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Phase 1 N=32 Randomized Double-blind Treatment

Study to Evaluate the Safety and Efficacy of Teropavimab and Zinlirvimab in Combination With Lenacapavir in Virologically Suppressed Adults With HIV-1 Infection

HIV-1 Infection

Enrolled (actual)
32
Serious AEs
9.4%
Results posted
Jan 2025
Primary outcome: Primary: Primary Cohort: Percentage of Participants Experiencing Treatment-Emergent Serious Adverse Events (SAEs) — 0; 0 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Oral Lenacapavir (Drug); Subcutaneous Lenacapavir (Drug); Teropavimab (Drug); Zinlirvimab (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Gilead Sciences
Primary completion
Jun 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Primary Cohort: Percentage of Participants Experiencing Treatment-Emergent Serious Adverse Events (SAEs)
0; 0
SECONDARY
Primary Cohort: Percentage of Participants With Human Immunodeficiency Virus- 1 Ribonucleic Acid (HIV-1 RNA) < 50 Copies/mL at Week 26 as Determined by the US Food and Drug Administration (FDA)-Defined Snapshot Algorithm
90.0; 90.0
SECONDARY
Primary Cohort: Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 26 as Determined by the US FDA-defined Snapshot Algorithm
10.0; 0
SECONDARY
Primary Cohort: Percentage of Participants With Positive Anti-Teropavimab Antibodies
50.0; 10.0
SECONDARY
Primary Cohort: Percentage of Participants With Positive Anti-zinlirvimab Antibodies
40.0; 20.0
SECONDARY
Primary Cohort: Change From Baseline in Cluster Determinant 4+ (CD4+) Cell Count at Week 26
903; 1086; -25; -5
SECONDARY
Primary Cohort: Number of Participants Who Develop Treatment-Emergent Resistance to LEN, Teropavimab, and Zinlirvimab
1; 0; 0
SECONDARY
Primary Cohort: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)
90; 100
SECONDARY
Primary Cohort: Pharmacokinetic (PK) Parameter: AUC0-26 of Teropavimab
30500; 31600
SECONDARY
Primary Cohort: PK Parameter: AUC0-26 of Zinlirvimab
14800; 46100
SECONDARY
Primary Cohort: PK Parameter: AUClast of Teropavimab
32900; 34400
SECONDARY
Primary Cohort: PK Parameter: AUClast of Zinlirvimab
17100; 54700
SECONDARY
Primary Cohort: PK Parameter: T1/2 of LEN
65.8; 69.8
SECONDARY
Primary Cohort: PK Parameter: T1/2 of Teropavimab
65.2; 70.5
SECONDARY
Primary Cohort: PK Parameter: T1/2 of Zinlirvimab
76.7; 84.5
SECONDARY
Primary Cohort: PK Parameter: Cmax of Teropavimab
1090; 1090
SECONDARY
Primary Cohort: PK Parameter: Cmax of Zinlirvimab
378; 1110
SECONDARY
Primary Cohort: PK Parameter: Tmax of Teropavimab
1.16; 2.24
SECONDARY
Primary Cohort: PK Parameter: Tmax of Zinlirvimab
1.10; 1.00
SECONDARY
Primary Cohort: PK Parameter: Tlast of LEN
364; 364
SECONDARY
Primary Cohort: PK Parameter: Tlast of Teropavimab
364; 364
SECONDARY
Primary Cohort: PK Parameter: Tlast of Zinlirvimab
364; 364
SECONDARY
Primary Cohort: PK Parameter: C26week of LEN
27.2; 22.5
SECONDARY
Primary Cohort: PK Parameter: C26week of Teropavimab
38.4; 42.7
SECONDARY
Primary Cohort: PK Parameter: C26week of Zinlirvimab
27.2; 84.6

Summary

The primary objective of this study is to evaluate the safety and tolerability of a combination of the broadly neutralizing antibodies (bNAbs) teropavimab (formerly GS-5423) and zinlirvimab (formerly GS-2872) in combination with the HIV capsid inhibitor lenacapavir (LEN).

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;

  • Cluster determinant 4+ (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.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04811040). 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.

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