Recruiting PHASE1 HIV Infections

Tests treatment safety and results for HIV Infections

Official title Clinical Trial to Evaluate the Safety and Immunogenicity of Hiltonol, Poly-ICLC-adjuvanted CD40.HIVRI.Env (VRIPRO) in Adult Participants Who Previously Participated in HVTN 706

ClinicalTrials.gov ID: NCT06665646

What this study is testing

What is CD40.HIVRI.Env (VRIPRO)?

CD40.HIVRI.Env (VRIPRO) is an investigational medicine, given as an injection under the skin, being studied as a potential treatment for hiv infections.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The clinical schedule will consist of 3 injections of CD40.HIVRI.Env (VRIPRO) at weeks 0, 4, and 24.40 volunteers without HIV and in overall good health, aged 18 to 60 years, who previously participated in the HVTN 706 trial.
  • Phase 1: an early, usually small safety study
  • You might receive a placebo (an inactive treatment) instead of the study drug.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 to 60. Healthy volunteers may be eligible.

You may be able to join if

  • Formerly participated in HVTN 706 study as active vaccine arm or placebo recipient (those enrolled in the active vaccine arm of HVTN 706 must have...
  • Demonstrates an understanding of the study and is able and willing to complete the informed consent process.
  • 18 to ≤ 60 years old, on day of enrollment.
  • Available for clinic follow-up through the last clinic visit, willing to undergo FNA, and willing to be contacted 12 months after the last...
  • Agrees not to enroll in another study of an investigational agent during participation in the trial. If a potential participant is already enrolled...

