Safety and Immunogenicity of a Vaccine Dendritic Cell-based Pulsed With Autologous Heat-inactivated in HIV-1 Infected Patients
2 other identifiers
interventional
36
1 country
1
Brief Summary
single-center, national clinical trial, phase I, randomized (1: 1: 1: 1), prospective, placebo-controlled, partially masked, parallel group. Patients will be assigned to one of the following four arms: 3 immunizations of dendritic cells / 3 immunizations of dendritic cells with pegylated interferon + / 3 immunizations of placebo / 3 immunizations of placebo with pegylated interferon.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started May 2016
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
April 22, 2016
CompletedStudy Start
First participant enrolled
May 1, 2016
CompletedFirst Posted
Study publicly available on registry
May 10, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 22, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
May 22, 2019
CompletedJuly 26, 2019
July 1, 2019
3.1 years
April 22, 2016
July 25, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Number of Participants with adverse events of grade 3 or higher
* Local adverse events of grade 3 or higher (pain and skin reactions including induration) * Systemic adverse events of grade 3 or higher (fever, chills, headache, nausea, vomiting, malaise and myalgia) * Clinical or laboratory confirmed grade 3 or higher on physical examination or retests adverse events Any event attributable to the vaccine involving a discontinuation of vaccination regime.
28 weeks
Virological
Proportion of patients with undetectable viral load (\<37 copies / mL) at 12 weeks
12 weeks
Secondary Outcomes (10)
Number of adverse events grade 1 and 2 within 14 days after each immunization (weeks 2, 4 and 6)
6 weeks
Changes in the specific immune response
28 weeks
Changes in levels of viral reservoir.
28 weeks
Proportion of patients with changes in any value of the levels of inflammatory markers, microbial translocation and immune activation
28 weeks
Proportion of patients with viral rebound
15 days
- +5 more secondary outcomes
Study Arms (4)
DCV3
EXPERIMENTALAutologus differentiated adult dendritic cells from monocytes of peripheral blood non expanded pulsed with autologous inactivated HIV virus
DCV3 with PEG-INF
EXPERIMENTALAutologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded pulsed with autologous inactivated HIV virus with PEG-INF
CD placebo
PLACEBO COMPARATORAutologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded
CD placebo + PEG-INF
PLACEBO COMPARATORAutologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded with PEG-INF
Interventions
Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded pulsed with autologous inactivated HIV virus. Patients will receive three immunizations of dendritic cells during weeks 0, 2 and 4
Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded pulsed with autologous inactivated HIV virus with PEG\_INF Patients will receive three immunizations of dendritic cells during weeks 0, 2 and 4 and INF during weeks 4,5 and 6
Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded Patients will receive three immunizations saline + 1% albumin during weeks 0, 2 and 4
Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded with PEG\_INF Patients will receive three immunizations saline + 1% albumin during weeks 0, 2 and 4 and INF during weeks 4,5 and 6.
Eligibility Criteria
You may qualify if:
- Patient \> 18 years of age;
- Voluntarily sign informed consent;
- HIV infection tested (with positive antibodies to HIV-1 and a detectable viral load);
- Patient must be on stable treatment with cART at least 1 year
- The average of all measurements of CD4 during the year before starting cART should be equal or greater than 350 cells / mm3
- The number of CD4 + at enrollment must be equal or greater than 450 cells / mm3;
You may not qualify if:
- Treatment with suboptimal regimen (less than 3 antiretroviral drugs) before starting cART;
- History of C CDC events;
- Pregnancy woman or becoming pregnant in the next months;
- Active opportunistic infections, or any active infection or cancer within 30 days prior to the screening visit;
- Therapy with immunomodulatory agents, including cytokines (eg IL-2) and gamma globulins or chemotherapy within 90 days prior to the screening visit;
- Use of anticoagulant medication;
- Use of any investigational drug within 90 days prior to study entry;
- Virological failure prior to antiretroviral treatment and / or mutations that confer resistance to antiretroviral drugs;
- Uncontrolled psychiatric disorder;
- Platelet count \<80,000 / mm3;
- Values ??of hemoglobin \<12g / dL;
- Patients with active uncontrolled autoimmune diseases;
- Using contraindicated drugs in accordance with the Summary of Product Specifications of pegylated interferon;
- Childbearing, or potential childbearing not using highly effective contraception;
- Any other problem that according to the investigator could interfere with the evaluation of the objectives.
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Clínic
Barcelona, España, 08036, Spain
Related Publications (1)
Leal L, Couto E, Sanchez-Palomino S, Climent N, Fernandez I, Miralles L, Romero Y, Gonzalez T, Maleno MJ, Pano B, Pich J, Nicolau C, Gatell JM, Plana M, Garcia F; DCV3-RISVAC04 Study Group. Effect of Intranodally Administered Dendritic Cell-Based HIV Vaccine in Combination With Pegylated Interferon alpha-2a on Viral Control Following ART Discontinuation: A Phase 2A Randomized Clinical Trial. Front Immunol. 2021 Nov 11;12:767370. doi: 10.3389/fimmu.2021.767370. eCollection 2021.
PMID: 34858423DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Clinical Research Manager
Study Record Dates
First Submitted
April 22, 2016
First Posted
May 10, 2016
Study Start
May 1, 2016
Primary Completion
May 22, 2019
Study Completion
May 22, 2019
Last Updated
July 26, 2019
Record last verified: 2019-07