Study of the genetic, viral and immune response characteristics of a group of patients infected with the AIDS virus treated early and then subjected to suspension of antiretroviral therapy to define biological markers predicting the control of virus replication after pharmacological treatment

2024-515419-24-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 27 Apr 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 100
Countries 1
Sites 1

HIV-1 positive subjects treated with effective antiretroviral therapy during the acute phase of HIV-1 infection

Step 1: Investigate a set of immune-genetic and viroimmunologic biomarkers that might be useful to individuate PTC Step 2: Validate the Predictive Algorithms of PTC

Key facts

Sponsor
Ospedale San Raffaele S.r.l.
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
27 Apr 2022 → ongoing
Decision date (initial)
2024-07-15
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-515419-24-00
EudraCT number
2020-006102-23

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy, Pharmacoeconomic, Efficacy

Step 1: Investigate a set of immune-genetic and viroimmunologic biomarkers that
might be useful to individuate PTC
Step 2: Validate the Predictive Algorithms of PTC

Conditions and MedDRA coding

HIV-1 positive subjects treated with effective antiretroviral therapy during the acute phase of HIV-1 infection

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Male or female, aged 18-60 years
  2. Confirmed HIV-1 seropositive documented
  3. ART commenced during primary HIV infection, as defined by Fiebig stage
  4. Plasma HIV-RNA < 50 copies/ml for at least 24 months
  5. CD4+ T cell count > 350 cells/mm3 at the last routine follow-up visit
  6. No new AIDS-defining diagnosis or progression of HIV-related disease
  7. Able to adhere to an effective ART regimen for the duration of the study
  8. Willing and able to give written informed consent for participation in the study

Exclusion criteria 5

  1. Confirmed HIV-2 seropositive
  2. Women who are pregnant
  3. History of systemic cancer, such as Kaposi’s sarcoma and lymphoma, or other virusassociated malignancies and/or history of AIDS-defining illness according to Centers for Disease Control and Prevention criteria
  4. Active or chronic hepatitis B virus infection, with detectable hepatitis B surface antigen, hepatitis B virus DNA, or both active and chronic hepatitis C virus infection, with detectable virus RNA, and syphilis
  5. Only Step 2 Naso-pharyngeal swab positive for SARS-CoV-2

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Step 1: To complete the immune-virologic and immune-genetic profiling of volunteers enrolled in the study and perform all the statistical analysis within the time frame proposed (21 months) before the beginning of the MAP cohort recruitment
  2. Step 2: Proportion of participants who controlled viremia counts (<50%) and maintained a stable CD4 T-cell count = 350 cells/μl for all the follow-up (6 months) (no CD4 significant drop)

Investigational products

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

Test 1

Rilpivirine

SCP30429906 · ATC

Active substance
Rilpivirine
Substance synonyms
TMC278
Route of administration
ORAL USE
Max daily dose
50 mg milligram(s)
Max total dose
50 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J05AR21 — DOLUTEGRAVIR AND RILPIVIRINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Ospedale San Raffaele S.r.l.

Sponsor organisation
Ospedale San Raffaele S.r.l.
Address
Via Olgettina 60
City
Milan
Postcode
20132
Country
Italy

Scientific contact point

Organisation
Ospedale San Raffaele S.r.l.
Contact name
Antonella Catsagna

Public contact point

Organisation
Ospedale San Raffaele S.r.l.
Contact name
Antonella Catsagna

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 100 1
Rest of world 0

Investigational sites

Italy

1 site · Ongoing, recruiting
Ospedale San Raffaele S.r.l.
Unit of Infectious Diseases, Via Olgettina 60, 20132, Milan

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2022-04-27 2022-04-27

Results and documents

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

Documents 7 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-514580-26-00_Redacted 2.0
Recruitment arrangements (for publication) Blank document_ not required under directive 1
Subject information and informed consent form (for publication) L1_ICF_adults_A_Redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_adults_A-OS_Redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_adults_privacy_Redacted 2.0
Subject information and informed consent form (for publication) L1_ICF_genetica_Redacted 2.0
Summary of Product Characteristics (SmPC) (for publication) E1_IB_JULUCA 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-25 Italy Acceptable
2024-07-10
2024-07-15