Project 170855

Understanding virological and host determinants of HIV disease progression in a cohort of slow progressors

170855

Understanding virological and host determinants of HIV disease progression in a cohort of slow progressors

$983,939
Project Information
Study Type: Observational Cohort_Study
Therapeutic Area: Infectious_Disease
Research Theme: Clinical
Disease Area: HIV infection
Data Type: Canadian
Institution & Funding
Abstract Summary

A certain number of patients, very few, infected with HIV are able to control the virus with no anti-HIV medication. This group of rare patients has been identified as «long term non-progressors» and may have special mechanisms that enables them to control the virus on their own. Learning more about such mechanisms may be very important to help designing vaccines and/or new therapies or prevention strategies for HIV. We will be recruiting HIV-1 infected subjects who are long term non-progressors and patients who have a normal disease progression, to study how various factors such as the type of virus they are infected with, their immune system, or their cells, help them to control the infection. In addition, we want to determine the long-term clinical and psychological natural history of the infection for such patients and evaluate whether superinfection may alter their disease progression.

Research Characteristics

This project includes the following research characteristics:

Patient Reported Outcomes
Real World Evidence
Patient Engagement
Comorbidity Focus
Social Determinants
Health Equity
Biobank Use
Cohort Establishment
Multicenter
Knowledge Translation Focus
Equity Considerations
Quality of Life
Biomarker Endpoints
Time to Event
Composite Endpoint
Vulnerable Populations
Personalized Medicine
Study Justification

"recruiting HIV-1 infected subjects who are long term non-progressors and patients who have a normal disease progression, to study how various factors such as the type of virus they are infected with, their immune system, or their cells, help them to control the infection"

Novelty Statement

"Learning more about such mechanisms may be very important to help designing vaccines and/or new therapies or prevention strategies for HIV."

Methodology Innovation

comparing long-term non-progressors with normal progressors to understand mechanisms of HIV control

Keywords
Envelope Hiv-1 Host Factors Immune Escape Long-Term Non Progressor Long-Term Survivor Nef Recombination Sequencing Superinfection Transmission Viral Diversity Viral Evolution