Study to Evaluate the Safety and Efficacy of Teropavimab and Zinlirvimab in Combination With Lenacapavir (GS-6207) in Virologically Suppressed Adults With HIV-1 Infection
HIV-1 Infection
About this trial
This is an interventional treatment trial for HIV-1 Infection
Eligibility Criteria
Key Inclusion Criteria:
- On first-line antiretroviral therapy (ART) for ≥ 2 years prior to screening. A change in ART regimen ≥ 28 days prior to screening for reasons other than virologic failure (VF) (eg, tolerability, simplification, drug-drug interaction profile) is allowed
- No documented historical resistance to the current ART regimen
- Plasma HIV-1 RNA < 50 copies/mL at screening
- Documented plasma HIV-1 RNA < 50 copies/mL for ≥ 18 months preceding the screening visit (or undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). Unconfirmed virologic elevations of ≥ 50 copies/mL (transient detectable viremia, or "blip") prior to screening are acceptable.
Proviral phenotypic sensitivity to both teropavimab and zinlirvimab at screening by the PhenoSense mAb Assay (Monogram Biosciences) for inclusion in the Primary Cohort; sensitivity at screening by the PhenoSense mAb Assay (Monogram Biosciences) to 1 mAb, either teropavimab or zinlirvimab, within 18 months prior to enrollment for inclusion in the optional Pilot Cohort
-- In both cohorts, teropavimab sensitivity is defined as 90% inhibitory concentration (IC90) ≤ 2 μg/mL; zinlirvimab sensitivity is defined as IC90 ≤ 2 μg/mL;
- CD4+ count nadir ≥ 350 cells/μL
- Screening CD4+ count ≥ 500 cells/μL
- Availability of a fully active alternative ART regimen, in the opinion of the investigator, in the event of discontinuation of the current ART regimen with development of resistance
Key Exclusion Criteria:
- Comorbid condition requiring ongoing immunosuppression
- Evidence of current hepatitis B virus (HBV) infection
- Evidence of current hepatitis C virus (HCV) infection (prior infection cleared spontaneously or with treatment is acceptable)
- History of opportunistic infection or illness indicative of Stage 3 HIV disease
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Ruane Clinical Research Group Inc.
- Mills Clinical Research
- One Community Health
- UCSD AntViral Research Center (AVRC)
- Yale University; School of Medicine; AIDS Program
- Midway Immunology and Research Center
- University of Miami Miller School of Medicine Schiff Center for Liver Disease
- Orlando Immunology Center
- Triple O Research Institute, P.A
- Mercer University, Department of Internal Medicine
- Indiana CTSI Clinical Research Center
- National Institutes of Health/Clinical Center
- Be Well Medical Center
- AXCES Research Group
- Icahn School of Medicine at Mount Sinai-Clinical and Translational Research Center
- NC TraCS Institute-CTRC; University of North Carolina at Chapel Hill
- The Brody School of Medicine at East Carolina University, ECU Adult Specialty Care
- Rosedale Health & Wellness
- Perelman Center for Advanced Medicine at the Hospital of the University of Pennsylvania
- St. Jude Children's Research Hospital
- Central Texas Clinical Research
- The Crofoot Research, INC.
- Peter Shalit, M.D.
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Primary Cohorts: Lenacapavir (LEN), Teropavimab, Zinlirvimab Dose C
Primary Cohorts: LEN, Teropavimab, Zinlirvimab Dose D
Optional Cohorts: Lenacapavir (LEN), Teropavimab, Zinlirvimab Dose C
Optional Cohorts: LEN, Teropavimab, Zinlirvimab Dose D
Participants will begin treatment by receiving LEN Dose A + LEN Dose B + teropavimab + zinlirvimab Dose C followed by LEN Dose A on the next day. The last treatment regimen will include LEN Dose B + teropavimab + zinlirvimab Dose C.
Participants will begin treatment by receiving LEN Dose A + LEN Dose B + teropavimab + zinlirvimab Dose D followed by LEN Dose A on the next day. The last treatment regimen will include LEN Dose B + teropavimab + zinlirvimab Dose D.
Optional cohort included participants from primary cohort who could not qualify for primary cohort at the study start. Participants in optional cohort will begin treatment by receiving LEN Dose A + LEN Dose B + teropavimab + zinlirvimab Dose C followed by LEN Dose A on the next day. The last treatment regimen will include LEN Dose B + teropavimab + zinlirvimab Dose C.
Optional cohort included participants screened for primary cohort but could not qualify for primary cohort at the study start. Participants in optional cohort will begin treatment by receiving LEN Dose A + LEN Dose B + teropavimab + zinlirvimab Dose D followed by LEN Dose A on the next day. The last treatment regimen will include LEN Dose B + teropavimab + zinlirvimab Dose D.