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NCT03212989: XTRA

Study to Evaluate Effects of Vorinostat and HXTC on Persistent HIV-1 Infection in HIV-Infected Subjects Started on Antiretroviral Therapy (ART)

Completed Phase 1 Results posted Last updated 12 May 2023
What this trial tests

Phase 1 trial testing Vorinostat in HIV-1 Infection in 17 participants. Completed in 5 July 2022.

Timeline
27 June 2017
Primary endpoint
7 June 2022
5 July 2022

Quick facts

Lead sponsorUniversity of North Carolina, Chapel Hill
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment17
Start date27 June 2017
Primary completion7 June 2022
Estimated completion5 July 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of North Carolina, Chapel Hill

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.

Number of Participants w/ at Least One ≥ Grade 3 Adverse Event That is Possibly or Definitely Related to Vorinostat (VOR) or HIV-specific T Cell (HXTC) Primary · Up to end of study (weeks 16 through 45)

Safety data will include local and systemic signs and symptoms, laboratory measures of safety/toxicity, and all adverse and serious adverse events. Safety data will be routinely collected throughout the duration of the study.

GroupValue95% CI
VOR + HXTC Arm0
Number of Participants Demonstrating an HIV-specific Immune Response to the Combination of Vorinostat (VOR) and HIV-specific T Cells (HXTC) Therapy as Well as a Change in the Frequency of Latent HIV Infection Secondary · Up to end of study (weeks 16 through 45)

The change in ex vivo HIV-specific immune response from baseline was measured by interferon-gamma (IFN-γ) ELISpot throughout the study. Change in the frequency of latent HIV infection from baseline to end of study was measured using a quantitative viral outgrowth assay (QVOA). Participants that exhibited any significant changes in both of these measures were considered to have experienced a positive result.

GroupValue95% CI
VOR + HXTC Arm0

Adverse events — posted to ClinicalTrials.gov

Time frame: The Adverse Event (AE) reporting period for each participant began when the participant signed the consent and continued through the 30 days following the End of Study (EOS) visit. Prior to study product administration, any AE that occured was collected as concurrent medical history (pre-existing condition) and not as an AE, unless it was due to a protocol-related procedure (e.g., leukapheresis or large blood collection).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Vorinostat (VOR) + HIV-specific T-cell (HXTC) Arm
Serious: 0/9 (0%)
Deaths: 0/9
Other adverse events (70 terms — click to expand)

ReactionSystemVorinostat (VOR) + HIV-spe…
Procedural hypertensionInjury, poisoning and procedural complications
Blood glucose increasedInvestigations
Blood pressure increasedInvestigations
Carbon dioxide decreasedInvestigations
NauseaGastrointestinal disorders
FatigueGeneral disorders
Upper respiratory tract infectionInfections and infestations
Glomerular filtration rate decreasedInvestigations
HeadacheNervous system disorders
DiarrheaGastrointestinal disorders
SyphilisInfections and infestations
Ligament sprainInjury, poisoning and procedural complications
Vascular access site bruisingInjury, poisoning and procedural complications
Vascular access site ruptureInjury, poisoning and procedural complications
Aspartate aminotransferase increasedInvestigations
Blood creatinine increasedInvestigations
Protein urine presentInvestigations
Cardiac flutterCardiac disorders
PalpitationsCardiac disorders
DiplopiaEye disorders
Abdominal pain upperGastrointestinal disorders
Anorectal disorderGastrointestinal disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders
Feeling hotGeneral disorders
Infusion site painGeneral disorders
Edema peripheralGeneral disorders
Ear infectionInfections and infestations
FolliculitisInfections and infestations
Oral candidiasisInfections and infestations
Citrate toxicityInjury, poisoning and procedural complications
Post procedural erythemaInjury, poisoning and procedural complications
Post-traumatic painInjury, poisoning and procedural complications
Procedural dizzinessInfections and infestations
Procedural painInjury, poisoning and procedural complications
SunburnInjury, poisoning and procedural complications
Thermal burnInjury, poisoning and procedural complications
Vascular access site painInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Blood cholesterol increasedInvestigations

Data from ClinicalTrials.gov NCT03212989 adverse events section.

Sponsor's own description

This is a phase I, single-site, study to evaluate the effects of VOR and HIV-1 Antigen Expanded Specific T Cell Therapy (HXTC) on persistent HIV-1 Infection in HIV-infected individuals suppressed on ART. Twelve participants with durable viral suppression will be enrolled and will complete the study. All participants will receive the same treatment and if eligible, will be dosed with HXTC and VOR. Participants will continue their baseline ART regimen throughout the study.

Publications & conference data

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

  1. Curing HIV: Seeking to Target and Clear Persistent Infection.
    Margolis DM, Archin NM, Cohen MS, Eron JJ, et al · · 2020 · cited 144× · PMID 32220311 · DOI 10.1016/j.cell.2020.03.005
  2. Cell therapies in the clinic.
    Wang LL, Janes ME, Kumbhojkar N, Kapate N, et al · · 2021 · cited 99× · PMID 34027097 · DOI 10.1002/btm2.10214
  3. Advances toward Curing HIV-1 Infection in Tissue Reservoirs.
    Henderson LJ, Reoma LB, Kovacs JA, Nath A. · · 2020 · cited 52× · PMID 31694954 · DOI 10.1128/jvi.00375-19
  4. HIV-Specific, Ex Vivo Expanded T Cell Therapy: Feasibility, Safety, and Efficacy in ART-Suppressed HIV-Infected Individuals.
    Sung JA, Patel S, Clohosey ML, Roesch L, et al · · 2018 · cited 39× · PMID 30249388 · DOI 10.1016/j.ymthe.2018.08.015
  5. Nanotechnology approaches to eradicating HIV reservoirs.
    Cao S, Woodrow KA. · · 2019 · cited 37× · PMID 29879528 · DOI 10.1016/j.ejpb.2018.06.002
  6. HIV-Specific T Cells Generated from Naive T Cells Suppress HIV In Vitro and Recognize Wide Epitope Breadths.
    Patel S, Chorvinsky E, Albihani S, Cruz CR, et al · · 2018 · cited 18× · PMID 29724686 · DOI 10.1016/j.ymthe.2018.04.009
  7. Nose to brain delivery of antiretroviral drugs in the treatment of neuroAIDS.
    Sarma A, Das MK. · · 2020 · cited 15× · PMID 34765998 · DOI 10.1186/s43556-020-00019-8
  8. Impact of IL-15 and latency reversing agent combinations in the reactivation and NK cell-mediated suppression of the HIV reservoir.
    Covino DA, Desimio MG, Doria M. · · 2022 · cited 14× · PMID 36329160 · DOI 10.1038/s41598-022-23010-5

Verify or expand the search:

Other trials of Vorinostat

Trials testing the same drug.

Other recruiting trials for HIV-1 Infection

Currently open trials in the same condition.

Other University of North Carolina, Chapel Hill trials

Trials by the same sponsor.

Verify against primary sources

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/NCT03212989.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing