A Phase 1 interventional study of PGT121 and PGDM1400 in HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 4 sites in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-11.
Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1, Interventional, and Prevention
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and antiviral activity of combinations of monoclonal antibodies PGT121, PGDM1400, 10-1074, and VRC07-523LS administered via intravenous infusion in healthy, HIV-uninfected adults.
This study will evaluate the safety, tolerability, pharmacokinetics, and antiviral activity of combinations of monoclonal antibodies PGT121, PGDM1400, 10-1074, and VRC07-523LS administered via intravenous infusion in healthy, HIV-uninfected adults.
Participants will initially be enrolled into one of three groups. At Day 0, Groups 1, 2, and 3 will receive dual combinations of mAbs administered sequentially via IV. Group 1 will receive a combination of PGT121 and VRC07-523LS, Group 2 will receive PGDM1400 and VRC07-523LS, and Group 3 will receive 10-1074 and VRC07-523LS.
Study staff will review study data from Groups 1, 2, and 3 and determine if Group 4 may begin to enroll. Participants in Group 4 will receive PGDM1400, PGT121, and VRC07-523LS administered in sequence via IV on Day 0 and at Month 4.
Study duration will be 12 months for participants in Groups 1, 2, and 3, and 16 months for participants in Group 4. Participants will attend several study visits, which may include physical examinations, blood and urine collection, HIV testing and pretest counseling, risk reduction counseling, and questionnaires.
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This study's enrollment of 27 is below the median of 83 across 3,312 interventional studies indexed under HIV Infections.
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General and Demographic Criteria
HIV-Related Criteria:
Laboratory Inclusion Values
Hemogram/Complete Blood Count
Chemistry
Virology
Urine
Reproductive Status
Reproductive status: A volunteer who was assigned female sex at birth must:
Exclusion Criteria:
General
Vaccines and other Injections
Immune System
Clinically significant medical conditions
Clinically significant medical condition, physical examination findings, clinically significant abnormal laboratory results, or past medical history with clinically significant implications for current health. A clinically significant condition or process includes but is not limited to:
Asthma other than mild, well-controlled asthma (Symptoms of asthma severity as defined in the most recent National Asthma Education and Prevention Program (NAEPP) Expert Panel report). Exclude a volunteer who:
Hypertension:
Participants will receive PGT121 and VRC07-523LS administered sequentially in this order at Day 0.
Biological: PGT121 · Biological: VRC07-523LS
Participants will receive PGDM1400 and VRC07-523LS administered sequentially in this order at Day 0.
Biological: PGDM1400 · Biological: VRC07-523LS
Participants will receive 10-1074 and VRC07-523LS administered sequentially in this order at Day 0.
Biological: 10-1074 · Biological: VRC07-523LS
Participants will receive PGDM1400, PGT121, and VRC07-523LS administered sequentially in this order at Day 0 and Month 4.
Biological: PGT121 · Biological: PGDM1400 · Biological: VRC07-523LS
20 mg/kg administered intravenously
20 mg/kg administered intravenously
20 mg/kg administered intravenously
20 mg/kg administered intravenously
Number of Participants Reporting Local Reactogenicity Signs and Symptoms: Pain and/or Tenderness
Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The maximum grade observed for each symptom over the time frame is presented.
Time frame: Measured through 3 days after each vaccine dose at T1-T3: Day 0 and T4: Days 0, 112
Number of Participants Reporting Local Reactogenicity Signs and Symptoms: Erythema and/or Induration
Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The maximum grade observed for each symptom over the time frame is presented.
Time frame: Measured through 3 days after each vaccine dose at T1-T3: Day 0 and T4: Days 0, 112
Number of Participants Reporting Systemic Reactogenicity Signs and Symptoms
Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The following symptoms are considered as systemic reactogenicity if the onset date was within the periods of assessment specified in the protocol: malaise and/or fatigue, myalgia, headache, nausea, vomiting, chills, arthralgia, and body temperature. The item Max. Systemic Symptoms is the maximum of the individual systemic reactogenicities excluding body temperature for a participant.
Time frame: Measured through 3 days after each vaccine dose at T1-T3: Day 0 and T4: Days 0, 112
Chemistry and Hematology Laboratory Measures - Alanine Aminotransferase (ALT) in U/L
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
Time frame: Measured during Screening, Days 0, 14, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, and 448*. Days with * are only available for T4
Chemistry and Hematology Laboratory Measures - Creatinine in mg/dL
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
Time frame: Measured during Screening, Days 0, 14, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, and 448*. Days with * are only available for T4
Chemistry and Hematology Laboratory Measures - Hemoglobin in g/dL
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
Time frame: Measured during Screening, Days 0, 14, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, and 448*. Days with * are only available for T4
Chemistry and Hematology Laboratory Measures - Lymphocyte Count, Neutrophil Count in 1000 Cells/Cubic mm
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
Time frame: Measured during Screening, Days 0, 14, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, and 448*. Days with * are only available for T4
Chemistry and Hematology Laboratory Measures - Platelets, WBC in 1000 Cells/Cubic mm
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
Time frame: Measured during Screening, Days 0, 14, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, and 448*. Days with * are only available for T4
The Number (Percentage) of Participants With Lab Grade > 1 for Alanine Aminotransferase (ALT), Creatinine, Hemoglobin, Lymphocyte Count, Neutrophil Count, Platelets, White Blood Cells (WBC) Was Summarized by Arm
The number (percentage) of participants with lab grade \> 1 for alanine aminotransferase (ALT), creatinine, hemoglobin, lymphocyte count, neutrophil count, platelets, white blood cells (WBC) was summarized by arm
Time frame: Measured during Screening, Days 0, 14, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, 448*, and 504* Days with * are only available for T4
Number of Participants With Early Discontinuation of Vaccinations and Reason for Discontinuation
The number (percentage) of participants with early discontinuation of vaccinations and reason for discontinuation was summarized by arm. The three participants discontinued treatment in T4 were due to the COVID-19 pandemic lockdown.
Time frame: Measured through Month 4
Serum Concentration Levels of PGT121, PGDM1400, and VRC07-523LS Among Participants Who Received All Scheduled Product Administrations
Serum PGDM1400, PGT121, and VRC07-523LS IgG levels were measured on a Bio-Plex instrument (Bio-Rad) using a validated assay designed to simultaneously measure infused PGDM1400, PGT121, and VRC07-523LS by its ability to bind anti-idiotype antibody captured on fluorescent magnetic beads. This assay was derived from a standardized custom HIV-1 Luminex assay. PGDM1400, PGT121 and VRC07-523LS were titrated and combined to create a standard curve that was used to determine concentration of the diluted samples. The negative controls were CH58 (an irrelevant mAb) and blank beads.Serum 10-1074 level was measured by anti-idotypic ELISA. Participant serum sample was incubated in anti-ID coated micro-plate well. A conjugated secondary antibody was used to detect bound 10-1074. Samples were titrated to ensure positive optical density (O.D.) readouts fall within the linear range of the assay for monoclonal antibody concentration calculations.
Time frame: Measured during Screening, Days 0, 3, 6, 14, 28, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, and 448* Days with * are only available for T4
Magnitudes of TZM-bl Cells Responses Against mAb-specific Env-pseudotyped Viruses Among Participants Who Received All Scheduled Product Administrations
Neutralizing antibodies against HIV-1 were measured as a function of reductions in Tat-regulated luciferase (Luc) reporter gene expression in TZM-bl cells. The assay performed in TZM-bl cells measured neutralization titers against the Env-pseudotyped viruses sensitive to the bnAbs (i.e., bnAb-specific viruses) in each infusion group.
Time frame: Measured during Screening, Days 0, 3, 28, 56, 112, 140*, 168*, 224* Days with * are only available for T4
Serum Concentrations of PGT121, PGDM1400, 10-1074, and VRC07-523LS for All Participants
Serum PGDM1400, PGT121, and VRC07-523LS IgG levels were measured on a Bio-Plex instrument (Bio-Rad) using a validated assay designed to simultaneously measure infused PGDM1400, PGT121, and VRC07-523LS by its ability to bind anti-idiotype antibody captured on fluorescent magnetic beads. This assay was derived from a standardized custom HIV-1 Luminex assay. PGDM1400, PGT121 and VRC07-523LS were titrated and combined to create a standard curve that was used to determine concentration of the diluted samples. The negative controls were CH58 (an irrelevant mAb) and blank beads.Serum 10-1074 level was measured by anti-idotypic ELISA. Participant serum sample was incubated in anti-ID coated micro-plate well. A conjugated secondary antibody was used to detect bound 10-1074. Samples were titrated to ensure positive optical density (O.D.) readouts fall within the linear range of the assay for monoclonal antibody concentration calculations
Time frame: Measured during Screening, Days 0, 3, 6, 14, 28, 56, 84*, 112, 140*, 168, 224, 280, 336, 392*, and 448* Days with * are only available for T4
Magnitudes of TZM-bl Cells Responses Against a Panel of Env Pseudotyped Viruses for All Participants
Neutralizing antibodies against HIV-1 were measured as a function of reductions in Tat-regulated luciferase (Luc) reporter gene expression in TZM-bl cells. The assay performed in TZM-bl cells measured neutralization titers against the Env-pseudotyped viruses sensitive to the bnAbs (i.e., bnAb-specific viruses) in each infusion group.
