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Trial record 5 of 5 for:    AGS-004

Phase II Study of AGS-004 as an Immunotherapeutic in Antiretroviral Therapy (ART)-Treated Subjects Infected With HIV

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT00672191
Recruitment Status : Completed
First Posted : May 6, 2008
Last Update Posted : January 29, 2013
Information provided by (Responsible Party):
Argos Therapeutics

Brief Summary:
The purpose of this study is to examine the ability of AGS-004 to control HIV-1 replication and to determine if HIV-1 immunotherapy made with dendritic cells is safe and well tolerated, to determine if immunotherapy increases the body's immune response to HIV-1; and, to determine if after stopping anti-HIV drugs, immunotherapy can control the HIV-1 virus.

Condition or disease Intervention/treatment Phase
HIV Infections Biological: AGS-004 Phase 2

Detailed Description:
Although chronic ART raises cluster of differentiation CD 4+ T cell counts and improves immune function, the immune systems' ability to control HIV-1 replication is not improved. AGS-004 is an immunotherapeutic agent made from autologous DCs co electroporated with amplified in vitro transcribed (IVT) ribonucleic acid (RNA) encoding CD40L and with IVT RNA encoding three or four autologous HIV-1 antigens. The HIV-1 RNA is derived from the plasma sample taken immediately prior to the initiation of ART.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 59 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Study Testing the Activity and Safety of AGS-004 as an Immunotherapeutic in Successfully ART-Treated Subjects Infected With HIV-1 in Combination With ART Followed by ART Interruption
Study Start Date : February 2008
Actual Primary Completion Date : August 2010
Actual Study Completion Date : November 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Arm Intervention/treatment
Experimental: 1 Biological: AGS-004
HIV-1 Immune Therapy

Primary Outcome Measures :
  1. Ability of AGS-004 therapy to improve immune control of HIV-1 replication [ Time Frame: Study Week 26 through end of study ]

Secondary Outcome Measures :
  1. Change in plasma HIV-1 RNA set point [ Time Frame: Study Week 26 through end of study ]
  2. T cell responses to AGS-004 therapy and exploratory studies to investigate the mechanism of action of AGS-004. [ Time Frame: Study Week 26 through end of study ]
  3. Safety and tolerability of AGS-004 [ Time Frame: Study Week 26 through end of study ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 18 to 60 years of age
  • HIV-1 infection
  • Subjects must be on their first ART regimen for at least 3 months: 2 NRTIs together with an NNRTI and/or at least 1 PI (prior changes to ART regimen are allowed if due to tolerability, guideline change, or to simply dosing but not for viral control)
  • Durable viral suppression (below limit of detection) for at least 3 months prior ot Screening
  • CD4+ T cell count ≥ 450 cells/mm3 for at least 90 days immediately prior to Screening
  • Availability of ≥ 1.2 mL of continually frozen plasma (may have been thawed and refrozen only once) drawn no more than 90 days before starting ART and preferably within 30 days.
  • Pre-ART plasma HIV-1 RNA levels of ≥ 15,000 copies/mL at the time the plasma was archived before commencing ART
  • Pre-ART nadir CD4+ T cell count ≥ 200 cells/mm3 (cell count of < 200 cells/mm3 on one occasion is allowed if subsequent pre-ART CD4+ cell counts were > 200 cells/mm3 on at least two time points.
  • Laboratory values obtained at Screening and confirmed just prior to Baseline Day 1:

    • Creatinine ≤ 1.5 x upper limit of normal (ULN);
    • AST (SGOT), ALT (SG'PT), and alkaline phosphatase ≤ 3 x ULN;
    • ANC ≥ 750 cells/mm3;
    • Hemoglobin ≥ 10 g/dL; and,
    • Platelet count ≥ 75,000/mm3
  • Female subjects of reproductive potential must have a negative serum or urine pregnancy test with a sensitivity of at most 50 mIU/mL performed within 30 days prior to Screening.
  • All subjects must agree not to participate in a conception process and use contraception.
  • Ability to communicate effectively with study personnel; considered reliable, willing, and cooperative in terms of compliance with the Protocol requirements.
  • Voluntary informed consent given to participate in the study.
  • Successful RNA amplification of at least 3 antigens (must include Gag).

