Repeated DermaVir Immunizations in HIV-1 Infected Treatment-naïve Patients (GIEU006)
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Purpose
DermaVir is a synthetic pathogen-like nanomedicine. The active pharmaceutical ingredient is a single plasmid DNA expressing fifteen HIV antigens that assemble to HIV-like particles. These particles are safe; replication, integration and reverse transcription deficient. DermaVir is targeted to Langerhans cells by topical administration with DermaPrep. Langerhans cells with DermaVir migrate to lymph nodes and induce HIV-specific T cells that can kill HIV-infected cells.
GIEU006 is a Phase II randomized, placebo-controlled, dose-finding, double-blinded, multicenter study to assess the safety, tolerability, immunogenicity, and preliminary antiretroviral activity of DermaVir in antiretroviral therapy naïve adults with HIV-infection.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infection |
Biological: DermaVir Biological: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase II Randomized, Placebo-Controlled, Multi-Center Study to Evaluate the Safety, Tolerability, Immunogenicity, and Antiretroviral Activity of DermaVir Patch (LC002) in Treatment-Naïve HIV-1-Infected Patients |
- Percent of participants with primary safety endpoint [ Time Frame: 24 weeks ] [ Designated as safety issue: Yes ]Primary safety endpoint: occurrence of at least two > Grade 3 adverse event including signs/symptoms, lab toxicities, and/or clinical events that is possibly or definitely related to study treatment (as judged by the GIEU006 team, including site clinicians on the team, blinded to treatment arm) any time from the first day of study treatment until 42 days after the last study vaccine administration.
- HIV-1 RNA [ Time Frame: 24 weeks ] [ Designated as safety issue: Yes ]
- CD4+ and CD8+ T-cell counts [ Time Frame: 24 weeks ] [ Designated as safety issue: Yes ]
- HIV-specific memory T cell responses [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]Measured with Precursors with High Proliferative Capacity (PHPC) assay (Calarota et al. HIV-1-Specific T cell precursors with high proliferative capacity correlate with low viremia and high CD4 counts in untreated individuals. J Immunol 2008;180:5907-15)
| Enrollment: | 36 |
| Study Start Date: | April 2008 |
| Estimated Study Completion Date: | January 2015 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
Experimental: 1: Low dose DermaVir
|
Biological: DermaVir
Other Name: LC002
|
Experimental: 2: Low dose Placebo
|
Biological: Placebo
glucose/dextrose
Other Name: Placebo
|
Experimental: 3: Medium dose DermaVir
|
Biological: DermaVir
Other Name: LC002
|
Experimental: 4: Medium dose Placebo
|
Biological: Placebo
glucose/dextrose
Other Name: Placebo
|
Experimental: 5: High dose DermaVir
|
Biological: DermaVir
Other Name: LC002
|
Experimental: 6: High dose Placebo
|
Biological: Placebo
glucose/dextrose
Other Name: Placebo
|
Detailed Description:
Patients were randomized into one of the following 6 arms:
- Arm 1: Low dose DermaVir (0.2 mg DNA in 2 DermaPrep patches, n=9)
- Arm 2: Low dose Placebo (2 DermaPrep patches, n=3)
- Arm 3: Medium dose DermaVir (0.4 mg DNA in 4 DermaPrep patches, n=9)
- Arm 4: Medium dose Placebo (4 DermaPrep patches, n=3)
- Arm 5: High dose DermaVir (0.8 mg DNA in 8 DermaPrep patches, n=9)
- Arm 6: High dose Placebo (8 DermaPrep patches, n=3) DermaPrep Patch size: 80 cm2. DermaVir Standard Unit per patch is 0.1 mg DNA = 0.8 mL of DermaVir nanomedicine.
The patch sites for immunization are preferably the left or right upper back and left or right upper ventral thigh. The same skin sites should be used for all immunizations.
Immunization schedule (Days): 0, 42, 84, and 126.
The total DermaVir dose:
- Low dose: 0.8 mg DNA
- Medium dose: 1.6 mg DNA
- High Dose: 3.2 mg DNA
DermaVir immunizations were administered over an 18-week period Primary endpoint: 24 weeks Safety follow up: 234 weeks
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Main inclusion Criteria:
- HIV antibody positive
- Plasma HIV RNA value ≥5,000 copies/mL and ≤ 150,000 c/mL
- Antiretroviral therapy naïve
- Documented CD4+ T-cell count at screening ≥400 cells/mm3
Main exclusion Criteria:
- No skin disease
- No tattoos, or changes in pigmentation at the selected skin immunization sites
- No acute or chronic illness (e.g Hepatitis C)
- No chronic autoimmune diseases
- No treatment with any immune modulating agents
Contacts and Locations| Germany | |
| University Medical Center Hamburg-Eppendorf | |
| Hamburg, Germany, 20249 | |
| ICH Grindel | |
| Hamburg, Germany, 20146 | |
| ifi-Medizin GmbH at the Asklepios Klinik St. Georg | |
| Hamburg, Germany, 20099 | |
| Principal Investigator: | Jan Van Lunzen, PhD, MD | Universitätsklinikum Hamburg-Eppendorf |
More Information
Additional Information:
Publications:
| Responsible Party: | Genetic Immunity |
| ClinicalTrials.gov Identifier: | NCT00711230 History of Changes |
| Other Study ID Numbers: | DermaVir Phase II, 2007-001955-20 |
| Study First Received: | July 4, 2008 |
| Last Updated: | February 19, 2013 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Genetic Immunity:
|
HIV Vaccine Immune Therapy DermaVir |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases |
Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases |
ClinicalTrials.gov processed this record on June 13, 2013