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CompletedNCT02452242Updated May 30, 2016

Safety, PK and PD Study of ABX464 in Untreated HIV Patients

A Phase 2 interventional study of ABX464 and Placebo in Human Immunodeficiency Virus Infections, sponsored by Abivax S.A.. Completed at 4 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-05-30.

Sponsored by Abivax S.A. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

ABX464 is a first in class that showed efficacy as an anti-HIV therapy. The present study is intended to assess the safety, the tolerability, and pharmacokinetic parameters and to evaluate the effect on viral load of repeated oral administrations of ABX464 in patients infected by HIV, not previously treated for their HIV.

Two types of design are intended in this protocol: dosing every 3 days or dosing every day. The goal is to determine the best dosing regimen to reduce viral load and minimize adverse events.

02

Conditions studied

  • Human Immunodeficiency Virus Infections
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Males or females, 18 to 65 years of age
  2. Patients infected by HIV-1 or HIV-2
  3. BMI between 17 and 29 kg/m².
  4. CD4 cell count ≥ 350 /mm3 and HIV RNA level between 5,000-500,000 copies/mL.
  5. Clinical laboratory tests (hematology, blood chemistry, and urinalyses) must be within normal limits, or clinically acceptable to the sponsor and principal investigator and consistent with the underlying HIV infection.
  6. Urine drug screen for drugs with a high potential for abuse (cocaine, opiates, amphetamines and barbiturates) and alcohol breath test must be negative.
  7. Females must be non lactating and either be of nonchildbearing potential (ie sterilized via hysterectomy or bilateral tubal ligation or at least one year post-menopausal) or if of child bearing potential, must be practicing effective double barrier contraceptive methods from at least two weeks prior to Day 1 until 3 months after the last dose of study medication.
  8. Males must practice an effective barrier method of contraception from Day 1 until 3 months days after the last dose of study medication.
  9. Patients must be willing to give written informed consent prior to study enrollment and be able to adhere to restrictions and examination schedules.
  10. Physical examination and ECG must be within normal limits.
  11. Never taken any antiretroviral agent except for a brief time, and for some reasons, the patient decided not to continue therapy (i.e. Toxicity, personal decision. None in past 30-180 days.

Exclusion criteria

Exclusion Criteria:

  1. Individuals with a history of any significant medical disorders which requires a physician's care.
  2. Individuals who have a history of any clinically significant local or systemic infectious disease (other than HIV-1 or HIV-2 infection) within four weeks prior to drug administration.
  3. Individuals with any clinically significant laboratory abnormalities as defined as grade 2 or 3 in Common Terminology Criteria for Adverse Events (CTCAE), version 4.0.
  4. Individuals who are positive for hepatitis B virus and/or hepatitis C virus
  5. Any individual who does not comply with the requirement that he should not have used any drugs (including prescription, nonprescription, herbal, and mineral supplements) other than paracetamol for at least two weeks prior to the study nor alcohol within 48 hours prior to drug administration and for the entire study period. The use of a concomitant medications to treat an AE during the study will not be considered a protocol violation.
  6. Individuals who have participated in a clinical trial of an investigational drug within 90 days prior to the start of the study
  7. Individuals who smoke more than ten cigarettes or equivalent tobacco use per day.
  8. Individuals with forfeiture of freedom by an administrative or legal obligation or under guardianship
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    ABX464

    Drug: ABX464

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • DrugABX464

    25, 50, 75, 100, 150 mg, i.e. 1, 2, 3, 4 or 6 capsules respectively, every 3 days or every day for 2 weeks

  • OtherPlacebo

    1, 2, 3, 4 or 6 capsules respectively, every 3 days or every day for 2 weeks

05

What researchers measure

Primary outcomes

  1. Safety and tolerability profile of ABX464 as assessed by the change from baseline in laboratory values, in vital signs and ECG parameters at week 3 and by the number of patients with adverse events.

    Number of patients with abnormal blood (hematology and biochemistry) and urinary laboratory values, abnormal vital signs and ECG parameters and the number/proportion of patients reporting any adverse event.

    Time frame: Week 3

Secondary outcomes

  1. Cmax

    Maximum concentration in plasma of ABX464 and metabolite

    Time frame: week 1, week 2 and week 3

  2. tmax

    Time to maximum concentration

    Time frame: Week 3

  3. AUC

    Area under the concentration-time curve

    Time frame: Week 3

  4. t1/2

    Half-life of the ABX464 in plasma

    Time frame: Week 3

  5. Pharmacodynamic activity as expressed by CD4 and CD8 count

    CD4 and CD8 values

    Time frame: Week 3

  6. Pharmacodynamic activity as expressed by HIV viral load

    HIV viral load across time and possible relationship with PK parameters

    Time frame: Week 3

06

Study locations

4 sites
  • CAP Research Ltd
    Curepipe, Mauritius
  • HIV-NAT, Thai Red Cross AIDS Research Center
    Bangkok, 10330, Thailand
  • Siriraj Hospital, Mahidol University
    Bangkok, 10700, Thailand
  • Chiang Mai University
    Chiang Mai, 50200, Thailand
07

References and documents

Publications

  • Steens JM, Scherrer D, Gineste P, Barrett PN, Khuanchai S, Winai R, Ruxrungtham K, Tazi J, Murphy R, Ehrlich H. Safety, Pharmacokinetics, and Antiviral Activity of a Novel HIV Antiviral, ABX464, in Treatment-Naive HIV-Infected Subjects in a Phase 2 Randomized, Controlled Study. Antimicrob Agents Chemother. 2017 Jun 27;61(7):e00545-17. doi: 10.1128/AAC.00545-17. Print 2017 Jul. PubMed 28507108 ↗
08

Registry details

Key details

Study ID
NCT02452242
Lead sponsor
Abivax S.A.
Responsible party
Sponsor
First posted
May 22, 2015
Start date
Jan 2015
Primary completion
Dec 2015
Completion
May 2016
Last update
May 30, 2016

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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