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HIVPhase 2Codivir®NCT06676410

Clinical Trial to Evaluate the Efficacy and Safety of Codivir® in Addition to Standard Antiretroviral Treatment for HIV Infection in Antiretroviral-naïve Participants

A Phase 2 study testing ICF, Eligibility Assessment and Demographic data in people with HIV and HIV Infection, run by Code Pharma at 1 site in Brazil.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The study will begin with a two-week lead-in period (W-2 and W-1), when participants randomized to Codivir® will receive Codivir® 2 mL, 1 subcutaneous injection every day. Participants randomized to Standard Antiretroviral Treatment will wait for the next step. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV, HIV Infection
What is being tested?
ICF, Eligibility Assessment and Demographic data
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteBrazil
Study dates
20 Jul 2023to Dec 2024
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female sex;
  • Age ≥ 18 years;
  • HIV infection confirmed by serology (Ab for HIV1/HIV2) and HIV1/HIV2 RNA test;
  • Naive for antiretroviral treatment;
  • Viral load \> 1,000 and \< 50,000 copies/mL;
  • CD4 T lymphocyte (CD4) cell count \>350 cells/mm3;
  • Body weight at V -1 \> 50 Kg;
  • Signature of the ICF.

Who cannot join

  • Pregnancy, lactation or plan to become pregnant;
  • BMI \< 18.5 kg/m2 at screening;
  • Coinfection with HBV (HBSAg +) or HCV;
  • Any Grade 3 or 4 clinically significant abnormality according to the Division of AIDS (DAIDS)* rating scale;
  • Any significant acute illness within 1 week before V0.
  • Use of any immunomodulatory therapy (including interferon), systemic steroids, or systemic chemotherapy within 4 weeks of screening;
Show all 11Show fewer
  • Active malignancy or ongoing malignancy;
  • Changes in safety tests: neutrophil count \< 1000 u/L; Hb \< 9.0 gm/dl; platelet \< 75,000 u/L; creatinine \> 1.5 mg/dl, direct bilirubin \> 85 μmol/l, AST or ALT \> 2.5 X ULN;
  • Potential allergy or hypersensitivity to components of the Codivir® formulation.
  • Participation in another clinical trial within 12 months of screening.
  • Any medical condition that makes the participant unsuitable for the study or increases the risk of participation at the discretion of the investigator.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Nadya Lisovoder, MD contact

0524753435

nadyal@galilee-cbr.com

Brazil1 site, 1 recruiting
  • RDSS Research Center

    São Paulo, 04037-030

    Siderleny Martins, +55 19 98911-9721, martins@a2zclinical.com.br

    Recruiting

Other trials in Brazil

About this study

The study will begin with a two-week lead-in period (W-2 and W-1), when participants randomized to Codivir® will receive Codivir® 2 mL, 1 subcutaneous injection every day. Participants randomized to Standard Antiretroviral Treatment will wait for the next step.

At V0 (W0, D0) all participants will start the antiretroviral treatment described above.

Read more

From V0 (W0, D0) to V6 (W12, D84) participants randomized to Codivir® will receive Codivir® as complementary therapy to the above antiretrovirals on alternate days (every other day).

At V6 (W12, D84) treatment with Codivir® will end. At V7 (W24, D168) participation in the study will end. Viral load will be monitored during the study. In case of failure, participation in the study will be discontinued and the participant will be referred to receive the best treatment available for their case.

Conditions
HIV, HIV Infection
Being tested
ICF, Eligibility Assessment, Demographic data, Weight, height and BMI, Vital Signs
Keywords
HIV, AIDS
Medical subject headings
HIV Infections, Acquired Immunodeficiency Syndrome

What participants receive

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

  • ICFOther

    Application of Informed Consent Form.

  • Eligibility AssessmentBehavioural

    Assessment of inclusion, exclusion and discontinuation criteria.

  • Demographic dataOther

    Collection of demographic data.

  • Weight, height and BMIDiagnostic test

    Weight and height measurement and body mass index calculation.

  • Vital SignsOther

    HR, BP and FR and T°, in addition to oximetry.

