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CompletedNCT03041012eCLEARUpdated Apr 18, 2025

Early Administration of Romidepsin and 3BNC117 in Treatment-naïve HIV Patients Starting ART

A Phase 2 interventional study of Romidepsin and 3BNC117 in Hiv, sponsored by Aarhus University Hospital. Completed at 7 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-18.

Sponsored by Aarhus University Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate the effect of early viral reactivation by latency reversing agents (LRA) and/or administration of potent broadly neutralizing antibodies (bNAb) on the size of the latent HIV-1 reservoir in treatment naïve HIV-1 patients initiating antiretroviral therapy (ART)

Read the detailed description

The study will be conducted among ART naïve HIV-1-infected patients.

Subjects will continue ART while receiving LRA romidepsin and/or bNAb 3BNC117.

02

Conditions studied

  • Hiv

Keywords

  • HIV-1
  • Latency Reversal Agent
  • Immunotherapy
03

In context

Lead sponsor

Aarhus University Hospital is the lead sponsor of 289 studies on the registry; 79 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Documented HIV-1 infection
  • CD4+ T cell count >200/µL on last visit prior to study entry
  • ART naïve
  • Able to give informed consent

Exclusion criteria

Exclusion Criteria:

  • Any significant acute medical illness (not including primary HIV infection) in the past 8 weeks
  • Any evidence of an active AIDS-defining opportunistic infection
  • Active alcohol or substance use that, in the Investigator's opinion, will prevent adequate compliance with study therapy
  • The following laboratory values at screening, but the values can be repeated within the screening period, but test results must be available before baseline (day 0) and checked for eligibility:

    • Hepatic transaminases (AST or ALT) ≥3 x upper limit of normal (ULN)
    • Serum total bilirubin ≥3 ULN
    • Estimated glomerular filtration rate (eGFR) ≤60 mL/min (based on serum creatinine or other appropriate validated markers)
    • Platelet count ≤100 x10\^9/L
    • Absolute neutrophil count ≤1x10\^9/L
    • Serum potassium, magnesium, phosphorus outside ≥1.5 ULN/LLN
    • Total calcium (corrected for serum albumin) or ionized calcium ≥1.5 ULN/LLN
    • Hepatitis B or C infection as indicated by the presence of hepatitis B surface antigen (HBsAg) or hepatitis C virus RNA (HCV-RNA) in blood
  • ECG at screening that shows QTc >450 ms when calculated using the Fridericia formula from either lead V3 or V4 [86]
  • Use of:

    • Warfarin or warfarin-derivatives
    • HDACi
    • An agent definitely or possibly associated with effects on QT intervals within 2 weeks of screening
    • Drugs that induce or inhibit CYP3A4 or P-gp
  • History of:

    • Clinically significant cardiac disease, symptomatic or asymptomatic arrhythmias, syncopal episodes, or additional risk factors for Torsades de pointes (e.g. heart failure)
    • Malignancy or transplantation, including skin cancers or Kaposi sarcoma
    • Diabetes mellitus
  • Receipt of strong immunosuppressive or systemic chemotherapeutic agents within 28 days prior to study entry
  • Known resistance to >2 classes of ART
  • Known hypersensitivity to the components of romidepsin, 3BNC117 or their analogues
  • Women who are pregnant or breastfeeding, or with a positive pregnancy test during screening or Women of Child Bearing Potential (WOCBP) who are unwilling or unable to use an acceptable method of non-estrogen containing contraceptions (according to the Danish Medicines Agency guidelines) to avoid pregnancy for the 3 week study period and 4 weeks after study treatment or until undetectable plasma HIV-1 RNA using standard assays
  • Males or females who are unwilling or unable to use barrier contraception during sexual intercourse for the 3-week study period, and 4 weeks after study treatment or until undetectable plasma HIV-1 RNA using standard assays
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Placebo comparator
    antiretrovirals

    Standard of care

    Drug: Antiretrovirals

  • Active comparator
    antiretrovirals + romidepsin

    Standard of care + LRA

    Drug: Romidepsin · Drug: Antiretrovirals

  • Active comparator
    antiretrovirals + 3BNC117

    Standard of care + bNAb

    Drug: 3BNC117 · Drug: Antiretrovirals

  • Active comparator
    antiretrovirals + romidepsin + 3BNC117

    Standard of care + LRA + bNAb

    Drug: Romidepsin · Drug: 3BNC117 · Drug: Antiretrovirals

Interventions

  • DrugRomidepsin

    5mg/m2 romidepsin will be administered IV on days 10, 17, and 24 after initiating ART

    Also known as: Istodax

  • Drug3BNC117

    30 mg/kg 3BNC117 will be administered IV on day 7 and 21 after initiating ART

    Also known as: Broadly neutralizing antibody

  • DrugAntiretrovirals

    Combination antiretroviral therapy

    Also known as: ART

06

What researchers measure

Primary outcomes

  1. Plasma HIV RNA kinetics

    Time to undetectable (\<20 c/mL)

    Time frame: 3 months

  2. Quantification of the size of the proviral HIV reservoir

    Copies of total HIV-1 DNA per 10⁶ CD4+ T cells as measured by digital droplet PCR

    Time frame: 1 year

  3. Time to viral rebound during ATI

    Days from stopping ART to plasma HIV RNA \>5,000 on two consecutive measurements

    Time frame: 12 weeks

Secondary outcomes

  1. Incidence of treatment emerging events (Safety and tolerability)

    Frequence and severity of adverse events (AE), adverse reactions (AR), serious adverse events (SAE), serious adverse reactions (SAR) and suspected unexpected serious adverse reactions (SUSAR).

    Time frame: 1 year

  2. Quantification of the intact proviral DNA

    Intact HIV-1 DNA in CD4+ T cells (copies per million cells) as measured by dd-PCR.

    Time frame: 1 year

  3. Quantification of HIV mRNA and/or p24 positive cells

    Frequency of mRNA/p24 postive per 1 million CD4+ T cells by FISH-flow

    Time frame: 30 days from study entry

  4. Immune reconstitution

    Absolute CD4+ and CD8+ T cell count

    Time frame: 1 year

  5. Analytic treatment interruption (ATI) study

    Time to first plasma HIV RNA \>5000 c/mL

    Time frame: 64 weeks

  6. Impact of pre-ART virus sensitivity to 3BNC117 on ATI outcomes

    3BNC117 sensitivity determined by PhenoSense and/or HIV env sequencing

    Time frame: Baseline and at viral rebound

  7. T cell mediated HIV specific immunity

    T cell immunity as determined by the HIV AIM assay

    Time frame: First of 365 days

Other outcomes

  1. Plasma cytokine and immune activation biomarker levels

    Soluble IL-6, sCD14, sCD163

    Time frame: 1 year

07

Study locations

7 sites
  • Department of Infectious Diseases
    Aalborg, Denmark
  • Dept. of Infectious Diseases, Aarhus University Hospital
    Aarhus, 8200, Denmark
  • Department of Infectious Diseases
    Hvidovre, Denmark
  • Department of Infectious Diseases
    København, Denmark
  • Department of Infectious Diseases
    Odense, Denmark
  • Guy's and St Thomas'
    London, United Kingdom
  • Imperial College Healthcare NHS Trust
    London, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — Individual deidentified participant data (including data dictionaries) will be shared following the publication of the primary and secondary endpoints as outlined in this protocol. Data to be shared includes deidentified data points in published, peer-reviewed articles. Additional, related documents will also be available (study protocol, informed consent form). Data will become available following publication with no planned end date.

Supporting information: Study protocol, Icf, Analytic code

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03041012
Lead sponsor
Aarhus University Hospital
Collaborators
Rigshospitalet, Denmark, Hvidovre University Hospital, Odense University Hospital, Aalborg University Hospital, Herning Hospital, Hammersmith Hospitals NHS Trust, St Mary's Hospital, London
Responsible party
Sponsor
First posted
Feb 2, 2017
Start date
Jan 20, 2017
Primary completion
Aug 20, 2021
Completion
Dec 30, 2022
Last update
Apr 18, 2025

Study contacts

Ole S Søgaard, MD PhD
principal investigator · Aarhus University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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