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Clinical Trials

Date: 2015-07-18

Type of information: Presentation of results at a congress

phase: 1-2

Announcement: presentation of results at the 2015 Towards an HIV Cure Symposium in Vancouver, Canada, on 18 & 19 July 2015, immediately preceding the 8th IAS Conference on HIV Pathogenesis, Treatment & Prevention (IAS 2015).

Company: Theravectys (France)

Product: THV01 - anti-HIV therapeutic vaccine candidate based on lentiviral vector technology

Action mechanism:

therapeutic vaccine. This therapeutic anti-HIV vaccine uses its proprietary lentiviral vector technology for vaccine use. Unlike other gene transfer vectors, lentiviral vectors are capable of inducing a cellular and humoral immune response, which is simultaneously strong, durable and diversified. This induced immune response is specific to HIV and to cells infected by the virus. It participates in the control of this infection by the immune system.

Disease:

HIV/Aids

Therapeutic area: Infectious diseases

Country: France, Belgium

Trial details:

This double-blind placebo controlled study will include 36 patients in 6 clinical centers: 4 in France and 2 in Belgium. Pr. Odile LAUNAY, coordinator at the Cochin-Pasteur Clinical Investigation Center based at the Cochin Hospital in Paris, France, will be the coordinating investigator of the trial.

The objective of this Phase I/II trial is to evaluate the safety, tolerability and immunogenicity of THV01 compared to a placebo in HIV-1 infected patients on HAART (highly active antiretroviral therapies). THV01 is composed of two vaccines that derived from the HIV (human immunodeficiency virus): lentiviral vectors. They are non-replicative and not infectious. They will be injected intramuscularly, eight weeks apart. Three doses will be assessed and compared to a placebo group. Eligible patients must have an undetectable viral load and must be treated by HAART for more than 12 months. They will be randomly allocated to one of the study group and will receive the experimental drugs at one of the three doses or a matching placebo.

Their anti-HIV treatment will be alleviated around each experimental drugs' administration to enable efficient first steps of the mode of action of THV01. HAART will be resumed one week after the second injection. 15 weeks after resumption, HAART will be interrupted. Patients will then be monitored every 2 weeks for CD4+ T cell counts and viral load as well as for thorough assessment of the elicited immune response. Stringent anti-HIV treatments resumption criteria have been implemented, based on the CD4+ T cell counts and the viral load. End of study will occur once the 36th patient has reached his visit at Week 36 (i.e. 36 weeks after having received the first administration).(NCT02054286)

Latest news:

* On July 18, 2015, Theravectys, a Paris-based, fully-integrated discovery & clinical development company specialized in lentiviral vector-based therapeutic vaccines and T-cell therapies announced that detailed results from its phase I/II study will be presented at the 2015 Towards an HIV Cure Symposium in Vancouver, Canada, on 18 & 19 July 2015, immediately preceding the 8th IAS Conference on HIV Pathogenesis, Treatment & Prevention (IAS 2015).
The randomized, placebo-controlled trial currently enrolled 38 HIV-positive patients under HAART and aimed at comparing the safety, tolerability and immunogenicity of the therapeutic vaccine candidate at 3 different doses (5.106, 5.107 or 5.108 TU) versus placebo. The treatment regimen consisted of two intramuscular injections 8 weeks apart with non-replicative and self-inactivating lentiviral vectors encoding for immunogenic regions of the HIV GAG, POL and NEF proteins. Vaccine-induced HIV-1-antigen-specific T-cell in peripheral blood were characterized by intracellular cytokine staining in all patients, placebo included, before and after HAART interruption 24 weeks after the first injection
With the absence of any serious adverse events on all 38 patients and no safety concerns related to the treatment, the clinical data confirmed both safety and tolerance of the lentiviral-based therapeutic vaccine. In addition, the analysis of the immunological data demonstrated the ability of the vaccine candidate to elicit multi-specific and poly-functional CD8 and CD4 T-cell responses in most of the vaccinated patients.
In this trial, a high frequency, from 0.097 to 0.874%, of functional T-cells able to produce at least 2 or 3 cytokines among IFN-γ, TNF-α and IL-2 was evidenced across patients. A dose effect was also observed when comparing the 3 groups, with greater magnitude with the highest dose.
* On November 18, 2014, Theravectys, a French biotechnology company specializing in the development of vaccines based on lentiviral vector technology, has reported preliminary results in the first-ever vaccination trial conducted with lentiviral vectors. The randomized, placebo-controlled trial currently enrolls 38 HIV-positive patients under highly active antiretroviral therapy (HAART) in 12 clinical sites in France and Belgium and aims at comparing the safety, tolerability and immunogenicity of its therapeutic vaccine candidate at 3 different doses (5.106, 5.107 or 5.108 TU) versus placebo. The treatment regimen consists of two intramuscular injections with non-replicative and self-inactivating lentiviral vectors encoding for disease-specific antigens under the regulation of Theravectys patent-protected human promoter (ß2-microglobulin). With the absence of any serious adverse events on all 38 patients and no safety concerns related to the product, the interim results confirm the remarkable safety profile of Theravectys lentiviral vector technology platform. In addition, the interim analysis of the immunological data from the first two cohorts of patients demonstrates the ability of the vaccine candidate to elicit multi-specific and poly-functional CD4+ and CD8+ cellular immune responses in vaccinated patients. The immune response elicited by the vaccine was observed even at the lowest dose. Upon completion of the study in December 2014, detailed results will be presented in peer-reviewed communications at international congresses and in scientific publications.

Within the next few months, Theravectys expects to initiate a phase I/II clinical trial with its immunotherapy candidate against HTLV-1-induced adult T-cell leukemia/lymphoma and to initiate a dialogue with regulatory agencies on the clinical development of its proprietary CAR T-cells. Alone and in collaboration with partners, Theravectys is accelerating its clinical development programs and is planning to initiate two additional phase I/II clinical trials in oncology in 2015.

* On February 5, 2014, Theravectys has announced  the finalization of recruitment of patients for the first anti-HIV therapeutic vaccination trial, currently in progress in France and Belgium. This study of the first administration to humans aims to study the safety, tolerance and immunogenicity of its vaccine candidate in patients infected with HIV, undergoing highly active antiretroviral therapy (HAART). 36 patients were included in the study. Preliminary results will be available from June 2014 onwards and definitive results over the next 12 months.

* On November 30, 2012, Theravectys has announced it was granted authorization by the National Security Agency for Medicines and Health Products in France (Agence Nationale de Sécurité du Médicament et des produits de santé) and the Federal Agency for Medicines and Health Products in Belgium (Agence Fédérale des Médicaments et des Produits de Santé) to launch a phase I/II clinical trial for its anti-HIV therapeutic vaccine candidate based on lentiviral vector technology. With this first human trial, Theravectys not only intends to evaluate the safety and tolerance of its therapeutic vaccine candidate but also to measure the quality and intensity of the induced immune response.  This anti-HIV therapeutic vaccine should allow patients treated with antiretroviral drugs to stop taking them on a sustainable and perhaps permanent basis once vaccinated. The company expects to enroll the first patient before the end of the year.

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