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NCT02590354: ISALA

Analytical Treatment Interruption in HIV Positive Patients

Completed NA Results posted Last updated 24 September 2019
What this trial tests

NA trial testing ART interruption in HIV-1 Infection in 114 participants. Completed in 22 June 2018.

Timeline
25 January 2016
Primary endpoint
22 June 2018
22 June 2018

Quick facts

Lead sponsorInstitute of Tropical Medicine, Belgium
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment114
Start date25 January 2016
Primary completion22 June 2018
Estimated completion22 June 2018
Sites4 locations across Belgium

Drugs / interventions tested

Conditions studied

Sponsor

Institute of Tropical Medicine, Belgium

Who can join

Adults 18 to 64, any sex, with HIV-1 Infection. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Assessment of the Number of Participants With a HIV Plasma Viral Load Below the Lower Limit of Detection 48 Weeks Following Interruption of Antiretroviral Treatment Primary · 48 weeks after treatment interruption

The number of post treatment controllers (PTC - i.e. patients under ART at baseline that show low peripheral blood proviral DNA and still will show sustained viral suppression at 48 weeks after treatment interruption) will be determined. The assessment will be based on the plasma viral load (expressed in copies/ml) measured two-weekly (or four-weekly after W12) until W48 after treatment interruption. Patients below the lower limit of detection (\<50 HIV RNA copies/ml plasma) at 48 weeks after treatment interruption will be considered as PTC.

GroupValue95% CI
Treatment Interruption0
Number of Patients With and the Severity of Adverse Events That Are Related to the Study Intervention, Graded According to NCI CTCAE Version 4.0 Secondary · 23 months

Confirmation of the safety of a treatment interruption strategy in selected patients will be based on the number and intensity of AEs graded according to the NCI Common Terminology Criteria for Adverse Events v4.0 (CTCAE) on a five-point scale (Grade 1 to 5: Mild, Moderate, Severe, Life-threatening and Death).

Fatigue
GroupValue95% CI
Treatment Interruption1
Treatment Interruption0
Treatment Interruption0
Treatment Interruption0
Influenza-like illness
GroupValue95% CI
Treatment Interruption1
Treatment Interruption0
Treatment Interruption0
Treatment Interruption0
Oropharyngeal pain
GroupValue95% CI
Treatment Interruption1
Treatment Interruption0
Treatment Interruption0
Treatment Interruption0
Evaluation of the Reservoir Replenishment Upon Interruption of Antiretroviral Treatment (TI) by Quantifying the Viral Reservoir at Baseline (i.e. Just Before TI) and at Viral Rebound (Total HIV DNA). Secondary · At screening, baseline, week 2, week 4, week 6, week 8 and at 12 weeks after relapse

Assessment of the viral reservoir magnitude on cryopreserved Peripheral Blood Mononuclear Cells (PBMCs) prior and after treatment interruption by means of Total HIV DNA.

Screening
GroupValue95% CI
Phase 2 - Treatment Interruption37.511.5 – 55.5
Baseline
GroupValue95% CI
Phase 2 - Treatment Interruption22.54.0 – 53.5
Week 2
GroupValue95% CI
Phase 2 - Treatment Interruption27.511.0 – 69
Week 4
GroupValue95% CI
Phase 2 - Treatment Interruption46.518 – 127
Week 6
GroupValue95% CI
Phase 2 - Treatment Interruption38.022 – 141.5
Week 8
GroupValue95% CI
Phase 2 - Treatment Interruption83.582 – 85
Post week 12
GroupValue95% CI
Phase 2 - Treatment Interruption42.529 – 117
Evaluation of the Reservoir Replenishment Upon Interruption of Antiretroviral Treatment (TI) by Quantifying the Viral Reservoir at Baseline (i.e. Just Before TI) and at Viral Rebound (Unspliced RNA). Secondary · At screening, baseline, week 2, week 4, week 6, week 8 and at 12 weeks after relapse

Assessment of the viral reservoir magnitude on cryopreserved Peripheral Blood Mononuclear Cells (PBMCs) prior and after treatment interruption by means of unspliced RNA.

