Phase 2
Completed N=127
Study to Evaluate the Safety Tolerability and Acceptability of Long Acting Injections of the Human Immunodeficiency Virus (HIV) Integrase Inhibitor, GSK1265744, in HIV Uninfected Men (ECLAIR)
Infection, Human Immunodeficiency Virus
Source: ClinicalTrials.gov NCT02076178 ↗
Enrolled (actual)
127
Serious AEs
1.6%
Results posted
Dec 2017
Primary outcomePrimary: Number of Participants With Any Grade 2 or Higher Event in the Injection Phase — 10; 75 Participants — p=<0.01
Summary
This study is a Phase IIa, randomized, multi-site, two-arm, double-blinded study to evaluate the safety, tolerability, and acceptability of GSK1265744 long acting injectable formulation (744 LA) in adult male subjects. To evaluate the safety and tolerability of the injectable agent, 744 LA (800 milligrams (mg) dose administered at three time points at 12 week intervals) through Week 41 in HIV-uninfected men. Eligible participants will be randomized in a 5:1 ratio to receive 744 LA or matching placebo. Participants will receive daily oral 744 (30 mg tablets) or matching placebo for 4 weeks during the Oral Phase of the study, followed by a one week washout period. Following safety lab assessments from the Oral Phase, participants will enter the Injection Phase and receive Intramuscular (IM) injections of 744 LA or placebo at three time points at 12 week intervals. IM injections will consist of 800 mg of 744 or a matching control
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Any Grade 2 or Higher Event in the Injection Phase |
10; 75 | <0.01 sig |
| PRIMARY Number of Participants Who Recieved Injection Site Reaction (ISR) Related Concomitant Medication in the Injection Phase |
5; 55 | — |
| PRIMARY Number of Participants Who Experienced Grade 2 or Higher Laboratory Results in the Injection Phase |
1; 0; 1; 0; 0; 2 | — |
| PRIMARY Number of Participants Who Had Abnormal Electrocardiogram (ECG) Findings in the Injection Phase |
6; 30; 9; 34; 7; 27 | — |
| PRIMARY Change From Baseline in Vital Sign Assessment for Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in the Injection Phase |
-3.10; -0.74; -3.75; 0.32; -1.19; 0.01 | — |
| PRIMARY Change From Baseline in Vital Sign Assessment for Heart Rate (HR) in the Injection Phase |
1.19; 3.26; 1.55; 4.06; 1.43; 2.73 | — |
| PRIMARY Number of Participant With ISR for the Injection Phase Defined by Maximum Grades |
11; 31; 1; 37; 0; 18 | — |
| SECONDARY Plasma Pharmacokinetic Assessment for Area Under the Plasma Concentration-time Curve Over the Dosing Interval [AUC(0-tau)] in the Injection Phase |
3414.71; 3873.25; 4020.89 | — |
| SECONDARY Plasma Pharmacokinetic Assessment for Concentration at the End of the Dosing Interval (Ctau) and Maximum Observed Concentration (Cmax) in the Injection Phase |
4.26; 5.22; 4.91; 0.302; 0.331; 0.387 | — |
| SECONDARY Plasma Pharmacokinetic Assessment for Time to Maximum Observed Concentration (Tmax), Apparent Terminal Phase Half-life for (t½) in the Injection Phase |
13.14; 8.91; 9.25; 20.54 | — |
| SECONDARY Plasma Pharmacokinetic Assessment for AUC(0-tau) by Demographic Factor Body Mass Index (BMI) and Needle Length in the Injection Phase |
4103.71; 4250.82; 4847.07; 2830.06; 3536.52; 3405.52 | — |
| SECONDARY Plasma Pharmacokinetic Assessment for Ctau and Cmax by Demographic Factor BMI and Needle Length in the Injection Phase |
6.02; 6.65; 6.99; 0.226; 0.312; 0.334 | — |
| SECONDARY Plasma Pharmacokinetic Assessment for Tmax and t½ by Demographic Factor BMI and Needle Length in the Injection Phase |
8.55; 8.62; 7.75; 19.54; 17.83; 9.20 | — |
| SECONDARY Number of Participants With Severity of ISRs and ISR Symptoms for Injection Phase Defined by Grades and Needle Length |
11; 63; 1; 51; 0; 18 | — |
| SECONDARY Number of Participants With AE, Grade 2-4 AE and Serious Adverse Events (SAE) in the Oral Phase |
8; 56; 4; 24; 0; 0 | — |
| SECONDARY Number of Participants Who Received Concurrent Medication in Overall Study Duration |
20; 97 | — |
| SECONDARY Number of Participants Who Experienced Maximum Clinical Chemistry Including Liver Chemistry and Hematology Toxicities in the Oral Phase by Grades |
2; 33; 3; 4; 0; 2 | — |
Eligibility Criteria
Inclusion Criteria
- Non-reactive HIV test at screening or enrollment.
