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Safety and Impact of Dasatinib on Viral Persistence and Inflammation in People With HIV Under Antiretroviral Treatment

Primary Purpose

HIV Infection Primary

Status
Not yet recruiting
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Dasatinib 70 mg
Placebo
Sponsored by
Fundació Institut Germans Trias i Pujol
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infection Primary focused on measuring SAMHD1 phosphorylation, T-cell activation, Dasatinib, Suppressive combined Anti Retroviral Treatment

Eligibility Criteria

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

Inclusion Criteria: 1. Males and females aged at least 18 years on the day of screening. 2. Confirmed HIV-1 infection. 3. Receiving suppressive cART for at least 3 years (defined as maintained plasma viral load <50 copies/mL, allowing for isolated blips [<200 cop/ml, non-consecutive, representing <20% total determinations]). 4. Being on the same ART regimen within at least 4 weeks prior to baseline visit. 5. Willing and able to be adherent to their ART regimen for the duration of the study. 6. Willing to comply with the requirements of the protocol and available for follow-up for the planned duration of the study. 7. In the opinion of the Principal Investigator, the candidate has understood the information provided and can give written Informed Consent. 8. If heterosexually active female of childbearing potential, using an effective method of contraception (hormonal contraception, intra-uterine device (IUD), or anatomical sterility in self or partner) from 14 days prior to the first Investigational Medicinal Product (IMP) administration and commit to use it until 3 months after the last IMP administration. All female candidates of childbearing potential who are not heterosexually active at screening, must agree to utilize an effective method of contraception if they become heterosexually active during the study. 9. If heterosexually active male, regardless of reproductive potential, sterilized or agree on the use of an effective method of contraception by his female partner (hormonal contraception, intra-uterine device (IUD), or anatomical sterility) from the day of the first IMP administration until 3 months after the last IMP administration. All male candidates who are not heterosexually active at screening, must agree to utilize an effective method of contraception if they become heterosexually active during the study. 10. If female, willing to undergo urine pregnancy tests at the designated time points. 11. Willing to accept blood draws at time points specified in the Schedule of Events Exclusion Criteria: 1. If female, pregnant or planning a pregnancy during the entire study or lactating. 2. Current treatment with ART regimen that includes ritonavir, cobicistat or with any other drug with known relevant drug-drug interactions with dasatinib. 3. Has received any immunotherapy with intent to cure or prevent HIV, including monoclonal antibodies, therapeutic or preventive vaccines within 6 months prior to baseline visit. 4. Prior history of exposure to dasatinib or any other Tyrosine Kinase Inhibitor (TKI). 5. Prior history of pleural effusion. 6. Prior history or clinical manifestations of any physical or psychiatric disorder that could impair the subject's ability to complete the study. 7. Any active AIDS-defining disease or progression of HIV-related disease, except cutaneous Kaposi's sarcoma not requiring systemic therapy. 8. Ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, non-invasive cutaneous squamous cell carcinoma, or cervical, anal, or penile intraepithelial neoplasia. 9. Systemic treatment for cancer within 1 year of study entry. 10. Known hypersensitivity to any component of the IMP formulation, or severe or multiple allergies to drugs or pharmaceutical agents. 11. Potential participant received or plans to receive: Licensed live attenuated vaccines within 28 days before or after inflammation and immune biomarkers visit (weeks 0, 2, 24 and 48). other vaccines (eg, tetanus, hepatitis A, hepatitis B, rabies, pneumococcal, recombinant Herpes Zoster, Influenza, Coronavirus Disease -19 [COVID-19] vaccines) within 14 days before or after inflammation and immune biomarkers visits (weeks 0, 2, 24 and 48). 12. Receipt of blood products within 3 months of study entry. 13. Current or recent use (within last 3 months) of interferon or systemic corticosteroids or other immunosuppressive agents (use on inhaled steroids for asthma or topic steroids for localized skin conditions are permitted). 14. Any other current or prior therapy which, in the opinion of the investigator, would make the individual unsuitable for the study or influence the results of the study. 15. Any laboratory abnormalities including: Hematology: Hemoglobin <10.0 g/dl, Absolute neutrophil count ≤3,000 /mm3, Platelets ≤100,000/mm3, Biochemistry: Estimated glomerular filtration rate (eGFR) <60 ml/min, Aspartate Transferase (AST) > 2.5 x upper limit of normal (ULN), Alanine Transaminase (ALT) > 2.5 x ULN, Microbiology: Positive for hepatitis B surface antigen, Positive for hepatitis C antibody, unless confirmed clearance of hepatitis C virus (HCV) infection (spontaneous or following treatment) Positive serology indicating active syphilis requiring treatment 16. Has a corrected QT interval (QTc interval) ≥470 msec (males) or ≥480 msec (females) upon confirmation on recheck at screening, has a history of risk factors for Torsades de Pointes (eg, heart failure/cardiomyopathy or family history of long QT syndrome), or is taking concomitant medications that prolong the QT/QTc interval.

