NCT01712256

Brief Summary

During the course of HIV infection the number of CD4 cells decreases, resulting in a reduced immunological response and eventually immune deficiency. Vacc-4x is a peptide-based HIV immunotherapy vaccine and is anticipated to strengthen the immune system's response to HIV. All patients participating in this trial have previously received the vacc-4x vaccine in order to reduce the amount of HIV-1 virus in the blood and increase the immune response. The primary objective of this study is to evaluate if a re-boost with Vacc-4x could further reduce the amount of HIV-1 virus and increase the immune response.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
33

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Dec 2012

Shorter than P25 for phase_2

Geographic Reach
5 countries

10 active sites

Status
completed

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

October 16, 2012

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 23, 2012

Completed
1 month until next milestone

Study Start

First participant enrolled

December 1, 2012

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2014

Completed
3.2 years until next milestone

Results Posted

Study results publicly available

March 6, 2017

Completed
Last Updated

March 6, 2017

Status Verified

January 1, 2017

Enrollment Period

1.1 years

First QC Date

October 16, 2012

Results QC Date

January 11, 2017

Last Update Submit

January 11, 2017

Conditions

Keywords

CD4Clinical trialHuman immunodeficiency virus-1 (HIV-1)HIVImmunomodularyInfectionPhase IIRe-boostVaccineVacc-4x

Outcome Measures

Primary Outcomes (1)

  • Vacc-4x Effect on Viral Load Set-point

    Viral load (VL) set point in the present re-boost study was compared with VL set point in the 2007/1 study.

    37 weeks

Secondary Outcomes (5)

  • Vacc-4x Effect on Immune Response Measured as CD4 Count

    36 weeks

  • Vacc-4x Effect on Immune Response Measured as CD8 Count

    36 weeks

  • Delayed Type Hypersensitivity Test (DTH), Positive Responses for Induration

    4 weeks

  • Delayed Type Hypersensitivity Test (DTH), Positive Responses for Erythema

    4 Weeks

  • Number of Participants With Adverse Events as a Measure of Safety and Tolerability

    37 weeks

Study Arms (1)

Re-boosting with Vacc-4x

EXPERIMENTAL

Intradermal Vacc-4x (1.2 mg) given with Leukine® (rhu-GM-CSF) (0.06 mg) at day 1 and day 15.

Biological: Vacc-4x

Interventions

Vacc-4xBIOLOGICAL

Vacc-4x is a peptide-based HIV immunotherapy administered intradermally. Vacc-4x peptides are reconstituted in sterile water.

Also known as: Combination of Vacc-10, Vacc-11, Vacc-12 and Vacc-13
Re-boosting with Vacc-4x

Eligibility Criteria

Age18 Years - 63 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Completed immunization regimen with Vacc-4x active and stopped ART (at Week 28) in the CT-BI Vacc-4x 2007/1 study. (No re-start of ART is required).
  • Documented pre-study CD4 cell count ≥400x106/L.
  • Documented pre-study viral load \< 300 000copies/mL.
  • Signed informed consent.

You may not qualify if:

  • Reported AIDS-defining illness within the previous year.
  • Malignant disease.
  • On chronic treatment with immune-suppressive therapy.
  • Unacceptable values of the hematologic and clinical chemistry parameters, as judged by the Investigator, including creatinine values \>1.5 x upper limit of normal (ULN), and AST, ALT and alkaline phosphatase (ALP) values \>2.5 x ULN.
  • Concurrent chronic active infection such as viral hepatitis B or C or tuberculosis.
  • Pregnant or breastfeeding women.
  • Women of childbearing potential not using reliable and adequate contraceptive methods (defined as: use of oral, implanted, injectable, mechanical or barrier products for the prevention of pregnancy; practicing abstinence; sterile) during the 5 weeks re-boosting period including the DTH and for 2 weeks after the DTH test, or sexually active male subjects with partners of child bearing potential unwilling to practice effective contraception during the 5 weeks re-boosting period including the DTH and for 12 weeks after the DTH-test.
  • Current participation in other clinical therapeutic studies.
  • Incapability of compliance to treatment protocol, in the opinion of the Investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