- Males 18 to 65 years old at the time of signing the informed consent.
- At risk of acquiring HIV, defined as having at least one casual sex partner in the past 24 months.
- Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring at the time of screening.
- If participating in sexual activity with a female of child-bearing potential, men must agree to use condoms. Subjects who are sexual partners of females with child bearing potential must also agree to practice an acceptable method of contraception for the duration of the study, such as double barrier (male condom/spermicide, male condom/diaphragm) or female partner use of hormonal contraception, intrauterine device (IUD) or other method with published data showing that the lowest expected failure rate for that is less than 1% per year. All subjects participating in the study must be counseled on safer sexual practices including the use of effective barrier methods to minimize risk of HIV transmission.
- Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
- Willing to undergo all required study procedures
Exclusion Criteria
- One or more reactive HIV test results at screening or enrollment, even if HIV infection is not confirmed. Negative HIV Ribonucleic acid (RNA) must also be documented at screening.
- Assessed by the Investigator of Record or designee as being at "high risk" for HIV infection. This may include one or more of the following:
The negative partner in an HIV serodiscordant couple Men who exchange sex for goods or money Men who have engaged in unprotected receptive anal intercourse within the past 6 months Men who have had greater than 3 sexual partners within the past 3 months Men who have had a sexually transmitted disease within the past 6 months Any other behavior assessed by the investigator as "high risk"
- Co-enrollment in any other HIV interventional research study (provided by self-report or other available documentation) or prior enrollment and receipt of the active arm (i.e., NOT a placebo) of a HIV vaccine trial (provided by available documentation).
- Use of antiretroviral (ARV) therapy (e.g., for Post exposure prophylaxis (PEP) or Pre exposure prophylaxis (PrEP) in the past 30 days, five half-lives, or twice the duration of the biological effect of the applied treatment (whichever is longer) prior to study enrollment.
- Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
- History of drug or alcohol consumption that in the opinion of the Principal Investigator will interfere with study participation.
- History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or Medical Monitor, contraindicates their participation.
- Any of the following laboratory values during the screening period. Positive Hepatitis C antibody result Positive Hepatitis B surface antigen (HBsAg) Hemoglobin less than 11 gram (g)/deci liter (dL) Absolute neutrophil count less than 750 cells/mm^3 Platelet count less than or equal to 100,000/mm^3 Presence of a coagulopathy as defined by an INR greater than 1.5 or a PTT greater than 45sec Calculated creatinine clearance less than 70 mL/minute using the Cockcroft-Gault equation A single repeat test is allowed during the Screening period to verify a result, with the exception of HIV tests.
- Subjects with an alanine aminotransferase (ALT), alkaline phosphatase (ALP) or bilirubin greater than or equal to1.5xULN (isolated bilirubin greater than 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin less than 35%).
- History of the f
Data sourced from ClinicalTrials.gov (NCT02076178). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.