Drugs

Lexgenleucel-T

Lexgenleucel-T

Other Names: VRX496, VRX496-T Drug Class: Gene Therapy Products Registry Number: 1294006-17-9 (CAS) Organization: VIRxSYS Corporation Phase of Development: Lexgenleucel-T is in Phase II development for HIV treatment.

(Compound details obtained from ChemIDplus Advanced,1 Treatment Action Group website,2 and ClinicalTrials.gov3,4)

What is lexgenleucel-T?

What is lexgenleucel-T?

Lexgenleucel-T is an investigational gene therapy product. Gene therapy is an experimental technique that uses short sections of genetic material called genes to treat or prevent disease. Lexgenleucel-T is being studied for its ability to help CD4 cells survive during HIV infection and as a possible strategy to cure HIV.5–7

To learn how investigational drugs are tested during clinical trials, read the AIDSinfo What is an Investigational HIV Drug? and HIV/AIDS Clinical Trials fact sheets.

How does lexgenleucel-T work?

How does lexgenleucel-T work?

Lexgenleucel-T is an investigational gene therapy product that adds an anti-HIV gene (called an antisense gene) into CD4 cells.5

With lexgenleucel-T, the antisense gene is delivered into the CD4 cell by a carrier called a vector. The antisense gene becomes a permanent part of the cell’s genetic material. Then, when HIV infects a CD4 cell that has the antisense gene and tries to make copies of itself, the antisense gene is activated. The activated antisense gene prevents the production of an HIV protein (called an envelope protein) that’s needed for HIV to successfully replicate. Without the envelope protein, HIV cannot multiply.5,6,8

Which clinical trials are studying lexgenleucel-T?

Which clinical trials are studying lexgenleucel-T?

Study Names: Protocol 802456; NCT00295477
Phase: I/II
Status: This study is ongoing, but not recruiting participants.
Location: United States
Purpose: The purpose of this study is to evaluate the safety and effectiveness of multiple lexgenleucel-T infusions on viral loads and CD4 counts.9

Study Names: (1) VRX496-USA-05-002; NCT00131560 and (2) VRX496-USA-05-002-Rollover; NCT00622232
Phase: II
Status: These studies are ongoing, but not recruiting participants.
Location: United States
Purpose: The purpose of the VRX496-USA-05-002 study is to evaluate the safety and effectiveness of single and multiple infusions of lexgenleucel-T. The purpose of the rollover study is to evaluate the safety and effectiveness of an additional infusion of lexgenleucel-T in participants who complete the VRX496-USA-05-002 study.3,4

For more details on the studies listed above, see the Health Professional version of this drug summary.

What side effects might lexgenleucel-T cause?

What side effects might lexgenleucel-T cause?

One goal of HIV research is to identify new drugs that have fewer side effects. The following side effects were observed in the studies of lexgenleucel-T listed above.

Protocol 802456 (NCT00295477):

No safety concerns related to multiple infusions were reported in this study. The most common side effect was a garlic/creamed corn odor occurring during infusions. Other common side effects related to treatment were reactions at the infusion site, such as stinging and a cold sensation.10,11

VRX496-USA-05-002 (NCT00131560) and VRX496-USA-05-002-Rollover (NCT00622232):

Twenty seven participants in these studies have completed 3 years of follow-up safety monitoring with no evidence of long-term safety issues related to lexgenleucel-T treatment.12

Because lexgenleucel-T is still being studied, information on possible side effects of the drug is not complete. As testing of lexgenleucel-T continues, additional information on possible side effects will be gathered.

Where can I get more information about clinical trials studying lexgenleucel-T?

Where can I get more information about clinical trials studying lexgenleucel-T?

More information about lexgenleucel-T-related research studies is available from the AIDSinfo database of ClinicalTrials.gov study summaries. Click on the title of any trial in the list to see the ClinicalTrials.gov trial summary and more information about the study.

Some clinical trials may be looking for volunteer participants. Your health care provider can help you decide whether participating in a clinical trial is right for you. For information, visit NIH Clinical Research Trials and You.

