A Study to Assess the Safety and Pharmacokinetics of a Human Monoclonal Antibody (VH4527079) in Healthy Adults and Persons With HIV

Phase 1Active Not RecruitingNCT06652958

ViiV Healthcare102 enrolled

Overview

This study evaluates the safety, tolerability, and pharmacokinetics (PK) of a single dose administration of VH4527079 by subcutaneous (SC) injection or by intravenous (IV) infusion in healthy adult participants and multiple dose administration by IV infusion in healthy adult participants and in Persons with HIV (PWH).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

102

Conditions

HIV Infections

Interventions

VH4527079BIOLOGICAL

VH4527079 solution for injection or infusion will be administered either by SC injection or IV infusion respectively.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 55 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Participant must be 18 to 55 years of age inclusive at the time of signing the informed consent. * Participants who are overtly healthy based on a medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring. * Participants who are able to understand and comply with protocol requirements and timetables, instructions, and protocol-stated restrictions. * For Cohort 9 (PWH in Arm B), well controlled HIV on first-line INSTI-based oral antiretroviral therapy without history of virologic failure (will be continued during study). * Body weight more than or equal to (\>=)50.0 kg for men and \>=45.0 kg for women and Body Mass Index (BMI) within the range 18.5 to 31.0 kg/m\^2. * Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. * Participants who are female at birth are eligible to participate if at least one of the following conditions applies: Not pregnant or breastfeeding and, at least, one of the following conditions apply: * Is not a Participant of childbearing potential (POCBP). OR * Is a POCBP and agrees to use a highly effective contraceptive method 3 weeks prior to the start of this study and during the study. * Capable of giving signed informed consent. * Willing to have samples stored for future research for participants in Arm B; Cohort 8 (Healthy Volunteers) and Cohort 9 (PWH in Arm B). Exclusion Criteria: * History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders, or any medical condition capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention or interfering with the interpretation of data. * Weight \>115.0 kg. * Any medical condition that is not well controlled. * Positive HIV testing for participants enrolled in Arm A and in Arm B Cohort 8. * Any history of a severe allergic reaction with generalized urticaria, angioedema or anaphylaxis within the 2 years prior to enrollment that has a reasonable risk of recurrence during the study. * The participant has an underlying skin disease or disorder, piercing, or tattoos that would interfere with assessment of injection site reactions. * History of sensitivity to any of the study medications or their components or drugs of their class, or a history of drug or other allergy. * Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions. * Any condition which, may interfere with the absorption, distribution, metabolism or excretion of the study drugs or render the participant unable to take oral medication. * Unstable liver disease, known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease). * Known history of cirrhosis with or without viral hepatitis co-infection. * History of clinically relevant hepatitis within last 6 months. * For Cohort 9 (PWH in Arm B), untreated syphilis infection (i.e., positive syphilis testing at screening) without documentation of treatment. Participants who have successfully completed treatment at least 7 days previously are eligible if recruitment is open. Positive syphilis testing at screening for any other Cohort is exclusionary. * Lymphoma, leukemia, or any malignancy (except for breast cancer) within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years. * Participants who poses a significant suicidality risk. * Any pre-existing physical or mental condition which, may interfere with the participant's ability to comply with the dosing schedule and/or protocol evaluations or which may compromise the safety of the participant. * Clinically significant cardiovascular disease, as defined by history/evidence of congestive heart failure, symptomatic arrhythmia, angina/ischemia, coronary artery bypass grafting surgery or percutaneous transluminal coronary angioplasty or any clinically significant cardiac disease. * Medical history of cardiac arrhythmias or cardiac disease or a family or personal history of long QT syndrome or sudden cardiac death. Any significant arrhythmia or ECG finding which, will interfere with the safety for the individual participant. * Exposure to an experimental drug, human blood product, anticoagulants, or experimental vaccine (which does not have emergency, conditional, or standard market authorization) within 30 days, or within 5 half-lives of the test agent, or twice the duration of the biological effect of the test agent, whichever is longer, prior to the first dose of study intervention or plans to receive live vaccines during the study. * Any previous use of HIV Pre-exposure prophylaxis (PrEP) or Post-exposure prophylaxis (PEP) in Arm A (Cohorts 1 through 7) or Arm B (Cohort 8 only), either oral or parenteral, is exclusionary. * Any previous use of Neonatal Fc receptor blockers (e.g., efgartigimod alfa-fcab). * The participant has ever received an investigational HIV vaccine. * Any approved or experimental non-HIV vaccination (e.g., severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Hepatitis B virus (HBV), influenza, pneumococcal polysaccharide) received within 2 weeks prior to study enrollment (Day 0). * Exposure to an experimental drug, human blood product, or vaccine (which does not have emergency, conditional, or standard market authorization) within 28 days prior to the first dose of study treatment or plans to receive live vaccines during the study. * Where participation in the study would result in donation of blood or blood products in excess of 500 mL within 56 days. * Exposure to more than 4 new chemical entities or vaccines within 12 months prior to the first dosing day. * Past or intended use of over-the-counter or prescription medication including herbal medications within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to dosing. * Participants who require concomitant medications known to be associated with a prolonged QTc. * Participants receiving any protocol-prohibited medication(s) and who are unwilling or unable to switch to an alternate medication.

