Phase 1
Completed N=48
A Safety, Tolerability, Acceptability, and Pharmacokinetic (PK) Study of Cabotegravir (CAB) in Healthy Human Immunodeficiency Virus (HIV)-Uninfected Chinese Men
Source: ClinicalTrials.gov NCT03422172 ↗Enrolled (actual)
48
Serious AEs
0.7%
Results posted
May 2021
Primary outcomePrimary: Number of Participants With Non-serious Adverse Events (AEs) and Serious AEs (SAEs): Injection Phase — 47; 1 Participants
Summary
The pre-exposure prophylaxis (PrEP) is an important component in the overall strategy for prevention of HIV infection. Cabotegravir (CAB) is an integrase strand transfer inhibitor currently in development for treatment and prevention of HIV infection. CAB possesses attributes that allow formulation and delivery as a LA parenteral product. CAB is being developed as both oral and long acting (LA) injectable formulations. This study is designed to evaluate the PK, safety, tolerability, and acceptability of CAB LA in adult HIV uninfected Chinese male subjects at low risk for HIV acquisition. Eligible subjects will receive oral CAB during oral phase of the study followed by CAB LA intramuscular (IM) injection during injection phase of the study. Approximately 60 subjects will be screened, of which, approximately 48 subjects will enter the oral phase and 40 subjects will enter the injection phase of the study. The maximum study duration will be approximately 89 weeks including oral phase, injection phase and follow-up phase.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Non-serious Adverse Events (AEs) and Serious AEs (SAEs): Injection Phase |
47; 1 | — |
| PRIMARY Number of Participants With Maximum Toxicity Post-Baseline in Hematology Parameters-Injection Phase |
28; 0; 0; 0; 0; 47 | — |
| PRIMARY Number of Participants With Maximum Toxicity Post-Baseline in Chemistry Parameters: Injection Phase |
41; 6; 0; 0; 0; 47 | — |
| PRIMARY Number of Participants With Maximum Toxicity Post-Baseline in Urinalysis Parameters: Injection Phase |
29; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Shift From Baseline in Vital Signs With Respect to Clinical Concern Range: Injection Phase |
0; 46; 1; 0; 46; 1 | — |
| PRIMARY Number of Participants Withdrawn Due to AEs- Injection Phase |
— | — |
| PRIMARY Number of Participants Experiencing Injection Site Reactions (ISR)-Injection Phase |
47 | — |
| PRIMARY Concentration of Cabotegravir in Plasma at the End of the Dosing Interval (Ctau)-Oral lead-in Phase |
6.807 | — |
| PRIMARY Area Under the Plasma Concentration Time Curve Over the Dosing Interval (AUC[0-tau]) Following Oral Dosing of Cabotegravir-Oral lead-in Phase |
191.1 | — |
| PRIMARY Maximum Observed Concentration (Cmax) Following Oral Dosing With Cabogegravir-Oral lead-in Phase |
10.447 | — |
| PRIMARY Time of Occurrence of Cmax (Tmax) Following Oral Dosing With Cabotegravir-Oral lead-in Phase |
2.0000 | — |
| PRIMARY Apparent Clearance Following Oral Dosing (CL/F) Following Dosing With Cabotegravir-Oral lead-in Phase |
0.1570 | — |
| PRIMARY Terminal Absorption Elimination Half-life (t1/2) Following Oral Dosing With Cabotegravir-Oral lead-in Phase |
45.24 | — |
| PRIMARY Apparent Terminal Phase Rate Constant (Lambda z) Following Oral Dosing With Cabotegravir-Oral lead-in Phase |
0.01532 | — |
| PRIMARY Volume of Distribution at Steady State (Vss) Following Oral Dosing With Cabotegravir-Oral lead-in Phase |
10.246 | — |
| PRIMARY Ctau Following IM Dosing With CAB LA During Injection Phase |
1.5831 | — |
| PRIMARY AUC(0-tau) Following IM Dosing With CAB LA During Injection Phase |
3415.1 | — |
| PRIMARY Cmax Following IM Dosing With CAB LA During Injection Phase |
3.730 | — |
| PRIMARY Tmax Following IM Dosing With CAB LA During Injection Phase |
167.433 | — |
| SECONDARY Ctau Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
1.5831 | — |
| SECONDARY AUC(0-tau) Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
3442.5 | — |
| SECONDARY Cmax Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
3.730 | — |
| SECONDARY Tmax Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
167.433 | — |
| SECONDARY CL/F Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
0.17429 | — |
| SECONDARY T1/2 Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
1128.6 | — |
| SECONDARY Lambda z Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
0.0006141 | — |
| SECONDARY Vss Following IM Dosing With CAB LA Through Injection and Long-term Follow-up Phases |
282.44 | — |
| SECONDARY Number of Participants With Non-serious AEs and SAEs (Oral lead-in Phase) |
13; 0 | — |
| SECONDARY Number of Participants Withdrawn Due to AEs-oral lead-in Phase |
