Clinical Trial of Gammora® Plus Antiretroviral Treatment for HIV
Clinical Study to Evaluate the Efficacy and Safety of Gammora® in Addition to Standard Antiretroviral Treatment for HIV Infection in Antiretroviral Treatment-Naïve Participants
Federal University of São Paulo
40 participants
Jan 1, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this phase II, open-label, randomized, controlled clinical trial is to evaluate the impact of Gammora®, a 16-mer HIV integrase-derived peptide associated with a boosted darunavir antiretroviral regimen compared Gammora® arm) to a boosted darunavir antiretroviral regimen only (control arm) in the estimated HIV reservoir among antiretroviral naïve people living with HIV. The main questions it aims to answer are: 1. Will the proviral (total) HIV-1 DNA decrease rapidly in the Gammora® arm compared to the control arm? 2. Will the apoptosis markers evaluated in the CD4+ T cell by flow cytometry increase in the Gammora® arm compared to the control arm? Forty antiretroviral naïve viremic people with HIV with CD4+ T cell counts \>350 cells/mL will be randomized to receive 20 mg of Gammora® in 2mL SC solution plus Tenofovir/3TC and Darunavir 800mg+Ritonavir 100mg (Gammora® arm) or antiretroviral only (control arm). In the Gammora® arm, participants had a 2-week Gammora® monotherapy lead-in period with Gammora® given daily before antiretroviral treatment is started, followed by 12 weeks of antiretroviral therapy plus Gammora® given every other day. The first two weeks of the trial (lead-in period for the Gammora® arm) were labeled w-2 and w-1 for both groups, and blood samples were collected for both groups. w0 denotes the week ART was started in both arms.
Eligibility
Inclusion Criteria6
- Confirmed HIV infection;
- Antiretroviral naive;
- HIV Viral load \> 1.000;
- CD4+ T cell counts \>350 cells/mm3;
- Body weight \> 50 Kg;
- Signed informed consent form.
Exclusion Criteria9
- BMI \< 18.5 kg/m2 at screening;
- Coinfection with HBV (HBsAg +) or HCV;
- Any significant acute illness within one week before the first visit.
- Use of any immunomodulatory therapy (including interferon), systemic steroids, or systemic chemotherapy within four weeks before screening;
- Active malignancy or malignancy in follow-up.
- Changes in safety tests: neutrophil count \< 1,000 u/L; Hb \< 9.0 gm/dl; platelet count \< 75,000 u/L; creatinine \> 1.5 mg/dl, direct bilirubin \> 85 μmol/L, AST or ALT \> 2.5 X UNL;
- Potential allergy or hypersensitivity to the components of the Gammora® formulation.
- Participation in another clinical trial within 12 months before screening.
- Any medical condition that makes the participant unsuitable for the study or increases the risk of participation at the investigator's discretion.
Interventions
Gammora® SC + Tenofovir/3TC + darunavir+ritonavir
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06799650