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Anti-HIV Activity and Safety of 3 Different Doses of Mifepristone in HIV Infected People

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Mifepristone
Sponsored by
National Institute of Allergy and Infectious Diseases (NIAID)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring Mifepristone, Mifeprex, RU486, VGX-410, Abortion Pill, Investigational Drug

Eligibility Criteria

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

Inclusion Criteria: HIV-1 infected CD4 count of 350 cells/mm3 or more within 90 days prior to study entry HIV-1 viral load of 2000 copies/ml or more within 90 days prior to study entry Willing to use acceptable forms of contraception during the study and for 30 days after stopping study medication If currently taking precautionary concomitant medications, must be on stable doses for more than 8 weeks prior to study entry and have no plans to change medications or doses for the duration of the study Body weight at least 40 kg (88 lbs) within 90 days prior to study entry Exclusion Criteria: Antiretroviral treatment (ART) within 16 weeks prior to study entry, or intend to start ART within 60 days after entry Adrenal disorders History of autoimmune endocrine disease in self or family History of active hepatitis B or C Current treatment for hepatitis B or C Moderate to severe liver disease Blood disorders or current anticoagulant therapy Prior pituitary tumor, surgery, radiation treatment, or pituitary failure Moderate to large goiters or thyroid nodules Diabetes mellitus Unusual uterine bleeding within 12 months prior to study entry Current hormonal contraception or intrauterine (IUD) use, including progesterone-containing vaginal rings Pregnancy within 90 days prior to study entry Breast-feeding Drugs that act as inhibitors or inducers of metabolism by cytochrome P450 3A4 Systemic corticosteroids or hormonal agents within 90 days prior to study entry Any immunomodulator, HIV vaccine, or investigational therapy within 90 days prior to study entry Any vaccination within 30 days prior to study entry Systemic cytotoxic chemotherapy within 90 days prior to study entry History of allergy to mifepristone or the study formulations Current drug or alcohol abuse that, in the opinion of the investigator, may interfere with the study Any other conditions that may interfere with participant evaluation during the study Serious illness requiring systemic treatment or hospitalization. Patients who complete therapy or are clinically stable on therapy for at least 14 days prior to study entry are not excluded.

Sites / Locations

  • Harbor-UCLA Med. Ctr. CRS
  • Georgetown University CRS (GU CRS)
  • University of Minnesota, ACTU
  • Washington U CRS
  • Unc Aids Crs
  • The Ohio State Univ. AIDS CRS
  • Hosp. of the Univ. of Pennsylvania CRS
  • Univ. of Pennsylvania Health System, Presbyterian Med. Ctr.
  • Pitt CRS
  • University of Washington AIDS CRS

Outcomes

Primary Outcome Measures

Changes in HIV-1 viral load from baseline to Days 14 and 28

Secondary Outcome Measures

Within 28 days on study, occurrence of toxicity, rash, and symptoms of adrenal insufficiency, including fatigue, nausea, anorexia, vomiting, and dizziness
changes from baseline viral load on Days 7, 14, 21, 28, and 56
pre-dose concentrations of mifepristone on Days 14 and 28 and serum level of alpha-1 acidic glycoprotein (AAG) at Day 0
percentage and counts of CD4 and CD8 cells at baseline and on Days 14, 28, and 56
Vpr amino acid sequences on Days 0, 14, 28, and 56
comparison of the magnitude and diversity of effector T cell response to HIV antigens at Days 0, 28, and 56
change in fasting concentrations of plasma insulin, free fatty acids, high-density lipoprotein (HDL) cholesterol and triglycerides, and in insulin sensitivity between Days 0 and 28

Full Information

First Posted
December 17, 2004
Last Updated
October 28, 2021
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT00099645
Brief Title
Anti-HIV Activity and Safety of 3 Different Doses of Mifepristone in HIV Infected People
Official Title
A Randomized, Placebo-Controlled, Phase I/II Trial of the Anti-HIV Activity and Safety of VGX-410 (Mifepristone) at Three Dose Levels in HIV-1 Infected Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
August 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine the anti-HIV activity and safety of 3 different doses of mifepristone (also known as VGX-410 and RU486) in HIV infected people. Hypothesis: Mifepristone will be generally safe (no serious adverse effects) and well tolerated.
Detailed Description
Mifepristone is a potent anti-glucocorticoid compound that effectively inhibits replication of both laboratory and clinical HIV isolates in vitro. This study will evaluate the anti-HIV activity and safety of 3 different doses of mifepristone in HIV infected people. This study will last approximately 2 months. Participants will be randomly assigned to one of 4 study arms, and will receive either mifepristone or placebo daily for 28 days. Arm A participants will receive one of three doses of placebo; Arm B participants will receive 75 mg mifepristone; Arm C participants will receive 150 mg mifepristone; and Arm D participants will receive 225 mg mifepristone. A thorough neck and thyroid examination will be performed within 30 days prior to study entry. Blood collection and vital signs measurement will occur at study entry and Days 3, 7, 14, 21, 28, and 56. Urine collection and pill counts will also be done at some study visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Mifepristone, Mifeprex, RU486, VGX-410, Abortion Pill, Investigational Drug