Time frame: Measured during Screening, Days 0, 3, 28, 56, 112, 140*, 168*, 224* Days with * are only available for T4
Magnitude of Neutralizing Activity Against a Panel of Env Pseudotyped Reference Viruses in TZM-bl Cells for All Participants
Neutralizing antibodies against HIV-1 were measured as a function of reductions in Tat-regulated luciferase (Luc) reporter gene expression in TZM-bl cells. The assay performed in TZM-bl cells measured neutralization titers against the Env-pseudotyped viruses sensitive to the bnAbs (i.e., bnAb-specific viruses) in each infusion group.
Time frame: Measured during Screening, Days 0*, 3, 28, 56*, 112, 140*, 224* Days with * are only available for T4
| Milestone | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Started | 6 | 6 | 6 | 9 |
| Completed | 6 | 3 | 3 | 8 |
| Not completed | 0 | 3 | 3 | 1 |
| Withdrew: Death | 0 | 1 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 2 | 3 | 0 |
| Withdrew: Participant unable to adhere to visit schedule | 0 | 0 | 0 | 1 |
Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The maximum grade observed for each symptom over the time frame is presented.
| Participants | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| None | 5 | 6 | 6 | 7 |
| Mild | 1 | 0 | 0 | 2 |
| Moderate | 0 | 0 | 0 | 0 |
| Severe | 0 | 0 | 0 | 0 |
| Potentially life-threatening | 0 | 0 | 0 | 0 |
Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The maximum grade observed for each symptom over the time frame is presented.
| Participants | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Erythema/redness — None | 6 | 6 | 6 | 9 |
| Erythema/redness — Not Gradable | 0 | 0 | 0 | 0 |
| Erythema/redness — Gr 1: 2.5 to less than 5 cm dim. | 0 | 0 | 0 | 0 |
| Erythema/redness — Gr 2: 5 to less than 10 cm dim. | 0 | 0 | 0 | 0 |
| Erythema/redness — Gr 3: >=10 cm dim. | 0 | 0 | 0 | 0 |
| Erythema/redness — Gr 3: Complications AE | 0 | 0 | 0 | 0 |
| Erythema/redness — Gr 4: Complications AE | 0 | 0 | 0 | 0 |
| Induration/swelling — None | 5 | 6 | 6 | 9 |
| Induration/swelling — Not Gradable | 1 | 0 | 0 | 0 |
| Induration/swelling — Gr 1: 2.5 to less than 5 cm dim. | 0 | 0 | 0 | 0 |
| Induration/swelling — Gr 2: 5 to less than 10 cm dim. | 0 | 0 | 0 | 0 |
| Induration/swelling — Gr 3: >=10 cm dim. | 0 | 0 | 0 | 0 |
| Induration/swelling — Gr 3: Complications AE | 0 | 0 | 0 | 0 |
| Induration/swelling — Gr 4: Complications AE | 0 | 0 | 0 | 0 |
| Erythema and/or Induration — None | 5 | 6 | 6 | 9 |
| Erythema and/or Induration — Not Gradable | 1 | 0 | 0 | 0 |
| Erythema and/or Induration — Gr 1: 2.5 to less than 5 cm dim. | 0 | 0 | 0 | 0 |
| Erythema and/or Induration — Gr 2: 5 to less than 10 cm dim. | 0 | 0 | 0 | 0 |
| Erythema and/or Induration — Gr 3: >=10 cm dim. | 0 | 0 | 0 | 0 |
| Erythema and/or Induration — Gr 3: Complications AE | 0 | 0 | 0 | 0 |
| Erythema and/or Induration — Gr 4: Complications AE | 0 | 0 | 0 | 0 |
Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1 \[July 2017\]. The following symptoms are considered as systemic reactogenicity if the onset date was within the periods of assessment specified in the protocol: malaise and/or fatigue, myalgia, headache, nausea, vomiting, chills, arthralgia, and body temperature. The item Max. Systemic Symptoms is the maximum of the individual systemic reactogenicities excluding body temperature for a participant.
| Participants | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Arthralgia — None | 5 | 5 | 5 | 9 |
| Arthralgia — Mild | 1 | 1 | 1 | 0 |
| Arthralgia — Moderate | 0 | 0 | 0 | 0 |
| Arthralgia — Severe | 0 | 0 | 0 | 0 |
| Arthralgia — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Chills — None | 6 | 4 | 6 | 7 |
| Chills — Mild | 0 | 1 | 0 | 2 |
| Chills — Moderate | 0 | 1 | 0 | 0 |
| Chills — Severe | 0 | 0 | 0 | 0 |
| Chills — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Facial flushing — None | 6 | 5 | 6 | 9 |
| Facial flushing — Mild | 0 | 1 | 0 | 0 |
| Facial flushing — Moderate | 0 | 0 | 0 | 0 |
| Facial flushing — Severe | 0 | 0 | 0 | 0 |
| Facial flushing — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Generalized pruritus — None | 6 | 6 | 5 | 9 |
| Generalized pruritus — Mild | 0 | 0 | 1 | 0 |
| Generalized pruritus — Moderate | 0 | 0 | 0 | 0 |
| Generalized pruritus — Severe | 0 | 0 | 0 | 0 |
| Generalized pruritus — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Headache — None | 3 | 4 | 5 | 9 |
| Headache — Mild | 3 | 2 | 1 | 0 |
| Headache — Moderate | 0 | 0 | 0 | 0 |
| Headache — Severe | 0 | 0 | 0 | 0 |
| Headache — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Increased body temperature — None | 6 | 6 | 6 | 9 |
| Increased body temperature — Mild | 0 | 0 | 0 | 0 |
| Increased body temperature — Moderate | 0 | 0 | 0 | 0 |
| Increased body temperature — Severe | 0 | 0 | 0 | 0 |
| Increased body temperature — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Malaise and/or fatigue — None | 5 | 2 | 4 | 3 |
| Malaise and/or fatigue — Mild | 1 | 3 | 1 | 5 |
| Malaise and/or fatigue — Moderate | 0 | 1 | 1 | 1 |
| Malaise and/or fatigue — Severe | 0 | 0 | 0 | 0 |
| Malaise and/or fatigue — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Myalgia — None | 5 | 5 | 6 | 7 |
| Myalgia — Mild | 0 | 1 | 0 | 2 |
| Myalgia — Moderate | 1 | 0 | 0 | 0 |
| Myalgia — Severe | 0 | 0 | 0 | 0 |
| Myalgia — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Nausea — None | 6 | 5 | 4 | 9 |
| Nausea — Mild | 0 | 1 | 2 | 0 |
| Nausea — Moderate | 0 | 0 | 0 | 0 |
| Nausea — Severe | 0 | 0 | 0 | 0 |
| Nausea — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Non-exertional dyspnea — None | 6 | 6 | 6 | 9 |
| Non-exertional dyspnea — Mild | 0 | 0 | 0 | 0 |
| Non-exertional dyspnea — Moderate | 0 | 0 | 0 | 0 |
| Non-exertional dyspnea — Severe | 0 | 0 | 0 | 0 |
| Non-exertional dyspnea — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Non-exertional tachycardia — None | 6 | 6 | 6 | 9 |
| Non-exertional tachycardia — Mild | 0 | 0 | 0 | 0 |
| Non-exertional tachycardia — Moderate | 0 | 0 | 0 | 0 |
| Non-exertional tachycardia — Severe | 0 | 0 | 0 | 0 |
| Non-exertional tachycardia — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Unexplained diaphoresis — None | 6 | 6 | 6 | 9 |
| Unexplained diaphoresis — Mild | 0 | 0 | 0 | 0 |
| Unexplained diaphoresis — Moderate | 0 | 0 | 0 | 0 |
| Unexplained diaphoresis — Severe | 0 | 0 | 0 | 0 |
| Unexplained diaphoresis — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Urticaria — None | 6 | 6 | 6 | 9 |
| Urticaria — Mild | 0 | 0 | 0 | 0 |
| Urticaria — Moderate | 0 | 0 | 0 | 0 |
| Urticaria — Severe | 0 | 0 | 0 | 0 |
| Urticaria — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Max. Systemic Symptoms — None | 3 | 1 | 2 | 3 |
| Max. Systemic Symptoms — Mild | 2 | 3 | 3 | 5 |
| Max. Systemic Symptoms — Moderate | 1 | 2 | 1 | 1 |
| Max. Systemic Symptoms — Severe | 0 | 0 | 0 | 0 |
| Max. Systemic Symptoms — Potentially life-threatening | 0 | 0 | 0 | 0 |
