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| Sponsor: | Sangamo Biosciences |
|---|---|
| Information provided by (Responsible Party): | Sangamo Biosciences |
| ClinicalTrials.gov Identifier: | NCT01044654 |
Purpose
This research study is being carried out to study a new way to possibly treat HIV. This agent is called a "Zinc Finger Nuclease" or ZFN for short. ZFNs are proteins that can delete another protein named CCR5. This CCR5 protein is required for certain types of HIV (CCR5 tropic) to enter into and infect your T-cells. T cells are one of the white blood cells used by the body to fight HIV. The most important of these are called "CD4 T-cells."
Some People are born without CCR5 on their T-cells. These people remain healthy and are resistant to infection with HIV. Other people have a low number of CCR5 on their T-cells, and their HIV disease is less severe and is slower to cause disease (AIDS).
Even with no detectable levels of HIV in the blood, HIV remains in some tissues in the body, primarily the gut tissue. HIV infects the CD4+ T-cells including in the blood and gut. The new treatment to be studied will involve removing white blood cell from the blood that contains CD4+ T-cells. The extracted CD4+ T-cells are then genetically modified by the ZFNs to be resistant to infection by HIV by removing the CCR5 gene from the surface of the CD4+ T cell where HIV enters the cell. Additional genetically modified cells are manufactured and then re-infused back into you. Researchers hope that these genetically modified cells will be resistant to infection by HIV and will be able to reproduce additional resistant CD4+ T-cells in your body.
Laboratory studies have shown that when CD4+ T-cells are modified with ZFNs, HIV is prevented from killing the CD4+ T-cells. On the basis of these laboratory results, thre is the potential that ZFNs may work in humans infected with HIV and improve their immune system by allowing their CD4+ T-cells to survive longer.
The purpose of this research study is to find out whether "zinc finger" modified CD4+ T-cells are safe to give to humans and find how "zinc finger" modified T-cell affects HIV.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infection HIV Infections |
Genetic: SB-728-T |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1 Dose Escalation, Single Dose Study of Autologous T-Cells Genetically Modified at the CCR5 Gene by Zinc Finger Nucleases SB-278 in HIV-Infected Patients Who Have Exhibited Suboptimal CD4+ T-Cell Gains During Long-Term Antiretroviral Therapy |
| Estimated Enrollment: | 33 |
| Study Start Date: | December 2009 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Cohort 1
3 Subjects will receive a single infusion of 0.5-1.0 x 1010 SB-728-T
|
Genetic: SB-728-T
Each infusion will be 5-30 billion ZFN modified CD4+ T-cells
|
|
Experimental: Cohort 2
3 Subjects will receive a single infusion of 2.0 x 1010 SB-728-T
|
Genetic: SB-728-T
Each infusion will be 5-30 billion ZFN modified CD4+ T-cells
|
|
Experimental: Cohort 3
3 Subjects will receive a single infusion of 3.0 x 1010 SB-728-T
|
Genetic: SB-728-T
Each infusion will be 5-30 billion ZFN modified CD4+ T-cells
|
|
Experimental: Cohort 4
Up to 4 HAART failure subjects will receive a single intravenous infusion of 0.5 to 3.0 x 1010 SB-728-T
|
Genetic: SB-728-T
Each infusion will be 5-30 billion ZFN modified CD4+ T-cells
|
|
Experimental: Cohort 5
Up to 20 subjects with heterozygote CCR5 delta-32 mutation will receive a single intravenous infusion of 0.5 to 3.0 x 1010 SB-728-T. Cohort 5 subjects will undergo a structured treatment interruption 2 months following infusion in which their anti-retroviral therapy will be discontinued for 16 weeks. HAART will be reinstituted in subjects whose CD4+ cell counts drop to <350 cells/mm3 and/or whose HIV-RNA increases to >100,000 on three consecutive weekly measurements. At the end of the STI, subjects with a sustained detectable viral load will be reinstituted on HAART. Subjects with HIV RNA levels below the limit of detection will remain off HAART. Subjects with an undetectable viral load will remain off HAART until HIV RNA levels are detectable or their CD4 count drops below 350 cell/mm3 on three consecutive weekly measurements. |
Genetic: SB-728-T
Each infusion will be 5-30 billion ZFN modified CD4+ T-cells
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Cohort 1, 2 and 3 (Enrollment Completed)
Cohort 5:
Cohort 4
Exclusion Criteria:
Cohort 4 only:
Contacts and Locations| Contact: Ya-Li Lee | ylee@sangamo.com |
| United States, California | |
| UCLA Center for AIDS Research and Education | Recruiting |
| Los Angeles, California, United States, 90035 | |
| Contact: Alex Ponce 310-557-9916 aponce@mednet.ucla.edu | |
| Principal Investigator: Ronald Mitsuyasu, M.D. | |
| Orange Coast Medical Group | Recruiting |
| Newport Beach, California, United States, 92663 | |
| Contact: Kathy Shea 949-574-2598 ksocmg@gmail.com | |
| Principal Investigator: Jorge E. Rodriguez, MD | |
| Quest Clinical Research | Recruiting |
| San Francisco, California, United States, 94115 | |
| Contact: Grace Gonzaga, LPN 415-353-0212 grace@questclinical.com | |
| Principal Investigator: Jacob Lalezari, M.D. | |
| United States, Connecticut | |
| Circle CARE Center, LLC | Recruiting |
| Norwalk, Connecticut, United States, 06851 | |
| Contact: Patricia Garton, APRN 203-852-9525 tgarton@whcccc.org | |
| Principal Investigator: Gary Blick, MD | |
| United States, Florida | |
| Wohlfeiler, Piperato and Associates, LLC | Recruiting |
| Miami Beach, Florida, United States, 33139 | |
| Contact: Daniel Guzman 305-538-1400 ext 222 danielguzmanwpa@aol.com | |
| Principal Investigator: Michael Wohlfeiler, MD | |
| Orlando Immunology Center | Recruiting |
| Orlando, Florida, United States, 32803 | |
| Contact: Ana Sizesmore 407-647-3960 ext 2148 asizemore@oicorlando.com | |
| Principal Investigator: Edwin DeJesus, MD | |
| United States, New Mexico | |
| Southwest CARE Center | Recruiting |
| Santa Fe, New Mexico, United States, 87505 | |
| Contact: Luc Poppe 505-216-0323 lpoppe@southwestcare.org | |
| Principal Investigator: Trevor Hawkins, MD | |
| United States, New York | |
| Ricky K Hsu, MD, PC | Recruiting |
| New York, New York, United States, 10011 | |
| Contact: Eric Leach, NP 212-627-7560 egleach@verizon.net | |
| Principal Investigator: Ricky K Hsu, MD, PC | |
| Study Director: | Winson Tang, M.D. | Sangamo Biosciences |
More Information
| Responsible Party: | Sangamo Biosciences |
| ClinicalTrials.gov Identifier: | NCT01044654 History of Changes |
| Other Study ID Numbers: | SB-728-0902 |
| Study First Received: | January 6, 2010 |
| Last Updated: | January 18, 2012 |
| Health Authority: | United States: Food and Drug Administration |
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HIV Treatment Experienced |
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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 |