Phase II, multicenter, open-label, randomized, controlled, open-label clinical trial to eliminate the latent reservoir of HIV-1 by administration of high doses of antiretroviral drugs.

2024-513366-18-00 Protocol DOSAGE Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 7 Apr 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites · Protocol DOSAGE

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 24
Countries 1
Sites 2

HIV infection

To evaluate the variation in the size of the latent cellular reservoir of HIV-1 after reaching inhibitory tissue concentrations by administration of high doses of antiretroviral drugs.

Key facts

Sponsor
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Ramon Y Cajal
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Trial duration
7 Apr 2025 → ongoing
Decision date (initial)
2024-09-09
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To evaluate the variation in the size of the latent cellular reservoir of HIV-1 after reaching inhibitory tissue concentrations by administration of high doses of antiretroviral drugs.

Secondary objectives 1

  1. - To evaluate the variation of HIV intracellular RNA in total CD4+ T cells and memory phenotypes from baseline to weeks 24 and 48 in both blood and lymphoid tissue. - Compare changes in distribution and activation markers (CD69, PD-1, CD25, HLA-DR, Ki67) in T cell subpopulations (naïve and memory phenotypes). - To evaluate the effects of the intervention on markers of inflammation and bacterial translocation. - Determine antiretroviral drug concentrations in blood and gastrointestinal tract tissue. - Correlate markers of viral persistence (intact HIV DNA and ca-HIV RNA) with drug concentrations, as well as with activation and inflammation parameters of cell subpopulations and plasma. - To evaluate the safety and tolerability of the experimental treatment regimen.

Conditions and MedDRA coding

HIV infection

VersionLevelCodeTermSystem organ class
20.1 PT 10020161 HIV infection 100000004862

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Treatment period
24 weeks
Randomised Controlled None control group: Antiretroviral therapy with a triple regimen containing an integrase inhibitor.
experimental group: Antiretroviral treatment with high doses of lamivudine 600 mg, dolutegravir 100mg and maraviroc 600 mg
2 Follow-up
24 weeks.
Not Applicable None

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Undetectable plasma viral load (<50 copies of HIV RNA in blood plasma) for at least 12 months prior to inclusion. ● Antiretroviral treatment with a triple regimen containing an integrase inhibitor. ● R5 viral tropism, determined in proviral DNA.

Exclusion criteria 3

  1. - Chronic Hepatitis B (HBsAg +) - Untreated chronic hepatitis C - Viral tropism X4
  2. Impaired renal function (plasma creatinine >1.5 mg/dl, creatinine clearance <60 ml/min/1.73 m2).
  3. Concomitant treatment with cytochrome CYP3A inducing or inhibiting drugs

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. - Latent cell reservoir size by measuring total and intact proviral DNA (IPDA).

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

CELSENTRI 300 mg film-coated tablets

PRD334514 · Product

Active substance
Maraviroc
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
J05AX09 — -
Marketing authorisation
EU/1/07/418/006
MA holder
VIIV HEALTHCARE B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Lamivudina NORMON 300 mg comprimidos recubiertos con película EFG.

PRD400097 · Product

Active substance
Lamivudine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
J05AF05 — LAMIVUDINE
Marketing authorisation
70913
MA holder
LABORATORIOS NORMON, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Tivicay 50 mg film-coated tablets

PRD6421418 · Product

Active substance
Dolutegravir Sodium
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
J05AJ03 — -
Marketing authorisation
EU/1/13/892/001
MA holder
VIIV HEALTHCARE B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacion Para La Investigacion Biomedica Del Hospital Universitario Ramon Y Cajal

Sponsor organisation
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Ramon Y Cajal
Address
Carretera Del Colmenar Viejo Km 9100, Por El Pardo Por El Pardo
City
Madrid
Postcode
28034
Country
Spain

Scientific contact point

Organisation
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Ramon Y Cajal
Contact name
Itziar de Pablo Lopez de Abechuco

Public contact point

Organisation
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Ramon Y Cajal
Contact name
Itziar de Pablo Lopez de Abechuco

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 24 2
Rest of world 0

Investigational sites

Spain

2 sites · Ongoing, recruiting
Ramon y Cajal University Hospital
infectious diseases service, M-607, 9, Madrid
Hospital Universitario 12 De Octubre
HIV Infection Unit, Bloque D, Avenida De Cordoba Sn, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2025-04-07 2025-05-30

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol V1 20 05 2024 2024-513366-18-00 2
Protocol (for publication) D1_Protocol V3 03 02 2026 2024-513366-18-00 limpia 3
Recruitment arrangements (for publication) K1_Recruitment arrangement 1
Subject information and informed consent form (for publication) L1_SIS and ICF V1 20 05 2024 2
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC DOLUTEGRAVIR 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC LAMIVUDINA 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC MARAVIROC 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_ESP V1 20 05 2024 2024-513366-18-00 2
Synopsis of the protocol (for publication) D1_Protocol synopsis_ESP V3 03 02 2026 2024-513366-18-00 limpia 3

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-04 Spain Acceptable
2024-09-09
2024-09-09
2 SUBSTANTIAL MODIFICATION SM-1 2026-02-04 Spain Acceptable
2026-03-26
2026-04-10