To evaluate the effect of early viral reactivation by latency reversing agents (LRA) and/or administration of potent broadly neutralizing antibodies (bNAb) on the size of the latent HIV-1 reservoir in treatment naïve HIV-1 patients initiating antiretroviral therapy (ART)
The study will be conducted among ART naïve HIV-1-infected patients. Subjects will continue ART while receiving LRA romidepsin and/or bNAb 3BNC117.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
5mg/m2 romidepsin will be administered IV on days 10, 17, and 24 after initiating ART
30 mg/kg 3BNC117 will be administered IV on day 7 and 21 after initiating ART
Combination antiretroviral therapy
Department of Infectious Diseases
Aalborg, Denmark
Dept. of Infectious Diseases, Aarhus University Hospital
Aarhus, Denmark
Department of Infectious Diseases
Copenhagen, Denmark
Department of Infectious Diseases
Hvidovre, Denmark
Plasma HIV RNA kinetics
Time to undetectable (\<20 c/mL)
Time frame: 3 months
Quantification of the size of the proviral HIV reservoir
Copies of total HIV-1 DNA per 10⁶ CD4+ T cells as measured by digital droplet PCR
Time frame: 1 year
Time to viral rebound during ATI
Days from stopping ART to plasma HIV RNA \>5,000 on two consecutive measurements
Time frame: 12 weeks
Incidence of treatment emerging events (Safety and tolerability)
Frequence and severity of adverse events (AE), adverse reactions (AR), serious adverse events (SAE), serious adverse reactions (SAR) and suspected unexpected serious adverse reactions (SUSAR).
Time frame: 1 year
Quantification of the intact proviral DNA
Intact HIV-1 DNA in CD4+ T cells (copies per million cells) as measured by dd-PCR.
Time frame: 1 year
Quantification of HIV mRNA and/or p24 positive cells
Frequency of mRNA/p24 postive per 1 million CD4+ T cells by FISH-flow
Time frame: 30 days from study entry
Immune reconstitution
Absolute CD4+ and CD8+ T cell count
Time frame: 1 year
Analytic treatment interruption (ATI) study
Time to first plasma HIV RNA \>5000 c/mL
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Department of Infectious Diseases
Odense, Denmark
Guy's and St Thomas'
London, United Kingdom
Imperial College Healthcare NHS Trust
London, United Kingdom
Time frame: 64 weeks
Impact of pre-ART virus sensitivity to 3BNC117 on ATI outcomes
3BNC117 sensitivity determined by PhenoSense and/or HIV env sequencing
Time frame: Baseline and at viral rebound
T cell mediated HIV specific immunity
T cell immunity as determined by the HIV AIM assay
Time frame: First of 365 days