Vaccination of HIV-1 Infected Patients With Dendritic Cells in Addition to Antiretroviral Treatment - (DALIA Trial)
1 other identifier
interventional
19
1 country
1
Brief Summary
The purpose of this study is to determine whether the administration of a dendritic cell vaccine is a safe and effective treatment for HIV-1 patients.
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 Nov 2008
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
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2008
CompletedFirst Submitted
Initial submission to the registry
November 21, 2008
CompletedFirst Posted
Study publicly available on registry
November 24, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2011
CompletedJune 12, 2017
June 1, 2017
2.8 years
November 21, 2008
June 9, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate the safety of the vaccination schedule at week 24 and the safety of the Analytical Treatment Interruption at week 48 in HIV-1 infected patients.
May 2010
Secondary Outcomes (1)
To evaluate immune responses using several defined assays as well as viral and CD4+ T cell status
May 2010
Study Arms (1)
Dendritic Cell Vaccine
EXPERIMENTALAutologous dendritic cells generated using GM-CSF and interferon alpha, loaded with HIV lipopeptides and activated with lipopolysaccharide
Interventions
Biological/Vaccine: Experimental: Dendritic Cell Vaccine Patients will receive 4 doses of the vaccine at weeks 0, 4, 8 and 12. The vaccine will be injected subcutaneously, in 3 separate injection sites in the upper and lower extremities. At week 24, patients will have HAART treatment interrupted. The HAART treatment will be resumed at week 48 or earlier at any time point if one of the following occur: 1. two consecutive measurements of CD4+ T cell count below 350x10e6 cells/L and/or 25% of total lymphocytes within at least a 2 weeks 2. an opportunistic infection 3. a CDC class C-defining event (defined in appendix 2) 4. a serious non-AIDS defining event. Patients will have follow-up visits on weeks: 22, 24, 25, 26, 27, 28, 32, 36, 40, 44, and 48.
Eligibility Criteria
You may qualify if:
- ≥ 18 years old
- written informed consent
- HIV1 infection documented by any licensed ELISA test kit and confirmed by Western Blot at anytime prior to study entry
- on treatment with a combination of antiviral drugs (HAART) for at least 12 months, and stable on treatment for at least 3 months prior to enrollment. HAART is defined as an antiretroviral regimen consisting of at least three registered antiretroviral drugs (other than 3 Nucs only and low dose ritonavir used for boosting other protease inhibitors does not count as one of these three antiretroviral agents)
- CD4+ T cell counts \> 500 cells/mm3 on at least two consecutive measurements (including the screening value) within the previous 6 months prior to enrollment (occasional CD4 cell counts ranging between 450-500 cells/mm3 is permitted)
- nadir CD4+ T cell counts \> 300 cells/mm3 prior HAART
- plasma HIV-RNA ≤ 50 copies/mL on at least two consecutive measurements (including the screening value) within the previous 3 months prior to enrollment (occasional so called 'blips' up to 200 copies/mL are permitted)
- no history of CDC class C event (Appendix 2)
- no vaccination in the last 3 months
- blood cells and chemistry:
- neutrophils ≥ 1,000/mm3
- platelets ≥ 100,000/mm3
- hemoglobin ≥ 10 g/dl
- creatinin ≤ 1.5 x N
- ASAT, ALAT, conjugated bilirubin ≤ 2.5 x N
- +1 more criteria
You may not qualify if:
- Nadir CD4+ T cell counts \< 300 cells/mm3 prior HAART
- pregnant or lactating woman
- any prior chemotherapy treatment
- interferon alpha (IFN-α-2b) or sargramostim (GM-CSF) \< 12 weeks before the beginning of the trial
- interleukin-2 (IL-2) \<12 weeks before the beginning of the trial,
- corticosteroids or other immunosuppressive agents \<12 weeks before beginning the trial
- active asthma and/or on treatment for asthma,
- any history of malignancy (except basal carcinoma of the skin) including any hematologic malignancy or AIDS defining malignancy, such as lymphoproliferative disorder or Kaposi's sarcoma. Patients with Kaposi's sarcoma limited to the skin that disappeared while on HAART therapy, and without requiring any other systemic therapy, 1 year prior to study entry will be eligible to participate
- angina pectoris or with congestive heart failure, with auto-immune disease, or evolutive pulmonary disease, or organ failure
- active infections including viral hepatitis
- history of thrombocytopenia
- chronic hepatitis B or C
- previous exposure to any HIV experimental vaccine.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Baylor University Medical Center
Dallas, Texas, 75204, United States
Related Publications (2)
Alexandre M, Prague M, Lhomme E, Lelievre JD, Wittkop L, Richert L, Levy Y, Thiebaut R. Definition of Virological Endpoints Improving the Design of HIV Cure Strategies Using Analytical Antiretroviral Treatment Interruption. Clin Infect Dis. 2024 Dec 17;79(6):1447-1457. doi: 10.1093/cid/ciae235.
PMID: 38819800DERIVEDCobb A, Roberts LK, Palucka AK, Mead H, Montes M, Ranganathan R, Burkeholder S, Finholt JP, Blankenship D, King B, Sloan L, Harrod AC, Levy Y, Banchereau J. Development of a HIV-1 lipopeptide antigen pulsed therapeutic dendritic cell vaccine. J Immunol Methods. 2011 Feb 28;365(1-2):27-37. doi: 10.1016/j.jim.2010.11.002. Epub 2010 Nov 18.
PMID: 21093448DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jacques Banchereau, PhD
Baylor Research Institute
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 21, 2008
First Posted
November 24, 2008
Study Start
November 1, 2008
Primary Completion
September 1, 2011
Study Completion
September 1, 2011
Last Updated
June 12, 2017
Record last verified: 2017-06