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Succinylated Human Serum Albumin (Suc-HSA) for HIV-1 Infection

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
succinylated human serum albumin
Sponsored by
International Antiviral Therapy Evaluation Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring HIV-1, succinylated human serum albumin, Treatment Naive

Eligibility Criteria

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

Inclusion Criteria: Patient is ≥ 18 years of age; Voluntarily signed informed consent; Patient has a proven HIV-1 infection (with positive antibodies against HIV-1 and a detectable plasma HIV-1 RNA); Patient is HIV-1 treatment naïve; CD4+ T-cell count ≥ 350 x 10^6/L; Plasma HIV-1 RNA level at screening visit of at least 5.000 copies/ml, and not varying more than ± 0.5 log10 copies during the preceding 6 month period; Patient was participant in part 1 of the original Suc-HSA study (protocol no. 2003-002, version 2.4, dated 18 November 2003) and the administration of Suc-HSA occurred more than 8 weeks ago, OR patient was not participant in this study; Patient is one of the following: not heterosexually active, OR a heterosexually active female, agreeing to use an effective method of contraception with her partner (combined oral contraceptive pill; injectable contraceptive; intrauterine contraceptive device (IUCD); consistent use of condoms if using these; physiological or anatomical sterility in herself or her partner) from 14 days prior to the first administration of study medication until 4 months after the last, and willing to undergo urine pregnancy tests prior to the first and last administration, OR a heterosexually active male, agreeing to use an effective method of contraception with his partner from the day of the first administration until 4 months after the last administration. Exclusion Criteria: History of an AIDS defining event; Use of antiretroviral or immunomodulatory therapy; Any reason to start antiretroviral therapy at the time of enrolment or which is expected to occur during the course of the study at the time of enrolment; Presence of active, replicating hepatitis B and/or C virus co-infection; ASAT and/or ALAT > 3 times upper limit of normal (ULN) (AIDS Clinical Trials Group [ACTG] toxicity scale); Serum creatinine measuring > 1.5 x ULN; Total bilirubin > 2x ULN; Neutropenia (absolute neutrophil count < 1000/mm3); Presence of any clinically significant disease or findings during screening, that in the opinion of the investigator could compromise the safety of the subject; Patient is female and (willing to become) pregnant or breast-feeding; Any other condition which, in the opinion of the investigator, may interfere with the evaluation of the study objectives.

Sites / Locations

  • Academic Medical Center, University of Amsterdam

Outcomes

Primary Outcome Measures

To evaluate the pharmacokinetic behavior of Suc-HSA after consecutive daily i.v. doses.

Secondary Outcome Measures

To evaluate the safety and tolerability and the antiretroviral and immunological effects of consecutive daily i.v. doses of Suc-HSA.

Full Information

First Posted
August 8, 2005
Last Updated
April 23, 2007
Sponsor
International Antiviral Therapy Evaluation Center
Collaborators
University Medical Center Groningen, Prothya Biosolutions
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1. Study Identification

Unique Protocol Identification Number
NCT00128063
Brief Title
Succinylated Human Serum Albumin (Suc-HSA) for HIV-1 Infection
Official Title
A Phase 1 & 2, Randomized Open-Label Study to Evaluate the Pharmacokinetics, Safety and Antiretroviral Activity of Succinylated Human Serum Albumin (Suc-HSA) in Treatment Naïve HIV-1 Infected Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2007
Overall Recruitment Status
Completed
Study Start Date
August 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
June 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
International Antiviral Therapy Evaluation Center
Collaborators
University Medical Center Groningen, Prothya Biosolutions

