Table 1.
Clinical Trials of Latency Reversing Agents in HIV-1 Infection
No. | Clinical Trials | Agent 1 | Agent 2 | Dosing 1 | Dosing 2 | Inclusion Criteria | N | Arms | Design | Follow-up | ATI | HIV outcome | Status | Completion |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | NCT01319383 | Vorinostat | ChAdV63.HIVconsv + MVA.HIVconsv | 400 mg/d | — | ART > 18 mo, VL < 50 cp/mL for 24 wks, CD4 > 300/µL | 30 | 1 arm, Step I - VOR single dose twice, Step II - VOR for 3 consecutive days/week (8 wks) | Phase I/II single group open label | 15 wks | N | CA-RNA | Recruiting | 2016 |
2 |
NCT02336074 RIVER |
Vorinostat | ChAdV63.HIVconsv + MVA.HIVconsv | 10 × 400 mg/d × 28 d starting W32 | 5 × 1010vp W24 Boost 2 × 108vp W32 |
PHI (diagnosis < 4 wks) RT naive |
52 | 2 arms: ART only/ART interruption for vaccine-boost and VOR | Phase II multicenter randomized controlled open label | 42 wks | N | CA-RNA, CA-DNA, SCA-VL, QVOA | Pre-enrollment | 2017 |
3 | VOR VAX | Vorinostat | AGS-004 DC therapy | 10 × 400 mg | 4 injections×2 cycles | ART > 6 mo, RNA < 50 cp/mL for 2 yrs CD4 > 300/µL | 12 | 1 arm | Phase I single site open label | 10 wks | N | QVOA | Recruiting | 2020 |
4 |
NCT02475915 SEARCH 019 |
Vorinostat | Hydroxychloroquine + Maraviroc | 400 mg/day × 14 d W0, W4, W8 |
200 mg + 150–600 mg/day × 10 wks | ART > 42 wks (started during PHI) VL < 50 cp/mL for 28 wks CD4 > 450/µL | 30 | 2 arms: ART + VHM/ART only | Phase I/II randomized open label | 34 wks | Y | Rebound features, CA-RNA, CA-DNA, 2-LTR | Ongoing | 2016 |
5 |
NCT02471430 ACTIVATE |
Panobinostat | IFN peg alpha2a | 5, 10 or 15 mg D0, D2, D4 |
180 µg SC on D0 | ART > 2 yr, VL < 50 cp/mL for 2 yrs CD4 > 400/µL |
8 | 2 arms: Panobinostat + pegIFNα2a/Panobinostat | Phase I/II, randomized open label | 8 wks | N | CA-RNA, CA-DNA, QVOA, 2-LTR, VL |
Pre-enrollment | 2020 |
6 |
NCT02513901 CHARTER |
Chidamide | — | 10 mg × 2/w for 4 wks or 30 mg × 2/w for 4 wks | — | ART > 18 mo, RNA < 50 for >1 yr CD4 > 350/µL | 12 | 2 arms: Chidamide 10 mg/Chidamide 30 mg | Phase I/II single site open label dose-finding | 8 wks | N | CA-RNA, CA-DNA, VL |
Recruiting | 2015 |
7 |
NCT02092116 REDUC |
Romidepsin | Vacc-4x + rhuGM-CSF | 5 mg/m2 IV weekly for 3 wks | 1.2 mg/0.33 × 106 IU × 6 over 12 wks | ART > 1 yr, RNA < 50 cp/mL for >1 yr CD4 > 500/µL | 26 | 2 arms: RMD safety/RMD + Vacc-4x and ATI | Phase I/II single group open label | 10 + 41 wks | Y | Rebound features, CA-RNA, CA-DNA, QVOA, VL, anti-HIV responses | Ongoing | 2015 |
8 | NCT01933594 | Romidepsin | — | 0.5 or 2 or 5 mg/m2 | — | ART (EFV, RAL or DTG) VL < 50 cp/mL for >1 yr, SCA-VL > 0.4 cp/mL at screening, CD4 > 300/µL |
45 | 6 arms: RMD or placebo × 3 dosing | Phase I/II, multicenter placebo- controlled randomized double-blind, dose-finding | 4 wks | N | CA-RNA, SCA-VL |
Recruiting | 2016 |
9 |
NCT02616874 BCN02-ROMI |
