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HIV InfectionsPhase 2NCT00251537

A Pilot Study of LTB4 in HIV-1 Infected Adults

A Phase 2 study testing LTB4 in people with HIV Infections, run by LTB4 Sweden AB at 7 sites in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a pilot study to assess the safety and antiretroviral activity of a naturally occuring substance known as Leukotriene B4(LTB4). The aim of the study is to determine the effect of LTB4 on viral load during a period of 6 weeks, 4 weeks of active treatment and 2 additional weeks after the end of active treatment… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
HIV Infections
What is being tested?
LTB4
How many people
40 participants
Where
7 sitesCanada
Study dates
Nov 2005to Aug 2006
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female subjects between 18 and 65 years of age
  • Diagnosis of HIV-1 infection
  • Plasma HIV RNA level greater or equal to 5,000 copies/mL at the screening visit
  • A CD4 cell count equal or greater than 250 cells/mm3 and CD4 fraction equal or greater than 14% at the screening visit within one month of study entry
  • No ART within two months of study entry
  • Karnofsky score equal to or above 80
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  • If female of childbearing potential, a negative serum pregnancy test at screening.
  • In the opinion of the investigator, the subject will be able to comply with the requirements of the protocol, including ability to present for all required visits
  • Subject is capable of understanding and signing an informed consent form

Who cannot join

  • Primary HIV-1 infection
  • Use of investigational therapy in the preceding month prior to screening visit
  • Prior screening for entry into this study
  • Use of G-CSF, GM-CSF, IL-2, IFNs, erythropoietin, systemic or inhaled steroids within one month of the screening visit
  • HIV-vaccine within one year of the screening visit
  • Concurrent disease or conditions that may present a risk to the subjects
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  • Females who are pregnant or breast feeding
  • History of any malignancy or any active malignancy, except cutaneous Kaposis sarcoma
  • Unexplained temperature of 38.5 degrees Celsius
  • Chronic diarrhea (>3 liquid stools per day persisting for 15 days) within one month prior to study entry
  • Calculated creatinine clearance outside normal limits
  • Urinalysis: hemoglobinuria, present
  • Liver transaminases > 3 x ULN
  • Absolute neutrophil count < 500/mm3
  • Hemoglobin < 8.0g/dL
  • Platelet count < 75,000/mm3

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

Canada7 sites
  • McMaster University

    Hamilton, Ontario, L8N3Z5

  • Centre hospitalier de l'Université de Montréal

    Montreal, Quebec, H2W 1T8

  • Research Institute of the McGill University Health Centre

    Montreal, Quebec, H3G 1A4

  • The Ottawa Hospital (General Campus)

    Ottawa, Ontario, K1H 8L6

  • Centre Hospitalier Universitaire de Quebec

    Ste-Foy, Quebec, G1V 4G2

  • University Health Network

    Toronto, Ontario, M5G2M9

  • Centre for HIV/AIDS, St Pauls Hospital

    Vancouver, British Columbia, V6Z 1Y6

Other trials in Canada

About this study

Official title: A Pilot Study Assessing Safety and Antiretroviral Activity of Intravenously Administered LTB4 in HIV-1 Infected Adults With a CD4 Count Greater Than 250 Cells/mm3 and a Viral Load Greater Than 5,000 Copies/mL, and Who Have Not Received Antiretroviral Therapy Within Two Months

This is a pilot study to assess the safety and antiretroviral activity of a naturally occuring substance known as Leukotriene B4(LTB4). The aim of the study is to determine the effect of LTB4 on viral load during a period of 6 weeks, 4 weeks of active treatment and 2 additional weeks after the end of active treatment for safety follow-up. 40 patients in seven clinics in Canada will be randomized into three treatment arms, either of two doses of LTB4 or placebo. Study drug is administered intravenously once daily. LTB4 can activate and stimulate various white blood cells and by the activation release natural substances in the body and this process is an important part of the body's defense against infections.

Read the detailed description

The objective of this pilot study is to investigate whether LTB4, administered at a dose that provides an increase in alfa-defensin release from neutrophils, can affect HIV viral load in HIV-1 infected individuals. The safety, tolerability and effect will be assessed of 28 days of daily intravenous dosing of LTB4 on HIV viral load. Safety and tolerability will also be assessed.

The study is randomized, double-blind, placebo controlled. All subjects will be randomly assigned to one of three treamtent groups, LTB4 at two different dose levels or corresponding placebo. Treatment duration is 4 weeks and follow-up period is 2 weeks. Subjects will visit the clinic on a daily basis during the treatment period to receive a daily intravenous injection of the study drug. 40 subjects will be enrolled, seven clinics in Canada will participate in the study.

Primary endpoint: Change in viral load over the treatment period of 28 days. Secondary endpoint: CD4, CD8 and neutrophil counts, alfa-defensins and CC-che, mokine release in blood.

Conditions
HIV Infections
Being tested
LTB4
Keywords
Pilot study, Randomized, Placebo-controlled, Double-blind, Effect on viral load, LTB4, HIV-1 infection
Medical subject headings
HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LTB4Drug

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To assess the effect of 28 days of daily dosing of LTB4 on HIV viral load

Secondary outcomes (4)
  1. To assess safety and tolerability of 28 days of daily dosing

  2. To assess effects on CD4 and CD8 counts of 28 days of daily dosing

  3. To assess effects on neutrophil counts of 28 days of dosing

  4. To assess effects on release of alfa-defensins and CC-chemokines in blood on day s 1, 14 and 28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Nov 2005 (estimated)
  2. Study startNov 2005
  3. Study completionAug 2006

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
40 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00251537
Sponsor's protocol ID
LTB4 200501
Status last verified
Jul 2006
First submitted
9 Nov 2005
Last updated
10 Jul 2006
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LTB4 in people with HIV Infections, run by LTB4 Sweden AB at 7 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Jul 2006. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To assess the effect of 28 days of daily dosing of LTB4 on HIV viral load. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jul 2006.

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