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长效卡博特韦 (CAB LA) 对有感染 HIV（人类免疫缺陷病毒）风险的参与者进行 PrEP（暴露前预防）的长期随访 (PALISADE)

2026年11月4日 更新者：ViiV Healthcare

对 HPTN 083 和 HPTN 084 CAB PrEP 研究中有 HIV 感染风险的参与者进行 CAB LA 的 IIIB 期长期随访

The purpose of this study is long-term evaluation of long-acting injectable cabotegravir (CAB LA) for HIV pre-exposure prophylaxis (PrEP) in eligible participants who have completed DAIDS (Division of AIDS) sponsored studies HPTN 083 and HPTN 084 and associated sub-studies. Participants will continue receiving CAB LA and be followed for new HIV diagnosis, SAEs (serious adverse events), Grade 3 and Grade 4 ISRs (injection site reactions), and AEs (adverse events) leading to withdrawal.

研究概览

地位

主动，不招人

条件

干预/治疗

研究类型

介入性

注册 (实际的)

2998

阶段

  • 第三阶段

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 乌干达
      • Entebbe、乌干达、49
        • GSK Investigational Site
      • Kampala、乌干达
        • GSK Investigational Site
  • 南非
      • Cape Town、南非、7505
        • GSK Investigational Site
      • City of Cape Town、南非、755
        • GSK Investigational Site
      • City of Cape Town、南非、792
        • GSK Investigational Site
      • City of Johannesburg、南非、2001
        • GSK Investigational Site
      • Durban、南非、4110
        • GSK Investigational Site
      • Durban、南非、4400
        • GSK Investigational Site
      • Isipingo、南非、4110
        • GSK Investigational Site
      • Sol Plaatjie、南非、8301
        • GSK Investigational Site
  • 博茨瓦纳
      • Francistown、博茨瓦纳
        • GSK Investigational Site
  • 史瓦帝尼
      • Mbabane、史瓦帝尼、H103
        • GSK Investigational Site
  • 巴西
      • Rio de Janeiro、巴西、21040-360
        • GSK Investigational Site
      • São Paulo、巴西、05403-000
        • GSK Investigational Site
      • São Paulo、巴西、04121-000
        • GSK Investigational Site
    • Rio Grande do Sul
      • Porto Alegre、Rio Grande do Sul、巴西、91350-200
        • GSK Investigational Site
  • 泰国
      • Pathum Wan、泰国、10330
        • GSK Investigational Site
    • Chiang Mai
      • Chiang Mai、Chiang Mai、泰国、50200
        • GSK Investigational Site
  • 津巴布韦
      • Chitungwiza、津巴布韦、00263
        • GSK Investigational Site
      • Chitungwiza、津巴布韦、230221
        • GSK Investigational Site
      • Chitungwiza、津巴布韦、263
        • GSK Investigational Site
      • Harare、津巴布韦
        • GSK Investigational Site
  • 秘鲁
      • Lima、秘鲁、15001
        • GSK Investigational Site
      • Lima、秘鲁、15024
        • GSK Investigational Site
      • Lima、秘鲁、15088
        • GSK Investigational Site
      • Lima、秘鲁、Lima 04
        • GSK Investigational Site
      • Piura、秘鲁、20000
        • GSK Investigational Site
  • 肯尼亚
      • Kisumu、肯尼亚、40100
        • GSK Investigational Site
  • 越南
      • Hanoi、越南
        • GSK Investigational Site
  • 阿根廷
      • Almagro、阿根廷、C1427CEA
        • GSK Investigational Site
      • Buenos Aires、阿根廷、1221
        • GSK Investigational Site
  • 马拉维
      • Blantyre、马拉维
        • GSK Investigational Site
      • Lilongwe、马拉维、CLW
        • GSK Investigational Site

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

是的

有资格学习的性别

全部

描述

Inclusion criteria:

Type of participant

  1. Participants must have recently completed or be currently enrolled and ongoing in one of the following studies on the CAB LA arm:

    • HPTN 083 open label extension
    • HPTN 084 open label extension (including pregnancy sub-study)

    Participants that completed study participation ≥3 months ago must be discussed with the Medical Monitor prior to enrolment.

