About this trial
The purpose for this protocol is to provide safe and effective standard ART to SEARCH 010 and SEARCH 013 participants. Participants are enrolled in an acute HIV infection study (SEARCH 010 protocol: 'Establish and characterize an acute HIV infection cohort in a Thai high-risk population') or in a study of chronic HIV infection (SEARCH 013 protocol 'Characteristics of immunity in gut mucosa, spinal fluid, lymph node and blood of HIV negative and HIV positive Thais').
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years old
Enrolled in the SEARCH 010 or 013 protocols with documentation of acute or chronic protocol defined HIV-1 infection and chooses to initiate or continue ART
Understand the study and sign informed consent form. Persons who cannot read will have the consent form read and explained to them by a member of the study staff and they can give informed consent by using their thumb print
Availability for follow-up for the planned study duration
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
HAART
Drug1 (lamivudine) or 2 (lamivudine + abacavir) nuceloside/nucleotide analog reverse-transcriptase inhibitor (NRTI) class medications once daily plus dolutegravir(DTG) 50 mg orally once daily
Treatment groups
Trial outcomes
Primary outcomes
HIV-related clinical events
Immunologic parameters including CD4 count and CD4/CD8 ratio
Virologic parameters including HIV RNA and HIV reservoir markers
Secondary outcomes
Adverse events related to HAART initiated during acute HIV infection as assessed by DAIDS grading table version 2.1
Adherence to ART
Frequency and functional status of HIV-specific CD8+ T cells in blood and tissue compartments (genital secretion, CSF, gut and lymph node)
Expression of non-specific activation markers on CD8+ T cells in blood and tissue compartments (genital secretion, CSF, gut and lymph node)
Sponsors and contacts
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SEARCH Research Foundation
Lead sponsor
ViiV Healthcare
Collaborator