Romidepsin | MVA.HIVconsv vaccine | 5 mg/m2: W3, W4, W5 | 108 pfu: W0 + W9 | Subjects from ChAd-MVA.HIVconsv_BCN01 study + BCN01-RO extension study, ART with RAL or DTG, VL < 50 cp/mL for 3 yrs, CD4 > 500/µL | 24 | 1 arm | Phase I single group open label | 52 wks | Y | Rebound features, CA-RNA, CA-DNA, SCA-VL, VL | Pre-enrollment | 2017 |
10 | RV 438 | Romidepsin | 3BNC117 Ab | 5 mg/m2: W0, W1, W12, W13 | 30 mg/kg: W0, W12, W24, W27 | ART > 2 yrs started during PHI VL < 50 cp/mL, CD4 > 400/µL | 42 | 4 arms: RMD + 3BNC117/RMD only/3BNC117 only/no intervention | Phase II randomized open label | 78 wks | Y | Control <50 cp/mL, rebound features, reservoir markers | Pre-enrollment | |
11 |
NCT02269605 BRYOLAT |
Bryostatin | — | 10 or 20 µg/m2 | — | ART > 2 yrs, VL < LOD, CD4 > 350/µL | 12 | 3 arms: Bryostatin 10 µg/m2 or 20 µg/m2 or placebo | Phase I randomized placebo-controlled double-blind dose-finding | 4 wks | N | CA-RNA, VL, 2-LTR |
Completed | 2015 |
12 | NCT02531295 | Euphorbia kansui | — | Tea: 1 g extract powder in 4 fl oz boiled water, daily | — | ART > 3 yrs, VL < 40 cp/mL for 3 yrs, CD4 > 350/µL | 9 | 3 arms: daily tea for 1, 2 or 3 d | Phase I single group open label | 4 wks | N | CA-RNA, VL, T-cell activation |
Pre-enrollment | 2016 |
13 | ANRS VRI04 DALIA2 |
rhIL7 | HIV-Lipo5 DC therapy | 20 µg/kg: W0 W1 W2 or W4 W8 W12 W16 | 30 × 106 DCs: W4 W8 W12 W16 | ART > 12 mo, VL < 50 > 6 mo, CD4 > 500/µL | 80 | 4 arms of 20: DC vaccine/DC + IL7/IL7 before DC/IL7 | Phase II multicenter randomized open-label | 96 wks | N | CA-DNA in blood and rectal biopsies | Pre-enrollment | 2020 |
14 | — | GS-9620 | — | — | Phase I | |||||||||
15 |
NCT02443935 TEACH |
MGN1703 | — | 60 mg × 2/w for 4 wks | — | ART > 1 yr, VL < 50 cp/mL CD4 > 350/µL |
16 | 1 arm | Phase I/II open label 2 centers | 12 wks | N | CA-RNA, CA-DNA, VL |
Ongoing | 2017 |
16 | NCT02071095 | Poly-ICLC | — | 1.4 mg: D1, D2 | — | ART > 48 wks, VL < 50 cp/mL for 48 wks, baseline CA-RNA >10 cp/µg RNA, CD4 > 500/µL | 15 | 2 arms: Poly-ICLC (n = 15)/placebo saline injection (n = 5) | Phase I/II placebo-controlled randomized double blind | 48 wks | N | CA-RNA, CA-DNA, VL |
Ongoing | 2016 |
Abbreviations: Ab, antibody; ART, antiretroviral therapy; ATI, analytical treatment interruption; CA-DNA, cell-associated HIV-1 DNA; CA-RNA, cell-associated unspliced HIV-1 RNA; DC, dendritic cell; DNA, deoxyribonucleic acid; DTG, dolutegravir; EFV, efavirenz; GM-CSF, granulocyte-macrophage colony-stimulating factor; HIV, human immunodeficiency virus; IFN, interferon; IL, interleukin; IV, intravenous; peg, pegylated; pfu, plaque-forming units; PHI, primary HIV infection; RAL, raltegravir; QVOA, viral outgrowth assay; rh, recombinant human; RMD, romidepsin; RNA, ribonucleic acid; SCA-VL, single-copy assay ultrasensitive viral load; VL, plasma viral load; VOR, vorinostat; vp, viral particle; 2-LTR, 2-long terminal repeat circles.