Skip to main content
. 2017 May 25;2017(5):CD009818. doi: 10.1002/14651858.CD009818.pub2

Amendola 2000.

Methods Open‐label RCT
Participants 22 HIV‐infected adults (12 males and 10 females)
Inclusion criteria
  • HIV‐infected adults > 18 years of age.

  • Asymptomatic.

  • CD4 cell count > 400 to 600 cells/mm³.

  • Viral load > 5000 copies/mL.


Exclusion criteria
  • Prior exposure to antiretrovirals, immunomodulators, corticosteroids.

  • Hepatitis B and C infection.

  • Patients with autoimmune disease.

Interventions The participants were enrolled in 3 randomized groups.
  • Six participants (group 1) were treated with ART (Indinavir 2400 mg/day; stavudine 60 ± 80 mg/day; lamivudine 300 mg/day).

  • Eight participants (group 2) were treated with ART and IL‐2 (aldesleukin, 1000 000 U/day ) subcutaneously, 5 days/week at alternative weeks).

  • Eight participants (group 3) received granulocyte colony‐stimulating factor (G‐CSF; filgrastim, 5 mg/kg per day, for 5 consecutive days) to stimulate hematopoietic progenitor cell mobilization before starting ART and rIL‐2.


All participants were treated with ART for 1 month before receiving differentiated therapies (ART; ART 1rIL‐2; (G‐CSF) ART 1rIL‐2) for an additional 12/24 weeks.
Outcomes
  • CD4 cell count.

  • Viral load.

  • Level of peripheral mononuclear blood cell apoptosis.

  • Expression of CD45RA and CD62L T naive cells and memory cells.

Notes The trial was conducted in Italy.
Duration of follow‐up: 24 weeks.
Outcomes were analysed at baseline, 12, and 24 weeks.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The trial authors did not describe whether this was done or not.
Allocation concealment (selection bias) Unclear risk The trial authors did not describe whether this was done or not.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk The trial was not blinded. However, the outcomes measures are objective and unlikely to have been influenced by lack of blinding.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk The study was not blinded. However, the outcomes measures are objective and unlikely to have been influenced by lack of blinding.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk We do not have enough information from the trial to make a judgement.
Selective reporting (reporting bias) Low risk There was no evidence of selective reporting.
Other bias Low risk We did not identify any other potential sources of bias.