E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
HIV infection |
HIV-Infektion |
|
E.1.1.1 | Medical condition in easily understood language |
HIV infection |
HIV-Infektion |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10020180 |
E.1.2 | Term | HIV positive |
E.1.2 | System Organ Class | 100000004848 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020161 |
E.1.2 | Term | HIV infection |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluate the effects of romidepsin plus 3BNC117 or romidepsin alone on delaying or preventing viral rebound in HIV-1-infected individuals during an analytical interruption of ART. |
Evaluation der Effekte von Romidepsin und 3BNC117 oder Romidepsin allein darauf, einen Anstieg der Viruslast bei HIV-1-positiven Patienten während einer analytischen Unterbrechung der antiretroviralen Therapie zu verzögern oder zu verhindern. |
|
E.2.2 | Secondary objectives of the trial |
1) Evaluate the safety of romidepsin plus 3BNC117 or romidepsin alone in ART-treated HIV-1 infected individuals 2) Evaluate the effects of romidepsin plus 3BNC117 or romidepsin alone on the size of the replication competent HIV-1 reservoir in ART-treated HIV-1-infected individuals; 3) Evaluate the immunomodulatory effects of romidepsin plus 3BNC117 or romidepsin alone in ART-treated HIV-1-infected individuals.
|
1) Untersuchung der Sicherheit von Romidepsin und 3BNC117 oder Romidepsin allein bei HIV-1-positiven Patienten unter ART 2) Untersuchung der Effekte von Romidepsin und 3BNC117 oder Romidepsin allein auf die Größe des Replikations-kompetetenen HIV-1-Reservoirs bei HIV-1-positiven Patienten unter ART 3) Untersuchung der immunmodulatorischen Effekte von Romidepsin und 3BNC117 oder Romidepsin allein bei HIV-1-positiven Patienten unter ART |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1) Adults age 18-65 years with documented HIV-1 infection 2) CD4+ T-cell count >500 cells/mm3 at screening 3) On ART for a minimum of 18 months and HIV-1 RNA plasma level of < 50 copies/ml by standard assays for at least 12 months (a single viral load measurement > 50 but < 500 copies/ml during this time period is allowable). 4) Individuals on protease inhibitor or NNRTI-based regimens must be willing to switch to an integrase-inhibitor-based regimen (raltegravir or dolutegravir) prior to enrollment. |
1) gesicherte HIV-Infektion, Alter 18-65 Jahre 2) CD4-Zellzahl > 500/µl beim Screening 3) unter ART seit mindestens 18 Monaten, HIV-RNA < 50 Kopien/ml seit mindestens 12 Monaten (ein einzelner Messwert zwischen 50 und 500 Kopien/ml während dieses Zeitraums ist erlaubt) 4) Patienten unter ART basierend auf einem Protease-Hemmer oder einem NNRTI müssen vor Beginn der Studie auf einen Integrasehemmer (Raltegravir oder Dolutegravir) wechseln |
|
E.4 | Principal exclusion criteria |
1) Use of systemic corticosteroids, immunosuppressive anti-cancer, or other medications considered significant by the investigators within the last 6 months 2) Pregnancy as determined by a positive urine beta-hCG. 3) Participant unwilling to use two reliable contraception methods (i.e. condom with spermicide, diaphragm with spermicide, hormone-eluting IUD, hormone-based contraceptive with condom) for the study duration. 4) Currently breast-feeding. 5) History of resistance to 2 or more classes of antiretroviral medication 6) Any medical, psychiatric, social, or occupational condition that, as judged by the investigators, would interfere with the evaluation of study objectives (such as severe alcohol or drug abuse, dementia). 7) Hepatitis B or C infection as indicated by the presence of Hepatitis B surface antigen (HBsAg) or hepatitis C virus RNA (HCV-RNA) in blood. 8) Receipt of an HDAC inhibitor within 2 years prior to enrollment or 3BNC117 in the past. 9) Have a history of AIDS-defining illness within 3 years prior to enrollment. 10) History of significant coronary artery disease, myocardial infarction, percutaneous coronary intervention with placement of cardiac stents. 11) ECG at screening that shows QTc >450 msec when calculated using the Fridericia formula from either lead V3 or V4. 12) Use of Coumadin or Coumadin derivatives 13) Laboratory abnormalities in the parameters listed below: 13a) Absolute neutrophil count ≤ 1,300 13b) Hemoglobin ≤ 10 g/dL 13c) Platelet count ≤ 125,000 13d) ALT ≥ 1.5 x ULN 13e) AST ≥ 1.5 x ULN 13f) Total bilirubin ≥ 2.0 x ULN (for participants on atazanavir, a total bilirubin up to 3 x ULN is allowable) 13g) eGFR < 60 mL/min/1.73m2 14) Any vaccination within 14 days prior to 3BNC117 administration 15) Receipt of any therapeutic HIV vaccine in the past 16) Receipt of an anti-HIV monoclonal antibody therapy in the past 17) Participation in another clinical study of an investigational product currently or within past 12 weeks, or expected participation during this study. |