| Temperature (C) — None | 6 | 6 | 6 | 9 |
| Temperature (C) — Mild | 0 | 0 | 0 | 0 |
| Temperature (C) — Moderate | 0 | 0 | 0 | 0 |
| Temperature (C) — Severe | 0 | 0 | 0 | 0 |
| Temperature (C) — Potentially life-threatening | 0 | 0 | 0 | 0 |
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
| U/L | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Alanine Aminotransferase (U/L)-Baseline | 15 (14 to 20) | 14 (12 to 15) | 13 (10 to 17) | 14 (12 to 15) |
| Alanine Aminotransferase (U/L)-Day 0 | 14 (8 to 17) | 12 (10 to 17) | 13 (10 to 16) | 14 (10 to 16) |
| Alanine Aminotransferase (U/L)-Day 14 | 14 (13 to 15) | 16 (11 to 21) | 11 (10 to 12) | 12 (10 to 16) |
| Alanine Aminotransferase (U/L)-Day 56 | 13 (9 to 19) | 15 (11 to 21) | 20 (12 to 21) | 16 (13 to 17) |
| Alanine Aminotransferase (U/L)-Day 84 | — | — | — | 13 (12 to 15) |
| Alanine Aminotransferase (U/L)-Day 112 | 17 (8 to 23) | 9 (9 to 27) | 16 (14 to 17) | 15 (11 to 15) |
| Alanine Aminotransferase (U/L)-Day 140 | — | — | — | 18 (9 to 20) |
| Alanine Aminotransferase (U/L)-Day 168 | 14 (8 to 24) | 11 (10 to 16) | 17 (16 to 18) | 17 (17 to 17) |
| Alanine Aminotransferase (U/L)-Day 224 | 24 (24 to 24) | 12 (12 to 12) | — | 14 (10 to 15) |
| Alanine Aminotransferase (U/L)-Day 280 | — | 12 (12 to 12) | 13 (11 to 27) | 14 (10 to 17) |
| Alanine Aminotransferase (U/L)-Day 336 | 18 (15 to 22) | 8 (7 to 9) | 14 (13 to 23) | 16 (11 to 19) |
| Alanine Aminotransferase (U/L)-Day 392 | — | — | — | 15 (13 to 18) |
| Alanine Aminotransferase (U/L)-Day 448 | — | — | — | 14 (11 to 18) |
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
| mg/dL | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Creatinine (mg/dL)-Baseline | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 0 | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 14 | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 56 | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 84 | — | — | — | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 112 | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 140 | — | — | — | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 168 | 1 (1 to 1) | 1 (0 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 224 | 1 (1 to 1) | 1 (1 to 1) | — | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 280 | — | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 336 | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 392 | — | — | — | 1 (1 to 1) |
| Creatinine (mg/dL)-Day 448 | — | — | — | 1 (1 to 1) |
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
| g/dL | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Hemoglobin (g/dL)-Baseline | 14 (13 to 15) | 14 (13 to 14) | 15 (11 to 15) | 14 (13 to 14) |
| Hemoglobin (g/dL)-Day 0 | 13 (12 to 15) | 13 (13 to 14) | 13 (11 to 15) | 14 (13 to 14) |
| Hemoglobin (g/dL)-Day 14 | 13 (12 to 14) | 14 (13 to 15) | 13 (11 to 14) | 14 (12 to 15) |
| Hemoglobin (g/dL)-Day 56 | 13 (12 to 14) | 14 (13 to 15) | 14 (11 to 14) | 14 (13 to 15) |
| Hemoglobin (g/dL)-Day 84 | — | — | — | 15 (13 to 15) |
| Hemoglobin (g/dL)-Day 112 | 13 (13 to 15) | 13 (13 to 15) | 14 (11 to 14) | 13 (12 to 14) |
| Hemoglobin (g/dL)-Day 140 | — | — | — | 14 (13 to 14) |
| Hemoglobin (g/dL)-Day 168 | 13 (13 to 13) | 13 (13 to 14) | 14 (13 to 15) | 14 (14 to 14) |
| Hemoglobin (g/dL)-Day 224 | 13 (13 to 13) | 13 (13 to 13) | — | 14 (12 to 15) |
| Hemoglobin (g/dL)-Day 280 | — | 13 (13 to 13) | 12 (11 to 14) | 14 (13 to 14) |
| Hemoglobin (g/dL)-Day 336 | 13 (13 to 14) | 13 (12 to 14) | 13 (11 to 14) | 14 (13 to 15) |
| Hemoglobin (g/dL)-Day 392 | — | — | — | 14 (13 to 15) |
| Hemoglobin (g/dL)-Day 448 | — | — | — | 14 (13 to 15) |
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
| 1000 cells/cubic mm | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Lymphocytes (1000 cells/cubic mm)-Baseline | 1.65 (1.33 to 2.13) | 2.191 (1.67 to 2.46) | 1.551 (0.89 to 1.946) | 2.31 (1.48 to 2.605) |
| Lymphocytes (1000 cells/cubic mm)-Day 0 | 1.778 (1.13 to 2.18) | 1.785 (1.618 to 2.2) | 1.445 (1.32 to 1.612) | 1.802 (1.68 to 2.17) |
| Lymphocytes (1000 cells/cubic mm)-Day 14 | 1.63 (1.3 to 1.719) | 1.781 (1.528 to 1.95) | 1.54 (1.385 to 2.279) | 1.99 (1.58 to 2.69) |
| Lymphocytes (1000 cells/cubic mm)-Day 56 | 1.824 (1.375 to 1.982) | 1.667 (1.59 to 1.84) | 1.723 (1.36 to 2.033) | 2.176 (1.72 to 2.24) |
| Lymphocytes (1000 cells/cubic mm)-Day 84 | — | — | — | 1.83 (1.761 to 2.27) |
| Lymphocytes (1000 cells/cubic mm)-Day 112 | 1.693 (1.2 to 2.255) | 1.768 (1.529 to 1.9) | 1.22 (1.21 to 2.048) | 2.002 (1.55 to 2.14) |
| Lymphocytes (1000 cells/cubic mm)-Day 140 | — | — | — | 1.487 (1.4 to 1.67) |
| Lymphocytes (1000 cells/cubic mm)-Day 168 | 1.688 (1.465 to 2.009) | 2.015 (1.97 to 2.42) | 1.918 (1.405 to 2.195) | 1.65 (1.64 to 1.66) |
| Lymphocytes (1000 cells/cubic mm)-Day 224 | 1.02 (1.02 to 1.02) | 2.9 (2.9 to 2.9) | — | 2.015 (1.5 to 2.16) |
| Lymphocytes (1000 cells/cubic mm)-Day 280 | — | 2.14 (2.14 to 2.14) | 1.563 (1.32 to 1.93) | 1.74 (1.49 to 2.22) |
| Lymphocytes (1000 cells/cubic mm)-Day 336 | 1.651 (1.26 to 1.762) | 1.764 (1.72 to 1.807) | 1.927 (1.288 to 2.035) | 1.898 (1.675 to 2.1) |
| Lymphocytes (1000 cells/cubic mm)-Day 392 | — | — | — | 1.849 (1.74 to 2.15) |
| Lymphocytes (1000 cells/cubic mm)-Day 448 | — | — | — | 1.76 (1.57 to 2) |
| Neutrophils (1000 cells/cubic mm)-Baseline | 3.338 (3.072 to 4.602) | 3.56 (3.227 to 3.71) | 3.39 (2.46 to 3.962) | 4.194 (2.97 to 5.97) |
| Neutrophils (1000 cells/cubic mm)-Day 0 | 3.307 (2.616 to 3.91) | 3.032 (2.5 to 3.856) | 2.962 (2.88 to 4.8) | 4.3 (3.42 to 5.32) |
| Neutrophils (1000 cells/cubic mm)-Day 14 | 3.181 (2.573 to 3.382) | 4.037 (3.71 to 4.395) | 4.024 (3.135 to 4.73) | 4.831 (3.7 to 5.05) |
| Neutrophils (1000 cells/cubic mm)-Day 56 | 2.762 (2.655 to 3.36) | 3.581 (2.67 to 4.68) | 3.55 (3.235 to 4.082) | 4.98 (4.07 to 5.624) |
| Neutrophils (1000 cells/cubic mm)-Day 84 | — | — | — | 4.12 (3.22 to 5.48) |
| Neutrophils (1000 cells/cubic mm)-Day 112 | 3.377 (2.654 to 3.714) | 3.22 (2.86 to 3.98) | 2.944 (2.39 to 3.66) | 3.735 (2.42 to 4.181) |
| Neutrophils (1000 cells/cubic mm)-Day 140 | — | — | — | 4.108 (2.45 to 4.47) |
| Neutrophils (1000 cells/cubic mm)-Day 168 | 3.882 (3.524 to 4.208) | 4.285 (2.31 to 6.16) | 3.272 (2.662 to 3.479) | 3.155 (2.63 to 3.68) |
| Neutrophils (1000 cells/cubic mm)-Day 224 | 5.24 (5.24 to 5.24) | 3.38 (3.38 to 3.38) | — | 2.855 (2.73 to 4.77) |
| Neutrophils (1000 cells/cubic mm)-Day 280 | — | 3.35 (3.35 to 3.35) | 3.922 (3.112 to 4.357) | 4.14 (2.02 to 5.257) |
| Neutrophils (1000 cells/cubic mm)-Day 336 | 3.93 (2.672 to 3.994) | 2.858 (2.72 to 2.995) | 2.315 (1.9 to 4.752) | 3 (2.88 to 4.868) |
| Neutrophils (1000 cells/cubic mm)-Day 392 | — | — | — | 3.565 (2.68 to 5.25) |
| Neutrophils (1000 cells/cubic mm)-Day 448 | — | — | — | 3.81 (2.99 to 5.491) |
For each local laboratory measure, summary statistics were presented by treatment group and timepoint for the overall population.
