Phase 1
N=9
Single DermaVir Immunization in HIV-1 Infected Patients on HAART
HIV Infection
Bottom Line
View on ClinicalTrials.gov: NCT00712530 ↗Enrolled (actual)
9
Serious AEs
0.0%
Results posted
Mar 2013
Primary outcome: Primary: Grade 3 Adverse Event Related to DermaVir Treatment — 0; 0; 0 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- DermaVir (Biological); HAART (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Genetic Immunity
- Primary completion
- Jun 2006
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Grade 3 Adverse Event Related to DermaVir Treatment |
0; 0; 0 | — |
| SECONDARY CD4+ T Cell Counts/mm3 |
893; 845; 621 | — |
| SECONDARY Number of Subjects With Detectable Anti-ds Antibody and ANA |
0; 0; 0 | — |
| SECONDARY Number of Subjects Having More Than 50 Copies/mL HIV RNA |
0; 0; 0 | — |
| SECONDARY Change in HIV-specific Memory T Cell Responses at Day 28 Compare to Baseline |
325; 136202; 50759 | — |
Summary
* DermaVir is a plasmid DNA-containing synthetic nanomedicine. It is administered topically with DermaPrep to target Langerhans cells. Langerhans cells with DermaVir migrate to lymph nodes and express HIV-like particles that induce immune responses to kill HIV-infected cells.
* Hypothesis: Single DermaVir immunization is safe and immunogenic measured by induction of HIV-specific precursor/memory T cell responses.
* GIHU004 was a phase I dose escalation study conducted in Hungary. It evaluated the safety and immunogenicity of three dosing regimens of topical DermaVir immunization for the treatment of HIV-infected individuals on fully suppressive highly active antiretroviral therapy (HAART).
Eligibility Criteria
Inclusion Criteria
- Ability and willingness of subject or legal guardian/representative to give written informed consent
- HIV-1 infection, as documented by any licensed ELISA test kit and confirmed by Western blot, HIV-1 culture, HIV-1 antigen, plasma HIV-1 RNA, or a second antibody test by a method other than ELISA
- On a stable antiretroviral regimen without changes or interruptions for at least 12 weeks prior to study entry
- Plasma HIV-1 RNA level of less than 50 copies/mL, obtained at least twice within the 12 weeks prior to study entry
- Peak plasma HIV-1 RNA level before initiation of HAART > 1000 copies/mL
- CD4 cell count > 300 cells/mm3 within the 12 weeks prior to study entry
- Nadir (lowest) CD4+ cell count > 250 cells/mm3 at any time prior to study entry
- The following laboratory values, obtained within 30 days prior to study entry:
- Absolute neutrophil count (ANC) > 1000/mm3
- Hemoglobin > 9.0 g/dL
- Platelet count > 50,000/mm3
- Serum creatinine 90 within 30 days prior to study entry
- Men and women age 18-50 years
Exclusion Criteria
- Viral load measurement > 50 copies/mL within the last 12 weeks prior to study entry
- History of or evidence of active skin disease (e.g. atopic dermatitis), chronic autoimmune disease or any other significant active skin disease
- Treatment with topical corticosteroids in close proximity to the proposed vaccination sites within 2 weeks prior to study entry
- Excessive exposure to the sun (e.g. sunbathing) within 2 weeks prior to study entry
- Use of any local skin treatments to the targeted vaccination sites within 7 days prior to study entry
- History of diabetes and bleeding disorders
- Previous CDC category C event
- Pregnancy or breast-feeding
- Use of immunomodulating therapy, including cyclosporin, IgG-containing products, interleukins, interferons, systemic glucocorticosteroids, or exposure to an experimental HIV vaccine within 6 months prior to study entry
- Receipt of any vaccine within 30 days prior to study entry
- Allergy/sensitivity to study vaccine products, including adhesives, will be excluded
- Active drug or alcohol use or dependence
- Serious illness until subject either completes therapy or is clinically stable on therapy, in the opinion of the site investigator, for at least 14 days prior to study entry
- Hepatitis B surface antigen and/or anti-hepatitis C positive
Data sourced from ClinicalTrials.gov (NCT00712530). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.