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

Primary Purpose

HIV/AIDS

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Albuvirtide
3BNC117
Sponsored by
Frontier Biotechnologies Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV/AIDS

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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.

Sites / Locations

  • Peking Union Medical College Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Early treatment of infection

Chronic period of infection treatment

Arm Description

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.

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.

Outcomes

Primary Outcome Measures

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

Secondary Outcome Measures

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

Full Information

First Posted
March 22, 2021
Last Updated
March 24, 2021
Sponsor
Frontier Biotechnologies Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04819347
Brief Title
Albuvirtide in Combination With 3BNC117 in Virologically Suppressed Subjects With HIV-1 Infection
Official Title
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
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Unknown status
Study Start Date
May 1, 2021 (Anticipated)
Primary Completion Date
June 1, 2022 (Anticipated)
Study Completion Date
December 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Frontier Biotechnologies Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
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).
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV/AIDS

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Early treatment of infection
Arm Type
Experimental
Arm Description
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.
Arm Title
Chronic period of infection treatment
Arm Type
Experimental
Arm Description
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.
Intervention Type
Drug
Intervention Name(s)
Albuvirtide
Other Intervention Name(s)
ABT
Intervention Description
Long-Acting HIV-1 Fusion Inhibitor (chemically modified peptide targeting HIV-1 gp41)
Intervention Type
Drug
Intervention Name(s)
3BNC117
Intervention Description
Recombinant, fully human mAb of the IgG1κ isotype that specifically binds to HIV-1 gp120.
Primary Outcome Measure Information:
Title
Proportion of participants (with sustained viral suppression at week 14) with HIV-1 RNA < 50 copies/mL at Week 26 (24 weeks after ATI)
Description
Proportion of participants with HIV-1 RNA < 50 copies/mL at Week 26.
Time Frame
Week 26
Secondary Outcome Measure Information:
Title
Mean time to virologic rebound (HIV-1 RNA≥200 copies/mL) after ATI
Description
Mean time to virologic rebound
Time Frame
up to 48 weeks
Title
Proportion of participants without experiencing virologic rebound (HIV-1 RNA<200 copies/mL) at Week 26 (24 weeks after ATI).
Description
Proportion of participants without experiencing virologic rebound
Time Frame
Week 26
Title
Proportion of participants with HIV-1 RNA < 50 copies/mL at Week 26 (24 weeks after ATI).
Description
Proportion of participants with HIV-1 RNA < 50 copies/mL at Week 26
Time Frame
Week 26
Title
Mean change in CD4 cell count after ATI
Description
Mean change in CD4 cell count
Time Frame
up to 48 weeks
Title
Mean change in CD4/CD8 ration after ATI
Description
Mean change in CD4/CD8 ration
Time Frame
up to 48weeks
Title
Frequency of emergence of new resistance mutations after virologic rebound
Description
Frequency of emergence of new resistance mutations
Time Frame
up to 48 weeks
Title
Mean time to achieving HIV-1 RNA < 50 copies/mL after experiencing virologic rebound
Description
Mean time to achieving HIV-1 RNA < 50 copies/mL after experiencing virologic rebound
Time Frame
up to 48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females, age ≥18 years 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. 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. Plasma HIV-1 RNA <20 copies/mL at Screening Visit. CD4 cell count >500 cells/µL. Laboratory values at Screening of: Absolute neutrophil count (ANC) ≥0.75×10∧9/L; Hemoglobin (Hb) ≥105 g/L (male) or ≥95 g/L (female); Platelets ≥75×10∧9/L; Serum alanine transaminase (SGPT/ALT) < 2 x upper limit of normal (ULN) Serum aspartate transaminase (SGOT/AST) < 2 x ULN 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 Creatinine ≤1.5 x ULN Clinically normal resting 12-lead ECG at Screening Visit or, if abnormal, considered not clinically significant by the Principal Investigator. Both male and female patients and their partners of childbearing potential must agree to use accepted methods of contraception. 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. Subjects who have two or more potential alternative antiretroviral treatment regimens. 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: Any active infection or malignancy requiring acute therapy. Hepatitis B infection as manifest by the presence of Hepatitis B surface antigen (HBsAg). Hepatitis C infection as manifest by positive anti-HCV antibody and positive HCV RNA assay at the time of screening. Females who are pregnant, lactating, or breastfeeding, or who plan to become pregnant during the study Unexplained fever or clinically significant illness within 1 week prior to the first study dose Any vaccination within 2 weeks prior to the first study dose. Subjects BMI<20 or >27 kg/m∧2 [BMI=weight/height∧2]. History of Bleeding Disorder or patients on anti-coagulant therapy Participation in an experimental drug trial(s) within 30 days of the Screening Visit Any known allergy or antibodies to the study drug or excipients Treatment with any of the following: Radiation or cytotoxic chemotherapy with 30 days prior to the screening visit Receipt of any fusion inhibitor and monoclonal antibody therapy of any kind in the past. Immunosuppressants within 60 days prior to the Screening Visit Immunomodulating agents (e.g., interleukins, interferons), hydroxyurea, or foscarnet within 60 days prior to the screening visit 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: Subjects on inhaled, nasal, or topical steroids will not be excluded Any other clinical condition that, in the Investigator's judgment, would potentially compromise study compliance or the ability to evaluate safety/efficacy.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xingxiang Xu
Phone
025-69648410
Email
xxxu@frontierbiotech.com
First Name & Middle Initial & Last Name or Official Title & Degree
Cheng Yao
Email
yaocheng@frontierbiotech.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cheng Yao
Organizational Affiliation
Frontier Biotechnologies Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Taisheng Li, M.D.
Email
litsh@263.net
First Name & Middle Initial & Last Name & Degree
Taisheng Li, M.D.

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

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

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