HIV Eradication Through Cord-blood Transplantation

NCT ID: NCT02923076

Last Updated: 2016-11-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2018-12-31

Brief Summary

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Allogeneic hematopoietic cell transplantation from a CCR5 Δ32/Δ32 unrelated donor, performed for the first time in the "Berlin patient", provides the only evidence to date of long-term control of HIV infection. Stringent criteria to select human leukocyte antigen (HLA)-matched conventional donors and low prevalence of the CCR5 Δ32/Δ32 homozygous genotype (\<1%) made the pursuit of "patient number 2" unsuccessful for many years. Cord blood (CB) transplantation allows more permissive HLA-matching criteria, making the search for HLA-compatible Δ32/Δ32 CB units potentially feasible for transplantation of HIV-infected individuals.

The investigator team involved in this trial has recently reported the first such case of CCR5 delta32/delta32 CB transplantation in a patient with HIV infection, showing a reduction of the patient's latent viral reservoir and, upon achievement of full CB chimerism, resistance of his CD4 T-lymphocytes to infection by HIV. This proof of concept led the Spanish National Transplant Organization (ONT) to generate an inventory of over 150 CCR5 Δ32/Δ32 CB units readily available for transplant.

From this initial evidence and repository of CB units, financial support from the Fundación Mutua Madrileña (FMM) has allowed the investigators to launch this first pilot clinical trial in this indication. The study was launched in January 2016 at Hospital Universitario Puerta de Hierro Majadahonda. All HIV virology and reservoir analyses are carried out by the AIDS Immunopathology Unit at the Spanish Instituto de Salud Carlos III. Three additional transplant centres in Spain will also shortly open the trial.

Detailed Description

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Conditions

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HIV

Keywords

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Allogeneic Hematopoietic Cell Transplantation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Study treatment

Allogeneic transplantation with CCR5 delta32/delta32 hematopoietic cells from cord blood.

Group Type EXPERIMENTAL

CCR5 delta32/delta32 cord blood transplantation

Intervention Type OTHER

Interventions

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CCR5 delta32/delta32 cord blood transplantation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Inform consent, that will be previously approved by the board, is required in order to carry out any procedure related to the study.
* HIV infection.
* Hematologic malignancies or any other condition with a standard indication for allogeneic hematopoietic cell transplantation. See indications by the European Society for Blood and Marrow Transplantation (EBMT). \[Sureda A. et al. Indications for allo- and auto-SCT for haematological diseases, solid tumours and immune disorders: current practice in Europe, 2015. Bone Marrow Transplantation (2015) 50, 1037-1056.\]
* Lack of HLA-identical related donor
* Availability of at least one cord blood unit CCR5 delta32 homozygous that meets quality standards.

Exclusion Criteria

* Availability of HLA-identical related donor
* Contraindication for allogeneic stem cell transplantation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundación Mutua Madrileña

OTHER

Sponsor Role collaborator

Instituto de Salud Carlos III

OTHER_GOV

Sponsor Role collaborator

Puerta de Hierro University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Rafael F. Duarte

Head of the Hematopietic Cell Transplantation program

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rafael Duarte Palomino

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario Puerta de Hierro- Majadahonda

Locations

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Hospital Universitario Puerta de Hierro- Majadahonda

Majadahonda, Madrid, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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María Esther Martínez Muñoz

Role: CONTACT

Phone: 0034 911917809

Email: [email protected]

Isabel Salcedo

Role: CONTACT

Phone: 0034 911916481

Email: [email protected]

Facility Contacts

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María Esther Martínez Muñoz

Role: primary

Isabel Salcedo

Role: backup

Other Identifiers

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HIVECT-1501

Identifier Type: -

Identifier Source: org_study_id