Sites / Locations

  • Hospital Universitari Germans Trias i Pujol

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Dasatinib

Placebo

Arm Description

Dasatinib 70 mg/daily, orally administered, for 24 weeks

Investigational Medicinal Product-like appearance capsule containing an inert substance,orally administered, once daily, for 24 weeks

Outcomes

Primary Outcome Measures

Grade 3 or 4 treatment-related adverse events or laboratory abnormalities during the study (based on the Common Terminology Criteria for Adverse Events (CTCAE) v5.0 grading scale).
Proportion of participants (People with HIV on suppressive Combined Antiretroviral Therapy) that develop Grade 3 or 4 treatment-related adverse events or laboratory abnormalities during the study, based on the CTCAE v5.0 grading scale.
Changes in SAMHD1 (SAM And HD Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.
Proportion of SAM (Sterile alpha-motif ) and HD (histidine-aspartate) Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1 (SAMHD1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.
Changes in SAMHD1 (SAM And HD Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.
Proportion of SAM (Sterile alpha-motif ) and HD (histidine-aspartate) Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1 (SAMHD1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.

Secondary Outcome Measures

Proviral reactivation capacity upon in-vitro T-cell activation: Proportion of intracellular HIV-1 core antigen in CD4+ T cells
Antiviral effect of Dasatinib and its durability: Proportion of intracellular HIV-1 core antigen in CD4+ T cells after in-vitro T-cell activation
Proviral reactivation capacity upon in-vitro T-cell activation: Frequency of HIV-1 p24 production
Antiviral effect of Dasatinib and its durability: Frequency of HIV-1 p24 production at a single-cell level, measured by viral protein spot (VIP-SPOT).
Resistance to HIV infection: Frequency of CD4+ T cells infection by NL4-3_wild type strain
Antiviral effect of Dasatinib and its durability: Frequency of CD4+ T cells infection by NL4-3_wild type strain of HIV in vitro.
Plasma levels of homeostatic cytokines (interleukin-IL) IL-2, IL-7, IL-15, IL-21
Antiviral effect of Dasatinib and its durability: Homeostatic proliferation
Antiviral effect of Dasatinib and its durability (Immunomodulatory effects) (Presence of cytotoxic activity in natural killer (NK) and CD8+ T cells).
Direct cytotoxicity measured in natural killer (NK)- specific K562 cells and HIV-infected TZM cells as targets (DCC), and antibody-mediated cellular cytotoxicity (ADCC) assay using rituximab-coated Raji cells as target
Functionality of NK and CD4/CD8 T cells and its durability (Immunomodulatory effects of Dasatinib)
Percentage of AIM+ CD4 and CD8 T cells measured by AIM (activation induced marker) multiparametric flow cytometry and percentage of polyfunctional CD4 and CD8 T cells measured by ICS (intracellular cytokine staining) assay after HIV and CMV peptide stimulation.
Impact of Dasatinib and its durability on Inflammation and immune activation: plasma levels of proinflammatory biomarkers
Plasma levels of proinflammatory biomarkers: Polymerase Chain Reaction (PCR), d-dimer, IL-6, IL-32, IL-8, (Tumor Necrosis Factor alpha) TNFa, interferon-gamma (IFNg), and sCD14.
Impact of Dasatinib and its durability on Inflammation and immune activation: plasma levels of anti-inflammatory biomarkers
Plasma levels of anti-inflammatory biomarkers: IL-10, transforming growth factor beta (TGFb)
Impact of Dasatinib and its durability on Inflammation and immune activation: T cell frequencies with activation, exhaustion and senescence markers
Measured by multiparametric flow cytometry assays. Activation markers: chemokine receptor 7 (CCR7), cluster of differentiation 45RA (CD45RA), Human Leukocyte Antigen-DR (HLA-DR), cluster of differentiation 38 (CD38), cluster of differentiation 25 (CD25) and cluster of differentiation 69 (CD69) Exhaustion markers: PD-1/LAG-3 (Programmed cell Death 1 / Lymphocyte Activation Gene 3) and TIGIT Senescence markers: cluster of differentiation 28 (CD28) and cluster of differentiation 57 (CD57)
Impact of Dasatinib and its durability on HIV-1 reservoir: proviral HIV-1 DNA quantification
Total and intact (IPDA) proviral HIV-1 DNA in purified CD4 T cells
Impact of Dasatinib and its durability on HIV-1 reservoir: viral load quantification
Ultrasensitive plasma viral load quantification (usVL)
Impact of Dasatinib and its durability on HIV-1 reservoir: Cell-associated HIV-RNA quantification
Quantification of Cell-associated HIV-RNA (caHIV-RNA) in CD4+ T cells
Impact of Dasatinib and its durability on CD4+ T cell populations: number of CD4 T cells
Peripheral CD4 T cell counts
Impact of Dasatinib and its durability on CD4+ T cell populations: percentage of CD4 T cells
Peripheral CD4 T cell percentage
Impact of Dasatinib and its durability on CD4+ T cell populations: CD4/CD8 T cells ratio
Peripheral T cell CD4/CD8 ratio
Pharmacokinetics of Dasatinib (plasma concentrations)
Concentrations in plasma of Dasatinib.

