Immunomodulation Using VB-201 to Reduce Arterial Inflammation in Treated HIV - VITAL HIV Trial

NCT ID: NCT04939311

Last Updated: 2022-09-15

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

WITHDRAWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-01

Study Completion Date

2027-07-01

Brief Summary

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This study is a double blinded, placebo-controlled, randomized, parallel group study, designed to compare the efficacy and safety of VB-201 80mg taken orally once daily to placebo for anti-inflammation in HIV-infected subjects.

Detailed Description

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Conditions

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Inflammation HIV Infection Cardiovascular Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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VB-201

One dose of VB-201 80 mg (1 tablet) will be administered orally once daily for 52 weeks.

Group Type EXPERIMENTAL

VB-201

Intervention Type DRUG

One dose of VB-201 80 mg (1 tablet) will be administered orally once daily for 52 weeks.

Placebo

One dose of placebo 80 mg (1 tablet) will be administered orally once daily for 52 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

One dose of placebo 80 mg (1 tablet) will be administered orally once daily for 52 weeks.

Interventions

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VB-201

One dose of VB-201 80 mg (1 tablet) will be administered orally once daily for 52 weeks.

Intervention Type DRUG

Placebo

One dose of placebo 80 mg (1 tablet) will be administered orally once daily for 52 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Documented HIV infection
* On continuous antiretroviral therapy and virologically suppressed HIV infection for ≥12 weeks prior to study entry
* CD4 T-cell count \> 350 cells/mm3
* Male or female between the ages ≥ 40 years of age to \<≤75
* Documented cardiovascular disease (1. Prior myocardial infarction, 2. History of percutaneous coronary intervention, 3. History of coronary artery bypass graft OR 4. Angiographic evidence of \>50% stenosis in at least one coronary artery\] OR 1 CVD risk factor (T2DM, current smoking, hypertension, dyslipidemia, hsCRP≥2mg/L, family history)
* TBR of \>1.6 of the MDS of the carotid/aorta at baseline. This baseline arterial TBR cutoff excludes the rare individual that lacks appreciable arterial inflammation. It is notable that while 5-10% of uninfected individuals will have lower TBRs, it is rare that an HIV infected individual will fall below this range.
* Female subjects must either be of non-childbearing potential as defined by menopause with amenorrhea for \>2 years, bilateral oophorectomy, or agree to use adequate contraception throughout the study and for at least one month following termination and have a negative pregnancy test at screening prior to the first dose of drug.
* Males must use at least one method of contraception throughout the study.

Exclusion Criteria

* Pregnant/nursing women
* Uncontrolled hypertension or diabetes requiring insulin
* AST/ALT or alkaline phosphatase \>2x ULN
* Cancer within the last 5 years with exception of squamous cell carcinoma and basal cell carcinoma
* Nephrotic syndrome or eGFR \<60 mL/min/1.73m2
* Cytopenias which include 1) WBC \<3.5 x103/uL 2) Platelet \<120 x103/uL 3) ANC \<1.5 x103/uL, and absolute lymphocytes \<0.8 x 103/uL
* Anemia as fined by \<10 g/dL
* Evidence of tuberculosis infection at screening within 30 days prior to screening.
* Family history of long QT syndrome, using medication that prolongs QT internal, OR evidence of prolonged QT of \>470 msec as evidenced by ECG
* Acute systemic infection within 30 days
* On additional immunosuppressant or immunomodulatory therapies
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, Los Angeles

OTHER

Sponsor Role collaborator

University of Utah

OTHER

Sponsor Role collaborator

Priscilla Hsue, MD

OTHER

Sponsor Role lead

Responsible Party

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Priscilla Hsue, MD

Chief of Cardiology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Priscilla Hsue, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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Zuckerberg San Francisco General Hospital

San Francisco, California, United States

Site Status

Countries

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United States

Other Identifiers

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VITAL HIV

Identifier Type: -

Identifier Source: org_study_id

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