PMID- 36452901 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221202 IS - 2296-858X (Print) IS - 2296-858X (Electronic) IS - 2296-858X (Linking) VI - 9 DP - 2022 TI - Safety and durability of AGT103-T autologous T cell therapy for HIV infection in a Phase 1 trial. PG - 1044713 LID - 10.3389/fmed.2022.1044713 [doi] LID - 1044713 AB - The cell and gene therapy product AGT103-T was designed to restore the Gag-specific CD4+ T cell response in persons with chronic HIV disease who are receiving antiretroviral therapy. This autologous, genetically engineered cell product is under investigation in a Phase 1 clinical trial (NCT03215004). Trial participants were conditioned with cyclophosphamide approximately 1 week before receiving a one-time low (< 10(9) genetically modified CD4+ T cells) or high (>/=10(9) genetically modified CD4+ T cells) dose of AGT103-T, delivering between 2 and 21 million genetically modified cells per kilogram (kg) body weight. There were no serious adverse events (SAEs) and all adverse events (AEs) were mild. Genetically modified AGT103-T cells were detected in most of the participant blood samples collected 6 months after infusion, which was the last scheduled monitoring visit. Peripheral blood mononuclear cells (PBMC) collected after cell product infusion were tested to determine the abundance of Gag-specific T cells as a measure of objective responses to therapy. Gag-specific CD4+ T cells were detected in all treated individuals and were substantially increased by 9 to 300-fold compared to baseline, by 14 days after cell product infusion. Gag-specific CD8+ T cells were increased by 1.7 to 10-fold relative to baseline, by 28 days after cell product infusion. Levels of Gag-specific CD4+ T cells remained high (~2 to 70-fold higher relative to baseline) throughout 3-6 months after infusion. AGT103-T at low or high doses was safe and effective for improving host T cell immunity to HIV. Further studies, including antiretroviral treatment interruption, are warranted to evaluate the product's efficacy in HIV disease. CLINICAL TRIAL REGISTRATION: www.clinicaltrials.gov, identifier: NCT03215004. CI - Copyright (c) 2022 Muvarak, Li, Lahusen, Galvin, Kumar, Pauza and Bordon. FAU - Muvarak, Nidal AU - Muvarak N AD - American Gene Technologies International, Inc., Rockville, MD, United States. FAU - Li, Haishan AU - Li H AD - American Gene Technologies International, Inc., Rockville, MD, United States. FAU - Lahusen, Tyler AU - Lahusen T AD - American Gene Technologies International, Inc., Rockville, MD, United States. FAU - Galvin, Jeffrey A AU - Galvin JA AD - American Gene Technologies International, Inc., Rockville, MD, United States. FAU - Kumar, Princy N AU - Kumar PN AD - Georgetown University School of Medicine, Washington, DC, United States. FAU - Pauza, C David AU - Pauza CD AD - American Gene Technologies International, Inc., Rockville, MD, United States. FAU - Bordon, Jose AU - Bordon J AD - Washington Health Institute, Washington, DC, United States. LA - eng PT - Journal Article DEP - 20221114 PL - Switzerland TA - Front Med (Lausanne) JT - Frontiers in medicine JID - 101648047 PMC - PMC9701732 OTO - NOTNLM OT - HIV OT - cell therapy OT - functional cure OT - gene therapy OT - immune reconstitution COIS- Authors HL, TL, and CP are shareholders in American Gene Technologies International, Inc. Author JG is a shareholder and current employee of American Gene Technologies, International, Inc. Authors PK and JB received funding for clinical trial costs from American Gene Technologies International, Inc. Authors HL and CP are current employees of Viriom Inc. Author NM is a current employee of BioNTech. EDAT- 2022/12/02 06:00 MHDA- 2022/12/02 06:01 PMCR- 2022/11/14 CRDT- 2022/12/01 02:52 PHST- 2022/09/14 00:00 [received] PHST- 2022/10/24 00:00 [accepted] PHST- 2022/12/01 02:52 [entrez] PHST- 2022/12/02 06:00 [pubmed] PHST- 2022/12/02 06:01 [medline] PHST- 2022/11/14 00:00 [pmc-release] AID - 10.3389/fmed.2022.1044713 [doi] PST - epublish SO - Front Med (Lausanne). 2022 Nov 14;9:1044713. doi: 10.3389/fmed.2022.1044713. eCollection 2022.