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Safety of Interleukin-7 in HIV Infected People Currently Taking Anti-HIV Drugs

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Recombinant human interleukin-7
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 Treatment Experienced

Eligibility Criteria

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

Inclusion Criteria: HIV infected Currently on ART consisting of at least 3 antiretroviral drugs for at least 12 months prior to study entry and stable (no change in dose) on treatment for at least 3 months prior to study entry CD4 count of 100 cells/mm3 or more within 42 days of study entry Viral load of 50,000 copies/ml or less within 42 days of study entry Willing to use acceptable forms of contraception Participants with a Category C AIDS-defining illness during the 12 months prior to study entry may be eligible as long as their CD4 count is 200 cells/mm3 or more at screening. Participants with Kaposi's sarcoma may also be eligible for this study. Exclusion Criteria: Lymphadenopathy greater than 2.0 cm Known allergy or sensitivity to study drug or its formulations Current drug or alcohol abuse Serious illness or hospitalization that, in the opinion of the site investigator, may interfere with the study results Prior use of any interleukins Systemic cancer chemotherapy, systemic investigational agents, or immunomodulators (e.g., growth factors, systemic corticosteroids, HIV vaccines, immune globulin, interferons) within 90 days prior to study entry Heparin within 96 hours prior to study entry, or anticipating the need for heparin within 96 hours after the study injection History of cancer (except basal carcinoma of the skin or Kaposi's sarcoma) Enlargement of spleen History of hypercoagulability (deep vein thrombosis or pulmonary embolism) History of seizure disorder History of extensive psoriasis, Crohn's disease, uveitis, or other autoimmune disease having induced severe complications Significant psychiatric, cardiac, pulmonary, thyroid, renal, or neurological disease requiring therapy Positive hepatitis B surface antigen or positive hepatitis C antibody at screening Plan to start new ART within 8 weeks after study entry Breastfeeding

Sites / Locations

  • Univ. of California Davis Med. Ctr., ACTU
  • Univ. of Miami AIDS CRS
  • Rush Univ. Med. Ctr. ACTG CRS
  • Case CRS
  • MetroHealth CRS

Outcomes

Primary Outcome Measures

Safety, as assessed by dose-limiting toxicities

Secondary Outcome Measures

Change in IL-7 plasma level from study entry to Day 28
concentrations of recombinant human IL-7 (rhIL-7) at study entry (prior to dose) and at 0.5, 1.0, 1.5, 2.0, 2.5, 4, 8, 12, 24, 48, and 72 hours after dose
T-cell proliferation and activation status
lymphocyte subsets prior to study entry, study entry and on Days 1, 2, 4, 14, and 28
anti-IL-7 antibodies prior to study entry and on Days 28 and 56
HIV-1 viral load at baseline and on Days 1, 4, 14, and 28
nine-color advanced flow cytometry on stored peripheral blood mononuclear cells (PBMCs) at baseline and on Days 4 and 28
effect of age on laboratory outcomes

