terry Beirn Community Programs for Clinical Research on AIDS (CPCRA). Relationship between HIV coreceptor tropism and disease progression in persons with untreated chronic HIV infection. J Acquir Immune Defic Syndr. 2009 Mar 1;50(3):259-66. doi: 10.1097/QAI.0b013e3181989a8b.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jay Kostman study chair
Roberta Luskin-Hawk study chair
91 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 91 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 91 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Clinical disease progression or death (time frame: Throughout study). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00000932, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Apr 2014.