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
48 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Mifepristone
Primary Outcome Measure Information:
Title
Changes in HIV-1 viral load from baseline to Days 14 and 28
Secondary Outcome Measure Information:
Title
Within 28 days on study, occurrence of toxicity, rash, and symptoms of adrenal insufficiency, including fatigue, nausea, anorexia, vomiting, and dizziness
Title
changes from baseline viral load on Days 7, 14, 21, 28, and 56
Title
pre-dose concentrations of mifepristone on Days 14 and 28 and serum level of alpha-1 acidic glycoprotein (AAG) at Day 0
Title
percentage and counts of CD4 and CD8 cells at baseline and on Days 14, 28, and 56
Title
Vpr amino acid sequences on Days 0, 14, 28, and 56
Title
comparison of the magnitude and diversity of effector T cell response to HIV antigens at Days 0, 28, and 56
Title
change in fasting concentrations of plasma insulin, free fatty acids, high-density lipoprotein (HDL) cholesterol and triglycerides, and in insulin sensitivity between Days 0 and 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: HIV-1 infected CD4 count of 350 cells/mm3 or more within 90 days prior to study entry HIV-1 viral load of 2000 copies/ml or more within 90 days prior to study entry Willing to use acceptable forms of contraception during the study and for 30 days after stopping study medication If currently taking precautionary concomitant medications, must be on stable doses for more than 8 weeks prior to study entry and have no plans to change medications or doses for the duration of the study Body weight at least 40 kg (88 lbs) within 90 days prior to study entry Exclusion Criteria: Antiretroviral treatment (ART) within 16 weeks prior to study entry, or intend to start ART within 60 days after entry Adrenal disorders History of autoimmune endocrine disease in self or family History of active hepatitis B or C Current treatment for hepatitis B or C Moderate to severe liver disease Blood disorders or current anticoagulant therapy Prior pituitary tumor, surgery, radiation treatment, or pituitary failure Moderate to large goiters or thyroid nodules Diabetes mellitus Unusual uterine bleeding within 12 months prior to study entry Current hormonal contraception or intrauterine (IUD) use, including progesterone-containing vaginal rings Pregnancy within 90 days prior to study entry Breast-feeding Drugs that act as inhibitors or inducers of metabolism by cytochrome P450 3A4 Systemic corticosteroids or hormonal agents within 90 days prior to study entry Any immunomodulator, HIV vaccine, or investigational therapy within 90 days prior to study entry Any vaccination within 30 days prior to study entry Systemic cytotoxic chemotherapy within 90 days prior to study entry History of allergy to mifepristone or the study formulations Current drug or alcohol abuse that, in the opinion of the investigator, may interfere with the study Any other conditions that may interfere with participant evaluation during the study Serious illness requiring systemic treatment or hospitalization. Patients who complete therapy or are clinically stable on therapy for at least 14 days prior to study entry are not excluded.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael F. Para, MD
Organizational Affiliation
Ohio State University
Official's Role
Study Chair
Facility Information:
Facility Name
Harbor-UCLA Med. Ctr. CRS
City
Torrance
State/Province
California
ZIP/Postal Code
90502-2052
Country
United States
Facility Name
Georgetown University CRS (GU CRS)
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
University of Minnesota, ACTU
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455-0392
Country
United States
Facility Name
Washington U CRS
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63108-2138
Country
United States
Facility Name
Unc Aids Crs
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Facility Name
The Ohio State Univ. AIDS CRS
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Hosp. of the Univ. of Pennsylvania CRS
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Univ. of Pennsylvania Health System, Presbyterian Med. Ctr.
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Pitt CRS
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213-2582
Country
United States
Facility Name
University of Washington AIDS CRS
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Schafer E, Wagner M, and Ayyavoo V. Antiviral Effects of Mifepristone and its Analogs on HIV-1 Vpr-Induced Virus Replication. 11th Conference on Retroviruses and Opportunistic Infections. February 2004.
Results Reference
background
PubMed Identifier
9334723
Citation
Ayyavoo V, Mahboubi A, Mahalingam S, Ramalingam R, Kudchodkar S, Williams WV, Green DR, Weiner DB. HIV-1 Vpr suppresses immune activation and apoptosis through regulation of nuclear factor kappa B. Nat Med. 1997 Oct;3(10):1117-23. doi: 10.1038/nm1097-1117.
Results Reference
background
PubMed Identifier
20130470
Citation
Para MF, Schouten J, Rosenkranz SL, Yu S, Weiner D, Tebas P, White CJ, Reeds D, Lertora J, Patterson KB, Daar ES, Cavert W, Brizz B; ACTG A5200 Team of the ACTG. Phase I/II trial of the anti-HIV activity of mifepristone in HIV-infected subjects ACTG 5200. J Acquir Immune Defic Syndr. 2010 Apr 1;53(4):491-5. doi: 10.1097/QAI.0b013e3181d142cb.
Results Reference
result

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Anti-HIV Activity and Safety of 3 Different Doses of Mifepristone in HIV Infected People

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