Safety and Efficacy Study of AGS-004 During Analytical Treatment Interruption
A Randomized, Double-Blind, Phase 2B Study Testing the Efficacy and Safety of AGS-004 on Host Control of HIV Replication During Analytical Treatment Interruption
3 other identifiers
interventional
53
2 countries
9
Brief Summary
The purpose of this study is to determine the safety and effectiveness of AGS-004, an immune therapy, for HIV-infected individuals. Safety and effectiveness will be tested while the individuals are both taking antiretroviral therapy (ART) medication and interrupting ART medication.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jul 2010
Longer than P75 for phase_2
9 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 16, 2010
CompletedFirst Posted
Study publicly available on registry
February 17, 2010
CompletedStudy Start
First participant enrolled
July 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2015
CompletedJanuary 24, 2017
January 1, 2017
4.1 years
February 16, 2010
January 23, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Compare the anti-HIV effects of AGS-004 versus Placebo as measured by new HIV Viral Load setpoint after a 12 week Analytical Treatment Interruption
38 weeks
Secondary Outcomes (8)
Evaluate AGS-004 versus Placebo for change in plasma HIV Viral Load levels from the value just before initiation of ART to the value at the end of the 12 week ATI.
38 weeks
Evaluate AGS-004 versus Placebo for change from Baseline in CD4 T-Cell absolute and percentage values at Week 26 and at the end of Step 4 (for subjects continuing ATI)
38 weeks (62 weeks for subjects continuing ATI in Step 4)
Evaluate AGS-004 versus Placebo for effects on HIV viral kinetics during the 12 week ATI, as measured my mean or median levels of plasma HIV Viral Load; assessed throughout and at the end of Step 4 (for subjects continuing ATI)
38 weeks (62 weeks for subjects continuing ATI in Step 4)
Evaluate AGS-004 versus Placebo for change from Baseline in TEAEs, clinical laboratory evaluations, and clinical assessments.
2 years
Evaluate AGS-004 versus Placebo for change in inflammatory markers over treatment period and ATI
38 Weeks (62 weeks for subjects continuing ATI in Step 4)
- +3 more secondary outcomes
Study Arms (2)
AGS-004
EXPERIMENTALHIV-1 Immune Therapy
Inactive Injection
PLACEBO COMPARATORInactive Placebo Injection
Interventions
Eligibility Criteria
You may qualify if:
- Males and females ≥ 18 to 60 years of age.
- HIV infection.
- Stable ART regimen for ≥ 3 months prior to Screening.
- HIV VL level ≤ 400 copies/mL for ≥ 2 months prior to Screening.
- HIV VL level ≤ 50 copies/mL at Screening.
- CD4+ T cell count ≥ 450 cells/mm3 at Screening.
- Pre-ART nadir CD4+ T cell counts ≥ 200 cells/mm³.
- Availability of an adequate sample of frozen plasma most recently collected (no more than 90 days and preferably within 30 days) before starting ART.
- Laboratory values within pre-defined limits at Screening and Eligibility.
- Negative serum pregnancy test at Screening and Eligibility for females with reproductive potential, and agreement of all subjects to use a reliable form of contraception during the study and for 12 weeks after the last dose of study drug.
- Able and willing to give adequate written informed consent, to communicate effectively with study personnel, and willing to be compliant with protocol requirements.
You may not qualify if:
- HIV-2 antibody positive at Screening Visit.
- Positive hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibody (if positive HCV antibody, HCV RNA must be negative).
- Untreated syphilis infection (positive rapid plasma reagin \[RPR\]).
- Changes in ART regimen due to virologic breakthrough.
- History of lymph node irradiation or dissection.
- Prior use of any HIV immunotherapy or vaccine within 9 months prior to Screening.
- Prior participation in an AGS-004 clinical study.
- Treatment interruption of ART for \> 1 month since starting the ART from which the pre-ART plasma sample was drawn.
- Any acute infection or medical illness within 14 days prior to Screening and throughout the pre-treatment evaluation phase (Step 1).
- Initiation of ART during the acute HIV infection stage, if date of infection known (acute infection defined as \< 6 months between date of HIV infection and ART start date).
- Pregnancy or breast-feeding.
- Receipt of any immune modulators or suppressors within 30 days prior to Screening and throughout the pre-treatment evaluation phase (Step 1).
- Evidence of hepatic decompensation in cirrhotic subjects: history of ascites, hepatic encephalopathy, or bleeding esophageal varices, or screening laboratory results of any of the following:
- International Normalized Ratio (INR) of ≥ 1.5 X upper limit of normal (ULN);
- Serum albumin \< 3.3 g/dL;
- +12 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
UCDavis Research Office at CARES
Sacramento, California, 95811, United States
Jacobi & North Central Bronx Hospitals
The Bronx, New York, 10461, United States
AIDS Clinical Trials Unit
Chapel Hill, North Carolina, 27514, United States
Duke University Medical Center
Durham, North Carolina, 27710, United States
Division of Infectious Disease and HIV Medicine Partnership Comprehensive Care Practice
Philadelphia, Pennsylvania, 191002, United States
The Ottawa Hospital
Ottawa, Ontario, K1H 816, Canada
Clinique médicale l'Actuel
Montreal, Quebec, H2L4P9, Canada
Clinique Médical du Quartier Latin
Montreal, Quebec, H2L5B1, Canada
Montreal Chest Institute, Immunodeficiency Dept.
Montreal, Quebec, H2X 2P4, Canada
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jeffery Jacobson, MD
Drexel University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 16, 2010
First Posted
February 17, 2010
Study Start
July 1, 2010
Primary Completion
August 1, 2014
Study Completion
September 1, 2015
Last Updated
January 24, 2017
Record last verified: 2017-01
Data Sharing
- IPD Sharing
- Will not share