The Study of Immunization in People Living With HIV Undergoing an ATI for Elicitation of VRC01-li… (NCT06006546) | Clinical Trial Compass
Active — Not RecruitingPhase 1
The Study of Immunization in People Living With HIV Undergoing an ATI for Elicitation of VRC01-lineage Antibodies
United States35 participantsStarted 2024-01-03
Plain-language summary
This is a multicenter controlled interventional trial. This phase 1 trial is the first study to assess 426c.Mod.Core-C4b adjuvanted with 3M-052-AF + aluminum hydroxide suspension (Alum) in people living with HIV (PLWH).
Who can participate
Age range
18 Years – 55 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
. Able and willing to complete the informed consent process, including an Assessment of Understanding (AoU): Volunteer demonstrates an understanding of this study and completes a questionnaire prior to first vaccination with verbal demonstration of understanding of questionnaire items that were answered incorrectly.
. 18 to 55 years old, inclusive, on day of enrollment.
. Confirmed HIV infection as documented by medical records or confirmatory HIV testing at screening.
. On suppressive ART for at least 48 weeks prior to screening. ART is defined as a combination therapy regimen including at least 1 integrase inhibitor and 1 nucleoside reverse transcriptase inhibitor (such as Dovato™) or 2 nucleoside reverse transcriptase inhibitors plus integrase inhibitors. Changes in ARVs for reasons other than virologic failure (eg, tolerability, simplification, different formulation, drug-drug interaction profile) are allowed within 48 weeks prior to screening and up until 6 weeks prior to screening. A fully active alternative ARV regimen is available, in the opinion of the Investigator, in the event of discontinuation of the current ARV regimen with development of resistance.
. Plasma HIV RNA \< 50 copies/mL (or lower limit of quantitation \[LLOQ\]) for at least 48 weeks prior to enrollment. NOTE: At least one viral load measurement within 48 weeks prior to the screening visit and another viral load from the screening prior to enrollment visit must be available for review. Two "blips" (ie, plasma HIV-1 RNA \> LLOQ and \< 400 copies/mL) are allowed if each blip is preceded and followed by values \< LLOQ and if the blip(s) occur(s) more than 24 weeks prior to enrollment.
. CD4+ cell count \> 450 cells/mm3 and CD4+ cell % ≥ 15% obtained within 40 days prior to enrollment.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
The number of participants local reactogenicity signs and symptoms
Timeframe: 14 days following each vaccination
2
The number of participants systemic reactogenicity signs and symptoms
Timeframe: 14 days following each vaccination
3
Number and description of serious adverse events (SAEs)
Timeframe: 12 months following any receipt of study product
4
Number and description of medically attended adverse events (MAAEs)
Timeframe: 12 months following any receipt of study product
5
Number and description of adverse events of special interest (AESIs)
Timeframe: 12 months following any receipt of study product
6
Number and description of AEs leading to early participant withdrawal or permanent discontinuation and reason for withdrawal/discontinuation
Timeframe: 12 months following any receipt of study product
7
Frequency of total Env-specific and CD4-bs-specific B cells, prior to ATI
Trial details
NCT IDNCT06006546
SponsorNational Institute of Allergy and Infectious Diseases (NIAID)
. Available for clinic follow-up through the last clinic visit, willing to undergo leukapheresis, and willing to be contacted 12 months after the last study-product administration.
. Agrees not to enroll in another study of an investigational agent during participation in the trial. If a potential participant is already enrolled in another clinical trial, approvals from the other trial sponsor and the HVTN 807 PSRT are required prior to enrollment into HVTN 807.
Exclusion criteria
. Current receipt of ART other than nucleoside reverse transcriptase inhibitor and integrase inhibitor.
. Receipt of long-acting ART within 3 months of enrollment.
. Documented history of resistance to any components of the current ARV regimen.
. Known resistance to 1 or more drugs in 2 or more ARV drug classes. NOTE: M184V/I is an exception and should not be considered when assessing this criterion. Prior HIV resistance testing is not required.
. ART initiation during acute HIV-1 infection (defined as within 1 year of HIV-1 acquisition, if known).
. History of an HIV-associated malignancy (including Kaposi's sarcoma), and any type of lymphoma or virus-associated cancers.
. History of HIV-associated neurocognitive disease or progressive multifocal leukoencephalopathy.
. History of HIV-related illness under US Centers for Disease Control (CDC) Category C (except for recurrent pneumonia) within 10 years prior to screening, based on available medical history and assessed by the Investigator for clinical relevance. Anyone with a history of CD4 \< 200 cells/mm3 on one or more occasions, based on available medical history and assessed by the Investigator for clinical relevance. Documentation of every case with history of CD4 \< 200 cells/mm3 must be provided to the Sponsor and PSRT, who will determine eligibility on a case-by-case basis. NOTE: History of treated and resolved pulmonary tuberculosis (TB) will not be exclusionary.
Timeframe: At baseline (week 0) and after each vaccination
8
Frequency of VRC01-class BCR sequences of isolated CD4-bs B cells, prior to ATI
Timeframe: At baseline (week 0) and after each vaccination
9
Frequency of Env-specific and CD4-bs-specific B cells
Timeframe: After week 16
10
Frequency of VRC01-class BCR sequences of isolated CD4-bs B cells