1 | — |
| SECONDARY Number of Participants With Maximum Toxicity Post-Baseline in Chemistry Parameters: Oral lead-in Phase |
45; 3; 0; 0; 0; 48 | — |
| SECONDARY Number of Participants With Maximum Toxicity Post-Baseline in Hematology Parameters: Oral lead-in Phase |
48; 0; 0; 0; 0; 48 | — |
| SECONDARY Number of Participants With Abnormal Urinalysis Parameters: Oral lead-in Phase |
48; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With Shift From Baseline in Vital Signs With Respect to Clinical Concern Range: Oral lead-in Phase |
0; 48; 0; 0; 48; 0 | — |
| SECONDARY Percentage of Participants With Injection Discontinuation-Injection Phase |
4 | — |
| SECONDARY Number of Participants With Grade 2 to 4 Injection Site Pain-Injection Phase |
18 | — |
| SECONDARY HIV-Prevention Treatment Satisfaction Total Score-Injection Phase |
23.7 | — |
| SECONDARY Number of Participants With Acceptability of Cabotegravir for HIV Prevention |
40; 7; 1 | — |
Eligibility Criteria
Inclusion Criteria
- Subjects must be 18 to 65 years of age inclusive, at the time of signing the informed consent.
- Subjects are male at birth.
- Subjects who have non-reactive point of care (POC) HIV test and undetectable HIV-1 ribose nucleic acid (RNA) at screening.
- At risk of acquiring HIV, defined as having at least one casual male or female 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.
- Capable of giving written informed consent.
- Agree to appropriate use of contraceptive measures during heterosexual intercourse. All subjects should be counseled on safer sexual practices including the use and benefit/risk of effective barrier methods (example given (e.g.), male condom) to reduce the risk of sexually transmitted infections.
- Willing to undergo all required study procedures.
Exclusion Criteria
- 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 the following cardiac diseases: myocardial infarction, congestive heart failure, documented hypertrophic cardiomyopathy, sustained ventricular tachycardia.
- Active skin disease or disorder (that is [i.e.], infection, inflammation, dermatitis, eczema, drug rash, psoriasis, urticaria). Mild cases of localized acne or folliculitis or other mild skin condition may not be exclusionary at the discretion of the Investigator of Record or Medical Monitor.
- Subjects determined by the Investigator to have a high risk of seizures, including subjects with an unstable or poorly controlled seizure disorder. A subject with a prior history of seizure may be considered for enrolment if the Investigator believes the risk of seizure recurrence is low. All cases of prior seizure history should be discussed with the Medical Monitor prior to enrolment.
- Any medical condition, including psychiatric conditions that in the judgment of the investigator would interfere with the subject's ability to complete study procedures.
- Subjects who, in the investigator's judgment, poses a significant suicide risk.
- Use of antiretroviral (ARV) therapy (e.g., for Post exposure prophylaxis [PEP] or PrEP) in the past 30 days.
- Use of high dose aspirin or any other anticoagulant or antiplatelet medication that would interfere with the ability to receive IM injections.
- 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 where the HIV infected partner is not suppressed; men who exchange sex for goods or money; men who have engaged in any condomless anal intercourse within the past 6 months; men who have had greater than 5 male or female sexual partners within the past 6 months; men who have had a sexually transmitted disease within the past 6 months; any other behavior assessed by the investigator as "high risk".
- History of drug or alcohol consumption that in the opinion of the Principal Investigator will interfere with study participation.
- Ongoing intravenous drug use - episodic use or any use in the past 90 days is exclusionary (as assessed by the study investigator).
- One or more reactive HIV test results at screening or enrolment, even if HIV infection is not confirmed. Negative HIV RNA must also be documented at screening.
- Co-enrolment in any other HIV interventional research study (provided by self-report or other available documentation) or prior enrolment and receipt of the active arm (i.e., NOT a placebo) of a HIV vaccine trial (provided by available documentation).
- Any of the following laboratory values during the screening period: positive hepatitis C antibody result; positive Hepatitis B surface antigen (HBsAg); hemoglobin 1.5 or a
Data sourced from ClinicalTrials.gov (NCT03422172). 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.