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of the study is to evaluate the pharmacokinetic behavior of Suc-HSA after consecutive daily intravenous (i.v.) doses. The secondary objectives are to evaluate the safety and tolerability and the antiretroviral and immunological effects of consecutive daily i.v. doses of Suc-HSA.
Detailed Description
This is a single centre, single arm study. Subjects will receive 5 consecutive daily doses of Suc-HSA at a dose of 10 mg/kg on days 0, 1, 2, 3 and 4 on the Special Investigation Unit (SIU), with a safety follow up on the SIU for 4 hours on day 1 and 2 hours on the next days. There will be follow-up visits on week 1, 2, 4 and 12. Standard safety parameters (physical examination, clinical symptoms, laboratory hematology and biochemistry) will be followed until week 12. Plasma HIV-1 RNA and CD4+/CD8+ cell counts will be assessed at every visit. Plasma drug levels (trough and peak) will be measured from baseline until week 2. 6 patients will be included in this study as described in this protocol amendment. Eligible subjects are chronic HIV-1 infected patients who have never been treated with antiretroviral treatment and for whom there is no need to start antiretroviral treatment. Test Product: Suc-HSA, a candidate HIV-1 fusion inhibitor. Duration of treatment: 5 days Criteria for evaluation: Safety: symptoms, signs at physical examination, standard hematology and chemistry laboratory parameters- Efficacy: changes in plasma HIV-1 RNA and CD4+ T cell count Pharmacokinetics: plasma levels of Suc-HSA: Cmin, Cmax and AUC

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
HIV-1, succinylated human serum albumin, Treatment Naive

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
6 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
succinylated human serum albumin
Primary Outcome Measure Information:
Title
To evaluate the pharmacokinetic behavior of Suc-HSA after consecutive daily i.v. doses.
Secondary Outcome Measure Information:
Title
To evaluate the safety and tolerability and the antiretroviral and immunological effects of consecutive daily i.v. doses of Suc-HSA.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is ≥ 18 years of age; Voluntarily signed informed consent; Patient has a proven HIV-1 infection (with positive antibodies against HIV-1 and a detectable plasma HIV-1 RNA); Patient is HIV-1 treatment naïve; CD4+ T-cell count ≥ 350 x 10^6/L; Plasma HIV-1 RNA level at screening visit of at least 5.000 copies/ml, and not varying more than ± 0.5 log10 copies during the preceding 6 month period; Patient was participant in part 1 of the original Suc-HSA study (protocol no. 2003-002, version 2.4, dated 18 November 2003) and the administration of Suc-HSA occurred more than 8 weeks ago, OR patient was not participant in this study; Patient is one of the following: not heterosexually active, OR a heterosexually active female, agreeing to use an effective method of contraception with her partner (combined oral contraceptive pill; injectable contraceptive; intrauterine contraceptive device (IUCD); consistent use of condoms if using these; physiological or anatomical sterility in herself or her partner) from 14 days prior to the first administration of study medication until 4 months after the last, and willing to undergo urine pregnancy tests prior to the first and last administration, OR a heterosexually active male, agreeing to use an effective method of contraception with his partner from the day of the first administration until 4 months after the last administration. Exclusion Criteria: History of an AIDS defining event; Use of antiretroviral or immunomodulatory therapy; Any reason to start antiretroviral therapy at the time of enrolment or which is expected to occur during the course of the study at the time of enrolment; Presence of active, replicating hepatitis B and/or C virus co-infection; ASAT and/or ALAT > 3 times upper limit of normal (ULN) (AIDS Clinical Trials Group [ACTG] toxicity scale); Serum creatinine measuring > 1.5 x ULN; Total bilirubin > 2x ULN; Neutropenia (absolute neutrophil count < 1000/mm3); Presence of any clinically significant disease or findings during screening, that in the opinion of the investigator could compromise the safety of the subject; Patient is female and (willing to become) pregnant or breast-feeding; Any other condition which, in the opinion of the investigator, may interfere with the evaluation of the study objectives.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joep MA Lange, MD PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Jan Prins, MD PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Academic Medical Center, University of Amsterdam
City
Amsterdam
State/Province
NH
ZIP/Postal Code
1105AZ
Country
Netherlands

12. IPD Sharing Statement

Links:
URL
http://www.iatec.com
Description
Related Info

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Succinylated Human Serum Albumin (Suc-HSA) for HIV-1 Infection

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