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. 2016 Oct 7;3(4):ofw189. doi: 10.1093/ofid/ofw189

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.