Dose Escalation Study of Cyclophosphamide in HIV-Infected Subjects on HAART Receiving SB-728-T
This study is ongoing, but not recruiting participants.
Sponsor:
Sangamo Therapeutics
Information provided by (Responsible Party):
Sangamo Therapeutics
ClinicalTrials.gov Identifier:
NCT01543152
First received: March 1, 2012
Last updated: January 6, 2017
Last verified: January 2017
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Purpose
The purpose of the study is to evaluate the safety, tolerability and effect on HIV viral load, of escalating doses of cyclophosphamide administered 1 day prior to SB-728-T infusion.
| Condition | Intervention | Phase |
|---|---|---|
| HIV | Genetic: SB-728-T | Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I, Open-Label Study to Assess the Effect of Escalating Doses of Cyclophosphamide on the Engraftment of SB-728-T in Aviremic HIV-Infected Subjects on HAART |
Resource links provided by NLM:
MedlinePlus related topics:
HIV/AIDS
Drug Information available for:
Cyclophosphamide
U.S. FDA Resources
Further study details as provided by Sangamo Therapeutics:
Primary Outcome Measures:
- Treatment related Adverse Events on subjects who received cyclophosphamide prior to SB-728-T infusion [ Time Frame: 28 days after the SB-728-T infusion of the last subject in each Cohort and up to 12 months ]
Secondary Outcome Measures:
- Effect of escalating doses of cyclophosphamide on SB-728-T engraftment as measured by pentamer PCR [ Time Frame: Up to 12 months after the last SB-728-T infusion ]
- Effect of SB-728-T on plasma HIV-1 RNA levels following HAART interruption [ Time Frame: Up to 12 months after the last SB-728-T infusion ]
- Change in CD4+ T-cell counts in peripheral blood after treatment with SB-728-T [ Time Frame: Up to 12 months after the last SB-728-T infusion ]
| Enrollment: | 26 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | September 2017 |
| Estimated Primary Completion Date: | March 2017 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Cohort 1 - IV cyclophosphamide 200 mg |
Genetic: SB-728-T
Infusion will be 5 to 30 billion ZFN modified CD4+ T cells 1 day following IV cyclophosphamide 200 mg
Other Name: cyclophosphamide
|
| Experimental: Cohort 2 - IV cyclophosphamide 0.5 g/m2 |
Genetic: SB-728-T
Infusion will be 5 to 30 billion ZFN modified CD4+ T cells up to 3 days following IV cyclophosphamide 0.5 g/m2
Other Name: cyclophosphamide
|
| Experimental: Cohort 3 - IV cyclophosphamide 1.0 g/m2 |
Genetic: SB-728-T
Infusion will be 5 to 30 billion ZFN modified CD4+ T cells up to 3 days following IV cyclophosphamide 1.0 g/m2
Other Name: cyclophosphamide
|
| Experimental: Cohort 4 - IV cyclophosphamide 2.0 g/m2 |
Genetic: SB-728-T
Infusion will be 5 to 30 billion ZFN modified CD4+ T cells up to 3 days following IV cyclophosphamide 2.0 g/m2
Other Name: cyclophosphamide
|
| Experimental: Cohort 5 - IV cyclophosphamide 1.5 g/m2 |
Genetic: SB-728-T
Infusion will be 5 to 30 billion ZFN modified CD4+ T cells up to 3 days following IV cyclophosphamide 1.5 g/m2
Other Name: cyclophosphamide
|
Detailed Description:
The objectives of the study are to augment HIV-specific T-cells and to reverse or decrease the progressive destruction of CD4+ T-cells that leads to clinical AIDS. Levels of engraftment vary from negligible to about 10% of the CD4+ T-cells in the vascular compartment. Preliminary analyses of HAART TI suggest that an anti-HIV effect may correlate with the level of SB-728-T engraftment. Concurrently, non-myeloablative lymphodepletion with cyclophosphamide has been demonstrated to enhance engraftment of adoptively transferred T-cells through a variety of mechanisms. The study is being undertaken to increase SB-728-T engraftment through the administration of low non-myeloablative doses of cyclophosphamide.
