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. 2022 Mar 11;14(3):581. doi: 10.3390/v14030581

Table 3.

Summary of therapeutic effects of IC blockers in HIV-infected patients.

Reference IC blocker Target Objective Treatment Outcomes
Oscar Blanch-Lombarte [78] Pembrolizumab PD-1 ART HIV-1-infected individual with metastatic melanoma Pembrolizumab (2 mg/kg/3 weeks)
  • Enhances HIV-1 specific-CD8+ T cell function.

  • Reduces HIV DNA transiently.

Vanessa A Evans [67] Nivolumab PD-1 ART HIV-infected individual with metastatic melanoma Single intravenous infusion of
nivolumab (3 mg/kg)
  • Increases cell-associated HIV RNA in CD4+ T cells.

  • No change of HIV DNA or plasma HIV RNA.

Jillian S.Y. Lau [79] Nivolumab Ipilimumab PD-1
CTLA-4
ART HIV-infected individual with metastatic melanoma Ipilimumab (1 mg/kg/3 weeks) and
Nivolumab (3 mg/kg/3 weeks)
  • Increases cell-associated unspliced HIV RNA.

  • Increases HIV-specific central and effector memory CD8+ T cell function.

  • No consistent change of HIV DNA or the proportion of cells with inducible MS HIV RNA.

Fiona Wightman [77] Ipilimumab CTLA-4 ART HIV-infected individual with metastatic melanoma Ipilimumab (3 mg/kg, four doses/3 week)
  • No change in plasma HIV RNA overall.

  • Decreases plasma HIV RNA, increases CD4 T cell/CD8 T cell counts and enhances CD4+ T cell activation cyclically following each ipilimumab infusion.

  • Increases cell-associated unspliced HIV RNA following the first and second infusions.

A Guihot [80] Nivolumab PD-1 ART HIV-infected individual with NSCLC Nivolumab (15 injections/14 days)
  • Increases plasma HIV RNA transiently.

  • Restores HIV Nef specific CD8+ T cells function.

  • Diminishes HIV reservoir.

M Hentrich [81] Nivolumab PD-1 ART HIV-infected individual with NSCLC Chemoradiotherapy and surgical resection
Nivolumab (3 mg/kg)
  • Decreases CD4 T cell counts.

  • HIV-RNA remains undetectable.

  • Slows progressive disease.

Brennan McCullar [82] Nivolumab PD-1 ART HIV-infected individual with NSCLC One cycle of carboplatin/paclitaxel
Definitive chemo-radiation with cisplatin and etoposide
Start nivolumab
  • CD4 T cell counts remain stable.

  • Viral load remains undetectable.

Gwenaëlle Le Garff [83] Nivolumab PD-1 ART HIV-infected individual with NSCLC Decompressive radiotherapy
Six cisplatin/gemcitabine and four Taxotere chemotherapy treatments
Start nivolumab
  • HIV viral load remains undetectable.

  • CD4 T cell and CD8 T cell counts transiently increased.

  • HIV-specific IFN-γ+ CD8+ T cells slightly increased.

  • Almost no change in HIV replication or reservoirs.

E P Scully [84] Nivolumab Pembrolizumab PD-1 ART HIV-1-infected individuals with malignancies Nivolumab (participant 1 with head and neck SCC, standard dosing, for 18 months)
Nivolumab (participant 2 with head and neck SCC, four doses)
Pembrolizumab (participant 3 with squamous cell carcinoma of the skin)
  • No consistent change in CD4 T cell counts or CD4+ T cell cell-associated HIV-1 RNA/DNA or plasma virus load.

  • No change in HIV-1 Gag specific T cell responses.

Neil J Shah [85] Nivolumab, Pembrolizumab, Atezolizumab, Durvalumab and Avelumab PD-1/PD-L1 HIV-infected individuals with advanced-stage
cancers
Anti-PD-(L)1 monotherapy or anti-PD-(L)1 monotherapy combined with chemotherapy
  • No change in HIV viral load or CD4 T cell counts.

  • Toxicity and efficacy rates are similar to those observed in patients without HIV.

Thomas A. Rasmussen [86] Nivolumab Ipilimumab PD-1
CTLA-4
ART HIV-infected individual with advanced malignancies Nivolumab (240 mg every 2 weeks) in combination with ipilimumab (1 mg/kg every 6 weeks)
  • Increases cell-associated unspliced HIV RNA.

  • Eliminates cells containing replication-competent HIV.

Cynthia L Gay [89] BMS-936559 PD-L1 ART HIV-1-infected adults Single infusions of BMS-936559 (0.3 mg/kg)
  • Increases HIV-1 Gag-specific CD8+ responses.

  • CD4 T cell counts remain unchanged.

  • No consistent change in HIV-1 DNA or RNA/DNA ratio.

Elizabeth Colston [88] Ipilimumab CTLA-4 Chronic HIV-1
-infected individuals
Ipilimumab, 0.1, 1, or 3 mg/kg, two doses every 28 days; or 5 mg/kg, four doses every 28 days
  • Decreases plasma HIV-1 RNA of two patients treated with 0.1 mg/kg and 1 mg/kg ipilimumab.

  • Increases plasma HIV-1 RNA in 14 patients treated with 3 or 5 mg/kg ipilimumab.

  • No change in CD4 and CD8 T cell counts.