Proof of Concept Treatment Study of Orally Administered VH4004280 or VH4011499 in HIV-1 Infected Adults (CINNAMON)
A Randomized, Double-Blind (Sponsor Unblinded), Placebo-Controlled, Phase 2a Trial to Investigate the Antiviral Effect, Safety, Tolerability and Pharmacokinetics of Orally Administered Investigational Capsid Inhibitor Monotherapy in HIV-1 Infected Treatment-Naïve Adults
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: US GSK Clinical Trials Call Center
- Phone Number: 877-379-3718
- Email: GSKClinicalSupportHD@gsk.com
Study Contact Backup
- Name: EU GSK Clinical Trials Call Center
- Phone Number: +44 (0) 20 89904466
- Email: GSKClinicalSupportHD@gsk.com
Study Locations
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Buenos Aires, Argentina, 1023
- GSK Investigational Site
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Buenos Aires, Argentina, C1425AGC
- GSK Investigational Site
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Buenos Aires, Argentina, C1202ABB
- GSK Investigational Site
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Ciudad Autonoma de Bueno, Argentina, C1405CKC
- GSK Investigational Site
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Quebec
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Montreal, Quebec, Canada, H2L 4P9
- GSK Investigational Site
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Marseille, France, 13003
- GSK Investigational Site
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Nantes, France, 44093
- GSK Investigational Site
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Paris, France, 75018
- GSK Investigational Site
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Cologne, Germany, 50937
- GSK Investigational Site
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Milan, Italy, 20157
- GSK Investigational Site
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Guadalajara, Mexico, 44160
- GSK Investigational Site
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Mexico City, Mexico, 06760
- GSK Investigational Site
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Barcelona, Spain, 08907
- GSK Investigational Site
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Barcelona, Spain, 08916
- GSK Investigational Site
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Madrid, Spain, 28046
- GSK Investigational Site
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Madrid, Spain, 28034
- GSK Investigational Site
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London, United Kingdom, SE5 8RX
- GSK Investigational Site
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California
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Bakersfield, California, United States, 93301
- GSK Investigational Site
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Florida
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DeLand, Florida, United States, 32720
- GSK Investigational Site
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New Jersey
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Newark, New Jersey, United States, 07102
- GSK Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants who are overtly healthy (other than HIV-1 infection).
- Screening cluster of differentiation-4 (CD4+) T-cell count greater than or equal to (≥)200 cells/microliter (µL).
- Documented HIV-1 infection and Screening plasma HIV-1 RNA ≥3000 copies/milliliter (mL).
- Treatment-naïve: Defined as no antiretroviral therapy received after the diagnosis of HIV-1 infection. Prior use of oral pre-exposure prophylaxis (PreP) is permitted. Prior use of parenteral PreP is exclusionary.
- Has body mass index (BMI) within the range of 18.5-31.0 kilograms per meter square (kg/m^2).
- Participants male at birth must use male condoms and participants female at birth who are of childbearing potential must be using acceptable forms of birth control.
- Participants capable of giving signed informed consent.
- Participant must be willing and able to start locally accessible and commercially available combination antiretroviral therapy after the monotherapy period.
Exclusion Criteria:
- Women who are breastfeeding or plan to become pregnant or breast feed during the study.
- Participants with acute HIV infection.
- Any evidence of an active Centers for Disease Control and Prevention (CDC) Stage 3 disease.
- Untreated syphilis infection.
- Ongoing malignancy other than certain localised malignancies.
- Treatment with immunomodulating agents or any agent with known anti-HIV activity.
- Has exclusionary psychiatric, hepatic, cardiovascular gastrointestinal, renal condition.
- Participant having any condition which, in the opinion of the investigator, may interfere with the absorption, distribution, metabolism or excretion of the study drugs or render the participant unable to take oral medication.
- Participants having exclusionary electrocardiogram (ECG) findings.
- Participants who have been exposed to any prohibited medication or vaccine.
- Participant positive for hepatitis B or hepatitis C.
- Participants with exclusionary safety laboratory (e.g Grade 3 or greater abnormality).
- Participants who have positive results for illicit drug use, regular use of drugs of abuse and/or excessive alcohol use.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Part 1a: VH4004280 Dose Level 1
Participants received a single dose of VH4004280 Dose Level 1 (low concentration) on Day 1 (evaluated for a 10-day period).
On Day 11, participants switched to an open-label antiretroviral therapy (ART) up to day 39.
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Antiretroviral therapy was administered as available and as per investigator's recommendation.
VH4004280 was administered as tablets orally at Day 1.