UCLA CARE Center

Los Angeles, California, 90035, United States

Location

UC Davis Medical Center

Sacramento, California, 95817, United States

Location

Universitätsklinikum Bonn, Medizinische Klinik und Poliklinik I; Immunologische Ambulanz, Siegmund-Freud-Str. 25

Bonn, Bonn, 53127, Germany

Location

ifi - Studien und Projekte GmbH, an der Asklepios-Klinik St. George

Hamburg, Hamburg, 20099, Germany

Location

EIPMED - Gesellschaft fűr epidemiologische und klinische Forschung in der Medizin mbH Rubensstrasse 125

Berlin, State of Berlin, 12157, Germany

Location

Universitätsklinikum Hamburg Eppendorf

Hamburg, 20246, Germany

Location

Istituto San Raffaele

Milan, Milano, 20127, Italy

Location

Hospital Germans Trias i Pujol

Badalona, 08916, Spain

Location

Unidad de VIH, Hospital de Bellvitge, Calle Feixa Llarga s/n, Hospitalet de Llobregat.

Barcelona, 08907, Spain

Location

Harrison Wing St Thomas' Hospital

London, London, SE1 7EH, United Kingdom

Location

Related Publications (5)

  • Kran AM, Sommerfelt MA, Baksaas I, Sorensen B, Kvale D. Delayed-type hypersensitivity responses to HIV Gag p24 relate to clinical outcome after peptide-based therapeutic immunization for chronic HIV infection. APMIS. 2012 Mar;120(3):204-9. doi: 10.1111/j.1600-0463.2011.02843.x. Epub 2011 Nov 27.

    PMID: 22339677BACKGROUND
  • Lind A, Sommerfelt M, Holmberg JO, Baksaas I, Sorensen B, Kvale D. Intradermal vaccination of HIV-infected patients with short HIV Gag p24-like peptides induces CD4 + and CD8 + T cell responses lasting more than seven years. Scand J Infect Dis. 2012 Aug;44(8):566-72. doi: 10.3109/00365548.2011.653581. Epub 2012 Feb 19.

    PMID: 22339485BACKGROUND
  • Jones T. Vacc-4x, a therapeutic vaccine comprised of four engineered peptides for the potential treatment of HIV infection. Curr Opin Investig Drugs. 2010 Aug;11(8):964-70.

    PMID: 20721838BACKGROUND
  • Kran AM, Sorensen B, Sommerfelt MA, Nyhus J, Baksaas I, Kvale D. Long-term HIV-specific responses and delayed resumption of antiretroviral therapy after peptide immunization targeting dendritic cells. AIDS. 2006 Feb 28;20(4):627-30. doi: 10.1097/01.aids.0000210620.75707.ac.

    PMID: 16470131BACKGROUND
  • Rockstroh JK, Asmuth D, Pantaleo G, Clotet B, Podzamczer D, van Lunzen J, Arasteh K, Mitsuyasu R, Peters B, Silvia N, Jolliffe D, Okvist M, Krogsgaard K, Sommerfelt MA. Re-boost immunizations with the peptide-based therapeutic HIV vaccine, Vacc-4x, restores geometric mean viral load set-point during treatment interruption. PLoS One. 2019 Jan 30;14(1):e0210965. doi: 10.1371/journal.pone.0210965. eCollection 2019.

MeSH Terms

Conditions

Infections

Interventions

Vacc-4x

Results Point of Contact

Title
Maja Sommerfelt
Organization
Bionor Pharma ASA

Study Officials

  • Vidar Wendel-Hansen, Dr. med

    Bionor Pharma ASA, Kronprinsesse Märthas Plass 1, P.O. Box 1477 Vika, NO-0116 Oslo, Norway

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 16, 2012

First Posted

October 23, 2012

Study Start

December 1, 2012

Primary Completion

January 1, 2014

Study Completion

January 1, 2014

Last Updated

March 6, 2017

Results First Posted

March 6, 2017

Record last verified: 2017-01

Data Sharing

IPD Sharing
Will not share

Participants have not provided informed consent for their anonymized individual data to be made available beyond that described in the patient information sheet.

Locations