The Safety and Effectiveness of Human Monoclonal Antibody, F105, in the Treatment of HIV
A Phase I Clinical Trial to Study the Toxicity, Pharmacokinetics, and Efficacy of Human Monoclonal Antibody, F105, for Treating Human Immunodeficiency Virus Infection.
To determine the safety and pharmacokinetics of F105 human monoclonal antibody both following a single dose and during intermittent administration in HIV-infected patients. To determine specific dose concentrations sufficient to achieve efficacy and avoid toxicity. To determine the effect of F105 on virologic, immunologic, and serologic parameters.
Early in the course of HIV infection, the primary humoral immune response appears to be highly strain specific and to be directed at a hypervariable portion of the viral gp120. The F105 human monoclonal antibody reacts with the CD4 binding region of gp120 and has been shown to neutralize the IIIB, SF2, and MN strains of HIV at concentrations readily achievable in humans.
調査の概要
詳細な説明
Early in the course of HIV infection, the primary humoral immune response appears to be highly strain specific and to be directed at a hypervariable portion of the viral gp120. The F105 human monoclonal antibody reacts with the CD4 binding region of gp120 and has been shown to neutralize the IIIB, SF2, and MN strains of HIV at concentrations readily achievable in humans.
In Part A, three cohorts of four patients each receive a single intravenous (IV) injection of F105 human monoclonal antibody at 1 of 3 doses. The IV catheter will remain in the patient's arm for 12 hours after injection for subsequent drawing of blood samples. The third group (highest dose) will be studied only after the first two groups are analyzed for pharmacokinetics. No more than two patients are enrolled per week. Patients on Part A undergo follow-up three to four times within the first week after injection and weekly thereafter for 7 weeks. Pharmacokinetic and toxicity data generated from Part A will be used to select two dose levels for intermittent administration in Part B. In this part, cohorts of four to six patients receive one of two doses of F105 for 8-12 weeks.
Per 9/30/94 amendment, eight patients receive one dose of F105 every 21 days for four doses (dose determined from analysis of Part A data).
研究の種類
入学
段階
- フェーズ 1
連絡先と場所
研究場所
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Massachusetts
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Boston、Massachusetts、アメリカ、02215
- Beth Israel Deaconess Med. Ctr., ACTG CRS
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria
Concurrent Medication:
PART B ONLY. Allowed:
- Concomitant AZT or other antiretroviral drugs if patient is on a stable dose of such therapy within 3 months prior to study entry.
Patients must have:
- Documented HIV-1 infection.
- CD4 count 200 - 500 cells/mm3 (Part A) or <= 400 cells/mm3 (Part B, per amendment).
- No diagnosis of AIDS (Part A only, per amendment).
- Life expectancy of at least 6 months.
Part B patients only (per amendment):
- Primary (viral) isolates sensitive to F105 antibody using the yield reduction assay currently under development by ACTG, determined within 15-90 days prior to study entry.
- Plasma viremia by qualitative plasma culture.
- NO active opportunistic infection within 6 weeks prior to drawing of first isolate.
- NO AIDS-related malignancy other than minimal Kaposi's sarcoma.
Prior Medication:
Allowed:
- Prior AZT or other nucleoside antiviral agents.
Exclusion Criteria
Co-existing Condition:
Patients with the following symptoms or conditions are excluded:
- Evidence of active renal disease as manifested by sediment containing red or white cell casts.
Concurrent Treatment:
Excluded:
- Red cell transfusions administered to maintain hemoglobin at acceptable level or alleviate symptoms of anemia.
Prior Medication:
Excluded within 6 weeks prior to study entry:
- Intravenous gamma globulin.
- Chemotherapy.
- Corticosteroids.
- Other experimental therapy.
EXCLUDED IN ALL PATIENTS:
- Immunosuppressive treatments, cytokine therapy, or biologic response modifiers not included in this study, including interferons or adjuvant treatment for chronic and severe fungal infections such as cryptococcal meningitis.
- Intravenous gamma globulin.
- Chemotherapy.
- Corticosteroids.
- Other experimental therapy.
- G-CSF, GM-CSF, or erythropoietin.
EXCLUDED IN PART A ONLY:
- Drugs known to enhance or block metabolism of other drugs.
EXCLUDED IN PART B ONLY:
- AZT or other antiretroviral drugs IF INITIATED during or within 1 month after completion of study.
Active alcohol or drug abuse that may compromise ability to comply with study requirements.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
協力者と研究者
捜査官
- スタディチェア:Samore MH
出版物と役立つリンク
研究記録日
主要日程の研究
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- ACTG 232
- 11209 (レジストリ識別子:DAIDS ES Registry Number)
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
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