Dose Escalation Study of Cyclophosphamide in HIV-Infected Subjects on HAART Receiving SB-728-T
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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 Endpoint Classification: Safety/Efficacy Study 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 |
- 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 ] [ Designated as safety issue: Yes ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 18 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | January 2013 (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 1 day 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 1 day following IV cyclophosphamide 1.0 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 |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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| Contact: Donna Bednarski | dbednarski@sangamo.com |
| United States, California | |
| UCLA Care Center | Recruiting |
| Los Angeles, California, United States, 90035 | |
| Contact: Maricela Gonzalez 310-557-3729 mmgonzalez@mednet.ucla.edu | |
| Principal Investigator: Ronald Mitsuyasu, MD | |
| Orange Coast Medical Group | Recruiting |
| Newport Beach, California, United States, 92663 | |
| Contact: Kathy Shea, BA, MPH 949-574-2598 ksocmg@gmail.com | |
| Principal Investigator: Jorge Rodriguez, MD | |
| Quest Clinical Research | Recruiting |
| San Francisco, California, United States, 94115 | |
| Contact: Grace Gonzaga, LPN 415-353-0212 grace@questclinical.com | |
| Principal Investigator: Jacob Lalezari, MD | |
| United States, Connecticut | |
| Circle CARE Center, LLC | Recruiting |
| Norwalk, Connecticut, United States, 06851 | |
| Contact: Patricia Garton, APRN 203-852-9525 tgarton@whcccc.org | |
| Principal Investigator: Gary Blick, MD | |
| United States, Florida | |
| Orlando Immunology Center | Recruiting |
| Orlando, Florida, United States, 32803 | |
| Contact: Ana Sizemore 407-647-3960 ext 2148 asizemore@oicorlando.com | |
| Principal Investigator: Edwin DeJesus, MD | |
| United States, Missouri | |
| Central West Clinical Research, Inc. | Recruiting |
| St Louis, Missouri, United States, 63108 | |
| Contact: Alan Fellers 314-652-0100 Alan.cwhealth@gmail.com | |
| Principal Investigator: David A Parks, MD | |
| United States, New Mexico | |
| Southwest CARE Center | Recruiting |
| Santa Fe, New Mexico, United States, 87505 | |
| Contact: Dawn Sena 505-216-0305 dsena@southwestcare.org | |
| Principal Investigator: Trevor Hawkins, MD | |
| United States, New York | |
| Ricky K Hsu, MD, PC | Recruiting |
| New York, New York, United States, 10011 | |
| Contact: Eric Leach, NP 212-627-7560 egleach@verizon.net | |
| Principal Investigator: Ricky K Hsu, MD, PC | |
| United States, Texas | |
| Gordon Crofoot, MD, PA | Recruiting |
| Houston, Texas, United States, 77098 | |
| Contact: Amalia Tejada 713-526-0005 atejada@crofootmd.com | |
| Principal Investigator: Gordon Crofoot, MD | |
| Puerto Rico | |
| Clinical Research Puerto Rico | Recruiting |
| San Juan, Puerto Rico, 00909 | |
| Contact: Javier Morales-Ramirez, MD 787-723-5945 crpr@clinicalresearchpr.com | |
| Principal Investigator: Javier Morales-Ramirez, MD | |
| Study Director: | Winson Tang, M.D. | Sangamo BioSciences, Inc. |
More Information
No publications provided
| Responsible Party: | Sangamo Biosciences |
| ClinicalTrials.gov Identifier: | NCT01543152 History of Changes |
| Other Study ID Numbers: | SB-728-1101 |
| Study First Received: | March 1, 2012 |
| Last Updated: | October 9, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Sangamo Biosciences:
|
HIV autologous cell therapy cyclophosphamide |
Additional relevant MeSH terms:
|
Cyclophosphamide Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antirheumatic Agents |
Therapeutic Uses Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Myeloablative Agonists |
ClinicalTrials.gov processed this record on May 19, 2013