Full Information

First Posted
February 27, 2023
Last Updated
July 6, 2023
Sponsor
Fundació Institut Germans Trias i Pujol
Collaborators
Fundación FLS de Lucha Contra el Sida, Enfermedades Infecciosas y Promoción de la Salud y Ciencia, Spanish Clinical Research Network - SCReN, IrsiCaixa, University of Turin, Italy, Instituto de Salud Carlos III, Germans Trias i Pujol Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05780073
Brief Title
Safety and Impact of Dasatinib on Viral Persistence and Inflammation in People With HIV Under Antiretroviral Treatment
Official Title
Safety and Impact of Dasatinib on Viral Persistence and Inflammation in People With HIV Under Antiretroviral Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
July 10, 2023 (Anticipated)
Primary Completion Date
November 2024 (Anticipated)
Study Completion Date
March 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fundació Institut Germans Trias i Pujol
Collaborators
Fundación FLS de Lucha Contra el Sida, Enfermedades Infecciosas y Promoción de la Salud y Ciencia, Spanish Clinical Research Network - SCReN, IrsiCaixa, University of Turin, Italy, Instituto de Salud Carlos III, Germans Trias i Pujol Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The goal of this clinical trial is to evaluate the safety, tolerability and Impact of low dose Dasatinib in People with Human Immunodeficiency Virus (PWH) on suppressive Combined Antiretroviral Therapy (cART),. The main question it aims to answer are: How safe and tolerable is Dasatinib administered at low dose To evaluate the on-target/biological effect of Dasatinib in "in vitro" T-cells activation and its durability after completion of the treatment To evaluate the effect of Dasatinib on inflammation and immune activation, on the HIV-1 reservoir, and on cluster of differentiation 4 (CD4) and cluster of differentiation 8 (CD8) cell counts. To characterize Dasatinib concentrations in plasma and its relationships with the observed effects. Participants will be treated with Dasatinib or matched Placebo once a day for 24 weeks. Suppressive cART will remain unchanged during the entire study. Participants will be followed until week 48, in a total of eleven visits.
Detailed Description
This is a Phase II, single-center, randomized, double-blind, placebo-controlled clinical trial in People with Human Immunodeficiency Virus (PWH) on suppressive Combined Antiretroviral Therapy (cART). The aim is to assess safety, tolerability and Impact of low dose Dasatinib, during 24 weeks, on Viral Persistence and Inflammation in this population. Participants will be randomized (2:1) to receive oral Dasatinib 70 mg once daily or matched placebo for 24 weeks. At week 24, Dasatinib will be discontinued and participants will be followed until week 48, in a total of eleven visits. For all participants cART will remain unchanged during the entire study. The hypotheses of the study is that: Daily administration of a low dose of dasatinib (70 mg once daily) to PWH for 24 weeks will be safe and well tolerated. Dasatinib will interfere with HIV-1 persistence mechanisms contributing to chronic immune activation and inflammation status in both concordant and immune-discordant virologically suppressed PWH. Dasatinib antiproliferative effect could have a significant impact on the HIV-1 reservoir size. The primary objective of the study is to evaluate the safety and tolerability of Dasatinib in this setting. Furthermore to evaluate the on-target/biological effect on the reduction of SAM Sterile Alpha-Motif (SAM) and histidine-aspartate (HD) Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1 (SAMHD1) phosphorylation upon in-vitro T-cell activation, and its durability after completion of Dasatinib treatment. Secondary objectives are to evaluate the effect of the described intervention in the on-target/biological effects attributed to dasatinib, as well as on the Inflammation and immune activation, the HIV-1 reservoir, and CD4 and CD8 cell counts. Also to characterize dasatinib concentrations in plasma and its relationships with the observed effects, and to identify predictors of maintenance of dasatinib effects in HIV reservoir and inflammatory biomarkers after dasatinib interruption.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infection Primary
Keywords
SAMHD1 phosphorylation, T-cell activation, Dasatinib, Suppressive combined Anti Retroviral Treatment