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Experimental: Part 1a: VH4004280 Dose Level 2
Participants received a single dose of VH4004280 Dose Level 2 (medium concentration) on Day 1 (evaluated for a 10-day period).
On Day 11, participants switched to an open-label ART up to day 39.
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Antiretroviral therapy was administered as available and as per investigator's recommendation.
VH4004280 was administered as tablets orally at Day 1.
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Experimental: Part 2a: VH4004280 pre-specified dose
Participants received a single pre-specified dose of VH4004280 (high concentration) on Day 1 (evaluated for a 10-day period).
On Day 11, participants switched to an open-label ART up to day 39.
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Antiretroviral therapy was administered as available and as per investigator's recommendation.
VH4004280 was administered as tablets orally at Day 1.
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Placebo Comparator: Matching placebo for VH4004280
Participants received a matching placebo for VH4004280 on Day 1 (evaluated for a 10-day period).
On Day 11, participants switched to an open-label ART up to day 39.
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Antiretroviral therapy was administered as available and as per investigator's recommendation.
VH4004280 Matching Placebo was administered as tablets orally at Day 1.
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Experimental: Part 1b: VH4011499 Dose Level 1
Participants received a single dose of VH4011499 Dose Level 1 (low concentration) on Day 1 and Day 6 (evaluated for a 10-day period).
On Day 11, participants had the option to switch to an open-label ART up to day 39.
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Antiretroviral therapy was administered as available and as per investigator's recommendation.
VH4011499 was administered as tablets orally at Day 1 and Day 6.
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Experimental: Part 1b: VH4011499 Dose Level 2
Participants received a single dose of VH4011499 Dose Level 2 (medium concentration) on Day 1 and Day 6 (evaluated for a 10-day period).
On Day 11, participants switched to an open-label ART up to day 39.
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Antiretroviral therapy was administered as available and as per investigator's recommendation.
VH4011499 was administered as tablets orally at Day 1 and Day 6.
VH4011499 Matching Placebo was administered as tablets orally at Day 1 and Day 6.
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Experimental: Part 2b: VH4011499 pre-specified dose
Participants received a single pre-specified dose of VH4011499 (high concentration) on Day 1 and Day 6 (evaluated for a 10-day period).
On Day 11, participants switched to an open-label ART up to day 39.
|
Antiretroviral therapy was administered as available and as per investigator's recommendation.
VH4011499 was administered as tablets orally at Day 1 and Day 6.
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Placebo Comparator: Matching placebo for VH4011499
Participants received a matching placebo for VH4011499 on Day 1 and Day 6 (evaluated for a 10-day period).
On Day 11, participants switched to an open-label ART up to day 39.
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Antiretroviral therapy was administered as available and as per investigator's recommendation.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Monotherapy, VH4004280: Maximum Change From Baseline (Day 1) in Plasma HIV-1 Ribonucleic Acid (RNA) log10
Time Frame: From Baseline (Day 1) and up to Day 11
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Plasma samples were collected for quantitative analysis of plasma HIV-1 RNA.
Maximum change from baseline was calculated by subtracting the baseline value from the post-dose visit value when the plasma HIV-1 RNA reached its minimum level up to Day 11 (inclusive).
Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.
The results were expressed as log10 copies per milliliter (log10 c/mL).
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From Baseline (Day 1) and up to Day 11
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Monotherapy, VH4011499: Maximum Change From Baseline (Day 1) in Plasma HIV-1 RNA log10
Time Frame: From Baseline (Day 1) and up to Day 11
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Plasma samples were collected for quantitative analysis of plasma HIV-1 RNA.
Maximum change from baseline was calculated by subtracting the baseline value from the post-dose visit value when the plasma HIV-1 RNA reached its minimum level up to Day 11 (inclusive).
Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.
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From Baseline (Day 1) and up to Day 11
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Monotherapy: Number of Participants With Any Adverse Events (AEs)
Time Frame: From Baseline (Day 1) and up to Day 11
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment.
Any = occurrence of the event regardless of intensity grade or relation to the study intervention.
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From Baseline (Day 1) and up to Day 11
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Follow-up: Number of Participants With Any AEs
Time Frame: From Day 11 and up to Day 39
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment.
Any = occurrence of the event regardless of intensity grade or relation to the study intervention.
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From Day 11 and up to Day 39
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Monotherapy: Number of Participants With AEs by Severity
Time Frame: From Baseline (Day 1) and up to Day 11
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Severity was rated according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) grading criteria, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening, Grade 5 = death.
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From Baseline (Day 1) and up to Day 11
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Follow-up: Number of Participants With AEs by Severity
Time Frame: From Day 11 and up to Day 39
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Severity was rated according to the DAIDS grading criteria, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening, Grade 5 = death.
