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HIV/AIDSPhase 2AELIX-003NCT04364035

Safety, Tolerability and Immunogenicity of MVA.HTI and ChAdOx1.HTI With Vesatolimod in HIV-1 Positive Patients

A Phase 2 study testing ChAdOx1.HTI, MVA.HTI and GS-9620 in people with HIV/AIDS, run by Aelix Therapeutics at 9 sites in Spain.

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

AELIX-003 study aims to investigate the safety, tolerability, immunogenicity and efficacy of a regimen containing AELIX Therapeutics' HTI T-cell vaccines and Gilead´s Toll-Like Receptor 7 (TLR7) agonist vesatolimod in HIV-infected individuals on antiretroviral therapy. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
HIV/AIDS
What is being tested?
ChAdOx1.HTI, MVA.HTI and GS-9620
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
9 sitesSpain
Study dates
20 Feb 2020to 16 Dec 2022
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Understands the study information provided and is capable of giving written informed consent, in the opinion of the investigator or designee.
  • Has confirmed HIV-1 infection.
  • Has received ART that was initiated within 6 months of the estimated date of HIV-1 acquisition. The ART regimen is required to have included ≥3 antiretroviral drugs at the time of treatment initiation and is required to include ≥3 antiretroviral drugs at screening, but temporary use of a 2-drug ART regimen during the time between ART initiation and the screening visit is permitted
  • Has plasma HIV-1 RNA levels <50 copies/mL at the screening visit and has been virologically suppressed, defined as pVL <50 copies/mL, for at least 1 year before screening; isolated blips allowed
  • Has documented stable CD4 counts ≥450 cells/mm3 for the 6 months before screening and at the screening visit.
  • Has nadir CD4 count ≥200 cells/mm3 since human immunodeficiency virus (HIV) diagnosis; isolated lower counts at the moment of acute HIV-1 infection will be allowed only if appropriate immune recovery was followed after ART initiation
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  • Is ≥18 and <61 years of age on the day of screening.
  • Is willing to comply with all study procedures, including the ATI, collection of blood samples per the protocol and adherence to the ART regimen, and is available for the planned duration of the study.
  • If heterosexually active female and of childbearing potential, must be using highly effective methods of contraception from 14 days before the first vaccination until 30 days after the end of the study (or 40 days after the last dose of vesatolimod, whichever is later); all female volunteers must be willing to undergo urine pregnancy testing at the time points specified in the schedules of events.
  • Female participants who use hormonal contraceptive as one of their birth control methods must have used the same method for at least 3 months before the first vaccination.
  • Female participants who have stopped menstruating for ≥12 months but do not have documentation of ovarian hormonal failure must have a serum follicle stimulating hormone level at screening that is within the post menopausal range as provided in the Central Laboratory Manual.
  • If heterosexually active male, must use condoms or practice sexual abstinence from the screening visit until 90 days after the end of the study (or 100 days after the last dose of vesatolimod, whichever is later). Female partners of male participants must be using highly effective methods of birth control from the screening visit until 90 days after the end of the study (or 100 days after the last dose of vesatolimod, whichever is later)

Who cannot join

  • Is pregnant or lactating at the screening visit or at any time during the study or is planning on becoming pregnant over the duration of the study.
  • If available, has genotypic data (e.g., HIV genotype data) that demonstrate the presence of clinically significant mutations that would prevent the construction of a viable ART regimen post-treatment interruption.
  • Has reported multiple periods of suboptimal adherence to ART, defined as reported episodes of at least 3 days without ART that were unrelated to participation in an ATI clinical study.
  • Has a history of past ART interruptions lasting longer than 2 weeks.
  • Has participated in another interventional clinical study within 30 days before screening.
  • Has any acquired immune deficiency syndrome-defining disease or progression of HIV related disease within 90 days of screening visit.
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  • Has a history of any moderate and/or severe autoimmune disease
  • Has a history or clinical manifestations of any physical or psychiatric disorder that could impair the participant's ability to complete the study.
  • Is taking HIV protease inhibitors (including low-dose ritonavir), cobicistat-containing regimens, elvitegravir, efavirenz, etravirine, or nevirapine. Participants on prohibited ART medications will be allowed to switch to an accepted treatment between screening and baseline.
  • Is taking any other concomitant treatments non compatible with vesatolimod Participants on non-compatible medications at screening (e.g., atorvastatin, proton pump inhibitors) will be allowed to switch treatments; non compatible medications must be stopped at least 30 days prior to the first dose of vesatolimod.
  • Has received approved vaccines within 2 weeks of study entry or has had a previous immunisation with any experimental immunogens within the previous 2 years.
  • Will receive any vaccines within 4 weeks prior to, or 2 weeks after, any of the planned CCMM administrations or on a week when vesatolimod is administered.
  • Has a history of anaphylaxis or a severe adverse reaction to vaccines.
  • Has received blood products within 6 months of screening.
  • Has received treatment for cancer or lymphoproliferative disease within 1 year of screening.
  • Has received any other current or prior therapy within 30 days prior to the screening visit that, in the opinion of the investigators and/or the sponsor, would make the participant unsuitable for the study or influence the results of the study.
  • Has current or has had recent use (within last 3 months before the screening visit) of IFN or systemic corticosteroids or other immunosuppressive agents (use of inhaled steroids for pulmonary conditions or topical steroids for localised skin conditions is permitted).
  • Has abnormalities of the following laboratory tests at screening:
  • Haematology
  • Haemoglobin <11 g/dL (females) or 11.5 g/dL (males)
  • Absolute neutrophil count ≤1000/mm3
  • Absolute lymphocyte count ≤600/mm3
  • Platelets ≤100,000/mm3 or ≥550,000/mm3 Clinical Chemistry
  • Creatinine >1.3 × upper limit of normal (ULN)
  • Aspartate aminotransferase >2.5 × ULN
  • Alanine aminotransferase >2.5 × ULN
  • Microbiology
  • Positive hepatitis B surface antigen
  • Positive for hepatitis C antibody, unless confirmed clearance of hepatitis C virus infection (spontaneous or following treatment) determined by negative serum hepatitis C virus polymerase chain reaction
  • Positive serology indicating active syphilis requiring treatment;
  • Is unwilling to undergo an ATI as planned during the study.
  • Is not suitable for inclusion in the study based on the judgment of the investigator or sponsor.
  • Current alcohol, drug, or substance abuse or history of such abuse within the 6 months prior to screening.

