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Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)
Conditions: HIV-1
Interventions: CH505 TF chTrimer, 3M-052-AF, Aluminum Hydroxide Suspension, Sodium Chloride for Injection
Countries: United States
A5422 is a phase 1, randomized, double-blind, placebo-controlled clinical trial to assess the safety, tolerability, and immunogenicity of a vaccination with stabilized CH505 TF chTrimer admixed with 3M-052-AF + Aluminum hydroxide (Alum), to assess the effect of CH505 TF chTrimer vaccine as a therapeutic vaccine in adults living with HIV-1 on suppressive antiretroviral therapy (ART) with the aim of inducing new HIV-1 Envelope (Env) B-cell neutralizing immune responses. Participants will be on study for up to 100 weeks (52 weeks on study treatment plus 48 weeks follow-up).
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * HIV-1 infection * On a suppressive ART regimen for at least 24 months with no changes in the 90 days prior to study entry * CD4+ cell count greater than 200 cells/mm3 obtained within 56 days prior to study entry * HIV-1 RNA \<200 copies/mL obtained within 56 days prior to study entry * Plasma HIV-1 RNA levels \<200 copies/mL for at least 12 months on ART prior to study entry * The following laboratory values obtained within 56 days prior to study entry * White blood cell count ≥2,500 cells/mm3 * Absolute neutrophil count (ANC) \>750/mm3 * Hemoglobin ≥11 g/dL for cisgender men/transgender women and ≥10 g/dL for cisgender women/transgender men * Platelet count ≥100,000/mm3 * Creatinine \<1.5x upper limit of normal (ULN) * Alanine aminotransferase (ALT) (SGPT) ≤1.5 ULN * Hepatitis C Virus (HCV) antibody-negative or HCV RNA negative result if indicated, within 56 days prior to study entry * Negative hepatitis B surface antigen (HBsAg) result obtained within 56 days prior to study entry * For study candidates of child-bearing potential, negative serum or urine pregnancy test at screening and within 48 hours prior to study entry * No participation in conception process and agree to use at least one reliable form of contraception if participating in sexual activity that could lead to pregnancy during the study and for 8 weeks following the final study vaccine Exclusion Criteria: * Known to have started ART during acute HIV infection * Known to have HIV-related opportunistic infections within the last 2 years prior to study entry. * History of malignancy within the last 5 years prior to study entry. * Currently breastfeeding * History of or active autoimmune disorders * HIV vaccination (prophylactic and/or therapeutic) within 1 year prior to study entry * Receipt of any anti-HIV-1 bNAbs within 2 years prior to study entry * Vaccination within 4 weeks prior to study entry * Use of any infusion blood product or immune globulin within 16 weeks prior to study entry (Exception: COVID-19-specific monoclonal antibodies are allowed) * Use of systemic immunomodulators, systemic cytotoxic chemotherapy, or non-FDA approved investigational therapy within 60 days prior to study entry * Intent to use immunomodulators during the course of the study * Immune deficiency other than HIV * HCV antiviral therapy within 90 days prior to screening * Known allergy/sensitivity or any hypersensitivity to components of study drug(s) or their formulation * Active drug or alcohol use or dependence that would interfere with adherence to study requirements * Acute or serious illness requiring systemic treatment and/or hospitalization within 30 days prior to study entry * Conditions that would preclude injection site reaction assessments (e.g., extensive tattoos, scarring, skin conditions).
- Los Angeles, California, United States
- San Diego, California, United States
- San Francisco, California, United States
- Torrance, California, United States
- Aurora, Colorado, United States
- Atlanta, Georgia, United States
- Chicago, Illinois, United States
- Baltimore, Maryland, United States
- Boston, Massachusetts, United States
- St Louis, Missouri, United States
- Newark, New Jersey, United States
- New York, New York, United States
- New York, New York, United States
- New York, New York, United States
- Rochester, New York, United States
- Chapel Hill, North Carolina, United States
- Cincinnati, Ohio, United States
- Cleveland, Ohio, United States
- Columbus, Ohio, United States
- Philadelphia, Pennsylvania, United States
- Pittsburgh, Pennsylvania, United States
- Nashville, Tennessee, United States
- Houston, Texas, United States
- Seattle, Washington, United States