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Safety and Efficacy of Sirolimus for HIV Reservoir Reduction in Individuals on Suppressive Antiretroviral Therapy (ART)

Safety and Efficacy of Sirolimus for HIV Reservoir Reduction in Individuals on Suppressive Antiretroviral Therapy

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02440789
Enrollment
32
Registered
2015-05-12
Start date
2015-12-21
Completion date
2018-02-01
Last updated
2021-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV-1 Infection

Brief summary

The purpose of this study was to find out about the safety of sirolimus in individuals with HIV infection who were also being treated with ART. The investigators wanted to learn whether sirolimus decreases inflammation and immune activation in the body; whether sirolimus changes the level of HIV in the participants' blood; and how sirolimus interacts with ART in the blood. Sirolimus is approved by the Food and Drug Administration (FDA) to prevent organ rejection in patients aged 13 years and older receiving kidney transplants. Sirolimus had also been used for the prevention of complications after stem cell transplants and as a treatment for certain kinds of cancers in HIV-infected patients.

Detailed description

The study was conducted with an initial lead-in period of 12 weeks where participants remained on ART, without study intervention. Samples were collected to define the pre-intervention steady-state of HIV, inflammation and immune activation parameters. At week 12, sirolimus therapy was initiated for the planned 20 weeks of treatment. In order to achieve therapeutic levels, sirolimus therapy was initiated with lead-in dose of 0.025 or 0.05 mg/kg/day, depending on the ART regimen. Doses for each participant were then adjusted, based on trough blood sirolimus concentrations, to achieve target concentrations between 5 and 10 ng/mL. There were frequent initial visits for sirolimus trough concentration monitoring and potential dose adjustments, at weeks 12.5, 13, 13.5, 14, 14.5, 15, 15.5 and 16. Then visits occurred at weeks 18, 20, 24, 28 and 32. After the week 32 visit, the planned end of study treatment, there was an additional 12 weeks of post-sirolimus follow-up, with a final visit at week 44. Study visits included physical examinations, clinical assessments, safety monitoring, and blood and oral swab collection. Anal swabs were collected at week 12 and 32. Samples were stored for subsequent protocol testing for the study outcomes. In the primary analysis, the significance level was 0.05 for all analyses.

Interventions

DRUGSirolimus

Participants on a non-protease inhibitor (PI), non-non-nucleoside reverse transcriptase inhibitor (NNRTI) regimen, and for those on a non-PI, rilpivirine (RPV) based regimen received 0.025 mg/kg/day initial dose for 20 weeks. Participants on an NNRTI regimen with the exception of RPV received 0.05 mg/kg/day initial dose for 20 weeks.

Sponsors

National Institute of Allergy and Infectious Diseases (NIAID)
CollaboratorNIH
Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections
Lead SponsorNETWORK

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* HIV-1 infection * On continuous ART for ≥24 months prior to study entry. * CD4+ cell count ≥350 cells/mm\^3 * Plasma HIV-1 RNA below the level of quantification for ≥24 months. * White blood cell (WBC) ≥3000/mm\^3 * Platelet count ≥125,000/mm\^3 * Absolute neutrophil count (ANC) \>1300/mm\^3 * Aspartate aminotransferase (AST) \<1.25 x upper limit of normal (ULN) * Alanine aminotransferase (ALT) \<1.25 x ULN * Calculated creatinine clearance (CrCl) ≥60 mL/min * Fasting or non-fasting triglyceride level ≤350 mg/dL * Fasting or non-fasting LDL \<160 mg/dL * Urine protein to urine creatinine ratio ≤1 g/g from random urine collection

Exclusion criteria

* Serious illness requiring systemic treatment and/or hospitalization * Documentation of any CDC Category C AIDS-indicator condition or oropharyngeal candidiasis (thrush) * Intended modification of ART during the study. * Latent tuberculosis (TB) infection * TB disease within 48 weeks prior to study entry requiring treatment. * History of active hepatitis B (HBV) infection. * Hepatitis C virus (HCV) RNA-positive * Previous myelodysplasia syndrome, lymphoproliferative disease, lung disease, malignancies, congestive heart failure, life-threatening fungal infection or herpes-zoster/varicella-zoster viral infection requiring treatment. * Detectable Epstein-Barr virus (EBV) in blood * Active infection other than HIV that required receipt of systemic antibiotic therapy by intravenous infusion * History of major hypersensitivity reaction to macrolide drugs including angioedema, anaphylaxis, drug-induced dermatitis, or hypersensitivity vasculitis. * Currently pregnant or breastfeeding, or planning to become pregnant prior to or during the study. * Use of immunomodulators (eg, interleukins, interferons, and cyclosporine), HIV vaccine, systemic cytotoxic chemotherapy, or investigational therapy. * Active drug or alcohol use or dependence * Vaccination within 14 days prior to study entry. * On or planned to change to a PI-based ART or cobicistat-boosted regimen * Anti-human papillomavirus (HPV) therapies