1) Einnahme systemischer Kortikosteroide, immunsuppressiver Medikamente, Medikamente gegen bösartige Tumoren oder Medikamente, die nach Ansicht des Prüfarztes als relevant angesehen werden, innerhalb der letzten 6 Monate 2) Schwangerschaft (erhöhtes Beta-HCG im Urin) 3) Weigerung, während der Studiendauer zwei verlässliche Methoden der Kontrazeption anzuwenden (Kondom mit Spermizid, Diaphragma mit Spermizid, Hormon-abgebende Spirale, Hormon-basiertes Kontrazeptivum plus Kondom) 4) Stillen 5) Resistenzen gegenüber zwei oder mehr Klassen antiretroviraler Medikamente in der Vergangenheit 6) jede klinisch signifikante akute oder chronische körperliche oder psychiatrische Erkrankung, soziale oder berufliche Bedingungen, die nach Ansicht des Prüfarztes die Auswertung der Daten beeinflussen würde (z.B. schwerer Alkohol- oder Drogenmissbrauch, Demenz) 7) chronische Hepatitis B oder C (Nachweis von HBsAg oder HCV-RNA im Blut) 8) Erhalt eines Histon-Deacetylase-Inhibitors in den letzten zwei Jahren vor Einschluss oder von 3BNC117 in der Vergangenheit 9) AIDS-definierende Erkrankung in den letzten drei Jahren 10) Koronare Herzkrankheit, Myokardinfarkt, Stenteinlage in die Koronararterien in der Vergangenheit 11) Verlängerung der korrigierten QT-Zeit > 450 ms in Ableitung V3 oder V4, berechnet mit der Formel nach Fridericia 12) Therapie mit Cumarin oder Cumarinderivaten 13) Abweichungen von Laborwerten wie folgt: 13a) absolute Neutrophilenzahl ≤ 1.300 13b) Hämoglobin ≤ 10 g/dl 13c) Thrombozytenzahl ≤ 125.000/µl 13d) ALT ≥ 1.5 x ULN 13e) AST ≥ 1.5 x ULN 13f) Gesamt-Bilirubin ≥ 2.0 x ULN (für Patienten, die Atazanavir einnehmen, ist ein Gesamt-Bildrubin bis zum 3.0 x ULN erlaubt) 13g) geschätzte GFR < 60 ml/min/1.73m2 14) Impfung innerhalb von 14 Tagen vor Gabe von 3BNC117 15) Erhalt einer experimentellen HIV-Vakzine in der Vergangenheit 16) Erhalt eines monoklonalen anti-HIV-Antikörpers in der Vergangenheit 17) Teilnahme an einer anderen klinischen Studie mit einer experimentellen Substanz, gegenwärtig, innerhalb der letzten 12 Wochen oder voraussichtlich während der Dauer der Studie |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Days to viral rebound during analytic treatment interruption or days to reinitiation of ART in participants who restart ART before viral rebound. Viral rebound is defined as HIV-1 RNA ≥ 200 on 2 consecutive measurements during ATI. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
During analytic treatment interruption. |
|
E.5.2 | Secondary end point(s) |
1) Safety evaluation, as measured by rate and severity of adverse events (AE), serious adverse events (SAE), and serious unexpected serious adverse reactions (SUSAR) 2) Size of the functional, latent HIV-1 reservoir as determined by the number of infectious units per 106 resting memory CD4+ T cells (IUPM) using a viral outgrowth assay before and after therapy. Post therapy measurements will occur after the second cycle, just before ATI. These measurements will be performed in Dr. Siliciano’s laboratory 3) Size of the proviral HIV-1 reservoir as determined by total HIV-1 DNA and episomal HIV-1 DNA (2-LTR) in circulating total CD4+ T cells. 4) Plasma HIV-1 RNA, as measured by a routine clinical assay (Cobas Taqman; detection limit 20 copies/mL) and a transcription mediated amplification (TMA)-based assay. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
1) During trial 2) Before and after therapy 4) During trial |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 2 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Denmark |
Germany |
United States |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
LVLS |
letzte Visite des letzten Patienten |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |