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WT-gag-TCR modified T cells

Phase 1

HIV Infections | Monoclonal antibody | Infectious Disease |Adaptimmune Therapeutics PLC Sponsored ADR|Last Updated: Oct 10, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment2
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00991224Redirected High Affinity Gag-Specific Autologous T Cells for HIV Gene TherapyPHASE1 COMPLETED 2Nov 1, 2009Jan 1, 2014Oct 10, 20191 United States
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Study Endpoints
Primary Endpoints
To determine optimal dose and to evaluate the safety and tolerability of the study drug.
3 years from end of study
To monitor for delayed adverse events associated with lentiviral vector gene transfer (RCL and insertional oncogenesis)
3 years from end of study
Secondary Endpoints
To determine the antiviral effects of WT-gag-and α/6-gag- TCR transduced cells in patients with low and high antigen load (presence and absence of viremia)
3 years from end of study
To monitor engraftment of vector modified cells in the peripheral circulation
3 years from end of study
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelFACTORIAL
PurposeBASIC_SCIENCE
Treatment Arms
ArmTypeDescription
Arm 1EXPERIMENTALSubjects who are HIV positive, taking medication to control virus, have an undetectable viral load, CD4 count greater than 450 at the time of enrollment, a CD4 nadir \>200 and a recorded historical viral load setpoint, will receive a WT-gag-TCR modified autologous T cells, followed one week later by a 16 week treatment interruption.
Arm 2EXPERIMENTALSubjects who are HIV positive, taking medication to control virus, have an undetectable viral load, CD4 count greater than 450 at the time of enrollment, a CD4 nadir \>200 and a recorded historical viral load setpoint, will receive a α/6-gag-TCR modified autologous T cells, followed one week later by a 16 week treatment interruption.
Arm 3EXPERIMENTALSubjects who are HIV positive, taking medication to control virus, have an undetectable viral load, CD4 count greater than 450 and a CD4 nadir \>200. Subject will undergo an 16 week treatment interruption during which a single infusion of WT-gag-TCR modified autologous T cells at 8 weeks post STI.
Arm 4EXPERIMENTALSubjects who are HIV positive, taking medication to control virus, have an undetectable viral load, CD4 count greater than 450 and a CD4 nadir of \>200. Subject will undergo a 16-week treatment interruption during which a single infusion of α/6-gag-TCR modified autologous T cells at 8 weeks post STI.
Interventions
NameTypeDescription
WT-gag-TCR modified T cellsBIOLOGICALSingle dose of WT-gag-TCR modified T cells infused over 3 consecutive days.
α/6-gag-TCR modified T cellsBIOLOGICALSingle dose of WT-gag-TCR modified T cells infused over 3 consecutive days.
STI or Drug HolidayOTHERSubjects will stop taking antiviral medications for 16 weeks.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Age 18 years or older * Karnofsky Performance of 80 or higher * HLA-A2 Positive * Chronic HIV-1 infection * On stable HAART regimen (with no changes within 4 weeks of study entry) * Willing to undergo a limited treatment interruption of antiretroviral medication * CD4+ T cell ...

Countries:United States
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