HIV InfectionsNCT03958786
Frailty in People Living With HIV Aged 70 Years or More
A study testing Simplified Geriatric Evaluation and Sampling in people with HIV Infections, run by ANRS, Emerging Infectious Diseases at 1 site in France.
Trial summary
The ANRS EP66 SEPTAVIH Study aims to screen feasibility of evaluating frailty in people living with HIV aged 70 or older, to estimate its prevalence, to analyse associated risk factors and to evaluate the impact of frailty on pejorative events. Read more about this study
- Who is it for?
- Ages 70 years and older
- Conditions the study is for
- HIV Infections
- What is being tested?
- Simplified Geriatric Evaluation and Sampling
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 512 participants
- Where
- 1 siteFrance
- Study dates
- 15 May 2019to 22 Jun 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 70 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Patient aged 70 years and older
- HIV-1 infection
- Antiretroviral therapy for at least 12 months
- Free and signed informed consent (article L1122-1-1-1 of the French Public Health Code)
- Person affiliated or benefiting from a social security scheme -
Who cannot join
- Participation in another research study excluding participation in other studies
- Person under legal protection or deprived of liberty by a judicial or administrative decision
- Isolated HIV-2 infection
- Life expectancy of less than 6 months
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Frailty in People Living With HIV Aged 70 Years or More : Screening Feasibility, Prevalence, Risk Factors and Impact on Pejorative Events
The ANRS EP66 SEPTAVIH Study aims to screen feasibility of evaluating frailty in people living with HIV aged 70 or older, to estimate its prevalence, to analyse associated risk factors and to evaluate the impact of frailty on pejorative events.
SEPTAVIH is a French, multicentre, prospective, observational study which will include 500 HIV-infected participants
Read the detailed description
The primary objective is to assess the prevalence of frailty at baseline in People living with HIV (PLWH) aged 70 years and older, using the Fried index.
The main secondary objectives of this study are :
- To assess frequency frailty according to different indexes or scores (Fried, Health deficits Index, HAS score, VACS index)
- To evaluate the association between frailty and specific HIV-related characteristics (for example known duration of HIV infection), or non-specific factors (such as non- HIV-related diseases or living conditions)
- To evaluate theproportion of subjects with a pejorative event at 60 months of follow-up (recurrent or serious falls, emergency department visit, unscheduled hospitalization, institutionalization, loss of one point on the IADL scale or death)
- To evaluate the association between baseline frailty status and early / long-term pejorative events incidence
- Association between baseline evaluation of frailty and pejorative events incidence during the 60 months of follow-up.
- Transition between frail or non frail status during the 60 months of follow-up
- To assess the prevalence of sarcopenia and osteoporosis
- To describe study population including :
- Demographic characteristics
- HIV medical history and antiretroviral therapy
- Comorbidities, polymedication and evaluation of drug-drug interactions
- Mental Health, quality of life, socioeconomic status
- Healthcare use and additional care implementation (nursing, physical therapy, home care services, …)
- Assessment of Inflammatory and Immunosenescence biomarkers at Baseline
- Anthropologic substudy about HIV and polypathologies management
- Focus on COVID-19 with clinical questionnaire, self-administrated questionnaire, SARS CoV2 serology and biobank (serum library)
- Conditions
- HIV Infections
- Being tested
- Simplified Geriatric Evaluation, Sampling
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Simplified Geriatric EvaluationOther
- Questionnaires
- Self assessment questionnaires
- Mobility and balance tests
SamplingOther
- Blood samples : 35 ml will be collected at baseline, after signature of written informed consent, 7 ml at M12
| Study group | Role | What they receive |
|---|---|---|
| single arm | Experimental | 500 HIV-1 infected patients, aged 70 years and older Receives: Other: Simplified Geriatric Evaluation; Other: Sampling |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of frail patients at baseline
Proportion of patients classified as frail according to Fried at Baseline
Measured: 12 months
Secondary outcomes (5)
Proportion of frail subjects at M12, M24, M36, M48 and M60
Proportion of frail subjects at M12, M24, M36, M48 and M60 according to Fried
Measured: 60 months
Correlation between Baseline frailty status and early pejorative events incidence
Measure of association between frailty status and the existence of adverse health events (composite criterion defined by the existence of severe or repeated falls, use of emergency services, unscheduled hospitalization, institutionalization, loss of 1 point on the ADL scale, or death in the last 12 months)
Measured: 12 months
Correlation between Baseline frailty status and long terme pejorative events incidence
Measure of association between frailty status and the existence of adverse health events (composite criterion defined by the existence of severe or repeated falls, use of emergency services, unscheduled hospitalization, institutionalization, loss of an ADL score, or death over the entire follow-up period to 60 months)
Measured: 60 months
Transition between frail and non-frail status during 5 years of follow up
Evolution of the Fragility phenotype with estimation of the number of transitions from fragile to pre-fragile or robust status and the number of transitions from robust and pre-fragile status to fragile status.
