The is a blinded safety study of ibalizumab given by subcutaneous injection in sequentially increasing dose-groups of at-risk, HIV-negative, healthy volunteers. The study involves the administration of four total injections of ibalizumab or matching placebo in each volunteer, given once every week, at one of three dose levels. Drug administration begins at the lowest dose. After 4 of 8 volunteers in the first group have received all study drug injections and have completed 6 additional weeks of follow-up, an independent safety monitoring group will review available data before approving initiation of the next higher dose-group. This process will be repeated prior to initiation of the 3rd and highest dose-group. All volunteers will participate in 2 separate intensive blood sampling periods of 7 days each to test drug levels.
The study is a phase 1, randomized, double-blinded, placebo-controlled, sequential dose-escalation and safety study of ibalizumab in at-risk HIV-negative volunteers. The study involves the administration of four total injections of ibalizumab or matching placebo in each volunteer, given once every week, in one of three groups as defined below: Group 1: 120 mg sc weekly x 4 weeks, randomized 6:2 with placebo Group 2: 240 mg sc weekly x 4 weeks, randomized 6:2 with placebo Group 3: 480 mg sc weekly x 4 weeks, randomized 6:2 with placebo Volunteers will be screened up to 42 days prior to enrollment and first drug administration, and will be followed for 26 weeks after the final injection. All subjects will be expected to participate in two (2) intense PK sampling periods with a duration of 7 days for the first period and 14 days for the second period. During these periods (following Day 0 and following Week 3) subjects will have daily serum concentration and other investigational pharmacokinetic assessments. All volunteers will be encouraged to participate in an optional collection of genital secretions (semen or vaginal wash) at Week 4. An independent data safety monitoring board (DSMB) will review study data after four out of eight at-risk HIV-negative volunteers in Group 1 (120 mg dose) have received all study drug injections and completed 6 weeks of follow-up before approving escalation to Group 2 (240 mg dose). The DSMB will also review all available study data from Groups 1, and 2 after four out of eight volunteers in Group 2 have received all study drug injections and completed 6 weeks of follow-up before approving escalation to Group 3 (480 mg dose).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
25
ibalizumab or matching placebo administered by subcutaneous injection weekly at 120 mg
ibalizumab or matching placebo administered by subcutaneous injection weekly at 240 mg
ibalizumab or matching placebo administered by subcutaneous injection weekly at 480 mg
Alabama Vaccine Research Center
Birmingham, Alabama, United States
Living Hope Clinical Foundation
Long Beach, California, United States
Quest Clinical Research
San Francisco, California, United States
ACRIA - AIDS Community Research Initiative of America
New York, New York, United States
University of Rochester
Rochester, New York, United States
Research Access Network / The Schrader Clinic
Houston, Texas, United States
To evaluate the safety and tolerability of subcutaneous administration of ibalizumab in at-risk HIV-negative volunteers
Safety and Tolerability Measures Include: * Physical examinations * Vital sign measurements * Anti-ibalizumab antibody levels (immunogenicity of ibalizumab) * Clinical laboratory parameters (hematology, serum chemistry and urinalysis) * Urine or serum pregnancy tests * Adverse events * Serious Adverse Events
Time frame: 30 weeks
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