Trial Outcomes & Findings for Vedolizumab (Anti-alpha4beta7) in Subjects With HIV Infection Undergoing Analytical Treatment Interruption (NCT NCT02788175)

NCT ID: NCT02788175

Last Updated: 2020-02-24

Results Overview

The primary endpoint was the number of grade 2 or higher adverse events, including serious adverse events, that were probably or definitely related to vedolizumab.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

26 participants

Primary outcome timeframe

From the start of the initial infusion until up to 72 weeks.

Results posted on

2020-02-24

Participant Flow

Participant milestones

Participant milestones
Measure
Vedolizumab in HIV-infected Adults on cART
HIV-infected Adults (age 18 - 65) on CART with suppressed viremia
Overall Study
STARTED
26
Overall Study
Received Study Agent
20
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
13

Reasons for withdrawal

Reasons for withdrawal
Measure
Vedolizumab in HIV-infected Adults on cART
HIV-infected Adults (age 18 - 65) on CART with suppressed viremia
Overall Study
Protocol Violation
3
Overall Study
Withdrawal by Subject
4
Overall Study
Ineligible prior to study agent
6

Baseline Characteristics

Vedolizumab (Anti-alpha4beta7) in Subjects With HIV Infection Undergoing Analytical Treatment Interruption

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vedolizumab in HIV-infected Adults on cART
n=26 Participants
HIV-infected Adults (age 18 - 65) on CART with suppressed viremia
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From the start of the initial infusion until up to 72 weeks.

Population: The analyses included all subjects who received at least one infusion of vedolizumab

The primary endpoint was the number of grade 2 or higher adverse events, including serious adverse events, that were probably or definitely related to vedolizumab.

Outcome measures

Outcome measures
Measure
Vedolizumab in HIV-infected Adults on cART
n=20 Participants
HIV-infected Adults (age 18 - 65) on CART with suppressed viremia
Number of Grade 2 or Higher Related Adverse Events
11 Events

SECONDARY outcome

Timeframe: From Week 22 until up to 48 weeks.

Population: The analyses includes all subjects who entered into the analytical treatment interruption at Week 22

The secondary endpoint was defined as number of subjects who experienced plasma viremia following ATI and met criteria to restart cART before week 48 \[a confirmed \>30% decline in baseline CD4+ T Cell count or an absolute CD4+ T Cell count in the setting of detectable HIV viremia (\>40 copies/mL); a sustained (\>4weeks) HIV RNA level of \> 1000 copies/mL, or any HIV related symptoms or pregnancy.\]

Outcome measures

Outcome measures
Measure
Vedolizumab in HIV-infected Adults on cART
n=18 Participants
HIV-infected Adults (age 18 - 65) on CART with suppressed viremia
Number of Subjects Who Met Criteria to Restart Antiretroviral Therapy Before Week 48
13 Participants

Adverse Events

Vedolizumab in HIV-infected Adults on cART

Serious events: 1 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vedolizumab in HIV-infected Adults on cART
n=20 participants at risk
HIV-infected Adults (age 18 - 65) on CART with suppressed viremia
Musculoskeletal and connective tissue disorders
Neck pain
5.0%
1/20 • up to 72 weeks