Measured: 60 months
Proportion of frail subjects accoding different frailty scores
Proportion of frail subjects according to different frailty indexes or scores : Fried, Cumulative Health deficits Index, French HAS score, VACS Index
Measured: 60 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2019
- Study start15 May 2019
- Primary completion22 Jun 2021
- Study completion22 Jun 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- More trials run by ANRS, Emerging Infectious DiseasesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Multicenter, prospective study
- Masking
- None (open label)
- Enrolment
- 512 participants (actual)
Sponsor and investigators
- Lead sponsor
- ANRS, Emerging Infectious Diseases
- Sponsor type
- Other government
- Responsible party
- Sponsor
- Investigators
- Clotilde ALLAVENA, Principal investigator, Infectious Diseases - CHU Nantes- FranceLaurence MEYER, Principal investigator, INSERM CESP - FranceHubert BLAIN, Principal investigator, Geriatric Department - CHU Montpellier - FranceAlain MAKINSON, Principal investigator, Infectious Diseases - CHU Montpellier- FranceLaurence SLAMA, Principal investigator, Infectious Diseases - Hôtel Dieu Hospital Paris- France
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03958786
- Sponsor's protocol ID
- ANRS EP66 SEPTAVIH
- Status last verified
- May 2022
- First submitted
- 20 May 2019
- Last updated
- 17 May 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Sambou C, Pourette D, Debeaudrap P, Slama L, Katlama C, Cazanave C, Bonnet F, Meyer L, Allavena C. The burden of secrecy in the management of multimorbidity in older people living with HIV aged 70 and over. AIDS Care. 2024 Aug;36(8):1094-1101. doi: 10.1080/09540121.2024.2372723. Epub 2024 Jul 8.
PubMed 38976641
Study at a glance
From the registry record, last updated by the sponsor on 17 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Frailty in People Living With HIV Aged 70 Years or More : Screening Feasibility, Prevalence, Risk Factors and Impact on Pejorative Events
- ClinicalTrials.gov ID
- NCT03958786
- Acronym / sponsor ID
- ANRS EP66 SEPTAVIH
- Conditions
- HIV Infections
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 512 participants (actual)
- Lead sponsor
- ANRS, Emerging Infectious DiseasesOther government
- Study start
- 15 May 2019 (actual)
- Primary completion
- 22 Jun 2021 (actual)
- Study completion
- 22 Jun 2024 (estimated)
- First posted
- 22 May 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The ANRS EP66 SEPTAVIH Study aims to screen feasibility of evaluating frailty in people living with HIV aged 70 or older, to estimate its prevalence, to analyse associated risk factors and to evaluate the impact of frailty on pejorative events.
SEPTAVIH is a French, multicentre, prospective, observational study which will include 500 HIV-infected participants
Detailed description
The primary objective is to assess the prevalence of frailty at baseline in People living with HIV (PLWH) aged 70 years and older, using the Fried index.
