A Proof of Concept Study to Evaluate the Effect of UB-421 in Combination With Chidamide on HIV Viral Reservoir

United BioPharma

Status and phase: Not yet enrolling; Phase 2

Conditions: HIV-1-infection

Treatments: Other: UB-421+chidamide; Biological: UB-421

Study type: Interventional

Funder types: Industry

Identifiers

NCT04985890

UBP-A230-HIV

Details and patient eligibility

About

• To assess the impact of UB-421 and chidamide in changing HIV-1 viral reservoir profile among HIV-1 suppressed patients who undergo short-term ART interruption.
• To evaluate the safety and tolerability of UB-421 combined with chidamide among HIV-1 suppressed patients who undergo short-term ART interruption.

Enrollment: 20 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Subjects are eligible to be included in the study only if ALL of the following criteria apply:

1. HIV-1 sero-positive, with documented HIV-1 infection by official, signed, written history.
2. Male with body weight ≥ 50 kg or female with body weight ≥ 45 kg, aged 18 years or older.
3. Have been receiving at least (≧) 2 nucleoside/ nucleotide reverse transcriptase inhibitors (NRTI) plus one non-nucleoside reverse transcriptase inhibitor (NNRTI), protease inhibitor (PI, either boosted or un-boosted), integrase strand transfer inhibitor (INSTI) or entry inhibitor (EI) for more than 1 years.
4. Have more than 2 different alternative options of optimized ART regimen.
5. HIV-1 plasma viral load (VL) level well suppressed below 50 RNA copies/mL for at least (≧) 12 months.
6. No breastfeeding or pregnancy for women.
7. Both male and female patients and their partners of childbearing potential must agree to use 2 medically accepted methods of contraception (eg, barrier contraceptives [male condom, female condom, or diaphragm with a spermicidal gel], hormonal contraceptives [implants, injectable, combinational oral contraceptives, transdermal patches, or contraceptive rings], and intrauterine devices) during the course of the study (excluding women who are not of childbearing potential and men who have been sterilized). Females of childbearing potential must have a negative serum pregnancy test.
8. Subjects must sign the informed consent before undergoing any study procedures.

Exclusion criteria

Subjects meeting ANY of the following criteria will be excluded from the study:

1. Subjects with active systemic infections, except for HIV-1, that the investigator feels the infections may confound evaluation and treatment for HIV-1.
2. Any acquired AIDS-defining illness such as non-Hodgkin's lymphoma or Kaposi's sarcoma according to the U.S. Centers for Disease Control and Prevention Classification System for HIV-1 Infection within the past 12 months .
3. Any documented CD4+ T cell count < 200 cells/mm3 within the past 12 weeks .
4. Any exposure to a monoclonal antibody within the past 12 weeks.
5. Any significant diseases (other than HIV-1 infection) or clinically significant findings, that, in the Investigator's opinion, would preclude the subject from well participation or confound the assessment of study objectives.
6. Current receiving treatment regimen for Diabetes, hepatitis B, hepatitis C, or latent tuberculosis.
7. History of anaphylaxis to any monoclonal antibodies or HDAC inhibitor agents.
8. Received blood transfusion or hematopoietic growth factor treatment, any vaccine, or a compound with HDAC inhibitor activity (such as valproic acid) recently.
9. Use of immunomodulators, HIV vaccine, or systemic chemotherapy within 180 days prior to V1.
10. More than one change of ART regimen because of the inability to achieve or maintain suppression of viral replication to an HIV-1 RNA level < 200 copies/mL within the past 12 months
11. Receipt of any other investigational study agent(s) within 90 days.
12. Experienced urticaria in recent 6 months or ongoing or unresolved skin problems with rash-like symptoms .

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 2 patient groups

UB-421 monotherapy

Experimental group

Description:

Subjects will receive 10 mg/kg UB-421 weekly infusion for 8 weeks.

Treatment:

Biological: UB-421

UB-421 + chidamide combination therapy

Experimental group

Description:

Subjects will receive 10 mg/kg UB-421 weekly infusion and 10 mg chidamide twice a week administration for 8weeks.

Treatment:

Other: UB-421+chidamide