Title

Clinical Study of TUTI-16 in Asymptomatic HIV-1 Infected Subjects
Phase I/IIA Clinical Study of TUTI-16 in Asymptomatic HIV-1 Infected Subjects
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    syngem ...
  • Study Participants

    24
This protocol represents the first in human study of TUTI-16, and is being conducted to establish the safety and human immunogenicity (anti-HIV-1 Tat titers) of subcutaneously administered TUTI-16. Activity of TUTI-16 will also be determined in minimizing HIV-1 viral loads and sustaining CD4+ T-cell levels.
HIV-1 Tat protein, a virally encoded toxin, is secreted by HIV-1 infected cells and acts on uninfected cells, rendering them permissive for HIV-1 replication. HIV-1 Tat enhances chronic viral replication and induces immune suppression. Antibodies to Tat inhibit this Tat-mediated transcellular activation in vitro and minimize chronic plasma viremia. HIV-1 Tat activities can be blocked in vitro and in vivo by anti-Tat antibodies.

The Thymon Universal Tat Immunogen (TUTI-16) is a fully synthetic, self-adjuvanting lipopeptide vaccine that is water soluble and administered by subcutaneous injection. In preclinical studies, a priming dose and a three week boost in rats induced a high titer antibody response to the eight known distinct epitope variants of HIV-1 Tat protein. These antibodies block the function of the HIV-1 Tat protein (toxin), which is essential to the maintenance of chronic HIV-1 viremia. Therefore, TUTI-16 has potential as a therapeutic vaccine for HIV-1 in humans.
Study Started
Feb 28
2009
Primary Completion
May 31
2010
Study Completion
May 31
2010
Results Posted
Feb 21
2011
Estimate
Last Update
Feb 24
2011
Estimate

Other Placebo

Subcutaneous injection on Day 0, Day 28, and Day 84

Biological TUTI-16 (0.03mg)

Subcutaneous injection on Day 0, Day 28, and Day 84

Biological TUTI-16 (0.1mg)

Subcutaneous injection on Day 0, Day 28, and Day 84

Biological TUTI-16 (0.6mg)

Subcutaneous injection on Day 0, Day 28, and Day 84

Placebo Placebo Comparator

TUTI-16 0.03 mg Experimental

Subcutaneous injection on Day 0, Day 28, and Day 84

TUTI-16 0.1 mg Experimental

Subcutaneous injection on Day 0, Day 28, and Day 84

TUTI-16 0.6 mg Experimental

Subcutaneous injection on Day 0, Day 28, and Day 84

Criteria

Inclusion Criteria:

Males and Females
Age ≥18 and ≤50 years at Screening
HIV-1 seropositive
asymptomatic and in generally good health
no prior anti-retroviral therapy within 6 months of screening
viral load ≥ 3,000 ≤ 100,000 HIV-1 RNA copies/mL
CD4+ T-cell count ≥ 400/mm3.

Exclusion Criteria:

Pregnant/nursing females
positive for HBV or HCV
acute Herpetic event
any clinically significant out-of range laboratory value
subject is unable or unwilling to discontinue during the study
participation in another investigational drug/vaccine study within 30 days preceding the first injection of investigational agent in this study.

Summary

Group 1 (0.03mg TUTI-16)

Group 2 (0.1mg TUTI-16)

Group 3 (0.6mg TUTI-16)

Placebo

All Events

Event Type Organ System Event Term Group 1 (0.03mg TUTI-16) Group 2 (0.1mg TUTI-16) Group 3 (0.6mg TUTI-16) Placebo

HIV Viral Load

Change in HIV viral load from baseline

Placebo

0.26
HIV RNA copies/mL (Log Mean)
Standard Error: 0.56

Group 1 (0.03mg TUTI-16)

-0.18
HIV RNA copies/mL (Log Mean)
Standard Error: 0.12

Group 2 (0.1mg TUTI-16)

-0.05
HIV RNA copies/mL (Log Mean)
Standard Error: 0.13

Group 3 (0.6mg TUTI-16)

0.002
HIV RNA copies/mL (Log Mean)
Standard Error: 0.11

CD4+ T-cell Count

Change in CD4+ T-cell count from baseline

Group 1 (0.03mg TUTI-16)

-65.0
cells/mm3 (Log Mean)
Standard Error: 48

Group 2 (0.1mg TUTI-16)

-116.0
cells/mm3 (Log Mean)
Standard Error: 56

Group 3 (0.6mg TUTI-16)

14.0
cells/mm3 (Log Mean)
Standard Error: 53

Placebo

-59.0
cells/mm3 (Log Mean)
Standard Error: 22

Determination of Anti-Tat Antibodies

Determination of change in anti-Tat antibody level

Group 1 (0.03mg TUTI-16)

20.0
ng/mL (Median)
Full Range: 20.0 to 456.0

Group 2 (0.1mg TUTI-16)

84.0
ng/mL (Median)
Full Range: 20.0 to 181.0

Group 3 (0.6mg TUTI-16)

84.0
ng/mL (Median)
Full Range: 20.0 to 642.0

Placebo

20.0
ng/mL (Median)
Full Range: 20.0 to 53.0

Total

24
Participants

Age Continuous

45.9
years (Mean)
Standard Deviation: 8.67

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Group 1 (0.03mg TUTI-16)

Group 2 (0.1mg TUTI-16)

Group 3 (0.6mg TUTI-16)

Placebo

Drop/Withdrawal Reasons

Group 2 (0.1mg TUTI-16)

Group 3 (0.6mg TUTI-16)