MedPath

ITV Extension Study

Phase 1
Completed
Conditions
HIV
Registration Number
NCT00332930
Lead Sponsor
Kirby Institute
Brief Summary

The objective of this phase I/II therapeutic human immunodeficiency virus (HIV) vaccine candidate study is to provide proof of concept for a HIV antigen delivery system in terms of safety, virological effects and selected immune responses in HIV infected individuals after cessation of antiretroviral combination therapy (ART).

Detailed Description

A multi-centre, double-blind, placebo-controlled, 20-week parallel group extension study to the VIR-NCHR-01 protocol (ITV study). The purpose of the extension study is to assess the safety and virological effects of a therapeutic HIV vaccine strategy in HIV-1 infected adults currently enrolled in the ITV study after cessation of antiretroviral therapy. Two active candidate vaccines will be studied in this trial: The active treatment arms will receive recombinant fowlpoxvirus (rFPV) expressing HIV gag-pol antigens or HIV gag-pol antigens and interferon-gamma (IFN-y) in diluent. Vaccines will be delivered by intramuscular injection.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
35
Inclusion Criteria
  • HIV-1 infected individuals eligible and still fulfilling the criteria for the VIR-NCHR-01 protocol (ITV study)
  • Received all 3 immunisations
  • Remained in follow-up for at least 52 weeks
  • Continued to take combination antiretroviral therapy with no evidence of treatment failure at the time entering the roll-over phase
  • Written informed consent obtained

Criteria for Withdrawal of Study Participants

  • Incidental or progression of disease which, in the opinion of the principal investigator, should preclude further study participation
  • If the study participant required cytotoxic or immunosuppressive chemo- or radiation therapy
  • If the study participant required any medications that when combined with the study vaccination, would in the opinion of the principal investigator, jeopardise the validity of the individual's continued participation
  • Administration of prohibited alternative therapy
  • Study participant non-compliance
  • All study participants are required to adhere to the protocol evaluation schedule. Failure to adhere with this schedule without having first provided justification may result in the participant being withdrawn from the study
  • At the request of the study participant or principal investigator without prejudice to future health care
  • In the opinion of the investigator, if it is not in the patient's best interests to continue the study
  • At the request of the National Centre in HIV Epidemiology and Clinical Research (NCHECR) with reasonable cause
  • At the advice of the Data Safety Monitoring Board (DSMB)
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Time weighted area under the curve change from plasma HIV-RNA VL at baseline (day 0) until reintroduction of antiretroviral therapy
Secondary Outcome Measures
NameTimeMethod
Log plasma HIV-RNA load after cessation of combination ART (post-vaccination viral load (VL) set-point)
Kinetics and rate of VL recrudescence and median time to re-initiation of ART
CD8+ T-cell responses to HIV antigens assessed through:
Enzyme linked immunospot (ELISPOT) assay of IFN-y secreting cells
Intracellular Cytokine Cytometry (ICC) for IFN-y and CD69
Human Leucocyte Antigen (HLA) class I/ I matched tetramer analyses for HIV epitope specific CD8+/CD4+ T -cells
CD4+/CD8+ T-cell count changes

Trial Locations

Locations (6)

407 Doctors

🇦🇺

Sydney, New South Wales, Australia

Holdsworth House Medical Practice

🇦🇺

Sydney, New South Wales, Australia

The Alfred Hospital

🇦🇺

Melbourne, Victoria, Australia

Ground Zero Medical Practice

🇦🇺

Sydney, New South Wales, Australia

St Vincents Hospital

🇦🇺

Sydney, New South Wales, Australia

Carlton Clinic

🇦🇺

Melbourne, Victoria, Australia

© Copyright 2025. All Rights Reserved by MedPath