Succinylated Human Serum Albumin (Suc-HSA) for HIV-1 Infection
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Purpose
The primary objective of the study is to evaluate the pharmacokinetic behavior of Suc-HSA after consecutive daily intravenous (i.v.) doses. The secondary objectives are to evaluate the safety and tolerability and the antiretroviral and immunological effects of consecutive daily i.v. doses of Suc-HSA.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Drug: succinylated human serum albumin |
Phase 1 Phase 2 |
| 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 & 2, Randomized Open-Label Study to Evaluate the Pharmacokinetics, Safety and Antiretroviral Activity of Succinylated Human Serum Albumin (Suc-HSA) in Treatment Naïve HIV-1 Infected Subjects |
- To evaluate the pharmacokinetic behavior of Suc-HSA after consecutive daily i.v. doses.
- To evaluate the safety and tolerability and the antiretroviral and immunological effects of consecutive daily i.v. doses of Suc-HSA.
| Estimated Enrollment: | 6 |
| Study Start Date: | August 2005 |
| Study Completion Date: | June 2006 |
This is a single centre, single arm study. Subjects will receive 5 consecutive daily doses of Suc-HSA at a dose of 10 mg/kg on days 0, 1, 2, 3 and 4 on the Special Investigation Unit (SIU), with a safety follow up on the SIU for 4 hours on day 1 and 2 hours on the next days. There will be follow-up visits on week 1, 2, 4 and 12. Standard safety parameters (physical examination, clinical symptoms, laboratory hematology and biochemistry) will be followed until week 12. Plasma HIV-1 RNA and CD4+/CD8+ cell counts will be assessed at every visit. Plasma drug levels (trough and peak) will be measured from baseline until week 2.
6 patients will be included in this study as described in this protocol amendment.
Eligible subjects are chronic HIV-1 infected patients who have never been treated with antiretroviral treatment and for whom there is no need to start antiretroviral treatment.
Test Product: Suc-HSA, a candidate HIV-1 fusion inhibitor.
Duration of treatment: 5 days
Criteria for evaluation:
- Safety: symptoms, signs at physical examination, standard hematology and chemistry laboratory parameters- Efficacy: changes in plasma HIV-1 RNA and CD4+ T cell count
- Pharmacokinetics: plasma levels of Suc-HSA: Cmin, Cmax and AUC
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patient is ≥ 18 years of age;
- Voluntarily signed informed consent;
- Patient has a proven HIV-1 infection (with positive antibodies against HIV-1 and a detectable plasma HIV-1 RNA);
- Patient is HIV-1 treatment naïve;
- CD4+ T-cell count ≥ 350 x 10^6/L;
- Plasma HIV-1 RNA level at screening visit of at least 5.000 copies/ml, and not varying more than ± 0.5 log10 copies during the preceding 6 month period;
- Patient was participant in part 1 of the original Suc-HSA study (protocol no. 2003-002, version 2.4, dated 18 November 2003) and the administration of Suc-HSA occurred more than 8 weeks ago, OR patient was not participant in this study;
Patient is one of the following:
- not heterosexually active, OR
- a heterosexually active female, agreeing to use an effective method of contraception with her partner (combined oral contraceptive pill; injectable contraceptive; intrauterine contraceptive device (IUCD); consistent use of condoms if using these; physiological or anatomical sterility in herself or her partner) from 14 days prior to the first administration of study medication until 4 months after the last, and willing to undergo urine pregnancy tests prior to the first and last administration, OR
- a heterosexually active male, agreeing to use an effective method of contraception with his partner from the day of the first administration until 4 months after the last administration.
Exclusion Criteria:
- History of an AIDS defining event;
- Use of antiretroviral or immunomodulatory therapy;
- Any reason to start antiretroviral therapy at the time of enrolment or which is expected to occur during the course of the study at the time of enrolment;
- Presence of active, replicating hepatitis B and/or C virus co-infection;
- ASAT and/or ALAT > 3 times upper limit of normal (ULN) (AIDS Clinical Trials Group [ACTG] toxicity scale);
- Serum creatinine measuring > 1.5 x ULN;
- Total bilirubin > 2x ULN;
- Neutropenia (absolute neutrophil count < 1000/mm3);
- Presence of any clinically significant disease or findings during screening, that in the opinion of the investigator could compromise the safety of the subject;
- Patient is female and (willing to become) pregnant or breast-feeding;
- Any other condition which, in the opinion of the investigator, may interfere with the evaluation of the study objectives.
Contacts and Locations| Netherlands | |
| Academic Medical Center, University of Amsterdam | |
| Amsterdam, NH, Netherlands, 1105AZ | |
| Study Chair: | Joep MA Lange, MD PhD | Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) |
| Principal Investigator: | Jan Prins, MD PhD | Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00128063 History of Changes |
| Other Study ID Numbers: | 04-IAT-0047 |
| Study First Received: | August 8, 2005 |
| Last Updated: | April 23, 2007 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
Keywords provided by International Antiviral Therapy Evaluation Center:
|
HIV-1 succinylated human serum albumin Treatment Naive |
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 May 16, 2013