It is becoming clear that a combination of interventions will be desirable to achieve HIV cure. Therefore the investigators propose a pilot proof of concept study, using combination of a number of different interventions for eradicating residual plasma viremia and decreasing HIV reservoirs. The investigators hypothesize that, (i) antiretroviral intensification using Maraviroc, and/or dolutegravir with (ii) Dendritic Cell vaccination using autologous HIV, and (iii) purging intervention using the Class III HDACs, Sirtuin-1, and (iv) decreasing the ratio of long-lived central memory (TCM)/transitional memory (TTM) CD4+ T-cells using Auranofin will provide a synergistic impact leading to a sterilizing cure of HIV infection. Results of this study may provide insightful evidence for planning the next steps using the more efficacious combination of intervention strategies towards HIV sterilizing cure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
antiretroviral intensification
antiretroviral intensification
Therapeutic vaccination
purging
latency disruption
CCDI
São Paulo, São Paulo, Brazil
Ultrasensitive RNA Viral load,
Time frame: from baseline and every 4 weeks up to 48 weeks.
Cell-associated HIV RNA
Time frame: from baseline and every 4 weeks up to 48 weeks.
Episomal DNA
Time frame: from baseline and every 4 weeks up to 48 weeks
specific HIV antibodies
Time frame: from baseline and every 4 weeks up to 48 weeks
CD38 and HLA-DR on CD4 and CD8+ cells
Time frame: from baseline and every 4 weeks up to 48 weeks
PBMC for env sequence evolution
Time frame: from baseline and every 4 weeks up to 48 weeks
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