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Phase 1 N=95 Randomized Prevention

A Clinical Trial to Evaluate the Safety, Tolerability, and Pharmacokinetics of PGDM1400LS Alone and in Combination With VRC07-523LS and PGT121.414.LS in Healthy, HIV-uninfected Adult Participants

HIV Infections

Enrolled (actual)
95
Serious AEs
0.0%
Results posted
Feb 2025
Primary outcome: Primary: Number of Participants Reporting Local Reactogenicity Signs and Symptoms: Pain and/or Tenderness — 3; 2; 2; 3 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
PGDM1400LS (5mg/kg, IV) (Drug); PGDM1400LS (20mg/kg, IV) (Drug); PGDM1400LS (20mg/kg, SC) (Drug); PGDM1400LS (40mg/kg, IV) (Drug); PGDM1400LS (40mg/kg, SC) (Drug); PGDM1400LS (1.4g, IV) (Drug); PGDM1400LS (1.4g, SC) (Drug); VRC07-523LS (20mg/kg, IV) (Drug); VRC07-523LS (20mg/kg, SC) (Drug); VRC07-523LS (1.4g, IV) (Drug); VRC07-523LS (1.4g, SC) (Drug); VRC07-523LS (40mg/kg, IV) (Drug); PGT121.414.LS (20mg/kg, IV) (Drug); PGT121.414.LS (20mg/kg, SC) (Drug); PGT121.414.LS (1.4g, IV) (Drug); PGT121.414.LS (1.4g, SC) (Drug); PGT121.414.LS (40mg/kg, IV) (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Jul 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Reporting Local Reactogenicity Signs and Symptoms: Pain and/or Tenderness
3; 2; 2; 3; 2; 15
PRIMARY
Number of Participants Reporting Local Reactogenicity Signs and Symptoms: Erythema and/or Induration
3; 3; 2; 3; 1; 16
PRIMARY
Number of Participants Reporting Systemic Reactogenicity Signs and Symptoms
3; 1; 3; 2; 3; 9
PRIMARY
Chemistry and Hematology Laboratory Measures - Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (ALP)
62; 56; 73; 73; 78; 76.5
PRIMARY
Chemistry and Hematology Laboratory Measures - Creatinine
0.77; 0.78; 0.83; 0.94; 0.81; 0.79
PRIMARY
Chemistry and Hematology Laboratory Measures - Hemoglobin
13.6; 14.3; 15.1; 13.3; 14.3; 14.5
PRIMARY
Chemistry and Hematology Laboratory Measures - Lymphocyte Count, Neutrophil Count
4.3; 2.88; 5.36; 3.6; 4.28; 3.5
PRIMARY
Chemistry and Hematology Laboratory Measures - Platelets, White Blood Cells (WBC)
7100; 5300; 7600; 6300; 6700; 6475
PRIMARY
Number of Lab Grade >= 1 for Alanine Aminotransferase (ALT), Creatinine, Hemoglobin, Lymphocyte Count, Neutrophil Count, Platelets, White Blood Cells (WBC).
0; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With Early Discontinuation of Vaccinations and Reason for Discontinuation
0; 0; 0; 0; 0; 2
PRIMARY
Number of Participants With Early Termination of Study and Reason for Early Termination
0; 0; 0; 0; 0; 2
PRIMARY
Serum Concentration Levels of PGDM1400LS Among Participants Who Received All Scheduled Product Administrations
0.04; 0.04; 0.04; 0.04; 0.04; 0.04
PRIMARY
Serum Concentration Levels of PGT121.414LS Among Participants Who Received All Scheduled Product Administrations
0.10; 0.10; 0.10; 0.10; 0.10; 903.30
PRIMARY
Serum Concentration Levels of VRC07-523LS Among Participants Who Received All Scheduled Product Administrations
0.02; 0.02; 0.02; 0.02; 0.02; 663.07
PRIMARY
Magnitude of Serum Neutralizing Activity (ie, Neutralizing Antibody Titers, Including ID50, ID80) for
5.00; 5.00; 5.00; 5.00; 5.00; 150.00
PRIMARY
Magnitude Breadth of Serum Neutralizing Activity (ie, Neutralizing Antibody Titers, Including ID50, ID80) for Parts A and B
1.83; 2.35; 2.19; 2.33; 2.26; 4.24
SECONDARY
Magnitude of Neutralizing Activity Against Env-pseudotyped Viruses in TZM-bl Cells for Part A and B and Clinical Product Assayed at Same Time.
10.00; 133.29; 10.00; 10.00; 48.80; 28867.34
SECONDARY
Occurrence of Anti-drug Antibodies (ADA) for Participants in Parts A and B
0; 0; 0; 0; 0; 1
SECONDARY
Anti-drug Antibodies (ADA) Titers for Participants in Parts A and B
1; 243; 27; 3; 3; 9

