The purpose of this study is to evaluate the safety, tolerability, and efficacy of N-803, an IL-15 superagonist, with or without combination broadly neutralizing antibodies (bNAbs), to induce HIV-1 control during analytic treatment interruption (ATI).
This study will evaluate the safety, tolerability, and efficacy of N-803, an IL-15 superagonist, with or without combination broadly neutralizing antibodies (bNAbs), to induce HIV-1 control during analytic treatment interruption (ATI). Participants will be screened for eligibility and undergo leukapheresis, and a subset will also undergo optional rectal biopsy and/or lymph node fine needle aspirations (FNAs) (Step 1). After pre-entry and determination of eligibility in Step 1, participants will be randomized before Step 2 entry to either the N-803 only arm (Arm A) or the N-803 with combination bNAbs arm (Arm B): * Arm A will receive a dose of N-803, 6 mcg/kg, subcutaneously 1 week after Step 2 entry and then every 3 weeks for a total of eight doses (during the first 22 weeks). * Arm B will receive the following (during the first 22 weeks): * Combination bNAb at Step 2 entry with VRC07-523LS dosed at 20 mg/kg and 10-1074 dosed at 30 mg/kg, intravenously; * A dose of N-803, 6 mcg/kg, subcutaneously 1 week after Step 2 entry and then every 3 weeks for a total of eight doses; * A second dose of 10-1074 at week 9 of Step 2 dosed at 30 mg/kg, intravenously After completing randomized treatment (Step 2), participants will interrupt antiretroviral therapy (ART) (Step 3) and will be followed closely to monitor for indications for reinitiation of ART (Step 4). After Step 2 entry, most participants will be followed for approximately 100 weeks across the remaining three study steps (i.e., Steps 2, 3, and 4). Step 1 will last up to 90 days, Step 2 will last approximately 52 weeks (study intervention), Step 3 will last up to 24 weeks (ATI), and Step 4 will last 24 weeks (ART restart).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Administered by subcutaneous (SQ) injection
Administered by intravenous (IV) infusion
Administered by intravenous (IV) infusion
Alabama CRS (Site ID# 31788)
Birmingham, Alabama, United States
UCLA CARE Center CRS
Los Angeles, California, United States
Occurrence of a Grade ≥3 adverse event (AE) that is at least possibly related to N-803, as judged by the Clinical Management Committee (CMC)
Time frame: Step 2 week 1 to week 52
Number of N-803 doses completed
Eight doses of N-803 are scheduled at the distinct time points listed in Time Frame. At each timepoint, dose completion status is recorded. Number of N-803 doses completed is the total number completed doses across all 8 timepoints.
Time frame: From step 2 week 1 to step 2 week 22
Proportion of participants requiring dose reduction
Eight doses of N-803 are scheduled at distinct time points (Step 2 weeks 1, 4, 7, 10, 13, 16, 19 and 22). Proportion of participants requiring dose reduction is calculated as the number of participants who receive a reduced dose of N-803 at any of the 7 scheduled doses occurring after the first dose, divided by the total number of participants receiving N-803.
Time frame: From step 2 week 4 to step 2 week 22
Proportion of participants with plasma HIV-1 RNA <200 copies/mL 8 weeks after interruption of ART
Time frame: At step 3 week 8
Occurrence of a Grade ≥2 AE without regard to relationship to study treatment
Time frame: Study entry to participant's last study visit, at approx. study week 100
Occurrence of a Grade ≥2 AE that is at least possibly related to N-803, as judged by the CMC
Time frame: Step 2 week 1 to week 52
Occurrence of a Grade ≥2 AE that is at least possibly related to VRC07-523LS or 10-1074
Time frame: Step 2 week 0 to week 52
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Enrollment
118
UCSD Antiviral Research Center CRS (Site ID: 701)
San Diego, California, United States
University of California, San Fransisco HIV/AIDS CRS
San Francisco, California, United States
Whitman-Walker Institute, Inc. CRS (Site ID: 31791)
Washington D.C., District of Columbia, United States
Northwestern University CRS
Chicago, Illinois, United States
Massachusetts General Hospital CRS (MGH CRS) (Site ID: 101)
Boston, Massachusetts, United States
Washington University Therapeutics (WT) CRS
St Louis, Missouri, United States
New Jersey Medical School Clinical Research Center CRS [Site ID: 31786]
Newark, New Jersey, United States
Columbia P&S CRS
New York, New York, United States
...and 4 more locations
Cell-associated HIV-1 RNA
Time frame: At Step 2 weeks 0, 1, 7, 13, 19, 22, 26 and 32
Measurement of HIV-1 reservoir (dQVOA)
Time frame: At Step 2 weeks 0, 1, 7, 13, 19, 22, 26 and 32
Measurement of plasma viremia by HIV-1 single copy assay
Time frame: At step 1 pre-entry evaluation and step 2 weeks 0, 1, 7, 13, 22 and 32
Measurement of intact proviral DNA
Time frame: At Step 2 weeks 0, 1, 7, 13, 19, 22, 26 and 32
Total HIV-1 DNA
Time frame: At Step 2 weeks 0, 1, 7, 13, 19, 22, 26 and 32
Proportion of participants with plasma HIV-1 RNA <200 copies/mL at 4, 12 and 24 weeks after interruption of ART in Step 3
Time frame: At step 3 weeks 4, 12, and 24
PK parameters: AUC0-τ of 10-1074
Time frame: At step 2 weeks 0, 1, 4, 7, 9, 10, 13, 16, 19, 22, 26, 32 and 46
PK parameters: AUC0-τ of VRC07-523LS
Time frame: At step 2 weeks 0, 1, 4, 7, 9, 10, 13, 16, 19, 22, 26, 32 and 46
Proportion of participants with antidrug antibodies
Presence of anti-N803, anti-10-1074, and anti-VRC07-523LS antibodies
Time frame: At step 2 weeks 0, 1, 4, 7, 9, 10, 13, 16, 19, 22, 26, 32 and 46