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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00126308
Registration number
NCT00126308
Ethics application status
Date submitted
1/08/2005
Date registered
3/08/2005
Date last updated
2/04/2009
Titles & IDs
Public title
Facial Lipoatrophy Trial: Immediate Versus Deferred Injections of Poly-L-Lactic Acid for HIV Facial Lipoatrophy
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Scientific title
A Multi-Centre, Open-Label, Randomised Study to Assess the Efficacy, Durability and Safety of Immediate Versus Deferred Injections of Poly-L-Lactic Acid for HIV Facial Lipoatrophy (FLASH)
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Secondary ID [1]
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ACTR012605000132640
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Secondary ID [2]
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V1-0 4-05
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HIV-Associated Lipodystrophy
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HIV Infections
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Condition category
Condition code
Infection
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Acquired immune deficiency syndrome (AIDS / HIV)
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Metabolic and Endocrine
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Metabolic disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - poly-L-lactic acid
Treatment: Devices - poly-L-lactic acid
Experimental: Immediate - poly-L-lactic acid injections
Active comparator: Delayed - poly-L-lactic acid injections
Treatment: Devices: poly-L-lactic acid
immediate injections poly-L-lactic acid (4 bilateral treatments - 8 vials)
Treatment: Devices: poly-L-lactic acid
delayed (24 weeks) poly-L-lactic acid injections (4 bilateral treatment - 8 vials)
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The primary endpoint at 24 weeks will be change from baseline in facial soft tissue volume as measured by spiral computed tomography (CT).
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Assessment method [1]
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Timepoint [1]
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24 weeks
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Secondary outcome [1]
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Change from baseline at week 96 in facial soft tissue volume as measured by spiral CT scan
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Assessment method [1]
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Timepoint [1]
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96 weeks
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Secondary outcome [2]
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Change from baseline at weeks 24 and 96 in physician and patient assessment of facial lipoatrophy severity
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Assessment method [2]
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Timepoint [2]
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24 and 96 weeks
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Secondary outcome [3]
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Change from baseline at weeks 24 and 96 in peripheral fat as assessed by dual-energy X-ray absorptiometry (DEXA)
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Assessment method [3]
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Timepoint [3]
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24 and 96 weeks
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Secondary outcome [4]
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Change from baseline at weeks 24 and 96 in quality of life
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Assessment method [4]
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Timepoint [4]
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24 and 96 weeks
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Secondary outcome [5]
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Change from baseline at weeks 24 and 96 in antiretroviral therapy (ART) adherence and plasma HIV-RNA
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Assessment method [5]
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Timepoint [5]
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24 and 96 weeks
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Secondary outcome [6]
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All serious, grade 3 or 4 clinical adverse events and any adverse event leading to change/s in ART or discontinuation of PLA
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Assessment method [6]
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Timepoint [6]
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24 and 96 weeks
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Secondary outcome [7]
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All serious, grade 3 or 4 clinical adverse events (AEs) and any event leading to change/s in ART reported to week 96
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Assessment method [7]
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Timepoint [7]
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96 weeks
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Secondary outcome [8]
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All AEs attributable to study treatment reported to week 96
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Assessment method [8]
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Timepoint [8]
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week 96
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Eligibility
Key inclusion criteria
* Aged 18 years or more with laboratory evidence of HIV-1 infection
* Received combination antiretroviral therapy (minimum of 2 agents)
* Antiretroviral regimen should be stable for at least 12 weeks prior to entry with no changes planned during the first 48 weeks. For subjects not on antiretroviral therapy at entry there should be no intent to commence therapy in first 24 weeks.
* Moderate or severe facial lipoatrophy and lipodystrophy at one or more other sites
* Provide written, informed consent.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Active AIDS-defining illness including active HIV wasting
* Active herpes labialis or any acute or currently present chronic skin disease (infection/inflammation) on/near area to be treated
* Currently on anticoagulants or any coagulopathy that would preclude safe deep subcutaneous injections
* Women: pregnant, breastfeeding or have positive pregnancy test or not willing to use adequate contraception if of child-bearing potential
* Concomitant therapy with anabolic steroids (except testosterone replacement), corticosteroids at greater than replacement doses, growth hormone or any currently available or experimental agent to improve appetite or weight
* Testosterone replacement for less than 6 months or at greater than replacement doses
* Subjects who have discontinued any prohibited concomitant agent/s must cease this therapy at least 30 days prior to screening.