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
NCT00099671
Brief Title
Safety of Interleukin-7 in HIV Infected People Currently Taking Anti-HIV Drugs
Official Title
A Phase I, Randomized, Placebo-Controlled, Double-Blind Study Evaluating the Safety of Subcutaneous Single Dose Interleukin-7 in HIV-1-Infected Subjects Who Are Receiving Antiretroviral Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
April 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
April 2007 (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 safety of a single, under-the-skin dose of interleukin-7 (IL-7) in HIV infected people currently taking anti-HIV drugs.
Detailed Description
CD4 count is the best predictor of HIV disease progression. IL-7 plays an important role in immune system function, especially in the development of T cells, including CD4 cells. IL-7 may improve HIV-specific immune responses by increasing the number of CD4 cells and boosting immune response. This study will evaluate the safety of a single IL-7 dose given under the skin in HIV infected patients who are currently on potent antiretroviral therapy (ART). This study will last 13 weeks. Participants will be stratified into two groups by viral load: Stratum 1 participants will have viral loads of less than 50 copies/ml, and Stratum 2 participants will have viral loads between 50 and 50,000 copies/ml. Participants will receive one dose of either IL-7 or placebo at study entry. Five different dosing levels of IL-7 will be tested sequentially in both strata. Dose escalation will occur independently in each stratum and enrollment in a stratum will end when the maximum-tolerated dose is reached. As of 10/23/06, due to adverse events associated with the 60 mcg/kg dose level, all participants will receive up to the 30 mcg/kg dose level, with no further dose escalation. New participants will enroll in Stratum 2 only. There will be 9 study visits; medical and medication history, a physical exam, lymph node and spleen assessment, and blood collection will occur at most visits. Participants will undergo an electrocardiogram at study entry and on Day 1, and a spleen ultrasound at Week 3. Urine collection will occur on Day 4 and at Weeks 2 and 3.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Recombinant human interleukin-7
Primary Outcome Measure Information:
Title
Safety, as assessed by dose-limiting toxicities
Secondary Outcome Measure Information:
Title
Change in IL-7 plasma level from study entry to Day 28
Title
concentrations of recombinant human IL-7 (rhIL-7) at study entry (prior to dose) and at 0.5, 1.0, 1.5, 2.0, 2.5, 4, 8, 12, 24, 48, and 72 hours after dose
Title
T-cell proliferation and activation status
Title
lymphocyte subsets prior to study entry, study entry and on Days 1, 2, 4, 14, and 28
Title
anti-IL-7 antibodies prior to study entry and on Days 28 and 56
Title
HIV-1 viral load at baseline and on Days 1, 4, 14, and 28
Title
nine-color advanced flow cytometry on stored peripheral blood mononuclear cells (PBMCs) at baseline and on Days 4 and 28
Title
effect of age on laboratory outcomes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: HIV infected Currently on ART consisting of at least 3 antiretroviral drugs for at least 12 months prior to study entry and stable (no change in dose) on treatment for at least 3 months prior to study entry CD4 count of 100 cells/mm3 or more within 42 days of study entry Viral load of 50,000 copies/ml or less within 42 days of study entry Willing to use acceptable forms of contraception Participants with a Category C AIDS-defining illness during the 12 months prior to study entry may be eligible as long as their CD4 count is 200 cells/mm3 or more at screening. Participants with Kaposi's sarcoma may also be eligible for this study. Exclusion Criteria: Lymphadenopathy greater than 2.0 cm Known allergy or sensitivity to study drug or its formulations Current drug or alcohol abuse Serious illness or hospitalization that, in the opinion of the site investigator, may interfere with the study results Prior use of any interleukins Systemic cancer chemotherapy, systemic investigational agents, or immunomodulators (e.g., growth factors, systemic corticosteroids, HIV vaccines, immune globulin, interferons) within 90 days prior to study entry Heparin within 96 hours prior to study entry, or anticipating the need for heparin within 96 hours after the study injection History of cancer (except basal carcinoma of the skin or Kaposi's sarcoma) Enlargement of spleen History of hypercoagulability (deep vein thrombosis or pulmonary embolism) History of seizure disorder History of extensive psoriasis, Crohn's disease, uveitis, or other autoimmune disease having induced severe complications Significant psychiatric, cardiac, pulmonary, thyroid, renal, or neurological disease requiring therapy Positive hepatitis B surface antigen or positive hepatitis C antibody at screening Plan to start new ART within 8 weeks after study entry Breastfeeding
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Irini Sereti, MD
Organizational Affiliation
National Institute for Allergy and Infectious Diseases, National Institutes of Health
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Michael M. Lederman, MD
Organizational Affiliation
Case Western Reserve University, University Hospitals of Cleveland
Official's Role
Study Chair
Facility Information:
Facility Name
Univ. of California Davis Med. Ctr., ACTU
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Univ. of Miami AIDS CRS
City
Miami
State/Province
Florida
ZIP/Postal Code
33136-1013
Country
United States
Facility Name
Rush Univ. Med. Ctr. ACTG CRS
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612-3806
Country
United States
Facility Name
Case CRS
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106-5083
Country
United States
Facility Name
MetroHealth CRS
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44109-1998
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
11574281
Citation
Fry TJ, Mackall CL. Interleukin-7: master regulator of peripheral T-cell homeostasis? Trends Immunol. 2001 Oct;22(10):564-71. doi: 10.1016/s1471-4906(01)02028-2.
Results Reference
background
PubMed Identifier
11207251
Citation
Geiselhart LA, Humphries CA, Gregorio TA, Mou S, Subleski J, Komschlies KL. IL-7 administration alters the CD4:CD8 ratio, increases T cell numbers, and increases T cell function in the absence of activation. J Immunol. 2001 Mar 1;166(5):3019-27. doi: 10.4049/jimmunol.166.5.3019.
Results Reference
background
PubMed Identifier
12959322
Citation
Kedzierska K, Crowe SM. Cytokines and HIV-1: interactions and clinical implications. Antivir Chem Chemother. 2001 May;12(3):133-50. doi: 10.1177/095632020101200301.
Results Reference
background
PubMed Identifier
15482104
Citation
Pett SL, Kelleher AD. Cytokine therapies in HIV-1 infection: present and future. Expert Rev Anti Infect Ther. 2003 Jun;1(1):83-96. doi: 10.1586/14787210.1.1.83.
Results Reference
background
PubMed Identifier
19380868
Citation
Sereti I, Dunham RM, Spritzler J, Aga E, Proschan MA, Medvik K, Battaglia CA, Landay AL, Pahwa S, Fischl MA, Asmuth DM, Tenorio AR, Altman JD, Fox L, Moir S, Malaspina A, Morre M, Buffet R, Silvestri G, Lederman MM; ACTG 5214 Study Team. IL-7 administration drives T cell-cycle entry and expansion in HIV-1 infection. Blood. 2009 Jun 18;113(25):6304-14. doi: 10.1182/blood-2008-10-186601. Epub 2009 Apr 20.
Results Reference
result
PubMed Identifier
23589672
Citation
Vandergeeten C, Fromentin R, DaFonseca S, Lawani MB, Sereti I, Lederman MM, Ramgopal M, Routy JP, Sekaly RP, Chomont N. Interleukin-7 promotes HIV persistence during antiretroviral therapy. Blood. 2013 May 23;121(21):4321-9. doi: 10.1182/blood-2012-11-465625. Epub 2013 Apr 15.
Results Reference
derived

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Safety of Interleukin-7 in HIV Infected People Currently Taking Anti-HIV Drugs

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