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WithdrawnNCT05783388Updated Sep 19, 2024

Measuring the HIV-1 Reservoir During Cure Interventions Studies (MERCI)

An observational study in Hiv, sponsored by University Hospital, Ghent. Withdrawn at 1 site in Belgium. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by University Hospital, Ghent · Observational

Why this study was withdrawn
The commercial partner decided not to proceed with this protocol at this time
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
0
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The aim of this study is the gain new insights into HIV latency before and after cure intervention studies through extensive blood and tissue sampling (lymph node and colon biopsies) from 30 individuals.

02

Conditions studied

  • Hiv

Keywords

  • HIV
  • Latency
03

In context

Lead sponsor

University Hospital, Ghent is the lead sponsor of 665 studies on the registry; 156 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

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
Sampling method
Non-probability sample

Study population

HIV-1 positive persons who are included in a cure intervention study

Inclusion criteria

  • Meets the inclusion criteria of the cure intervention study

Exclusion criteria

Exclusion Criteria:

  • Current history of opportunistic infection (AIDS defining events as defined in category C of the CDC clinical classification), consisting of chronic HIV-1 infection.
  • Evidence of active HBV infection (Hepatitis B surface antigen positive or HBV viral load positive in the past and no evidence of subsequent seroconversion (=HBV antigen or viral load negative and positive HBV surface antibody)).
  • Evidence of active HCV infection (HCV antibody positive result within 60 days prior to study entry with positive HCV viral load or, if the HCV antibody result is negative, a positive HCV RNA result within 60 days prior to study entry).
  • Current or known history of cardiomyopathy or significant ischemic or cerebrovascular disease.
  • Current history of cancer.
  • History of HIV-related thrombocytopenia.
  • Pregnancy or breastfeeding.
  • Any condition, including preexisting psychiatric and psychological disorders, which will in the opinion of the investigator interfere with the trial conduct or safety of the participant.
  • Abnormal results of standard of care laboratory tests:

    1. Confirmed haemoglobin \<11g/dl for women and \<12 g/dl for men
    2. Confirmed platelet count \<100 000/µl *
    3. Confirmed neutrophil count \<1000/μl
    4. Confirmed AST and/or ALT >10xULN
  • Active drug or alcohol use or dependence that, in the opinion of the site investigator, would interfere with adherence to study requirements.
  • Acute or serious illness, in the opinion of the site investigator, requiring systemic treatment and/or hospitalization within 60 days prior to entry.
  • The following treatment will be prohibited three months before screening and during the study:

    1. immunosuppressive drugs (inclusive corticosteroids) except for drugs used for topical use.
    2. Immunomodulatory drugs including but not limited to Granulocyte-colony stimulating factors, Granulocyte-monocyte colony-stimulating factor, interleukin 2, 7 \& 15.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
0 participants (actual)
Patient registry
No

Groups and cohorts

  • HIV-1 positive persons
06

What researchers measure

Primary outcomes

  1. Quantification of total and intact HIV DNA and HIV RNA

    Rainbow assay: multiplex digital PCR approach that combines five different HIV-1 regions to quantify total HIV-1 DNA and intact HIV-1 DNA simultaneously (Qiacuity dPCR platform, Qiagen). mutliplex digital PCR approach to quantify HIV RNA

    Time frame: 5 years

  2. Integration site analysis

    HIV/host DNA junctions will be amplified using the Integration Site Loop Amplification (ISLA) assay, and resulting chimeric amplicons will be sequenced by Sanger.

    Time frame: 5 years

  3. Full-length HIV genome analysis

    Full-Length Individual Proviral Sequencing (FLIPS) assay: nested PCR with Illumina MiSeq.

    Time frame: 5 years

  4. Epigenetic analysis

    Methylation (bisulfite conversion) and chromatin accessibility (Assay for Transposase-Accessible Chromatin using sequencing)

    Time frame: 5 years

  5. Matched integration site and proviral sequencing

    MIP-seq: captures full-length viral genome sequences in conjunction with its associated viral integration site

    Time frame: 5 years

  6. Proviral UMI-mediated Long-read Sequencing

    HIV-PULSE: characterize the composition of the viral reservoir using long-read sequencing. Involves pre-amplifying individual proviral genomes using PCR and tagging them with dual UMIs, followed by long-range PCR amplification and long-read sequencing on the Oxford Nanopore MinION platform

    Time frame: 5 years

  7. Transcriptome analysis

    * Bulk RNA sequencing on extracted RNA (Illumina Hiseq 2500 with 10-100 ng input of ribodepleted RNA) * Single cell RNA sequencing (10x genomics technology )

    Time frame: 5 years

  8. High dimensional phenotyping

    CyTOF (mass cytometry, Fluidigm) combined with bioinformatics approach to extensively characterize the phenotype of latently infected cells

    Time frame: 5 years

  9. Immunohistochemistry, RNA- and DNA In Situ Hybridization

    Immunochemistry will be used to study the expression of activation and exhaustion markers on tissues samples , while viral expression will be assessed through DNAScope and RNAScope technologies

    Time frame: 5 years

  10. Immunometabolic profile analysis

    Mass spectrometry metabolomics will be used to study the immunometabolic profile of latently infected cells

    Time frame: 5 years

  11. Detection of translation-competent reservoirs

    HIV-Flow assay: flow cytometry based assay using a combination of 2 antibodies targeting the p24 protein and allowing the detection of cells containing translation-competent viruses. p24+ cells detected by this assay can be sorted for downstream applications and further characterization of translation-competent reservoirs. The Simultaneous TCR Integration site and Provirus sequencing (STIP-seq) assay will be performed to sequence the proviral genome and matched integration sites of the translation-competent viruses, as well as phenotypic characterization and TCR sequencing of the host cell. characterization of translation-competent reservoirs.

    Time frame: 5 years

  12. Immunological analysis-FACS

    Immunophenotyping by flow cytometric assays will be performed of different cells to assess the phenotype of innate immune cells, using FACS analysis.

    Time frame: 5 years

  13. Immunological analysis-ELISA

    Immunophenotyping by flow cytometric assays will be performed of different cells to assess the phenotype of innate immune cells, using ELISA.

    Time frame: 5 years

  14. Microbiome monitoring

    Gut microbiome will be analyzed in stool and colon biopsies using next-generation sequencing (NGS) of rRNA gene amplicons to identify bacteria at genus/species level

    Time frame: 5 years

07

Study locations

1 site
  • Ghent University Hospital
    Ghent, 9000, Belgium
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05783388
Lead sponsor
University Hospital, Ghent
Responsible party
Sponsor
First posted
Mar 24, 2023
Start date
Jun 1, 2023
Primary completion
Feb 1, 2025 (estimated)
Completion
Feb 1, 2030 (estimated)
Last update
Sep 19, 2024

Study contacts

Linos Vandekerckhove, MD PhD
principal investigator · University Hospital, Ghent

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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