A Phase I Trial of APL 400-003 Vaccine: Safety and Immune Response Evaluations of Multiple Injections at Escalating Doses in Asymptomatic HIV-Infected Patients
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Purpose
To evaluate safety and immune response in HIV-infected patients treated with multiple injections of APL 400-003 vaccine.
PER 2/27/96 AMENDMENT: To evaluate the safety of the vaccine when administered via the Biojector 2000 Needle-Free Injection Management System.
Facilitated DNA inoculation, a new type of DNA vaccine, involves direct injection of non-infectious HIV genes into a patient's muscle, along with agents that promote uptake of the genes into host cells. Host cells that have taken up these genes then produce viral proteins in a form that elicits immune responses in the form of antibodies, killer T-cells, and helper T-cells. The safety of this new vaccine approach needs to be assessed.
PER 2/27/96 AMENDMENT: The Biojector 2000 provides an option for delivering the vaccine without a needle and employs a single-use syringe to avoid cross-contamination.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Biological: APL 400-003 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I Trial of APL 400-003 Vaccine: Safety and Immune Response Evaluations of Multiple Injections at Escalating Doses in Asymptomatic HIV-Infected Patients |
| Estimated Enrollment: | 16 |
Facilitated DNA inoculation, a new type of DNA vaccine, involves direct injection of non-infectious HIV genes into a patient's muscle, along with agents that promote uptake of the genes into host cells. Host cells that have taken up these genes then produce viral proteins in a form that elicits immune responses in the form of antibodies, killer T-cells, and helper T-cells. The safety of this new vaccine approach needs to be assessed.
PER 2/27/96 AMENDMENT: The Biojector 2000 provides an option for delivering the vaccine without a needle and employs a single-use syringe to avoid cross-contamination.
Patients are given intramuscular injections of APL 400-003 at one of three doses (30, 100, or 300 mcg) on day 0 and again at weeks 10 and 20, and followed for 16 weeks after the final dose. An 8-week period prior to initial dosing is required for immortalizing the patient's PBMCs.
PER 2/27/96 AMENDMENT: Five patients will be evaluated at the 300 mcg dose with the Biojector 2000.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria
Concurrent Medication:
Allowed:
- Low doses of nonprescription NSAIDS, acetaminophen, ibuprofen, aspirin, replacement hormone therapy, and vitamin supplements.
Patients must have:
- Asymptomatic HIV infection with no acute related infection.
- CD4 count >= 500 cells/mm3.
- Normal hematologic, renal, hepatic, metabolic, and endocrine function.
NOTE:
- No more than one patient over 50 years of age is permitted at each dose level.
Exclusion Criteria
Co-existing Condition:
Patients with the following symptoms or conditions are excluded:
- Residual toxicity from prior drug treatment.
- Hypersensitivity to bupivacaine or amide-type local anesthetic.
- Active viral hepatitis, autoimmune disorders, or other debilitating chronic diseases.
Concurrent Medication:
Excluded:
- Medications that affect immune function.
- Antiretrovirals.
Patients with the following prior conditions are excluded:
- Malignancies other than curatively treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix.
- History of anaphylaxis to vaccines.
Prior Medication:
Excluded:
- Prior immunization with any experimental HIV vaccines.
- Other experimental therapy within 30 days prior to study entry.
- Prior cancer chemotherapy.
- Antiretrovirals within 3 months prior to study entry.
Prior Treatment:
Excluded:
- Prior radiotherapy. IV drug use or any other high-risk behavior.
Contacts and Locations
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00002350 History of Changes |
| Other Study ID Numbers: | 089, APL 400-003RX101 |
| Study First Received: | November 2, 1999 |
| Last Updated: | June 23, 2005 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by NIH AIDS Clinical Trials Information Service:
|
Vaccines, Synthetic AIDS Vaccines DNA, Viral |
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 June 18, 2013