A Phase 3, Single Arm, 24-Week, Multicenter Study of Ibalizumab Plus an Optimized Background Regimen (OBR) in Treatment-Experienced Patients Infected With Multi-Drug Resistant HIV-1
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 30
- 主要终点
- Efficacy: Proportion of Participants Achieving a Viral Load Reduction of at Least 0.5 Log 10: ITT-MEF
研究概览
简要总结
This Phase 3, single arm, multicenter study will evaluate the safety and effectiveness of ibalizumab in treatment-experienced patients infected with multi-drug resistant HIV-1.
详细描述
This Phase 3, single arm, multicenter study will evaluate the safety and effectiveness of ibalizumab in treatment-experienced patients infected with multi-drug resistant HIV-1. Patients must have been treated with HAART for at least 6 months and be failing or have recently failed (i.e., in the last 8 weeks) therapy to determine baseline viral load.
Days 0-6 of the study will be a "control period." During Days 0 through 6 patients will be monitored on current failing therapy (or no therapy, if the patient has failed and discontinued treatment within the 8 weeks preceding Screening).
Days 7-13 of the study will be an "essential monotherapy period." During Days 7 through 13 patients will continue on current failing therapy and receive one 2000 mg dose (loading dose) of ibalizumab on Day 7. Day 7 is Baseline for the treatment period (Day 7-Week 25).
Day 14-Week 25 of the study will be the "maintenance period." On Day 14 (primary endpoint), the OBR will be initiated and must include at least one agent to which the patient's virus is susceptible. Beginning at Day 21, 800 mg of ibalizumab will be administered every 2 weeks through Week 23.
End of Study evaluations will be performed at Week 25, and a follow-up visit will be conducted at Week 29.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Are capable of understanding and have voluntarily signed the informed consent document
- •Have documented HIV-1 infection by official, signed, written history (e.g., laboratory report), otherwise an HIV-antibody test will be performed
- •Have no acquired immunodeficiency syndrome (AIDS)-defining events in the 3 months before Screening, other than cutaneous Kaposi's sarcoma or wasting syndrome due to HIV
- •Are able and willing to comply with all protocol requirements and procedures
- •Have a life expectancy that is >6 months.
- •Have a viral load >1,000 copies/mL and documented resistance to at least one antiretroviral medication from each of three classes of antiretroviral medications as measured by resistance testing
- •Have a history of at least 6 months on antiretroviral treatment
- •Are receiving a stable highly active antiretroviral regimen for at least 8 weeks before Screening and are willing to continue that regimen until Day 14, OR (in the past 8 weeks) have failed and are off therapy and are willing to stay off therapy until Day 14
- •Have full viral sensitivity/susceptibility to at least one antiretroviral agent, other than ibalizumab, as determined by the screening resistance tests and be willing and able to be treated with at least one agent to which the patient's viral isolate is fully sensitive/susceptible according to the screening resistance tests as a component of OBR
- •If sexually active, are willing to use an effective method of contraception during the study and for 30 days after the last administration of the study drug
排除标准
- •Any active AIDS-defining illness per Category C conditions according to the Centers for Disease Control and Prevention (CDC) Classification System for HIV Infection, with the following exceptions: cutaneous Kaposi's sarcoma and wasting syndrome due to HIV
- •Any significant diseases (other than HIV-1 infection) or clinically significant findings, including psychiatric and behavioral problems, determined from screening, medical history and/or physical examination that, in the investigator's opinion, would preclude the patient from participating in this study
- •Any significant acute illness within 1 week before the initial administration of study drug
- •Any active infection secondary to HIV requiring acute therapy; however, patients that require maintenance therapy (i.e., secondary prophylaxis for opportunistic infections) will be eligible for the study.
- •Any immunomodulating therapy (including interferon), systemic steroids, or systemic chemotherapy within 12 weeks before Enrollment
- •Any prior exposure to ibalizumab (formerly TNX-355 and Hu5A8)
- •Any vaccination within 7 days before Enrollment
- •Any female patient who either is pregnant, intends to become pregnant, or is currently breastfeeding
- •Any current alcohol or illicit drug use that, in the investigator's opinion, will interfere with the patient's ability to comply with the study schedule and protocol evaluations
- •Any previous clinically significant allergy or hypersensitivity to any excipient in the ibalizumab formulation
- •Any radiation therapy during the 28 days before first administration of investigational medication
- •Any Grade 3 or 4 laboratory abnormality according to the Division of AIDS grading scale, except for the following asymptomatic Grade 3 events triglyceride elevation total cholesterol elevation
研究组 & 干预措施
Open-Label Ibalizumab plus OBR
2000 mg intravenous ibalizumab (loading dose) on Day 7 followed in 14 days (on Day 21) by 800 mg intravenous ibalizumab administered once every two weeks, plus an Optimized Background Regimen (OBR) beginning on Day 14.
干预措施: ibalizumab (Biological)
Open-Label Ibalizumab plus OBR
2000 mg intravenous ibalizumab (loading dose) on Day 7 followed in 14 days (on Day 21) by 800 mg intravenous ibalizumab administered once every two weeks, plus an Optimized Background Regimen (OBR) beginning on Day 14.
干预措施: Optimized Background Regimen (OBR) (Drug)
结局指标
主要结局
Efficacy: Proportion of Participants Achieving a Viral Load Reduction of at Least 0.5 Log 10: ITT-MEF
时间窗: Day 14
Proportion of participants (%) achieving a viral load reduction of at least 0.5 log from baseline (Day 7)
Efficacy: Proportion of Subjects With a Viral Load Decrease of at Least 0.5 Log 10 - Protocol Correct
时间窗: Day 14
Proportion of patients (%) with a viral load decrease of at least 0.5 log 10 from baseline (day 7)
次要结局
- End of Study Viral Load Reductions as a Measure of Efficacy - Protocol Correct Analysis(at Week 25/End of Study)
- Efficacy: Proportion of Patients With Undetectable Viral Load: ITT-MEF(Week 25 /end of study)
- Efficacy: Proportion of Patients With Undetectable HIV-RNA Levels: Protocol Correct(Week 25/End of Study)
- Mean Change in Viral Load as a Measure of Efficacy - ITT-MEF(Day 7 and Day 14)
- Mean Change in Viral Load as a Measure of Efficacy - Protocol Correct(Day 7 and Day 14)
- End of Study Viral Load Reductions as a Measure of Efficacy - Intent to Treat Analysis(at Week 25/End of Study)
- Mean Change in CD4+ Cell Count as a Measure of Efficacy and Safety - ITT(Day 7 and Week 25/End of Study)
- Mean Change in CD4+ Cell Count as a Measure of Efficacy and Safety - Protocol Correct(Day 7 and Week 25/End of Study)
- Safety: Proportion of Participants Experiencing Adverse Events(Through Week 25/End of Study)
- Proportion of Participants Experiencing Adverse Event Related to Study Drug as a Measure of Safety and Tolerability(Through Week 25/End of Study)
- Proportion of Participants Experiencing Serious Adverse Event as a Measure of Safety and Tolerability(Through Week 25/End of Study)
- Proportion of Participants Discontinuing Study Drug Due to Adverse Event(Through Week 25/End of Study)
- Proportion of Participants Experiencing Adverse Event Grade 3 and Higher as a Measure of Safety and Tolerability(Through Week 25/End of Study)
- Proportion of Participants Experiencing Adverse Event With Death as Outcome as a Measure of Safety and Tolerability(Through Week 25/End of Study)
- Proportion of Participants Experiencing New AIDS-defining Adverse Event According to CDC Criteria as a Measure of Safety and Tolerability(Through Week 25/End of Study)