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Who Met the Study-defined Composite Safety EndpointScreening to study week 32 (week 20 of Sirolimus)The study-defined primary safety endpoint was a composite endpoint. A participant was considered to have met the endpoint if the participant 1) experienced a new Grade ≥3 Adverse Event (AE), including signs/symptoms, lab toxicity or clinical event, that was definitely, probably or possibly related to study treatment, as judged by the core team, or 2) had a change in CD4+ cell count ( confirmed \>50% decline or to \<300 cells/mm3) while on sirolimus. The screening visit occurred within 60 days of study entry.
Efficacy - Immunologic: Frequency of HIV-1 Gag-specific CD8+ T-cells by Intracellular Staining for IFN-gammaAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Frequency of HIV-1 Gag-specific CD8+ T-cells by intracellular staining for IFN-gamma. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Efficacy - Immunologic: Change in HIV-1 Gag-specific CD8+ T-cells by Intracellular Staining for IFN-gammaAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in HIV-1 Gag-specific CD8+ T-cells by intracellular staining for IFN-gamma (week 32 measurement minus baseline measurement)
Efficacy - Virologic: CD4+ T-cell-associated HIV-1 RNAAt study weeks 0, 12 and 32 (week 20 on Sirolimus)CD4+ T-cell-associated HIV-1 RNA. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Efficacy - Virologic: Change in CD4+ T-cell-associated HIV-1 RNAAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in CD4+ T-cell-associated HIV-1 RNA (week 32 measurement minus baseline measurement)
Efficacy - Virologic: Plasma HIV-1 RNA by SCAAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Plasma HIV-1 RNA by SCA
Efficacy - Virologic: Change in Plasma HIV-1 RNA by SCAAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in plasma HIV-1 RNA by SCA (week 32 measurement minus baseline measurement). Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Secondary

MeasureTime frameDescription
Measurement of HIV-1 Gag-specific CD40L+ CD8+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific CD40L+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific CD40L+ CD8+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific CD40L+ CD8+ T-cells (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific IL-2+ CD8+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific IL-2+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific IL-2+ CD8+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific IL-2+ CD8+ T-cells (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific MIP1B+ CD8+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific MIP1B+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific MIP1B+ CD8+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific MIP1B+ CD8+ T-cells (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cells (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific CD4+ T-cells by intracellular staining for IFN-gamma. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in HIV-1 Gag-specific CD4+ T-cells by intracellular staining for IFN-gamma (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific CD107a+ CD4+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific CD107a+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific CD107a+ CD4+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific CD107a+ CD4+ T-cells (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific CD40L+ CD4+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific CD40L+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific CD40L+ CD4+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific CD40L+ CD4+ T-cells (week 32 measurement minus baseline measurement).
Measurement of HIV-1 Gag-specific IL-2+ CD4+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific IL-2+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific IL-2+ CD4+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific IL-2+ CD4+ T-cells (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific MIP1B+ CD4+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific MIP1B+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific MIP1B+ CD4+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific MIP1B+ CD4+ T-cells (week 32 measurement minus baseline measurement).
Measurement of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cells (week 32 measurement minus baseline measurement).
Measurement of %CD69+ CD4+ T-cellsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Measurement of %CD69+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Measurement of CD4+ T-cell CountsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44CD4+ T-cell counts. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Measurement of %CD69+ CD8+ T-cellsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Measurement of %CD69+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in of %CD69+ CD8+ T-cellsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in of %CD69+ CD8+ T-cells (week 32 measurement minus baseline measurement)
Measurement of %Ki67+ CD4+ T-cellsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Measurement of %Ki67+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in of %Ki67+ CD4+ T-cellsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in of %Ki67+ CD4+ T-cells (week 32 measurement minus baseline measurement).
Measurement of %Ki67+ CD8+ T-cellsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Measurement of %Ki67+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in of %Ki67+ CD8+ T-cellsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in of %Ki67+ CD8+ T-cells (week 32 measurement minus baseline measurement)
Measurement of %PD1+ CD4+ T-cellsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Measurement of %PD1+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in of %PD1+ CD4+ T-cellsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in of %PD1+ CD4+ T-cells (week 32 measurement minus baseline measurement)
Measurement of %PD1+ CD8+ T-cellsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Measurement of %PD1+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in of %PD1+ CD8+ T-cellsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in of %PD1+ CD8+ T-cells (week 32 measurement minus baseline measurement)
Change in of %CD69+ CD4+ T-cellsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in of %CD69+ CD4+ T-cells (week 32 measurement minus baseline measurement).
Change in CD4+ T-cell CountsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in CD4+ T-cell counts (week 32 measurement minus baseline measurement)
Measurement of HIV-1 RNA Levelsweeks 0, 12, (pre-Sirolimus) 16, 24, 32 (4, 12, 20 weeks on Sirolimus) and 44HIV-1 RNA levels by conventional assay
Cell-associated HIV-1 DNA Levels in Total CD4+ CellsAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44HIV-1 DNA levels in CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in Cell-associated HIV-1 DNA Levels in Total CD4+ CellsAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in HIV-1 DNA levels in CD4+ T-cells (week 32 measurement minus baseline measurement)
Measurement of HIV-1 Gag-specific CD107a+ CD8+ T-cell ResponsesAt study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44Frequency of HIV-1 Gag-specific CD107a+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).
Change in HIV-1 Gag-specific CD107a+ CD8+ T-cell ResponsesAt study weeks 0, 12 and 32 (week 20 on Sirolimus)Change in frequency of HIV-1 Gag-specific CD107a+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Countries

United States

Participant flow

Recruitment details

Participants were recruited at 10 Clinical Research Sites (CRSs) in the United States between December 2015 and March 2017.