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

Spain9 sites
  • IrsiCaixa AIDS Research Institute, Hospital Universitari Germans Trias i Pujol

    Badalona, Barcelona, 08916

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08025

  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Hospital Universitario Vall d'Hebrón

    Barcelona, 08935

  • Hospital Universitario de Bellvitge

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Hospital La Princesa

    Madrid, 28006

  • Hospital General Universitario Gregorio Marañón

    Madrid, 28007

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario La Paz

    Madrid, 28046

Other trials in Spain

About this study

Official title: A Phase IIa Randomised, Double-blind, Placebo-controlled Study of HIV-1 Vaccines MVA.HTI and ChAdOx1.HTI With TLR7 Agonist Vesatolimod (GS-9620) in Early Treated HIV-1 Infection

AELIX-003 study aims to investigate the safety, tolerability, immunogenicity and efficacy of a regimen containing AELIX Therapeutics' HTI T-cell vaccines and Gilead´s Toll-Like Receptor 7 (TLR7) agonist vesatolimod in HIV-infected individuals on antiretroviral therapy. Study that will be conducted in 57 participants who have started antiretroviral therapy during early HIV infection, enrolled at various clinical trial sites in Spain. All participants will be on antiretroviral therapy upon starting the study, with their HIV viral loads <50 copies/mL. Following exposure to the vaccine/vesatolimod, all participants, under careful monitoring, will temporarily stop their antiretroviral drugs to determine if the intervention is effective in keeping their HIV levels under control.

Read the detailed description

Study will evaluate safety of the investigational drugs ChAdOx1.HTI and MVA.HTI (referenced collectively as CCMM) with vesatolimod (also known as GS-9620) in participants with early treated HIV-1 infection.

The current study will also investigate the immunogenicity of CCMM + vesatolimod treatment and the impact of CCMM + vesatolimod treatment on viral rebound and viral control following an analytical treatment interruption (ATI) in participants with early treated HIV-1 infection.

HIVACAT T cell immunogen (HTI) is a novel T cell immunogen covering the most vulnerable regions of HIV. The encoding DNA sequence that has been inserted in various vaccine vectors, including viral and non-viral vectors Administration of the HTI immunogen is implemented through a heterologous prime-boost approach that includes 2 vaccine components. The aim of the sequential administration of the therapeutic vaccines is to achieve a so-called "functional cure," in which HIV-infected participants can control viral replication in the absence of ART. In this double blind, randomised, safety and tolerability study (AELIX-003), the HTI immunogen will be administered in a prime-boost regimen consisting of vaccinations with ChAdOx1.HTI (prime) and MVA.HTI (boost).

The treatment regimen in this study will also include a toll-like receptor 7 (TLR7) agonist, GS-9620, which is supported by a recent non clinical study where sequential administration of vaccines and a TLR7 agonist (GS-986, an analogue of vesatolimod) demonstrated efficacy in simian immunodeficiency virus (SIV)-infected rhesus monkeys on ART.

HTI is currently being tested in the Phase I, double blind, placebo controlled clinical study AELIX-002 through a heterologous prime-boost vaccination employing 3 products expressing the HTI antigen, DNA.HTI and MVA.HTI and ChAdOx.HTI. The available clinical data from AELIX-002 do not suggest a risk for serious adverse events (SAEs) from the products alone, used sequentially, or from the immunogen itself.