Summary

Part A: The purpose of this part of the study is to understand how the body's immune system responds to a new lab-made antibody against HIV. The study is looking to see if the way the antibody is given affects the immune response. The study will also look at whether the antibody is safe to give to people and does not make them too uncomfortable. Part B: The purpose of this part of the study is to understand how the body's immune system responds to lab-made antibodies against HIV when they are given in combination at different doses. The study also wants to see if the way the antibodies are given affects the immune response.

Eligibility Criteria

Inclusion Criteria

  • Age of 18 through 50 years
  • Access to a participating CRS and willingness to be followed for the planned duration of the study
  • Ability and willingness to provide informed consent
  • Assessment of understanding: volunteer demonstrates understanding of this study and completes a questionnaire prior to first study product administration with verbal demonstration of understanding of all questionnaire items answered incorrectly
  • Agrees not to enroll in another study of an investigational research agent until completion of the last required protocol clinic visit.
  • Good general health as shown by medical history, physical exam, and screening laboratory tests
  • Willingness to receive HIV test results
  • Willingness to discuss HIV infection risks and amenable to HIV risk reduction counseling.
  • Assessed by the clinic staff as being at "low risk" for HIV infection and committed to maintaining behavior consistent with low risk of HIV exposure through the last required protocol clinic visit (see Appendix J and Appendix K).
  • Hemoglobin
  • ≥ 11.0 g/dL for volunteers who were assigned female sex at birth
  • ≥ 13.0 g/dL for volunteers who were assigned male sex at birth and transgender males who have been on hormone therapy for more than 6 consecutive months
  • ≥ 12.0 g/dL for transgender females who have been on hormone therapy for more than 6 consecutive months
  • For transgender volunteers who have been on hormone therapy for less than 6 consecutive months, determine hemoglobin eligibility based on the sex assigned at birth
  • White blood cell count = 2, 500 to 12,000 cells/mm3
  • WBC differential either within institutional normal range or with site clinician approval
  • Platelets = 125,000 to 550,000 cells/mm3
  • Chemistry panel: alanine aminotransferase (ALT) 115 kg
  • Blood products received within 120 days before first study product administration, unless eligibility for earlier enrollment is determined by the HVTN 140/HPTN 101 PSRT
  • Investigational research agents received within 30 days before first study product administration
  • Intent to participate in another study of an investigational research agent or any other study that requires non-Network HIV antibody testing during the planned duration of the HVTN 140/HPTN 101 study
  • Pregnant or breastfeeding
  • HIV vaccine(s) received in a prior HIV vaccine trial. Volunteers who have received control/placebo in an HIV vaccine trial are not excluded.
  • SARS-CoV-2 vaccine(s) received within 7 days prior to HVTN 140/HPTN 101 enrollment or planned within 7 days after enrollment.
  • Receipt of humanized or human mAbs, whether licensed or investigational.
  • Previous receipt of mAbs VRC01, VRC01LS, VRC07-523LS, PGDM1400, PGT121, PGT121.414.LS.
  • Immunosuppressive medications received within 30 days before first study product administration (Not exclusionary: [1] corticosteroid nasal spray; [2] inhaled corticosteroids; [3] topical corticosteroids for mild, uncomplicated dermatological condition; or [4] a single course of oral/parenteral prednisone or equivalent at doses < 20 mg/day and length of therapy < 14 days)
  • Serious adverse reactions to PGDM1400LS, VRC07-523LS, or PGT121.414.LS formulation components (see Section 8.2) including history of anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema, and/or abdominal pain.
  • Immunoglobulin received within 60 days before first study product administration (for mAb see criterion 8 above)
  • Autoimmune disease (Not excluded from participation: Volunteer with mild, stable and uncomplicated autoimmune disease that does not require immunosuppressive medication and that, in the judgment of the CRS investigator, is likely not subject to exacerbation and likely not to complicate Solicited and Unsolicited AE assessments.)
  • Immunodeficiency
  • Clinically significant medical condition, physical examination findings, clinically significant abnormal laboratory results, or pas
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05184452). 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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