Trial Outcomes & Findings for MMF for HIV Reservoir Reduction (NCT NCT03262441)

NCT ID: NCT03262441

Last Updated: 2020-12-03

Results Overview

Regression slope of change in cell-associated HIV DNA (ca-DNA) as measured by multiplexed digital droplet PCR in study participants on MMF calculated from 4 time points between 0 \& 12 months

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

12 months

Results posted on

2020-12-03

Participant Flow

Participants were recruited from the University of Washington AIDS Clinical Trials Unit at Harborview Medical Center in Seattle. The first participant enrolled February 12, 2018 and the last participant enrolled in August 14, 2018.

Participant milestones

Participant milestones
Measure
Mycophenolate Mofetil
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Overall Study
STARTED
5
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Mycophenolate Mofetil
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

MMF for HIV Reservoir Reduction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mycophenolate Mofetil
n=5 Participants
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 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
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
5 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Regression slope of change in cell-associated HIV DNA (ca-DNA) as measured by multiplexed digital droplet PCR in study participants on MMF calculated from 4 time points between 0 \& 12 months

Outcome measures

Outcome measures
Measure
Mycophenolate Mofetil
n=4 Participants
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Change in Cell-associated HIV DNA (Ca-DNA) Levels Per 10^6 T Cells Over 12 Months
-0.00033 log10 caDNA copies per 10^6 T-cells/week
Interval -0.002 to 0.0014

PRIMARY outcome

Timeframe: 12 months

Regression slope of change in cell-associated HIV DNA (ca-DNA) as measured by multiplexed digital droplet PCR in study participants on MMF calculated from 3 time points between 0 \& 12 months

Outcome measures

Outcome measures
Measure
Mycophenolate Mofetil
n=4 Participants
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Change in Cell-associated HIV DNA (Ca-DNA) Levels Per 10^6 Effector Memory CD4+ T Cells Over 12 Months
0.001 log10 caDNA copies per 10^6 T-cells/week
Interval -0.0036 to 0.0056

PRIMARY outcome

Timeframe: 12 months

Regression slope of change in cell-associated intact HIV DNA (ca-iDNA) as measured by multiplexed digital droplet PCR in study participants on MMF calculated from 4 time points between 0 \& 12 months

Outcome measures

Outcome measures
Measure
Mycophenolate Mofetil
n=4 Participants
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Change in Cell-associated Intact HIV DNA (Ca-iDNA) Levels Per 10^6 T Cells Over 12 Months
.0024 log10 caDNA copies per 10^6 T-cells/week
Interval -0.003 to 0.0078

SECONDARY outcome

Timeframe: 12 months

Frequency of participants with any time point with \<200 CD4+ T cells per mm\^3 from 4 sampled time points between 0 \& 12 months

Outcome measures

Outcome measures
Measure
Mycophenolate Mofetil
n=4 Participants
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Blood CD4+ T Cells Per mm^3 Blood
0 participants

SECONDARY outcome

Timeframe: 12 months

Number of participants experiencing opportunistic infection

Outcome measures

Outcome measures
Measure
Mycophenolate Mofetil
n=4 Participants
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Incidence of Opportunistic Infection
0 participants

Adverse Events

Mycophenolate Mofetil

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

Serious adverse events

Serious adverse events
Measure
Mycophenolate Mofetil
n=5 participants at risk
Mycophenolate Mofetil 500mg Tablets once per day for one week as a lead in to limit drug-related side effects. Provided they are tolerating the drug at lower dose, they will then initiate Mycophenolate Mofetil 500mg Tablets twice daily orally for 22 months Mycophenolate Mofetil 500Mg Tab: 500 mg once daily for one week. If tolerating the drug, then initiate twice daily for 22 months
Skin and subcutaneous tissue disorders
Finger cellulitis
20.0%
1/5 • Number of events 1 • 20 months

Other adverse events

Adverse event data not reported

Additional Information

Dr. Joshua Schiffer

Fred Hutchinson Cancer Research Center

Phone: (206)667-7359

Results disclosure agreements

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