References

References

  1. United States National Library of Medicine. ChemIDplus Advanced: Lexgenleucel-T. https://chem.nlm.nih.gov/chemidplus/rn/1294006-17-9. Accessed April 5, 2019.
  2. Treatment Action Group website. Research toward a cure trials. http://www.treatmentactiongroup.org/cure/trials. Accessed April 5, 2019.
  3. VIRxSYS Corporation. A Phase II, open-label, multicenter study to evaluate the safety, tolerability, and biological activity of single and repeated doses of autologous T cells transduced with VRX496 in HIV-positive subjects. In: ClinicalTrials.gov. Bethesda (MD): National Library of Medicine (US). Registered on August 16, 2005. NLM Identifier: NCT00131560. https://clinicaltrials.gov/ct2/show/NCT00131560. Accessed April 5, 2019.
  4. VIRxSYS Corporation. A rollover study to evaluate safety and therapeutic effect of re-infusing subjects who completed participation in the VRX496-USA-05-002 trial with autologous T cells transduced with VRX496. In: ClinicalTrials.gov. Bethesda (MD): National Library of Medicine (US). Registered on February 11, 2008. NLM Identifier: NCT00622232. https://clinicaltrials.gov/ct2/show/NCT00622232. Accessed April 5, 2019.
  5. VIRxSYS Corporation. FDA biological response modifiers advisory committee meeting briefing package—Autologous T cells transduced with VRX496, an HIV-1 based lentiviral vector for the treatment of patient-subjects infected with HIV-1; October 26th, 2001. http://www.webcitation.org/6yc5V6sUs. Accessed April 5, 2019.
  6. Sheehy J, Zack J, Kiem HP, Handibode J. Cell/gene therapy—HIV cure research training curriculum. Located on the AVAC website (http://www.avac.org/cure-curriculum/module3), under PowerPoint. http://www.avac.org/sites/default/files/u16/Gene_Cell_Therapy_July.pptx. Accessed April 5, 2019.
  7. Hartman TL, Buckheit RW. The continuing evolution of HIV-1 therapy: Identification and development of novel antiretroviral agents targeting viral and cellular targets. Mol Biol Int. 2012. doi:10.1155/2012/401965
  8. Stan R and Zaia JA. Practical considerations in gene therapy for HIV cure. Curr HIVAIDS Rep. 2014;11(1):11-19.
  9. University of Pennsylvania. A Phase I/II, open-label, single center study to evaluate the tolerability, trafficking and therapeutic effects of repeated doses of autologous T cells transduced with VRX496 in HIV infected subjects. In: ClinicalTrials.gov. Bethesda (MD): National Library of Medicine (US). Registered on February 21, 2006. NLM Identifier: NCT00295477. https://clinicaltrials.gov/ct2/show/NCT00295477. Accessed April 5, 2019.
  10. Tebas P, Stein D, Binder-Scholl G, et al. Antiviral effects of autologous CD4 T cells genetically modified with a conditionally replicating lentiviral vector expressing long antisense to HIV. Blood. 2013;121(9):1524-1533. doi:10.1182/blood-2012-07-447250
  11. Tebas P, Stein D, Zifchak L, et al. Prolonged control of viremia after transfer of autologous CD4 T cells genetically modified with a lentiviral vector expressing long antisense to HIV env (VRX496). 17th Conference on Retroviruses and Opportunistic Infections (CROI); February 16-19, 2010; San Francisco, CA. Levin: Conference Reports for National AIDS Treatment Advocacy Project (NATAP); 2010. http://www.natap.org/2010/CROI/croi_182.htm. Accessed April 5, 2019. 
  12. Rebello T, Stein D, Blick G, et al. Safety and efficacy of autologous CD4+ T cells transduced with a lentiviral vector delivering anti-HIV RNA antisense env in HIV+ subjects failing one or more HAART regimens. Mol Ther. 2010;18:S251-S252. doi:10.1016/S1525-0016(16)38087-X

Last Reviewed: April 5, 2019

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