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Safety and Efficacy of T8 on Treating Chronic Abnormal Immune Activation in HIV/AIDS Patients

Primary Purpose

Chronic Abnormal Immune Activation in HIV/AIDS

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
T8 tablet 0.5mg
T8 tablet 1mg
Placebo
Sponsored by
Shanghai Pharmaceuticals Holding Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Abnormal Immune Activation in HIV/AIDS focused on measuring Chronic abnormal immune activation, AIDS, T8, Efficacy, Safety

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 1.Male or female whose age is 18-65.
  • 2.Body mass index (BMI) ≥18 (kg/m2); Male weight ≥50kg, female weight ≥45kg.
  • 3.Chronic HIV infections with treated by HAART over 4 years.
  • 4.Subjects must meet the criteria for sustained virology inhibition: maintain HIV-1 RNA below the lower limit of detection (50 copies /mL) over 3.5 years, except for transient venereal; Subjects should provide at least 2 test results of HIV-1 RNA lower than the lower limit of detection, and the earliest detection time is earlier than 3.5 years.

HIV-1 RNA should be less than 50 copies /mL at subject screening.

  • 5.Subjects must meet the criteria for immunoreestablishment insufficiency: CD4+ T lymphocyte count < 350 /μL in 1 year before screening; Test results of CD4+ T lymphocyte count < 350 /μL should be provided at least 2 times, and the interval between these two tests should be ≥3 months (the results of screening period will be accepted).

When subjects are screened for enrollment, CD4+ T lymphocyte count should be < 350 /μL.

  • 6.No birth planning during the trial and within 1 year after the trial; subjects must agree to use effective non-drug contraception during the trial.
  • 7.Understand and sign informed consent voluntarily.

Exclusion Criteria:

  • 1.Have a history of allergic to tripterygium wilfordii drugs; be allergic constitution.
  • 2.Pregnant or lactating women.
  • 3.Those who had received immunosuppressant or other immunomodulator (e.g., thymosin) or systemic cytotoxic drug therapy within 6 months befor screening.
  • 4.Diagnosed with other types of immunodeficiency.
  • 5.Active opportunistic infection.
  • 6.The titers of antinuclear antibody is higher than 1:160.
  • 7.HBsAg was (+), and/or anti-HCV and HCV-RNA were (+)
  • 8.Who have a history of vaccination within 6 weeks or plan to be vaccinated in the next year.
  • 9.Diagnosed with malignant tumors.
  • 10.the laboratory test meets any of the following conditions:

    • hemoglobin (HGB) < 100g/L;
    • white blood cell (WBC) count < 3.5×10^9/L or neutrophil count (NEUT) < 1.5×10^9/L;
    • platelet count (PLT) < 80×10^9/ L;
    • blood creatinine (Cr)>1.5 times normal upper limit (ULN);
    • alanine aminotransferase (ALT) > double normal upper limit (ULN);
    • aspartate transaminase (AST) > double normal upper limit (ULN);
    • alkaline phosphatase (ALP) > double normal upper limit (ULN);
    • total bilirubin (TBIL) > 1.5 times normal upper limit (ULN).
  • 11.Diagnosed with Severe gastrointestinal disease.
  • 12.Diagnosed with severe cardiovascular disease (including unstable angina pectoris, severe arrhythmia)
  • 13.Diagnosed with Severe cerebrovascular disease
  • 14.Having a history of alcohol and drug abuse.
  • 15.Participate in other clinical trials within 3 months before screening.
  • 16.Any other conditions that the researcher considers not to be able to participate in this study.

Sites / Locations

  • Peking Union Medical College Hospital
  • Beijing Dita Hospital, Capital Medical University
  • Beijing You An Hospital, Capital Medical University
  • The First Hospital of Changsha
  • The Second Hospital of Nanjing
  • Yun Provincial Infectious Disease Hospital
  • Xixi Hospital of Hangzhou
  • The First Affiliated Hospital, Zhejiang University
  • Tianjin Second People's Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

T8 tablet 0.5mg

T8 tablet 1mg

Placebo

Arm Description

Oral T8 tablet with HARRT, 0.5mg, once daily for 48 week

Oral T8 tablet with HARRT, 1mg, once daily for 48 week

Oral Placebo with HARRT, once daily for 48 week

Outcomes

Primary Outcome Measures

CD4+ T lymphocyte count
The changes of CD4+ T lymphocyte count from baseline
The proportion of subjects whose CD4+ T lymphocyte count increased by≥50 /μL from baseline
The proportion of subjects whose CD4+ T lymphocyte count increased by≥50 /μL from baseline
The changes of inflammatory factors
The quantitative changes of inflammatory factors(IP-10、hsCRP、IL-6)from baseline

Secondary Outcome Measures

CD4+/CD8+T lymphocyte ratio
The changes of CD4+/CD8+T lymphocytes from baseline
The proportion of subjects whose CD4+ T lymphocyte count is increased by ≥20% from baseline
The proportion of subjects whose CD4+ T lymphocyte count is increased by ≥20% from baseline
The proportion of subjects whose CD4+ T lymphocyte count ≥ 200 /μL
The proportion of subjects whose CD4+ T lymphocyte count after treatment is≥200/μL, among subjects with CD4+T lymphocyte counts < 200/μL at baseline.
Incidence of AE and SAE
The incidence of AE and SAE

Full Information

First Posted
September 5, 2019
Last Updated
March 28, 2023
Sponsor
Shanghai Pharmaceuticals Holding Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04084444
Brief Title
Safety and Efficacy of T8 on Treating Chronic Abnormal Immune Activation in HIV/AIDS Patients
Official Title
Efficacy and Safety of T8 on Treating Chronic Abnormal Immune Activation in HIV/AIDS Patients: A Multicenter, Randomized, Double-blind, Dose-finding, Placebo-controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
December 25, 2019 (Actual)
Primary Completion Date
July 5, 2022 (Actual)
Study Completion Date
July 5, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Pharmaceuticals Holding Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a multicenter, randomized, double-blind, dose-finding, placebo-controlled study in patients with chronic HIV infection and inadequate immune restoration treated with long-term highly active antiretroviral therapy (HAART). A total of 150 eligible subjects will be selected and randomized at a ratio of 1:1:1 into T8 0.5 mg QD, 1 mg QD, and placebo group, with background HAART unchanged, for 48 consecutive weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Abnormal Immune Activation in HIV/AIDS
Keywords
Chronic abnormal immune activation, AIDS, T8, Efficacy, Safety

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
151 (Actual)

8. Arms, Groups, and Interventions

Arm Title
T8 tablet 0.5mg
Arm Type
Experimental
Arm Description
Oral T8 tablet with HARRT, 0.5mg, once daily for 48 week
Arm Title
T8 tablet 1mg
Arm Type
Experimental
Arm Description
Oral T8 tablet with HARRT, 1mg, once daily for 48 week
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Oral Placebo with HARRT, once daily for 48 week
Intervention Type
Drug
Intervention Name(s)
T8 tablet 0.5mg
Other Intervention Name(s)
Leiteng Shu
Intervention Description
Immune regulation, inhibition of acute nonspecific inflammation and chronic inflammation.
Intervention Type
Drug
Intervention Name(s)
T8 tablet 1mg
Other Intervention Name(s)
Leiteng Shu
Intervention Description
Immune regulation, inhibition of acute nonspecific inflammation and chronic inflammation.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Blank control.
Primary Outcome Measure Information:
Title
CD4+ T lymphocyte count
Description
The changes of CD4+ T lymphocyte count from baseline
Time Frame
48 week
Title
The proportion of subjects whose CD4+ T lymphocyte count increased by≥50 /μL from baseline
Description
The proportion of subjects whose CD4+ T lymphocyte count increased by≥50 /μL from baseline
Time Frame
48 week
Title
The changes of inflammatory factors
Description
The quantitative changes of inflammatory factors(IP-10、hsCRP、IL-6)from baseline
Time Frame
48 week
Secondary Outcome Measure Information:
Title
CD4+/CD8+T lymphocyte ratio
Description
The changes of CD4+/CD8+T lymphocytes from baseline
Time Frame
24 week and 48 week
Title
The proportion of subjects whose CD4+ T lymphocyte count is increased by ≥20% from baseline
Description
The proportion of subjects whose CD4+ T lymphocyte count is increased by ≥20% from baseline
Time Frame
24 week and 48 week
Title
The proportion of subjects whose CD4+ T lymphocyte count ≥ 200 /μL
Description
The proportion of subjects whose CD4+ T lymphocyte count after treatment is≥200/μL, among subjects with CD4+T lymphocyte counts < 200/μL at baseline.
Time Frame
24 week and 48 week
Title
Incidence of AE and SAE
Description
The incidence of AE and SAE
Time Frame
24 week and 48 week
Other Pre-specified Outcome Measures:
Title
The changes of the proportion of CD8+ T lymphocyte activation
Description
The changes of the proportion of CD8+ T lymphocyte activation (CD8+CD38+%,CD8+HLA-DR+%) from baseline
Time Frame
24 week and 48 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Chinese subjects aged 18-65, male or female; Subjects with Body mass index (BMI) ≥18 (kg/m2); Male weight ≥50kg, female weight ≥45kg; Subjects must meet the criteria; No birth planning; Understand and sign informed consent form voluntarily. Exclusion Criteria: allergic constitution; Pregnant or lactating women; Subjects who have been diagnosed with malignant tumors; Subjects whose laboratory tests meet the conditions; Subjects who have been diagnosed with severe gastrointestinal diseases; Subjects who have been diagnosed with severe cardiovascular disease; Subjects who have been diagnosed with severe cerebrovascular disease; Subjects with history of alcohol and drug abuse; Subjects who have participated in any other clinical trial; Subjects who have any conditions that the investigator considers not suitable for this trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Taisheng Li, PhD
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100032
Country
China
Facility Name
Beijing Dita Hospital, Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing You An Hospital, Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
The First Hospital of Changsha
City
Changsha
State/Province
Hunan
Country
China
Facility Name
The Second Hospital of Nanjing
City
Nanjing
State/Province
Jiangsu
Country
China
Facility Name
Yun Provincial Infectious Disease Hospital
City
Kunming
State/Province
Yunnan
ZIP/Postal Code
650399
Country
China
Facility Name
Xixi Hospital of Hangzhou
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310023
Country
China
Facility Name
The First Affiliated Hospital, Zhejiang University
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
Tianjin Second People's Hospital
City
Tianjin
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Safety and Efficacy of T8 on Treating Chronic Abnormal Immune Activation in HIV/AIDS Patients

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