| 1000 cells/cubic mm | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| WBC (1000 cells/cubic mm)-Baseline | 6.25 (5.5 to 7.54) | 6.615 (5.4 to 6.9) | 5.6 (4.63 to 6.4) | 6.1 (5.9 to 9.61) |
| WBC (1000 cells/cubic mm)-Day 0 | 6.145 (5.2 to 6.46) | 5.665 (5.33 to 6.8) | 5.4 (4.83 to 6.76) | 6.53 (6.3 to 8.2) |
| WBC (1000 cells/cubic mm)-Day 14 | 5.55 (4.9 to 6.34) | 6.645 (5.8 to 6.8) | 6.27 (5.5 to 6.87) | 7.49 (5.9 to 7.7) |
| WBC (1000 cells/cubic mm)-Day 56 | 5.25 (5.1 to 6.5) | 5.985 (5.7 to 7.29) | 5.6 (5.47 to 6.5) | 7.8 (7.6 to 8.6) |
| WBC (1000 cells/cubic mm)-Day 84 | — | — | — | 6.5 (6.3 to 8) |
| WBC (1000 cells/cubic mm)-Day 112 | 5.85 (5.4 to 6.78) | 6.4 (5.2 to 6.76) | 4.9 (4.6 to 6.87) | 6.15 (5.26 to 6.9) |
| WBC (1000 cells/cubic mm)-Day 140 | — | — | — | 6.3 (4.3 to 6.7) |
| WBC (1000 cells/cubic mm)-Day 168 | 6.29 (6.19 to 6.42) | 6.9 (5.77 to 9.15) | 5.35 (5.15 to 5.78) | 5.35 (4.8 to 5.9) |
| WBC (1000 cells/cubic mm)-Day 224 | 6.93 (6.93 to 6.93) | 7.07 (7.07 to 7.07) | — | 5.6 (4.8 to 7.5) |
| WBC (1000 cells/cubic mm)-Day 280 | — | 6.24 (6.24 to 6.24) | 5.9 (5.37 to 6.515) | 6.2 (4.2 to 8.1) |
| WBC (1000 cells/cubic mm)-Day 336 | 5.9 (4.6 to 6.4) | 5.18 (5.06 to 5.3) | 5.1 (3.8 to 7.3) | 5.76 (5.25 to 7.4) |
| WBC (1000 cells/cubic mm)-Day 392 | — | — | — | 6.25 (5.6 to 7) |
| WBC (1000 cells/cubic mm)-Day 448 | — | — | — | 6.2 (5.2 to 7.5) |
| Platelets (1000 cells/cubic mm)-Baseline | 219.5 (200 to 259) | 303 (265 to 346) | 245.5 (158 to 299) | 248 (209 to 269) |
| Platelets (1000 cells/cubic mm)-Day 0 | 217 (193 to 245) | 317 (244 to 328) | 241.5 (156 to 292) | 267 (246 to 274) |
| Platelets (1000 cells/cubic mm)-Day 14 | 218.5 (189 to 242) | 291 (228 to 338) | 244.5 (168 to 314) | 250 (241 to 296) |
| Platelets (1000 cells/cubic mm)-Day 56 | 228.5 (198 to 242) | 327.5 (258 to 346) | 278 (189 to 346) | 288 (244 to 302) |
| Platelets (1000 cells/cubic mm)-Day 84 | — | — | — | 259 (250 to 281) |
| Platelets (1000 cells/cubic mm)-Day 112 | 221.5 (205 to 247) | 349 (272 to 377) | 259 (204 to 297) | 243 (214 to 297) |
| Platelets (1000 cells/cubic mm)-Day 140 | — | — | — | 195 (174 to 289) |
| Platelets (1000 cells/cubic mm)-Day 168 | 208 (155.5 to 248) | 380 (265 to 403) | 239 (176 to 301.5) | 159 (127 to 191) |
| Platelets (1000 cells/cubic mm)-Day 224 | 158 (158 to 158) | 336 (336 to 336) | — | 250.5 (227 to 264) |
| Platelets (1000 cells/cubic mm)-Day 280 | — | 361 (361 to 361) | 218 (134 to 293) | 254 (234 to 279) |
| Platelets (1000 cells/cubic mm)-Day 336 | 233 (189 to 258.5) | 373.5 (373 to 374) | 249 (129 to 314) | 242 (234.5 to 267) |
| Platelets (1000 cells/cubic mm)-Day 392 | — | — | — | 264.5 (212 to 288) |
| Platelets (1000 cells/cubic mm)-Day 448 | — | — | — | 246 (227 to 296) |
The number (percentage) of participants with lab grade \> 1 for alanine aminotransferase (ALT), creatinine, hemoglobin, lymphocyte count, neutrophil count, platelets, white blood cells (WBC) was summarized by arm
| Participants | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Alanine Aminotransferase (U/L)-Baseline | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 0 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 14 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 56 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 84 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 112 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 140 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 168 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 224 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 280 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 336 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 392 | 0 | 0 | 0 | 0 |
| Alanine Aminotransferase (U/L)-Day 448 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Baseline | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 0 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 14 | 0 | 0 | 1 | 0 |
| Hemoglobin (g/dL)-Day 56 | 0 | 0 | 1 | 0 |
| Hemoglobin (g/dL)-Day 84 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 112 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 140 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 168 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 224 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 280 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 336 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 392 | 0 | 0 | 0 | 0 |
| Hemoglobin (g/dL)-Day 448 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Baseline | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 0 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 14 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 56 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 84 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 112 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 140 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 168 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 224 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 280 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 336 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 392 | 0 | 0 | 0 | 0 |
| Creatinine (mg/dL)-Day 448 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Baseline | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 0 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 14 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 56 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 84 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 112 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 140 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 168 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 224 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 280 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 336 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 392 | 0 | 0 | 0 | 0 |
| WBC (1000 cells/cubic mm)-Day 448 | 0 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Baseline | 0 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 0 | 0 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 14 | 0 | 0 | 1 | 0 |
| Platelets (1000 cells/cubic mm)-Day 56 | 1 | 0 | 0 | 1 |
| Platelets (1000 cells/cubic mm)-Day 84 | 0 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 112 | 2 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 140 | 0 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 168 | 1 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 224 | 0 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 280 | 0 | 0 | 1 | 0 |
| Platelets (1000 cells/cubic mm)-Day 336 | 0 | 0 | 0 | 1 |
| Platelets (1000 cells/cubic mm)-Day 392 | 0 | 0 | 0 | 0 |
| Platelets (1000 cells/cubic mm)-Day 448 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Baseline | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 0 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 14 | 0 | 0 | 0 | 2 |
| Lymphocytes (1000 cells/cubic mm)-Day 56 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 84 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 112 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 140 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 168 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 224 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 280 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 336 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 392 | 0 | 0 | 0 | 0 |
| Lymphocytes (1000 cells/cubic mm)-Day 448 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Baseline | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 0 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 14 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 56 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 84 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 112 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 140 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 168 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 224 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 280 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 336 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 392 | 0 | 0 | 0 | 0 |
| Neutrophils (1000 cells/cubic mm)-Day 448 | 0 | 0 | 0 | 0 |
The number (percentage) of participants with early discontinuation of vaccinations and reason for discontinuation was summarized by arm. The three participants discontinued treatment in T4 were due to the COVID-19 pandemic lockdown.
| Participants | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Pregnancy | 0 | 0 | 0 | 0 |
| HIV infection | 0 | 0 | 0 | 0 |
| Death | 0 | 0 | 0 | 0 |
| Clinical event other than reactogenicity, HIV infection, or death | 0 | 0 | 0 | 0 |
| Solicited adverse event symptom | 0 | 0 | 0 | 0 |
| Investigator Reason | 0 | 0 | 0 | 0 |
| Participant refused SPA | 0 | 0 | 0 | 0 |
| Co-Enrollment in a study with an investigational research agent | 0 | 0 | 0 | 0 |
| Psychiatric reason | 0 | 0 | 0 | 0 |
| Participant unable to schedule visit within window | 0 | 0 | 0 | 0 |
| Unable to contact participant | 0 | 0 | 0 | 0 |
| Incarceration | 0 | 0 | 0 | 0 |
| Other | 0 | 0 | 0 | 3 |
| Did not Discontinue SPA | 6 | 6 | 6 | 6 |
Serum PGDM1400, PGT121, and VRC07-523LS IgG levels were measured on a Bio-Plex instrument (Bio-Rad) using a validated assay designed to simultaneously measure infused PGDM1400, PGT121, and VRC07-523LS by its ability to bind anti-idiotype antibody captured on fluorescent magnetic beads. This assay was derived from a standardized custom HIV-1 Luminex assay. PGDM1400, PGT121 and VRC07-523LS were titrated and combined to create a standard curve that was used to determine concentration of the diluted samples. The negative controls were CH58 (an irrelevant mAb) and blank beads.Serum 10-1074 level was measured by anti-idotypic ELISA. Participant serum sample was incubated in anti-ID coated micro-plate well. A conjugated secondary antibody was used to detect bound 10-1074. Samples were titrated to ensure positive optical density (O.D.) readouts fall within the linear range of the assay for monoclonal antibody concentration calculations.
