Safety, Tolerability and Immunogenicity of MVA.HTI and ChAdOx1.HTI With Vesatolimod in HIV-1 Positive Patients (AELIX-003)

This is an interventional basic science trial for HIV/AIDS focused on measuring HIV infection, Therapeutic Vaccines, HTI, TLR7 Read More

Inclusion Criteria:

1. Understands the study information provided and is capable of giving written informed consent, in the opinion of the investigator or designee.
2. Has confirmed HIV-1 infection.
3. Has received ART that was initiated within 6 months of the estimated date of HIV-1 acquisition. The ART regimen is required to have included ≥3 antiretroviral drugs at the time of treatment initiation and is required to include ≥3 antiretroviral drugs at screening, but temporary use of a 2-drug ART regimen during the time between ART initiation and the screening visit is permitted
4. Has plasma HIV-1 RNA levels <50 copies/mL at the screening visit and has been virologically suppressed, defined as pVL <50 copies/mL, for at least 1 year before screening; isolated blips allowed
5. Has documented stable CD4 counts ≥450 cells/mm3 for the 6 months before screening and at the screening visit.
6. Has nadir CD4 count ≥200 cells/mm3 since human immunodeficiency virus (HIV) diagnosis; isolated lower counts at the moment of acute HIV-1 infection will be allowed only if appropriate immune recovery was followed after ART initiation
7. Is ≥18 and <61 years of age on the day of screening.
8. Is willing to comply with all study procedures, including the ATI, collection of blood samples per the protocol and adherence to the ART regimen, and is available for the planned duration of the study.

9. If heterosexually active female and of childbearing potential, must be using highly effective methods of contraception from 14 days before the first vaccination until 30 days after the end of the study (or 40 days after the last dose of vesatolimod, whichever is later); all female volunteers must be willing to undergo urine pregnancy testing at the time points specified in the schedules of events.

   • Female participants who use hormonal contraceptive as one of their birth control methods must have used the same method for at least 3 months before the first vaccination.
   • Female participants who have stopped menstruating for ≥12 months but do not have documentation of ovarian hormonal failure must have a serum follicle stimulating hormone level at screening that is within the post menopausal range as provided in the Central Laboratory Manual.
10. If heterosexually active male, must use condoms or practice sexual abstinence from the screening visit until 90 days after the end of the study (or 100 days after the last dose of vesatolimod, whichever is later). Female partners of male participants must be using highly effective methods of birth control from the screening visit until 90 days after the end of the study (or 100 days after the last dose of vesatolimod, whichever is later)

Exclusion Criteria:

1. Is pregnant or lactating at the screening visit or at any time during the study or is planning on becoming pregnant over the duration of the study.
2. If available, has genotypic data (e.g., HIV genotype data) that demonstrate the presence of clinically significant mutations that would prevent the construction of a viable ART regimen post-treatment interruption.
3. Has reported multiple periods of suboptimal adherence to ART, defined as reported episodes of at least 3 days without ART that were unrelated to participation in an ATI clinical study.
4. Has a history of past ART interruptions lasting longer than 2 weeks.
5. Has participated in another interventional clinical study within 30 days before screening.
6. Has any acquired immune deficiency syndrome-defining disease or progression of HIV related disease within 90 days of screening visit.
7. Has a history of any moderate and/or severe autoimmune disease
8. Has a history or clinical manifestations of any physical or psychiatric disorder that could impair the participant's ability to complete the study.
9. Is taking HIV protease inhibitors (including low-dose ritonavir), cobicistat-containing regimens, elvitegravir, efavirenz, etravirine, or nevirapine. Participants on prohibited ART medications will be allowed to switch to an accepted treatment between screening and baseline.
10. Is taking any other concomitant treatments non compatible with vesatolimod Participants on non-compatible medications at screening (e.g., atorvastatin, proton pump inhibitors) will be allowed to switch treatments; non compatible medications must be stopped at least 30 days prior to the first dose of vesatolimod.
11. Has received approved vaccines within 2 weeks of study entry or has had a previous immunisation with any experimental immunogens within the previous 2 years.
12. Will receive any vaccines within 4 weeks prior to, or 2 weeks after, any of the planned CCMM administrations or on a week when vesatolimod is administered.
13. Has a history of anaphylaxis or a severe adverse reaction to vaccines.
14. Has received blood products within 6 months of screening.
15. Has received treatment for cancer or lymphoproliferative disease within 1 year of screening.
16. Has received any other current or prior therapy within 30 days prior to the screening visit that, in the opinion of the investigators and/or the sponsor, would make the participant unsuitable for the study or influence the results of the study.
17. Has current or has had recent use (within last 3 months before the screening visit) of IFN or systemic corticosteroids or other immunosuppressive agents (use of inhaled steroids for pulmonary conditions or topical steroids for localised skin conditions is permitted).

18. Has abnormalities of the following laboratory tests at screening:

    Haematology

    • Haemoglobin <11 g/dL (females) or 11.5 g/dL (males)
    • Absolute neutrophil count ≤1000/mm3
    • Absolute lymphocyte count ≤600/mm3
    • Platelets ≤100,000/mm3 or ≥550,000/mm3 Clinical Chemistry
    • Creatinine >1.3 × upper limit of normal (ULN)
    • Aspartate aminotransferase >2.5 × ULN
    • Alanine aminotransferase >2.5 × ULN

    Microbiology

    • Positive hepatitis B surface antigen
    • Positive for hepatitis C antibody, unless confirmed clearance of hepatitis C virus infection (spontaneous or following treatment) determined by negative serum hepatitis C virus polymerase chain reaction
    • Positive serology indicating active syphilis requiring treatment;
19. Is unwilling to undergo an ATI as planned during the study.
20. Is not suitable for inclusion in the study based on the judgment of the investigator or sponsor.
21. Current alcohol, drug, or substance abuse or history of such abuse within the 6 months prior to screening.