Immunomodulation Using VB-201 to Reduce Arterial Inflammation in Treated HIV - VITAL HIV Trial

Priscilla Hsue, MD

Status and phase

Withdrawn

Phase 2

Phase 1

Conditions

Inflammation

HIV Infection

Cardiovascular Disease

Treatments

Drug: VB-201

Drug: Placebo

Study type

Interventional

Funder types

Other

Identifiers

NCT04939311

VITAL HIV

Details and patient eligibility

About

This study is a double blinded, placebo-controlled, randomized, parallel group study, designed to compare the efficacy and safety of VB-201 80mg taken orally once daily to placebo for anti-inflammation in HIV-infected subjects.

Sex

All

Ages

40 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Documented HIV infection
On continuous antiretroviral therapy and virologically suppressed HIV infection for ≥12 weeks prior to study entry
CD4 T-cell count > 350 cells/mm3
Male or female between the ages ≥ 40 years of age to <≤75
Documented cardiovascular disease (1. Prior myocardial infarction, 2. History of percutaneous coronary intervention, 3. History of coronary artery bypass graft OR 4. Angiographic evidence of >50% stenosis in at least one coronary artery] OR 1 CVD risk factor (T2DM, current smoking, hypertension, dyslipidemia, hsCRP≥2mg/L, family history)
TBR of >1.6 of the MDS of the carotid/aorta at baseline. This baseline arterial TBR cutoff excludes the rare individual that lacks appreciable arterial inflammation. It is notable that while 5-10% of uninfected individuals will have lower TBRs, it is rare that an HIV infected individual will fall below this range.
Female subjects must either be of non-childbearing potential as defined by menopause with amenorrhea for >2 years, bilateral oophorectomy, or agree to use adequate contraception throughout the study and for at least one month following termination and have a negative pregnancy test at screening prior to the first dose of drug.
Males must use at least one method of contraception throughout the study.

Exclusion criteria

Pregnant/nursing women
Uncontrolled hypertension or diabetes requiring insulin
AST/ALT or alkaline phosphatase >2x ULN
Cancer within the last 5 years with exception of squamous cell carcinoma and basal cell carcinoma
Nephrotic syndrome or eGFR <60 mL/min/1.73m2
Cytopenias which include 1) WBC <3.5 x103/uL 2) Platelet <120 x103/uL 3) ANC <1.5 x103/uL, and absolute lymphocytes <0.8 x 103/uL
Anemia as fined by <10 g/dL
Evidence of tuberculosis infection at screening within 30 days prior to screening.
Family history of long QT syndrome, using medication that prolongs QT internal, OR evidence of prolonged QT of >470 msec as evidenced by ECG
Acute systemic infection within 30 days
On additional immunosuppressant or immunomodulatory therapies