| mg/ml | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| 10-1074 (Day- 0) | — | — | 0.21 (0.21 to 0.21) | — |
| 10-1074 (Day- 3) | — | — | 598.55 (444.43 to 844.87) | — |
| 10-1074 (Day- 6) | — | — | 453.99 (378.63 to 529.19) | — |
| 10-1074 (Day- 14) | — | — | 300.15 (279.57 to 315.65) | — |
| 10-1074 (Day- 28) | — | — | 242.22 (140.97 to 253.34) | — |
| 10-1074 (Day- 56) | — | — | 111.62 (81.11 to 127.39) | — |
| 10-1074 (Day-112) | — | — | 25.18 (19.22 to 32.51) | — |
| 10-1074 (Day-168) | — | — | 8.60 (6.27 to 11.17) | — |
| 10-1074 (Day-280) | — | — | 0.98 (0.59 to 3.25) | — |
| 10-1074 (Day-336) | — | — | 2.44 (1.32 to 3.55) | — |
| PGDM1400 (Day- 0) | — | 0.02 (0.02 to 0.02) | — | 0.02 (0.02 to 0.02) |
| PGDM1400 (Day- 3) | — | 251.54 (234.47 to 273.48) | — | 209.25 (191.70 to 315.97) |
| PGDM1400 (Day- 6) | — | 182.23 (160.51 to 186.36) | — | 172.18 (163.04 to 193.95) |
| PGDM1400 (Day- 14) | — | 139.77 (134.94 to 146.76) | — | 129.97 (116.59 to 143.36) |
| PGDM1400 (Day- 28) | — | 70.92 (67.17 to 73.87) | — | 67.59 (55.45 to 75.91) |
| PGDM1400 (Day- 56) | — | 27.88 (26.68 to 31.56) | — | 28.38 (18.02 to 39.50) |
| PGDM1400 (Day- 84) | — | — | — | 10.93 (7.79 to 14.97) |
| PGDM1400 (Day-112) | — | 5.50 (4.63 to 6.04) | — | 4.99 (3.81 to 7.11) |
| PGDM1400 (Day-140) | — | — | — | 46.07 (46.07 to 46.07) |
| PGDM1400 (Day-168) | — | 1.08 (1.02 to 1.10) | — | — |
| PGDM1400 (Day-224) | — | 0.26 (0.26 to 0.26) | — | 6.24 (4.22 to 9.12) |
| PGDM1400 (Day-280) | — | 0.09 (0.09 to 0.09) | — | 1.27 (0.50 to 1.55) |
| PGDM1400 (Day-336) | — | 0.02 (0.02 to 0.02) | — | 0.52 (0.18 to 0.67) |
| PGDM1400 (Day-392) | — | — | — | 0.11 (0.04 to 0.12) |
| PGDM1400 (Day-448) | — | — | — | 0.02 (0.02 to 0.04) |
| PGT121 (Day- 0) | 0.05 (0.05 to 0.05) | — | — | 0.05 (0.05 to 0.05) |
| PGT121 (Day- 3) | 196.57 (172.85 to 210.31) | — | — | 169.62 (153.15 to 218.39) |
| PGT121 (Day- 6) | 129.35 (116.95 to 137.34) | — | — | 130.33 (128.40 to 139.89) |
| PGT121 (Day- 14) | 80.12 (79.07 to 86.22) | — | — | 95.54 (90.48 to 101.27) |
| PGT121 (Day- 28) | 44.46 (40.81 to 50.03) | — | — | 60.62 (54.15 to 68.21) |
| PGT121 (Day- 56) | 22.08 (18.83 to 23.24) | — | — | 25.79 (16.64 to 30.72) |
| PGT121 (Day- 84) | — | — | — | 12.42 (9.09 to 15.18) |
| PGT121 (Day-112) | 4.03 (3.45 to 5.97) | — | — | 5.82 (5.60 to 10.02) |
| PGT121 (Day-140) | — | — | — | 49.17 (49.17 to 49.17) |
| PGT121 (Day-168) | 1.70 (0.88 to 3.28) | — | — | — |
| PGT121 (Day-224) | 0.31 (0.31 to 0.31) | — | — | 11.28 (7.72 to 12.63) |
| PGT121 (Day-280) | — | — | — | 2.36 (1.46 to 4.57) |
| PGT121 (Day-336) | 0.05 (0.05 to 0.11) | — | — | 1.05 (0.56 to 2.06) |
| PGT121 (Day-392) | — | — | — | 0.33 (0.17 to 0.65) |
| PGT121 (Day-448) | — | — | — | 0.10 (0.05 to 0.29) |
| VRC07-523LS (Day- 0) | 0.01 (0.01 to 0.02) | 0.01 (0.01 to 0.01) | 0.01 (0.01 to 0.01) | 0.01 (0.01 to 0.01) |
| VRC07-523LS (Day- 3) | 265.97 (262.58 to 300.62) | 239.32 (224.13 to 264.34) | 182.66 (164.80 to 187.40) | 212.11 (195.83 to 306.56) |
| VRC07-523LS (Day- 6) | 171.02 (158.01 to 209.24) | 176.51 (158.50 to 183.85) | 176.01 (167.23 to 176.82) | 156.15 (154.76 to 175.84) |
| VRC07-523LS (Day- 14) | 134.44 (128.24 to 135.66) | 139.18 (105.71 to 155.86) | 119.67 (90.44 to 145.10) | 140.86 (123.89 to 162.85) |
| VRC07-523LS (Day- 28) | 94.58 (88.61 to 102.26) | 96.17 (83.80 to 110.65) | 87.91 (85.13 to 96.66) | 101.42 (97.05 to 107.31) |
| VRC07-523LS (Day- 56) | 60.53 (55.78 to 62.70) | 56.91 (56.03 to 58.35) | 59.33 (51.36 to 63.18) | 56.94 (42.61 to 63.36) |
| VRC07-523LS (Day- 84) | — | — | — | 39.57 (28.79 to 45.09) |
| VRC07-523LS (Day-112) | 24.93 (20.69 to 26.88) | 31.65 (20.09 to 33.07) | 29.37 (24.02 to 30.69) | 26.07 (19.85 to 33.70) |
| VRC07-523LS (Day-140) | — | — | — | 76.03 (76.03 to 76.03) |
| VRC07-523LS (Day-168) | 14.45 (12.37 to 16.66) | 12.57 (10.74 to 14.17) | 11.57 (9.73 to 12.35) | — |
| VRC07-523LS (Day-224) | 8.47 (8.47 to 8.47) | 11.24 (11.24 to 11.24) | — | 39.86 (31.26 to 42.29) |
| VRC07-523LS (Day-280) | — | 3.88 (3.88 to 3.88) | 3.17 (1.81 to 3.50) | 15.13 (14.85 to 16.50) |
| VRC07-523LS (Day-336) | 1.33 (1.08 to 1.38) | 1.31 (1.16 to 1.46) | 1.48 (0.85 to 2.34) | 9.52 (6.85 to 10.98) |
| VRC07-523LS (Day-392) | — | — | — | 4.49 (2.73 to 5.51) |
| VRC07-523LS (Day-448) | — | — | — | 2.16 (1.10 to 2.59) |
Neutralizing antibodies against HIV-1 were measured as a function of reductions in Tat-regulated luciferase (Luc) reporter gene expression in TZM-bl cells. The assay performed in TZM-bl cells measured neutralization titers against the Env-pseudotyped viruses sensitive to the bnAbs (i.e., bnAb-specific viruses) in each infusion group.
| Relative luminescence units (RLU) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| 6540.v4.c1 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| 6540.v4.c1 (Day- 3) | — | — | — | 12301.30 (9796.41 to 17398.1) |
| 6540.v4.c1 (Day- 28) | — | — | — | 2365.28 (1930.73 to 2730.45) |
| 6540.v4.c1 (Day- 56) | — | — | — | 674.62 (512.44 to 784.11) |
| 6540.v4.c1 (Day-112) | — | — | — | 82.11 (61.03 to 98.13) |
| 6540.v4.c1 (Day-140) | — | — | — | 1255.62 (1255.62 to 1255.62) |
| 6540.v4.c1 (Day-224) | — | — | — | 64.76 (46.21 to 113.02) |
| CH505TF.N334S.N160A.N280D.1 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| CH505TF.N334S.N160A.N280D.1 (Day- 3) | — | — | — | 13209.26 (9855.80 to 16397.4) |
| CH505TF.N334S.N160A.N280D.1 (Day- 28) | — | — | — | 3344.91 (2579.95 to 3806.03) |
| CH505TF.N334S.N160A.N280D.1 (Day- 56) | — | — | — | 1491.45 (901.81 to 1966.97) |
| CH505TF.N334S.N160A.N280D.1 (Day-112) | — | — | — | 339.83 (296.59 to 554.03) |
| CH505TF.N334S.N160A.N280D.1 (Day-140) | — | — | — | 2563.08 (2563.08 to 2563.08) |
| CH505TF.N334S.N160A.N280D.1 (Day-224) | — | — | — | 429.44 (318.03 to 585.79) |
| CNE55.N160K (Day- 0) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) |
| CNE55.N160K (Day- 3) | 917.25 (686.59 to 1286.70) | 816.88 (725.91 to 847.67) | 493.12 (383.85 to 549.58) | 469.12 (432.41 to 868.21) |
| CNE55.N160K (Day- 28) | 259.58 (212.45 to 323.50) | 188.55 (161.50 to 208.80) | 206.12 (171.05 to 268.36) | 218.32 (169.74 to 257.46) |
| CNE55.N160K (Day- 56) | 105.02 (91.83 to 118.53) | 91.57 (80.40 to 117.12) | 170.55 (138.00 to 193.64) | 131.99 (106.91 to 149.44) |
| CNE55.N160K (Day-112) | 28.65 (25.10 to 36.11) | 10.00 (10.00 to 20.95) | 53.48 (38.18 to 59.63) | 47.57 (30.49 to 65.17) |
