A Trial to Evaluate the Safety and Tolerability of DV700P-RNA and DV701B1.1-RNA Immunization in Combination With Antiretroviral Analytical Treatment Interruption (ATI) in People Living With HIV for Elicitation of V3-glycan Antibodies
A Nonrandomized Phase 1 Clinical Trial to Evaluate the Safety and Tolerability of DV700P-RNA and DV701B1.1-RNA Immunization in Combination With Antiretroviral Analytical Treatment Interruption (ATI) in People Living With HIV for Elicitation of V3-glycan Antibodies
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- Fase 1
Contactos y Ubicaciones
Ubicaciones de estudio
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Buenos Aires
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Buenos Aires, Buenos Aires, Argentina, C1427CEA
- Aún no reclutando
- Fundacion Huesped CRS (Site ID: 31957)
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Contacto:
- Daniela P. Converso
- Número de teléfono: 2013 54-1121209999
- Correo electrónico: daniela.converso@huesped.org.ar
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Alabama
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Birmingham, Alabama, Estados Unidos, 35222
- Reclutamiento
- Alabama CRS (Site ID: 31788)
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Contacto:
- Heather Logan
- Número de teléfono: 1-205-8738686
- Correo electrónico: heatherlogan@uabmc.edu
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Georgia
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Atlanta, Georgia, Estados Unidos, 30308
- Reclutamiento
- The Ponce de Leon Center CRS (Site ID: 5802)
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Contacto:
- Ericka Patrick
- Número de teléfono: 4046166313
- Correo electrónico: erpatri@emory.edu
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Decatur, Georgia, Estados Unidos, 30030
- Aún no reclutando
- The Hope Clinic of the Emory Vaccine Center CRS (Site #: 31440)
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Contacto:
- Emily Osborne
- Número de teléfono: 1-404-7121433
- Correo electrónico: emily.claire.osborne@emory.edu
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02115
- Reclutamiento
- Beth Israel Deaconess Medical Center / BIDMC VCRS (Site ID: 32077)
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Contacto:
- Jose Licona
- Número de teléfono: 1-617-5259433
- Correo electrónico: jlicona@partners.org
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New York
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New York, New York, Estados Unidos, 10032
- Aún no reclutando
- Columbia P&S CRS (Site#: 30329)
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Contacto:
- Anyelina Cantos
- Número de teléfono: 1-212-3052201
- Correo electrónico: ac4314@cumc.columbia.edu
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Rochester, New York, Estados Unidos, 14642
- Aún no reclutando
- University of Rochester Vaccines to Prevent HIV Infection CRS (Site#: 31467)
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Contacto:
- Emily Smith
- Número de teléfono: 1-585-7522768
- Correo electrónico: emily_smith@urmc.rochester.edu
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Pennsylvania
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Philadelphia, Pennsylvania, Estados Unidos, 19104
- Aún no reclutando
- Penn Prevention CRS (Site#: 30310)
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Contacto:
- Debora Dunbar
- Número de teléfono: 1-215-7463713
- Correo electrónico: ddunbar@pennmedicine.upenn.edu
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Texas
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Houston, Texas, Estados Unidos, 77030-1501
- Aún no reclutando
- Houston Advancing Research Team CRS (Site # 31473)
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Contacto:
- Maria Martinez
- Número de teléfono: 1-713-5006718
- Correo electrónico: Maria.L.Martinez@uth.tmc.edu
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Washington
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Seattle, Washington, Estados Unidos, 98109
- Reclutamiento
- Seattle Vaccine and Prevention CRS (Site ID: 30331)
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Contacto:
- Jennifer Han
- Correo electrónico: jhan23@fredhutch.org
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Lima Province
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Lima, Lima Province, Perú, 15001
- Aún no reclutando
- Via Libre CRS (Site ID: 31909)
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Contacto:
- Judith A. Jajaycucho Palomino
- Número de teléfono: 156 51-01-2039900
- Correo electrónico: jjajaycucho@vialibre.org.pe
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Lima, Lima Province, Perú, 15063
- Aún no reclutando
- Barranco CRS (Site ID: 11301)
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Contacto:
- Consuelo T. Ramirez
- Número de teléfono: 210 51-1-2067800
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Lima, Lima Province, Perú, 15088
- Aún no reclutando
- San Miguel CRS (Site ID: 11302)
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Contacto:
- Helen B. Chapa Garcia
- Número de teléfono: 653 51-1-2067800
- Correo electrónico: hchapa@impactaperu.org
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Provincia Constitucional del Callao
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Bellavista, Provincia Constitucional del Callao, Perú, 07006
- Aún no reclutando
- Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales CRS (CITBM) - Unidad de Ensayos Clínicos (UNIDEC) (Site ID: 31970)
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Contacto:
- Fanny G. Rosas Benancio
- Número de teléfono: 1007 51-1-4800401
- Correo electrónico: frosas@citbm.pe
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Harare, Zimbabue
- Aún no reclutando
- Seke South CRS/30294 University of Zimbabwe -Clinical Trials Research Centre (UZ-CTRC)
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Contacto:
- Thandiwe Chirenda, RGN, MPH
- Número de teléfono: 263-77-2460038
- Correo electrónico: tchirenda@uz-ctrc.org
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Harare, Zimbabue
- Aún no reclutando
- Spilhaus CRS/30314 University of Zimbabwe -Clinical Trials Research Centre (UZ-CTRC)
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Contacto:
- Muchaneta Bhondai-Mhuri
- Número de teléfono: 263-772859799
- Correo electrónico: mbhondai@uz-ctrc.org
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Able and willing to provide informed consent.