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Dasatinib capsules re-capsulated with identical appearance with Placebo
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dasatinib
Arm Type
Experimental
Arm Description
Dasatinib 70 mg/daily, orally administered, for 24 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Investigational Medicinal Product-like appearance capsule containing an inert substance,orally administered, once daily, for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Dasatinib 70 mg
Other Intervention Name(s)
Experimental
Intervention Description
Commercially available tablets containing 50 and 20 mg of dasatinib will be used. The tablets will be re-capsulated to keep the study blind
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Control
Intervention Description
Maltodextrin capsules with identical size and appearance (shape, size, colour and flavour) as the dasatinib-containing capsules.
Primary Outcome Measure Information:
Title
Grade 3 or 4 treatment-related adverse events or laboratory abnormalities during the study (based on the Common Terminology Criteria for Adverse Events (CTCAE) v5.0 grading scale).
Description
Proportion of participants (People with HIV on suppressive Combined Antiretroviral Therapy) that develop Grade 3 or 4 treatment-related adverse events or laboratory abnormalities during the study, based on the CTCAE v5.0 grading scale.
Time Frame
From baseline (0) to week 48
Title
Changes in SAMHD1 (SAM And HD Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.
Description
Proportion of SAM (Sterile alpha-motif ) and HD (histidine-aspartate) Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1 (SAMHD1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.
Time Frame
From Baseline (0) to week 24
Title
Changes in SAMHD1 (SAM And HD Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.
Description
Proportion of SAM (Sterile alpha-motif ) and HD (histidine-aspartate) Domain Containing Deoxynucleoside Triphosphate Triphosphohydrolase 1 (SAMHD1) phosphorylation in CD4+ T cells upon in-vitro T cell activation.
Time Frame
From Baseline (0) to week 48
Secondary Outcome Measure Information:
Title
Proviral reactivation capacity upon in-vitro T-cell activation: Proportion of intracellular HIV-1 core antigen in CD4+ T cells
Description
Antiviral effect of Dasatinib and its durability: Proportion of intracellular HIV-1 core antigen in CD4+ T cells after in-vitro T-cell activation
Time Frame
At weeks 0 (baseline) , 2, 24 and 48 weeks
Title
Proviral reactivation capacity upon in-vitro T-cell activation: Frequency of HIV-1 p24 production
Description
Antiviral effect of Dasatinib and its durability: Frequency of HIV-1 p24 production at a single-cell level, measured by viral protein spot (VIP-SPOT).
Time Frame
At weeks 0 (baseline), 2, 24 and 48 weeks
Title
Resistance to HIV infection: Frequency of CD4+ T cells infection by NL4-3_wild type strain
Description
Antiviral effect of Dasatinib and its durability: Frequency of CD4+ T cells infection by NL4-3_wild type strain of HIV in vitro.
Time Frame
At weeks 0 (baseline), 2, 24 and 48 weeks
Title
Plasma levels of homeostatic cytokines (interleukin-IL) IL-2, IL-7, IL-15, IL-21
Description
Antiviral effect of Dasatinib and its durability: Homeostatic proliferation
Time Frame
At weeks 0 (baseline), 2, 24 and 48 weeks
Title
Antiviral effect of Dasatinib and its durability (Immunomodulatory effects) (Presence of cytotoxic activity in natural killer (NK) and CD8+ T cells).
