Safety and Tolerability of Pegylated Interferon (PEG-IFN) Alfa-2a in HIV Infected People
A Phase II Open-Label Pilot Trial of the Antiretroviral Activity, Safety, and Tolerability of Pegylated Interferon Alfa-2A (40KD) [PegasysTM] in HIV-1 Infected Subjects
2 other identifiers
interventional
12
1 country
3
Brief Summary
Recombinant interferon (IFN) may be useful in the treatment of HIV. However, the high doses of IFN necessary to keep HIV under control limit its use due to toxic side effects. The purpose of this study is to test the safety and tolerability of weekly recombinant pegylated interferon (PEG-IFN) alfa-2a in HIV infected people who are currently on antiretroviral therapy (ART) interruption or who have not started taking anti-HIV drugs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 hiv-infections
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 25, 2004
CompletedFirst Posted
Study publicly available on registry
February 26, 2004
CompletedStudy Start
First participant enrolled
May 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2007
CompletedAugust 7, 2009
August 1, 2009
8 months
February 25, 2004
August 6, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
CD4 count
Throughout study
CD8 count
Throughout study
Laboratory and clinical adverse effects
Throughout study
Study Arms (1)
1
EXPERIMENTALParticipants will receive weekly injections of 180 mcg PEG-IFN alfa-2a at the clinic for 12 weeks. After Week 12, participants will be followed off-treatment until Week 18.
Interventions
Recombinant PEG-IFN alfa-2a is a synthetic version of IFN and is used in hepatitis C virus treatment
Eligibility Criteria
You may qualify if:
- HIV infected
- CD4 count of 300 cells/ml or greater within 30 days of study entry
- HIV viral load of 5000 copies/ml or greater within 30 days of study entry
- Received ART previously but have currently interrupted treatment within 12 weeks prior to study entry OR ART naive
- Willing to delay initiation or re-initiation of antiretroviral medications for the duration of the study
- Agree to use acceptable forms of contraception
You may not qualify if:
- Previous use of interferon alfa
- Known allergy or sensitivity to PEG-IFN alfa-2a or its formulation
- Active drug or alcohol abuse that would interfere with the study
- Acute therapy for a serious infection within 30 days of study entry
- Use of non-protocol-specified immunomodulatory therapy within 60 days of study entry
- Active immunization within 30 days of study entry
- History of severe psychiatric disease such as major depression, suicidal attempt, hospitalization for psychiatric disease, or a period of disability due to psychiatric disease
- History of poorly controlled thyroid disease, including history of elevated thyroid stimulating hormone (TSH) levels with elevated antibodies to thyroid peroxidase and any clinical manifestations of thyroid disease
- History of clinically significant heart disease that could be worsened by acute anemia
- History of severe seizure disorder or current anticonvulsant use
- Hepatitis C antibody positive within 60 days prior to study entry
- Hepatitis B surface antigen positive within 60 days prior to study entry
- Known sensitivity to E. coli derived products, such as filgrastim
- Any past evidence of chronic liver disease
- Any past or current evidence of immunologically-mediated disease
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
University of California, Davis Medical Center
Sacramento, California, 95814, United States
Northwestern University
Chicago, Illinois, 60611-3015, United States
Duke University Medical Center
Durham, North Carolina, 27710, United States
Related Publications (6)
Bain VG. Effect of HCV viral dynamics on treatment design: lessons learned from HIV. Am J Gastroenterol. 2001 Oct;96(10):2818-28. doi: 10.1111/j.1572-0241.2001.04234.x.
PMID: 11693314BACKGROUNDDwyer JT, Paul SM. HIV and hepatitis C co-infection. N J Med. 2003 Sep;100(9 Suppl):50-4; quiz 77-8.
PMID: 14556604BACKGROUNDEmilie D, Burgard M, Lascoux-Combe C, Laughlin M, Krzysiek R, Pignon C, Rudent A, Molina JM, Livrozet JM, Souala F, Chene G, Grangeot-Keros L, Galanaud P, Sereni D, Rouzioux C; Primoferon A Study Group. Early control of HIV replication in primary HIV-1 infection treated with antiretroviral drugs and pegylated IFN alpha: results from the Primoferon A (ANRS 086) Study. AIDS. 2001 Jul 27;15(11):1435-7. doi: 10.1097/00002030-200107270-00014.
PMID: 11504966BACKGROUNDKawakami K. Promising immunotherapies with Th1-related cytokines against infectious diseases. J Infect Chemother. 2003 Sep;9(3):201-9. doi: 10.1007/s10156-003-0263-5.
PMID: 14513386BACKGROUNDLevy JA, Scott I, Mackewicz C. Protection from HIV/AIDS: the importance of innate immunity. Clin Immunol. 2003 Sep;108(3):167-74. doi: 10.1016/s1521-6616(03)00178-5. No abstract available.
PMID: 14499239BACKGROUNDAsmuth DM, Murphy RL, Rosenkranz SL, Lertora JJ, Kottilil S, Cramer Y, Chan ES, Schooley RT, Rinaldo CR, Thielman N, Li XD, Wahl SM, Shore J, Janik J, Lempicki RA, Simpson Y, Pollard RB; AIDS Clinical Trials Group A5192 Team. Safety, tolerability, and mechanisms of antiretroviral activity of pegylated interferon Alfa-2a in HIV-1-monoinfected participants: a phase II clinical trial. J Infect Dis. 2010 Jun 1;201(11):1686-96. doi: 10.1086/652420.
PMID: 20420510DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
David Asmuth, MD
Division of Infectious and Immunologic Diseases, University of California, Davis Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NIH
Study Record Dates
First Submitted
February 25, 2004
First Posted
February 26, 2004
Study Start
May 1, 2006
Primary Completion
January 1, 2007
Last Updated
August 7, 2009
Record last verified: 2009-08