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A Pilot Study of Allogeneic Lymphocyte Transfer in HIV Infection
This study has been completed.
Sponsored by: National Institute of Allergy and Infectious Diseases (NIAID)
Information provided by: National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier: NCT00000852
  Purpose

To examine, in HIV-infected patients, the safety of allogeneic lymphocyte transfer (i.e., infusion of white blood cells taken from an HIV-negative parent, sibling, or adult offspring who has a compatible blood type). To measure the distribution and survival of allogeneic lymphocytes in the circulation of HIV-infected patients, and to determine whether their infusion results in enhanced immunity. To determine whether enhanced immunity is passively transferred or actively induced.

There is evidence that periodic infusion of allogeneic lymphocytes obtained from the peripheral blood of HLA-matched HIV-1 seronegative siblings of patients with AIDS can, in some instances, restore the number of circulating CD4+ lymphocytes. However, more controlled studies are needed to better quantitate the immunologic reconstitution seen with this type of therapy.


Condition Intervention
HIV Infections
Procedure: Allogeneic lymphocyte transfer

MedlinePlus related topics: AIDS
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Pilot Study of Allogeneic Lymphocyte Transfer in HIV Infection

Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):

Estimated Enrollment: 12
Detailed Description:

There is evidence that periodic infusion of allogeneic lymphocytes obtained from the peripheral blood of HLA-matched HIV-1 seronegative siblings of patients with AIDS can, in some instances, restore the number of circulating CD4+ lymphocytes. However, more controlled studies are needed to better quantitate the immunologic reconstitution seen with this type of therapy.

Lymphocytes obtained by leukapheresis from a healthy, HIV-negative parent, sibling, or adult offspring of the HIV-infected patient are infused at day 0 and at weeks 4 and 8. A small portion of the lymphocytes obtained at day 0 will be radiolabeled prior to infusion, and two total body scans will be performed. Patients also undergo two tonsillar biopsies. Patients are followed weekly for 16 weeks, then by telephone periodically for 3 years (at 1 year, 2 years, 2.5 years, and 3 years).

  Eligibility

Ages Eligible for Study:   18 Years to 50 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria

Concurrent Medication:

Required:

  • Stable antiretroviral therapy.

Allowed:

  • Maintenance therapy for a controlled opportunistic infection.

Patients must have:

  • HIV infection.
  • CD4 count 50-200 cells/mm3.
  • No ongoing major opportunistic infections.
  • Been on stable antiretroviral therapy for the past 2 months.
  • Tonsils present.
  • Life expectancy greater than 6 months.
  • An HLA-single haplotype matched, single haplotype mismatched parent, sibling, or adult offspring who is ABO, Rh compatible to serve as an HIV-negative lymphocyte donor.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

  • Lymphoma or other malignancy requiring chemotherapy.
  • Bleeding disorder that would preclude a tonsillar biopsy.
  • Antibody on donor/recipient lymphocyte reactive antibody assay.

Donors with the following symptoms or conditions are excluded:

  • Medical condition that would endanger health of donor or recipient.
  • Failure to meet established donor standards on blood screening tests.
  • CMV seropositivity if the patient (recipient) is CMV seronegative.
  • Pregnancy.

Concurrent Medication:

Excluded:

  • GM-CSF or G-CSF.
  • Any investigational drug.
  • Immunomodulators (such as interferon, steroids, topical corticosteroids, thalidomide, pentoxifylline, IL-2).
  • Nonsteroidal anti-inflammatory drugs.
  • Aspirin.

Prior Treatment:

Excluded:

  • Blood transfusion within the past 2 months.

Required:

  • Stable antiretroviral therapy for at least 2 months prior to study entry.

Active substance abuse.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00000852

Locations
United States, Ohio
Univ Hosp of Cleveland / Case Western Reserve Univ
Cleveland, Ohio, United States, 44106
Sponsors and Collaborators
Investigators
Study Chair: Lederman M
Study Chair: Lee E
Study Chair: Deyton L
  More Information

Publications:
Study ID Numbers: DATRI 016
Study First Received: November 2, 1999
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00000852  
Health Authority: United States: Federal Government

Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):
T-Lymphocytes
Acquired Immunodeficiency Syndrome
Transplantation, Homologous
Immunotherapy, Adoptive

Study placed in the following topic categories:
Virus Diseases
Sexually Transmitted Diseases, Viral
HIV Infections
Sexually Transmitted Diseases
Acquired Immunodeficiency Syndrome
Retroviridae Infections
Immunologic Deficiency Syndromes

Additional relevant MeSH terms:
Communicable Diseases
RNA Virus Infections
Slow Virus Diseases
Immune System Diseases
Lentivirus Infections
Infection

ClinicalTrials.gov processed this record on January 15, 2009