CAR-T Cells for HIV Infection

This study is testing a new approach for people with HIV infection using special immune cells called LVgp120duoCAR-T cells. These cells are designed to target HIV. Some participants will also receive a drug called cyclophosphamide before the LVgp12oCAR-T cells. The study aims to see how safe this treatment is and if it can help people control HIV without their usual antiretroviral therapy (ART) medications. You may be able to join if you are 18 to 65 years old, have HIV-1 infection, and have been on stable ART for at least 12 months. The study will look for serious side effects within one year and if participants can control HIV without ART for 36 weeks. The current recruitment status is unclear.

Study design
This is an open-label, dose-escalating study with three cohorts, meaning you and the researchers will know which treatment you are receiving. It plans to enroll 18 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Researchers will monitor participants for up to one year after treatment and assess HIV control for 36 weeks.

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NCT04648046

CAR-T Cells for HIV Infection

Recruiting
PHASE1Ages 18–65InterventionalTreatment
Steven Deeks
~18 participants
Updated 2026-04-09 on ClinicalTrials.gov
What's tested:CyclophosphamideLVgp120duoCAR-T cells, low doseLVgp120duoCAR-T cells, high doseAnalytic Treatment Interruption

At a glance

Recruiting sites
2 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of participants reporting a new Grade 3 or greater adverse event that is definitely, probably, or possibly related to study treatment within 1 year of product administration.
Measured over Within 1 year of product administration
+1 more outcome measured
HIV Infections
2 sites across 1 states
California2
  • Steven Deeks, MD · PRINCIPAL_INVESTIGATOR · University of California, San Francisco

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Eligibility criteria

Inclusion

Male or female, age ≥ 18 and ≤ 65 years
HIV-1 infection
On continuous antiretroviral therapy for at least 12 months without any interruptions of greater than 14 consecutive days, and on a stable regimen that does not include a non-nucleoside reverse transcriptase inhibitor (NNRTI) for at least 4 weeks or any long-acting ART drug that may be active in the participant after ART interruption for up to one year, without plans to modify ART during the study period
Screening plasma HIV RNA levels below the limit of quantification on all available determinations in past 12 months (isolated single values ≥ 40 but \< 200 copies/mL will be allowed if they were preceded and followed by undetectable viral load determinations)
CD4+ T cell count nadir \> 300 cells/mm3
Screening CD4+ T-cell count ≥ 500 cells/mm3
Available ART treatment history and the capacity to construct an effective antiretroviral treatment regimen
Willing to pause ART as part of the study

Exclusion

Pregnant, breastfeeding, or unwilling to practice birth control during participation in the study
ART regimen that includes a long-acting anti-HIV drug and/or NNRTI that may be active in the participant for up to one year after ART interruption
ART regimen that includes protease inhibitor(s) and/or AZT. These drugs may increase the toxicity of cyclophosphamide.
Any history of an HIV-associated malignancy, including Kaposi's sarcoma and any type of lymphoma, or virus-associated cancers
History of or current active hepatitis B (HBV) infection defined as positive HBV surface antigen test. A positive anti-HBc regardless of HBsAg status.
Active hepatitis C (HCV) infection
Active or latent tuberculosis infection
Chronic liver disease
Active and poorly controlled atherosclerotic cardiovascular disease
Unwillingness to abstain from sex or use barrier protection for any sexual activity during the treatment interruption.
  • Number of participants reporting a new Grade 3 or greater adverse event that is definitely, probably, or possibly related to study treatment within 1 year of product administration.Within 1 year of product administration

    The primary safety outcome will be the number of participants reporting a new Grade 3 or greater adverse events assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 3.0, including signs/symptoms, lab toxicity or clinical event, that is definitely, probably, or possibly related to study treatment within 1 year of product administration.

  • Number of participants achieving post-treatment control within 36 weeks of product administration.Week 36

    The primary efficacy outcome will be the proportion of individuals who achieve study-defined post-treatment control. The investigators will define post-treatment control in two ways. First, participants who fail to show any consistent rebound above 400 copies RNA/mL between Weeks 12 and Week 36 will be considered as having achieved post-treatment control. Second, participants who exhibit a rebound and eventually achieve 24 weeks of virus control will be considered as having achieved post-treatment control.