Participants by arm

ArmCount
Sirolimus
Participants on a non-protease inhibitor (PI), non-non-nucleoside reverse transcriptase inhibitor (NNRTI) regimen, and for those on a non-PI, rilpivirine (RPV) based regimen received 0.025 mg/kg/day initial dose for 20 weeks. Participants on an NNRTI regimen with the exception of RPV received 0.05 mg/kg/day initial dose for 20 weeks. Sirolimus
30
Total30

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyNot willing to adhere to reqs1
Overall StudyWithdrawal by Subject3

Baseline characteristics

CharacteristicSirolimus
Age, Continuous
Safety Population
52 years
CD4+ T-cell-associated HIV-1 RNA2.57 log10(copies/10^6 CD4+ T-cells)
CD4+ T-cell counts818 cells/mm^3
%CD69+ CD4+ T-cells5.5 %CD69+ CD4+ T-cells
%CD69+ CD8+ T-cells8.4 %CD69+ CD8+ T-cells
GAG-specific CD107a+ CD4+ T-Cells0 %Gag-specific CD107a+ CD4+ T-cells
GAG-specific CD107a+ CD8+ T-Cells0.01 %Gag-specific CD107a+ CD8+ T-cells
GAG-specific CD40L+ CD4+ T-Cells0.09 %Gag-specific CD40L+CD4+ T-cells
GAG-specific CD40L+ CD8+ T-Cells0.01 %Gag-specific CD40L+CD8+ T-cells
GAG-specific IL-2+ CD4+ T-Cells0.02 %Gag-specific IL-2+ CD4+ T-cells
GAG-specific interleukin (IL)-2+ CD8+ T-Cells0.01 %Gag-specific IL-2+ CD8+ T-cells
GAG-specific MIP1B+ CD4+ T-Cells0.01 %Gag-specific MIP1B+ CD4+ T-cells
GAG-specific MIP1B+ CD8+ T-Cells0.06 %Gag-specific MIP1B+ CD8+ T-cells
GAG-specific TNF-alpha+ CD4+ T-Cells0.03 %Gag-specific TNF-alpha CD4+ T-cells
GAG-specific tumor necrosis factor (TNF)-alpha+ CD8+ T-Cells0.03 %Gag-specific TNF-alpha CD8+ T-cells
HIV-1 DNA levels in CD4+ T-cells2.72 log10(copies/10^6 CD4+ T-cells)
HIV-1 Gag-specific CD4+ T-cells by intracellular staining for IFN-gamma0.04 %Gag-specific IFN-gamma+ CD4+ T-cells
HIV-1 Gag-specific CD8+ T-cells by intracellular staining for interferon (IFN)-gamma0.1 %Gag-specific IFN-gamma+ CD8+ T-cells
HIV-1 RNA
Study Entry
< 40 copies/mL
16 Participants
HIV-1 RNA
Study Entry
>= 40 copies/mL
0 Participants
HIV-1 RNA
Study Week 12
< 40 copies/mL
16 Participants
HIV-1 RNA
Study Week 12
>= 40 copies/mL
0 Participants
HIV-1 RNA by single-copy assay (SCA)
Study Entry
< 0.7 copies/mL
8 Participants
HIV-1 RNA by single-copy assay (SCA)
Study Entry
>= 0.7 copies/mL
8 Participants
HIV-1 RNA by single-copy assay (SCA)
Study Week 12
< 0.7 copies/mL
9 Participants
HIV-1 RNA by single-copy assay (SCA)
Study Week 12
>= 0.7 copies/mL
7 Participants
%Ki67+ CD4+ T-cells2.2 %Ki67+ CD4+ T-cells
%Ki67+ CD8+ T-cells1.6 %Ki67+ CD8+ T-cells
%PD1+ CD8+ T-cells27.8 %PD1+ CD8+ T-cells
% programmed cell death protein 1 (PD1)+ CD4+ T-cells39.7 %PD1+ CD4+ T-cells
Race/Ethnicity, Customized
Race/Ethnicity
Black Non-Hispanic
18 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Hispanic
3 Participants
Race/Ethnicity, Customized
Race/Ethnicity
More than one race
1 Participants
Race/Ethnicity, Customized
Race/Ethnicity
White Non-Hispanic
8 Participants
Region of Enrollment
United States
30 Participants
Sex: Female, Male
Female
7 Participants
Sex: Female, Male
Male
23 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 30
other
Total, other adverse events
28 / 30
serious
Total, serious adverse events
1 / 30

Outcome results

Primary

Efficacy - Immunologic: Change in HIV-1 Gag-specific CD8+ T-cells by Intracellular Staining for IFN-gamma

Change in HIV-1 Gag-specific CD8+ T-cells by intracellular staining for IFN-gamma (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusEfficacy - Immunologic: Change in HIV-1 Gag-specific CD8+ T-cells by Intracellular Staining for IFN-gamma-0.01 %GAG-specific IFN-gamma+ CD8+ T-cellsStandard Deviation 0.06
p-value: 0.56t-test, 2 sided
Primary

Efficacy - Immunologic: Frequency of HIV-1 Gag-specific CD8+ T-cells by Intracellular Staining for IFN-gamma

