ClinicalTrials.gg
RecruitingNCT06517693Updated Nov 3, 2026

Safety and Pharmacokinetics Study of PGT121.414.LS Alone and in Combination With VRC07-523LS in Infants Exposed to HIV-1

A Phase 1 interventional study of PGT121.414.LS and VRC07-523LS in HIV-1, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Recruiting at 19 sites in 6 countries. Open to participants aged Up to 72 Hours, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1, Interventional, and Prevention

From the registry’s dates

  • Started Jan 2026; still recruiting 10 months later.
Updated Nov 3, 2026Primary completion movedStudy completion moved+2 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
48
Allocation
Non-randomized
Ages
Up to 72 Hours
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and pharmacokinetics (PK) of the potent, broadly neutralizing anti-HIV monoclonal antibodies (mAb) PGT121.414.LS alone and in combination with VRC07-523LS soon after birth in infants exposed to HIV-1.

Read the detailed description

This is an open-label, phase I study of the potent, broadly neutralizing anti-HIV monoclonal antibodies (mAb) PGT121.414.LS alone and in combination with VRC07-523LS administered soon after birth in infants exposed to HIV-1. The study is designed to assess the safety and pharmacokinetics (PK) profile of one and two subcutaneous (SC) doses of PGT121.414.LS alone or in combination with VRC07-523LS through Week 12 and Week 24, respectively.

02

Conditions studied

  • HIV-1
03

In context

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 72 Hours
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Birthing parent is of legal age or circumstance to provide independent and is willing and able to provide written informed consent for themselves and permission for their infant's participation in this study.
  • Birthing parent has confirmed -1 infection based on positive test results from two samples collected from two separate blood collection tubes.
  • Infant was singleton or twin.
  • Infant's gestational age at birth was at least 36 weeks.
  • At birth, infant's weight was at least 2 kg.
  • At entry, infant is less than 72 hours of age and is anticipated to receive study product within 72 hours after birth.
  • At screening, infant has the following laboratory test results:

    • , normal or grade 1 (≥13 g/dL or ≥8.05 mmol/L)
    • , normal or grade 1 (≥100,000 cells/mm3 or ≥100.000 x10\^9 cells/L)
    • (ANC), normal or grade 1

      1. ≤24 hours old (≥4,000 cells/mm3 or ≥4.000 x10\^9 cells/L)
      2. >24 hours old (≥1,250 cells/mm3 or ≥1.250 x10\^9 cells/L)
    • (ALT), normal (\<1.25 x )
  • At entry, infant is generally healthy as determined by the site investigator based on review of all available medical history information and physical examination findings.
  • Cohorts 1 and 2, Strata BF only: At entry, infant is breastfeeding or the birthing parent has indicated an intention to initiate breastfeeding.
  • Cohorts 1 and 2, Strata FF, only: At entry, infant is not breastfeeding and the birthing parent has indicated no intention to breastfeed.
  • At entry, infant is at increased risk of HIV acquisition.

Cohorts 1 and 2, Strata FF only:

  • Birthing parent had acute HIV during this pregnancy; or
  • Birthing parent with detectable viral replication (plasma HIV RNA results at least 50 copies/mL) during pregnancy who did not have confirmed viral suppression, defined as at least two consecutive plasma HIV RNA results less than 50 copies/mL from specimens obtained at least four weeks apart with the latest result within four weeks prior to delivery; or
  • Birthing parent not receiving appropriate ART for at least two weeks, with any part of the two-week period occurring within four weeks prior to delivery, based on birthing parent's report or available medical records.

Cohorts 1 and 2, BF only:

  • Per birthing parent's report, intends to breastfeed

Exclusion criteria

Exclusion Criteria:

  • Birthing parent has received any product during this pregnancy.
  • Infant has received any active or passive immunotherapy or any investigational product.
  • At entry, infant with a documented positive HIV Nucleic Acid Test (NAT) result.
  • Birthing parent or infant has any condition that, in the opinion of the site investigator or designee, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
48 participants (estimated)

Study arms

  • Experimental
    Cohort 1 Stratum Formula Fed (FF)

    Single subcutaneous (SC) dose of PGT121.414.LS at birth, based on weight.

    Drug: PGT121.414.LS

  • Experimental
    Cohort 1 Stratum Breastfed (BF)

    Initial SC dose of PGT121.414.LS at birth, based on weight. Second SC dose of 100 mg PGT121.414.LS at Week 12, if still breastfeeding. Dosing at Week 12 is not based on weight.

    Drug: PGT121.414.LS

  • Experimental
    Cohort 2 Stratum FF

    Single SC doses of PGT121.414.LS and VRC07-523LS at birth, based on weight.

