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Immunomodulation of HIV-1 Infected Individuals With PEG-Interleukin-2

Primary Purpose

HIV Infections

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Interleukin-2, Polyethylene Glycolated
Sponsored by
Rockefeller University
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring Polyethylene Glycols, Interleukin-2

Eligibility Criteria

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

Inclusion Criteria Concurrent Medication: Allowed: Zidovudine (AZT). Necessary topical agents such as nystatin, clotrimazole, and acyclovir. Aerosolized pentamidine for Pneumocystis carinii pneumonia (PCP) prophylaxis. Oral antibiotics for PCP prophylaxis if hematologically stable for = or > 30 days prior to study entry. Necessary systemic agents for the treatment of other chronic disorders, such as diabetes or asthma. Patients must have: HIV-1 seropositivity. Asymptomatic. No opportunistic infection for 8 weeks prior to study entry. Been on azidothymidine (AZT) (= or > 500 mg/day) for at least 8 weeks prior to beginning interleukin-2 (IL-2), with stable CD4 cell counts. Prior Medication: Allowed: Zidovudine (AZT). Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Active, life-threatening opportunistic infection (OI) with bacterial, viral, fungal, or protozoan pathogens. Fever = or > 101 F. within 10 days prior to study entry. Significant central nervous system (CNS) disease including AIDS dementia, psychiatric disability, or seizure disorder. Significant cardiac disease (New York Heart Association Stage III or IV). Significant pulmonary disease (Forced Expiratory Volume < 75 percent. Weight loss = or > 10 percent within last 3 months. Concurrent Medication: Excluded: Systemic therapy for opportunistic infection (OI). Patients with the following are excluded: Presence of antibody to interleukin-2 (IL-2). Diseases or symptoms listed in Exclusion Co-Existing Conditions. Prior Medication: Excluded within 12 weeks prior to study entry: Other immunomodulators. Corticosteroids. Other experimental therapy. Anti-neoplastic chemotherapy. Active drug or alcohol abuse.

Sites / Locations

  • Rockefeller Univ

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 2, 1999
Last Updated
June 23, 2005
Sponsor
Rockefeller University
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1. Study Identification

Unique Protocol Identification Number
NCT00002017
Brief Title
Immunomodulation of HIV-1 Infected Individuals With PEG-Interleukin-2
Official Title
Immunomodulation of HIV-1 Infected Individuals With PEG-Interleukin-2
Study Type
Interventional

2. Study Status

Record Verification Date
August 1991
Overall Recruitment Status
Completed
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Rockefeller University

4. Oversight

5. Study Description

Brief Summary
To evaluate the safety and immunological effects of polyethylene glycolated-interleukin-2 (PEG-IL-2) on asymptomatic (without symptoms) HIV-seropositive patients who are taking zidovudine (AZT). To enhance measures of immune function with well-tolerated doses of PEG-IL-2, an immunomodulator, in a regimen designed to allow its use in outpatients with normal daily activity (i.e., full-time employment, etc.). Recombinant IL-2 (without PEG modification) was administered to HIV-infected patients by daily intradermal injection. At the low doses used, this was non-toxic, well-tolerated, and gave a systemic response as measured by natural killer cell and lymphokine-activated killer cell activity, but required daily administration. In the current study, the PEG modification of IL-2 is used since it has a much longer prolonged half-life compared with the non-PEG compound, without loss of functional activity.
Detailed Description
Recombinant IL-2 (without PEG modification) was administered to HIV-infected patients by daily intradermal injection. At the low doses used, this was non-toxic, well-tolerated, and gave a systemic response as measured by natural killer cell and lymphokine-activated killer cell activity, but required daily administration. In the current study, the PEG modification of IL-2 is used since it has a much longer prolonged half-life compared with the non-PEG compound, without loss of functional activity. In the first, dose-escalation phase of the study, PEG-IL-2 is injected into the skin of the back by either the intradermal (ID) or subcutaneous (SC) route, to establish an optimal dose (which when given ID results in local induration = or > 25 mm without significant toxicity). The ID and SC routes are compared for systemic effect and toxicity. In the second phase of the study, the PEG-IL-2 is administered for 6-8 weeks using the optimal dosage, frequency, and route determined in the initial phase (probably 2-3 times per week) while local and systemic effects are monitored. These include measures of viral titer, peripheral blood mononuclear cell phenotype, CBC and CD4 counts, and in vitro cytotoxicity assays.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Polyethylene Glycols, Interleukin-2

