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Evaluating Clearance of High-Risk HPV and Safety After Administration of ABI-2280 Vaginal Inserts

Phase 1
Recruiting
Conditions
Human Papillomavirus Infection
Interventions
Registration Number
NCT06491446
Lead Sponsor
Antiva Biosciences
Brief Summary

This is a blinded study to assess safety, tolerability, and efficacy of ABI-2280 vaginal inserts in participants diagnosed with persistent cervical hrHPV infection. This study will have up to 11 cohorts with various dose strengths and regimens. Each cohort will start with a sentinel cohort of 8 participants. Sentinel cohorts may be expanded to include an additional up to 32 participants to provide additional proof of concept data to further understanding of benefit/risk of a given dose/dose regimen.

Detailed Description

This is a randomized, double-blind, placebo-controlled Phase 1b/2 study in women diagnosed with persistent cervical hrHPV infection. This study is designed to assess safety, tolerability, and efficacy following the use of ABI-2280 Vaginal Insert delivered intravaginally. Sentinel cohorts will be utilized to assess tolerable regimens, which may trigger cohort expansions if some evidence of efficacy is observed.

Dose range and dosing regimens in this study will be evaluated through the enrollment of up to 11 sentinel cohorts (including up to 5 optional cohorts), each enrolling up to 8 participants. The optional cohorts may be enrolled in the study at the Sponsor's discretion based on emerging data from this study and the ABI-2280 program, in case additional dose/regimen ranging or dosing method exploration is indicated. A sentinel cohort may be repeated to evaluate the dosing regimen using a different method of administration. Additionally, any cohort may be paused or terminated, as recommended by the Safety Monitoring Committee (SMC) and/or per the Sponsor's discretion based on the emerging data from the preceding cohort or from the ABI-2280 program. Such decisions will be based on safety and/or benefit-risk considerations.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
160
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental: Cohort 8ABI-2280Participants in this arm will receive either ABI 2280 (Dose 8) or matching placebo
Experimental: Cohort 9ABI-2280Participants in this arm will receive either ABI 2280 (Dose 9) or matching placebo
Experimental: Cohort 5ABI-2280Participants in this arm will receive either ABI 2280 (Dose 5) or matching placebo
Experimental: Cohort 6ABI-2280Participants in this arm will receive either ABI 2280 (Dose 6) or matching placebo
Experimental: Cohort 10ABI-2280Participants in this arm will receive either ABI 2280 (Dose 10) or matching placebo
Experimental: Cohort 1ABI-2280Participants in this arm will receive either ABI 2280 (Dose 1) or matching placebo
Experimental: Cohort 2ABI-2280Participants in this arm will receive either ABI 2280 (Dose 2) or matching placebo
Experimental: Cohort 3ABI-2280Participants in this arm will receive either ABI 2280 (Dose 3) or matching placebo
Experimental: Cohort 4ABI-2280Participants in this arm will receive either ABI 2280 (Dose 4) or matching placebo
Experimental: Cohort 7ABI-2280Participants in this arm will receive either ABI 2280 (Dose 7) or matching placebo
Experimental: Cohort 11ABI-2280Participants in this arm will receive either ABI 2280 (Dose 11) or matching placebo
Primary Outcome Measures
NameTimeMethod
For sentinel cohorts: Incidence and Severity of Adverse EventsWeek 24

For sentinel cohorts: for each dose/dosing regimen, incidence and severity of adverse events (AEs), relationship of AEs to investigational product (IP), and AEs leading to treatment reduction/discontinuation for ABI-2280 Vaginal Insert vs. pooled placebo

For fully expanded cohorts, including sentinel: Clearance of persistent cervical hrHPV infection as defined by the absence of all hrHPV genotypes present at baselineWeek 12

Proportion of participants who received ABI-2280 vs pooled placebo who are complete responders.

Secondary Outcome Measures
NameTimeMethod
For fully expanded cohorts, including sentinel: Incidence and Severity of Adverse EventsWeek 24

For fully expanded cohorts, including sentinel: for each dose/dosing regimen, incidence and severity of AEs, relationship of AEs to IP, and AEs leading to treatment reduction/discontinuation for ABI-2280 Vaginal Insert vs. pooled placebo.

Proportion of participants who received ABI-2280 vs pooled placebo who are complete respondersWeek 24

For fully expanded cohorts, including sentinel: For each dose/dosing regimen, proportion of participants who received ABI-2280 Vaginal Insert vs. pooled placebo who are complete responders, defined as the absence of all hrHPV genotypes that were present at baseline, at Week 24

Trial Locations

Locations (16)

Emeritus Research Camberwell

๐Ÿ‡ฆ๐Ÿ‡บ

Camberwell, Australia

Holdsworth House Medical Practice

๐Ÿ‡ฆ๐Ÿ‡บ

Darlinghurst, Australia

KIMR

๐Ÿ‡ฆ๐Ÿ‡บ

Nedlands, Australia

The Royal Women's Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Parkville, Australia

Emeritus Research Sydney

๐Ÿ‡ฆ๐Ÿ‡บ

Sydney, Australia

AusTrials Taringa

๐Ÿ‡ฆ๐Ÿ‡บ

Taringa, Australia

AusTrials Wellers Hill

๐Ÿ‡ฆ๐Ÿ‡บ

Tarragindi, Australia

Waitemata Clinical Research Ltd

๐Ÿ‡ณ๐Ÿ‡ฟ

Birkenhead, New Zealand

P3 Research Dunedin

๐Ÿ‡ณ๐Ÿ‡ฟ

Dunedin, New Zealand

P3 Research Hawke's Bay

๐Ÿ‡ณ๐Ÿ‡ฟ

Hastings, New Zealand

P3 Research Lower Hutt

๐Ÿ‡ณ๐Ÿ‡ฟ

Lower Hutt, New Zealand

Pacific Clinical Trials Network - Tasman

๐Ÿ‡ณ๐Ÿ‡ฟ

Nelson, New Zealand

P3 Research Kapiti

๐Ÿ‡ณ๐Ÿ‡ฟ

Paraparaumu, New Zealand

Lakeland Clinical Trials

๐Ÿ‡ณ๐Ÿ‡ฟ

Rotorua, New Zealand

Clinical Horizons New Zealand

๐Ÿ‡ณ๐Ÿ‡ฟ

Tauranga, New Zealand

PARC Clinical Research, Royal Adelaide Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Adelaide, South Australia, Australia

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