  • Medical evaluationDiagnostic test

    Medical history and physical examination at screening. In other consultations, the medical evaluation is focused on viral load, CD4+ and new complaints.

  • Safety examDiagnostic test

    Blood collection for safety laboratory exams. Blood count, Na, K, U, C, amylase, total cholesterol and fractions, triglycerides, coagulation tests (TTTP, TT, platelets), TGO, TGP, AP, GGT, glycated hemoglobin, total bilirubin and fractions, creatine kinase and CKmB and urine I.

  • Pregnancy testDiagnostic test

    β-HCG in urine in non-sterile women

  • SerologyDiagnostic test

    HBV (HBsAg, Anti-HBc) and HCV (anti-HCV-Ab).

  • RandomizationOther

    Assignment to the Standard Antiretroviral Treatment + Codivir® group or the Standard Antiretroviral Treatment only group

  • Apoptosis markersDiagnostic test

    Caspases and Annexin V.

  • Cell activation markersDiagnostic test

    PBMCs will be isolated by density gradient centrifugation. The cells will then be tested for CD4+, CD8+, CD38 and HLA DR

  • Inflammation markersDiagnostic test

    ultrasensitive CRP, D-dimer.

  • Proviral DNA:Diagnostic test

    Total HIV DNA will be measured to estimate the size of the viral reservoir throughout the preparation.

  • HIV-specific antibodiesDiagnostic test

    Anti-HIV-1 specific antibody titers in plasma.

  • HIV viral load (RNA)Diagnostic test

    Performed on plasma.

  • Codivir® TrainingBehavioural

    The participant is trained to self-inject Codivir®

  • Dispensing Codivir®Drug

    the participant receives Codivir®

  • Codivir® AccountingOther

    The Codivir® used since the last visit is accounted for

  • Concomitant medicationOther

    Record of concomitant medications used.

  • Adverse eventsOther

    Collection and recording of adverse events.

  • AntiretroviralsDrug

    Tenofovir - inhibits HIV-1 reverse transcriptase activity by competing with the natural substrate, deoxyadenosine 5'-triphosphate and, upon incorporation into DNA, causes DNA chain termination.

    • Lamivudine - potent selective inhibitor of HIV-1 and HIV-2 replication in vitro.
    • Darunavir - prevents the formation of mature infective viral particles, indicated for the treatment of the human immunodeficiency virus (HIV), which causes AIDS.
    • Ritonavir: antiretroviral protease inhibitor, widely used in combination with other protease inhibitors in the therapy and prevention of HIV infection, which causes the syndrome acquired immunodeficiency (AIDS).
    • Single solid formulation (in 1 tablet) 1x/day with:
    • Tenofovir (TDF) 300 mg
    • Lamivudine (3TC) 300 mg
    • Darunavir (DRV) 800 mg, 1x/day
    • Ritonavir (RTV) 100 mg, 1x/day
Study groups in NCT06676410
Study groupRoleWhat they receive
Codivir®ExperimentalThe study will begin with a two-week lead-in period (W-2 and W-1), when participants randomized to Codivir® will receive Codivir® 2 mL, 1 subcutaneous injection every day. Participants randomized to Standard Antiretroviral Treatment will wait for the next step. In Weeks 0-24, all participants will receive: * Single solid formulation (in 1 tablet) 1x/day with: * Tenofovir (TDF) 300 mg * Lamivudine (3TC) 300 mg * Darunavir (DRV) 800 mg, 1x/day * Ritonavir (RTV) 100 mg, 1x/day From V0 (W0, D0) to V6 (W12, D84) participants randomized to Codivir® will receive Codivir® as complementary therapy to the above antiretrovirals on alternate days (every other day). At V6 (week 12) treatment with Codivir® will end.
Receives: Other: ICF; Behavioral: Eligibility Assessment; Other: Demographic data; Diagnostic Test: Weight, height and BMI; Other: Vital Signs; Diagnostic Test: Medical evaluation; Diagnostic Test: Safety exam; Diagnostic Test: Pregnancy test; Diagnostic Test: Serology; Other: Randomization; Diagnostic Test: Apoptosis markers; Diagnostic Test: Cell activation markers; Diagnostic Test: Inflammation markers; Diagnostic Test: Proviral DNA:; Diagnostic Test: HIV-specific antibodies; Diagnostic Test: HIV viral load (RNA); Behavioral: Codivir® Training; Drug: Dispensing Codivir®; Other: Codivir® Accounting; Other: Concomitant medication; Other: Adverse events
Antiretrovirals (ARTs)Active comparatorIn Weeks 0-24, all participants will receive: * Single solid formulation (in 1 tablet) 1x/day with: * Tenofovir (TDF) 300 mg * Lamivudine (3TC) 300 mg * Darunavir (DRV) 800 mg, 1x/day * Ritonavir (RTV) 100 mg, 1x/day
Receives: Other: ICF; Behavioral: Eligibility Assessment; Other: Demographic data; Diagnostic Test: Weight, height and BMI; Other: Vital Signs; Diagnostic Test: Medical evaluation; Diagnostic Test: Safety exam; Diagnostic Test: Pregnancy test; Diagnostic Test: Serology; Other: Randomization; Diagnostic Test: Apoptosis markers; Diagnostic Test: Cell activation markers; Diagnostic Test: Inflammation markers; Diagnostic Test: Proviral DNA:; Diagnostic Test: HIV-specific antibodies; Diagnostic Test: HIV viral load (RNA); Other: Concomitant medication; Other: Adverse events; Drug: Antiretrovirals

