Safety, Tolerance and Antiretroviral Activity of Dasatinib: a Pilot Clinical Trial in Patients With Recent HIV-1 Infection (DASAHIVCURE)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Eva Bonfill
- Phone Number: 4198 +34 932275400
- Email: bonfill@recerca.clinic.cat
Study Locations
-
-
-
Barcelona, Spain
- Eva Bonfill
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 to 65 years.
- Documented asymptomatic HIV-1 infection of more than 3 months' duration (all patients must have a positive Western blot, including the p31 band whose appearance indicates infection of more than 90 days duration).
- Not having received ART
- CD4 T-lymphocyte count> 350 / μl
- Patient giving written informed consent
Exclusion Criteria:
- Active HBV (HBsAg+ or DNA+) and/or HCV (RNA+) infection in screening.
- ALT> 2 UNL, glomerular filtration rate <70 mL / 1.73 m2, leukocytes <4000 / mm3, total lymphocyte count <1000 / mm3, platelets <100,000 / mm3 or Hg <12g / dL.
- Pregnancy or active breastfeeding
- Ongoing or previous pleural effusion
- Chronic obstructive pulmonary disease, bronchial asthma or recent chest trauma.
- History of gastrointestinal or other bleeding.
- Any concomitant treatment with potentially dangerous drug interaction with dasatinib.
- Any clinical condition, at the opinion of the investigator, contraindicating participation (for example,
- Active neoplastic disease, active concomitant infection, etc.)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dasatinib
Dasatinib monotherapy (70 mg/day) will be given for 4 weeks.
Antiretroviral therapy (ART) based on unboosted integrase inhibitors will be initiated at week 4 (S4) and dasatinib will be continued with ART until week 12.
|
Dasatinib monotherapy 70 mg/day, during 16 weeks.
|
|
Placebo Comparator: Placebo
Placebo monotherapy will be given for 4 weeks.
Antiretroviral therapy (ART) based on unboosted integrase inhibitors will be initiated at week 4 (S4) and placebo will be continued with ART until week 12.
|
Placebo during 16 weeks.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety and tolerance of dasatinib with and without antiretroviral therapy, measured by number of AEs and SAEs
Time Frame: 52 weeks
|
Measured by number of AEs and SAEs
|
52 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Antiretroviral capacity of dasatinib
Time Frame: at week 0 and 4
|
Measured by quantification of plasma HIV-1 viral load during 4-week administration of dasatinib monotherapy.
|
at week 0 and 4
|
|
Changes in the viral reservoirs of patients with recent HIV-1 infection induced by dasatinib administration.
Time Frame: at week 0, 4, 16 and 52
|
Measured by changes in the viral reservoirs (integrated DNA, genetically intact virus, residual and induced viral replication and determination of integration sites)
|
at week 0, 4, 16 and 52
|
|
Changes in markers of inflammation and immune activation induced by dasatinib administration.
Time Frame: at week 0, 4, 16 and 52
|
Measured by changes in ultra-sensitive CRP, IL6, TNF alpha and CD4/CD8, CD25, CD69, CD38, HLA-DR+.
|
at week 0, 4, 16 and 52
|
|
Changes in SAMHD1 phosphorylation levels and cytotoxic activity against HIV-1 induced by dasatinib.
Time Frame: at week 0, 4, 16 and 52
|
Measured by NK phenotyping and in vitro replication inhibition tests.
|
at week 0, 4, 16 and 52
|
|
Pharmacokinetic interactions of coadministration non-boosted integrase inhibitor-based antiretroviral therapy with dasatinib.
Time Frame: at week 1, 2, 3, 4, 8, 12, 16
|
Measured by Cmax
|
at week 1, 2, 3, 4, 8, 12, 16
|
|
Pharmacokinetic interactions of coadministration non-boosted integrase inhibitor-based antiretroviral therapy with dasatinib.
Time Frame: at week 1, 2, 3, 4, 8, 12, 16
|
Measured by Cmin
|
at week 1, 2, 3, 4, 8, 12, 16
|
|
Impact of dasatinib on markers of senescence
Time Frame: at week 0, 4, 16 and 52
|
Measured by expression in PBLs of beta-galactosidase, Bcl-2, Histone H2A, p16 and CD87.
|
at week 0, 4, 16 and 52
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
- Blood-Borne Infections
- Urogenital Diseases
- Genital Diseases
- Pathologic Processes
- Disease Attributes
- Immune System Diseases
- RNA Virus Infections
- Virus Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- HIV Infections
- Infections
- Communicable Diseases
- Sulfur Compounds
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Thiazoles
- Azoles
- Pyrimidines
- Dasatinib
Other Study ID Numbers
Other Study ID Numbers
- 2021-001288-26
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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