Testing new monoclonal antibodies for HIV prevention in adults
A Randomized, Double Blind, Controlled, Phase 2 Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Neutralization of VRC07-523LS, PGT121.414.LS, and PGDM1400LS Broadly Neutralizing Monoclonal Antibodies Given Intravenously in Adult Participants Without HIV
PHASE2 · National Institute of Allergy and Infectious Diseases (NIAID) · NCT06812494
This study is testing a new combination of three antibodies given through an IV to see if they can safely help prevent HIV in adults who don’t have the virus.
Quick facts
| Phase | PHASE2 |
|---|---|
| Study type | Interventional |
| Enrollment | 200 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | National Institute of Allergy and Infectious Diseases (NIAID) (nih) |
| Locations | 22 sites (Birmingham, Alabama and 21 other locations) |
| Trial ID | NCT06812494 on ClinicalTrials.gov |
What this trial studies
This phase 2 clinical trial evaluates the safety, tolerability, pharmacokinetics, and neutralization effects of a combination of three broadly neutralizing monoclonal antibodies administered intravenously to adult participants without HIV. The study is randomized and double-blind, aiming to enroll 200 participants across multiple sites over an estimated duration of 18 months. The hypothesis is that the intravenous administration of these antibodies will be safe and well-tolerated in the target population.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 to 65 who are at low risk of contracting HIV and willing to adhere to study protocols.
Not a fit: Patients who are already HIV positive or those who do not meet the eligibility criteria will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to effective new preventive measures against HIV for at-risk populations.
How similar studies have performed: Other studies have shown promise with similar approaches using broadly neutralizing monoclonal antibodies for HIV prevention, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants need to be between 18 and 65 years old. * Participants must have access to a participating clinical research site and be willing to follow the study schedule. * Participants should understand the study details and be willing to give informed consent. * Participants must agree not to join any other clinical trials until they finish this study. * Participants must be willing to receive HIV test results. * Participants should be open to discussing HIV prevention. * Clinic staff should assess participants as having a low risk of getting HIV, and participants must commit to avoiding high-risk behaviors during the study. * Hemoglobin: Participant meets minimum levels depending on gender and hormone therapy status. * White Blood Cells (WBC): Should be within the normal range or approved by a site clinician. * Platelets: At least 100,000 cells/mm³. * Alanine aminotransferase (ALT): Less than 5 times the upper normal limit. * Creatinine: Less than 1.8 times the upper normal limit or less than 1.5 times your baseline level. * Participants must test negative for HIV-1 and HIV-2. * Participants urine protein must be negative or trace. Reproductive Status: * Participants of child-bearing potential need a negative pregnancy test within 72 hours before starting the study. * Participants must agree to use effective birth control from at least 21 days before joining the study until the end of the study. * Participants must agree not to try to become pregnant through any method during the study. Exclusion Criteria: * Participants cannot have had a blood transfusion within the last 120 days. * Participants cannot have received experimental treatments within the last 30 days. * Participants cannot weigh less than 35 kg (about 77 lbs). * Participants cannot plan to join another clinical trial during this study. * Participants cannot be pregnant or breastfeeding. * Participants cannot have received an HIV vaccine in a previous trial (unless it was a placebo, subject to Protocol Safety Review Team's approval). * Participants cannot have had any live vaccines within the last 14 days or non-live vaccines within the last 7 days. * Participants cannot have had humanized or human monoclonal antibodies recently, except for certain HIV antibodies more than 12 months ago. * Participants cannot have had