Title

A Safety and Immunogenicity Study of 3 Doses of Opal Immunotherapy in HIV Infected People
A Phase 1, Dose Escalating, Single Centre, Double Blind Study of the Safety and Immunogenicity of Opal-HIV-Gag Clade C in HIV Positive Subjects
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Status

    Terminated
  • Intervention/Treatment

    opal-hiv-gag(c) ...
  • Study Participants

    22
This phase I study is the first step to determine if Opal immunotherapy may have potential utility as a treatment for HIV. Although effective treatments for HIV infection exist, they are limited by the requirement for life-long daily treatment, cost, side effects, and the development of resistance.

There is a need for therapeutic approaches that induce or enhance T-cell immunity to control HIV disease. Overlapping Peptide-pulsed Autologous Cells (Opal) is a technique where autologous peripheral blood mononuclear cells (PBMC) or whole blood is pulsed with sets of overlapping peptides spanning whole proteins of HIV.
Opal-HIV-Gag(c) is not for direct injection and is administered by ex vivo incubation of whole blood or separated blood components (such as white blood cells or peripheral blood mononuclear cells) and reinfusion.

As a practical alternative to PBMC separation and to optimise vaccine presentation during the ex vivo incubation, a blood cell separation device will be used to separate the whole blood and enrich the white blood cell component. The device processes whole blood in a closed, single use disposable kit. Reconstituted Opal-HIV-Gag(c)or matching placebo will be added to the white blood cells, incubated for one hour and reinfused into the subject. Subjects will receive 4 administrations at 4 weekly intervals. Subjects are followed for 12 weeks after the final administration.

Each dose group will be enrolled sequentially, with a sentinel group for each dose group. Satisfactory safety data from each cohort, reviewed by a Data Safety Monitoring Board, will permit dose escalation.
Study Started
May 31
2010
Primary Completion
Dec 31
2011
Study Completion
Dec 31
2011
Last Update
Mar 22
2018

Biological Opal-HIV-Gag(c) Low Dose

Biological Opal-HIV-Gag(c) Medium dose

Biological Opal-HIV-Gag(c) High dose

Other Dimethyl Sulfoxide

Opal-HIV-Gag(c) Experimental

Opal-HIV-Gag(c) administered ex vivo to separated white blood cells on 4 occasions at 4 weekly intervals.

Diluent Placebo Comparator

Administered ex vivo to separated white blood cells on 4 occasions at 4 weekly intervals.

Criteria

Inclusion Criteria:

Provision of written informed consent
Documented laboratory diagnosis of HIV 1 infection
Documented HIV clade of infection
18 - 60 years of age, inclusive
Stable antiretroviral therapy (ART) regimen containing at least 3 active ART agents for at least 2 months prior to Baseline
Plasma HIV-Ribonucelc acid (RNA) <400 copies/millilitre (mL) for 6 months up to and including Screening. Subjects on stable ART with a single value ≥400 copies/mL (i.e. the result is unconfirmed by subsequent testing) within this timeframe may be included at the discretion of the Investigator
CD4+ T-cell count ≥350 cells/cubic millimetres (mm3) at Screening (with nadir ≥100 cells/mm3)
A positive immunogenic response when stimulated with HIV-1 Gag clade C peptides at Screening
Male or female. Women of child-bearing potential must be using two effective methods of contraception and agree to continue to do so from Screening, throughout study medication dosing and for 28 days after the last dose of study medication

Exclusion Criteria:

Any serious or active medical or psychiatric illness which, in the opinion of the Investigator, would interfere with treatment, assessment, compliance with the protocol, or subject safety. This would include any active clinically significant renal, cardiac, pulmonary, vascular, or metabolic (thyroid disorders, adrenal disease) illness, or malignancy
Hepatitis B virus surface antigen, or Hepatitis C virus (HCV) antibody and HCV-RNA positive at Screening
Female subjects who are lactating and those of reproductive potential with a positive urine pregnancy test at either Screening or Baseline
A new AIDS-defining condition diagnosed within 42 days prior to Baseline visit
Known or suspected allergy to Dimethyl Sulfoxide
History of allergy or reaction to medications (including peptide or protein containing agents) or history of severe allergy that, in the opinion of the Investigator, might compromise the subject's participation in any way
Moderate or severe asthma, defined as at least chronic moderate symptoms which frequently interfere with daily activities and require anti-asthma/anti-inflammatory agents
Have received immunomodulating agents (including immunosuppressive agents, interferon or other immune or cytokine-based therapies), immunisation, and/or systemic chemotherapeutic agents within 60 days of Screening or expected to receive these agents during the course of the study
Recipient of live attenuated vaccines within 60 days of Screening
Recipient of whole killed, toxoid or sub-unit vaccines (e.g. influenza, pneumococcus, tetanus, hepatitis B) within 42 days prior to Baseline
Ever received an HIV prophylactic or immunotherapeutic vaccine (does not apply to subjects who have written documentation of receiving placebo or adjuvant only)
Recreational and/or therapeutic drug or alcohol use that, in the opinion of the Investigator, might compromise the subject's participation in any way.
Medical or psychiatric condition or occupational responsibilities that may preclude compliance with the protocol

Laboratory blood values:

Haemoglobin <11.0 grams/decilitre (g/dL) for men and <10.0 g/dL for women
Neutrophil count <800/mm3
Platelet count <50,000/mm3
Aspartate aminotransferase or Alanine transaminase >2.5 times Upper Limit of Normal (ULN)
Lipase >2.5 times ULN
Amylase >1.5 times ULN (unless serum lipase is ≤1.5 times ULN)
Subjects with an estimated creatinine clearance of <80 mL/minute
Recipients of blood products or immunoglobulins within 6 months prior to Screening or loss of 450 mL or more of blood during the three months prior to Screening
Recipients of experimental or investigational agents within 30 days prior to Screening
Previous participation in this study
No Results Posted