3BNC117 and 10-1074 in HIV Uninfected Adults



Status:Active, not recruiting
Conditions:HIV / AIDS, HIV / AIDS, HIV / AIDS
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - 65
Updated:4/6/2017
Start Date:June 2016
End Date:December 2018

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A Phase 1 Study of the Safety and Pharmacokinetics of the Combination of 3BNC117 and 10-1074 in HIV-uninfected Adults

This is a phase 1 clinical trial to evaluate the safety and pharmacokinetics of the highly
neutralizing anti-human immunodeficiency virus-1 monoclonal antibodies 3BNC117 and 10-1074,
when given in combination, in human immunodeficiency virus (HIV)-uninfected individuals.
This study is intended to support the development of the combination of 3BNC117 and 10-1074
mAbs for use as prophylaxis against HIV infection in healthy HIV-uninfected individuals at
risk for HIV infection.

The study will be conducted under a placebo-controlled, double blind, randomized allocation
of the study products. Study participants in each study group will be randomized to receive
intravenous infusions of 3BNC117 and 10-1074 or placebo. 3BNC117 and 10-1074 will be
administered at 2 dose levels (3 mg/kg and 10 mg/kg). These doses were selected based on the
planned development of subcutaneous formulations for the prophylactic use of these products.
The study will consist of 3 groups. Enrollment in Group 1 will begin first and participants
will be enrolled at least one day apart. Eight participants will be enrolled in each group;
6 will be randomized receive the study drugs and 2 will be randomized to receive placebo.
Participants in Group 1 will receive a single infusion of each antibody at 10mg/kg at Week
0. Enrollment in Group 2 will begin only after Day 28 safety data from all participants in
Group 1, including ophthalmologic exams, are available. Enrollment in Group 3 will begin
only after the Day 28 safety data from all participants in Group 2 is available. If > 1
grade 3 or higher adverse events deemed probably or definitely related to the study drugs
occurs in a single group, the next group will not be enrolled pending safety monitoring
committee (SMC) review. Participants in Groups 2 and 3 will receive 3 infusions of each
antibody at Weeks 0, 8, and 16, at a dose of either 3mg/kg or 10mg/kg. The antibodies will
be administered sequentially via intravenous infusion. Each antibody will be administered
over 60 minutes.

Following product infusions, study participants will return for safety assessments at
multiple time points. Blood samples will be collected for safety testing at weeks 1, 2, and
4 following each infusion, then at multiple time points until the end of study follow up.

Baseline pharmacokinetic (PK) assessments will be performed before the start of the first
infusion. Peak PK sampling for 3BNC117 will occur following the completion of the 3BNC117
infusion prior to the start of the 10-1074 infusion. Peak PK sampling for 10-1074 will occur
following the completion of the 10-1074 infusion. Additional PK assessments will occur at
multiple time points during study follow up. Study participants will be followed for a total
of 24 weeks following the final antibody infusion.

Inclusion Criteria:

- Males and females, age 18 to 65.

- Amenable to HIV risk reduction counseling and agrees to maintain behavior consistent
with low risk of HIV exposure.

- If sexually active male or female, and participating in sexual activity that could
lead to pregnancy, agrees to use two effective methods of contraception (i.e. condom
with spermicide, diaphragm with spermicide, hormone-eluting IUD, hormone-based
contraceptive with condom) for the duration of the study.

Exclusion Criteria:

- Confirmed HIV-1 or HIV-2 infection.

- History of immunodeficiency or autoimmune disease; use of systemic corticosteroids,
immunosuppressive anti-cancer, or other medications considered significant by the
trial physician within the last 6 months.

- Any clinically significant acute or chronic medical condition (such as autoimmune
diseases) that in the opinion of the investigator would preclude participation.

- Within the 12 months prior to enrollment, the participant has a history of sexually
transmitted infection.

- Chronic Hepatitis B or Hepatitis C infection.

- Laboratory abnormalities in the parameters listed:

- Absolute neutrophil count ≤ 2,000;

- Hemoglobin ≤ 12 gm/dL if female; ≤ 13.5 gm/dL if male;

- Platelet count ≤ 125,000;

- Alanine Aminotransferase (ALT) ≥ 1.25 x ULN; Aspartate Aminotransferase (AST) ≥ 1.25
x ULN;

- Alkaline phosphatase ≥ 1.5 x ULN

- Total bilirubin > 1.0 x ULN;

- Creatinine ≥1.1 x ULN;

- Pregnancy or lactation.

- Any vaccination within 14 days prior to infusion

- Receipt of any experimental HIV vaccine in the past.

- History of severe reaction to a vaccine or drug infusion or history of severe
allergic reactions.

- Participation in another clinical study of an investigational product currently or
within past 12 weeks, or expected participation during this study.
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