What is being measured

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

  1. Variation between V-2 (baseline) and V6 (W12) in relation to the following parameter: • Estimated viral reservoir size by total blood proviral DNA.

    Measured: 12 weeks

  2. Variation between V-2 (baseline) and V6 (W12) in relation to the following parameter: CD4+ blood count

    Measured: 12 weeks

Secondary outcomes (9)
  1. Variation between baseline visit and visit 7 (W24) in relation to the following parameter : Estimated viral reservoir size by total proviral DNA

    Measured: 24 weeks

  2. Variation between baseline visit and visit 7 (W24) in relation to the following parameter : CD4+ count.

    Measured: 24 weeks

  3. Variation between baseline visit and visit 7 (W24) in relation to the following parameter: apoptosis markers

    Measured: 24 weeks

  4. Variation between baseline visit and visit 7 (W24) in relation to the following parameter : Cell activation markers

    Measured: 24 weeks

  5. Variation between baseline visit and visit 7 (W24) in relation to the following parameter: Inflammation markers

    Measured: 24 weeks

  6. Variation between baseline visit and visit 7 (W24) in relation to the following parameter: Quantitative Proviral (DNA)

    Measured: 24 weeks

  7. Variation between baseline visit and visit 7 (W24) in relation to the following parameter: HIV viral load (RNA)

    Measured: 24 weeks

  8. - Comparison of viral load curves from all visits between the two groups.

    Measured: 24 weeks

  9. Codivir® safety by comparison of treatment-emergent adverse events in both groups.

    Measured: 24 weeks

Timeline

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

  1. First posted6 Nov 2024
  2. Study start20 Jul 2023
  3. Primary completionDec 2024 (estimated)
  4. Study completionDec 2024 (estimated)

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
Model description
Randomization Forty participants with a recent diagnosis of HIV infection, without previous antiretroviral treatment and indication to start antiretroviral treatment, will be randomized as follows: * 20 participants will receive Standard Antiretroviral Treatment + Codivir * 20 participants will only receive Standard Antiretroviral Treatment A randomization will be balanced by sex and age.
Masking
None (open label)
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06676410
Sponsor's protocol ID
CP-22-03
Acronym
Codivir®
Status last verified
Nov 2024
First submitted
1 Oct 2024
Last updated
6 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ICF, Eligibility Assessment and Demographic data in people with HIV and HIV Infection, run by Code Pharma at 1 site in Brazil.

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 8 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 6 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Nadya Lisovoder, MD (0524753435, nadyal@galilee-cbr.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Variation between V-2 (baseline) and V6 (W12) in relation to the following parameter: • Estimated viral reservoir size by total blood proviral DNA. (time frame: 12 weeks). The study lists 2 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 6 Nov 2024.

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