Other adverse events

Other adverse events
Measure
Vedolizumab in HIV-infected Adults on cART
n=20 participants at risk
HIV-infected Adults (age 18 - 65) on CART with suppressed viremia
Blood and lymphatic system disorders
Iron deficiency anaemia
5.0%
1/20 • up to 72 weeks
Cardiac disorders
Palpitations
5.0%
1/20 • up to 72 weeks
Cardiac disorders
Tachycardia
5.0%
1/20 • up to 72 weeks
Gastrointestinal disorders
Abdominal pain
5.0%
1/20 • up to 72 weeks
Gastrointestinal disorders
Constipation
5.0%
1/20 • up to 72 weeks
Gastrointestinal disorders
Diarrhoea
10.0%
2/20 • up to 72 weeks
Gastrointestinal disorders
Hiatus hernia
5.0%
1/20 • up to 72 weeks
Gastrointestinal disorders
Nausea
10.0%
2/20 • up to 72 weeks
General disorders
Fatigue
20.0%
4/20 • up to 72 weeks
General disorders
Influenza like illness
5.0%
1/20 • up to 72 weeks
General disorders
Pain
5.0%
1/20 • up to 72 weeks
General disorders
Pyrexia
5.0%
1/20 • up to 72 weeks
Immune system disorders
Hypersensitivity
5.0%
1/20 • up to 72 weeks
Infections and infestations
Acute sinusitis
5.0%
1/20 • up to 72 weeks
Infections and infestations
Bronchitis
15.0%
3/20 • up to 72 weeks
Infections and infestations
Campylobacter gastroenteritis
5.0%
1/20 • up to 72 weeks
Infections and infestations
Campylobacter infection
5.0%
1/20 • up to 72 weeks
Infections and infestations
Epididymitis
5.0%
1/20 • up to 72 weeks
Infections and infestations
Furuncle
5.0%
1/20 • up to 72 weeks
Infections and infestations
Gastroenteritis
15.0%
3/20 • up to 72 weeks
Infections and infestations
Giardiasis
5.0%
1/20 • up to 72 weeks
Infections and infestations
Gonorrhoea
5.0%
1/20 • up to 72 weeks
Infections and infestations
Herpes simplex
5.0%
1/20 • up to 72 weeks
Infections and infestations
Influenza
5.0%
1/20 • up to 72 weeks
Infections and infestations
Nasopharyngitis
40.0%
8/20 • up to 72 weeks
Infections and infestations
Otitis media acute
5.0%
1/20 • up to 72 weeks
Infections and infestations
Pharyngitis
5.0%
1/20 • up to 72 weeks
Infections and infestations
Upper respiratory tract infection
25.0%
5/20 • up to 72 weeks
Infections and infestations
Urinary tract infection
5.0%
1/20 • up to 72 weeks
Infections and infestations
Viral infection
10.0%
2/20 • up to 72 weeks
Injury, poisoning and procedural complications
Contusion
5.0%
1/20 • up to 72 weeks
Injury, poisoning and procedural complications
Ligament sprain
5.0%
1/20 • up to 72 weeks
Investigations
Alanine aminotransferase increased
20.0%
4/20 • up to 72 weeks
Investigations
Aspartate aminotransferase increased
15.0%
3/20 • up to 72 weeks
Investigations
Blood bicarbonate decreased
40.0%
8/20 • up to 72 weeks
Investigations
Blood creatine phosphokinase increased
10.0%
2/20 • up to 72 weeks
Investigations
Blood creatinine increased
25.0%
5/20 • up to 72 weeks
Investigations
Blood glucose decreased
5.0%
1/20 • up to 72 weeks
Investigations
Blood glucose increased
45.0%
9/20 • up to 72 weeks
Investigations
Blood magnesium decreased
5.0%
1/20 • up to 72 weeks
Investigations
Blood phosphorus decreased
35.0%
7/20 • up to 72 weeks
Investigations
Blood potassium decreased
15.0%
3/20 • up to 72 weeks
Investigations
Blood sodium decreased
10.0%
2/20 • up to 72 weeks
Investigations
Blood sodium increased
10.0%
2/20 • up to 72 weeks
Investigations
Eosinophil count increased
5.0%
1/20 • up to 72 weeks
Investigations
Neutrophil count decreased
5.0%
1/20 • up to 72 weeks
Musculoskeletal and connective tissue disorders
Back pain
5.0%
1/20 • up to 72 weeks
Musculoskeletal and connective tissue disorders
Costochondritis
5.0%
1/20 • up to 72 weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
10.0%
2/20 • up to 72 weeks
Musculoskeletal and connective tissue disorders
Myalgia
5.0%
1/20 • up to 72 weeks
Nervous system disorders
Headache
15.0%
3/20 • up to 72 weeks
Renal and urinary disorders
Dysuria
10.0%
2/20 • up to 72 weeks
Renal and urinary disorders
Nephrolithiasis
5.0%
1/20 • up to 72 weeks
Respiratory, thoracic and mediastinal disorders
Cough
5.0%
1/20 • up to 72 weeks
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.0%
1/20 • up to 72 weeks
Respiratory, thoracic and mediastinal disorders
Pleurisy
5.0%
1/20 • up to 72 weeks
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
5.0%
1/20 • up to 72 weeks
Skin and subcutaneous tissue disorders
Papule
5.0%
1/20 • up to 72 weeks
Skin and subcutaneous tissue disorders
Pruritus
5.0%
1/20 • up to 72 weeks
Skin and subcutaneous tissue disorders
Rash
5.0%
1/20 • up to 72 weeks
Skin and subcutaneous tissue disorders
Urticaria
5.0%
1/20 • up to 72 weeks

Additional Information

Dr. Michael C. Sneller

NIAID

Phone: 301-496-0491

Results disclosure agreements

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