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From Day 11 and up to Day 39
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Monotherapy: Number of Participants With AEs Leading to Study Treatment Discontinuation
Time Frame: From Baseline (Day 1) and up to Day 11
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'Discontinuation' of study intervention refers to any participant who has not received all planned doses of study intervention.
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From Baseline (Day 1) and up to Day 11
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Monotherapy and Follow-up, VH4004280: Change From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin
Time Frame: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Change from Baseline values for liver panel laboratory parameters total bilirubin and direct bilirubin were summarised.
Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.Standard deviation (SD) = 0.0000 is defined as following: if all participants analyzed for a specific parameter at a specific time point have the same value, then SD is equal with 0.0000.
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At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Monotherapy and Follow-up, VH4011499: Change From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin
Time Frame: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Change from Baseline values for liver panel laboratory parameters total bilirubin and direct bilirubin were summarised.
Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.
SD = 0.0000 is defined as following: if all participants analyzed for a specific parameter at a specific time point have the same value, then SD is equal with 0.0000.
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At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Monotherapy and Follow-up, VH4004280: Change From Baseline for Liver Panel Laboratory Parameters - Alanine Aminotransferace (ALT), Alkaline Phosphatase (ALP) and Aspartate Aminotransferase (AST)
Time Frame: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Change from Baseline values for liver panel laboratory parameters ALT, ALP and AST were summarised.
Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.
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At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Monotherapy and Follow-up, VH4011499: Change From Baseline for Liver Panel Laboratory Parameters - ALT, ALP and AST
Time Frame: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Change from Baseline values for liver panel laboratory parameters ALT, ALP and AST were summarised.
Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.
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At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39
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Monotherapy and Follow-up, VH4004280: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin
Time Frame: From Baseline (Day 1) and up to Day 39
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Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.
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From Baseline (Day 1) and up to Day 39
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Monotherapy and Follow-up, VH4011499: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin
Time Frame: From Baseline (Day 1) and up to Day 39
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Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.
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From Baseline (Day 1) and up to Day 39
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Monotherapy and Follow-up, VH4004280: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - ALT, ALP and AST
Time Frame: From Baseline (Day 1) and up to Day 39
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Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.
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From Baseline (Day 1) and up to Day 39
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Monotherapy and Follow-up, VH4011499: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - ALT, ALP and AST
Time Frame: From Baseline (Day 1) and up to Day 39
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Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.
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From Baseline (Day 1) and up to Day 39
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Monotherapy, VH4004280: Maximum Observed Plasma Drug Concentration (Cmax)
Time Frame: After dose administration at Day 1
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Cmax is defined as the maximum concentration of the drug in plasma.
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After dose administration at Day 1
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Monotherapy, VH4011499: Cmax
Time Frame: After dose administration at Day 1 and Day 6
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Cmax is defined as the maximum concentration of the drug in plasma.
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After dose administration at Day 1 and Day 6
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Monotherapy, VH4004280: Time to Maximum Observed Plasma Drug Concentration (Tmax)
Time Frame: After dose administration at Day 1
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Tmax is a measure of the time required to reach the maximum concentration of the drug.
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After dose administration at Day 1
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Monotherapy, VH4011499: Tmax
Time Frame: After dose administration at Day 1 and Day 6
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Tmax is a measure of the time required to reach the maximum concentration of the drug.
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After dose administration at Day 1 and Day 6
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Monotherapy, VH4004280: Plasma Concentration at Day 11 (C11)
Time Frame: At Day 11
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C11 is defined as the concentration of the drug in plasma at Day 11.
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At Day 11
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Monotherapy, VH4011499: C11
Time Frame: At Day 11
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C11 is defined as the concentration of the drug in plasma at Day 11.
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At Day 11
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Monotherapy, VH4004280: Change in Plasma HIV-1 RNA From Baseline
Time Frame: At Baseline (Day 1) and Day 11
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Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.
Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.
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At Baseline (Day 1) and Day 11
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Monotherapy, VH4011499: Change in Plasma HIV-1 RNA From Baseline
Time Frame: At Baseline (Day 1) and Day 11
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Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.
Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.
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At Baseline (Day 1) and Day 11
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Blood-Borne Infections
- Urogenital Diseases
- Genital Diseases
- Immune System Diseases
- Infections
- RNA Virus Infections
- Virus Diseases
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- HIV Infections
- Therapeutics
- Drug Therapy
- Drug Therapy, Combination
- Antiretroviral Therapy, Highly Active
Other Study ID Numbers
Other Study ID Numbers
- 218307
- 2023-505350-18-00 (Other Identifier: EU CT number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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