Locations (2)

GSK Investigational Site

Las Vegas, Nevada, United States

GSK Investigational Site

Austin, Texas, United States

Outcomes

Primary Outcomes

Number of participants with adverse events (AEs) of Grade 2 and above severity

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. Severity of AEs will be assessed using Division of Acquired Immunodeficiency Syndrome (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, where Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=potentially life threatening and Grade 5=Death.

Time frame: Up to Week 24 follow-up period

Area under the plasma-concentration time curve from time zero to infinity (AUC 0-inf) of VH4527079

Time frame: From Day 1 Up to Week 24 follow-up period

Area under the plasma-concentration time curve from time zero to the last quantifiable concentration (AUC 0-tlast) of VH4527079

Time frame: From Day 1 Up to Week 24 follow-up period

Area under the plasma-concentration time curve from defined interval between doses (AUCtau) of VH4527079

Time frame: From Day 1 Up to Week 24 follow-up period

Maximum observed plasma concentration (Cmax) of VH4527079

Time frame: From Day 1 Up to Week 24 follow-up period

Time to maximum observed plasma concentration (Tmax) of VH4527079

Time frame: From Day 1 Up to Week 24 follow-up period

Apparent terminal half-life (t1/2) of VH4527079

Time frame: From Day 1 Up to Week 24 follow-up period

Secondary Outcomes

AUC0-inf of VH4527079 after a single dose administered via SC route relative to IV administration

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.

Time frame: From Day 1 Up to Week 24 follow-up period

AUC0-tlast of VH4527079 after a single dose administered via SC route relative to IV administration

Time frame: From Day 1 Up to Week 24 follow-up period

Cmax of VH4527079 after a single dose administered via SC route relative to IV administration

Time frame: From Day 1 Up to Week 24 follow-up period

Post-baseline values for chemistry panels: Glucose (fasting), Blood Urea Nitrogen, Creatinine, Calcium, Magnesium, Potassium, Phosphate, Direct Bilirubin, Total Bilirubin & Fasting lipid panel (milligrams per deciliter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for chemistry panels: AST/SGOT, ALT/ SGPT, ALP and CPK (International Units per liter)

Chemistry panels included Aspartate aminotransferase (AST)/ Serum glutamic-oxalo-acetic transaminase (SGOT), Alanine aminotransferase (ALT)/ Serum glutamic-pyruvic transaminase (SGPT), Alkaline phosphatase (ALP) and Creatinine phosphokinase (CPK)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for chemistry panels: Amylase and Lipase (fasting) (Units per Liter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for chemistry panels: Total Protein (Grams per deciliter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for chemistry panels: Sodium chloride and Bicarbonate (milliequivalents per liter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Platelet count (cells per microliter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Red Blood Cell (RBC) Count (million cells per microliter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Hemoglobin (Hgb) (grams per deciliter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Hematocrit (Proportion of red blood cells in blood)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Mean Corpuscular Volume (MCV) (Femtoliters)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Mean Corpuscular Hemoglobin (MCH) (Picograms)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Reticulocytes (Percentage of reticulocytes)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for hematology panels: Differential count of Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils (giga cells per liter)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for coagulation panels: Prothrombin time (PT) and Partial Thromboplastin Time (PTT) (Seconds)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Post-baseline values for coagulation panels: International normalized ratio (INR) (Ratio)

Time frame: From Day 1 (pre-Dose 1) Up to Week 24 follow-up period

Change from baseline values for chemistry panels: Glucose (fasting), Blood Urea Nitrogen, Creatinine, Calcium, Magnesium, Potassium, Phosphate, Direct Bilirubin, Total Bilirubin and Fasting lipid panel (milligrams per deciliter)