Netherlands Cohort Study on Acute HIV Infection

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorProf. Jan Prins

About this trial

Investigation of the size, variability and localization of the (pro) viral reservoir and the properties of HIV-specific immune response related to "post-treatment viral remission' achievement and / or duration. In addition we will study the factors that determine latency in the different host cells, their sensitivity to induction of replication competent virus by various agents and the potential application of these agents in "post-treatment viral remission".

This all will be studied in patients included during acute phase of the infection who start antiretroviral therapy immediately upon diagnosis.

Eligibility criteria

Qualifiers

Written informed consent to store samples and perform genetic testing.

Separate written informed consent for invasive sampling procedures: leukapheresis, sigmoidoscopy with biopsies, lymph node excision biopsy and lumbar puncture, with storage of samples.

Age >= 18 years

An acute HIV-1 infection, defined according to the Fiebig stages I-IV (acute infection), as described in the previous paragraph (HIV-1 RNA positive and 4th generation ELISA negative or HIV-1 RNA positive and 4th generation HIV ELISA positive with indeterminate Western Blot). Patients in Fiebig stage V and VI (recent infection) will only be included if they have a documented negative HIV test 6 months prior to the positive test or if they are in Fiebig stage V with a p31 negative blot

Disqualifiers

Contraindication for proposed cART regimen (e.g. impaired renal function).

Mental disorder that in the view of the investigator would interfere with adherence to the treatment or the study procedures, or the decision to participate in the study.

Immunosuppressive medication or other diseases associated with immunodeficiency.

Trial design

Treatments tested in this trial

  • Not listed

Trial groups

183 Participants
are grouped into 4 trial groups

Sponsors and collaborators

Prof. Jan Prins

Lead sponsor

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Sponsor institution

UMC Utrecht

Collaborator

Rijnstate Hospital

Collaborator

Erasmus Medical Center

Collaborator

Onze Lieve Vrouwe Gasthuis

Collaborator

Radboud University Medical Center

Collaborator

Maasstad Hospital

Collaborator

DC Clinics

Collaborator

Amsterdam UMC, location VUmc

Collaborator

Leiden University Medical Center

Collaborator