The purpose of this Phase 2b study is to evaluate the efficacy and therapeutic window of chronically dosed VH4011499 paired with an integrase strand transfer inhibitor (INSTI). This study will explore 4 different regimens of VH4011499 when paired with cabotegravir (CAB) as an initial two-drug regimen.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Number of participants with plasma HIV-1 RNA <50 copies/mL as per FDA snapshot algorithm
Time frame: At Month 7
Number of participants with plasma HIV-1 RNA <50 copies/mL as per FDA snapshot algorithm
Time frame: At Month 13 and Month 25
Number of participants with plasma HIV-1 RNA <50 copies/mL as per observed data
Time frame: At Month 7, Month 13 and Month 25
Change from baseline (Day 1) in cluster of differentiation (CD) 4+ T-cell count
Time frame: At Month 7, Month 13 and Month 25
Number of participants with injection site reaction adverse events of special interest (ISR AESIs) by grade
The ISR AESIs will be graded using the Division of Acquired Immunodeficiency Syndrome (DAIDS) grading table Version 2.1, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening.
Time frame: Through Month 7, Month 13 and Month 25
Duration of ISR AESIs by grade
The ISR AESIs will be graded using the DAIDS grading table Version 2.1, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening.
Time frame: Through Month 7, Month 13 and Month 25
Number of participants with serious adverse events (SAEs) by grade
An SAE is defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, caused a congenital anomaly/birth defect, or was any other situation identified according to medical or scientific judgment. The SAEs will be graded using the DAIDS grading table Version 2.1, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening, Grade 5 = death.
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Time frame: Through Month 7, Month 13 and Month 25
Number of participants with adverse events (AEs) leading to study treatment discontinuation, by grade
The AEs leading to treatment discontinuation will be graded using the DAIDS grading table Version 2.1, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening, Grade 5 = death.
Time frame: Through Month 7, Month 13 and Month 25
Plasma concentrations of VH4011499
Time frame: Through Months 7, 13 and 25