Ongoing Clinical Trials of Human Immunodeficiency Virus Latency-Reversing and Immunomodulatory Agents

Héloïse M Delagrèverie1, Constance Delaugerre1, Sharon R Lewin2

  • 1INSERM U941, Université Paris Diderot, Laboratoire de Virologie, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris , France.

Insights

Strategies targeting the latent HIV-1 reservoir, including latency reversal agents (LRAs) and immunomodulatory drugs, are being tested in clinical trials to achieve a functional cure for HIV.

Area of Science:

  • Virology
  • Immunology
  • Clinical Medicine

Background:

  • Latently infected cells represent a significant barrier to eradicating human immunodeficiency virus (HIV)-1.
  • Current therapeutic strategies aim to disrupt, eliminate, or control this viral reservoir.

Approach:

  • This review summarizes ongoing clinical trials investigating HIV latency reversal agents (LRAs) and immunomodulatory molecules.
  • It examines strategies designed to reactivate HIV transcription, eliminate infected cells, and control viral replication.

Key Points:

  • LRAs aim to reactivate HIV-1 transcription and virus production from latent reservoirs.
  • Immunomodulatory drugs are explored for reversing latency, blocking proliferation, and enhancing immune control.
  • Clinical trials are evaluating the efficacy and safety of these novel therapeutic approaches.

Conclusions:

  • The development of effective strategies against the latent HIV-1 reservoir is crucial for achieving a functional cure.
  • Challenges remain in comparing and interpreting results from diverse clinical trials.
  • Further research is needed to optimize therapeutic interventions for HIV eradication.