Trial Outcomes & Findings for Combination Vaccination Before HIV Treatment Interruption (NCT NCT00212888)

NCT ID: NCT00212888

Last Updated: 2019-06-17

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

52 participants

Primary outcome timeframe

Up to week 48

Results posted on

2019-06-17

Participant Flow

Participant milestones

Participant milestones
Measure
ALVAC With Remune
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
ALVAC With Remune Placebo
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Overall Study
STARTED
19
18
15
Overall Study
COMPLETED
16
18
14
Overall Study
NOT COMPLETED
3
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Combination Vaccination Before HIV Treatment Interruption

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ALVAC With Remune
n=19 Participants
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
ALVAC With Remune Placebo
n=18 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=15 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Total
n=52 Participants
Total of all reporting groups
Age, Continuous
39.7 years
n=5 Participants
41.5 years
n=7 Participants
43.4 years
n=5 Participants
41.8 years
n=4 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
12 Participants
n=4 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
13 Participants
n=7 Participants
12 Participants
n=5 Participants
40 Participants
n=4 Participants
Duration on ART
3.61 years
n=5 Participants
5.15 years
n=7 Participants
5.18 years
n=5 Participants
4.89 years
n=4 Participants
Baseline CD4 cell count
771 cells/ul
n=5 Participants
658 cells/ul
n=7 Participants
848 cells/ul
n=5 Participants
768 cells/ul
n=4 Participants
Baseline CD4%
37.1 percent
n=5 Participants
38.0 percent
n=7 Participants
35.0 percent
n=5 Participants
37.2 percent
n=4 Participants
CD4 nadir
347 cells/ul
n=5 Participants
326 cells/ul
n=7 Participants
368 cells/ul
n=5 Participants
353 cells/ul
n=4 Participants
Pre-HAART HIV-RNA
4.4 log 10 (copies/ml)
n=5 Participants
4.0 log 10 (copies/ml)
n=7 Participants
4.2 log 10 (copies/ml)
n=5 Participants
4.1 log 10 (copies/ml)
n=4 Participants
Presence of 'protective' HLA allele
3 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants
9 participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to week 48

Outcome measures

Outcome measures
Measure
ALVAC With Remune
n=16 Participants
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=14 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Time to Detectable Virus in the Remune Plus ALVAC Group and the Placebo Group
24.5 days
Interval 11.0 to 32.0
13.5 days
Interval 11.0 to 25.0

SECONDARY outcome

Timeframe: Up to week 48

Outcome measures

Outcome measures
Measure
ALVAC With Remune
n=18 Participants
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=14 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Time to Detectable Virus in the ALVAC Alone Group and the Placebo Group
23.0 days
Interval 16.0 to 31.0
13.5 days
Interval 11.0 to 25.0

SECONDARY outcome

Timeframe: Up to week 48

Population: Only participants who reached 10,000 copies/ml are included in the analysis.

Outcome measures

Outcome measures
Measure
ALVAC With Remune
n=13 Participants
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=15 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=12 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Time to Rebound of Plasma HIV RNA Level to 10,000 Copies/ml
30.0 days
Interval 18.0 to 44.0
31.0 days
Interval 25.0 to 37.0
24.5 days
Interval 21.0 to 30.0

SECONDARY outcome

Timeframe: Up to week 48

Population: Only participants whose viral loads reached a steady state are included in the analysis.

Viral set-point is the viral load (HIV RNA) that the body settles at within a few weeks to months after infection with HIV.

Outcome measures

Outcome measures
Measure
ALVAC With Remune
n=14 Participants
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=17 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=12 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Viral Set-point
4.4 log10 copies/ml
Interval 3.4 to 4.7
4.2 log10 copies/ml
Interval 3.8 to 4.4
4.5 log10 copies/ml
Interval 3.8 to 5.2

SECONDARY outcome

Timeframe: Up to week 48

Magnitude of viral rebound is the amount of HIV viral load an infected person who was previously on ART and suppressed below clinical detection rebounds to following ART stoppage. This will typically be compared to the viral load before starting ART or Viral set-point discussed earlier.

Outcome measures

Outcome measures
Measure
ALVAC With Remune
n=16 Participants
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=18 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=14 Participants
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Magnitude of Viral Rebound
4.8 log10 copies/ml
Interval 4.2 to 5.2
5.0 log10 copies/ml
Interval 4.3 to 5.4
5.0 log10 copies/ml
Interval 4.6 to 5.6

SECONDARY outcome

Timeframe: at week 48

Population: Data not collected for this assessment.

Outcome measures

Outcome data not reported

Adverse Events

ALVAC With Remune

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

ALVAC With Remune Placebo

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Both Placebos

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ALVAC With Remune
n=19 participants at risk
Remune™ (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
ALVAC With Remune Placebo
n=18 participants at risk
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC (1 ml i.m.) at weeks 8, 12, 16 and 20.
Both Placebos
n=15 participants at risk
Remune™ placebo (1ml i.m.) at weeks 0, 12 and 20 and ALVAC placebo (1 ml i.m.) at weeks 8, 12, 16 and 20.
Skin and subcutaneous tissue disorders
Injection site reaction
36.8%
7/19
50.0%
9/18
20.0%
3/15
General disorders
Subjective fever
26.3%
5/19
5.6%
1/18
6.7%
1/15

Additional Information

Dr. Jonathan B Angel

OHRI

Phone: 613-737-8442

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place