| CNE55.N160K (Day-140) | — | — | — | 92.76 (92.76 to 92.76) |
| CNE55.N160K (Day-224) | — | — | — | 58.52 (48.16 to 82.07) |
| T250-4 (Day- 0) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | — |
| T250-4 (Day- 3) | 32029.39 (28181.95 to 41032.5) | 91301.02 (79640.01 to 114904.) | 39113.31 (31644.98 to 45736.7) | — |
| T250-4 (Day- 28) | 6458.16 (5518.54 to 7452.56) | 27318.99 (23401.71 to 30312.3) | 13028.85 (11586.88 to 14345.8) | — |
| T250-4 (Day- 56) | 2016.84 (1800.34 to 2646.68) | 7523.58 (6020.17 to 8716.04) | 7070.48 (5359.84 to 7736.68) | — |
| T250-4 (Day-112) | 300.37 (266.45 to 650.96) | 800.00 (618.17 to 837.77) | 1189.03 (760.30 to 1712.31) | — |
Serum PGDM1400, PGT121, and VRC07-523LS IgG levels were measured on a Bio-Plex instrument (Bio-Rad) using a validated assay designed to simultaneously measure infused PGDM1400, PGT121, and VRC07-523LS by its ability to bind anti-idiotype antibody captured on fluorescent magnetic beads. This assay was derived from a standardized custom HIV-1 Luminex assay. PGDM1400, PGT121 and VRC07-523LS were titrated and combined to create a standard curve that was used to determine concentration of the diluted samples. The negative controls were CH58 (an irrelevant mAb) and blank beads.Serum 10-1074 level was measured by anti-idotypic ELISA. Participant serum sample was incubated in anti-ID coated micro-plate well. A conjugated secondary antibody was used to detect bound 10-1074. Samples were titrated to ensure positive optical density (O.D.) readouts fall within the linear range of the assay for monoclonal antibody concentration calculations
| mg/ml | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| 10-1074 (Day- 0) | — | — | 0.21 (0.21 to 0.21) | — |
| 10-1074 (Day- 3) | — | — | 521.49 (422.63 to 783.29) | — |
| 10-1074 (Day- 6) | — | — | 416.31 (298.03 to 510.39) | — |
| 10-1074 (Day- 14) | — | — | 289.86 (207.92 to 311.78) | — |
| 10-1074 (Day- 28) | — | — | 242.22 (140.97 to 253.34) | — |
| 10-1074 (Day- 56) | — | — | 98.27 (29.65 to 124.97) | — |
| 10-1074 (Day-112) | — | — | 23.96 (8.04 to 26.39) | — |
| 10-1074 (Day-168) | — | — | 8.60 (6.27 to 11.17) | — |
| 10-1074 (Day-280) | — | — | 0.59 (0.21 to 2.11) | — |
| 10-1074 (Day-336) | — | — | 2.44 (1.32 to 3.55) | — |
| PGDM1400 (Day- 0) | — | 0.02 (0.02 to 0.02) | — | 0.02 (0.02 to 0.02) |
| PGDM1400 (Day- 3) | — | 251.54 (234.47 to 273.48) | — | 231.33 (203.73 to 319.27) |
| PGDM1400 (Day- 6) | — | 182.23 (160.51 to 186.36) | — | 173.81 (168.63 to 177.65) |
| PGDM1400 (Day- 14) | — | 139.77 (134.94 to 146.76) | — | 126.56 (113.27 to 146.69) |
| PGDM1400 (Day- 28) | — | 70.92 (67.17 to 73.87) | — | 71.60 (52.74 to 77.35) |
| PGDM1400 (Day- 56) | — | 27.88 (26.68 to 31.56) | — | 33.70 (19.33 to 39.98) |
| PGDM1400 (Day- 84) | — | — | — | 12.26 (7.20 to 15.87) |
| PGDM1400 (Day-112) | — | 5.50 (4.63 to 6.04) | — | 4.99 (3.81 to 7.11) |
| PGDM1400 (Day-140) | — | — | — | 3.49 (2.34 to 24.78) |
| PGDM1400 (Day-168) | — | 1.08 (1.02 to 1.10) | — | 1.51 (1.14 to 1.88) |
| PGDM1400 (Day-224) | — | 0.26 (0.26 to 0.26) | — | 2.21 (0.88 to 6.24) |
| PGDM1400 (Day-280) | — | 0.09 (0.09 to 0.09) | — | 0.50 (0.23 to 1.41) |
| PGDM1400 (Day-336) | — | 0.02 (0.02 to 0.02) | — | 0.25 (0.08 to 0.65) |
| PGDM1400 (Day-392) | — | — | — | 0.04 (0.02 to 0.11) |
| PGDM1400 (Day-448) | — | — | — | 0.02 (0.02 to 0.03) |
| PGT121 (Day- 0) | 0.05 (0.05 to 0.05) | — | — | 0.05 (0.05 to 0.05) |
| PGT121 (Day- 3) | 196.57 (172.85 to 210.31) | — | — | 181.38 (157.86 to 219.10) |
| PGT121 (Day- 6) | 129.35 (116.95 to 137.34) | — | — | 130.98 (128.10 to 137.61) |
| PGT121 (Day- 14) | 80.12 (79.07 to 86.22) | — | — | 90.47 (84.84 to 100.59) |
| PGT121 (Day- 28) | 44.46 (40.81 to 50.03) | — | — | 56.75 (45.47 to 64.49) |
| PGT121 (Day- 56) | 22.08 (18.83 to 23.24) | — | — | 29.32 (19.33 to 31.85) |
| PGT121 (Day- 84) | — | — | — | 15.00 (8.83 to 16.35) |
| PGT121 (Day-112) | 4.03 (3.45 to 5.97) | — | — | 5.82 (5.60 to 10.02) |
| PGT121 (Day-140) | — | — | — | 6.08 (4.06 to 27.62) |
| PGT121 (Day-168) | 1.70 (0.88 to 3.28) | — | — | 2.72 (2.02 to 3.41) |
| PGT121 (Day-224) | 0.31 (0.31 to 0.31) | — | — | 4.16 (2.08 to 11.28) |
| PGT121 (Day-280) | — | — | — | 1.46 (0.74 to 3.46) |
| PGT121 (Day-336) | 0.05 (0.05 to 0.11) | — | — | 0.71 (0.34 to 1.43) |
| PGT121 (Day-392) | — | — | — | 0.18 (0.14 to 0.49) |
| PGT121 (Day-448) | — | — | — | 0.05 (0.05 to 0.19) |
| VRC07-523LS (Day- 0) | 0.01 (0.01 to 0.02) | 0.01 (0.01 to 0.01) | 0.01 (0.01 to 0.01) | 0.01 (0.01 to 0.01) |
| VRC07-523LS (Day- 3) | 265.97 (262.58 to 300.62) | 239.32 (224.13 to 264.34) | 173.73 (145.91 to 186.22) | 230.06 (199.85 to 333.96) |
| VRC07-523LS (Day- 6) | 171.02 (158.01 to 209.24) | 176.51 (158.50 to 183.85) | 171.62 (164.76 to 176.61) | 169.54 (155.85 to 182.30) |
| VRC07-523LS (Day- 14) | 134.44 (128.24 to 135.66) | 139.18 (105.71 to 155.86) | 105.05 (85.34 to 138.74) | 133.03 (120.16 to 146.62) |
| VRC07-523LS (Day- 28) | 94.58 (88.61 to 102.26) | 96.17 (83.80 to 110.65) | 87.91 (85.13 to 96.66) | 96.52 (94.26 to 104.18) |
| VRC07-523LS (Day- 56) | 60.53 (55.78 to 62.70) | 56.91 (56.03 to 58.35) | 56.91 (34.69 to 61.74) | 60.24 (53.64 to 67.05) |
| VRC07-523LS (Day- 84) | — | — | — | 41.64 (31.11 to 44.37) |
| VRC07-523LS (Day-112) | 24.93 (20.69 to 26.88) | 31.65 (20.09 to 33.07) | 28.18 (11.53 to 30.55) | 26.07 (19.85 to 33.70) |
| VRC07-523LS (Day-140) | — | — | — | 13.94 (13.09 to 44.99) |
| VRC07-523LS (Day-168) | 14.45 (12.37 to 16.66) | 12.57 (10.74 to 14.17) | 11.57 (9.73 to 12.35) | 9.98 (9.46 to 10.50) |
| VRC07-523LS (Day-224) | 8.47 (8.47 to 8.47) | 11.24 (11.24 to 11.24) | — | 22.66 (5.51 to 39.86) |
| VRC07-523LS (Day-280) | — | 3.88 (3.88 to 3.88) | 1.81 (0.34 to 3.33) | 14.85 (5.99 to 15.82) |
| VRC07-523LS (Day-336) | 1.33 (1.08 to 1.38) | 1.31 (1.16 to 1.46) | 1.48 (0.85 to 2.34) | 7.49 (4.31 to 10.51) |
| VRC07-523LS (Day-392) | — | — | — | 2.73 (1.75 to 5.00) |
| VRC07-523LS (Day-448) | — | — | — | 1.10 (0.69 to 2.37) |
Neutralizing antibodies against HIV-1 were measured as a function of reductions in Tat-regulated luciferase (Luc) reporter gene expression in TZM-bl cells. The assay performed in TZM-bl cells measured neutralization titers against the Env-pseudotyped viruses sensitive to the bnAbs (i.e., bnAb-specific viruses) in each infusion group.