    Drug: PGT121.414.LS · Drug: VRC07-523LS

  • Experimental
    Cohort 2 Stratum BF

    Initial SC doses of PGT121.414.LS and VRC07-523LS at birth, based on weight. Second SC doses of 100 mg of PGT121.414.LS and 100 mg VRC07-523LS at Week 12, if still breastfeeding. Dosing at Week 12 is not based on weight.

    Drug: PGT121.414.LS · Drug: VRC07-523LS

Interventions

  • DrugPGT121.414.LS

    Administered SC in the thigh

  • Administered SC in the thigh

06

What researchers measure

Primary outcomes

  1. Proportion of infants with at least one Grade 3 or higher Adverse Event (AE) (one dose)

    Time frame: Day 0 through Week 12

  2. Proportion of infants with at least one Grade 3 or higher AE assessed as related to study product (one dose)

    Time frame: Day 0 through Week 12

  3. Proportion of infants with at least one Grade 3 or higher AE (two doses)

    Time frame: Day 0 through Week 24

  4. Proportion of infants with at least one Grade 3 or higher AE assessed as related to study product (two doses)

    Time frame: Day 0 through Week 24

  5. PGT121.414.LS maximum concentration (Cmax) (single/first dose)

    Time frame: Day 0 through Week 48

  6. PGT121.414.LS time of maximum concentration (Tmax) (single/first dose)

    Time frame: Day 0 through Week 48

  7. PGT121.414.LS area under the curve (AUC(0-12WK)) (single/first dose)

    Time frame: Day 0 through Week 12

  8. PGT121.414.LS concentration at the end of the first dose interval (C(12WK)) (single/first dose)

    Time frame: Week 12

  9. PGT121.414.LS concentration at the end of the second dose interval (C(24WK)) (two doses)

    Time frame: Week 24

  10. VRC07-523LS maximum concentration (Cmax) (single/first dose)

    Time frame: Day 0 through Week 48

  11. VRC07-523LS time of maximum concentration (Tmax) (single/first dose)

    Time frame: Day 0 through Week 48

  12. VRC07-523LS area under the curve (AUC(0-12WK))

    Time frame: Day 0 through Week 12

  13. VRC07-523LS concentration at the end of the first dose interval (C(12WK)) single/first dose)

    Time frame: Week 12

  14. VRC07-523LS concentration at the end of the second dose interval (C(24WK)) (two doses)

    Time frame: Week 24

Secondary outcomes

  1. Proportion of infants with at least one Grade 3 or higher AE

    Time frame: Day 0 through Week 96

  2. Proportion of infants with at least one Grade 3 or higher AE assessed as related to study product

    Time frame: Day 0 through Week 96

  3. Proportion of infants with at least one Grade 2 or higher AE (one dose)

    Time frame: Day 0 through Week 12

  4. Proportion of infants with at least one Grade 2 or higher AE assessed as related to study product (one dose)

    Time frame: Day 0 through Week 12

  5. Proportion of infants with at least one Grade 2 or higher AE (two doses)

    Time frame: Day 0 through Week 24

  6. Proportion of infants with at least one Grade 2 or higher AE assessed as related to study product (two doses)

    Time frame: Day 0 through Week 24

  7. Proportion of infants with any AEs that lead to study product discontinuation

    Time frame: Day 0 through Week 12

  8. PGT121.414.LS AUC(0-48WK) after single dose administration

    Time frame: Week 48

  9. PGT121.414.LS concentration after single dose administration

    Time frame: Week 48

  10. PGT121.414.LS concentration after two dose administration

    Time frame: Week 60

  11. PGT121.414.LS apparent clearance (CL/F)

    Time frame: Day 0 through Week 60

  12. PGT121.414.LS half-life (T1/2) following single dose administration

    Time frame: Day 0 through Week 48

  13. PGT121.414.LS half-life (T1/2) following two dose administration

    Time frame: Day 0 through Week 60

  14. VRC07-523LS AUC(0-48WK) after single dose administration

    Time frame: Week 48

  15. VRC07-523LS concentration after single dose administration

    Time frame: Week 48

  16. VRC07-523LS concentration after two dose administration

    Time frame: Week 60

  17. VRC07-523LS apparent clearance (CL/F)

    Time frame: Day 0 through Week 60

  18. VRC07-523LS half-life (T1/2) following single dose administration

    Time frame: Day 0 through Week 48

  19. VRC07-523LS half-life (T1/2) following tow dose administration

    Time frame: Day 0 through Week 60

  20. Proportion of infants with PGT121.414.LS concentrations > 20 and > 50 mcg/mL following single/first dose administration