- Age 18 to 60 years.
- Documented HIV infection.
- Lowest (nadir) CD4+ count between 250 and 450 cells/mm³.
- On stable combination antiretroviral therapy (ART) for at least 48 weeks prior to screening.
- Plasma HIV RNA <50 copies/mL for at least 48 weeks prior to enrollment, allowing limited transient increases.
- CD4+ count >450 cells/mm³ and CD4+ percentage ≥15%.
- Willing and able to comply with study visits and procedures.
- Agrees not to participate in another investigational study during participation unless approved.
- In general good health, with no clinically significant findings on physical exam or laboratory testing.
- Hemoglobin ≥11.0 g/dL (women) or ≥13.0 g/dL (men).
- Absolute neutrophil count ≥750/mm³.
- Platelet count ≥100,000/mm³.
- ALT <2.5 × upper limit of normal.
- Estimated glomerular filtration rate (eGFR) ≥60 mL/min/1.73 m².
- Serum creatinine ≤1.1 × upper limit of normal.
- Serum calcium >8.5 mg/dL.
- Blood pressure within acceptable limits.
- Agrees to use condoms during the specified period when ART is interrupted until HIV RNA is undetectable.
- No evidence of active hepatitis C infection.
- No evidence of active hepatitis B infection.
- For individuals of pregnancy potential: negative pregnancy test prior to enrollment and agreement to use effective contraception during the required study period.
- Agreement not to seek pregnancy during the required study period.
Exclusion Criteria:
- Current use of ART that includes non-nucleoside reverse transcriptase inhibitors (NNRTIs).
- Use of long-acting ART within 3 months prior to enrollment.
- Known resistance to any component of the current ART regimen (excluding M184V/I mutation).
- Resistance to one or more drugs in two or more ART classes (excluding M184V/I mutation).
- Initiation of ART during acute HIV infection (within 1 year of HIV acquisition, if known).
- History of advanced HIV-related illness (CDC Category C), except recurrent pneumonia, within 10 years prior to screening, or history of CD4 count <200 cells/mm³ within the past 10 years.
- History of severe HIV-related conditions, including opportunistic infections, HIV-associated cancers, lymphoma, neurocognitive disease, or progressive multifocal leukoencephalopathy.
- Active or recent non-HIV-related cancer requiring systemic treatment within 36 months or expected need for treatment within 12 months (excluding minor skin cancers).
- Active hepatitis B or hepatitis C infection.
- Significant liver disease, including cirrhosis or advanced fatty liver disease.
- Untreated or incompletely treated active or latent tuberculosis.
- Pregnancy or breastfeeding.
- Body mass index (BMI) ≥40 kg/m², unless approved.
- Diabetes mellitus, except well-controlled type 2 diabetes as allowed.
- History of or current atherosclerotic cardiovascular disease, including heart attack, angina, stroke, or peripheral arterial disease.
- Previous receipt of an investigational HIV vaccine (prior placebo recipients allowed).
- Receipt of a non-HIV investigational vaccine within 1 year, unless approved or licensed.
- Conditions causing impaired immune function or use of immunosuppressive medications within the specified timeframe.
- Prior receipt of anti-HIV monoclonal antibody therapy.
- Receipt of certain vaccines within restricted timeframes prior to enrollment (including live or mRNA vaccines within 4 weeks).
