Ignite Creation Date:
2024-05-05 @ 10:00 AM
Last Modification Date:
2024-10-26 @ 9:02 AM
Study NCT ID:
NCT00000667
Status:
COMPLETED
Last Update Posted:
2021-11-03
First Post:
1999-11-02
Brief Title:
A Phase III Dose Escalation Study of Intradermal gp160 to Evaluate Safety Delayed Type Hypersensitivity Skin Test Responses and Immunogenicity in Asymptomatic HIV Seropositive Patients With More Than 400 CD4 Cells
Sponsor:
National Institute of Allergy and Infectious Diseases NIAID
Organization:
National Institute of Allergy and Infectious Diseases NIAID
Study Overview
Official Title:
A Phase III Dose Escalation Study of Intradermal gp160 to Evaluate Safety Delayed Type Hypersensitivity Skin Test Responses and Immunogenicity in Asymptomatic HIV Seropositive Patients With More Than 400 CD4 Cells
Status:
COMPLETED
Status Verified Date:
2021-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To determine the safety of intradermal gp160 in HIV seropositive individuals who are asymptomatic and have a relatively intact immune system To determine whether there is evidence of a delayed-type hypersensitivity DTH response a positive skin test in these patients and also the dose of gp160 that elicits a delayed-type hypersensitivity DTH response Early immunity to HIV may play an important role in the long interval between virus infection and the onset of clinical disease Immune responses have been demonstrated in HIV-infected individuals within weeks to months of infection Although none of these responses has been shown to be protective it is possible that boosting anti-HIV immune responses through immunization may slow the progression of HIV infection DTH responses to HIV-derived recombinant envelope glycoprotein could provide a means of measuring an important immune function in infected patients and serve as an easily measured surrogate marker of cellular immunity In addition to eliciting local cutaneous DTH responses intradermal inoculation of skin test antigens may be immunogenic resulting in new antibody production and cellular immune responses This study allows direct comparison of gp160 administered intradermally with alum-adjuvanted intramuscular preparation with respect to immunogenicity in HIV seropositive patients
Detailed Description:
Early immunity to HIV may play an important role in the long interval between virus infection and the onset of clinical disease Immune responses have been demonstrated in HIV-infected individuals within weeks to months of infection Although none of these responses has been shown to be protective it is possible that boosting anti-HIV immune responses through immunization may slow the progression of HIV infection DTH responses to HIV-derived recombinant envelope glycoprotein could provide a means of measuring an important immune function in infected patients and serve as an easily measured surrogate marker of cellular immunity In addition to eliciting local cutaneous DTH responses intradermal inoculation of skin test antigens may be immunogenic resulting in new antibody production and cellular immune responses This study allows direct comparison of gp160 administered intradermally with alum-adjuvanted intramuscular preparation with respect to immunogenicity in HIV seropositive patients
Each of 10 volunteers is initially injected with the lowest dose of intradermal antigen and the injection site observed at 24 48 and 72 hours Clinical and laboratory evaluations are performed 4 and 8 weeks after inoculation If there is not delayed-type hypersensitivity DTH response to the lowest dose patients are retested at the next dose 8 weeks later and dose escalation is continued at 8-week intervals until 1 there is a DTH response to gp160 or 2 the maximum anticipated dose is reached In any individual a higher dosage is administered only if there is no evidence of DTH response Patients with a DTH may continue to receive booster injections of gp160 at 3 month intervals up to week 70 Patients with an immune response but no DTH may continue to receive injections for an additional year A second group of 10 asymptomatic individuals are recruited and inoculated with the dose found to bring about either a DTH or lymphocyte proliferative response in 7 of the 10 patients in the first group If the second group confirms the results of the initial group the study is amended to include patients with AIDS-related complex ARC and AIDS
Each of 10 volunteers is initially injected with the lowest dose of intradermal antigen and the injection site observed at 24 48 and 72 hours Clinical and laboratory evaluations are performed 4 and 8 weeks after inoculation If there is not delayed-type hypersensitivity DTH response to the lowest dose patients are retested at the next dose 8 weeks later and dose escalation is continued at 8-week intervals until 1 there is a DTH response to gp160 or 2 the maximum anticipated dose is reached In any individual a higher dosage is administered only if there is no evidence of DTH response Patients with a DTH may continue to receive booster injections of gp160 at 3 month intervals up to week 70 Patients with an immune response but no DTH may continue to receive injections for an additional year A second group of 10 asymptomatic individuals are recruited and inoculated with the dose found to bring about either a DTH or lymphocyte proliferative response in 7 of the 10 patients in the first group If the second group confirms the results of the initial group the study is amended to include patients with AIDS-related complex ARC and AIDS
Study Oversight
Has Oversight DMC:
Is a FDA Regulated Drug?:
Is a FDA Regulated Device?:
Is an Unapproved Device?:
Is a PPSD?:
Is a US Export?:
Is an FDA AA801 Violation?:
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 11123 | REGISTRY | DAIDS ES Registry Number | None |