Description
Direct cytotoxicity measured in natural killer (NK)- specific K562 cells and HIV-infected TZM cells as targets (DCC), and antibody-mediated cellular cytotoxicity (ADCC) assay using rituximab-coated Raji cells as target
Time Frame
At weeks 0 (baseline) , 24 and 48 weeks
Title
Functionality of NK and CD4/CD8 T cells and its durability (Immunomodulatory effects of Dasatinib)
Description
Percentage of AIM+ CD4 and CD8 T cells measured by AIM (activation induced marker) multiparametric flow cytometry and percentage of polyfunctional CD4 and CD8 T cells measured by ICS (intracellular cytokine staining) assay after HIV and CMV peptide stimulation.
Time Frame
At weeks 0 (baseline), 24 and 48 weeks
Title
Impact of Dasatinib and its durability on Inflammation and immune activation: plasma levels of proinflammatory biomarkers
Description
Plasma levels of proinflammatory biomarkers: Polymerase Chain Reaction (PCR), d-dimer, IL-6, IL-32, IL-8, (Tumor Necrosis Factor alpha) TNFa, interferon-gamma (IFNg), and sCD14.
Time Frame
At weeks 0 (baseline), 2, 24 and 48 weeks
Title
Impact of Dasatinib and its durability on Inflammation and immune activation: plasma levels of anti-inflammatory biomarkers
Description
Plasma levels of anti-inflammatory biomarkers: IL-10, transforming growth factor beta (TGFb)
Time Frame
At weeks 0 (baseline), 2, 24 and 48 weeks
Title
Impact of Dasatinib and its durability on Inflammation and immune activation: T cell frequencies with activation, exhaustion and senescence markers
Description
Measured by multiparametric flow cytometry assays. Activation markers: chemokine receptor 7 (CCR7), cluster of differentiation 45RA (CD45RA), Human Leukocyte Antigen-DR (HLA-DR), cluster of differentiation 38 (CD38), cluster of differentiation 25 (CD25) and cluster of differentiation 69 (CD69) Exhaustion markers: PD-1/LAG-3 (Programmed cell Death 1 / Lymphocyte Activation Gene 3) and TIGIT Senescence markers: cluster of differentiation 28 (CD28) and cluster of differentiation 57 (CD57)
Time Frame
At weeks 0(baseline) , 24 and 48 weeks
Title
Impact of Dasatinib and its durability on HIV-1 reservoir: proviral HIV-1 DNA quantification
Description
Total and intact (IPDA) proviral HIV-1 DNA in purified CD4 T cells
Time Frame
At weeks 0 (baseline), 24 and 48 weeks
Title
Impact of Dasatinib and its durability on HIV-1 reservoir: viral load quantification
Description
Ultrasensitive plasma viral load quantification (usVL)
Time Frame
At weeks 0(baseline) , 24 and 48 weeks
Title
Impact of Dasatinib and its durability on HIV-1 reservoir: Cell-associated HIV-RNA quantification
Description
Quantification of Cell-associated HIV-RNA (caHIV-RNA) in CD4+ T cells
Time Frame
At weeks 0 (baseline), 2, 24 and 48 weeks
Title
Impact of Dasatinib and its durability on CD4+ T cell populations: number of CD4 T cells
Description
Peripheral CD4 T cell counts
Time Frame
At weeks 0 (baseline), 2, 12, 24, 28, 36 and 48 weeks
Title
Impact of Dasatinib and its durability on CD4+ T cell populations: percentage of CD4 T cells
Description
Peripheral CD4 T cell percentage
Time Frame
At weeks 0 (baseline), 2, 12, 24, 28, 36 and 48 weeks
Title
Impact of Dasatinib and its durability on CD4+ T cell populations: CD4/CD8 T cells ratio
Description
Peripheral T cell CD4/CD8 ratio
Time Frame
At weeks 0 (baseline), 2, 12, 24, 28, 36 and 48 weeks
Title
Pharmacokinetics of Dasatinib (plasma concentrations)
Description
Concentrations in plasma of Dasatinib.
