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Safety and Tolerability of Pegylated Interferon (PEG-IFN) Alfa-2a in HIV Infected People

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Pegylated interferon alfa-2a
Sponsored by
National Institute of Allergy and Infectious Diseases (NIAID)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring Treatment Experienced, Treatment Interruption, Treatment Naive

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: HIV infected CD4 count of 300 cells/ml or greater within 30 days of study entry HIV viral load of 5000 copies/ml or greater within 30 days of study entry Received ART previously but have currently interrupted treatment within 12 weeks prior to study entry OR ART naive Willing to delay initiation or re-initiation of antiretroviral medications for the duration of the study Agree to use acceptable forms of contraception Exclusion Criteria: Previous use of interferon alfa Known allergy or sensitivity to PEG-IFN alfa-2a or its formulation Active drug or alcohol abuse that would interfere with the study Acute therapy for a serious infection within 30 days of study entry Use of non-protocol-specified immunomodulatory therapy within 60 days of study entry Active immunization within 30 days of study entry History of severe psychiatric disease such as major depression, suicidal attempt, hospitalization for psychiatric disease, or a period of disability due to psychiatric disease History of poorly controlled thyroid disease, including history of elevated thyroid stimulating hormone (TSH) levels with elevated antibodies to thyroid peroxidase and any clinical manifestations of thyroid disease History of clinically significant heart disease that could be worsened by acute anemia History of severe seizure disorder or current anticonvulsant use Hepatitis C antibody positive within 60 days prior to study entry Hepatitis B surface antigen positive within 60 days prior to study entry Known sensitivity to E. coli derived products, such as filgrastim Any past evidence of chronic liver disease Any past or current evidence of immunologically-mediated disease Evidence of chronic pulmonary disease Severe eye problems due to diabetes, hypertension, cytomegalovirus infection, or macular degeneration History of major organ transplantation with an existing functional graft History or other evidence of severe illness, cancer, or other conditions that would make the patient unsuitable for the study Hemoglobin abnormalities or any other cause of or tendency for breakdown of red blood cells Any medical condition that would prevent successful completion of the study Use of certain medications Pregnant or breastfeeding

Sites / Locations

  • University of California, Davis Medical Center
  • Northwestern University
  • Duke University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Participants will receive weekly injections of 180 mcg PEG-IFN alfa-2a at the clinic for 12 weeks. After Week 12, participants will be followed off-treatment until Week 18.

Outcomes

Primary Outcome Measures

CD4 count
CD8 count
Laboratory and clinical adverse effects

Secondary Outcome Measures

Full Information

First Posted
February 25, 2004
Last Updated
August 6, 2009
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT00078442
Brief Title
Safety and Tolerability of Pegylated Interferon (PEG-IFN) Alfa-2a in HIV Infected People
Official Title
A Phase II Open-Label Pilot Trial of the Antiretroviral Activity, Safety, and Tolerability of Pegylated Interferon Alfa-2A (40KD) [PegasysTM] in HIV-1 Infected Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
August 2009
Overall Recruitment Status
Completed
Study Start Date
May 2006 (undefined)
Primary Completion Date
January 2007 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

5. Study Description

Brief Summary
Recombinant interferon (IFN) may be useful in the treatment of HIV. However, the high doses of IFN necessary to keep HIV under control limit its use due to toxic side effects. The purpose of this study is to test the safety and tolerability of weekly recombinant pegylated interferon (PEG-IFN) alfa-2a in HIV infected people who are currently on antiretroviral therapy (ART) interruption or who have not started taking anti-HIV drugs.
Detailed Description
IFN is an immune response enhancer and is produced in the body in response to viral infection. PEG-IFN may have less harmful side effects than non-pegylated IFN. Recombinant PEG-IFN alfa-2a is a synthetic version of IFN and is used in hepatitis C virus treatment. PEG-IFN alfa-2a has demonstrated potentially useful antiviral properties in HIV treatment; however, due to the high doses that must be administered to maintain viral suppression, toxicity (especially to the blood) is a concern. This study will evaluate the safety, tolerability, and antiretroviral activity of PEG-IFN alfa-2a in HIV infected patients who have received ART in the past but are currently off ART or who are ART naive. The study will last 18 weeks. Participants will receive weekly injections of 180 mcg PEG-IFN alfa-2a at the clinic for 12 weeks. After Week 12, participants will be followed off-treatment until Week 18. Physical exams will be performed weekly. Blood collection to monitor viral load, PEG-IFN alfa-2a serum levels, and CD4 and CD8 counts will be conducted at selected weeks during the study. Filgrastim will be given to patients who exhibit neutropenic toxicity.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Treatment Experienced, Treatment Interruption, Treatment Naive

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Participants will receive weekly injections of 180 mcg PEG-IFN alfa-2a at the clinic for 12 weeks. After Week 12, participants will be followed off-treatment until Week 18.
Intervention Type
Drug
Intervention Name(s)
Pegylated interferon alfa-2a
Intervention Description
Recombinant PEG-IFN alfa-2a is a synthetic version of IFN and is used in hepatitis C virus treatment
Primary Outcome Measure Information:
Title
CD4 count
Time Frame
Throughout study
Title
CD8 count
Time Frame
Throughout study
Title
Laboratory and clinical adverse effects
Time Frame
Throughout study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: HIV infected CD4 count of 300 cells/ml or greater within 30 days of study entry HIV viral load of 5000 copies/ml or greater within 30 days of study entry Received ART previously but have currently interrupted treatment within 12 weeks prior to study entry OR ART naive Willing to delay initiation or re-initiation of antiretroviral medications for the duration of the study Agree to use acceptable forms of contraception Exclusion Criteria: Previous use of interferon alfa Known allergy or sensitivity to PEG-IFN alfa-2a or its formulation Active drug or alcohol abuse that would interfere with the study Acute therapy for a serious infection within 30 days of study entry Use of non-protocol-specified immunomodulatory therapy within 60 days of study entry Active immunization within 30 days of study entry History of severe psychiatric disease such as major depression, suicidal attempt, hospitalization for psychiatric disease, or a period of disability due to psychiatric disease History of poorly controlled thyroid disease, including history of elevated thyroid stimulating hormone (TSH) levels with elevated antibodies to thyroid peroxidase and any clinical manifestations of thyroid disease History of clinically significant heart disease that could be worsened by acute anemia History of severe seizure disorder or current anticonvulsant use Hepatitis C antibody positive within 60 days prior to study entry Hepatitis B surface antigen positive within 60 days prior to study entry Known sensitivity to E. coli derived products, such as filgrastim Any past evidence of chronic liver disease Any past or current evidence of immunologically-mediated disease Evidence of chronic pulmonary disease Severe eye problems due to diabetes, hypertension, cytomegalovirus infection, or macular degeneration History of major organ transplantation with an existing functional graft History or other evidence of severe illness, cancer, or other conditions that would make the patient unsuitable for the study Hemoglobin abnormalities or any other cause of or tendency for breakdown of red blood cells Any medical condition that would prevent successful completion of the study Use of certain medications Pregnant or breastfeeding
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Asmuth, MD
Organizational Affiliation
Division of Infectious and Immunologic Diseases, University of California, Davis Medical Center
Official's Role
Study Chair
Facility Information:
Facility Name
University of California, Davis Medical Center
City
Sacramento
State/Province
California
ZIP/Postal Code
95814
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611-3015
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
11693314
Citation
Bain VG. Effect of HCV viral dynamics on treatment design: lessons learned from HIV. Am J Gastroenterol. 2001 Oct;96(10):2818-28. doi: 10.1111/j.1572-0241.2001.04234.x.
Results Reference
background
PubMed Identifier
14556604
Citation
Dwyer JT, Paul SM. HIV and hepatitis C co-infection. N J Med. 2003 Sep;100(9 Suppl):50-4; quiz 77-8.
Results Reference
background
PubMed Identifier
11504966
Citation
Emilie D, Burgard M, Lascoux-Combe C, Laughlin M, Krzysiek R, Pignon C, Rudent A, Molina JM, Livrozet JM, Souala F, Chene G, Grangeot-Keros L, Galanaud P, Sereni D, Rouzioux C; Primoferon A Study Group. Early control of HIV replication in primary HIV-1 infection treated with antiretroviral drugs and pegylated IFN alpha: results from the Primoferon A (ANRS 086) Study. AIDS. 2001 Jul 27;15(11):1435-7. doi: 10.1097/00002030-200107270-00014.
Results Reference
background
PubMed Identifier
14513386
Citation
Kawakami K. Promising immunotherapies with Th1-related cytokines against infectious diseases. J Infect Chemother. 2003 Sep;9(3):201-9. doi: 10.1007/s10156-003-0263-5.
Results Reference
background
PubMed Identifier
14499239
Citation
Levy JA, Scott I, Mackewicz C. Protection from HIV/AIDS: the importance of innate immunity. Clin Immunol. 2003 Sep;108(3):167-74. doi: 10.1016/s1521-6616(03)00178-5. No abstract available.
Results Reference
background
PubMed Identifier
20420510
Citation
Asmuth DM, Murphy RL, Rosenkranz SL, Lertora JJ, Kottilil S, Cramer Y, Chan ES, Schooley RT, Rinaldo CR, Thielman N, Li XD, Wahl SM, Shore J, Janik J, Lempicki RA, Simpson Y, Pollard RB; AIDS Clinical Trials Group A5192 Team. Safety, tolerability, and mechanisms of antiretroviral activity of pegylated interferon Alfa-2a in HIV-1-monoinfected participants: a phase II clinical trial. J Infect Dis. 2010 Jun 1;201(11):1686-96. doi: 10.1086/652420.
Results Reference
derived

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Safety and Tolerability of Pegylated Interferon (PEG-IFN) Alfa-2a in HIV Infected People

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