    Participants who have prematurely withdrawn from prior CAB PrEP studies cannot enroll into this study.

  2. Evidence of continued benefit (HIV negative and at risk) from CAB LA during participation in the parent study/sub-study.

  3. Participants must have nonreactive HIV tests at Screening (rapid test, immunoassay [antigen/antibody] test and HIV-1 RNA results must all be available and nonreactive) and Day 1 (at least one of rapid test and immunoassay [antigen/antibody test] results must be available and nonreactive). Participants who have one or more reactive or positive HIV test result(s) will not be enrolled, even if subsequent confirmatory testing indicates they are not HIV-infected.

    Sex

  4. Males and Females:

    All participants who are engaging in sexual activity should be counselled on safer sexual practices including the use and benefit/risk of effective barrier methods (e.g., male condom) and on the risk of acquiring HIV and other STIs.

    Females:

    Cisgender female participants who are of childbearing potential and who are engaging in sexual activity that could lead to pregnancy, must talk to the investigator about recommended contraception options. Contraception will be optional in this study. Condoms are recommended in addition, because their appropriate use is the only contraception method effective for preventing HIV-1 transmission.

    Pregnant participants from the HPTN 084 study are eligible to enroll into this study if they meet all eligibility criteria.

    Informed consent

  5. Participant or caregiver/legal guardian is able and willing to provide signed informed consent as described in Protocol Section 11.1.5, which includes compliance with the requirements and restrictions listed in the consent form and in this protocol. Where applicable, participants must provide written assent.

Exclusion Criteria:

Concurrent conditions/medical history (includes liver function)

  1. Participants who are currently enrolled in the eligible studies on the TDF/FTC arm are not eligible to enroll into this study. Participants receiving short-term oral TDF/FTC bridging may be enrolled following consultation with the Medical Monitor.

  2. Previous premature discontinuation from IP in the parent study/sub-study.

  3. ALT >5 × ULN; or ALT>3 × ULN and bilirubin >1.5 × ULN (with >35% direct bilirubin) in the screening liver chemistry test result.

  4. Participants with known active hepatitis B infection (as indicated by a positive HBsAg and/or quantifiable HBV DNA). Participants negative for HBsAg but positive for anti-HBc and positive for anti-HBs (past and/or current evidence) are immune to HBV and are not excluded.

  5. Unstable liver disease (as defined by any of the following: presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice or cirrhosis), known biliary abnormalities (with the exception of hyperbilirubinemia or jaundice due to Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease per investigator).

  6. Known history of cirrhosis with or without viral hepatitis co-infection.

  7. Participant is currently participating in or has participated in a study (other than the studies listed in Inclusion Criteria 1) with a compound or device that is not commercially available within 30 days prior to signing informed consent, unless permission from the Medical Monitor is granted.

  8. Presence of or any history of allergy/sensitivity to the study drug or its components.

  9. Inflammatory skin conditions that compromise the safety of IM injections, per the discretion of the investigator. Mild skin conditions may not be exclusionary at the discretion of the investigator or designee.

  10. Participant has a gluteal implant, tattoo or other dermatological condition overlying the buttock region which in the opinion of the investigator or designee may interfere with the injection or interpretation of ISRs.

  11. Coagulopathy (primary or iatrogenic) which would contraindicate IM injection. Concomitant medications

  12. Participant is receiving any protocol-defined prohibited medication and is unwilling or unable to switch to an alternate medication.

  13. Anticipated need for HCV therapy with interferon or any drugs that have potential for adverse drug: drug interactions with study treatment throughout the entire study period.

    Relevant habits

  14. Participant is unlikely to adhere to the study procedures, keep appointments, or is planning to relocate during the study.

  15. Any condition (i(including but not limited to substance use disorder) that would, in the opinion of the site investigator, place the participant at an unacceptable risk of injury or render the participant unable to meet the requirements of the protocol.

