HIV Infection
Conditions
Keywords
HIV infection, AIDS Vaccines, ALVAC vaccine, Interleukin-2, Antiretroviral Therapy, Highly Active
Brief summary
HIV-specific immune responses are preserved in patients treated early during primary infection.The trial evaluated whether the addition to HAART of IL-2 alone or combined with an immunization procedure might enhance HIV immune responses and improve viral control after HAART discontinuation
Detailed description
HIV-specific immune responses are preserved in patients treated early during primary infection. The trial evaluated whether the addition to HAART of IL-2 alone or combined with an immunization procedure might enhance HIV immune responses and improve viral control after HAART discontinuation.Patients treated with HAART are randomized to 3 arms:arm1 HAART alone; arm2 with 5 cycles of IL-2 at wk0 ,8 ,16 ,24 and 32;arm3 4 injections of Alvac-HIV 1433 and LIPO-6T at wk0,4,8 followed by 3 cycles of IL-2 at w 16, 24 and 32. HAART is stopped at wk 40 in patient with undetectable plasma viral load. Viral loads and HIV-specific responses are monitored during the therapeutic period and after HAART interruption until w52. HAARTis rei-initiated with viral failure.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* History of symptomatic HIV primary infection with p24 positive or incomplete Western Blot * Treatment beginning before 4W after the first primary infection serology * HAART with IP or NNRTI since one year, wtih no change since 3 months * Viral load below 50 cp since 6 months * PN over 1000/mm3;Hb over 10.5g/l;Platelets over 75000/mm3, creatinine below 1.5N; transaminases below 2.5N
Exclusion criteria
* Vaccination or chemotherapy or corticosteroid since 3 months * Evolutive cancer * pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evolution of CD4-CD8 non specific and HIV specific cells, vaccinal peptids and viral load with DNA proviral at W36 | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety of IL-2, ALVAC and LIPO-6T | — |
| Tolerability of HAART | — |
| Kinetic of viral load rebound with frequency and delay of cv over 10 000 cp and 50 000 cp | — |
| Evolution on immune response and predictive value of immunologic parameters on viral load | — |