Eligibility| Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Male or female, 18 years of age or older with documented HIV diagnosis within 10 years of screening.
- Must be willing to comply with study-mandated evaluations; including discontinuation of current antiretroviral therapy during the treatment interruption.
- Must have received at least 6 months of continuous HAART therapy and have had undetectable VLs for the preceding 3 months.
- On stable antiretroviral medication (no changes to treatment within 4 weeks of screening.
- CD4+ T-cell count ≥500 cells/µL.
- Undetectable HIV-1 RNA obtained at screening.
- ANC ≥2500/µL
- Platelet count ≥200,000/µL
Exclusion Criteria:
- Acute or chronic hepatitis B or hepatitis C infection.
- Active or recent (in prior 6 months) AIDS defining complication.
- Any cancer or malignancy within the past 5 years, with the exception of successfully treated basal cell or squamous cell carcinoma of the skin or low grade (0 or 1) anal or cervical dysplasia.
- Current diagnosis of NYHA grade 3 or 4 CHF, uncontrolled angina or arrhythmias.
- History or any features on physical examination indicative of a bleeding diathesis.
- Received HIV experimental vaccine within 6 months prior to screening, or any previous gene therapy using an integrating vector.
- Use of chronic corticosteroids, hydroxyurea, or immunomodulating agents within 30 days prior to screening.
- Use of Aspirin, dipyridamole, warfarin or any other medication that is likely to affect platelet function or other aspects of blood coagulation during the 2 week period prior to leukapheresis.
- Currently participating in another clinical trial or participation in such a trial within 30 days prior to screening visit.
- Subjects who are currently taking maraviroc or have received maraviroc within 6 months prior to screening.
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study.
To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01543152
Please refer to this study by its ClinicalTrials.gov identifier: NCT01543152
Locations
| United States, California | |
| UCLA Care Center | |
| Los Angeles, California, United States, 90035 | |
| Quest Clinical Research | |
| San Francisco, California, United States, 94115 | |
| United States, Connecticut | |
| Circle CARE Center, LLC | |
| Norwalk, Connecticut, United States, 06850 | |
| United States, Florida | |
| Orlando Immunology Center | |
| Orlando, Florida, United States, 32803 | |
| United States, Missouri | |
| Central West Clinical Research, Inc. | |
| St Louis, Missouri, United States, 63108 | |
| United States, New Mexico | |
| Southwest CARE Center | |
| Santa Fe, New Mexico, United States, 87505 | |
| United States, New York | |
| Ricky K Hsu, MD, PC | |
| New York, New York, United States, 10011 | |
| United States, Texas | |
| Central Texas Clinical Research | |
| Austin, Texas, United States, 78705 | |
| North Texas Infectious Diseases Consultants | |
| Dallas, Texas, United States, 75246 | |
| Gordon Crofoot, MD, PA | |
| Houston, Texas, United States, 77098 | |
| Puerto Rico | |
| Clinical Research Puerto Rico | |
| San Juan, Puerto Rico, 00909 | |
Sponsors and Collaborators
Sangamo Therapeutics
Investigators
| Study Director: | Winson Tang, M.D. | Sangamo BioSciences, Inc. |
More Information
| Responsible Party: | Sangamo Therapeutics |
| ClinicalTrials.gov Identifier: | NCT01543152 History of Changes |
| Other Study ID Numbers: |
SB-728-1101 |
| Study First Received: | March 1, 2012 |
| Last Updated: | January 6, 2017 |
Keywords provided by Sangamo Therapeutics:
|
HIV autologous cell therapy cyclophosphamide |
Additional relevant MeSH terms:
|
Cyclophosphamide Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Antirheumatic Agents |
Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Myeloablative Agonists |
ClinicalTrials.gov processed this record on July 17, 2017


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