Phase 1
N=32
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
Bottom Line
View on ClinicalTrials.gov: NCT04811040 ↗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
| Outcome | Result | p-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.
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.