Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 65Years
All Genders
NCT05187429

Low Dose Nivolumab in Adults Living With HIV on Antiretroviral Therapy

Led by University of Melbourne · Updated on 2025-12-22

42

Participants Needed

2

Research Sites

309 weeks

Total Duration

On this page

Sponsors

U

University of Melbourne

Lead Sponsor

T

The Alfred

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to evaluate whether a single dose of Nivolumab in people living with HIV can reduce the latent reservoir. The latent HIV reservoir is a group of immune system cells in the body that are infected with HIV but are not actively producing new virus. This is the reason why people living with HIV are unable to stop their antiretroviral treatment.

CONDITIONS

Official Title

Low Dose Nivolumab in Adults Living With HIV on Antiretroviral Therapy

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Documented HIV-1 infection
  • Viral load greater than 400 copies/mL before starting ART
  • Weight of at least 50 kg
  • Ability and willingness to provide informed consent and continue ART throughout the study
  • Receiving combination ART for at least 2 years and on the same ART regimen for at least 4 weeks at screening
  • HIV-1 plasma RNA less than 50 copies/mL for more than 2 years, documented on at least 2 occasions, and less than 50 copies/mL at screening
  • CD4+ T cell counts greater than 500 cells/µL at screening
  • Female participants either non-child-bearing potential or of child-bearing potential with negative pregnancy tests at screening and Day 0 and agreeing to use effective contraception from 14 days before infusion until study end
  • Agreement by all participants not to participate in conception during the study
  • Heterosexually active males willing to use effective contraception or have anatomical sterility confirmed prior to study entry
  • For Singapore participants, agreement to abide by the Infectious Diseases Act regarding HIV control
Not Eligible

You will not qualify if you...

  • Active, known, or suspected autoimmune diseases
  • History of interstitial lung disease or chronic obstructive pulmonary disease
  • Type I diabetes mellitus
  • Active malignancy or history of malignancy requiring systemic chemotherapy or surgery in the last 24 months, except certain skin cancers
  • History of solid organ transplant (except approved corneal transplants)
  • Active or previously treated active tuberculosis
  • History of HIV-related opportunistic infection within the last year
  • Prior immune reconstitution syndrome
  • Serious infections within 30 days prior to study entry requiring systemic therapy
  • Immune deficiency other than HIV
  • Receipt of investigational drug or device within 6 months prior to study entry
  • Treatment for hepatitis C virus within 6 months prior to study entry
  • Previous treatment with immune checkpoint inhibitors or immunoglobulin therapy
  • Use of immunomodulators, cytotoxic chemotherapy, experimental vaccines, or investigational therapy within 60 days prior to study entry or planned use during the study, with exceptions for stable low-dose glucocorticoids and inhaled or topical corticosteroids
  • Severe hepatic impairment or unstable liver disease
  • Intention to modify ART regimen during the study
  • Active alcohol or substance use interfering with compliance
  • Acute or chronic psychiatric problems affecting eligibility
  • Other active, clinically significant medical conditions
  • Pregnancy, breastfeeding, or unwillingness to use contraception as required
  • Specific blood and coagulation abnormalities for Cohort A
  • Laboratory abnormalities including low hemoglobin, neutrophil count, platelets, elevated liver enzymes, abnormal thyroid tests, positive hepatitis B or C tests, and others as specified

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Alfred Hospital - Department of Infecious Diseases

Melbourne, Victoria, Australia, 3181

Actively Recruiting

2

Tan Tock Seng Hospital

Singapore, Singapore, 308433

Actively Recruiting

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Research Team

J

Jennifer Audsley, BAppSC(Hons), PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

3

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