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Albuvirtide in Combination With 3BNC117 in Virologically Suppressed Subjects With HIV-1 Infection

24 maart 2021 bijgewerkt door: Frontier Biotechnologies Inc.

The Phase 2, Two Arms, One Site, Safety and Antiviral Activity of Combination Therapy With Albuvirtide and 3BNC117 in Virologically Suppressed Subjects With HIV-1 Infection After Analytical Treatment Interruption

This is a phase 2 study to evaluate the safety and tolerability of combination therapy with Albuvirtide (ABT) and 3BNC117 in virologically suppressed subjects with HIV-1 infection and explore the potential of viral suppression and viral reservoir clearance after analytical treatment interruption (ATI).

Studie Overzicht

Toestand

Onbekend

Conditie

Gedetailleerde beschrijving

This is an open-label, one site study, in which a total of 24 HIV-1 subjects who are virologically suppressed and stable on daily oral combination antiretroviral therapy will be enrolled.

All eligible patients will be switched from daily oral combination antiretroviral regimen to treatment of ABT and 3BNC117 for 14 weeks. There is a two-week overlap of the baseline oral antiretroviral therapy and the ABT-3BNC117 combination regimen at the beginning of the study treatment, and then the oral ART will be interrupted.

The patients will be monitored for viral rebound every two or four weeks following initiation of ABT-3BNC117 combination and will re-initiate an oral antiretroviral regimen if virological rebound is confirmed with plasma HIV-1 RNA levels above 200 copies/ml on two consecutive test.

Pharmacokinetics of ABT and 3BNC117 will be assessed in this study.

Studietype

Ingrijpend

Inschrijving (Verwacht)

24

Fase

  • Fase 2

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Contact Back-up

Studie Locaties

      • Beijing, China
        • Peking Union Medical College Hospital
        • Contact:
        • Hoofdonderzoeker:
          • Taisheng Li, M.D.

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  1. Males and females, age ≥18 years
  2. For cohort 1: HIV-1 infected subjects initiated a stable combination antiretroviral therapy (ART) within 6 months of primary HIV infection (PHI), having the document evidence of initial diagnosis of HIV-1 infection and initiation of ART therapy within 6 months of PHI.

    For cohort 2: Chronically HIV-1 infected subjects initiated a stable combination antiretroviral therapy (ART) after 6 months of primary HIV infection (PHI), having the document evidence of initial diagnosis of HIV-1 infection and initiation of ART therapy after 6 months of PHI.

  3. Plasma HIV-1 RNA <50 copies/mL for at least 12 months prior to Screening Visit. An exception for a recorded HIV-1 RNA "blip" (e.g., transient HIV-1 RNA >50 copies/mL) can be considered.
  4. Plasma HIV-1 RNA <20 copies/mL at Screening Visit.
  5. CD4 cell count >500 cells/µL.
  6. Laboratory values at Screening of:

    1. Absolute neutrophil count (ANC) ≥0.75×10∧9/L;
    2. Hemoglobin (Hb) ≥105 g/L (male) or ≥95 g/L (female);
    3. Platelets ≥75×10∧9/L;
    4. Serum alanine transaminase (SGPT/ALT) < 2 x upper limit of normal (ULN)
    5. Serum aspartate transaminase (SGOT/AST) < 2 x ULN
    6. Bilirubin (total) <2.5 x ULN unless Gilbert's disease is present or subject is receiving atazanavir in the absence of other evidence of significant liver disease
    7. Creatinine ≤1.5 x ULN
  7. Clinically normal resting 12-lead ECG at Screening Visit or, if abnormal, considered not clinically significant by the Principal Investigator.
  8. Both male and female patients and their partners of childbearing potential must agree to use accepted methods of contraception.
  9. Females of childbearing potential must have a negative serum pregnancy test at Screening visit and negative urine pregnancy test prior to receiving the first dose of study drug.
  10. Subjects who have two or more potential alternative antiretroviral treatment regimens.
  11. Willing and able to participate in all aspects of the study, including use of IV medication, completion of evaluations, attendance at scheduled clinic visits, and compliance with all protocol requirements as evidenced by providing written informed consent.