Screening
GroupValue95% CI
Phase 2 - Treatment Interruption20.0 – 3.5
Baseline
GroupValue95% CI
Phase 2 - Treatment Interruption7.04.0 – 16.5
Week 2
GroupValue95% CI
Phase 2 - Treatment Interruption7.55.0 – 19.5
Week 4
GroupValue95% CI
Phase 2 - Treatment Interruption23.55.0 – 179
Week 6
GroupValue95% CI
Phase 2 - Treatment Interruption30.510.5 – 177
Week 8
GroupValue95% CI
Phase 2 - Treatment Interruption34.531 – 38
Post week 12
GroupValue95% CI
Phase 2 - Treatment Interruption125 – 15
Assessment of the Kinetics of HIV Viral Load Rebound After Treatment Interruption Based on the Repetitive Plasma Viral Load Measurements. Secondary · At screening, baseline, week 2, week 4, week 6, week 8, End of Intervention (relapse), 4 weeks after relapse and 12 weeks after relapse

The kinetics will be on the plasma viral load (expressed in copies/ml) measured two-weekly (or four-weekly after W12) until W48 after treatment interruption. A viral load of 19 means \<20 copies/mL (lower limit of detection).

Screening
GroupValue95% CI
Phase 2 - Treatment Interruption1919 – 19
Baseline
GroupValue95% CI
Phase 2 - Treatment Interruption1919 – 19
Week 2
GroupValue95% CI
Phase 2 - Treatment Interruption1919 – 55.5
Week 4
GroupValue95% CI
Phase 2 - Treatment Interruption122326 – 40600
Week 6
GroupValue95% CI
Phase 2 - Treatment Interruption40202110 – 21100
Week 8
GroupValue95% CI
Phase 2 - Treatment Interruption34803480 – 3480
En of Intervention (moment of relapse)
GroupValue95% CI
Phase 2 - Treatment Interruption280002330 – 44900
Post week 4
GroupValue95% CI
Phase 2 - Treatment Interruption2219 – 165

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected over the whole study period (from start of treatment interruption until end of follow-up period which was 12 weeks after relapse and treatment restart).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment Interruption
Serious: 0/16 (0%)
Deaths: 0/16
Other adverse events (23 terms — click to expand)

ReactionSystemTreatment Interruption
Influenza-like illnessGeneral disorders
NasopharyngitisInfections and infestations
FatigueGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
Faeces softGastrointestinal disorders
StomatitisGastrointestinal disorders
VomitingGastrointestinal disorders
BronchitisInfections and infestations
Ear infectionInfections and infestations
Fungal infectionInfections and infestations
InfluenzaInfections and infestations
Oral herpesInfections and infestations
PyelonephritisInfections and infestations
RhinitisInfections and infestations
TracheitisInfections and infestations
Vit D deficiencyMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
FasciitisMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
DysuriaRenal and urinary disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT02590354 adverse events section.

Sponsor's own description

HIV-1 infected patients with normal peripheral blood CD4+ T-cell counts and undetectable viral load will be recruited in four Belgian HIV reference centers. Selected patients will undergo a two-step screening in which a viral reservoir measurement will be performed and among those with a very low viral reservoir an analytical treatment interruption of their longstanding antiretroviral therapy (ART). There is no randomization foreseen. Patients will receive an intense clinical and laboratory follow-up during 48 weeks followed by 12 weeks post intervention.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Rapid viral rebound after analytical treatment interruption in patients with very small HIV reservoir and minimal on-going viral transcription.
    Pannus P, Rutsaert S, De Wit S, Allard SD, et al · · 2020 · cited 47× · PMID 32107887 · DOI 10.1002/jia2.25453
  2. Potent latency reversal by Tat RNA-containing nanoparticle enables multi-omic analysis of the HIV-1 reservoir.
    Pardons M, Cole B, Lambrechts L, van Snippenberg W, et al · · 2023 · cited 30× · PMID 38110433 · DOI 10.1038/s41467-023-44020-5
  3. How to Address the Risk of HIV Transmission in Remission Studies With Treatment Interruption: The Low-Hanging Fruit Approach.
    Eyal N. · · 2019 · cited 13× · PMID 31264692 · DOI 10.1093/infdis/jiz163

Verify or expand the search:

Other recruiting trials for HIV-1 Infection

Currently open trials in the same condition.

Other Institute of Tropical Medicine, Belgium trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02590354.

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