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Study to evaluate the safety, tolerability and antiretroviral activity of a new therapeutic strategy, based on the administration of dasatinib, an ITK, in patients with recent (3-12 months) asymptomatic HIV-1 infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dasatinib | Experimental | Dasatinib monotherapy (70 mg/day) will be given for 4 weeks. Antiretroviral therapy (ART) based on unboosted integrase inhibitors will be initiated at week 4 (S4) and dasatinib will be continued with ART until week 12. |
|
| Placebo | Placebo Comparator | Placebo monotherapy will be given for 4 weeks. Antiretroviral therapy (ART) based on unboosted integrase inhibitors will be initiated at week 4 (S4) and placebo will be continued with ART until week 12. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dasatinib | Drug | Dasatinib monotherapy 70 mg/day, during 16 weeks. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerance of dasatinib with and without antiretroviral therapy, measured by number of AEs and SAEs | Measured by number of AEs and SAEs | 52 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Antiretroviral capacity of dasatinib | Measured by quantification of plasma HIV-1 viral load during 4-week administration of dasatinib monotherapy. | at week 0 and 4 |
| Changes in the viral reservoirs of patients with recent HIV-1 infection induced by dasatinib administration. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eva Bonfill | Barcelona | Spain |
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| ID | Term |
|---|---|
| D000069439 | Dasatinib |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
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| Placebo |
| Drug |
Placebo during 16 weeks. |
|
Measured by changes in the viral reservoirs (integrated DNA, genetically intact virus, residual and induced viral replication and determination of integration sites) |
| at week 0, 4, 16 and 52 |
| Changes in markers of inflammation and immune activation induced by dasatinib administration. | Measured by changes in ultra-sensitive CRP, IL6, TNF alpha and CD4/CD8, CD25, CD69, CD38, HLA-DR+. | at week 0, 4, 16 and 52 |
| Changes in SAMHD1 phosphorylation levels and cytotoxic activity against HIV-1 induced by dasatinib. | Measured by NK phenotyping and in vitro replication inhibition tests. | at week 0, 4, 16 and 52 |
| Pharmacokinetic interactions of coadministration non-boosted integrase inhibitor-based antiretroviral therapy with dasatinib. | Measured by Cmax | at week 1, 2, 3, 4, 8, 12, 16 |
| Pharmacokinetic interactions of coadministration non-boosted integrase inhibitor-based antiretroviral therapy with dasatinib. | Measured by Cmin | at week 1, 2, 3, 4, 8, 12, 16 |
| Impact of dasatinib on markers of senescence | Measured by expression in PBLs of beta-galactosidase, Bcl-2, Histone H2A, p16 and CD87. | at week 0, 4, 16 and 52 |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |