Effects of Therapeutic HIV Vaccination on Control of HIV After Discontinuation of Anti-HIV Drugs
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Purpose
The purpose of this study is to determine whether therapeutic HIV vaccines can help the immune system control HIV viral load after anti-HIV drugs are discontinued.
| Condition | Intervention |
|---|---|
|
HIV Infections |
Biological: Therapeutic vaccinations from A5058s |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | A Rollover Study of A5058s: A Phase II Trial to Evaluate the Ability of Vaccine-Induced Helper and CTL Responses to Control Viremia in the Absence of Antiretroviral Therapy |
| Estimated Enrollment: | 78 |
| Study Completion Date: | May 2004 |
-
Biological: Therapeutic vaccinations from A5058s
This study is a rollover study for patients who participated in A5058s: Augmentation of HIV-Specific Helper and CTL Responses Through Therapeutic Vaccination in Individuals Receiving Potent Suppressive Antiretroviral Therapies. In A5058s, patients received a series of therapeutic vaccinations to elicit HIV-specific immune responses. This study will examine whether these vaccine-induced responses can control viral load in the absence of antiretroviral therapy (ART).
Upon study entry, patients will discontinue ART. During the first 6 weeks of the study, viral load will be monitored weekly and CD4+ T-cell counts will be monitored every other week. Viral load and CD4+ T-cell counts will be measured every other week from Week 6 through Week 24, then monthly until patients restart ART or until Week 48. Patients who reinitiate ART for any reason will be registered to Step 2 and followed for 10 weeks.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Participation in A5058s and receipt of a minimum of 7 sets of injections on that study
- Continuation of the same stable antiretroviral treatment that was given in A5058s for the last 3 months prior to A5172 entry, unless the regimen was changed for toxicity in the absence of virologic failure
- No less than 6 weeks and no more than 18 weeks since the last injection on A5058s prior to A5172 entry
- CD4+ T-cell count > 300 cells/mm3 obtained within 30 days prior to study entry
- HIV-1 RNA < 500 copies/ml obtained within 30 days prior to study entry
- Agreement to use approved methods of contraception
Exclusion Criteria:
- Pregnancy or breast-feeding
- Any of the following within 30 days prior to entry: acute infection requiring antibiotics, outbreak of herpes simplex virus (HSV) or herpes zoster, other acute medical illness, or surgery
- Symptomatic chronic infections other than HIV
- Malignancy that may require systemic therapy
- History of lymph node irradiation
- Use of immunoenhancing or immunosuppressive drugs within 30 days prior to entry, or any underlying disease of sufficient severity that these excluded drugs may be prescribed
- Hydroxyurea within 30 days prior to study entry
- Use of GM-CSF, G-CSF, M-CSF, IFN, IL-2, or other cytokines within 30 days prior to study entry
- Active drug or alcohol use or dependence that would interfere with adherence to study requirements
- Serious illness requiring systemic treatment and/or hospitalization until patient either completes therapy or is clinically stable on therapy for at least 30 days prior to study entry
Contacts and Locations| United States, California | |
| Harbor-UCLA Med. Ctr. CRS | |
| Torrance, California, United States, 90502-2052 | |
| United States, Colorado | |
| University of Colorado Hospital CRS | |
| Aurora, Colorado, United States, 80262 | |
| United States, Indiana | |
| Indiana Univ. School of Medicine, Infectious Disease Research Clinic | |
| Indianapolis, Indiana, United States, 46202 | |
| Methodist Hosp. of Indiana | |
| Indianapolis, Indiana, United States, 46202 | |
| Indiana Univ. School of Medicine, Wishard Memorial | |
| Indianapolis, Indiana, United States, 46202 | |
| United States, Massachusetts | |
| Massachusetts General Hospital ACTG CRS | |
| Boston, Massachusetts, United States, 02114 | |
| Bmc Actg Crs | |
| Boston, Massachusetts, United States, 02118 | |
| Brigham and Women's Hosp. ACTG CRS | |
| Boston, Massachusetts, United States, 02215 | |
| Beth Israel Deaconess Med. Ctr., ACTG CRS | |
| Boston, Massachusetts, United States, 02215 | |
| United States, New York | |
| NY Univ. HIV/AIDS CRS | |
| New York, New York, United States, 10016-6481 | |
| Beth Israel Med. Ctr., ACTU | |
| New York, New York, United States, 10003 | |
| United States, North Carolina | |
| Unc Aids Crs | |
| Chapel Hill, North Carolina, United States, 27514 | |
| United States, Ohio | |
| Case CRS | |
| Cleveland, Ohio, United States, 44106-5083 | |
| United States, Texas | |
| Univ. of Texas Medical Branch, ACTU | |
| Galveston, Texas, United States, 77555 | |
| Study Chair: | Spyros Kalamus, M. D. | Vanderbilt University |
| Study Chair: | Fred Valentine, M. D. | NYU MEDICAL CENTER |
More Information
Additional Information:
Publications:
| Responsible Party: | National Institute of Allergy and Infectious Diseases (NIAID) |
| ClinicalTrials.gov Identifier: | NCT00050063 History of Changes |
| Other Study ID Numbers: | A5172, 10184, ACTG A5172 |
| Study First Received: | November 20, 2002 |
| Last Updated: | May 17, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):
|
HIV Therapeutic Vaccine Treatment Experienced AIDS Vaccines Treatment Interruption |
Viral Load T-Lymphocytes, Cytotoxic T-Lymphocytes, Helper-Inducer |
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 Anti-HIV Agents Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013