Exclusion Criteria:

  1. Any active infection or malignancy requiring acute therapy.
  2. Hepatitis B infection as manifest by the presence of Hepatitis B surface antigen (HBsAg).
  3. Hepatitis C infection as manifest by positive anti-HCV antibody and positive HCV RNA assay at the time of screening.
  4. Females who are pregnant, lactating, or breastfeeding, or who plan to become pregnant during the study
  5. Unexplained fever or clinically significant illness within 1 week prior to the first study dose
  6. Any vaccination within 2 weeks prior to the first study dose.
  7. Subjects BMI<20 or >27 kg/m∧2 [BMI=weight/height∧2].
  8. History of Bleeding Disorder or patients on anti-coagulant therapy
  9. Participation in an experimental drug trial(s) within 30 days of the Screening Visit
  10. Any known allergy or antibodies to the study drug or excipients
  11. Treatment with any of the following:

    1. Radiation or cytotoxic chemotherapy with 30 days prior to the screening visit
    2. Receipt of any fusion inhibitor and monoclonal antibody therapy of any kind in the past.
    3. Immunosuppressants within 60 days prior to the Screening Visit
    4. Immunomodulating agents (e.g., interleukins, interferons), hydroxyurea, or foscarnet within 60 days prior to the screening visit
    5. Oral or parenteral corticosteroids within 30 days prior to the Screening Visit. Subjects on chronic steroid therapy > 5 mg/day will be excluded with the following exception:
    6. Subjects on inhaled, nasal, or topical steroids will not be excluded
  12. Any other clinical condition that, in the Investigator's judgment, would potentially compromise study compliance or the ability to evaluate safety/efficacy.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Niet-gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Early treatment of infection

HIV-1 infected subjects initiated a stable combination antiretroviral therapy (ART) within 6 months of primary HIV infection (PHI), and had plasma HIV-1 RNA <50 copies/mL for at least 12 months.

Albuvirtide 0.32 g and 3BNC117 2 g every 2 weeks IV infusion for a total of 14 weeks.

Langwerkende HIV-1 Fusion Inhibitor (chemisch gemodificeerde peptide gericht op HIV-1 gp41)
Andere namen:
  • ABT
Recombinant, fully human mAb of the IgG1κ isotype that specifically binds to HIV-1 gp120.
Experimenteel: Chronic period of infection treatment

Chronically HIV-1 infected subjects initiated a stable combination antiretroviral therapy (ART) after 6 months of primary HIV infection (PHI), and had plasma HIV-1 RNA <50 copies/mL for at least 12 months.

Albuvirtide 0.32 g and 3BNC117 2 g every 2 weeks IV infusion for a total of 14 weeks.

Langwerkende HIV-1 Fusion Inhibitor (chemisch gemodificeerde peptide gericht op HIV-1 gp41)
Andere namen:
  • ABT
Recombinant, fully human mAb of the IgG1κ isotype that specifically binds to HIV-1 gp120.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Proportion of participants (with sustained viral suppression at week 14) with HIV-1 RNA < 50 copies/mL at Week 26 (24 weeks after ATI)
Tijdsspanne: Week 26
Proportion of participants with HIV-1 RNA < 50 copies/mL at Week 26.
Week 26

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Mean time to virologic rebound (HIV-1 RNA≥200 copies/mL) after ATI
Tijdsspanne: up to 48 weeks
Mean time to virologic rebound
up to 48 weeks
Proportion of participants without experiencing virologic rebound (HIV-1 RNA<200 copies/mL) at Week 26 (24 weeks after ATI).
Tijdsspanne: Week 26
Proportion of participants without experiencing virologic rebound
Week 26
Proportion of participants with HIV-1 RNA < 50 copies/mL at Week 26 (24 weeks after ATI).
Tijdsspanne: Week 26
Proportion of participants with HIV-1 RNA < 50 copies/mL at Week 26
Week 26
Mean change in CD4 cell count after ATI
Tijdsspanne: up to 48 weeks
Mean change in CD4 cell count
up to 48 weeks
Mean change in CD4/CD8 ration after ATI
Tijdsspanne: up to 48weeks
Mean change in CD4/CD8 ration
up to 48weeks
Frequency of emergence of new resistance mutations after virologic rebound
Tijdsspanne: up to 48 weeks
Frequency of emergence of new resistance mutations
up to 48 weeks
Mean time to achieving HIV-1 RNA < 50 copies/mL after experiencing virologic rebound
Tijdsspanne: up to 48 weeks
Mean time to achieving HIV-1 RNA < 50 copies/mL after experiencing virologic rebound
up to 48 weeks

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Studie directeur: Cheng Yao, Frontier Biotechnologies Inc.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Verwacht)

1 mei 2021

Primaire voltooiing (Verwacht)

1 juni 2022

Studie voltooiing (Verwacht)

1 december 2022

Studieregistratiedata

Eerst ingediend

22 maart 2021

Eerst ingediend dat voldeed aan de QC-criteria

24 maart 2021

Eerst geplaatst (Werkelijk)

26 maart 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

26 maart 2021

Laatste update ingediend die voldeed aan QC-criteria

24 maart 2021

Laatst geverifieerd

1 maart 2021

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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