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Study of Anti-HIV Cellular Therapy Based on Dendritic Cells Pulsed With Chemically Inactivated Virus

Primary Purpose

HIV Infection

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
DC
DC10e6+HIV-AT2
DC10e7+HIV-AT2
Sponsored by
University of Sao Paulo General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infection focused on measuring HIV, immunotherapy, clinical trial, dendritic cell

Eligibility Criteria

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

Inclusion Criteria:

  • patients with HIV infection;
  • absence of antiretroviral therapy, antineoplastic therapy or the use of corticosteroids for at least six months prior to study entry;
  • plasma viral load ≥ 1,000 copies / mL, stable (ie no variation > 0.5 log) in the six months before the start of the study;
  • blood CD4+ T cells ≥ 350 /mL, stable (ie no variation > 25%) in the six months before the start of the study.

Exclusion Criteria:

  • individuals without proper venous access for blood and apheresis collection procedure.
  • use of drugs, alcohol, psychiatric disorder or any condition that interferes with the ability of patients to follow the requirements of the study;
  • history of diagnosis of HIV infection <01 years;
  • pregnancy or breast-feeding;
  • use of antiviral therapy, in anticancer therapies or corticosteroids six months prior to study start;
  • presence of chronic diseases, such as infection with hepatitis B (HBV) and C (HCV), human T-lymphotropic virus (HTLV) I / II or any condition that promotes immune system dysfunction, with the exception of HIV infection.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Active Comparator

    Active Comparator

    Arm Label

    (a) DC

    (b) DC 10e6+HIV-AT2

    (c) DC 10e7+HIV-AT2

    Arm Description

    Autologous dendritic cells (3x10e7)

    Autologous dendritic cells (3x10e6), pulsed with chemically inactive autologous HIV

    Autologous dendritic cells (3x10e7), pulsed with chemically inactive autologous HIV

    Outcomes

    Primary Outcome Measures

    Number of participants with ≥ grade 3 adverse events related to product
    AE graded by Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, version 1.0, December 2004

    Secondary Outcome Measures

    Number of participants with change in plasma viral load from baseline, over the observation period
    Log10 change in HIV RNA
    Number of participants with change in CD4+T cells from baseline, over the observation period
    Absolute number change of CD4+T cells

    Full Information

    First Posted
    April 1, 2016
    Last Updated
    July 19, 2016
    Sponsor
    University of Sao Paulo General Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02766049
    Brief Title
    Study of Anti-HIV Cellular Therapy Based on Dendritic Cells Pulsed With Chemically Inactivated Virus
    Official Title
    Phase I/II Study of Anti-HIV Cellular Therapy Based on Dendritic Cells Pulsed With Chemically Inactivated Virus
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2010 (undefined)
    Primary Completion Date
    May 2014 (Actual)
    Study Completion Date
    May 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of Sao Paulo General Hospital

    4. Oversight

    5. Study Description

    Brief Summary
    The aim of this study was to assess tolerability and safety of three different formulations of an anti-HIV immunotherapy based on autologous dendritic cells (DCs) pulsed with HIV chemically inactivated with Aldrithiol™-2 (AT-2). Patients were chronically infected with HIV, naïve for antiretroviral drugs. A possible immunological and virological favorable impact was also assessed.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    HIV Infection
    Keywords
    HIV, immunotherapy, clinical trial, dendritic cell

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    19 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    (a) DC
    Arm Type
    Active Comparator
    Arm Description
    Autologous dendritic cells (3x10e7)
    Arm Title
    (b) DC 10e6+HIV-AT2
    Arm Type
    Active Comparator
    Arm Description
    Autologous dendritic cells (3x10e6), pulsed with chemically inactive autologous HIV
    Arm Title
    (c) DC 10e7+HIV-AT2
    Arm Type
    Active Comparator
    Arm Description
    Autologous dendritic cells (3x10e7), pulsed with chemically inactive autologous HIV
    Intervention Type
    Biological
    Intervention Name(s)
    DC
    Intervention Description
    Autologous dendritic cells (3x10e7)
    Intervention Type
    Biological
    Intervention Name(s)
    DC10e6+HIV-AT2
    Intervention Description
    Autologous dendritic cells (3x10e6), pulsed with chemically inactive autologous HIV
    Intervention Type
    Biological
    Intervention Name(s)
    DC10e7+HIV-AT2
    Intervention Description
    Autologous dendritic cells (3x10e7), pulsed with chemically inactive autologous HIV
    Primary Outcome Measure Information:
    Title
    Number of participants with ≥ grade 3 adverse events related to product
    Description
    AE graded by Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, version 1.0, December 2004
    Time Frame
    51 weeks
    Secondary Outcome Measure Information:
    Title
    Number of participants with change in plasma viral load from baseline, over the observation period
    Description
    Log10 change in HIV RNA
    Time Frame
    Baseline to 51 weeks
    Title
    Number of participants with change in CD4+T cells from baseline, over the observation period
    Description
    Absolute number change of CD4+T cells
    Time Frame
    Baseline to 51 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: patients with HIV infection; absence of antiretroviral therapy, antineoplastic therapy or the use of corticosteroids for at least six months prior to study entry; plasma viral load ≥ 1,000 copies / mL, stable (ie no variation > 0.5 log) in the six months before the start of the study; blood CD4+ T cells ≥ 350 /mL, stable (ie no variation > 25%) in the six months before the start of the study. Exclusion Criteria: individuals without proper venous access for blood and apheresis collection procedure. use of drugs, alcohol, psychiatric disorder or any condition that interferes with the ability of patients to follow the requirements of the study; history of diagnosis of HIV infection <01 years; pregnancy or breast-feeding; use of antiviral therapy, in anticancer therapies or corticosteroids six months prior to study start; presence of chronic diseases, such as infection with hepatitis B (HBV) and C (HCV), human T-lymphotropic virus (HTLV) I / II or any condition that promotes immune system dysfunction, with the exception of HIV infection.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Alberto JS Duarte, Professor
    Organizational Affiliation
    University of Sao Paulo
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    15568033
    Citation
    Lu W, Arraes LC, Ferreira WT, Andrieu JM. Therapeutic dendritic-cell vaccine for chronic HIV-1 infection. Nat Med. 2004 Dec;10(12):1359-65. doi: 10.1038/nm1147. Epub 2004 Nov 28.
    Results Reference
    background
    PubMed Identifier
    20635918
    Citation
    Oshiro TM, de Almeida A, da Silva Duarte AJ. Dendritic cell immunotherapy for HIV infection: from theory to reality. Immunotherapy. 2009 Nov;1(6):1039-51. doi: 10.2217/imt.09.68.
    Results Reference
    background

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    Study of Anti-HIV Cellular Therapy Based on Dendritic Cells Pulsed With Chemically Inactivated Virus

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