| Relative luminescence units (RLU) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| 6540.v4.c1 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| 6540.v4.c1 (Day- 3) | — | — | — | 13187.62 (9441.20 to 18617.3) |
| 6540.v4.c1 (Day- 28) | — | — | — | 2083.51 (1820.80 to 2758.25) |
| 6540.v4.c1 (Day- 56) | — | — | — | 774.27 (530.97 to 919.39) |
| 6540.v4.c1 (Day-112) | — | — | — | 82.11 (61.03 to 98.13) |
| 6540.v4.c1 (Day-140) | — | — | — | 45.07 (25.03 to 650.34) |
| 6540.v4.c1 (Day-168) | — | — | — | 14.74 (9.87 to 19.62) |
| 6540.v4.c1 (Day-224) | — | — | — | 27.66 (5.00 to 64.76) |
| CH505TF.N334S.N160A.N280D.1 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| CH505TF.N334S.N160A.N280D.1 (Day- 3) | — | — | — | 13343.35 (9088.55 to 18308.4) |
| CH505TF.N334S.N160A.N280D.1 (Day- 28) | — | — | — | 3000.56 (2917.48 to 3828.38) |
| CH505TF.N334S.N160A.N280D.1 (Day- 56) | — | — | — | 1751.70 (1019.21 to 1968.06) |
| CH505TF.N334S.N160A.N280D.1 (Day-112) | — | — | — | 339.83 (296.59 to 554.03) |
| CH505TF.N334S.N160A.N280D.1 (Day-140) | — | — | — | 270.10 (176.30 to 1416.59) |
| CH505TF.N334S.N160A.N280D.1 (Day-168) | — | — | — | 111.35 (86.07 to 136.63) |
| CH505TF.N334S.N160A.N280D.1 (Day-224) | — | — | — | 206.62 (105.46 to 429.44) |
| CNE55.N160K (Day- 0) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) |
| CNE55.N160K (Day- 3) | 917.25 (686.59 to 1286.70) | 816.88 (725.91 to 847.67) | 438.49 (357.53 to 535.46) | 466.43 (421.07 to 1000.34) |
| CNE55.N160K (Day- 28) | 259.58 (212.45 to 323.50) | 188.55 (161.50 to 208.80) | 206.12 (171.05 to 268.36) | 158.46 (146.09 to 233.05) |
| CNE55.N160K (Day- 56) | 105.02 (91.83 to 118.53) | 91.57 (80.40 to 117.12) | 152.21 (95.36 to 188.88) | 131.95 (98.57 to 134.34) |
| CNE55.N160K (Day-112) | 28.65 (25.10 to 36.11) | 10.00 (10.00 to 20.95) | 47.58 (10.00 to 59.38) | 47.57 (30.49 to 65.17) |
| CNE55.N160K (Day-140) | — | — | — | 18.76 (17.13 to 55.76) |
| CNE55.N160K (Day-168) | — | — | — | 13.27 (9.14 to 17.41) |
| CNE55.N160K (Day-224) | — | — | — | 37.80 (14.65 to 58.52) |
| T250-4 (Day- 0) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | 5.00 (5.00 to 5.00) | — |
| T250-4 (Day- 3) | 32029.39 (28181.95 to 41032.5) | 91301.02 (79640.01 to 114904.) | 35379.15 (25190.07 to 44080.8) | — |
| T250-4 (Day- 28) | 6458.16 (5518.54 to 7452.56) | 27318.99 (23401.71 to 30312.3) | 13028.85 (11586.88 to 14345.8) | — |
| T250-4 (Day- 56) | 2016.84 (1800.34 to 2646.68) | 7523.58 (6020.17 to 8716.04) | 6515.27 (2851.83 to 7625.68) | — |
| T250-4 (Day-112) | 300.37 (266.45 to 650.96) | 800.00 (618.17 to 837.77) | 928.27 (529.97 to 1449.78) | — |
Neutralizing antibodies against HIV-1 were measured as a function of reductions in Tat-regulated luciferase (Luc) reporter gene expression in TZM-bl cells. The assay performed in TZM-bl cells measured neutralization titers against the Env-pseudotyped viruses sensitive to the bnAbs (i.e., bnAb-specific viruses) in each infusion group.
| Relative luminescence units (RLU) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| 0330.v4.c3 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| 0330.v4.c3 (Day- 3) | 6396.28 (6080.23 to 6735.71) | 74297.85 (52044.99 to 88109.3) | 6121.19 (3340.46 to 12217.9) | 89412.79 (81404.07 to 133261.) |
| 0330.v4.c3 (Day- 28) | 1714.47 (1464.17 to 1902.42) | 12264.66 (10502.90 to 16471.8) | 1117.61 (1052.55 to 1387.42) | 19794.60 (12324.14 to 23999.2) |
| 0330.v4.c3 (Day- 56) | — | — | — | 5217.82 (3172.08 to 6238.47) |
| 0330.v4.c3 (Day-112) | 242.94 (181.50 to 300.77) | 1216.32 (807.32 to 1581.69) | 209.33 (99.69 to 222.71) | 611.93 (453.02 to 750.19) |
| 0330.v4.c3 (Day-140) | — | — | — | 589.67 (389.86 to 3617.62) |
| 0330.v4.c3 (Day-224) | — | — | — | 343.14 (116.53 to 669.99) |
| 3426.v5.c17 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| 3426.v5.c17 (Day- 3) | 16924.30 (14561.42 to 20967.7) | 144218.5 (93034.17 to 406283.) | 9665.13 (7360.48 to 11861.0) | 368712.2 (259743.1 to 390143.) |
| 3426.v5.c17 (Day- 28) | 3041.45 (2966.23 to 3290.51) | 32852.84 (26522.32 to 46738.8) | 2676.34 (2001.12 to 2816.62) | 66390.30 (64990.87 to 97262.7) |
| 3426.v5.c17 (Day- 56) | — | — | — | 24227.08 (8980.36 to 33004.1) |
| 3426.v5.c17 (Day-112) | 362.56 (274.34 to 473.09) | 1488.31 (993.10 to 1671.42) | 447.09 (97.17 to 463.62) | 1288.16 (1082.09 to 2303.78) |
| 3426.v5.c17 (Day-140) | — | — | — | 822.84 (540.23 to 14854.5) |
| 3426.v5.c17 (Day-224) | — | — | — | 537.48 (182.83 to 1909.54) |
| 377.v4.c09 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| 377.v4.c09 (Day- 3) | 441.18 (411.01 to 504.06) | 255.40 (209.29 to 281.66) | 380.32 (278.05 to 459.21) | 591.58 (482.75 to 800.29) |
| 377.v4.c09 (Day- 28) | 108.14 (102.75 to 114.54) | 63.14 (58.58 to 72.02) | 116.45 (96.92 to 117.19) | 179.21 (127.50 to 211.82) |
| 377.v4.c09 (Day- 56) | — | — | — | 85.74 (59.71 to 97.87) |
| 377.v4.c09 (Day-112) | 16.27 (12.25 to 18.09) | 5.00 (5.00 to 5.00) | 14.68 (5.00 to 15.14) | 17.94 (13.93 to 26.97) |
| 377.v4.c09 (Day-140) | — | — | — | 14.48 (9.74 to 91.02) |
| 377.v4.c09 (Day-224) | — | — | — | 17.09 (5.00 to 37.52) |
| AC10.0.29 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| AC10.0.29 (Day- 3) | 3307.09 (3201.01 to 3589.36) | 1198.26 (1097.26 to 1305.86) | 2763.45 (2425.04 to 3413.11) | 3854.76 (3252.76 to 5347.95) |
| AC10.0.29 (Day- 28) | 730.53 (710.40 to 751.62) | 285.36 (277.39 to 333.60) | 842.99 (802.47 to 1038.29) | 1039.01 (761.35 to 1117.14) |
| AC10.0.29 (Day- 56) | — | — | — | 500.07 (312.83 to 597.44) |
| AC10.0.29 (Day-112) | 58.82 (50.35 to 97.12) | 37.55 (34.74 to 44.08) | 152.58 (28.49 to 154.06) | 85.57 (59.92 to 153.51) |
| AC10.0.29 (Day-140) | — | — | — | 75.66 (51.59 to 455.20) |
| AC10.0.29 (Day-224) | — | — | — | 57.51 (22.44 to 162.14) |
| Ce1176_A3 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| Ce1176_A3 (Day- 3) | 11645.78 (9518.45 to 12116.3) | 537.29 (459.87 to 586.96) | 4781.11 (3229.13 to 7086.33) | 8628.18 (6578.27 to 12370.5) |
| Ce1176_A3 (Day- 28) | 1869.57 (1853.02 to 2232.85) | 137.78 (109.83 to 145.47) | 1475.03 (954.07 to 1488.48) | 2081.67 (1688.46 to 2313.62) |
| Ce1176_A3 (Day- 56) | — | — | — | 842.00 (564.10 to 1444.53) |
| Ce1176_A3 (Day-112) | 139.63 (95.90 to 265.94) | 28.13 (17.77 to 28.27) | 165.45 (41.81 to 206.47) | 199.63 (160.77 to 372.51) |
| Ce1176_A3 (Day-140) | — | — | — | 205.80 (128.04 to 963.06) |
| Ce1176_A3 (Day-224) | — | — | — | 101.07 (48.45 to 381.19) |
| DU156.12 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| DU156.12 (Day- 3) | 18539.26 (17172.56 to 23579.6) | 27452.85 (26185.95 to 28715.5) | 10841.11 (5764.85 to 14232.2) | 84807.92 (32946.35 to 107084.) |
| DU156.12 (Day- 28) | 4812.81 (4150.62 to 5672.03) | 6655.88 (5796.38 to 6937.67) | 2989.42 (2466.94 to 3703.45) | 14630.79 (12167.11 to 23357.8) |
| DU156.12 (Day- 56) | — | — | — | 3915.57 (2878.16 to 5887.10) |
| DU156.12 (Day-112) | 632.13 (498.04 to 735.92) | 620.22 (503.29 to 741.76) | 629.27 (199.42 to 648.10) | 744.96 (605.25 to 1202.94) |
| DU156.12 (Day-140) | — | — | — | 627.31 (437.57 to 4019.46) |
| DU156.12 (Day-224) | — | — | — | 578.62 (161.72 to 832.75) |