Frequency of HIV-1 Gag-specific CD8+ T-cells by intracellular staining for IFN-gamma. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusEfficacy - Immunologic: Frequency of HIV-1 Gag-specific CD8+ T-cells by Intracellular Staining for IFN-gammaBaseline0.11 %GAG-specific IFN-gamma+ CD8+ T-cellsStandard Deviation 0.08
SirolimusEfficacy - Immunologic: Frequency of HIV-1 Gag-specific CD8+ T-cells by Intracellular Staining for IFN-gammaWeek 20 on Sirolimus0.11 %GAG-specific IFN-gamma+ CD8+ T-cellsStandard Deviation 0.07
Primary

Efficacy - Virologic: CD4+ T-cell-associated HIV-1 RNA

CD4+ T-cell-associated HIV-1 RNA. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusEfficacy - Virologic: CD4+ T-cell-associated HIV-1 RNABaseline2.56 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.67
SirolimusEfficacy - Virologic: CD4+ T-cell-associated HIV-1 RNAWeek 20 on Sirolimus2.35 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.68
Primary

Efficacy - Virologic: Change in CD4+ T-cell-associated HIV-1 RNA

Change in CD4+ T-cell-associated HIV-1 RNA (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusEfficacy - Virologic: Change in CD4+ T-cell-associated HIV-1 RNA-0.21 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.48
p-value: 0.11t-test, 2 sided
Primary

Efficacy - Virologic: Change in Plasma HIV-1 RNA by SCA

Change in plasma HIV-1 RNA by SCA (week 32 measurement minus baseline measurement). Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusEfficacy - Virologic: Change in Plasma HIV-1 RNA by SCA-0.01 log10(copies/mL)Standard Deviation 0.47
p-value: 0.93t-test, 2 sided
Primary

Efficacy - Virologic: Plasma HIV-1 RNA by SCA

Plasma HIV-1 RNA by SCA

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
SirolimusEfficacy - Virologic: Plasma HIV-1 RNA by SCAStudy week 0>= 0.7 copies/mL8 Participants
SirolimusEfficacy - Virologic: Plasma HIV-1 RNA by SCAStudy week 12< 0.7 copies/mL9 Participants
SirolimusEfficacy - Virologic: Plasma HIV-1 RNA by SCAStudy week 12>= 0.7 copies/mL7 Participants
SirolimusEfficacy - Virologic: Plasma HIV-1 RNA by SCAStudy week 32 (week 20 on Sirolimus)< 0.7 copies/mL8 Participants
SirolimusEfficacy - Virologic: Plasma HIV-1 RNA by SCAStudy week 0< 0.7 copies/mL8 Participants
SirolimusEfficacy - Virologic: Plasma HIV-1 RNA by SCAStudy week 32 (week 20 on Sirolimus)>= 0.7 copies/mL8 Participants
Primary

Number of Participants Who Met the Study-defined Composite Safety Endpoint

The study-defined primary safety endpoint was a composite endpoint. A participant was considered to have met the endpoint if the participant 1) experienced a new Grade ≥3 Adverse Event (AE), including signs/symptoms, lab toxicity or clinical event, that was definitely, probably or possibly related to study treatment, as judged by the core team, or 2) had a change in CD4+ cell count ( confirmed \>50% decline or to \<300 cells/mm3) while on sirolimus. The screening visit occurred within 60 days of study entry.

Time frame: Screening to study week 32 (week 20 of Sirolimus)

Population: Participants Initiating Sirolimus.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
SirolimusNumber of Participants Who Met the Study-defined Composite Safety Endpoint3 Participants
Secondary

Cell-associated HIV-1 DNA Levels in Total CD4+ Cells

HIV-1 DNA levels in CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusCell-associated HIV-1 DNA Levels in Total CD4+ CellsBaseline2.65 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.71
SirolimusCell-associated HIV-1 DNA Levels in Total CD4+ CellsStudy week 16 (week 4 on Sirolimus)2.45 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.81
SirolimusCell-associated HIV-1 DNA Levels in Total CD4+ CellsStudy week 24 (week 12 on Sirolimus)2.48 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.78
SirolimusCell-associated HIV-1 DNA Levels in Total CD4+ CellsStudy week 32 (week 20 on Sirolimus)2.49 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.75
SirolimusCell-associated HIV-1 DNA Levels in Total CD4+ CellsStudy week 442.51 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.79
Secondary

Change in CD4+ T-cell Counts

Change in CD4+ T-cell counts (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in CD4+ T-cell Counts-118 cells/mm^3Standard Deviation 211
p-value: 0.041t-test, 2 sided
Secondary

Change in Cell-associated HIV-1 DNA Levels in Total CD4+ Cells

Change in HIV-1 DNA levels in CD4+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in Cell-associated HIV-1 DNA Levels in Total CD4+ Cells-0.16 log10(copies/10^6 CD4+ T-cells)Standard Deviation 0.21
p-value: 0.008t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific CD107a+ CD4+ T-cell Responses

Change in frequency of HIV-1 Gag-specific CD107a+ CD4+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific CD107a+ CD4+ T-cell Responses0.02 %GAG-specific CD107a+ CD4+ T-CellsStandard Deviation 0.08
p-value: 0.28t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific CD107a+ CD8+ T-cell Responses

Change in frequency of HIV-1 Gag-specific CD107a+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific CD107a+ CD8+ T-cell Responses0.04 %Gag-specific CD107a+ CD8+ T-cellsStandard Deviation 0.14
p-value: 0.26t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific CD40L+ CD4+ T-cell Responses

