The Liverpool human immunodeficiency virus (HIV) therapeutic drug monitoring (TDM) registry

ISRCTN ISRCTN65117827
DOI https://doi.org/10.1186/ISRCTN65117827
Secondary identifying numbers Version 2.1
Submission date
16/04/2008
Registration date
29/07/2008
Last edited
21/09/2021
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Human immunodeficiency virus (HIV) attacks the immune system and weakens the body’s ability to fight infections. It can be treated with drugs that stop the virus from replicating. The aim of this study is to determine the effects of various factors on the pharmacokinetics of HIV drugs. Pharmacokinetics refers to what the body does to a drug as it moves into, through and out of the body.

Who can participate?
HIV-infected patients

What does the study involve?
Data is collected about patients in order to analyse the effect of age, weight, gender and interacting medications on the concentrations of HIV drugs in plasma (blood) samples. In addition, DNA is extracted from these plasma samples and analysed.

What are the possible benefits and risks of participating?
It is hoped that this study may help us understand why treatment response and drug levels vary in HIV patients. The data will be anonymised so that individual patients cannot be traced.

Where is the study run from?
University of Liverpool (UK)

When is the study starting and how long is it expected to run for?
October 2005 to January 2030

Who is funding the study?
British Society for Antimicrobial Chemotherapy (BSAC) (UK)

Who is the main contact?
Dr Saye Khoo
khoo@liv.ac.uk

Contact information

Dr Saye Khoo
Scientific

University of Liverpool
Department of Pharmacology & Therapeutics
1st Floor, The Infirmary
70 Pembroke Place
Liverpool
L69 3GF
United Kingdom

Email khoo@liv.ac.uk

Study information

Study designObservational case-control study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeScreening
Scientific titleThe Liverpool human immunodeficiency virus (HIV) therapeutic drug monitoring (TDM) registry: studying influences upon plasma human immunodeficiency virus drug exposure
Study hypothesisHuman immunodeficiency virus (HIV) therapeutic drug monitoring (TDM) registry studying the effects of gender, body weight, age, ethnicity, interacting medication and host genetics upon pharmacokinetics of HIV drugs.
Ethics approval(s)Ethics approval received from the North West Multi-Regional Ethics Committee, 03/10/2005, ref: 05/MRE08/67
ConditionHuman immunodeficiency virus
InterventionThe TDM registry is a registry of patients in whom therapeutic drug monitoring has been requested for HIV drugs. Data are kept anonymised, but linked to date of birth and hospital number.

The TDM registry seeks to collate all data from patients undergoing TDM in order to analyse the effect of co-variates (age, weight, gender, concomitant medications, etc.) on concentrations of HIV drugs in plasma. In addition, DNA will be extracted from these plasma samples after second round of irreversible anonymisation, in which data relating to date of birth and hospital unit number are permanently removed so that individual patients cannot be traced. It is hoped that the ability to understand both the pharmacogenetic and the environmental influences upon HIV drug exposure may contribute to our understanding of why treatment response and drug levels are variable in HIV+ patients, particularly with respect to gender, ethnicity and host genetic influences.
Intervention typeOther
Primary outcome measureCorrelation between drug exposure and:
1. Age, gender, weight, disease status, interacting medications, pregnancy etc.
2. Host genomic profile (genes implicated in HIV disease process and drug disposition)
Secondary outcome measuresNo secondary outcome measures.
Overall study start date01/10/2005
Overall study end date01/01/2030

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participantsTDM requests greater than 10,000 and approximately 4000 archived plasma samples
Participant inclusion criteriaRequest for TDM of HIV drugs
Participant exclusion criteriaNil. Separate filters will be applied when analysing data, e.g. for children, pregnant women, patients on dialysis, patients receiving chemotherapy etc.
Recruitment start date01/10/2005
Recruitment end date01/01/2030

Locations

Countries of recruitment

  • England
  • Ireland
  • Israel
  • United Kingdom

Study participating centre

University of Liverpool
Liverpool
L69 3GF
United Kingdom

Sponsor information

University of Liverpool
University/education

Research & Business Service
The Foresight Centre
3 Brownlow Street
Liverpool
L69 3GL
England
United Kingdom

Website http://www.liv.ac.uk
ROR logo "ROR" https://ror.org/04xs57h96
Royal Liverpool and Broadgreen University Hospital NHS Trust
Hospital/treatment centre

Prescot Street
Liverpool
L7 8XP
England
United Kingdom

Website http://www.rlbuht.nhs.uk/
ROR logo "ROR" https://ror.org/009sa0g06

Funders

Funder type

Research organisation

British Society for Antimicrobial Chemotherapy - Academic Initiative Grant (ref: PG/A1-05)
Private sector organisation / Associations and societies (private and public)
Alternative name(s)
BSAC
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2008 Yes No
Results article results 01/05/2009 Yes No
Results article results 01/06/2009 Yes No
Results article results 01/08/2009 Yes No
Results article results 01/01/2010 Yes No
Results article results 01/02/2010 Yes No
Results article results 01/12/2010 Yes No
Results article results 01/01/2011 Yes No
Results article results 01/03/2011 Yes No
Results article results 01/06/2011 Yes No
Results article results 01/06/2011 Yes No

Editorial Notes

21/09/2021: Internal review.
14/03/2016: Plain English summary added.
Please note that as of 14/05/2013, the overall trial end date was changed from 01/01/2011 to 01/01/2030 as the registry data will be used on an ongoing basis.