This is a Phase 1, open-label single-center study to determine the safety of MGD014 in participants with human immunodeficiency virus (HIV) infection on stable suppressive antiretroviral therapy (ART).
Eligible participants will be maintained on ART and receive either one infusion (Part 1) or multiple infusions of MGD014 (Part 2). Part 1 is a single ascending dose study with a 1+3 design for the first 2 dose cohorts, and a 3+3 design with staggered accrual for the 6 higher dose cohorts, with an aim of determining the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of ascending doses up to either the Optimal Biologic Dose (OBD) or the maximum administered dose (MAD). Part 2 is a multi-dose expansion cohort with MGD014 administered at the OBD, as determined in Part 1. In Part 2, additional assessments on the effects of MGD014 on HIV latent infection parameters will be evaluated.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
21
HIV-1 x CD3 bispecific DART molecule
University of North Carolina Chapel Hill
Chapel Hill, North Carolina, United States
Number of Participants With Treatment-Emerging Adverse Events
Safety is based on evaluation of adverse events (AEs) and serious adverse events (SAEs) from the time of study drug administration through the End of Study visit.
Time frame: up to 77 days
AUC Inf: Area Under the Plasma Concentration Versus Time Curve From Time 0 to Infinity of MGD014
AUCinf, area under the concentration-time curve from the time of dose extrapolated to time infinity and reflects total drug exposure
Time frame: Study Day 0 to 42
Cmax: Maximum Plasma Concentration
Cmax is the maximum (or peak) serum concentration of a drug in the body after the drug has been administered
Time frame: Study Day 0
Tmax: Time to Maximum Concentration
Tmax is the time it takes a drug to reach the maximum concentration
Time frame: Study Day 0
Ctrough: Trough Level Concentration
a trough level or trough concentration (Ctrough) is the concentration reached by a drug immediately before the next dose is administered,
Time frame: Study Day 14
Clearance
Total body clearance of the drug from plasma of MGD014
Time frame: Study Day 0 to 42
Vz: Terminal Phase Volume of Distribution of MGD014
The ratio of the total quantity of drug in the body to drug plasma concentration during the elimination
Time frame: Study Day 1, 2, 7, 14, 21, 28, and 42 (single infusion) and Study Day 1, 3, 14, 28, 42, and 77 (multiple infusions)
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Terminal Half Life of MGD014
The half-life is the amount of time required for 50% of the drug to be removed from the body
Time frame: Study Day 0 to Study Day 42
Number of Participants That Developed Antidrug Antibodies to MGD014
Number of participants with antidrug antibodies to MGD014
Time frame: Study Day 1, 14, 28 and 42 (single infusion) and Study Day 1, 14, 28 and 77 (multiple infusions)
Number of Participants With Increased Cytokine Levels
Number of participants with increased cytokine levels from baseline after MGD014 administration. This safety measure compares serum cytokine levels obtained prior to dosing with levels obtained after dosing. Increased cytokines can be a measure of T-cell activation in response to MGD014 binding. Cytokines analyzed included interferon-gamma, tumor necrosis factor-alpha, interleukin (IL)2, IL-5, IL-6, and IL-10.
Time frame: Study Day 1, 2 and 7 (single infusion) and Study Day 1, 3, 14 and 28 (multiple infusions)