The study will screen HIV-1 infected participants who have initiated ART within 180 days (6 months) of the estimated date of HIV-1 acquisition and who have achieved virological suppression for at least 1 year prior entering AELIX-003. Participants who provide informed consent and meet study entry criteria will be randomised into 1 of 2 parallel treatment groups. The study will be conducted in 3 periods: Period 1 will last 48 weeks during which participants will receive blinded IMPs and will continue their ART regimen; Period 2 will last up to 24 weeks during which participants will discontinue their ART regimen; and Period 3 will last 12 weeks during which participants will be monitored following the restart of their ART.

Conditions
HIV/AIDS
Being tested
ChAdOx1.HTI, MVA.HTI, GS-9620, Placebo, Placebo Oral Tablet
Keywords
HIV infection, Therapeutic Vaccines, HTI, TLR7
Medical subject headings
Acquired Immunodeficiency Syndrome, HIV Infections

What participants receive

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

  • ChAdOx1.HTIBiological

    ChAdOx1.HTI at week 0 and week 12; Vaccine delivered as one 0. 5 mL IM injection

  • MVA.HTIBiological

    MVA.HTI at week 24 and week 36; Vaccine delivered as one 0. 5 mL IM injection

  • GS-9620Drug

    Also called Vesatolimod

    GS-9620 at week 26,28,30,32,34,38,40,42,44 and 46 Unit-dose tablet, delivered as two 3-mg tablets

  • PlaceboBiological

    Saline placebo delivered as one 0. 5 mL IM injection

  • Placebo Oral TabletDrug

    Also called N/H

    Unit-dose placebo tablet delivered as two 3-mg placebo tablets

Study groups in NCT04364035
Study groupRoleWhat they receive
CCMM+GS-9620ExperimentalChAdOx1.HTI 2 doses, MVA.HTI 2 doses, GS-9620 10 doses.
Receives: Biological: ChAdOx1.HTI; Biological: MVA.HTI; Drug: GS-9620
PLACEBOPlacebo comparatorChAdOx1.HTI placebo 2 doses, MVA.HTI placebo 2 doses, GS-9620, placebo 10 doses.
Receives: Biological: Placebo; Drug: Placebo Oral Tablet

What is being measured

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

  1. Proportion of participants developing solicited Grade 3 or 4 local reactions

    Proportion of participants developing solicited Grade 3 or 4 local reactions in the 7-day period following administration of IMPs during Period 1

    Measured: During Period 1 (Weeks 0 to 48)

  2. Proportion of participants developing solicited Grade 3 or 4 systemic reactions

    Proportion of participants developing solicited Grade 3 or 4 systemic reactions in the 7-day period following administration of IMPs during Period 1

    Measured: During Period 1 (Weeks 0 to 48)

  3. Proportion of participants developing treatment-emergent SAEs

    Proportion of participants developing treatment-emergent SAEs during Period 1

    Measured: During Period 1 (Weeks 0 to 48)

Secondary outcomes (6)
  1. Proportion of participants who achieve virologic suppression after resumption of ART

    Proportion of participants who achieve virologic suppression (<50 copies/mL) after resumption of ART at Week 84

    Measured: After period 1(Week 48 to week 84)

  2. Proportion of participants developing treatment-emergent adverse events and SAEs (TEAEs)

    Proportion of participants developing treatment-emergent adverse events and SAEs (TEAEs)

    Measured: After period 1(Week 48 to week 84)

  3. Proportion of participants with viral load <50 copies/mL/ <2000 copies/mL at 12 and 24 weeks after the start of ATI

    Proportion of participants with viral load <50 copies/mL/ <2000 copies/mL at 12 and 24 weeks after the start of ATI

    Measured: Week 48 to week 72

  4. Proportion of participants that remain off ART at 12 and 24 weeks after the start of ATI

    Proportion of participants that remain off ART at 12 and 24 weeks after the start of ATI

    Measured: Week 48 to week 72

  5. Breadth of total vaccine-induced HIV 1-specific responses

    Breadth of total vaccine-induced HIV 1-specific T cell responses measured IFN-γ ELISPOT in vaccine and placebo recipients.

    Measured: Period1 (week 0 to 48)

  6. Proportion of participants with T cell responses to HTI encoded regions infection

    Proportion of participants withT cell responses to HTI encoded regions

    Measured: Period1 (week 0 to 48)

Timeline

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

  1. First posted27 Apr 2020
  2. Study start20 Feb 2020
  3. Primary completion3 Oct 2022
  4. Study completion16 Dec 2022

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
double-blind, placebo-controlled
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04364035
Sponsor's protocol ID
AELIX-003
Acronym
AELIX-003
Status last verified
Jul 2023
First submitted
5 Mar 2020
Last updated
27 Jul 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ChAdOx1.HTI, MVA.HTI and GS-9620 in people with HIV/AIDS, run by Aelix Therapeutics at 9 sites in Spain.

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 12 inclusion and 33 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 27 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Spain. 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. Some participants in this study may receive a placebo. 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?

Proportion of participants developing solicited Grade 3 or 4 local reactions (time frame: During Period 1 (Weeks 0 to 48)). The study lists 3 primary outcomes in all. 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 27 Jul 2023.

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