Trial Outcomes & Findings for Enhancement by Poly-ICLC During HIV-1 Infection (NCT NCT02071095)

NCT ID: NCT02071095

Last Updated: 2018-03-13

Results Overview

Safety measured by number of participants with adverse events.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

15 participants

Primary outcome timeframe

Up to 48 weeks

Results posted on

2018-03-13

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A: Poly-ICLC
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
Overall Study
STARTED
12
3
Overall Study
COMPLETED
12
3
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Enhancement by Poly-ICLC During HIV-1 Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A: Poly-ICLC
n=12 Participants
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 Participants
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
Total
n=15 Participants
Total of all reporting groups
Age, Continuous
41.1 years
STANDARD_DEVIATION 9.32 • n=5 Participants
34.33 years
STANDARD_DEVIATION 4.03 • n=7 Participants
39.73 years
STANDARD_DEVIATION 8.61 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
3 Participants
n=7 Participants
15 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 48 weeks

Safety measured by number of participants with adverse events.

Outcome measures

Outcome measures
Measure
Arm A: Poly-ICLC
n=12 Participants
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 Participants
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
Number Participants With Adverse Events
11 Participants
3 Participants

SECONDARY outcome

Timeframe: Day 2 and Day 4

One of the biomarkers of cellular immune activation and exhaustion quantified by flow cytometry. Normal range is 7.8-500 pg/ml.

Outcome measures

Outcome measures
Measure
Arm A: Poly-ICLC
n=12 Participants
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 Participants
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
Plasma Interferon-gamma-inducible Protein-10 (IP-10) Level
Day 2
381.43 pg/ml
Standard Deviation 187.67
100.65 pg/ml
Standard Deviation 13.5
Plasma Interferon-gamma-inducible Protein-10 (IP-10) Level
Day 4
450.51 pg/ml
Standard Deviation 144.9
139.39 pg/ml
Standard Deviation 42.74

SECONDARY outcome

Timeframe: Day 8

the CD38-activation marker on CD8 T-cells (CD8/CD38).

Outcome measures

Outcome measures
Measure
Arm A: Poly-ICLC
n=12 Participants
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 Participants
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
CD8 CD38 (Mean of Fluorescence)
8.69 mean fluorescent intensity (MFI)
Standard Deviation 6.77
2.35 mean fluorescent intensity (MFI)
Standard Deviation 2.27

SECONDARY outcome

Timeframe: at 48 weeks

Natural killer cells or NK cells are part of the innate immune defense against infection and cancer.

Outcome measures

Outcome measures
Measure
Arm A: Poly-ICLC
n=12 Participants
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 Participants
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
NK Cell Number
20.68 cells/µL
Standard Deviation 16.06
19.41 cells/µL
Standard Deviation 15.45

SECONDARY outcome

Timeframe: Baseline, Day 2, Day 4, Day 8, Day 28

CD4+ Tcell-associated HIV-1 RNA to determine whether Poly-ICLC disrupts viral latency in HIV-1-infected individuals on anti-retroviral therapy.Viral transcription assessed by monitoring cell associated HIV-1 RNA. Percent change compared to baseline.

Outcome measures

Outcome measures
Measure
Arm A: Poly-ICLC
n=12 Participants
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 Participants
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
Percent Change in CD4+ Tcell-associated HIV-1 RNA as Compared to Baseline
Day 2
102.8 percent change
Standard Deviation 30.65
186.3 percent change
Standard Deviation 163.4
Percent Change in CD4+ Tcell-associated HIV-1 RNA as Compared to Baseline
Day 4
134.8 percent change
Standard Deviation 90.3
254.7 percent change
Standard Deviation 223.8
Percent Change in CD4+ Tcell-associated HIV-1 RNA as Compared to Baseline
Day 28
199.6 percent change
Standard Deviation 247.2
126.7 percent change
Standard Deviation 65.77
Percent Change in CD4+ Tcell-associated HIV-1 RNA as Compared to Baseline
Day 8
161.0 percent change
Standard Deviation 112.3
66.33 percent change
Standard Deviation 22.74

Adverse Events

Arm A: Poly-ICLC

Serious events: 11 serious events
Other events: 1 other events
Deaths: 0 deaths

Arm B: Normal Saline

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm A: Poly-ICLC
n=12 participants at risk
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 participants at risk
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
General disorders
Chills
25.0%
3/12
0.00%
0/3
Surgical and medical procedures
erythema
41.7%
5/12
0.00%
0/3
Surgical and medical procedures
Pain
83.3%
10/12
0.00%
0/3
General disorders
Fatigue
58.3%
7/12
100.0%
3/3
General disorders
Fever
33.3%
4/12
0.00%
0/3
General disorders
Malaise
16.7%
2/12
33.3%
1/3
Nervous system disorders
Headache
8.3%
1/12
66.7%
2/3
Musculoskeletal and connective tissue disorders
Myalgias
16.7%
2/12
0.00%
0/3

Other adverse events

Other adverse events
Measure
Arm A: Poly-ICLC
n=12 participants at risk
Poly-ICLC: Poly-ICLC (Hiltonol®, Oncovir) Administration - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with 1.4 mg of Poly-ICLC (Hiltonol®, Oncovir). Each subject will receive a total of 2 SC doses of Poly-ICLC. The volume of each injection is 0.7ml.
Arm B: Normal Saline
n=3 participants at risk
Normal Saline: Normal Saline - On days 1 and 2, patients randomized to this arm will be injected subcutaneously in the arm with normal saline obtained from the Rockefeller University Pharmacy. Each subject will receive a total of 2 SC doses of normal saline. The volume of each injection is 0.7ml.
Blood and lymphatic system disorders
Low neutrophils count
8.3%
1/12
0.00%
0/3

Additional Information

Dr. Nina Bhardwaj

Icahn School of Medicine at Mount Sinai

Phone: 212-824-8427

Results disclosure agreements

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