Time Frame
At weeks 0 (baseline), 2, 12 and 24 weeks
Other Pre-specified Outcome Measures:
Title
Changes in the contributors to the reservoir repertoire
Description
Measured by flow cytometry in peripheral blood mononuclear cell (PBMC) including maturation phenotype (Naïve, TCM (central memory T cell), TEM (effector memory T cell), TEMRA)
Time Frame
At weeks 0(baseline), 24 and 48 weeks
Title
Quantification of herpes viruses-specific immunoglobulin G (IgG) (CMV/EBV)
Description
Immunoglobulins G against Cytomegalovirus and Epstein-Barr Virus.
Time Frame
At weeks 0(baseline), 24 and 48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1. Males and females aged at least 18 years on the day of screening. 2. Confirmed HIV-1 infection. 3. Receiving suppressive cART for at least 3 years (defined as maintained plasma viral load <50 copies/mL, allowing for isolated blips [<200 cop/ml, non-consecutive, representing <20% total determinations]). 4. Being on the same ART regimen within at least 4 weeks prior to baseline visit. 5. Willing and able to be adherent to their ART regimen for the duration of the study. 6. Willing to comply with the requirements of the protocol and available for follow-up for the planned duration of the study. 7. In the opinion of the Principal Investigator, the candidate has understood the information provided and can give written Informed Consent. 8. If heterosexually active female of childbearing potential, using an effective method of contraception (hormonal contraception, intra-uterine device (IUD), or anatomical sterility in self or partner) from 14 days prior to the first Investigational Medicinal Product (IMP) administration and commit to use it until 3 months after the last IMP administration. All female candidates of childbearing potential who are not heterosexually active at screening, must agree to utilize an effective method of contraception if they become heterosexually active during the study. 9. If heterosexually active male, regardless of reproductive potential, sterilized or agree on the use of an effective method of contraception by his female partner (hormonal contraception, intra-uterine device (IUD), or anatomical sterility) from the day of the first IMP administration until 3 months after the last IMP administration. All male candidates who are not heterosexually active at screening, must agree to utilize an effective method of contraception if they become heterosexually active during the study. 10. If female, willing to undergo urine pregnancy tests at the designated time points. 11. Willing to accept blood draws at time points specified in the Schedule of Events Exclusion Criteria: 1. If female, pregnant or planning a pregnancy during the entire study or lactating. 2. Current treatment with ART regimen that includes ritonavir, cobicistat or with any other drug with known relevant drug-drug interactions with dasatinib. 3. Has received any immunotherapy with intent to cure or prevent HIV, including monoclonal antibodies, therapeutic or preventive vaccines within 6 months prior to baseline visit. 4. Prior history of exposure to dasatinib or any other Tyrosine Kinase Inhibitor (TKI). 5. Prior history of pleural effusion. 6. Prior history or clinical manifestations of any physical or psychiatric disorder that could impair the subject's ability to complete the study. 7. Any active AIDS-defining disease or progression of HIV-related disease, except cutaneous Kaposi's sarcoma not requiring systemic therapy. 8. Ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, non-invasive cutaneous squamous cell carcinoma, or cervical, anal, or penile intraepithelial neoplasia. 9. Systemic treatment for cancer within 1 year of study entry. 10. Known hypersensitivity to any component of the IMP formulation, or severe or multiple allergies to drugs or pharmaceutical agents. 11. Potential participant received or plans to receive: Licensed live attenuated vaccines within 28 days before or after inflammation and immune biomarkers visit (weeks 0, 2, 24 and 48). other vaccines (eg, tetanus, hepatitis A, hepatitis B, rabies, pneumococcal, recombinant Herpes Zoster, Influenza, Coronavirus Disease -19 [COVID-19] vaccines) within 14 days before or after inflammation and immune biomarkers visits (weeks 0, 2, 24 and 48). 12. Receipt of blood products within 3 months of study entry. 13. Current or recent use (within last 3 months) of interferon or systemic corticosteroids or other immunosuppressive agents (use on inhaled steroids for asthma or topic steroids for localized skin conditions are permitted). 14. Any other current or prior therapy which, in the opinion of the investigator, would make the individual unsuitable for the study or influence the results of the study. 15. Any laboratory abnormalities including: Hematology: Hemoglobin <10.0 g/dl, Absolute neutrophil count ≤3,000 /mm3, Platelets ≤100,000/mm3, Biochemistry: Estimated glomerular filtration rate (eGFR) <60 ml/min, Aspartate Transferase (AST) > 2.5 x upper limit of normal (ULN), Alanine Transaminase (ALT) > 2.5 x ULN, Microbiology: Positive for hepatitis B surface antigen, Positive for hepatitis C antibody, unless confirmed clearance of hepatitis C virus (HCV) infection (spontaneous or following treatment) Positive serology indicating active syphilis requiring treatment 16. Has a corrected QT interval (QTc interval) ≥470 msec (males) or ≥480 msec (females) upon confirmation on recheck at screening, has a history of risk factors for Torsades de Pointes (eg, heart failure/cardiomyopathy or family history of long QT syndrome), or is taking concomitant medications that prolong the QT/QTc interval.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Beatriz Mothe, MD, PhD
Phone
+34 93 465 82 20
Ext
2961
Email
bmothe@irsicaixa.es
First Name & Middle Initial & Last Name or Official Title & Degree
Natalia Corbeto
Phone
+34 93497 8414
Email
ncorbeto@fls-rs.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
José Moltó, MD, PhD
Organizational Affiliation
Fundació Lluita contra les Infeccions - Hospital Universitari Germans Trias i Pujol
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Universitari Germans Trias i Pujol
City
Badalona
State/Province
Barcelona
ZIP/Postal Code
08916
Country
Spain
Facility Contact:
First Name & Middle Initial & Last Name & Degree
José Moltó, MD, PhD
Phone
+34 93 465 63 74
Email
jmolto@lluita.org
First Name & Middle Initial & Last Name & Degree
Beatriz Mothe, MD, PhD
First Name & Middle Initial & Last Name & Degree
Sofía Sabato, MD
First Name & Middle Initial & Last Name & Degree
Lucía Bailón, MD
First Name & Middle Initial & Last Name & Degree
Susana Benet, MD
First Name & Middle Initial & Last Name & Degree
Eugenia Negredo, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Impact of Dasatinib on Viral Persistence and Inflammation in People With HIV Under Antiretroviral Treatment

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