RecruitingPhase 2NCT05719441

A Clinical Trial of Combination HIV-Specific Broadly Neutralizing Monoclonal Antibodies Combined With ART Initiation During Acute HIV Infection to Induce HIV Remission

A Double-Blind, Randomized, Placebo-Controlled Clinical Trial of Combination HIV-Specific Broadly Neutralizing Monoclonal Antibodies Combined With ART Initiation During Acute HIV Infection to Induce HIV Remission


Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Enrollment

48 participants

Start Date

Aug 19, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

A5388 is a phase II, two-arm, randomized, double-blind, placebo-controlled study that will enroll 48 antiretroviral therapy (ART)-naïve adults with acute HIV infection (AHI) in order to determine whether: * Administration of combination HIV-specific broadly neutralizing antibody (bNAb) therapy in addition to ART during acute HIV infection (AHI) will be safe. * Participants who receive combination bNAb therapy in addition to ART during AHI will be more likely to demonstrate a delay in time to HIV-1 RNA ≥1,000 copies/mL for 4 consecutive weeks compared to participants who receive placebo plus ART. * Participants who receive combination bNAb therapy in addition to ART during AHI will demonstrate lower viral reservoirs and enhanced HIV-specific immunity compared to participants who receive placebo plus ART.


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a combination of HIV-fighting antibodies (broadly neutralizing antibodies, or bNAbs) given alongside standard antiretroviral therapy (ART) starting during very early HIV infection can help people control the virus even if they stop ART — a state called HIV remission or "functional cure." **You may be eligible if...** - You have been recently diagnosed with HIV (acute HIV infection — meaning you have HIV RNA detected but antibodies have not yet fully developed) - Your blood counts, liver, and kidney function are within acceptable ranges - You are 18 or older **You may NOT be eligible if...** - You are pregnant, planning pregnancy, or breastfeeding - You have significant liver, kidney, or blood count problems - You have other serious or active infections or medical conditions that could interfere with the study Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALVRC07-523LS

10 mg/kg intravenous infusion over approximately 15 to 30 minutes once at entry

BIOLOGICALPGT121.414.LS

5 mg/kg intravenous infusion over approximately 30 to 60 minutes once at entry

OTHERPlacebo

Sodium Chloride for Injection USP, 0.9%

DRUGART

Bictegravir 50 mg/emtricitabine 200 mg/tenofovir alafenamide 25 mg tablet orally once daily with or without food


Locations(36)

31788, Alabama CRS

Birmingham, Alabama, United States

1201, University of Southern California CRS

Los Angeles, California, United States

601, University of California, Los Angeles CARE Center CRS

Los Angeles, California, United States

701, UCSD Antiviral Research Center CRS

San Diego, California, United States

801, University of California, San Francisco HIV/AIDS CRS

San Francisco, California, United States

603, Harbor University of California Los Angeles Center CRS

Torrance, California, United States

6101, University of Colorado Hospital CRS

Aurora, Colorado, United States

31791, Whitman-Walker Institute, Inc. CRS

Washington D.C., District of Columbia, United States

5802, The Ponce de Leon Center CRS

Atlanta, Georgia, United States

2701, Northwestern University CRS

Chicago, Illinois, United States

2702, Rush University CRS

Chicago, Illinois, United States

201, Johns Hopkins University CRS

Baltimore, Maryland, United States

101, Massachusetts General Hospital CRS (MGH CRS)

Boston, Massachusetts, United States

107, Brigham and Women's Hospital Therapeutics (BWH TCRS) CRS

Boston, Massachusetts, United States

2101, Washington University Therapeutics (WT) CRS

St Louis, Missouri, United States

31786, New Jersey Medical School Clinical Research Center CRS

Newark, New Jersey, United States

7804, Weill Cornell Chelsea CRS

New York, New York, United States

30329, Columbia Physicians & Surgeons (P&S) CRS

New York, New York, United States

7803, Weill Cornell Uptown CRS

New York, New York, United States

31787, University of Rochester Adult HIV Therapeutic Strategies Network CRS

Rochester, New York, United States

3201, Chapel Hill CRS

Chapel Hill, North Carolina, United States

3203, Greensboro CRS

Greensboro, North Carolina, United States

2401, Cincinnati CRS

Cincinnati, Ohio, United States

2501, Case CRS

Cleveland, Ohio, United States

2301, Ohio State University CRS

Columbus, Ohio, United States

6201, Penn Therapeutics CRS

Philadelphia, Pennsylvania, United States

1001, University of Pittsburgh CRS

Pittsburgh, Pennsylvania, United States

2951, The Miriam Hospital (TMH) CRS

Providence, Rhode Island, United States

3652, Vanderbilt Therapeutics (VT) CRS

Nashville, Tennessee, United States

31443, Trinity Health and Wellness Center CRS

Dallas, Texas, United States

31473, Houston AIDS Research Team CRS

Houston, Texas, United States

1401, University of Washington Positive Research CRS

Seattle, Washington, United States

12201, Hospital Nossa Senhora da Conceicao CRS

Porto Alegre, Brazil

12101, Instituto de Pesquisa Clinica Evandro Chagas (IPEC) CRS

Rio de Janeiro, Brazil

11302, San Miguel CRS

San Miguel, Lima region, Peru

11301, Barranco CRS

Lima, Peru

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NCT05719441


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