Change in frequency of HIV-1 Gag-specific CD40L+ CD4+ T-cells (week 32 measurement minus baseline measurement).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific CD40L+ CD4+ T-cell Responses-0.01 %GAG-specific CD40L+ CD4+ T-CellsStandard Deviation 0.07
p-value: 0.7t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific CD40L+ CD8+ T-cell Responses

Change in frequency of HIV-1 Gag-specific CD40L+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific CD40L+ CD8+ T-cell Responses0.01 %Gag-specific CD40L+ CD8+ T-cellsStandard Deviation 0.06
p-value: 0.75t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma Responses

Change in HIV-1 Gag-specific CD4+ T-cells by intracellular staining for IFN-gamma (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma Responses0 %GAG-specific IFN-g+ CD4+ T-CellsStandard Deviation 0.04
p-value: 0.72t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific IL-2+ CD4+ T-cell Responses

Change in frequency of HIV-1 Gag-specific IL-2+ CD4+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific IL-2+ CD4+ T-cell Responses0.04 %GAG-specific IL-2+ CD4+ T-CellsStandard Deviation 0.15
p-value: 0.28t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific IL-2+ CD8+ T-cell Responses

Change in frequency of HIV-1 Gag-specific IL-2+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific IL-2+ CD8+ T-cell Responses0 %Gag-specific IL-2+ CD8+ T-cellsStandard Deviation 0.05
p-value: 0.97t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific MIP1B+ CD4+ T-cell Responses

Change in frequency of HIV-1 Gag-specific MIP1B+ CD4+ T-cells (week 32 measurement minus baseline measurement).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific MIP1B+ CD4+ T-cell Responses0 %GAG-specific MIP1B+ CD4+ T-CellsStandard Deviation 0.01
p-value: 0.77t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific MIP1B+ CD8+ T-cell Responses

Change in frequency of HIV-1 Gag-specific MIP1B+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific MIP1B+ CD8+ T-cell Responses-0.01 %GAG-specific MIP1B+ CD8+ T-CellsStandard Deviation 0.06
p-value: 0.7t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell Responses

Change in frequency of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cells (week 32 measurement minus baseline measurement).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell Responses0 %GAG-specific TNF-alpha+ CD4+ T-CellsStandard Deviation 0.02
p-value: 0.93t-test, 2 sided
Secondary

Change in HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell Responses

Change in frequency of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell Responses0.01 %GAG-specific TNF-a+ CD8+ T-CellsStandard Deviation 0.04
p-value: 0.47t-test, 2 sided
Secondary

Change in of %CD69+ CD4+ T-cells

Change in of %CD69+ CD4+ T-cells (week 32 measurement minus baseline measurement).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in of %CD69+ CD4+ T-cells-0.17 %CD69+ CD4+ T-CellsStandard Deviation 1.51
p-value: 0.65t-test, 2 sided
Secondary

Change in of %CD69+ CD8+ T-cells

Change in of %CD69+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in of %CD69+ CD8+ T-cells-0.52 %CD69+ CD8+ T-CellsStandard Deviation 1.63
p-value: 0.22t-test, 2 sided
Secondary

Change in of %Ki67+ CD4+ T-cells

Change in of %Ki67+ CD4+ T-cells (week 32 measurement minus baseline measurement).

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in of %Ki67+ CD4+ T-cells-0.51 %Ki67+ CD4+ T-CellsStandard Deviation 0.86
p-value: 0.031t-test, 2 sided
Secondary

Change in of %Ki67+ CD8+ T-cells

Change in of %Ki67+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in of %Ki67+ CD8+ T-cells-0.54 %Ki67+ CD8+ T-CellsStandard Deviation 0.67
p-value: 0.005t-test, 2 sided
Secondary

Change in of %PD1+ CD4+ T-cells

Change in of %PD1+ CD4+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in of %PD1+ CD4+ T-cells0.42 %PD1+ CD4+ T-CellsStandard Deviation 4.19
p-value: 0.69t-test, 2 sided
Secondary

Change in of %PD1+ CD8+ T-cells

Change in of %PD1+ CD8+ T-cells (week 32 measurement minus baseline measurement)

Time frame: At study weeks 0, 12 and 32 (week 20 on Sirolimus)

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureValue (MEAN)Dispersion
SirolimusChange in of %PD1+ CD8+ T-cells-2.85 %PD1+ CD8+ T-CellsStandard Deviation 3.74
p-value: 0.008t-test, 2 sided
Secondary

Measurement of CD4+ T-cell Counts

CD4+ T-cell counts. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of CD4+ T-cell CountsBaseline937 cells/mm^3Standard Deviation 402
SirolimusMeasurement of CD4+ T-cell CountsStudy week 16 (week 4 on Sirolimus)858 cells/mm^3Standard Deviation 403
SirolimusMeasurement of CD4+ T-cell CountsStudy week 24 (week 12 on Sirolimus)820 cells/mm^3Standard Deviation 378
SirolimusMeasurement of CD4+ T-cell CountsStudy week 32 (week 20 on Sirolimus)820 cells/mm^3Standard Deviation 377
SirolimusMeasurement of CD4+ T-cell CountsStudy week 44891 cells/mm^3Standard Deviation 320
Secondary

