Safety and drug levels of three lab-made HIV antibodies in adults without HIV
Official title: A Phase 1 Clinical Trial to Evaluate the Safety, Pharmacokinetics, and in Vitro Neutralization of ePGT121v1-LS, PGDM1400LS, and VRC07-523LS Administered in Multiple Doses and Routes to Adult Participants Without HIV-1
Run by National Institute of Allergy and Infectious Diseases (NIAID) · NCT07390955 · Data updated 2026-11-12
This study will test whether one or combinations of three lab-made HIV antibodies given by IV or under the skin are safe and how long they stay in the body in healthy adults without HIV.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 55 Years |
| Sex | All |
| Enrollment | 83 (estimated) |
| Sponsor | National Institute of Allergy and Infectious Diseases (NIAID) NIH |
| Drugs / interventions | prednisone |
| Locations | 11 sites (Birmingham, Alabama and 10 other locations) |
| Status | Recruiting |
| Started | March 19, 2026 |
| Main results expected | August 30, 2027 |
| Study ends | August 30, 2027 |
| Registry record updated | September 1, 2026 |
| Trial ID | NCT07390955 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Healthy adults aged 18–55 who do not have HIV, are judged to be at low risk for acquiring HIV, and can attend all required clinic visits and testing are ideal candidates.
✕Probably not a fit
People living with HIV, those outside the 18–55 age range, or individuals unable to avoid higher-risk behaviors or attend required visits are unlikely to receive benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will give the lab-made antibody ePGT121v1-LS alone and together with two other antibodies (PGDM1400LS and VRC07-523LS) by intravenous (IV) infusion or subcutaneous (SC) injection to healthy adults without HIV. About 83 volunteers will be enrolled across two parts, with Part A using multiple dose groups (including IV doses of 5, 20, and 40 mg/kg) and Part B testing additional dosing and routes. The study will monitor safety and side effects, measure drug levels over time (pharmacokinetics), and test how well participants' serum neutralizes HIV. Investigators will also look for any interactions between antibodies when they are given together.
Why it matters
Potential benefit: If successful, the study could identify safe dosing and antibody combinations that inform future HIV prevention approaches.
How similar studies have gone: Other broadly neutralizing HIV antibodies have been tested in humans and shown acceptable safety and antiviral activity, but combination regimens and prevention efficacy are still being studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
1. Age 18 to 55 years.
2. Can visit a participating clinic and is willing to stay in the study for its full duration.
3. Understands the study and is able and willing to give informed consent.
4. Agrees not to join another experimental study until the final required clinic visit.
5. In good overall health based on medical history, physical exam, and screening lab tests.
6. Willing to receive HIV test results.
7. Willing to discuss personal risk of getting HIV and to have HIV prevention counseling.
8. Judged by clinic staff to have a low risk of getting HIV and agrees to avoid higher risk behaviors through the last clinic visit.
9. Hemoglobin levels:
* Women: at least 11.0 g/dL
* Men: at least 13.0 g/dL
10. White blood cell count between 2,500 and 12,000 cells/mm³.
11. White blood cell differential is normal or acceptable to clinic staff.
12. Platelet count between 125,000 and 550,000 cells/mm³.
13. ALT (liver enzyme) less than 1.25 times the lab's upper limit of normal.
14. Creatinine (kidney test) less than 1.1 times the lab's upper limit of normal.
15. Negative tests for HIV 1 and HIV 2.
16. Negative hepatitis B surface antigen.
17. Negative hepatitis C antibody, or a negative HCV PCR if the antibody test is positive.
18. Urine protein is negative or only trace.
19. If a woman who could become pregnant: negative pregnancy test within 72 hours before the first study treatment. Women with a documented total hysterectomy, both ovaries removed, both fallopian tubes removed, or menopause (no periods for at least 1 year) do not need pregnancy testing.
20. Women who could become pregnant agree to use effective birth control for sex that could lead to pregnancy starting at least 21 days before enrollment and continuing through the last study visit.
21. Women who could become pregnant also agree not to try to become pregnant using methods like egg retrieval, artificial insemination, or in vitro fertilization starting at least 21 days before enrollment and continuing through the last clinic visit.
Exclusion Criteria:
1. Received blood products within 120 days before the first study dose (unless the safety review team approves earlier enrollment).