allergy shots within the last 14 days. * Participants cannot have taken immunosuppressive drugs within the last 30 days, with some exceptions like nasal sprays or mild skin treatments. * Participants cannot participate if they have had serious allergic reactions to the components of the study product. * Participants cannot have received immunoglobulin within the last 60 days. * Participants cannot have an autoimmune disease that requires immunosuppressive treatment, unless it's mild and stable. * Participants cannot have an immune system deficiency. * Participants cannot have any significant medical condition or abnormal lab results that could impact their health during the study. * Participants cannot have conditions that make repeated injections or blood draws difficult. * Participants cannot have conditions requiring active medical treatment that could pose a risk during the study. * Participants cannot have conditions that could be confused with reactions to the study product. * Participants cannot have medical, social, or occupational conditions that would interfere with the study. * Participants cannot have severe psychiatric conditions, like ongoing risk of suicide or recent history of suicide attempts. * Participants cannot be undergoing treatment for tuberculosis. * Participants cannot have severe asthma that requires frequent medication or emergency care. * Participants cannot have diabetes mellitus (DM) (well-controlled Type 2 DM or an isolated history of gestational diabetes are not exclusionary). * Participants blood pressure must be below 160/110 mmHg. * Participants cannot have any diagnosed bleeding disorders. * Participants cannot have active cancer but may be eligible if, in the investigator's estimation, they have a reasonable assurance of sustained cure, or are unlikely to experience recurrence of malignancy during the period of the study * Participants cannot have had seizures or taken seizure medications in the past 3 years. * Participants cannot have a history of severe allergic reactions like anaphylaxis, unless it has been well-controlled for at least 5 years. * Participants cannot have acute or unstable hepatitis B or C, but stable chronic cases may be considered.
Where this trial is running
Birmingham, Alabama and 21 other locations
- Alabama CRA (Site #31788) — Birmingham, Alabama, United States (RECRUITING)
- Bridge HIV, San Francisco Department of Public Health — San Francisco, California, United States (RECRUITING)
- The Hope Clinic of the Emory Vaccine Research Center; Emory University — Decatur, Georgia, United States (RECRUITING)
- Brigham and Women's Hospital Vaccine CRS (BWH VCRS) — Boston, Massachusetts, United States (RECRUITING)
- Fenway Health — Boston, Massachusetts, United States (RECRUITING)
- BIDMC VCRS (Site ID# 32077) — Boston, Massachusetts, United States (RECRUITING)
- Columbia P&S CRS — New York, New York, United States (RECRUITING)
- University of Rochester Vaccines to Prevent HIV Infection CRS (Site ID 31467) — Rochester, New York, United States (RECRUITING)
- Chapel Hill CRS (Site #3201) — Chapel Hill, North Carolina, United States (RECRUITING)
- Penn Prevention CRS — Philadelphia, Pennsylvania, United States (RECRUITING)
- University of Pittsburgh CRS (Site 1001) — Pittsburgh, Pennsylvania, United States (RECRUITING)
- Vanderbilt Vaccine (VV) CRS — Nashville, Tennessee, United States (RECRUITING)
- Seattle Vaccine and Prevention CRS (Site ID# 30331) — Seattle, Washington, United States (RECRUITING)
- Instituto de Pesquisa Clinica Evandro Chagas (IPEC) CRS — Rio de Janeiro, Brazil (RECRUITING)
- ACSA CRS — Iquitos, Maynas, Peru (NOT_YET_RECRUITING)
- CITBM CRS (Site ID 31970) — Callao, Peru (RECRUITING)
- Via Libre (Site ID 31909) — Lima, Peru (RECRUITING)
- San Miguel CRS (Site #11302) — Lima, Peru (RECRUITING)
- Perinatal HIV Research Unit (PHRU) — Johannesburg, Gaunteng, South Africa (NOT_YET_RECRUITING)
- Chatsworth CRS — Chatsworth, KwaZulu-Natal, South Africa (NOT_YET_RECRUITING)
- Setshaba Research Centre — Soshanguve-H, Soshanguve, South Africa (NOT_YET_RECRUITING)
- Groote Schuur HIV CRS — Cape Town, Western Cape, South Africa (NOT_YET_RECRUITING)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: HIV, HIV Prevention, bnAb, Monoclonal antibody, Intravenous, Triple combination, VRC07-523LS, PGT121.414.LS