Measurement of %CD69+ CD4+ T-cells

Measurement of %CD69+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of %CD69+ CD4+ T-cellsBaseline6.3 %CD69+ CD4+ T-CellsStandard Deviation 2.6
SirolimusMeasurement of %CD69+ CD4+ T-cellsStudy week 16 (week 4 on Sirolimus)6.1 %CD69+ CD4+ T-CellsStandard Deviation 2.3
SirolimusMeasurement of %CD69+ CD4+ T-cellsStudy week 24 (week 12 on Sirolimus)5.8 %CD69+ CD4+ T-CellsStandard Deviation 2
SirolimusMeasurement of %CD69+ CD4+ T-cellsStudy week 32 (week 20 on Sirolimus)6.1 %CD69+ CD4+ T-CellsStandard Deviation 1.9
SirolimusMeasurement of %CD69+ CD4+ T-cellsStudy week 445.9 %CD69+ CD4+ T-CellsStandard Deviation 2.3
Secondary

Measurement of %CD69+ CD8+ T-cells

Measurement of %CD69+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of %CD69+ CD8+ T-cellsBaseline8.6 %CD69+ CD8+ T-CellsStandard Deviation 2.9
SirolimusMeasurement of %CD69+ CD8+ T-cellsStudy week 16 (week 4 on Sirolimus)8.4 %CD69+ CD8+ T-CellsStandard Deviation 2.8
SirolimusMeasurement of %CD69+ CD8+ T-cellsStudy week 24 (week 12 on Sirolimus)7.9 %CD69+ CD8+ T-CellsStandard Deviation 2.5
SirolimusMeasurement of %CD69+ CD8+ T-cellsStudy week 32 (week 20 on Sirolimus)8.1 %CD69+ CD8+ T-CellsStandard Deviation 2.5
SirolimusMeasurement of %CD69+ CD8+ T-cellsStudy week 448.2 %CD69+ CD8+ T-CellsStandard Deviation 2.4
Secondary

Measurement of HIV-1 Gag-specific CD107a+ CD4+ T-cell Responses

Frequency of HIV-1 Gag-specific CD107a+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD4+ T-cell ResponsesBaseline0.01 %GAG-specific CD107a+ CD4+ T-CellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD4+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.01 %GAG-specific CD107a+ CD4+ T-CellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD4+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.01 %GAG-specific CD107a+ CD4+ T-CellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD4+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.03 %GAG-specific CD107a+ CD4+ T-CellsStandard Deviation 0.08
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD4+ T-cell ResponsesStudy week 440.02 %GAG-specific CD107a+ CD4+ T-CellsStandard Deviation 0.02
Secondary

Measurement of HIV-1 Gag-specific CD107a+ CD8+ T-cell Responses

Frequency of HIV-1 Gag-specific CD107a+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD8+ T-cell ResponsesBaseline0.01 %Gag-specific CD107a+ CD8+ T-cellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD8+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.02 %Gag-specific CD107a+ CD8+ T-cellsStandard Deviation 0.02
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD8+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.01 %Gag-specific CD107a+ CD8+ T-cellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD8+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.05 %Gag-specific CD107a+ CD8+ T-cellsStandard Deviation 0.14
SirolimusMeasurement of HIV-1 Gag-specific CD107a+ CD8+ T-cell ResponsesStudy week 440.02 %Gag-specific CD107a+ CD8+ T-cellsStandard Deviation 0.03
Secondary

Measurement of HIV-1 Gag-specific CD40L+ CD4+ T-cell Responses

Frequency of HIV-1 Gag-specific CD40L+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD4+ T-cell ResponsesBaseline0.08 %GAG-specific CD40L+ CD4+ T-CellsStandard Deviation 0.05
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD4+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.06 %GAG-specific CD40L+ CD4+ T-CellsStandard Deviation 0.06
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD4+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.1 %GAG-specific CD40L+ CD4+ T-CellsStandard Deviation 0.06
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD4+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.08 %GAG-specific CD40L+ CD4+ T-CellsStandard Deviation 0.07
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD4+ T-cell ResponsesStudy week 440.08 %GAG-specific CD40L+ CD4+ T-CellsStandard Deviation 0.07
Secondary

Measurement of HIV-1 Gag-specific CD40L+ CD8+ T-cell Responses

Frequency of HIV-1 Gag-specific CD40L+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD8+ T-cell ResponsesBaseline0.02 %Gag-specific CD40L+ CD8+ T-cellsStandard Deviation 0.02
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD8+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)1.15 %Gag-specific CD40L+ CD8+ T-cellsStandard Deviation 4.53
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD8+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.01 %Gag-specific CD40L+ CD8+ T-cellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD8+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.03 %Gag-specific CD40L+ CD8+ T-cellsStandard Deviation 0.05
SirolimusMeasurement of HIV-1 Gag-specific CD40L+ CD8+ T-cell ResponsesStudy week 440.01 %Gag-specific CD40L+ CD8+ T-cellsStandard Deviation 0.02
Secondary

Measurement of HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma Responses

