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WithdrawnNCT00614640Updated Nov 1, 2021

Safety and Tolerability of a Therapeutic DNA Dendritic Cell Vaccine in HIV-Infected Children, Adolescents, and Young Adults

A Phase 1/2 interventional study of DermaVir patch and Placebo patch in HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Withdrawn. Open to participants aged 6 Years to 23 Years. Per ClinicalTrials.gov, last updated 2021-11-01.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Ages
6 Years to 23 Years
Sex
All
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Study summary

The therapeutic DNA vaccine, DermaVir, represents an immunization strategy that targets lymph node dendritic cells. Because of the high percentage of naive CD4 cells in children and adolescents, the potential for effective new HIV-specific CD4 cell responses may be more achievable in children than in adults. The primary purpose of this study is to evaluate the safety and tolerability of DermaVir in children and young adults.

Read the detailed description

The introduction of highly active antiretroviral therapy (HAART) for children and adolescents has resulted in improved control of viral replication for prolonged periods of time and a significant reduction in morbidity. However, when compared to the responses seen in adults, children have overall inferior virologic responses. The therapeutic vaccine, DermaVir, represents an immunization strategy that targets lymph node dendritic cells. Because of the high percentage of naive CD4 cells in children and adolescents, the potential for effective new HIV-specific CD4 cell responses may be more achievable in children than in adults. The primary purpose of this study is to evaluate the safety and tolerability of DermaVir in children and young adults.

This study will last up to 61 weeks (up to 13 weeks of treatment with an additional 48 weeks for follow-up). Participants will be randomly stratified according to age and dosage. Group 1 will consist of 8 adolescents and young adults (between ages 13 and 23) and 8 children (between ages 6 and 12). Group 1 participants will have one 0.8 ml DermaVir patch and one control patch applied on Days 0, 42, and 84. Group 2 will consist of 4 adolescents and young adults and 4 children. Group 2 participants will have four 0.8 ml DermaVir patches applied on Days 0, 42, and 84. Group 3 will consist of 4 adolescents and young adults and 4 children. Group 3 participants will have four 0.8 ml DermaVir patches applied on Days 0, 7, 42, 49, 84, and 91.

There will be 14 study visits for each participant. They will occur at screening and Days 0, 7, 21, 42, 49, 63, 84, 91, 105, 126, 168, 259, and 427. Screening will occur up to 30 days before the first vaccination (Day 0). Medical history and physical exam will occur at all visits. Blood and urine collection and an adherence assessment will occur at most visits. A urine pregnancy test will occur for females at most visits.

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Conditions studied

  • HIV Infections

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Keywords

  • HAART
  • Therapeutic vaccine
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

Browse Infections studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.

Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
6 Years to 23 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • HIV infected
  • Receiving HAART consisting of drugs from at least 2 different classes for at least 12 months prior to study entry
  • CD4 count of 350 cells/mm3 or greater
  • Viral load less than 400 copies/ml for at least 12 months prior to screening
  • If female, agree to avoid pregnancy and use two methods of contraception. More information on this criterion can be found in the protocol.
  • If male, agree to avoid attempting to impregnate a female and not participate in sperm donation programs. Male participants must agree to use a condom during sexual activity from the date of receipt of the first study vaccination until 6 months after receipt of the last study vaccination.

Exclusion criteria

Exclusion Criteria:

  • Failing antiretroviral regimen
  • Skin diseases, including active atopic dermatitis, active or history of psoriasis, active urticaria, known hypersensitivity to adhesive tape, history of keloid, and active or history of vitiligo
  • Tattoos or changes in pigment at selected skin vaccination sites
  • Hair or tattoo removal in close proximity to vaccine site on skin
  • Acute or chronic illness. More information on this criterion can be found in the protocol.
  • Chronic autoimmune disease, clinically significant bleeding disorder, or insulin dependent diabetes mellitus
  • Clinical toxicity (Grade 2 or greater) at screening
  • Prior treatment with any HIV vaccine
  • Treatment with any HIV immune modulating agents or chemotherapy for malignancy within 12 months of study entry
  • Vaccinations within 28 days of study entry
  • Participation in an investigational new drug protocol within 60 days prior to screening
  • Systemic steroid therapy within 28 days of study entry
  • Abnormal laboratory values. More information on this criterion can be found in the protocol.
  • Excessive exposure to the sun
  • Breastfeeding or pregnant
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    1

    One 0.8 ml vaccine-containing patch and 1 placebo patch placed on upper back or upper thigh for 24 hours on Days 0, 42, and 84

    Biological: DermaVir patch · Biological: Placebo patch

  • Experimental
    2

    Four 0.8 ml vaccine-containing patches placed on upper back or upper thigh for 24 hours on Days 0, 42, and 84

    Biological: DermaVir patch

  • Experimental
    3

    Four 0.8 ml vaccine-containing patches placed on upper back or upper thigh for 24 hours on Days 0, 7, 42, 49, 84, and 91

    Biological: DermaVir patch

Interventions

  • BiologicalDermaVir patch

    DNA Vaccine

    Also known as: LC002

  • BiologicalPlacebo patch

    10% dextrose (D-glucose) solution

    Also known as: LC002 placebo

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What researchers measure

Primary outcomes

  1. Suspected adverse drug reaction (SADR) attributable to vaccine, excluding reaction to patch adhesive

    Time frame: Throughout study

  2. Toxicity attributable to the adhesive on patch and not to the vaccine product

    Time frame: Throughout study

  3. Decrease in CD4 count by 1/3 of baseline in 2 separate measurements at least 1 month apart

    Time frame: Throughout study

  4. Viral load greater than 1000 copies/ml on 2 separate measurements at least 2 weeks apart

    Time frame: Throughout study

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Calarota SA, Weiner DB, Lori F, Lisziewicz J. Induction of HIV-specific memory T-cell responses by topical DermaVir vaccine. Vaccine. 2007 Apr 20;25(16):3070-4. doi: 10.1016/j.vaccine.2007.01.024. Epub 2007 Jan 22. PubMed 17292518 ↗
  • Lisziewicz J, Calarota SA, Lori F. The potential of topical DNA vaccines adjuvanted by cytokines. Expert Opin Biol Ther. 2007 Oct;7(10):1563-74. doi: 10.1517/14712598.7.10.1563. PubMed 17916048 ↗
  • Lori F, Weiner DB, Calarota SA, Kelly LM, Lisziewicz J. Cytokine-adjuvanted HIV-DNA vaccination strategies. Springer Semin Immunopathol. 2006 Nov;28(3):231-8. doi: 10.1007/s00281-006-0047-y. Epub 2006 Oct 20. PubMed 17053912 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00614640
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
International Maternal Pediatric Adolescent AIDS Clinical Trials Group
Responsible party
Sponsor
First posted
Feb 13, 2008
Primary completion
Nov 2013 (estimated)
Last update
Nov 1, 2021

Study contacts

Hans M.L. Spiegel, MD
study chair · George Washington University School of Medicine
Willaim Borkowsky, MD
study chair · NYU Langone Health
Ram Yogev, MD
study chair · CMRC Children's Memorial Hospital
Elizabeth McFarland, MD
study chair · University of Colorado Health Sciences Ctr.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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