Treatment With MSC in HIV-infected Patients With Controlled Viremia and Immunological Discordant Response
Clinical Trial Phase I/II, of Test of Concept, Blind Double, Randomized, Controlled With Placebo, to Assess the Safety and Efficiency of the Treatment With Allogenic Adult Mesenchymal Stem Cells From Adipose Tissue Expanded, in HIV-infected Patients With Controlled Viremia and Immunological Discordant Response
1 other identifier
interventional
5
1 country
1
Brief Summary
Phase I/IIClinical trial, proof of concept, double blind, and placebo-controlled, randomized 2:1 (MSCs: placebo), total sample size is 15 subjects
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Feb 2017
Typical duration for phase_1
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
First Submitted
Initial submission to the registry
November 10, 2014
CompletedFirst Posted
Study publicly available on registry
November 13, 2014
CompletedStudy Start
First participant enrolled
February 8, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2019
CompletedMarch 4, 2020
March 1, 2020
2.5 years
November 10, 2014
March 3, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Incidence of adverse reactions
Incidence of adverse reactions grade 3 and 4 according to DAIDs scale
24 months
Incidence of opportunist diseases
24 months
Changes in CD4+ cell count and CD4+/CD8+ ratio
Changes in CD4+ cell count and CD4+/CD8+ ratio as measured by flow citometry
28 days after the 4th infusion MSCs/placebo
Secondary Outcomes (1)
T CD4 +/µl count evolution and CD4 +/CD8 + ratio throughout 48 weeks
48 weeks
Study Arms (2)
Mesenchymal stem cells
EXPERIMENTALIntravenous infusion of 4 doses of allogenic adult mesenchymal stem cells from adipose tissue
Placebo
PLACEBO COMPARATORIntravenous infusion of 4 doses of Placebo
Interventions
Intravenous infusion of 4 doses of adipose tissue derived allogeneic adult mesenchymal stem cells (1 million MSCs/Kg, weeks 0-4-8-20).
Eligibility Criteria
You may qualify if:
- Confirmed HIV infection
- Age\> 18 years, both sexes
- In treatment with antiretroviral therapy (ART)
- Sustained HIV viral load \<50 copies / ml for ≥ 1 years prior to study entry
- CD4 + cell count \< 350/mL
- Immunological discordant response defined as: an increase \<75 or \<150 in CD4+ cell counts within one or two years of undetectable viraemia, respectively; or CD4 + cell count \<350/mcl after 3 years of ART and undetectable viraemia (\<50 copies/ml) ≥ 1 year
- Writen informed consent
- In women of child bearing potential or her partners:commitment to use contraceptive method of proved efficiency throughout the duration of the clinical trial
You may not qualify if:
- Pregnancy, breastfeeding, or refusal to the use of contraceptive methods
- Opportunistic infections in the last 12 months prior to study entry
- Active co-infection with hepatitis B virus/hepatitis C virus
- Child Pugh's scale stage C cirrhosis of the liver of any a aetiology
- Portal hypertension and / or hypersplenism of any aetiology
- Malignant neoplasia
- Treatment with steroids, immunomodulators, interferon, chemotherapy or any other medicinal product that could modify the number of CD4+ within the last 12 months prior to study entry
- Confirmed analytical 3 or 4 grade (AIDS Clinical Trials Group scale) abnormalities
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Virgen del Rocío University Hospital
Seville, 41013, Spain
Related Publications (1)
Trujillo-Rodriguez M, Viciana P, Rivas-Jeremias I, Alvarez-Rios AI, Ruiz-Garcia A, Espinosa-Ibanez O, Arias-Santiago S, Martinez-Atienza J, Mata R, Fernandez-Lopez O, Ruiz-Mateos E, Gutierrez-Valencia A, Lopez-Cortes LF. Mesenchymal stromal cells in human immunodeficiency virus-infected patients with discordant immune response: Early results of a phase I/II clinical trial. Stem Cells Transl Med. 2021 Apr;10(4):534-541. doi: 10.1002/sctm.20-0213. Epub 2020 Dec 2.
PMID: 33264515DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Luis F. López Cortés, MD
Hospitales Universitarios Virgen del Rocío
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 10, 2014
First Posted
November 13, 2014
Study Start
February 8, 2017
Primary Completion
July 30, 2019
Study Completion
July 30, 2019
Last Updated
March 4, 2020
Record last verified: 2020-03