- Receipt of other vaccines within 14 days prior to enrollment.
- History of myocarditis or pericarditis.
- Recent initiation of allergy immunotherapy within 1 year (unless stable or approved).
- Recent use of investigational agents within restricted timeframes prior to enrollment.
- History of severe allergic reaction to mRNA vaccines or polyethylene glycol-containing products.
- History of angioedema.
- Idiopathic urticaria within the past year.
- Chronic urticaria or urticaria within the past year.
- History of urticaria associated with vaccination.
- Bleeding disorders or use of systemic anticoagulants.
- Conditions associated with increased risk of clotting or bleeding.
- History of seizures within the past 3 years or use of anti-seizure medications within that period.
- Absence of spleen or impaired splenic function.
- Active duty or reserve military personnel (U.S.).
- Any clinically significant medical, psychiatric, or substance use condition that may affect safety or study participation.
- Uncontrolled or severe asthma.
- History of immune-mediated medical conditions, except limited stable or resolved conditions as allowed.
- Allergy to local anesthetics (e.g., lidocaine).
- Difficulty with venous access that would interfere with study procedures.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Ciencia básica
- Asignación: No aleatorizado
- Modelo Intervencionista: Asignación Secuencial
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
|---|---|
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Experimental: Group 1
Participants will receive:
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Intramuscular injection
Intramuscular injection
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Experimental: Group 2
Participants will receive:
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Intramuscular injection
Intramuscular injection
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Local reactogenicity following study product administration
Periodo de tiempo: 14 days following each vaccination
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Incidence and severity of solicited local reactogenicity signs and symptoms (injection site pain, erythema, and swelling), graded according to the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events
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14 days following each vaccination
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Systemic reactogenicity following study product administration
Periodo de tiempo: 14 days following each vaccination
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Incidence and severity of solicited systemic reactogenicity signs and symptoms (fever, fatigue, myalgia, arthralgia, headache, chills, nausea), graded according to the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events
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14 days following each vaccination
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Number and description of serious adverse events (SAEs)
Periodo de tiempo: Through study completion, expected to be up to 88 weeks
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Through study completion, expected to be up to 88 weeks
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|
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Number and description of medically attended adverse events (MAAEs)
Periodo de tiempo: Through study completion, expected to be up to 88 weeks
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Through study completion, expected to be up to 88 weeks
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|
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Number and description of adverse events of special interest (AESIs)
Periodo de tiempo: Through study completion, expected to be up to 88 weeks
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Through study completion, expected to be up to 88 weeks
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Number and description of adverse events leading to study product discontinuation or participant withdrawal
Periodo de tiempo: Through study completion, expected to be up to 88 weeks
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Through study completion, expected to be up to 88 weeks
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Number and description of adverse events (AEs) following study product administration
Periodo de tiempo: 30 days following each vaccination
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30 days following each vaccination
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Response rate of differential serum neutralizing antibody responses to precursor detection viruses
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
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Proportion of participants with serum antibody responses demonstrating differential neutralization of precursor detection viruses and corresponding epitope knock-out mutant viruses, as measured by TZM-bl pseudovirus assay
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At Baseline (Week 0) and 2 weeks after last vaccination
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Magnitude of differential serum neutralizing antibody responses to precursor detection viruses
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
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Magnitude of serum antibody neutralization of precursor detection viruses and corresponding epitope knock-out mutant viruses, as measured by TZM-bl pseudovirus assay
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At Baseline (Week 0) and 2 weeks after last vaccination
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Response rate of differential serum neutralizing antibody responses to precursor detection viruses after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
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Proportion of participants with serum antibody responses demonstrating differential neutralization of precursor detection viruses and corresponding epitope knock-out mutant viruses, as measured by TZM-bl pseudovirus assay
|
6 weeks after last vaccination and 8 weeks after ART restart
|
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Magnitude of differential serum neutralizing antibody responses to precursor detection viruses after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
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Magnitude of serum antibody neutralization of precursor detection viruses and corresponding epitope knock-out mutant viruses, as measured by TZM-bl pseudovirus assay
