ClinicalTrials.gg
Status unknownNCT04091932TPAPUpdated Sep 20, 2019

Treatment of PD-1 Inhibitor in AIDS-associated PML

A Phase 2 interventional study of Pembrolizumab in Progressive Multifocal Leukoencephalopathy and AIDS, sponsored by First Affiliated Hospital of Zhejiang University. Status unknown at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-09-20.

Sponsored by First Affiliated Hospital of Zhejiang University · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

PD-1 inhibitor (Pembrolizumab, 2mg/kg weight, once per 4 weeks and 3 times of medication usage)treatment on AIDS patients with progressive multifocal leukoencephalopathy.

Read the detailed description

This is a one-center, single-arm and prospective study, planing recruiting 10 AIDS-associated PML patients. All patients will receive PD-1 inhibitor (Pembrolizumab) for 12 weeks, and the dose for each time is 2 mg per kg/weight, and the frequency is once per 4 weeks. The effect and safety of Pembrolizumab on AIDS-associated PML will be evaluated.

02

Conditions studied

  • Progressive Multifocal Leukoencephalopathy
  • AIDS

Keywords

  • PD-1 inhibitor
  • Pembrolizumab
  • Progressive Multifocal Leukoencephalopathy
  • AIDS
03

In context

Leukoencephalopathy, Progressive Multifocal

29 studies on the registry are indexed under Leukoencephalopathy, Progressive Multifocal; 7 are open to participants now.

This study's planned enrollment of 10 is below the median of 24 across 15 interventional studies indexed under Leukoencephalopathy, Progressive Multifocal.

Browse Leukoencephalopathy, Progressive Multifocal studies →

Lead sponsor

First Affiliated Hospital of Zhejiang University is the lead sponsor of 263 studies on the registry; 144 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age: 18-65
  2. Diagnosed of by lab confirmation
  3. Diagnosed of PML by diplomatic radiologists through brain MRI or by brain once there are some concerns on radiologic diagnosis.
  4. agree to sign the consent
  5. agree to use measures during 4 weeks before to 6 months after this study

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy or lactating women or planing birth during this study
  2. Anticipated bad treatment compliance
  3. Within 6 months before joining this study, receive other immunosuppressors, immunomodulators or cytotoxic drugs ( is allowed);
  4. With neutrophil\<1000/mm3 or \<75000/mm3 or allergic to inhibitor 5)With severe basic diseases in heart, brain, lung, liver, kidney
  1. disagree to sign the consent
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Pembrolizumab treatment

    Pembrolizumab dosage form:100mg/4ml dosage:2mg/kg weight frequency: once per 4 weeks duration:12 weeks

    Drug: Pembrolizumab

Interventions

  • Monthly usage of Pembrolizumab (2mg/kg weight) for 3 months.

    Also known as: PD-1 inhibitor

06

What researchers measure

Primary outcomes

  1. the rate of non-progressors and recovers of AIDS patients with PML in 6 months after receiving PD-1 inhibitor

    With treatment of Pembrolizumab for 6 months, we will evaluate the rate of non-progressors and recovers of AIDS patients with PML

    Time frame: 6 months

  2. the rate of non-progressors and recovers of AIDS patients with PML in 12 months after receiving PD-1 inhibitor

    With treatment of Pembrolizumab for 12 months, we will evaluate the rate of non-progressors and recovers of AIDS patients with PML

    Time frame: 12 months

Secondary outcomes

  1. the negative conversion rate of John Cunningham virus (JCV) in cerebrospinal fluid,blood and urine in patients receiving Pembrolizumab.

    With treatment of Pembrolizumab for 3 months, we will evaluate the negative conversion rate of JCV in cerebrospinal fluid,blood and urine

    Time frame: 3 months

  2. Side effects associated with Pembrolizumab

    To investigate the safety of Pembrolizumab in HIV patients

    Time frame: 12 months

  3. The rate of patients with decreased HIV viral reservoir

    To investigate the rate of patients with decreased HIV viral reservoir

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
  • the first affiliated hospital of Zhejiang university school of medicine
    Hangzhou, Zhejiang 310000, China
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2019 (actual). Primary completion is estimated for Feb 2020, 6 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 15, 2019
First posted
Sep 17, 2019
StartActual
Aug 20, 2019
Primary completionEst.
Feb 2020
CompletionEst.
Dec 2021
Last update
Sep 20, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04091932
Responsible party
Sponsor
First posted
Sep 17, 2019
Start date
Aug 20, 2019
Primary completion
Feb 2020 (estimated)
Completion
Dec 2021 (estimated)
Last update
Sep 20, 2019

Study contacts

Biao Zhu, PhD
Contact
zhubiao1207@zju.edu.cn
13906535457
Junwei Su, MD
Contact
1514031@zju.edu.cn
13777441318
Biao Zhu, PhD
principal investigator · Zhejiang University

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Pembrolizumab

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