Trial Outcomes & Findings for To Assess Neuroinflammation and Neurocognitive Function in Patients With Acute Hepatitis C and Chronic HIV Co-Infection (NCT NCT00959166)

NCT ID: NCT00959166

Last Updated: 2019-10-22

Results Overview

Association of 11C-labelled PK11195 uptake using PET with acute HCV and HIV infection by PK11195 PET ligand binding. The ligand PK11195 is selective for the peripheral benzodiazepine binding site and exhibits minimal binding in normal brain. In brain lesions, however, there is a massive increase in binding.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

81 participants

Primary outcome timeframe

30 days

Results posted on

2019-10-22

Participant Flow

Participant milestones

Participant milestones
Measure
HIV/Acute HCV Coinfection
Subjects with HIV/acute HCV coinfection
HIV Mono
HIV-infected individuals without hepatitis C co-infection
Overall Study
STARTED
24
57
Overall Study
COMPLETED
24
57
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

To Assess Neuroinflammation and Neurocognitive Function in Patients With Acute Hepatitis C and Chronic HIV Co-Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HIV/Acute HCV Coinfection
n=24 Participants
Subjects with HIV/acute HCV coinfection
HIV Mono
n=57 Participants
HIV-infected individuals without hepatitis C co-infection
Total
n=81 Participants
Total of all reporting groups
Age, Continuous
41 years
n=99 Participants
47 years
n=107 Participants
44 years
n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
7 Participants
n=107 Participants
7 Participants
n=206 Participants
Sex: Female, Male
Male
24 Participants
n=99 Participants
50 Participants
n=107 Participants
74 Participants
n=206 Participants
Region of Enrollment
United Kingdom
24 participants
n=99 Participants
57 participants
n=107 Participants
81 participants
n=206 Participants
Time-elapsed since HIV diagnosis
6 years
n=99 Participants
11 years
n=107 Participants
8.5 years
n=206 Participants
Current CD4+ cells
590 cells/uL
n=99 Participants
505 cells/uL
n=107 Participants
547 cells/uL
n=206 Participants
Number of participants receiving antiretroviral therapy
17 Participants
n=99 Participants
54 Participants
n=107 Participants
71 Participants
n=206 Participants
Plasma HIV viral load below 50c/ml
16 Participants
n=99 Participants
54 Participants
n=107 Participants
70 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 30 days

Population: 16 subjects in total had PET scans and were included in the PET outcome

Association of 11C-labelled PK11195 uptake using PET with acute HCV and HIV infection by PK11195 PET ligand binding. The ligand PK11195 is selective for the peripheral benzodiazepine binding site and exhibits minimal binding in normal brain. In brain lesions, however, there is a massive increase in binding.

Outcome measures

Outcome measures
Measure
HIV/Acute HCV Coinfection
n=8 Participants
Subjects with HIV/acute HCV coinfection (aHCV cases) were required to have acute HCV, defined by a new positive plasma HCV RNA test within 12 months of a negative HCV RNA test.
HIV Mono
n=8 Participants
HIV-infected individuals without hepatitis C co-infection
Association of 11C-labelled PK11195 Uptake Using PET With Acute HCV and HIV Infection
0.18 binding potential ratio
Standard Deviation 0.10
0.22 binding potential ratio
Standard Deviation 0.13

SECONDARY outcome

Timeframe: 30 days

Population: 24/12 subjects in each study group had MR spectroscopy and could be included in this analysis

Association between patient characteristics and 11C-labelled PK11195 uptake using PET, CNS metabolite ratios. By quantifying the surrogate markers of N-acetylaspartate (NAA), creatine (Cr) offers insight into the neuronal integrity, cell membrane synthesis and turnover, macrophage infiltration, inflammation status, and levels of microglial activation and gliosis within the sampled CNS tissue.

Outcome measures

Outcome measures
Measure
HIV/Acute HCV Coinfection
n=24 Participants
Subjects with HIV/acute HCV coinfection (aHCV cases) were required to have acute HCV, defined by a new positive plasma HCV RNA test within 12 months of a negative HCV RNA test.
HIV Mono
n=12 Participants
HIV-infected individuals without hepatitis C co-infection
Ratio of NAA/Cr (N-acetyl Aspartate/Creatine) Cerebral Metabolites
1.42 ratio
Standard Deviation 0.25
1.35 ratio
Standard Deviation 0.10

Adverse Events

HIV/Acute HCV Coinfection

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

HIV Mono

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof Alan Winston

Imperial College London

Phone: +44 (0)20 3312 1603

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place