The main secondary objectives of this study are :
- To assess frequency frailty according to different indexes or scores (Fried, Health deficits Index, HAS score, VACS index)
- To evaluate the association between frailty and specific HIV-related characteristics (for example known duration of HIV infection), or non-specific factors (such as non- HIV-related diseases or living conditions)
- To evaluate theproportion of subjects with a pejorative event at 60 months of follow-up (recurrent or serious falls, emergency department visit, unscheduled hospitalization, institutionalization, loss of one point on the IADL scale or death)
- To evaluate the association between baseline frailty status and early / long-term pejorative events incidence
- Association between baseline evaluation of frailty and pejorative events incidence during the 60 months of follow-up.
- Transition between frail or non frail status during the 60 months of follow-up
- To assess the prevalence of sarcopenia and osteoporosis
- To describe study population including :
- Demographic characteristics
- HIV medical history and antiretroviral therapy
- Comorbidities, polymedication and evaluation of drug-drug interactions
- Mental Health, quality of life, socioeconomic status
- Healthcare use and additional care implementation (nursing, physical therapy, home care services, …)
- Assessment of Inflammatory and Immunosenescence biomarkers at Baseline
- Anthropologic substudy about HIV and polypathologies management
- Focus on COVID-19 with clinical questionnaire, self-administrated questionnaire, SARS CoV2 serology and biobank (serum library)
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Multicenter, prospective study
| Arm | Type | Receives |
|---|---|---|
| single arm | Experimental | Other: Simplified Geriatric Evaluation, Other: Sampling500 HIV-1 infected patients, aged 70 years and older |
Who may qualify
- Ages
- 70 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (5 listed)
- Patient aged 70 years and older
- HIV-1 infection
- Antiretroviral therapy for at least 12 months
- Free and signed informed consent (article L1122-1-1-1 of the French Public Health Code)
- Person affiliated or benefiting from a social security scheme -
Key exclusion criteria (4 listed)
- Participation in another research study excluding participation in other studies
- Person under legal protection or deprived of liberty by a judicial or administrative decision
- Isolated HIV-2 infection
- Life expectancy of less than 6 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Simplified Geriatric Evaluation* Questionnaires * Self assessment questionnaires * Mobility and balance tests | Other | single arm |
| Sampling- Blood samples : 35 ml will be collected at baseline, after signature of written informed consent, 7 ml at M12 | Other | single arm |
Primary outcome
Proportion of frail patients at baseline
Time frame: 12 months
Proportion of patients classified as frail according to Fried at Baseline
5 secondary outcomes
Proportion of frail subjects at M12, M24, M36, M48 and M60
Time frame: 60 months
Correlation between Baseline frailty status and early pejorative events incidence
Time frame: 12 months
Correlation between Baseline frailty status and long terme pejorative events incidence
Time frame: 60 months
Transition between frail and non-frail status during 5 years of follow up
Time frame: 60 months
Proportion of frail subjects accoding different frailty scores
Time frame: 60 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 May 2022.
- Derived from this study: PubMed 38976641Sambou C, Pourette D, Debeaudrap P, Slama L, Katlama C, Cazanave C, Bonnet F, Meyer L, Allavena C. The burden of secrecy in the management of multimorbidity in older people living with HIV aged 70 and over. AIDS Care. 2024 Aug;36(8):1094-1101. doi: 10.1080/09540121.2024.2372723. Epub 2024 Jul 8.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clotilde ALLAVENA principal investigator
Infectious Diseases - CHU Nantes- France
Laurence MEYER principal investigator
INSERM CESP - France
Hubert BLAIN principal investigator
Geriatric Department - CHU Montpellier - France
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Simplified Geriatric Evaluation and Sampling in people with HIV Infections, run by ANRS, Emerging Infectious Diseases at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 17 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of frail patients at baseline (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03958786, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 May 2022.