Frequency of HIV-1 Gag-specific CD4+ T-cells by intracellular staining for IFN-gamma. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma ResponsesBaseline0.06 %GAG-specific IFN-g+ CD4+ T-CellsStandard Deviation 0.06
SirolimusMeasurement of HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma ResponsesStudy week 16 (week 4 on Sirolimus)0.04 %GAG-specific IFN-g+ CD4+ T-CellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma ResponsesStudy week 24 (week 12 on Sirolimus)0.05 %GAG-specific IFN-g+ CD4+ T-CellsStandard Deviation 0.06
SirolimusMeasurement of HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma ResponsesStudy week 32 (week 20 on Sirolimus)0.06 %GAG-specific IFN-g+ CD4+ T-CellsStandard Deviation 0.05
SirolimusMeasurement of HIV-1 Gag-specific CD4+ T-cell by Intracellular Staining for IFN-gamma ResponsesStudy week 440.04 %GAG-specific IFN-g+ CD4+ T-CellsStandard Deviation 0.04
Secondary

Measurement of HIV-1 Gag-specific IL-2+ CD4+ T-cell Responses

Frequency of HIV-1 Gag-specific IL-2+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD4+ T-cell ResponsesBaseline0.03 %GAG-specific IL-2+ CD4+ T-CellsStandard Deviation 0.05
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD4+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.04 %GAG-specific IL-2+ CD4+ T-CellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD4+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.04 %GAG-specific IL-2+ CD4+ T-CellsStandard Deviation 0.07
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD4+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.08 %GAG-specific IL-2+ CD4+ T-CellsStandard Deviation 0.16
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD4+ T-cell ResponsesStudy week 440.04 %GAG-specific IL-2+ CD4+ T-CellsStandard Deviation 0.05
Secondary

Measurement of HIV-1 Gag-specific IL-2+ CD8+ T-cell Responses

Frequency of HIV-1 Gag-specific IL-2+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD8+ T-cell ResponsesStudy week 440.03 %Gag-specific IL-2+ CD8+ T-cellsStandard Deviation 0.04
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD8+ T-cell ResponsesBaseline0.02 %Gag-specific IL-2+ CD8+ T-cellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD8+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.01 %Gag-specific IL-2+ CD8+ T-cellsStandard Deviation 0.02
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD8+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.02 %Gag-specific IL-2+ CD8+ T-cellsStandard Deviation 0.02
SirolimusMeasurement of HIV-1 Gag-specific IL-2+ CD8+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.02 %Gag-specific IL-2+ CD8+ T-cellsStandard Deviation 0.03
Secondary

Measurement of HIV-1 Gag-specific MIP1B+ CD4+ T-cell Responses

Frequency of HIV-1 Gag-specific MIP1B+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD4+ T-cell ResponsesBaseline0.01 %GAG-specific MIP1B+ CD4+ T-CellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD4+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.01 %GAG-specific MIP1B+ CD4+ T-CellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD4+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.01 %GAG-specific MIP1B+ CD4+ T-CellsStandard Deviation 0.02
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD4+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.01 %GAG-specific MIP1B+ CD4+ T-CellsStandard Deviation 0.01
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD4+ T-cell ResponsesStudy week 440.01 %GAG-specific MIP1B+ CD4+ T-CellsStandard Deviation 0.01
Secondary

Measurement of HIV-1 Gag-specific MIP1B+ CD8+ T-cell Responses

Frequency of HIV-1 Gag-specific MIP1B+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD8+ T-cell ResponsesBaseline0.09 %GAG-specific MIP1B+ CD8+ T-CellsStandard Deviation 0.08
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD8+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.51 %GAG-specific MIP1B+ CD8+ T-CellsStandard Deviation 1.72
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD8+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.08 %GAG-specific MIP1B+ CD8+ T-CellsStandard Deviation 0.08
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD8+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.09 %GAG-specific MIP1B+ CD8+ T-CellsStandard Deviation 0.08
SirolimusMeasurement of HIV-1 Gag-specific MIP1B+ CD8+ T-cell ResponsesStudy week 440.08 %GAG-specific MIP1B+ CD8+ T-CellsStandard Deviation 0.1
Secondary

Measurement of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell Responses

Frequency of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell ResponsesBaseline0.04 %GAG-specific TNF-alpha+ CD4+ T-CellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.04 %GAG-specific TNF-alpha+ CD4+ T-CellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.03 %GAG-specific TNF-alpha+ CD4+ T-CellsStandard Deviation 0.04
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.04 %GAG-specific TNF-alpha+ CD4+ T-CellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD4+ T-cell ResponsesStudy week 440.04 %GAG-specific TNF-alpha+ CD4+ T-CellsStandard Deviation 0.03
Secondary

Measurement of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell Responses

Frequency of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell ResponsesBaseline0.04 %GAG-specific TNF-a+ CD8+ T-CellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell ResponsesStudy week 16 (week 4 on Sirolimus)0.04 %GAG-specific TNF-a+ CD8+ T-CellsStandard Deviation 0.03
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell ResponsesStudy week 24 (week 12 on Sirolimus)0.03 %GAG-specific TNF-a+ CD8+ T-CellsStandard Deviation 0.02
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell ResponsesStudy week 32 (week 20 on Sirolimus)0.05 %GAG-specific TNF-a+ CD8+ T-CellsStandard Deviation 0.05
SirolimusMeasurement of HIV-1 Gag-specific TNF-alpha+ CD8+ T-cell ResponsesStudy week 440.04 %GAG-specific TNF-a+ CD8+ T-CellsStandard Deviation 0.04
Secondary

