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A Phase I/II Trial of Vaccine Therapy of HIV-1 Infected Individuals With 50-500 CD4 Cells/mm3

Phase 1
Completed
Conditions
HIV Infections
Registration Number
NCT00000755
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary

To examine the response of HIV-1 infected patients to vaccination with gp120/HIV-1MN antigen. To determine the effect of antiretroviral therapy on vaccine responsiveness.

Fifty percent of HIV-1 infected individuals remain symptom free for 8-12 years. It has been hypothesized that HIV-specific immune responses are responsible for the period of relative quiescence of viral replication. Recent studies suggest that these immune functions can be augmented by vaccination with HIV-derived antigens.

Detailed Description

Fifty percent of HIV-1 infected individuals remain symptom free for 8-12 years. It has been hypothesized that HIV-specific immune responses are responsible for the period of relative quiescence of viral replication. Recent studies suggest that these immune functions can be augmented by vaccination with HIV-derived antigens.

Patients are randomized to receive rgp120/HIV-1MN vaccine or alum adjuvant placebo by intramuscular injection at weeks 0, 4, 8, 12, 16, and 20, with or without daily oral zidovudine (AZT) or their current stable dose of antiretroviral therapy. After completing the primary vaccination series, patients are permitted to continue into an extension phase, in which they receive a booster vaccination at weeks 28, 36, and 44. Patients will be stratified by CD4 count: 350-500, 200-349, and 50-199 cells/mm3. A fourth group with counts of 350-500 cells/mm3 will serve as a pilot group and receive vaccine only.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
168
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (10)

UCLA CARE Center CRS

🇺🇸

Los Angeles, California, United States

Stanford CRS

🇺🇸

Palo Alto, California, United States

Ucsf Aids Crs

🇺🇸

San Francisco, California, United States

University of Colorado Hospital CRS

🇺🇸

Aurora, Colorado, United States

Massachusetts General Hospital ACTG CRS

🇺🇸

Boston, Massachusetts, United States

Bmc Actg Crs

🇺🇸

Boston, Massachusetts, United States

Beth Israel Deaconess - East Campus A0102 CRS

🇺🇸

Boston, Massachusetts, United States

Beth Israel Deaconess Med. Ctr., ACTG CRS

🇺🇸

Boston, Massachusetts, United States

NY Univ. HIV/AIDS CRS

🇺🇸

New York, New York, United States

University of Washington AIDS CRS

🇺🇸

Seattle, Washington, United States

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