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Interleukin-2, Polyethylene Glycolated

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Concurrent Medication: Allowed: Zidovudine (AZT). Necessary topical agents such as nystatin, clotrimazole, and acyclovir. Aerosolized pentamidine for Pneumocystis carinii pneumonia (PCP) prophylaxis. Oral antibiotics for PCP prophylaxis if hematologically stable for = or > 30 days prior to study entry. Necessary systemic agents for the treatment of other chronic disorders, such as diabetes or asthma. Patients must have: HIV-1 seropositivity. Asymptomatic. No opportunistic infection for 8 weeks prior to study entry. Been on azidothymidine (AZT) (= or > 500 mg/day) for at least 8 weeks prior to beginning interleukin-2 (IL-2), with stable CD4 cell counts. Prior Medication: Allowed: Zidovudine (AZT). Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Active, life-threatening opportunistic infection (OI) with bacterial, viral, fungal, or protozoan pathogens. Fever = or > 101 F. within 10 days prior to study entry. Significant central nervous system (CNS) disease including AIDS dementia, psychiatric disability, or seizure disorder. Significant cardiac disease (New York Heart Association Stage III or IV). Significant pulmonary disease (Forced Expiratory Volume < 75 percent. Weight loss = or > 10 percent within last 3 months. Concurrent Medication: Excluded: Systemic therapy for opportunistic infection (OI). Patients with the following are excluded: Presence of antibody to interleukin-2 (IL-2). Diseases or symptoms listed in Exclusion Co-Existing Conditions. Prior Medication: Excluded within 12 weeks prior to study entry: Other immunomodulators. Corticosteroids. Other experimental therapy. Anti-neoplastic chemotherapy. Active drug or alcohol abuse.
Facility Information:
Facility Name
Rockefeller Univ
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Teppler H, Montana A, Meyn P, Kaplan G, Cohn ZA. Prolonged immunostimulatory effect of low dose PEG interleukin-2 in HIV-infected individuals. Int Conf AIDS. 1992 Jul 19-24;8(2):B162 (abstract no PoB 3453)
Results Reference
background
PubMed Identifier
36075585
Citation
Zhang W, Ruan J, Zhang R, Zhang M, Hu X, Han Z, Ruan Q. Association between age-related hearing loss with tinnitus and cognitive performance in older community-dwelling Chinese adults. Psychogeriatrics. 2022 Nov;22(6):822-832. doi: 10.1111/psyg.12889. Epub 2022 Sep 8.
Results Reference
derived
PubMed Identifier
34746196
Citation
Zhang W, Ruan J, Zhang R, Zhang M, Hu X, Yu Z, Han Z, Ruan Q. Age-Related Hearing Loss With Tinnitus and Physical Frailty Influence the Overall and Domain-Specific Quality of Life of Chinese Community-Dwelling Older Adults. Front Med (Lausanne). 2021 Oct 21;8:762556. doi: 10.3389/fmed.2021.762556. eCollection 2021.
Results Reference
derived
PubMed Identifier
33664689
Citation
Ruan Q, Chen J, Zhang R, Zhang W, Ruan J, Zhang M, Han C, Yu Z. Heterogeneous Influence of Frailty Phenotypes in Age-Related Hearing Loss and Tinnitus in Chinese Older Adults: An Explorative Study. Front Psychol. 2021 Feb 16;11:617610. doi: 10.3389/fpsyg.2020.617610. eCollection 2020.
Results Reference
derived

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Immunomodulation of HIV-1 Infected Individuals With PEG-Interleukin-2

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