    Other

  16. Participant has in the last 14 days prior to screening presented with signs and symptoms, which, in the opinion of the investigator, are suggestive of acute HIV infection. Participants may only be enrolled if clinical suspicion of HIV is ruled out with non-reactive results using appropriate HIV tests as per Inclusion Criterion #3.

  17. Participant is a ward of the state (e.g. child in care).

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：预防
  • 分配：不适用
  • 介入模型：单组作业
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：CAB LA 600 mg (Q8W)

All enrolled participants have previously received CAB LA as part of the HPTN 083 and HPTN 084 parent studies or their sub-studies. Participants will continue receiving CAB LA 600 mg via gluteal intramuscular (IM) injection.
药品：CAB LA

Participants will receive CAB LA 600 mg via gluteal IM injection, once every 8 weeks (Q8W).

其他名称：
  • 开端
  • 用于 PrEP 的 CAB LA

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
新感染艾滋病毒的参与者人数
大体时间：从第一天到学习结束（最长约[约] 3 年）
从第一天到学习结束（最长约[约] 3 年）
Number of participants with new HIV infection by characteristic
大体时间：From Day 1 up to end of study (up to approx. 3 years)

Relevant characteristics of new HIV infections will be assessed, including presence of viral resistance to CAB.
From Day 1 up to end of study (up to approx. 3 years)

次要结果测量

结果测量
措施说明
大体时间
Number of participants with serious adverse events (SAE) by severity
大体时间：From Day 1 up to end of study (up to approx. 3 years)

The severity scale is assessed as following: Grade 1 = mild symptoms causing no or minimal interference with usual social and functional activities with intervention not indicated. Grade 2 = moderate symptoms causing greater than minimal interference with usual social and functional activities with intervention indicated. Grade 3 = severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. Grade 4 = potentially life-threatening symptoms causing inability to perform self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death.
From Day 1 up to end of study (up to approx. 3 years)
Number of participants with Grade 3 and Grade 4 injection site reactions (ISRs)
大体时间：From Day 1 up to end of study (up to approx. 3 years)

ISRs may occur following intramuscular administration of CAB LA. Grade 3 refers to severe symptoms causing inability to perform usual social & functional activities with intervention or hospitalization indicated. Grade 4 refers to potentially life-threatening symptoms causing inability to perform basic self-care functions with intervention indicated to prevent permanent impairment, persistent disability or death.
From Day 1 up to end of study (up to approx. 3 years)
Number of participants with any clinical or laboratory AE leading to discontinuation of CAB LA, by severity
大体时间：From Day 1 up to end of study (up to approx. 3 years)

Any clinical or laboratory AE that leads the participant to permanently discontinue CAB LA will be assessed. The severity scale is assessed as following: Grade 1 = mild symptoms causing no or minimal interference with usual social and functional activities with intervention not indicated. Grade 2 = moderate symptoms causing greater than minimal interference with usual social and functional activities with intervention indicated. Grade 3 = severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. Grade 4 = potentially life-threatening symptoms causing inability to perform self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death.
From Day 1 up to end of study (up to approx. 3 years)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

ViiV Healthcare

合作者

GlaxoSmithKline
PPD Development, LP

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2024年5月14日

初级完成 (估计的)

2029年3月14日

研究完成 (估计的)

2029年3月14日

研究注册日期

首次提交

2023年11月10日

首先提交符合 QC 标准的

2023年11月10日

首次发布 (实际的)

2023年11月18日

研究记录更新

最后更新发布 (实际的)

2026年11月5日

上次提交的符合 QC 标准的更新

2026年11月4日

最后验证

2026年11月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 221163

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

是的

IPD 计划说明

Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.viiv-studyregister.com/documents/About_ViiV_Patient_Level_Data_Sharing_Final_25Sep2023.pdf

IPD 共享时间框架

Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or terminated asset(s) across all indications.

IPD 共享访问标准

Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension may be granted, when justified, for up to 6 months.

IPD 共享支持信息类型

  • 研究方案
  • 树液
  • 国际碳纤维联合会
  • 企业社会责任

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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