Measurement of HIV-1 RNA Levels

HIV-1 RNA levels by conventional assay

Time frame: weeks 0, 12, (pre-Sirolimus) 16, 24, 32 (4, 12, 20 weeks on Sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 0< 40 copies/mL16 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 0>= 40 copies/mL0 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 12< 40 copies/mL16 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 12>= 40 copies/mL0 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 16 (Week 4 on Sirolimus)< 40 copies/mL16 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 16 (Week 4 on Sirolimus)>= 40 copies/mL0 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 24 (Week 12 on Sirolimus)< 40 copies/mL16 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 24 (Week 12 on Sirolimus)>= 40 copies/mL0 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 32 (Week 20 on Sirolimus)< 40 copies/mL16 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 32 (Week 20 on Sirolimus)>= 40 copies/mL0 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 44< 40 copies/mL16 Participants
SirolimusMeasurement of HIV-1 RNA LevelsStudy Week 44>= 40 copies/mL0 Participants
Secondary

Measurement of %Ki67+ CD4+ T-cells

Measurement of %Ki67+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of %Ki67+ CD4+ T-cellsStudy week 16 (week 4 on Sirolimus)2.2 %Ki67+ CD4+ T-CellsStandard Deviation 0.9
SirolimusMeasurement of %Ki67+ CD4+ T-cellsBaseline2.4 %Ki67+ CD4+ T-CellsStandard Deviation 0.8
SirolimusMeasurement of %Ki67+ CD4+ T-cellsStudy week 24 (week 12 on Sirolimus)2.2 %Ki67+ CD4+ T-CellsStandard Deviation 0.8
SirolimusMeasurement of %Ki67+ CD4+ T-cellsStudy week 32 (week 20 on Sirolimus)1.9 %Ki67+ CD4+ T-CellsStandard Deviation 0.8
SirolimusMeasurement of %Ki67+ CD4+ T-cellsStudy week 442.4 %Ki67+ CD4+ T-CellsStandard Deviation 1
Secondary

Measurement of %Ki67+ CD8+ T-cells

Measurement of %Ki67+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of %Ki67+ CD8+ T-cellsBaseline1.8 %Ki67+ CD8+ T-CellsStandard Deviation 0.8
SirolimusMeasurement of %Ki67+ CD8+ T-cellsStudy week 16 (week 4 on Sirolimus)1 %Ki67+ CD8+ T-CellsStandard Deviation 0.4
SirolimusMeasurement of %Ki67+ CD8+ T-cellsStudy week 24 (week 12 on Sirolimus)1.4 %Ki67+ CD8+ T-CellsStandard Deviation 0.7
SirolimusMeasurement of %Ki67+ CD8+ T-cellsStudy week 32 (week 20 on Sirolimus)1.2 %Ki67+ CD8+ T-CellsStandard Deviation 0.6
SirolimusMeasurement of %Ki67+ CD8+ T-cellsStudy week 441.7 %Ki67+ CD8+ T-CellsStandard Deviation 0.7
Secondary

Measurement of %PD1+ CD4+ T-cells

Measurement of %PD1+ CD4+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of %PD1+ CD4+ T-cellsBaseline38.4 %PD1+ CD4+ T-CellsStandard Deviation 9.6
SirolimusMeasurement of %PD1+ CD4+ T-cellsStudy week 16 (week 4 on Sirolimus)39 %PD1+ CD4+ T-CellsStandard Deviation 11.1
SirolimusMeasurement of %PD1+ CD4+ T-cellsStudy week 24 (week 12 on Sirolimus)38.8 %PD1+ CD4+ T-CellsStandard Deviation 10.7
SirolimusMeasurement of %PD1+ CD4+ T-cellsStudy week 32 (week 20 on Sirolimus)38.8 %PD1+ CD4+ T-CellsStandard Deviation 9.9
SirolimusMeasurement of %PD1+ CD4+ T-cellsStudy week 4435.5 %PD1+ CD4+ T-CellsStandard Deviation 10.6
Secondary

Measurement of %PD1+ CD8+ T-cells

Measurement of %PD1+ CD8+ T-cells. Baseline is the mean of the two pre-Sirolimus measurements (study entry and study week 12).

Time frame: At study weeks 0, 12, 16, 24, 32 (4, 12, 20 weeks on sirolimus) and 44

Population: Participants completing 20 weeks of Sirolimus

ArmMeasureGroupValue (MEAN)Dispersion
SirolimusMeasurement of %PD1+ CD8+ T-cellsBaseline29.4 %PD1+ CD8+ T-CellsStandard Deviation 10.2
SirolimusMeasurement of %PD1+ CD8+ T-cellsStudy week 16 (week 4 on Sirolimus)28.4 %PD1+ CD8+ T-CellsStandard Deviation 9.9
SirolimusMeasurement of %PD1+ CD8+ T-cellsStudy week 24 (week 12 on Sirolimus)28.4 %PD1+ CD8+ T-CellsStandard Deviation 10.6
SirolimusMeasurement of %PD1+ CD8+ T-cellsStudy week 32 (week 20 on Sirolimus)26.6 %PD1+ CD8+ T-CellsStandard Deviation 9.9
SirolimusMeasurement of %PD1+ CD8+ T-cellsStudy week 4425.5 %PD1+ CD8+ T-CellsStandard Deviation 8.7

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026