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Pomalidomide As an Immune-enhancing Agent for the Control of HIV

Phase 1
Not yet recruiting
Conditions
HIV-1 Infection
Interventions
Registration Number
NCT06660498
Lead Sponsor
University of Aarhus
Brief Summary

This study is designed to evaluate the safety and efficacy of pomalidomide in HIV-1-infected individuals on ART and to determine the impact of pomalidomide on virological control in people living with HIV during an analytical treatment interruption.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
32
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PomalidomidePomalidomide 2 mgThis arm will receive pomalidomide 2 mg oral capsules
PomalidomideAspirin 75 mgThis arm will receive pomalidomide 2 mg oral capsules
PlaceboPlaceboThis arm will receive placebo (oral capsules with no active drug)
PlaceboAspirin 75 mgThis arm will receive placebo (oral capsules with no active drug)
Primary Outcome Measures
NameTimeMethod
Efficacy of treatment, measured as the time from ART cessation until meeting ART restart criteria.From ATI to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
Safety of treatment, measured by the number of treatment-emergent adverse events (AEs) of grade 3 or higher that are probably or definitely related to the study treatment.From enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
Secondary Outcome Measures
NameTimeMethod
Safety, defined as all other treatment-emerging adverse events (AEs)From enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria

AEs are graded according to severity and assessed as either not related or possibly, probably or definitely related to study treatment.

Rebound viral kinetics during the ATI, including plasma HIV-1 RNA copies/mL doubling timesFrom ATI to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
The proportion of participants maintaining HIV-1 RNA levels below 1,000 copies/mL at the end of the ATI.From ATI to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
The proportion of participants who have not met ART restart criteria at the end of the ATI.From ATI to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
The frequency of peripheral blood CD4+ T cells containing total and intact HIV-DNA while on suppressive ARTFrom enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
HIV-specific CD4+ responsesFrom enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
HIV-specific CD8+ T cell responsesFrom enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
The proportion of cells containing constitutive and inducible MS HIV-RNAFrom enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
The level of CA-US HIV RNA in peripheral blood CD4+ T cellsFrom enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
Numbers of B cells, total lymphocytes, CD8+ T cells and CD4+ T cells including memory subsetsFrom enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria
Proportions of B cells, total lymphocytes, CD8+ T cells and CD4+ T cells including memory subsetsFrom enrollment to the end of treatment at visit 18 or 16 weeks after meeting ART restart criteria

Trial Locations

Locations (2)

Royal Melbourne Hospital

🇦🇺

Melbourne, Australia

Aarhus University Hospital

🇩🇰

Aarhus, Denmark

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