A Safety and Immunogenicity Study of 3 Doses of Opal Immunotherapy in HIV Infected People

This study has been terminated.
Sponsor:
Collaborators:
Phillip T. and Susan M. Ragon Foundation
Imperial College London
Information provided by:
Medicines Development Limited
ClinicalTrials.gov Identifier:
NCT01123915
First received: May 13, 2010
Last updated: November 8, 2011
Last verified: November 2011
  Purpose

This phase I study is the first step to determine if Opal immunotherapy may have potential utility as a treatment for HIV. Although effective treatments for HIV infection exist, they are limited by the requirement for life-long daily treatment, cost, side effects, and the development of resistance.

There is a need for therapeutic approaches that induce or enhance T-cell immunity to control HIV disease. Overlapping Peptide-pulsed Autologous Cells (Opal) is a technique where autologous peripheral blood mononuclear cells (PBMC) or whole blood is pulsed with sets of overlapping peptides spanning whole proteins of HIV.


Condition Intervention Phase
HIV Infections
Biological: Opal-HIV-Gag(c) Low Dose
Biological: Opal-HIV-Gag(c) Medium dose
Biological: Opal-HIV-Gag(c) High dose
Other: Dimethyl Sulfoxide
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase 1, Dose Escalating, Single Centre, Double Blind Study of the Safety and Immunogenicity of Opal-HIV-Gag Clade C in HIV Positive Subjects

Resource links provided by NLM:


Further study details as provided by Medicines Development Limited:

Primary Outcome Measures:
  • Safety [ Time Frame: Several points throughout the 12 week active phase and 12 week and follow up period ] [ Designated as safety issue: Yes ]
    Examined through treatment-emergent adverse events, vital signs and routine laboratory screening.


Secondary Outcome Measures:
  • Immunogenicity [ Time Frame: Several points throughout the 12 week active phase and 12 week and follow up period ] [ Designated as safety issue: No ]
    Immunogenicity will be assessed by ELISpot and other markers of immune response

  • Impact on HIV infection [ Time Frame: Several points throughout the 12 week active phase and 12 week and follow up period ] [ Designated as safety issue: Yes ]
    Assessed by HIV-1 viral load and CD4 T-cell counts.


Enrollment: 22
Study Start Date: May 2010
Estimated Study Completion Date: December 2011
Estimated Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Opal-HIV-Gag(c)
Opal-HIV-Gag(c) administered ex vivo to separated white blood cells on 4 occasions at 4 weekly intervals.
Biological: Opal-HIV-Gag(c) Low Dose Biological: Opal-HIV-Gag(c) Medium dose Biological: Opal-HIV-Gag(c) High dose
Placebo Comparator: Diluent
Administered ex vivo to separated white blood cells on 4 occasions at 4 weekly intervals.
Other: Dimethyl Sulfoxide

Detailed Description:

Opal-HIV-Gag(c) is not for direct injection and is administered by ex vivo incubation of whole blood or separated blood components (such as white blood cells or peripheral blood mononuclear cells) and reinfusion.

As a practical alternative to PBMC separation and to optimise vaccine presentation during the ex vivo incubation, a blood cell separation device will be used to separate the whole blood and enrich the white blood cell component. The device processes whole blood in a closed, single use disposable kit. Reconstituted Opal-HIV-Gag(c)or matching placebo will be added to the white blood cells, incubated for one hour and reinfused into the subject. Subjects will receive 4 administrations at 4 weekly intervals. Subjects are followed for 12 weeks after the final administration.

Each dose group will be enrolled sequentially, with a sentinel group for each dose group. Satisfactory safety data from each cohort, reviewed by a Data Safety Monitoring Board, will permit dose escalation.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Provision of written informed consent
  • Documented laboratory diagnosis of HIV 1 infection
  • Documented HIV clade of infection
  • 18 - 60 years of age, inclusive
  • Stable antiretroviral therapy (ART) regimen containing at least 3 active ART agents for at least 2 months prior to Baseline
  • Plasma HIV-Ribonucelc acid (RNA) <400 copies/millilitre (mL) for 6 months up to and including Screening. Subjects on stable ART with a single value ≥400 copies/mL (i.e. the result is unconfirmed by subsequent testing) within this timeframe may be included at the discretion of the Investigator
  • CD4+ T-cell count ≥350 cells/cubic millimetres (mm3) at Screening (with nadir ≥100 cells/mm3)
  • A positive immunogenic response when stimulated with HIV-1 Gag clade C peptides at Screening
  • Male or female. Women of child-bearing potential must be using two effective methods of contraception and agree to continue to do so from Screening, throughout study medication dosing and for 28 days after the last dose of study medication