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6 weeks after last vaccination and 8 weeks after ART restart
|
Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Frequency of Env-specific and V3-glycan-specific B cells
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
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Frequency of total Env-specific and V3-glycan-specific B cells, as assessed by flow cytometry
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At Baseline (Week 0) and 2 weeks after last vaccination
|
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Frequency of mutation of V3-glycan-specific B-cell receptor (BCR) sequences
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
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Frequency of mutation of V3-glycan-specific B-cell receptor (BCR) sequences, as assessed by B-cell sorting and BCR sequencing
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At Baseline (Week 0) and 2 weeks after last vaccination
|
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Frequency of Env-specific and V3-glycan-specific B cells after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
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Frequency of total Env-specific and V3-glycan-specific B cells, as assessed by flow cytometry
|
6 weeks after last vaccination and 8 weeks after ART restart
|
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Frequency of mutation of V3-glycan-specific B-cell receptor (BCR) sequences after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
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Frequency of mutation of V3-glycan-specific B-cell receptor (BCR) sequences, as assessed by B-cell sorting and BCR sequencing
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6 weeks after last vaccination and 8 weeks after ART restart
|
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Response rate of serum IgG binding antibodies to autologous HIV Env stabilized trimers
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
|
Proportion of participants with serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
|
At Baseline (Week 0) and 2 weeks after last vaccination
|
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Magnitude of serum IgG binding antibodies to autologous HIV Env stabilized trimers
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
|
Magnitude of serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
|
At Baseline (Week 0) and 2 weeks after last vaccination
|
|
Epitope specificity of serum IgG binding antibodies to autologous HIV Env stabilized trimers
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
|
Epitope specificity of serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
|
At Baseline (Week 0) and 2 weeks after last vaccination
|
|
Response rate of neutralization activity against heterologous tier 2 viruses
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
|
Proportion of participants with neutralizing responses against heterologous tier 2 viruses, as measured by TZM-bl pseudovirus assay
|
At Baseline (Week 0) and 2 weeks after last vaccination
|
|
Magnitude of neutralization activity against heterologous tier 2 viruses
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
|
Magnitude of neutralizing responses against heterologous tier 2 viruses, as measured by TZM-bl pseudovirus assay
|
At Baseline (Week 0) and 2 weeks after last vaccination
|
|
Breadth of neutralization activity against heterologous tier 2 viruses
Periodo de tiempo: At Baseline (Week 0) and 2 weeks after last vaccination
|
Breadth of neutralizing responses against heterologous tier 2 viruses, as measured by TZM-bl pseudovirus assay
|
At Baseline (Week 0) and 2 weeks after last vaccination
|
|
Response rate of serum IgG binding antibodies to autologous HIV Env stabilized trimers after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
|
Proportion of participants with serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
|
6 weeks after last vaccination and 8 weeks after ART restart
|
|
Magnitude of serum IgG binding antibodies to autologous HIV Env stabilized trimers after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
|
Magnitude of serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
|
6 weeks after last vaccination and 8 weeks after ART restart
|
|
Epitope specificity of serum IgG binding antibodies to autologous HIV Env stabilized trimers after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
|
Epitope specificity of serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
|
6 weeks after last vaccination and 8 weeks after ART restart
|
|
Response rate of neutralization activity against heterologous tier 2 viruses after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
|
Proportion of participants with neutralizing responses against heterologous tier 2 viruses, as measured by TZM-bl pseudovirus assay
|
6 weeks after last vaccination and 8 weeks after ART restart
|
|
Magnitude of neutralization activity against heterologous tier 2 viruses after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
|
Magnitude of neutralizing responses against heterologous tier 2 viruses, as measured by TZM-bl pseudovirus assay
|
6 weeks after last vaccination and 8 weeks after ART restart
|
|
Breadth of neutralization activity against heterologous tier 2 viruses after last vaccination and after ART restart
Periodo de tiempo: 6 weeks after last vaccination and 8 weeks after ART restart
|
Breadth of neutralizing responses against heterologous tier 2 viruses, as measured by TZM-bl pseudovirus assay
|
6 weeks after last vaccination and 8 weeks after ART restart
|
|
Change in HIV Env sequence characteristics during ATI
Periodo de tiempo: During ATI
|
Comparison of HIV envelope (Env) sequence evolution during analytic treatment interruption (ATI) between participants who develop V3-glycan-specific antibodies and those who do not
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During ATI
|
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Change in HIV gag sequence characteristics during ATI
Periodo de tiempo: During ATI
|
Comparison of HIV gag sequence evolution during analytic treatment interruption (ATI) between participants who develop V3-glycan-specific antibodies and those who do not
|
During ATI
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Otros números de identificación del estudio
Otros números de identificación del estudio
- HVTN 808
- 39218 (Otro identificador: DAIDS Document ID)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .