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Tolerance and immunological response in human immunodeficiency virus (HIV) seropositive individuals after NR100063 supplementation
ISRCTN ISRCTN30730587
ClinicalTrials.gov identifier
Public title Tolerance and immunological response in human immunodeficiency virus (HIV) seropositive individuals after NR100063 supplementation
Scientific title Tolerance and immunological response in human immunodeficiency virus (HIV) seropositive individuals after NR100063 supplementation: a randomised double-blind placebo-controlled three-arm parallel study
Acronym COPA
Serial number at source 100063
Study hypothesis H0: No difference between Group 1 (Copa 2x dose), Group 2 (Copa 1x dose) and the control group on variable
H1: At least two of the three treatments differ from each other
Lay summary Not provided at time of registration
Ethics approval Local ethics approval (Comitato Etico Ospedale “Luigi Sacco”, Milano, Italy) given on the 1st April 2005 (ref: 125/2005 3)
Study design Randomised double-blind placebo controlled three-arm parallel study
Countries of recruitment Italy
Disease/condition/study domain Human immunodeficiency virus (HIV)
Participants - inclusion criteria 1. Treatment-naïve HIV-positive individuals with no stage 3 illness
2. At least 18 years of age
3. Males or non-pregnant, non-lactating females
4. Never received antiretroviral treatment
5. CD4+ T-cell counts between 400 and 800 cells/uL
6. Plasma HIV-1 ribonucleic acid (RNA) levels between 1,000 and 65,000 copies/mL
Participants - exclusion criteria 1. Self reported vaccination during the 2 months prior to inclusion, or intention to be vaccinated during study period
2. Acute febrile illness
3. Current antibiotic use
4. Current use of corticosteroids or other immune modulating medications
5. Self reported history of IL-2 administration or other vaccine candidates in the past 5 years
6. The use of probiotics or fibres in nutritional health products or supplements
7. Investigator's uncertainty about the willingness or ability of the patient to comply with the protocol requirements, such as drug or alcohol abuse, mental disorder
8. Participation (or intention to participate) in any other studies involving investigational or marketed products concomitantly or within four weeks prior to entry into the study
Anticipated start date 01/06/2005
Anticipated end date 08/08/2006
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 60 planned; 57 actual (stopped after interim analysis)
Interventions Group 1 (n = 20): Double dose; supplementation for 12 weeks plus 4 weeks supplement-free follow up
Group 2 (n = 20): Single dose; supplementation for 12 weeks plus 4 weeks
supplement-free follow up
Group 3 (n = 20): Placebo/control; supplementation for 12 weeks plus 4 weeks supplement-free follow up

Dose regimen: 3 times daily x 16 grams = 48 grams of powder per day (for all three arms). Of these 48 grams, the double dose group received 30 grams of NR100063, the single dose group 15 grams of NR100063. The remainder of the product consisted of inert sugars and maltodextrin. The placebo group received 48 grams of maltodextrin. The powder was to be dissolved in water or juice, or mixed with yoghurt.

Duration of study: 16 weeks
Primary outcome measure(s) The determination of tolerance and safety during the supplementation period. Blood samples drawn at baseline, week 4, week 12 and week 16 and tolerance was assessed at each visit using recall questionnaire.
Secondary outcome measure(s) To establish the effects of supplementation on biomarkers:
1. HIV immune biomarkers
2. Gut activity assessed by faecal biomarkers
3. Viral load
4. CD4 counts

Blood samples drawn at baseline, week 4, week 12 and week 16 and stool samples were collected at baseline and after 12 weeks.
Sources of funding Danone Research B.V. (Netherlands) - Centre for Specialised Nutrition
Trial website
Publications 1. 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18094140
2. 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21525866
Contact name Dr  Andrea  Gori
  Address Ospedale “Luigi Sacco”
Via Giovanni Battista Grassi, 74
  City/town Milano
  Zip/Postcode 20157
  Country Italy
  Email andrea.gori@unimib.it
Sponsor Danone Research B.V. (Netherlands)
  Address Centre for Specialised Nutrition
Bosrandweg 20
  City/town Wageningen
  Zip/Postcode 6704PH
  Country Netherlands
  Tel +31 (0)31 746 7800
  Fax +31 (0)31 746 6500
  Email barbara.mourmans@danone.com
  Sponsor website: http://www.danone.com/en/research-innovations.html
Date applied 05/07/2010
Last edited 21/12/2011
Date ISRCTN assigned 29/07/2010
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