2. Took any experimental (investigational) research drug within 30 days before the first study dose.
3. Weighs less than 35 kg or more than 115 kg.
4. Plans to join another study using an experimental product, or any study that requires non Network HIV antibody testing, during this study.
5. Pregnant or breastfeeding.
6. Previously received an HIV vaccine in a vaccine trial. If a potential participant received placebo/control only, eligibility will be decided case by case by the safety review team.
7. Received any non HIV vaccine within 14 days before enrollment or plan to get one within 14 days after enrollment. Exception: ACAM2000 smallpox vaccine within 28 days before enrollment (or scab still present if earlier) or planned within 14 days after enrollment.
8. Received humanized or human monoclonal antibodies (mAbs), whether approved or experimental.
9. Previously received monoclonal antibodies that target HIV.
10. Receiving allergy shots within 30 days before the first study dose or scheduled within 14 days after the first dose.
11. Took immune suppressing medicines within 30 days before the first study dose. Not excluded: nasal steroid sprays; inhaled steroids (see asthma item); topical steroids for mild skin conditions; or one short course of oral/IV prednisone (less than 20 mg/day for under 14 days) finished at least 7 days before the first infusion/injection.
12. History of serious reactions to components of the study products, including anaphylaxis or symptoms like hives, trouble breathing, swelling (angioedema), or abdominal pain.
13. Received immunoglobulin within 60 days before the first study dose (separate from mAbs listed above).
14. Autoimmune disease that is not mild, stable, and uncomplicated. Mild, stable cases not needing immune suppressing drugs may be allowed if the investigator judges low risk.
15. Immunodeficiency.
16. Any significant medical issue, abnormal exam or lab result, or past condition that could:
* Affect the immune system or its response,
* Require medicines that affect the immune system,
* Make repeated injections, infusions, or blood draws unsafe or not feasible (for example, very difficult veins),
* Need active medical care to prevent serious harm during the study,
* Have symptoms that could be mistaken for reactions to the study product,
* Or is otherwise listed among these exclusions.
17. Any medical or skin condition, social situation, or job duty that, in the investigator's judgment, would interfere with following the study, safety assessments, or giving informed consent.
18. A psychiatric condition that prevents following the study. Specifically excluded: psychosis, current suicide risk, or a suicide attempt within the past 3 years.
19. Currently on tuberculosis treatment.
20. Asthma that is more than mild and well controlled.
21. Diabetes (type 1 or type 2). Not excluded: type 2 controlled with diet only, or a past history of gestational diabetes.
22. High blood pressure (hypertension).
23. Diagnosed bleeding disorder.
24. Cancer. Not excluded: surgically removed cancers with good assurance of cure or very low risk of recurrence during the study period.
25. Seizure disorder with any seizure in the past 3 years, or use of seizure prevention or seizure treatment medicines at any time in the past 3 years.
26. Asplenia (no functioning spleen).
27. History of widespread hives, swelling (angioedema), or anaphylaxis. Not excluded if due to a known trigger and there have been no reactions for at least 5 years, showing successful avoidance of the trigger.
Where it's running
-
Alabama CRS (Site ID: 31788)
Birmingham, Alabama, United States Recruiting -
Bridge HIV CRS (Site ID: 30305)
San Francisco, California, United States Recruiting -
Penn Prevention CRS (Site ID: 30310)
Philadelphia, Pennsylvania, United States Recruiting -
Vanderbilt Vaccine (VV) CRS (Site ID: 30352)
Nashville, Tennessee, United States Recruiting -
Houston Advancing Research Team CRS (Site ID: 31473)
Houston, Texas, United States Recruiting -
The Ponce de Leon Center CRS (Site ID: 5802)
Atlanta, Georgia, United States Not yet recruiting
Show 5 more locations
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Brigham and Women's Hospital Vaccine CRS (BWH VCRS) (Site ID: 30007)
Boston, Massachusetts, United States Not yet recruiting -
Via Libre CRS (Site ID: 31909)
Lima Cercado, Lima region, Peru Not yet recruiting -
Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales CRS (CITBM) - Unidad de Ensayos Clínicos (UNIDEC) (Site ID: 31970)
Bellavista, Provincia Constitucional del Callao, Peru Not yet recruiting -
Seke South CRS (Site ID: 30294)
Harare, Zimbabwe Not yet recruiting -
Spilhaus CRS (Site ID: 30314)
Harare, Zimbabwe Not yet recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.