Exclusion Criteria:

  • Any serious or active medical or psychiatric illness which, in the opinion of the Investigator, would interfere with treatment, assessment, compliance with the protocol, or subject safety. This would include any active clinically significant renal, cardiac, pulmonary, vascular, or metabolic (thyroid disorders, adrenal disease) illness, or malignancy
  • Hepatitis B virus surface antigen, or Hepatitis C virus (HCV) antibody and HCV-RNA positive at Screening
  • Female subjects who are lactating and those of reproductive potential with a positive urine pregnancy test at either Screening or Baseline
  • A new AIDS-defining condition diagnosed within 42 days prior to Baseline visit
  • Known or suspected allergy to Dimethyl Sulfoxide
  • History of allergy or reaction to medications (including peptide or protein containing agents) or history of severe allergy that, in the opinion of the Investigator, might compromise the subject's participation in any way
  • Moderate or severe asthma, defined as at least chronic moderate symptoms which frequently interfere with daily activities and require anti-asthma/anti-inflammatory agents
  • Have received immunomodulating agents (including immunosuppressive agents, interferon or other immune or cytokine-based therapies), immunisation, and/or systemic chemotherapeutic agents within 60 days of Screening or expected to receive these agents during the course of the study
  • Recipient of live attenuated vaccines within 60 days of Screening
  • Recipient of whole killed, toxoid or sub-unit vaccines (e.g. influenza, pneumococcus, tetanus, hepatitis B) within 42 days prior to Baseline
  • Ever received an HIV prophylactic or immunotherapeutic vaccine (does not apply to subjects who have written documentation of receiving placebo or adjuvant only)
  • Recreational and/or therapeutic drug or alcohol use that, in the opinion of the Investigator, might compromise the subject's participation in any way.
  • Medical or psychiatric condition or occupational responsibilities that may preclude compliance with the protocol
  • Laboratory blood values:

    • Haemoglobin <11.0 grams/decilitre (g/dL) for men and <10.0 g/dL for women
    • Neutrophil count <800/mm3
    • Platelet count <50,000/mm3
    • Aspartate aminotransferase or Alanine transaminase >2.5 times Upper Limit of Normal (ULN)
    • Lipase >2.5 times ULN
    • Amylase >1.5 times ULN (unless serum lipase is ≤1.5 times ULN)
    • Subjects with an estimated creatinine clearance of <80 mL/minute
  • Recipients of blood products or immunoglobulins within 6 months prior to Screening or loss of 450 mL or more of blood during the three months prior to Screening
  • Recipients of experimental or investigational agents within 30 days prior to Screening
  • Previous participation in this study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01123915

Locations
United Kingdom
St Stephen's Centre, Chelsea and Westminster Foundation Trust
London, United Kingdom, SW10 9NH
Sponsors and Collaborators
Medicines Development Limited
Phillip T. and Susan M. Ragon Foundation
Imperial College London
Investigators
Principal Investigator: Marta Boffito, MD PhD St Stephen's AIDS Trust
  More Information

No publications provided by Medicines Development Limited

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Mark Sullivan, Medicines Development Limited
ClinicalTrials.gov Identifier: NCT01123915     History of Changes
Other Study ID Numbers: Opal-HIV-1001, 2008-005142-23
Study First Received: May 13, 2010
Last Updated: November 8, 2011
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency
United Kingdom: Research Ethics Committee

Keywords provided by Medicines Development Limited:
HIV
Therapeutic
Immunotherapy
Acquired Immunodeficiency Syndrome
Virus Diseases
Lentivirus Infections
Human Immunodeficiency Virus

Additional relevant MeSH terms:
Infection
HIV Infections
Acquired Immunodeficiency Syndrome
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Slow Virus Diseases
Dimethyl Sulfoxide
Cryoprotective Agents
Protective Agents
Physiological Effects of Drugs
Pharmacologic Actions
Free Radical Scavengers
Antioxidants
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on October 01, 2014