| DU172.17 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| DU172.17 (Day- 3) | 1518.88 (1163.34 to 1850.98) | 448.77 (342.15 to 495.87) | 1315.85 (1037.49 to 1898.68) | 1631.83 (1393.41 to 1944.91) |
| DU172.17 (Day- 28) | 434.85 (402.56 to 448.27) | 170.68 (119.08 to 194.91) | 398.72 (383.47 to 448.60) | 413.93 (332.95 to 532.05) |
| DU172.17 (Day- 56) | — | — | — | 187.19 (162.90 to 224.12) |
| DU172.17 (Day-112) | 45.10 (37.03 to 71.39) | 16.67 (5.00 to 22.47) | 61.30 (16.72 to 66.06) | 56.99 (46.08 to 78.16) |
| DU172.17 (Day-140) | — | — | — | 43.33 (27.32 to 178.56) |
| DU172.17 (Day-224) | — | — | — | 33.71 (11.22 to 72.76) |
| PVO.4 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| PVO.4 (Day- 3) | 1834.12 (1630.50 to 2102.57) | 773.42 (697.14 to 903.36) | 1918.35 (1098.33 to 2093.31) | 2078.34 (1885.71 to 2315.32) |
| PVO.4 (Day- 28) | 523.42 (443.00 to 527.84) | 244.89 (240.35 to 248.11) | 548.04 (529.82 to 634.73) | 611.64 (557.45 to 649.11) |
| PVO.4 (Day- 56) | — | — | — | 316.00 (215.71 to 363.56) |
| PVO.4 (Day-112) | 80.37 (67.76 to 93.09) | 50.58 (46.64 to 54.40) | 99.15 (40.87 to 104.77) | 92.98 (76.81 to 112.41) |
| PVO.4 (Day-140) | — | — | — | 45.61 (40.70 to 230.18) |
| PVO.4 (Day-224) | — | — | — | 58.33 (20.52 to 110.43) |
| RHPA4259.7 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| RHPA4259.7 (Day- 3) | 15786.94 (13562.87 to 19915.2) | 4313.94 (3709.44 to 5821.77) | 6847.08 (5023.53 to 9267.51) | 11323.55 (10578.46 to 15367.3) |
| RHPA4259.7 (Day- 28) | 3718.80 (3383.58 to 4228.20) | 1748.53 (1639.88 to 1788.12) | 2996.20 (2164.60 to 3266.73) | 3560.23 (3338.05 to 3839.56) |
| RHPA4259.7 (Day- 56) | — | — | — | 2114.58 (1601.57 to 2685.28) |
| RHPA4259.7 (Day-112) | 663.30 (477.36 to 857.77) | 506.64 (364.10 to 511.53) | 528.88 (267.50 to 555.36) | 562.77 (485.83 to 788.27) |
| RHPA4259.7 (Day-140) | — | — | — | 384.75 (279.01 to 1524.80) |
| RHPA4259.7 (Day-224) | — | — | — | 406.26 (131.41 to 768.36) |
| SC422661.8 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| SC422661.8 (Day- 3) | 3925.17 (3766.76 to 4704.83) | 2519.42 (1997.20 to 2761.47) | 3601.22 (2513.76 to 4602.54) | 5345.96 (3397.00 to 5947.47) |
| SC422661.8 (Day- 28) | 1389.90 (1302.50 to 1530.08) | 1035.29 (725.16 to 1287.34) | 1408.81 (1227.23 to 1411.60) | 1377.52 (1147.39 to 1725.51) |
| SC422661.8 (Day- 56) | — | — | — | 765.08 (625.41 to 991.03) |
| SC422661.8 (Day-112) | 213.39 (186.07 to 275.41) | 163.39 (156.87 to 174.58) | 219.98 (95.53 to 267.65) | 189.00 (183.79 to 276.06) |
| SC422661.8 (Day-140) | — | — | — | 120.06 (103.68 to 514.08) |
| SC422661.8 (Day-224) | — | — | — | 192.58 (53.76 to 269.09) |
| T263-8 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| T263-8 (Day- 3) | 2776.59 (2281.26 to 3281.31) | 8794.97 (8451.76 to 11791.8) | 1811.12 (1236.81 to 1988.47) | 10506.56 (7759.25 to 12494.5) |
| T263-8 (Day- 28) | 652.72 (623.52 to 799.07) | 2180.36 (2077.13 to 2332.70) | 709.37 (659.45 to 713.01) | 2076.06 (2000.37 to 2452.00) |
| T263-8 (Day- 56) | — | — | — | 789.69 (562.19 to 1124.91) |
| T263-8 (Day-112) | 168.55 (139.98 to 176.97) | 260.69 (204.99 to 326.59) | 156.80 (77.23 to 174.38) | 169.57 (128.05 to 260.28) |
| T263-8 (Day-140) | — | — | — | 99.18 (83.78 to 680.21) |
| T263-8 (Day-224) | — | — | — | 130.83 (36.33 to 281.58) |
| TRO.11 (Day- 0) | — | — | — | 5.00 (5.00 to 5.00) |
| TRO.11 (Day- 3) | 7813.45 (7044.18 to 8400.16) | 887.77 (744.43 to 1025.75) | 4253.82 (2683.78 to 5150.14) | 8880.74 (6305.55 to 9378.98) |
| TRO.11 (Day- 28) | 1503.04 (1409.62 to 1726.44) | 249.19 (202.44 to 318.67) | 1085.04 (954.52 to 1375.31) | 1963.86 (1656.59 to 2787.73) |
| TRO.11 (Day- 56) | — | — | — | 1023.42 (611.40 to 1196.50) |
| TRO.11 (Day-112) | 116.90 (101.82 to 156.21) | 73.93 (37.19 to 75.09) | 193.46 (66.49 to 206.92) | 182.49 (153.74 to 287.64) |
| TRO.11 (Day-140) | — | — | — | 146.55 (95.84 to 783.56) |
| TRO.11 (Day-224) | — | — | — | 111.00 (47.82 to 333.09) |
Collected over The study Unsolicited AE reporting time frame is from study enrollment of a trial participant to (and including) Day 336 for T1-T3 and Day 448 for T4. The Solicited AE assessment were collected through 3 full days after each vaccination (vaccinations were given at Day 0 for T1-T4 and Day 112 for T4).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| T1: PGT121 + VRC07-523LS mo 0 | 0/6 (0%) | 0/6 (0%) | 5/6 (83.3%) |
| T2: PGDM1400 + VRC07-523LS mo 0 | 1/6 (16.7%) | 1/6 (16.7%) | 6/6 (100%) |
| T3: 10-1074 + VRC07-523LS | 0/6 (0%) | 0/6 (0%) | 4/6 (66.7%) |
| T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) | 0/9 (0%) | 0/9 (0%) | 4/9 (44.4%) |
| Event | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Any Event in SOCRespiratory, thoracic and mediastinal disorders | 0/6 | 1/6 | 0/6 | 0/9 |
| Respiratory distressRespiratory, thoracic and mediastinal disorders | 0/6 | 1/6 | 0/6 | 0/9 |
| Event | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) |
|---|---|---|---|---|
| Any Event in SOCInfections and infestations | 3/6 | 2/6 | 1/6 | 3/9 |
| Any Event in SOCGeneral disorders | 2/6 | 0/6 | 1/6 | 1/9 |
| Upper respiratory tract infectionInfections and infestations | 2/6 | 0/6 | 0/6 | 0/9 |
| Any Event in SOCInjury, poisoning and procedural complications | 0/6 | 2/6 | 2/6 | 1/9 |
| Any Event in SOCInvestigations | 1/6 | 1/6 | 2/6 | 2/9 |
| Any Event in SOCRenal and urinary disorders | 0/6 | 2/6 | 1/6 | 0/9 |
| Influenza like illnessGeneral disorders | 1/6 | 0/6 | 0/6 | 0/9 |
| Infusion site extravasationGeneral disorders | 0/6 | 0/6 | 1/6 | 0/9 |
| PyrexiaGeneral disorders | 1/6 | 0/6 | 0/6 | 0/9 |
| COVID-19Infections and infestations | 0/6 | 1/6 | 0/6 | 0/9 |
| Age, Continuous(years) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) | Total |
|---|---|---|---|---|---|
| Median | 25 (21 to 25) | 29 (21 to 50) | 28 (25 to 49) | 30 (19 to 49) | 26 (19 to 50) |
| Age, Customized(Participants) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) | Total |
|---|---|---|---|---|---|
| Less than 18 years | 0 | 0 | 0 | 0 | 0 |
| 18 - 20 years | 0 | 0 | 0 | 1 | 1 |
| 21 - 30 years | 6 | 3 | 4 | 4 | 17 |
| 31 - 40 years | 0 | 2 | 0 | 2 | 4 |
| 41 - 50 years | 0 | 1 | 2 | 2 | 5 |
| Above 50 years | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) | Total |
|---|---|---|---|---|---|
| Female | 5 | 3 | 3 | 5 | 16 |
| Male | 1 | 3 | 3 | 4 | 11 |
| Ethnicity (NIH/OMB)(Participants) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 0 | 2 | 3 |
| Not Hispanic or Latino | 6 | 5 | 6 | 7 | 24 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 1 | 1 |
| Asian | 1 | 1 | 0 | 1 | 3 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 2 | 0 | 2 |
| White | 5 | 3 | 4 | 7 | 19 |
| More than one race | 0 | 1 | 0 | 0 | 1 |
| Other | 0 | 1 | 0 | 0 | 1 |
| Region of Enrollment(Participants) | T1: PGT121 + VRC07-523LS mo 0 | T2: PGDM1400 + VRC07-523LS mo 0 | T3: 10-1074 + VRC07-523LS | T4: PGT121 + PGDM1400 + VRC07-523LS mo(0, 4) | Total |
|---|---|---|---|---|---|
| United States | 6 | 6 | 6 | 9 | 27 |
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Studies of the drugs tested here: PGT-121 · Zinlirvimab
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