Exclusion Criteria:

  • HIV-2 antibody positive.
  • Positive test for other infectious diseases including:

    • clinically active, untreated syphilis (positive rapid plasma regain test (RPR)
    • clinically active hepatitis B infection (positive Hep B surface antigen HBsAg)
    • active hepatitis C infection or any history of hepatitis C infection
    • positive test for HTLV Type I or Type II antibody
  • Any acute infection or serious medical illness within 14 days prior to study entry
  • History of lymph node irradiation or dissection
  • Pregnancy or breast-feeding
  • Previous use of any HIV-1 immunotherapy, including IL-2
  • Use of hydroxyurea within 30 days prior to Screening
  • Immunodeficiency other than HIV-1 or requirements to take immuno-modulating concomitant medications
  • Known allergy or sensitivity to the investigational immunotherapy or its formulation
  • Use of systemic corticosteroids and use of topical steroids over a total area exceeding 15 cm2 within 4 weeks of Screening or anticipated need for periodic use of corticosteroids during the study
  • Receipt of any immune modulators or suppressors within 30 days of Screening
  • Active autoimmune disease such as:

    • Rheumatoid arthritis
    • Inflammatory bowel disease
    • Systemic lupus erythematosis
    • Ankylosing spondylitis
    • Hashimoto's disease
    • Scleroderma
    • Multiple sclerosis
    • Autoimmune hemolytic anemia
    • Immune thrombocytopenic purpura
  • Type I diabetes mellitus (insulin therapy for Type II diabetes is permitted)
  • Participation in another clinical trial within 30 days of Screening or use of investigational agents (previous use of expanded access ARTs is permitted)
  • Body weight less than 30 kg.
  • Changes in ART regimen due to virologic failure (not including toxicities)
  • Presence of factors predicting insufficient adherence to the protocol.
  • Any condition that in the assessment of the investigator would indicate that it is not in the best interest of the subject or incompatible with the any aspect of the study design, treatment plan, and study objectives for a subject to participate.
  • History or other evidence of severe illness, malignancy, or any other condition that would make the subject, in the opinion of the investigator, unsuitable for the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00672191

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United States, Pennsylvania
Practice Comprehensive Care Practice Div of Onfectious Disease & HIV Med
Philadelphia, Pennsylvania, United States, 19102
Canada, Alberta
Southern Alberta Clinic
Calgary, Alberta, Canada, T2R0X7
Canada, British Columbia
Providence Health Care Society / The University of British Columbia / BC Centre for Excellence in HIV/AIDS
Vancouver, British Columbia, Canada, V6Z1Y6
Canada, Ontario
Hamilton Health Sciences - McMaster University Medical Centre
Hamilton, Ontario, Canada, L7R3X5
The Ottawa Hospital
Ottawa, Ontario, Canada, K1H8L6
Sunnybrook Health Sciences Center
Toronto, Ontario, Canada, M4N3M5
Maple Leaf Clinic
Toronto, Ontario, Canada, M5B 1L6
Toronto, Ontario, Canada, M5G2C4
Canada, Quebec
Clinique medicale l'Actuel
Montreal, Quebec, Canada, H2L4P9
Clinique Medical du Quartier Latin
Montreal, Quebec, Canada, H2L5B1
Montreal Chest Institute
Montreal, Quebec, Canada, H2X 2P4
Montreal, Quebec, Canada
Sponsors and Collaborators
Argos Therapeutics
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Principal Investigator: Jean-Pierre Routy, MD McGill University Health Centre/Research Institute of the McGill University Health Centre
Principal Investigator: Mona Loutfy, MD Maple Leaf Clinic
Principal Investigator: Cecile Tremblay, MD CHUM- Hotel Dieu de Montreal
Principal Investigator: John Gill, MD Southern Alberta Clinic
Principal Investigator: Jean-Guy Baril, MD Clinque Medical du Quartier Latin
Principal Investigator: Sylvie Vezina, MD Clinque medicale l'Actuel
Principal Investigator: Jonathan B Angel, MD The Ottawa Hospital
Principal Investigator: Sharon Walmsley, MD UHN
Principal Investigator: Fiona Smaill, MD Hamilton Health Sciences Corporation
Principal Investigator: Anita Rachlis, MD Sunnybrook Health Sciences Center
Principal Investigator: Julio Montaner, MD Providence Health Care Society
Principal Investigator: Jeffrey Jacobson, MD Partnership Comprehensive Care Practice
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Responsible Party: Argos Therapeutics
ClinicalTrials.gov Identifier: NCT00672191    
Other Study ID Numbers: AGS-004-001
First Posted: May 6, 2008    Key Record Dates
Last Update Posted: January 29, 2013
Last Verified: January 2013
Keywords provided by Argos Therapeutics:
Human immunodeficiency virus
Immunodeficiency Virus, Human
antiretroviral therapy
highly active retroviral therapy
cluster of differentiation CD 4+ T cell counts
HIV-1 Subjects successfully ART treated
Treatment Experienced
Additional relevant MeSH terms:
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HIV Infections
Blood-Borne Infections
Communicable Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Immunologic Deficiency Syndromes
Immune System Diseases