You likely can't join if

  • Body mass index (BMI) ≥ 40. Enrollment of individuals with BMI ≥ 40, whom the site investigator assesses are in good health, may be considered by...
  • Diabetes mellitus (DM). Type 2 DM controlled with diet alone (and confirmed by HgbA1c ≤ 8% within the last 6 months) or a history of isolated...
  • Previous or current recipient of an investigational HIV vaccine (not applicable to previous placebo/control recipients), with the exception of the...
  • Receipt of non-HIV investigational vaccine(s) received within the last 1 year. Exceptions include vaccines that have subsequently undergone licensure...
  • Congenital or acquired immunodeficiency, including systemic medication use likely to impair immune response to vaccine in the opinion of the site...
  • Blood products or immunoglobulin within 16 weeks prior to enrollment; receipt of immunoglobulin within 16 weeks prior to enrollment requires PSRT...
See the full eligibility criteria
Who can join
  • Formerly participated in HVTN 706 study as active vaccine arm or placebo recipient (those enrolled in the active vaccine arm of HVTN 706 must have received all 4 vaccinations according to the HVTN 706 protocol).
  • Demonstrates an understanding of the study and is able and willing to complete the informed consent process.
  • 18 to ≤ 60 years old, on day of enrollment.
  • Available for clinic follow-up through the last clinic visit, willing to undergo FNA, and willing to be contacted 12 months after the last study-product administration.
  • Agrees not to enroll in another study of an investigational agent during participation in the trial. If a potential participant is already enrolled in another clinical trial, approvals from the other trial sponsor and...
  • In good general health according to the clinical judgment of the site investigator.
  • Physical examination and laboratory results without clinically significant findings that would interfere with assessment of safety or reactogenicity in the clinical judgement of the site investigator.
  • Agrees to discuss the potential for HIV acquisition and agrees to prevention counseling.
  • Hemoglobin (Hgb):
  • ≥11.0 g/dL for women
  • ≥13.0 g/dL for men
  • If receiving exogenous hormones for more than 6 consecutive months with dosing equivalent to parenteral testosterone ≥1000 mg every 12 weeks or estradiol valerate ≥2 mg/week, determine hemoglobin eligibility based on...
  • White blood cell (WBC) count = 2,500 to 12,000/mm\^3 (WBC over 12,000/mm\^3 is not exclusionary if further evaluation shows general good health and if PSRT approval is granted).
  • Platelets = 125,000 to 550,000/mm\^3.
  • Alanine aminotransferase (ALT) \< 2.5 x upper limit of institutional reference range.
  • Serum creatinine ≤ 1.1 x upper limit of normal (ULN) based on the institutional normal range.
  • Systolic blood pressure of 90 to \< 140 mmHg and diastolic blood pressure of 50 to \< 90 mmHg at screening visit. The average blood pressure between the screening visit and the enrollment visit must be below 140 mmHg...
  • Negative HIV test results by one of the following options:
  • For participants who received study product under HVTN 706
  • A negative result from a HVTN HIV Diagnostic Testing Laboratory within 14 days prior to enrollment (see HVTN 318 HIV testing SSP for additional details); or
  • A negative result from a non-HVTN laboratory following the external guidance for non-HVTN laboratories within 14 days prior to enrollment (external laboratory guidance for non-HVTN laboratories can be found in the...
  • For participants at who received placebo under HVTN 706
  • A negative US Food and Drug Administration (FDA)-approved enzyme immunoassay (EIA); or a chemiluminescent microparticle immunoassay (CMIA); or
  • A negative result on 2 different HIV rapid tests (one of these rapid tests must be FDA approved)
  • Negative for anti-Hepatitis C virus (HCV) Abs (anti-HCV) or negative HCV nucleic acid test (NAT) if anti-HCV antibodies (Abs) are detected.
  • Negative for Hepatitis B surface antigen (Ag).
  • Women with pregnancy potential:
  • Must have a negative β-HCG pregnancy test (urine or serum) on day of enrollment.
  • Must agree to use effective means of contraception from at least 21 days prior to enrollment until 8 weeks after their last scheduled vaccination. See Appendix D.
  • Women who have had a total hysterectomy, bilateral oophorectomy, or bilateral salpingectomy Consider including the cyan-highlighted parenthetical for product-specific reasons: (verified by medical records) or menopause...
  • Female volunteers must agree to not seek pregnancy through alternative methods, such as oocyte retrieval, artificial insemination, or in vitro fertilization from at least 21 days prior to enrollment through 8 weeks...
What rules you out
  • Body mass index (BMI) ≥ 40. Enrollment of individuals with BMI ≥ 40, whom the site investigator assesses are in good health, may be considered by PSRT approval.
  • Diabetes mellitus (DM). Type 2 DM controlled with diet alone (and confirmed by HgbA1c ≤ 8% within the last 6 months) or a history of isolated gestational diabetes are not exclusionary. Enrollment of individuals with...
  • Previous or current recipient of an investigational HIV vaccine (not applicable to previous placebo/control recipients), with the exception of the HVTN 706 vaccine regimen as per Inclusion Criteria #1.
  • Receipt of non-HIV investigational vaccine(s) received within the last 1 year. Exceptions include vaccines that have subsequently undergone licensure or Emergency Use Authorization (EUA) by the FDA or World Health...
  • Congenital or acquired immunodeficiency, including systemic medication use likely to impair immune response to vaccine in the opinion of the site investigator, such as glucocorticoid use, ≥ prednisone 10 mg/day within 3...
  • Blood products or immunoglobulin within 16 weeks prior to enrollment; receipt of immunoglobulin within 16 weeks prior to enrollment requires PSRT approval.
  • Receipt of any vaccine within 4 weeks prior to enrollment
  • Initiation of Ag-based immunotherapy for allergies within the previous year (stable immunotherapy is not exclusionary); inclusion of participants who initiated immunotherapy within the previous year requires PSRT...
  • Receipt of investigational research agents with a half-life of 7 or fewer days within 4 weeks prior to enrollment. If a potential participant has received investigational agents with a half-life of more than 7 days (or...
  • Use of injectable long-acting Cabotegravir within 18 months prior to enrollment.
  • Serious adverse reactions to any vaccine, including anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema, and/or abdominal pain. (Not applicable to a participant who had a non-anaphylactic...
  • Hereditary angioedema, acquired angioedema, or idiopathic forms of angioedema.
  • Idiopathic urticaria within the past year.
  • Bleeding disorder diagnosed by a clinician that would make study procedures a contraindication.
  • History of seizure(s) within the past 3 years. Also applies to volunteer using medications in order to prevent or treat seizure(s) at any time within the past 3 years.
  • Asplenia or functional asplenia.
  • Active duty and reserve US military personnel.
  • Any other chronic or clinically significant condition that, in the clinical judgment of the investigator, would jeopardize the safety or rights of the study participant, including but not limited to: clinically...
  • Asthma patients will not be enrolled if the volunteer has ANY of the following:
  • Required either oral or parenteral corticosteroids for an exacerbation 2 or more times within the past year; OR
  • Needed emergency care, urgent care, hospitalization, or intubation for an acute asthma exacerbation within the past year (eg, would NOT exclude individuals with asthma who meet all other criteria but sought...
  • Uses a short-acting rescue inhaler more than 2 days per week for acute asthma symptoms (ie, not for preventive treatment prior to athletic activity); OR
  • Uses medium- to high-dose inhaled corticosteroids (\> 250 mcg fluticasone or therapeutic equivalent per day), whether in single-therapy or dual-therapy inhalers (ie, with a long-acting beta agonist [LABA]); OR
  • Uses more than 1 medication for maintenance therapy daily. Inclusion of anyone on a stable dose of more than 1 medication for maintenance therapy daily for greater than 2 years requires PSRT approval.
  • A participant with a history of a potential immune-mediated medical condition (PIMMC), either active or remote. Specific examples are listed in Appendix F (AESI Index). Not exclusionary: 1) Remote history of Bell's...
  • History of allergy to local anesthetic (Novocaine, Lidocaine).
  • Volunteer who is breastfeeding or pregnant.
  • Investigator concern for difficulty with venous access based on clinical history and physical examination. For example, persons with a history of intravenous drug use or substantial difficulty with previous blood draws.

The study team makes the final eligibility decision.

Where it's taking place

  • San Francisco, California, United States
  • Decatur, Georgia, United States
  • Boston, Massachusetts, United States
  • New York, New York, United States
  • Philadelphia, Pennsylvania, United States
  • Nashville, Tennessee, United States
  • Seattle, Washington, United States
  • Lima Cercado, Lima region, Peru
  • Bellavista, Provincia Constitucional del Callao, Peru

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years to 60 years. Healthy volunteers may be eligible. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include San Francisco, California, United States; Decatur, Georgia, United States; Boston, Massachusetts, United States; New York, New York, United States; Philadelphia, Pennsylvania, United States; Nashville, Tennessee, United States and 3 more location(s). Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.