    Time frame: Week 12

  21. Proportion of infants with PGT121.414.LS concentrations > 20 and > 50 mcg/mL following two dose administration

    Time frame: Week 24

  22. Proportion of infants with VRC07-523LS concentrations > 10 and > 20 mcg/mL following single/first dose administration

    Time frame: Week 12

  23. Proportion of infants with PGT121.414.LS concentrations > 10 and > 20 mcg/mL following two dose administration

    Time frame: Week 24

  24. Proportion of infants with anti-PGT121.414.LS antibodies detected

    Time frame: Week 24

  25. Proportion of infants with anti-VRC07-523LS antibodies detected

    Time frame: Week 24

  26. Proportion of infants with anti-PGT121.414.LS antibodies detected

    Time frame: Week 48

  27. Proportion of infants with anti-VRC07-523LS antibodies detected

    Time frame: Week 48

  28. Proportion of infants with confirmed HIV infection following receipt of study product

    Time frame: Day 0 through Week 96

  29. Frequency of study product injection site local reactions for one and two SC doses of PGT121.414.LS alone or in combination with VRC07-523LS

    Time frame: Day 0 through Week 13

07

Study locations

6 of 19 sites recruiting
  • Site 5112, David Geffen School of Medicine at UCLA
    Los Angeles, California 90095, United States
    Not yet recruiting
  • Site 5052, University of Colorado Denver NICHD CRS
    Aurora, Colorado 80045, United States
    Recruiting
  • Site 5051, University of Florida Jacksonville NICHD CRS
    Jacksonville, Florida 32209, United States
    Recruiting
  • Site 32512, Pediatric Perinatal HIV CRS
    Miami, Florida 33136, United States
    Not yet recruiting
  • Site 5127, Pediatric Perinatal HIV
    Miami, Florida 33136, United States
    Withdrawn

    Not enrolling at this site.

  • Site 5030, Emory University School of Medicine NICHD CRS
    Atlanta, Georgia 30322, United States
    Not yet recruiting
  • Site 32515, Rush Univ./Cook County Hosp. Chicago CRS
    Chicago, Illinois 60612, United States
    Not yet recruiting
  • Site 5083, Rush University Cook County Hospital Chicago
    Chicago, Illinois 60612, United States
    Withdrawn

    Not enrolling at this site.

  • Site 5092, Johns Hopkins University Baltimore
    Baltimore, Maryland 21287, United States
    Recruiting
  • Site 5114, Bronx-Lebanon Hospital Center
    The Bronx, New York 10457, United States
    Recruiting
  • Site 5013, Jacobi Med. Ctr Bronx NICHD CRS
    The Bronx, New York 10461, United States
    Not yet recruiting
  • Site 6501, St. Jude Children's Research Hospital CRS
    Memphis, Tennessee 38105, United States
    Not yet recruiting
  • Site 5128, Baylor College of Medicine/Texas Children's Hospital NICHD CRS
    Houston, Texas 77030, United States
    Recruiting
  • Site 5072, Hospital Federal dos Servidores do Estado
    Rio de Janeiro, Brazil CEP 20221-903, Brazil
    Withdrawn

    Not enrolling at this site.

  • Site 5097, Hospital Geral De Nova Iguacu Brazil NICHD CRS
    Rio de Janeiro, 26030, Brazil
    Not yet recruiting
  • Site 5121, Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho CRS
    Kericho, 20200, Kenya
    Recruiting
  • Site 32513, IMPAACT/Gamma Project/UPR Pediatric HIV/AIDS Research Network CRS
    San Juan, Puerto Rico 00935, Puerto Rico
    Not yet recruiting
  • Site 8950, FAMCRU
    Cape Town, Parrow Valley 7505, South Africa
    Not yet recruiting
  • Site 31890, Harare Family Care CRS
    Harare, Zimbabwe
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie results in the publication, after deidentification

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 3 months following publication and available throughout period of funding of the International Maternal Pediatric Adolescent AIDS Clinical Trial (IMPAACT) Network by NIH.

Access criteria: With whom? Researchers who provide a methodologically sound proposal for use of the data that is approved by the IMPAACT Network. For what types of analyses? To achieve aims in the proposal approved by the IMPAACT Network. By what mechanism will data be made available? Researchers may submit a request for access to data using the IMPAACT "Data Request" form at: https:// www.impaactnetwork.org/ resources/study-proposals.htm. Researchers of approved proposals will need to sign an IMPAACT Data Use Agreement before receiving the data.

Data sharing details ↗ · www.impaactnetwork.org

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
11 sites added, 9 sites removed
Show 11 added (8 United States, 1 Brazil, 1 Kenya, 1 Zimbabwe)
  • Site 5052, University of Colorado Denver NICHD CRS · Aurora, United States
  • Site 5051, University of Florida Jacksonville NICHD CRS · Jacksonville, United States
  • Site 32512, Pediatric Perinatal HIV CRS · Miami, United States
  • Site 5030, Emory University School of Medicine NICHD CRS · Atlanta, United States
  • Site 32515, Rush Univ./Cook County Hosp. Chicago CRS · Chicago, United States
  • Site 5013, Jacobi Med. Ctr Bronx NICHD CRS · The Bronx, United States
  • Site 6501, St. Jude Children's Research Hospital CRS · Memphis, United States
  • Site 5128, Baylor College of Medicine/Texas Children's Hospital NICHD CRS · Houston, United States
  • Site 5097, Hospital Geral De Nova Iguacu Brazil NICHD CRS · Rio de Janeiro, Brazil
  • Site 5121, Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho CRS · Kericho, Kenya
  • Site 31890, Harare Family Care CRS · Harare, Zimbabwe
Show 9 removed
  • Site 5052, University of Colorado Denver · Aurora, United States
  • Site 5051, University of Florida Jacksonville · Jacksonville, United States
  • Site 5030, Emory University School of Medicine · Atlanta, United States
  • Site 5013, Jacobi Medical Center Bronx · The Bronx, United States
  • Site 6501, St. Jude Children's Research Hospital · Memphis, United States
  • Site 5128, Baylor College of Medicine/Texas Children's Hospital · Houston, United States
  • Site 5097, Hospital Geral De Nova Iguacu Brazil · Rio de Janeiro, Brazil
  • Site 5121, Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho · Kericho, Kenya
  • Site 31890, Harare Family Care · Harare, Zimbabwe
Nov 3, 2026
Primary completion
Dec 31, 2027→Nov 30, 2027
Nov 3, 2026
Study completion
Jun 30, 2028→May 31, 2029
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    11 sites added, 9 sites removed
    Show 11 added (8 United States, 1 Brazil, 1 Kenya, 1 Zimbabwe)
    • Site 5052, University of Colorado Denver NICHD CRS · Aurora, United States
    • Site 5051, University of Florida Jacksonville NICHD CRS · Jacksonville, United States
    • Site 32512, Pediatric Perinatal HIV CRS · Miami, United States
    • Site 5030, Emory University School of Medicine NICHD CRS · Atlanta, United States
    • Site 32515, Rush Univ./Cook County Hosp. Chicago CRS · Chicago, United States
    • Site 5013, Jacobi Med. Ctr Bronx NICHD CRS · The Bronx, United States
    • Site 6501, St. Jude Children's Research Hospital CRS · Memphis, United States
    • Site 5128, Baylor College of Medicine/Texas Children's Hospital NICHD CRS · Houston, United States
    • Site 5097, Hospital Geral De Nova Iguacu Brazil NICHD CRS · Rio de Janeiro, Brazil
    • Site 5121, Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho CRS · Kericho, Kenya
    • Site 31890, Harare Family Care CRS · Harare, Zimbabwe
    Show 9 removed
    • Site 5052, University of Colorado Denver · Aurora, United States
    • Site 5051, University of Florida Jacksonville · Jacksonville, United States
    • Site 5030, Emory University School of Medicine · Atlanta, United States
    • Site 5013, Jacobi Medical Center Bronx · The Bronx, United States
    • Site 6501, St. Jude Children's Research Hospital · Memphis, United States
    • Site 5128, Baylor College of Medicine/Texas Children's Hospital · Houston, United States
    • Site 5097, Hospital Geral De Nova Iguacu Brazil · Rio de Janeiro, Brazil
    • Site 5121, Kenya Medical Research Institute/Walter Reed Project Clinical Research Center, Kericho · Kericho, Kenya
    • Site 31890, Harare Family Care · Harare, Zimbabwe
    Primary completion Dec 31, 2027→Nov 30, 2027
    Study completion Jun 30, 2028→May 31, 2029
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06517693
Responsible party
Sponsor
First posted
Jul 24, 2024
Start date
Jan 5, 2026
Primary completion
Nov 30, 2027 (estimated)
Completion
May 31, 2029 (estimated)
Last update
Nov 3, 2026

Study contacts

Emily Brown
Contact
embrown@fhi360.org
919-321-3806
Coleen Cunningham
study chair · University of California, Irvine

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: VRC07-523LS

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