* Prior use of any facial dermal filling/tissue expansion agent/s
* Any condition which may interfere with ability to comply with study requirements.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2007
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Sample size
Target
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Accrual to date
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Final
100
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA
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Recruitment hospital [1]
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Dr Doong's Surgery - Burwood
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Recruitment hospital [2]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [3]
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407 Doctors - Sydney
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Recruitment hospital [4]
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AIDS Research Initiative - Sydney
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Recruitment hospital [5]
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Albion Street Clinic - Sydney
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Recruitment hospital [6]
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Holdsworth House General Practice - Sydney
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Recruitment hospital [7]
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St. Vincent's Hospital - Sydney
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Recruitment hospital [8]
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Taylor Square Private Clinic - Sydney
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Recruitment hospital [9]
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Royal North Shore Hospital - Sydney
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Recruitment hospital [10]
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Liverpool Health Service - Sydney
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Recruitment hospital [11]
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Waratah Clinic, St. George Hospital - Sydney
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Recruitment hospital [12]
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Westmead Hospital - Westmead
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Recruitment hospital [13]
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Queensland Health - AIDS Medical Unit - Brisbane
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Recruitment hospital [14]
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Gladstone Road Medical Centre - Brisbane
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Recruitment hospital [15]
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Gold Coast Sexual Health Clinic - Gold Coast
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Recruitment hospital [16]
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Clinic 87 - Nambour
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Recruitment hospital [17]
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The Care and Prevention Programme - Adelaide University - Adelaide
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Recruitment hospital [18]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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2134 - Burwood
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Recruitment postcode(s) [2]
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2050 - Camperdown
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Recruitment postcode(s) [3]
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2010 - Sydney
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Recruitment postcode(s) [4]
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2065 - Sydney
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Recruitment postcode(s) [5]
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2170 - Sydney
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Recruitment postcode(s) [6]
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2217 - Sydney
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Recruitment postcode(s) [7]
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2145 - Westmead
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Recruitment postcode(s) [8]
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4002 - Brisbane
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Recruitment postcode(s) [9]
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4101 - Brisbane
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Recruitment postcode(s) [10]
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4220 - Gold Coast
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Recruitment postcode(s) [11]
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4560 - Nambour
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Recruitment postcode(s) [12]
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5000 - Adelaide
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Recruitment postcode(s) [13]
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6001 - Perth
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Kirby Institute
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The University of New South Wales
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Address [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Abbott
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Address [2]
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Other collaborator category [3]
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Commercial sector/industry
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Name [3]
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Bristol-Myers Squibb
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Address [3]
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Other collaborator category [4]
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Commercial sector/industry
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Name [4]
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Gilead Sciences
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Address [4]
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Other collaborator category [5]
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Commercial sector/industry
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Name [5]
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GlaxoSmithKline
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Address [5]
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Other collaborator category [6]
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Commercial sector/industry
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Name [6]
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Merck Sharp & Dohme LLC
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Address [6]
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Other collaborator category [7]
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Commercial sector/industry
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Name [7]
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Hoffmann-La Roche
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Address [7]
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Other collaborator category [8]
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Other
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Name [8]
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AIDS Council of New South Wales
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Address [8]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multi-centre, open-label, 96 week study to evaluate the safety, tolerability and extent and duration of improvement in HIV-1 infected subjects with antiretroviral induced facial lipoatrophy, randomised in a 1:1 ratio to receive immediate or deferred deep subcutaneous injections of poly-L-lactic acid (PLA). Subjects will receive 4 treatments of PLA approximately every 2nd week, either at trial entry or following a delay period of 24 weeks.
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Trial website
https://clinicaltrials.gov/study/NCT00126308
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Andrew Carr, A/Prof
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Address
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Immunology and Infectious Disease Unit, St. Vincent's Hospital, Sydney
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00126308
Download to PDF