Bryostatin-1 Effect on HIV-1 Latency and Reservoir in HIV-1 Infected Patients Receiving Antiretroviral Treatment (BRYOLAT)
Bryostatin-1 Effect on HIV-1 Latency and Reservoir HIV-1 Infected Patients Receiving Antiretroviral Treatment: Pilot, Controlled, Double Blinded, Dose Searching Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Non US/Canada
-
Madrid, Non US/Canada, Spain, 28034
- Infectious Diseases Service
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients understanding the trial purpose
- Patients between 18 and 50 years of age
- Patients with chronic HIV-1 infection
- Patients receiving antiretroviral treatment with at least 3 active drugs for at least 2 years
- Undetectable viral load measured by ultra sensitive methods
- CD4+ levels higher than 350 cells/mm3
- Patients committed to use contraceptive methods during the trial and up to 3 months after.
Exclusion Criteria:
- Previous antiretroviral treatment failure, as any viral load outbreak after having had undetectable HIV-1 load. Low grade, transitory outbreaks (<200 RNA copies/ml) resolved without treatment modifications are excluded
- Patients planned to interrupt antiretroviral treatment during the trial
- Patients receiving immunosuppressant or immunostimulant drugs, including valproic acid.
- Pregnant women
- Bryostatin-1 hypersensitivity
- Being enrolled in another clinical trial or having participated in another clinical trial in the previous 3 months.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Group 1
Patients receiving placebo (sodium chloride) at single dose
|
Group 1: Placebo (sodium chloride 0.8 %) at single dose
|
|
Active Comparator: Group 2
Patients receiving Bryostatin 1 (10ug/m2) at single dose
|
Group 2: Bryostatin 1 (10ug/m2) at single dose
|
|
Active Comparator: Group 3
Patients receiving Bryostatin 1 (20ug/m2) at single dose
|
Group 3: Bryostatin 1 (20ug/m2) at single dose
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Intracellular HIV-1 RNA (usRNA and msRNA) level before and after bryostatin-1 administration
Time Frame: Baseline visit and days 2 and 3 after the day of treatment
|
Baseline visit and days 2 and 3 after the day of treatment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
HIV-1 RNA level
Time Frame: Baseline visit, day 0 (15, 30, 60 minutes after begining of drug administration and 1, 2, 4, 8, 12 hours after begining of drug administration) and days 1, 2 and 3
|
Baseline visit, day 0 (15, 30, 60 minutes after begining of drug administration and 1, 2, 4, 8, 12 hours after begining of drug administration) and days 1, 2 and 3
|
|
CD4+ and CD8+ T (CD38+ and HLA DR+ positive) cell level
Time Frame: Baseline visit, day 1 and day 3
|
Baseline visit, day 1 and day 3
|
|
Episomal DNA with 2 LTRs level
Time Frame: Baseline visit, day 1 and day 3
|
Baseline visit, day 1 and day 3
|
|
Adverse Events
Time Frame: From baseline visit to day 28 after drug administration
|
From baseline visit to day 28 after drug administration
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Santiago Moreno, MD, PhD, Hospital Universitario Ramon y Cajal
Publications and helpful links
General Publications
- Persaud D, Zhou Y, Siliciano JM, Siliciano RF. Latency in human immunodeficiency virus type 1 infection: no easy answers. J Virol. 2003 Feb;77(3):1659-65. doi: 10.1128/jvi.77.3.1659-1665.2003. No abstract available.
- Blankson JN, Gallant JE, Quinn TC, Bartlett JG, Siliciano RF. Loss of HIV-1-specific immunity during treatment interruption in 2 chronically infected patients. JAMA. 2002 Jul 10;288(2):162-4. doi: 10.1001/jama.288.2.162-a. No abstract available.
- Richman DD, Margolis DM, Delaney M, Greene WC, Hazuda D, Pomerantz RJ. The challenge of finding a cure for HIV infection. Science. 2009 Mar 6;323(5919):1304-7. doi: 10.1126/science.1165706.
- Gutierrez C, Serrano-Villar S, Madrid-Elena N, Perez-Elias MJ, Martin ME, Barbas C, Ruiperez J, Munoz E, Munoz-Fernandez MA, Castor T, Moreno S. Bryostatin-1 for latent virus reactivation in HIV-infected patients on antiretroviral therapy. AIDS. 2016 Jun 1;30(9):1385-92. doi: 10.1097/QAD.0000000000001064.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- HIV Infections
- Physiological Effects of Drugs
- Antineoplastic Agents
- Immunologic Factors
- Adjuvants, Immunologic
- Bryostatin 1
Other Study ID Numbers
Other Study ID Numbers
- BRYOLAT
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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