ACTG A5321: Decay of HIV-1 Reservoirs in Subjects on Long-Term Antiretroviral Therapy: The ACTG HIV Reservoirs Cohort (AHRC) Study
AHRC (pronounced “ARC”) is a study of differences and changes over time in HIV reservoirs (groups of HIV-infected cells that “hide” from anti-HIV medications). Blood will be collected twice a year for about 7 years from HIV-infected participants on anti-HIV therapy.
This study is being done to try to answer questions about the ways that HIV infection is controlled. This may have to do with a person’s viral load and CD4 count when they started their anti-HIV medications, how soon after their HIV infection they started anti-HIV medications, and/or genetic factors.
HIV-infected men and women at least 18 years of age, who:
Participants will attend visits twice a year for about 7 years. At these visits, blood and a small amount of hair will be collected.
Participants who meet additional criteria will be asked to have one set of additional optional procedures at some point after they enter the study. The special procedures are a neurological assessment (some simple tests to measure your coordination and memory) and a lumbar puncture or spinal tap. The spinal tap will be done to collect some fluid from your spinal column; tests on this fluid can tell researchers about HIV in the brain. Anyone asked to participate in this part of the study will be given more information about it and will have an opportunity to ask questions before making a decision. You do not have to decide now.
Participants must be taking and planning to continue taking their current anti-HIV medications. These medications will not be supplied through this study.
Separate but related fluid and tissue collections are planned as a substudy of A5321 known as A5341s (Longitudinal Sampling Substudy of A5321). Participants will undergo different types of procedures to help understand how and where HIV might remain even though the level of HIV in their blood has been very low while taking anti-HIV drugs. See below.
A5341s: Longitudinal Sampling Substudy of A5321
This substudy will compare samples from different reservoirs to learn more about the following:
A5321 participants are eligible to enroll in the A5341s substudy if they:
NOTE: When the substudy A5341s first opens to enrollment, only people who are willing to be in Group A, Group B, or Group C (with or without being in one other group) may enroll. People who are only willing to be in Group D will not be able to enroll until later.
Participants enrolled in one or more groups will undergo the following procedures:
All participants will also have blood and hair samples collected and neuropsychological testing performed approximately every 6 months.
Participants will be expected to stay in the substudy A5341s for about 2 years while still remaining in the main study A5321. Some A5321 and A5341s visits can be combined.