RecruitingPhase 2NCT06799650

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


Sponsor

Federal University of São Paulo

Enrollment

40 participants

Start Date

Jan 1, 2025

Study Type

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

Sex: MALEMin Age: 18 YearsMax Age: 50 Years

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

DRUGGammora®

Gammora® SC + Tenofovir/3TC + darunavir+ritonavir


Locations(1)

RDSS

São Paulo, São Paulo, Brazil

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NCT06799650


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