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出境医 / 临床实验 / Prevalence of HIV +ve Cases With AIDS Defining Opportunistic Infections Among ART Naive Patients Attending ART Centre (ADC)

Prevalence of HIV +ve Cases With AIDS Defining Opportunistic Infections Among ART Naive Patients Attending ART Centre (ADC)

Study Description
Brief Summary:
HIV patients are likely to suffer from opportunistic infections, in absence of highly active retroviral therapy. This happens due to lack of awareness of HIV status among patients or unresponsive to anti retroviral drugs. This study is for the prevalence of AIDS defining OIs among treatment naive HIV patients.

Condition or disease Intervention/treatment
HIV Infections Tuberculosis Candidiasis, Esophageal Cryptococcosis Leishmaniasis Toxoplasmosis Other: CD4 cell count

Detailed Description:

Oppotunistic infections (OIs) happen in persons with weakened immune system. HIV patients, who remain untreated due to lack of knowledge of existing HIV infections, often get OIs. HIV patients with AIDS defining OIs fall into stage 3 of HIV illness. Prevalence of OIs in resource poor settings are tuberculosis (pulmonary and extra pulmonary), toxoplasmosis, cryptococcosis, and oesophageal candidiasis. There are a few data to show AIDS defining OIs in treatment naïve HIV patients. Incidence of OIs among HIV patients in United States, and Canada between 2000 to 2019 was 9%. Leading OIs were peumocystis Jiroveci, oesophageal candidiasis and disseminated MAC or M. kansassi.

Minimal diagnoses at poor settings can be made by observation of symptoms, use of microscope, imaging and diagnostic therapy.

Study Design
Layout table for study information
Study Type : Observational
Actual Enrollment : 257 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: AIDS Defining Opportunistic Infections in Naive HIV Cases
Actual Study Start Date : June 1, 2019
Actual Primary Completion Date : February 28, 2020
Actual Study Completion Date : March 15, 2020
Arms and Interventions
Group/Cohort Intervention/treatment
HIV with OIs
Treatment naive HIV patients with OIs
Other: CD4 cell count
CD4 cell count from treatment naive HIV patients

Outcome Measures
Primary Outcome Measures :
  1. Prevalence of AIDS defining OIs [ Time Frame: Six months ]
    Calculate number of total HIV patients with or without opportunistic infections (n). Again calculate no of HIV patients with opportunistic infections (n1). Then calculate prevalence of HIV +ve patients with opportunistic infections by applying formula n1/n x100.


Secondary Outcome Measures :
  1. Compare CD4 cell in cases of HIV with OIs with CD4 cell of HIV patients without OIs [ Time Frame: Six months ]
    Find out CD4 cell counts (cells /μL) of HIV patients with CD4 cell counts (cells/μL) of HIV patients without OIs. By calculating mean/SD of CD4 cells in both groups, comparison by chi square test would be done.


Eligibility Criteria
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Ages Eligible for Study:   5 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Antiretroviral treatment naive HIV patients
Criteria

Inclusion Criteria:

• HAART naïve HIV patient

Exclusion Criteria:

  • Patients died during screening
  • Transferred in HIV patients
Contacts and Locations

Locations
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India
ART centre, Sadar Hospital
Khagaria, Bihar, India, 851204
Sponsors and Collaborators
Singh, Ranjan Kumar, M.D.
Investigators
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Principal Investigator: Ranjan K Singh, M.D. Singh, Ranjan Kumar
Tracking Information
First Submitted Date June 17, 2019
First Posted Date June 20, 2019
Last Update Posted Date March 19, 2020
Actual Study Start Date June 1, 2019
Actual Primary Completion Date February 28, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: June 19, 2019)
Prevalence of AIDS defining OIs [ Time Frame: Six months ]
Calculate number of total HIV patients with or without opportunistic infections (n). Again calculate no of HIV patients with opportunistic infections (n1). Then calculate prevalence of HIV +ve patients with opportunistic infections by applying formula n1/n x100.
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: June 19, 2019)
Compare CD4 cell in cases of HIV with OIs with CD4 cell of HIV patients without OIs [ Time Frame: Six months ]
Find out CD4 cell counts (cells /μL) of HIV patients with CD4 cell counts (cells/μL) of HIV patients without OIs. By calculating mean/SD of CD4 cells in both groups, comparison by chi square test would be done.
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Prevalence of HIV +ve Cases With AIDS Defining Opportunistic Infections Among ART Naive Patients Attending ART Centre
Official Title AIDS Defining Opportunistic Infections in Naive HIV Cases
Brief Summary HIV patients are likely to suffer from opportunistic infections, in absence of highly active retroviral therapy. This happens due to lack of awareness of HIV status among patients or unresponsive to anti retroviral drugs. This study is for the prevalence of AIDS defining OIs among treatment naive HIV patients.
Detailed Description

Oppotunistic infections (OIs) happen in persons with weakened immune system. HIV patients, who remain untreated due to lack of knowledge of existing HIV infections, often get OIs. HIV patients with AIDS defining OIs fall into stage 3 of HIV illness. Prevalence of OIs in resource poor settings are tuberculosis (pulmonary and extra pulmonary), toxoplasmosis, cryptococcosis, and oesophageal candidiasis. There are a few data to show AIDS defining OIs in treatment naïve HIV patients. Incidence of OIs among HIV patients in United States, and Canada between 2000 to 2019 was 9%. Leading OIs were peumocystis Jiroveci, oesophageal candidiasis and disseminated MAC or M. kansassi.

Minimal diagnoses at poor settings can be made by observation of symptoms, use of microscope, imaging and diagnostic therapy.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Antiretroviral treatment naive HIV patients
Condition
  • HIV Infections
  • Tuberculosis
  • Candidiasis, Esophageal
  • Cryptococcosis
  • Leishmaniasis
  • Toxoplasmosis
Intervention Other: CD4 cell count
CD4 cell count from treatment naive HIV patients
Study Groups/Cohorts HIV with OIs
Treatment naive HIV patients with OIs
Intervention: Other: CD4 cell count
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: March 18, 2020)
257
Original Estimated Enrollment
 (submitted: June 19, 2019)
200
Actual Study Completion Date March 15, 2020
Actual Primary Completion Date February 28, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

• HAART naïve HIV patient

Exclusion Criteria:

  • Patients died during screening
  • Transferred in HIV patients
Sex/Gender
Sexes Eligible for Study: All
Ages 5 Years and older   (Child, Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries India
Removed Location Countries  
 
Administrative Information
NCT Number NCT03993093
Other Study ID Numbers SinghRK1
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party Ranjan Kumar Singh, Singh, Ranjan Kumar, M.D.
Study Sponsor Singh, Ranjan Kumar, M.D.
Collaborators Not Provided
Investigators
Principal Investigator: Ranjan K Singh, M.D. Singh, Ranjan Kumar
PRS Account Singh, Ranjan Kumar, M.D.
Verification Date March 2020

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