Evaluate the Tolerability and Therapeutic Effects of Repeated Doses of Autologous T Cells With VRX496 in HIV
A Phase I/II, Open-label, Single Center Study to Evaluate the Tolerability, Trafficking and Therapeutic Effects of Repeated Doses of Autologous T Cells Transduced With VRX496 in HIV Infected Subjects
2 other identifiers
interventional
25
1 country
1
Brief Summary
The study is intended for individuals who are doing well on HAART therapy. In Step 1 of the trial, individuals will be given up to 6 infusions of the study drug VRX496 to see the effect on viral load and CD4 counts. If individuals have no serious adverse effects from the infusions of VRX496 and the viral load and CD4 counts remain stable, they may go on to Step 2 of the study. In Step 2, individuals will stop taking their HAART medication and their viral load, CD4 counts and the number of VRX496 in T cells will be monitored. All subjects who receive VRX496 T cells will enroll in a Long-Term Follow-up study to monitor subjects. Subjects will be followed every 6 months for five years following the 1st infusion of the T cells. If the VRX496 T cells are no longer found in the blood after five years, then subjects will be contacted yearly for the next 10 years. If the VRX496 T cells are found in the blood at five years after the 1st infusion of T cells, then the subjects will continue to be seen once a year until the VRX496 T cells are no longer found in the blood for a maximum of 15 years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 hiv
Started Jan 2006
Longer than P75 for phase_1 hiv
1 active site
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
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
February 21, 2006
CompletedFirst Posted
Study publicly available on registry
February 23, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedOctober 23, 2019
October 1, 2019
4.2 years
February 21, 2006
October 21, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Incidence of serious adverse events & dose related toxicity.
18 months
Effects on viral load and CD4 counts from baseline through STI.
18 months
Estimate antiviral effects of VRX496 after STI.
18 months
Secondary Outcomes (1)
Determine persistence and number of VRX496 containing T cells
18 months
Interventions
In Step 1 of the protocol, each subject will receive up to 2 cycles of VRX496. Each treatment cycle consists of 3 infusions of VRX496.
Eligibility Criteria
You may qualify if:
- HIV-1 positive by western blot or detection of HIV RNA in blood and responding to combination antiviral therapy
- No changes in antiretroviral medications within past 4 weeks of study entry and willing to continue on current therapy for the duration of the study
- years of age and older
- Karnofsky Performance score of greater than 80
- HIV viral load \< 59 copies/mL
- CD4 T cell count \> 350 cells per uL
- adequate venous access
You may not qualify if:
- HIV seroconversion within past year
- History of cancer (other than a removed basal or squamous cell of the skin)
- History of congestive heart failure.
- Previous treatment with HIV experimental vaccine within past year
- Previous treatment with any gene therapy
- Positive serology for Vesicular Stomatitis Virus (VSV-G or VSV-G DNA)
- Currently breastfeeding, pregnant, or unwilling to use birth control
- Using oral corticosteroids, hydroxyurea, or immunomodulating agents (IL-2, interferon-gamma, granulocyte colony stimulating factors, megestrol acetate) within the past 30 days or foresee the need to use these during the study period.
- Are presently drug or alcohol dependent
- Have other serious illness or acute opportunistic infection or bacterial infection requiring systemic treatment and/or hospitalization within the past 30 days
- Have chronic hepatitis B or hepatitis C
- Have an active AIDS defining illness
- Have an allergy or hypersensitivity to human serum albumin, DMSO or Dextran 40
- Have diabetes or a coagulopathy with in the opinion of the investigator would exclude subjects from participating in rectal biopsy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Pennsylania
Philadelphia, Pennsylvania, 19104, United States
Related Publications (1)
Tebas P, Stein D, Binder-Scholl G, Mukherjee R, Brady T, Rebello T, Humeau L, Kalos M, Papasavvas E, Montaner LJ, Schullery D, Shaheen F, Brennan AL, Zheng Z, Cotte J, Slepushkin V, Veloso E, Mackley A, Hwang WT, Aberra F, Zhan J, Boyer J, Collman RG, Bushman FD, Levine BL, June CH. Antiviral effects of autologous CD4 T cells genetically modified with a conditionally replicating lentiviral vector expressing long antisense to HIV. Blood. 2013 Feb 28;121(9):1524-33. doi: 10.1182/blood-2012-07-447250. Epub 2012 Dec 20.
PMID: 23264589DERIVED
Related Links
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Pablo Tebas, MD
University of Pennsylvania
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 21, 2006
First Posted
February 23, 2006
Study Start
January 1, 2006
Primary Completion
April 1, 2010
Study Completion
December 1, 2013
Last Updated
October 23, 2019
Record last verified: 2019-10