Combination Vaccination Before HIV Treatment Interruption
A Pilot Study to Determine the Impact of Therapeutic HIV Vaccination Followed by a Scheduled Interruption of Antiretroviral Therapy on HIV-Specific Immune Function and Virologic Rebound in Patients With Prolonged Viral Suppression
2 other identifiers
interventional
52
1 country
3
Brief Summary
The purpose of this study is to determine if vaccination before a structured treatment interruption (STI) is associated with an improvement in immune function, resulting in a delayed and reduced rebound in the amount of HIV virus in the blood.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 hiv-infections
Started Apr 2004
Longer than P75 for phase_1 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
Study Start
First participant enrolled
April 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 21, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedResults Posted
Study results publicly available
June 17, 2019
CompletedJune 17, 2019
March 1, 2019
6.3 years
September 13, 2005
March 28, 2017
March 19, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to Detectable Virus in the Remune Plus ALVAC Group and the Placebo Group
Up to week 48
Secondary Outcomes (5)
Time to Detectable Virus in the ALVAC Alone Group and the Placebo Group
Up to week 48
Time to Rebound of Plasma HIV RNA Level to 10,000 Copies/ml
Up to week 48
Viral Set-point
Up to week 48
Magnitude of Viral Rebound
Up to week 48
HIV-specific Immune Function
at week 48
Interventions
* Group 1) Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20); * Group 2) Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20; or * Group 3) Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Eligibility Criteria
You may qualify if:
- Documented HIV infection (by serology)
- HIV RNA level below 50 copies/ml for at least two years
- Receiving at least 2 antiretroviral agents including at least 1 protease inhibitor or 1 non-nucleoside reverse transcriptase inhibitor at time of screening
- Have CD4 counts above 500 cells/ul
- Have CD4/CD8 ratio above 0.5
- Have never had a CD4 count below 250
- No previous AIDS-defining opportunistic infection
- No previous cancer chemotherapy or other system immunosuppressive therapy (excluding brief courses \[\<= 1 month\] of prednisone or its equivalent)
- Able to provide informed consent
You may not qualify if:
- Hepatitis B surface antigen positive
- Hepatitis C antibody positive
- AST, ALT, ALP, creatinine, urea above three times the normal upper limit
- Blood abnormalities (hemoglobin lower than 100, white blood cell count \[WBC\] lower than 1500 or platelets lower than 100)
- Allergies to components of Remune™ or ALVAC
- Contraindications to vaccine components
- Pregnancy or breastfeeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ottawa Hospital Research Institutelead
- Canadian Institutes of Health Research (CIHR)collaborator
- Ontario HIV Treatment Networkcollaborator
- CIHR Canadian HIV Trials Networkcollaborator
Study Sites (3)
The Ottawa Hospital, General Campus
Ottawa, Ontario, K1H 8L6, Canada
CHUM Hotel-Dieu
Montreal, Quebec, H2W 1T8, Canada
Montreal Chest Institute
Montreal, Quebec, H2X 2P4, Canada
Related Publications (1)
Angel JB, Routy JP, Tremblay C, Ayers D, Woods R, Singer J, Bernard N, Kovacs C, Smaill F, Gurunathan S, Sekaly RP. A randomized controlled trial of HIV therapeutic vaccination using ALVAC with or without Remune. AIDS. 2011 Mar 27;25(6):731-9. doi: 10.1097/QAD.0b013e328344cea5.
PMID: 21330911DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Jonathan B Angel
- Organization
- OHRI
Study Officials
- PRINCIPAL INVESTIGATOR
Jonathan B Angel, MD
OHRI
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 21, 2005
Study Start
April 1, 2004
Primary Completion
July 1, 2010
Study Completion
November 1, 2010
Last Updated
June 17, 2019
Results First Posted
June 17, 2019
Record last verified: 2019-03