Safety and Immunogenicity of Stabilized CH505 TF chTrimer Vaccination in Adults Living With HIV-1 on Suppressive Antiretroviral Therapy

NCT ID: NCT06680479

Last Updated: 2025-12-31

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

SUSPENDED

Clinical Phase

PHASE1

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-01

Study Completion Date

2028-04-14

Brief Summary

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A5422 is a phase 1, randomized, double-blind, placebo-controlled clinical trial to assess the safety, tolerability, and immunogenicity of a vaccination with stabilized CH505 TF chTrimer admixed with 3M-052-AF + Aluminum hydroxide (Alum), to assess the effect of CH505 TF chTrimer vaccine as a therapeutic vaccine in adults living with HIV-1 on suppressive antiretroviral therapy (ART) with the aim of inducing new HIV-1 Envelope (Env) B-cell neutralizing immune responses. Participants will be on study for up to 100 weeks (52 weeks on study treatment plus 48 weeks follow-up).

Detailed Description

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Conditions

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HIV-1

Keywords

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HIV Therapeutic vaccine bNab-inducing vaccine Trimer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Randomized (2:1), 20 participants in Arm 1 and 10 participants in Arm 2

Study Groups

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Study Arm 1: CH505 TF chTrimer (300 mcg) admixed with 3M-052-AF (3 mcg) and Alum (500 mcg)

Group Type EXPERIMENTAL

CH505 TF chTrimer

Intervention Type BIOLOGICAL

Stabilized CH505 TF chTrimer, 300 mcg

3M-052-AF

Intervention Type BIOLOGICAL

3 mcg

Aluminum Hydroxide Suspension

Intervention Type BIOLOGICAL

500 mcg

Study Arm 2: Placebo (sodium chloride for injection, 0.9% USP)

Group Type PLACEBO_COMPARATOR

Sodium Chloride for Injection

Intervention Type OTHER

Sodium chloride for injection, 0.9% USP volume-matched placebo injection.

Interventions

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CH505 TF chTrimer

Stabilized CH505 TF chTrimer, 300 mcg

Intervention Type BIOLOGICAL

3M-052-AF

3 mcg

Intervention Type BIOLOGICAL

Aluminum Hydroxide Suspension

500 mcg

Intervention Type BIOLOGICAL

Sodium Chloride for Injection

Sodium chloride for injection, 0.9% USP volume-matched placebo injection.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* HIV-1 infection
* On a suppressive ART regimen for at least 24 months with no changes in the 90 days prior to study entry
* CD4+ cell count greater than 200 cells/mm3 obtained within 56 days prior to study entry
* HIV-1 RNA \<200 copies/mL obtained within 56 days prior to study entry
* Plasma HIV-1 RNA levels \<200 copies/mL for at least 12 months on ART prior to study entry
* The following laboratory values obtained within 56 days prior to study entry

* White blood cell count ≥2,500 cells/mm3
* Absolute neutrophil count (ANC) \>750/mm3
* Hemoglobin ≥11 g/dL for cisgender men/transgender women and ≥10 g/dL for cisgender women/transgender men
* Platelet count ≥100,000/mm3
* Creatinine \<1.5x upper limit of normal (ULN)
* Alanine aminotransferase (ALT) (SGPT) ≤1.5 ULN
* Hepatitis C Virus (HCV) antibody-negative or HCV RNA negative result if indicated, within 56 days prior to study entry
* Negative hepatitis B surface antigen (HBsAg) result obtained within 56 days prior to study entry
* For study candidates of child-bearing potential, negative serum or urine pregnancy test at screening and within 48 hours prior to study entry
* No participation in conception process and agree to use at least one reliable form of contraception if participating in sexual activity that could lead to pregnancy during the study and for 8 weeks following the final study vaccine

Exclusion Criteria

* Known to have started ART during acute HIV infection
* Known to have HIV-related opportunistic infections within the last 2 years prior to study entry.
* History of malignancy within the last 5 years prior to study entry.
* Currently breastfeeding
* History of or active autoimmune disorders
* HIV vaccination (prophylactic and/or therapeutic) within 1 year prior to study entry
* Receipt of any anti-HIV-1 bNAbs within 2 years prior to study entry
* Vaccination within 4 weeks prior to study entry
* Use of any infusion blood product or immune globulin within 16 weeks prior to study entry (Exception: COVID-19-specific monoclonal antibodies are allowed)
* Use of systemic immunomodulators, systemic cytotoxic chemotherapy, or non-FDA approved investigational therapy within 60 days prior to study entry
* Intent to use immunomodulators during the course of the study
* Immune deficiency other than HIV
* HCV antiviral therapy within 90 days prior to screening
* Known allergy/sensitivity or any hypersensitivity to components of study drug(s) or their formulation
* Active drug or alcohol use or dependence that would interfere with adherence to study requirements
* Acute or serious illness requiring systemic treatment and/or hospitalization within 30 days prior to study entry
* Conditions that would preclude injection site reaction assessments (e.g., extensive tattoos, scarring, skin conditions).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Duke University

OTHER

Sponsor Role collaborator

Access to Advanced Health Institute (AAHI)

OTHER

Sponsor Role collaborator

National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Madhu Choudhary, MD

Role: STUDY_CHAIR

University of Pittsburgh

Locations

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University of California, Los Angeles CARE Center CRS

Los Angeles, California, United States

Site Status

UCSD Antiviral Research Center CRS

San Diego, California, United States

Site Status

University of California, San Francisco HIV/AIDS CRS

San Francisco, California, United States

Site Status

Harbor University of California Los Angeles Center CRS

Torrance, California, United States

Site Status

University of Colorado Hospital CRS

Aurora, Colorado, United States

Site Status

The Ponce de Leon Center CRS

Atlanta, Georgia, United States

Site Status

Northwestern University CRS

Chicago, Illinois, United States

Site Status

Johns Hopkins University CRS

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital CRS (MGH CRS)

Boston, Massachusetts, United States

Site Status

Washington University Therapeutics (WT) CRS

St Louis, Missouri, United States

Site Status

New Jersey Medical School Clinical Research Center CRS

Newark, New Jersey, United States

Site Status

Weill Cornell Chelsea CRS

New York, New York, United States

Site Status

Columbia Physicians & Surgeons (P&S) CRS

New York, New York, United States

Site Status

Weill Cornell Uptown CRS

New York, New York, United States

Site Status

University of Rochester Adult HIV Therapeutic Strategies Network CRS

Rochester, New York, United States

Site Status

Chapel Hill CRS

Chapel Hill, North Carolina, United States

Site Status

Greensboro CRS

Greensboro, North Carolina, United States

Site Status

Cincinnati CRS

Cincinnati, Ohio, United States

Site Status

Case CRS

Cleveland, Ohio, United States

Site Status

Ohio State University CRS

Columbus, Ohio, United States

Site Status

Penn Therapeutics CRS

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh CRS

Pittsburgh, Pennsylvania, United States

Site Status

Vanderbilt Therapeutics (VT) CRS

Nashville, Tennessee, United States

Site Status

Houston Advancing Research Team CRS

Houston, Texas, United States

Site Status

University of Washington Positive Research CRS

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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39037

Identifier Type: OTHER

Identifier Source: secondary_id

A5422

Identifier Type: -

Identifier Source: org_study_id