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Completed

NCT Number: NCT02767193

Safety and Immunogenicity of a Vaccine Dendritic Cell-based Pulsed With Autologous Heat-inactivated in HIV-1 Infected Patients

single-center, national clinical trial, phase I, randomized (1: 1: 1: 1), prospective, placebo-controlled, partially masked, parallel group. Patients will be assigned to one of the following four arms: 3 immunizations of dendritic cells / 3 immunizations of dendritic cells with pegylated interferon + / 3 immunizations of placebo / 3 immunizations of placebo with pegylated interferon.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient > 18 years of age;
  • Voluntarily sign informed consent;
  • Men or women with a negative pregnancy test before inclusion in the study;
  • HIV infection tested (with positive antibodies to HIV-1 and a detectable viral load);
  • Patient must be on stable treatment with cART at least 1 year
  • The average of all measurements of CD4 during the year before starting cART should be equal or greater than 350 cells / mm3
  • The number of CD4 + at enrollment must be equal or greater than 450 cells / mm3;
  • Plasma HIV viral load undetectable at least 6 months before the inclusion in the study, at least two determinations (occasional blips above the undetectable level are allowed).

Exclusion criteria

  • Treatment with suboptimal regimen (less than 3 antiretroviral drugs) before starting cART;
  • History of C CDC events;
  • Interruption of cART during the inclusion in the study;
  • Pregnancy woman or becoming pregnant in the next months;
  • Active opportunistic infections, or any active infection or cancer within 30 days prior to the screening visit;
  • Therapy with immunomodulatory agents, including cytokines (eg IL-2) and gamma globulins or chemotherapy within 90 days prior to the screening visit;
  • Use of anticoagulant medication;
  • Use of any investigational drug within 90 days prior to study entry;
  • Virological failure prior to antiretroviral treatment and / or mutations that confer resistance to antiretroviral drugs;
  • Uncontrolled psychiatric disorder;
  • Platelet count <80,000 / mm3;
  • Values ??of hemoglobin <12g / dL;
  • Patients with active uncontrolled autoimmune diseases;
  • Using contraindicated drugs in accordance with the Summary of Product Specifications of pegylated interferon;
  • Childbearing, or potential childbearing not using highly effective contraception;
  • Any other problem that according to the investigator could interfere with the evaluation of the objectives.
  • Any contraindication for the use of interferon peg in accordance with the Summary of Product Characteristics.

Treatment and study plan

DCV3

Biological

Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded pulsed with autologous inactivated HIV virus.

Patients will receive three immunizations of dendritic cells during weeks 0, 2 and 4

DCV3 with PEG-INF

Biological

Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded pulsed with autologous inactivated HIV virus with PEG_INF Patients will receive three immunizations of dendritic cells during weeks 0, 2 and 4 and INF during weeks 4,5 and 6

Placebo

Biological

Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded Patients will receive three immunizations saline + 1% albumin during weeks 0, 2 and 4

Placebo with PEG-INF

Biological

Autologous differentiated adult dendritic cells from monocytes of peripheral blood non expanded with PEG_INF Patients will receive three immunizations saline + 1% albumin during weeks 0, 2 and 4 and INF during weeks 4,5 and 6.

Primary outcomes

  1. Number of Participants with adverse events of grade 3 or higher

    Time frame: 28 weeks

    • Local adverse events of grade 3 or higher (pain and skin reactions including induration)
    • Systemic adverse events of grade 3 or higher (fever, chills, headache, nausea, vomiting, malaise and myalgia)
    • Clinical or laboratory confirmed grade 3 or higher on physical examination or retests adverse events Any event attributable to the vaccine involving a discontinuation of vaccination regime.
  2. Virological

    Time frame: 12 weeks

    Proportion of patients with undetectable viral load (<37 copies / mL) at 12 weeks

Secondary outcomes

  1. Number of adverse events grade 1 and 2 within 14 days after each immunization (weeks 2, 4 and 6)

    Time frame: 6 weeks

  2. Changes in the specific immune response

    Time frame: 28 weeks

    Measured by ELISPOT visits in weeks 2, 4, 8, 12, 16 and 28 compared to baseline and screening for dendritic cell vaccine and pegylated interferon.

  3. Changes in levels of viral reservoir.

    Time frame: 28 weeks

    Measure the proviral DNA visits in the weeks -44, -36, 4, 8, 12, 16 and 28 compared to baseline and screening.

  4. Proportion of patients with changes in any value of the levels of inflammatory markers, microbial translocation and immune activation

    Time frame: 28 weeks

    In visits at weeks 4, 16 and 28 compared compared to baseline and screening

  5. Proportion of patients with viral rebound

    Time frame: 15 days

    Two consecutive obtaining measurements of plasma viral load> 37 copies / mL separated by at least 15 days after discontinuation of antiretroviral therapy.

  6. Proportion of patients with autoimmunity markers induced by the vaccine as measured by: antithyroid antibodies (antithyroglobulin, antithyroid peroxidase), antinuclear antibodies, antiphospholipid antibodies and rheumatoid factors.

    Time frame: 16 weeks

    Evaluation on autoimmunity with antithyroid antibodies (antithyroglobulin, antithyroid peroxidase), antinuclear antibodies, antiphospholipid antibodies and rheumatoid factor at screening, baseline and week 16.

  7. Changes in the transcriptome of patients visits weeks 4, 16 and 28 compared to baseline (week -12)

    Time frame: 28 weeks

    Weeks 4, 16 and 28 compared to baseline

  8. Evaluation of the specific immune response trought IFN-gamma production in vitro at screening and baseline

    Time frame: week 0

    Proportion of patients with IFN-gamma production in vitro measured by ELISPOT at screening and baseline

  9. Evaluation of the specific immune response thought dendritic cell maturation markers in vitro at screening and baseline

    Time frame: week 0

    Proportion of patients with dendritic cell maturation markers in vitro measured by flow cytometry at screening and baseline

  10. Evaluation of the specific immune response thought T-cell proliferation in vitro at screening and baseline

    Time frame: week 0

    Proportion of patients with T-cell proliferation in vitro measured by CFSE (carboxyfluorescein succinimidyl ester) at screening and baseline

Sponsors and collaborators

Lead sponsor

Judit Pich Martínez

Other

Registry information

Official study title

Safety and Immunogenicity of a Vaccine Dendritic Cell-based Pulsed With Autologous Heat-inactivated HIV in HIV-1 Infected Patients. Prospective, Randomized, Partially Blinded Study

Important dates

Study start
2016
Primary completion
2019
Study completion
2019
First posted
May 10, 2016
Registry last updated
Jul 26, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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