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
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Tipo de estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Fase 1
Contactos e Locais
Locais de estudo
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Buenos Aires
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Buenos Aires, Buenos Aires, Argentina, C1427CEA
- Ainda não está recrutando
- Fundacion Huesped CRS (Site ID: 31957)
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Contato:
- Daniela P. Converso
- Número de telefone: 2013 54-1121209999
- E-mail: daniela.converso@huesped.org.ar
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Alabama
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Birmingham, Alabama, Estados Unidos, 35222
- Recrutamento
- Alabama CRS (Site ID: 31788)
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Contato:
- Heather Logan
- Número de telefone: 1-205-8738686
- E-mail: heatherlogan@uabmc.edu
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Georgia
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Atlanta, Georgia, Estados Unidos, 30308
- Recrutamento
- The Ponce de Leon Center CRS (Site ID: 5802)
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Contato:
- Ericka Patrick
- Número de telefone: 4046166313
- E-mail: erpatri@emory.edu
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Decatur, Georgia, Estados Unidos, 30030
- Ainda não está recrutando
- The Hope Clinic of the Emory Vaccine Center CRS (Site #: 31440)
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Contato:
- Emily Osborne
- Número de telefone: 1-404-7121433
- E-mail: emily.claire.osborne@emory.edu
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02115
- Recrutamento
- Beth Israel Deaconess Medical Center / BIDMC VCRS (Site ID: 32077)
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Contato:
- Jose Licona
- Número de telefone: 1-617-5259433
- E-mail: jlicona@partners.org
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New York
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New York, New York, Estados Unidos, 10032
- Ainda não está recrutando
- Columbia P&S CRS (Site#: 30329)
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Contato:
- Anyelina Cantos
- Número de telefone: 1-212-3052201
- E-mail: ac4314@cumc.columbia.edu
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Rochester, New York, Estados Unidos, 14642
- Ainda não está recrutando
- University of Rochester Vaccines to Prevent HIV Infection CRS (Site#: 31467)
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Contato:
- Emily Smith
- Número de telefone: 1-585-7522768
- E-mail: emily_smith@urmc.rochester.edu
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Pennsylvania
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Philadelphia, Pennsylvania, Estados Unidos, 19104
- Ainda não está recrutando
- Penn Prevention CRS (Site#: 30310)
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Contato:
- Debora Dunbar
- Número de telefone: 1-215-7463713
- E-mail: ddunbar@pennmedicine.upenn.edu
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Texas
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Houston, Texas, Estados Unidos, 77030-1501
- Ainda não está recrutando
- Houston Advancing Research Team CRS (Site # 31473)
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Contato:
- Maria Martinez
- Número de telefone: 1-713-5006718
- E-mail: Maria.L.Martinez@uth.tmc.edu
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Washington
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Seattle, Washington, Estados Unidos, 98109
- Recrutamento
- Seattle Vaccine and Prevention CRS (Site ID: 30331)
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Contato:
- Jennifer Han
- E-mail: jhan23@fredhutch.org
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Lima Province
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Lima, Lima Province, Peru, 15001
- Ainda não está recrutando
- Via Libre CRS (Site ID: 31909)
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Contato:
- Judith A. Jajaycucho Palomino
- Número de telefone: 156 51-01-2039900
- E-mail: jjajaycucho@vialibre.org.pe
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Lima, Lima Province, Peru, 15063
- Ainda não está recrutando
- Barranco CRS (Site ID: 11301)
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Contato:
- Consuelo T. Ramirez
- Número de telefone: 210 51-1-2067800
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Lima, Lima Province, Peru, 15088
- Ainda não está recrutando
- San Miguel CRS (Site ID: 11302)
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Contato:
- Helen B. Chapa Garcia
- Número de telefone: 653 51-1-2067800
- E-mail: hchapa@impactaperu.org
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Provincia Constitucional del Callao
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Bellavista, Provincia Constitucional del Callao, Peru, 07006
- Ainda não está recrutando
- Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales CRS (CITBM) - Unidad de Ensayos Clínicos (UNIDEC) (Site ID: 31970)
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Contato:
- Fanny G. Rosas Benancio
- Número de telefone: 1007 51-1-4800401
- E-mail: frosas@citbm.pe
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Harare, Zimbábue
- Ainda não está recrutando
- Seke South CRS/30294 University of Zimbabwe -Clinical Trials Research Centre (UZ-CTRC)
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Contato:
- Thandiwe Chirenda, RGN, MPH
- Número de telefone: 263-77-2460038
- E-mail: tchirenda@uz-ctrc.org
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Harare, Zimbábue
- Ainda não está recrutando
- Spilhaus CRS/30314 University of Zimbabwe -Clinical Trials Research Centre (UZ-CTRC)
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Contato:
- Muchaneta Bhondai-Mhuri
- Número de telefone: 263-772859799
- E-mail: mbhondai@uz-ctrc.org
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Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Descrição
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.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Ciência básica
- Alocação: Não randomizado
- Modelo Intervencional: Atribuição sequencial
- Mascaramento: Nenhum (rótulo aberto)
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
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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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O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Local reactogenicity following study product administration
Prazo: 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
Prazo: 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)
Prazo: 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 medically attended adverse events (MAAEs)
Prazo: 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 of special interest (AESIs)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
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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
Prazo: 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
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Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Frequency of Env-specific and V3-glycan-specific B cells
Prazo: 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
Prazo: 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
Prazo: 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
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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
Prazo: 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
Prazo: At Baseline (Week 0) and 2 weeks after last vaccination
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Proportion of participants with serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
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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
Prazo: At Baseline (Week 0) and 2 weeks after last vaccination
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Magnitude of serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
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At Baseline (Week 0) and 2 weeks after last vaccination
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Epitope specificity of serum IgG binding antibodies to autologous HIV Env stabilized trimers
Prazo: At Baseline (Week 0) and 2 weeks after last vaccination
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Epitope specificity of serum IgG binding antibody responses to autologous HIV Env stabilized trimers, as assessed by binding antibody multiplex assay (BAMA)
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At Baseline (Week 0) and 2 weeks after last vaccination
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Response rate of neutralization activity against heterologous tier 2 viruses
Prazo: At Baseline (Week 0) and 2 weeks after last vaccination
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Proportion of participants with neutralizing responses against heterologous tier 2 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 neutralization activity against heterologous tier 2 viruses
Prazo: At Baseline (Week 0) and 2 weeks after last vaccination
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Magnitude of neutralizing responses against heterologous tier 2 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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Breadth of neutralization activity against heterologous tier 2 viruses
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
|
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Change in HIV Env sequence characteristics during ATI
Prazo: During ATI
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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
Prazo: During ATI
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Comparison of HIV gag 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
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Outros números de identificação do estudo
Outros números de identificação do estudo
- HVTN 808
- 39218 (Outro identificador: DAIDS Document ID)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
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