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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04223804
Registration number
NCT04223804
Ethics application status
Date submitted
8/01/2020
Date registered
10/01/2020
Titles & IDs
Public title
A Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of ABBV-181 (Budigalimab) in Adult Participants With Human Immunodeficiency Virus (HIV)-1
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Scientific title
A Randomized, Double-blind, Placebo-controlled, Phase 1b Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Multiple Doses of ABBV-181 in HIV-1 Infected Adults
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Secondary ID [1]
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2019-004866-16
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Secondary ID [2]
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M19-939
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Human Immunodeficiency Virus (HIV)
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HIV Infection
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HIV-1
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Condition category
Condition code
Infection
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Acquired immune deficiency syndrome (AIDS / HIV)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ABBV-181
Treatment: Drugs - Placebo
Placebo comparator: Stage 1: Arm A - Participants will receive placebo.
Experimental: Stage 1: Arm B - Participants will receive ABBV-181 dose A.
Experimental: Stage 1: Arm C - Participants will receive ABBV-181 dose B.
Placebo comparator: Stage 2: Arm D - Participants will receive Placebo.
Experimental: Stage 2: Arm E - Participants will receive ABBV-181 dose C.
Treatment: Drugs: ABBV-181
Intravenous (IV) Infusion
Treatment: Drugs: Placebo
Intravenous (IV) infusion
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Participants with Study Drug-Related Adverse Events Grade 3 or Higher
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Assessment method [1]
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An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of the study drug as either having a reasonable possibility or no reasonable possibility. AEs are given a grade from 1-5 with Grade 3 being severe but not life-threatening and requiring hospitalization, Grade 4 being life-threatening requiring immediate intervention and Grade 5 being death related to an AE.
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Timepoint [1]
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Up to approximately 44 weeks
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Primary outcome [2]
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Number of Participants with Study Drug-Related Immune-Related Adverse Events (IRAE)
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Assessment method [2]
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Assessed using the American Society of Clinical Oncology (ASCO) IRAE management guidelines (which utilizes the NIH CTCAE grading scale) but modified, as applicable, according to the NIH Division of AIDS (DAIDS) (v2.1) AE grading scale.
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Timepoint [2]
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Up to approximately 44 weeks
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Primary outcome [3]
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Number of Participants with Adverse Events (AEs) Corresponding to Retroviral Rebound Syndrome
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Assessment method [3]
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Adverse Events (AEs) Corresponding to Retroviral Rebound Syndrome.
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Timepoint [3]
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Up to approximately 44 weeks
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Primary outcome [4]
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Maximum Observed Concentration (Cmax)
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Assessment method [4]
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Maximum Observed Concentration (Cmax) of ABBV-181.
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Timepoint [4]
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Up to approximately 36 weeks
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Primary outcome [5]
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Time to Cmax (Tmax)
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Assessment method [5]
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Time to Cmax (Tmax) of ABBV-181.
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Timepoint [5]
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Up to approximately 36 weeks
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Primary outcome [6]
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Observed Concentration (Ctrough)
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Assessment method [6]
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Observed Concentration (Ctrough) at the end of the dosing intervals for ABBV-181.
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Timepoint [6]
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Up to approximately 36 weeks
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Primary outcome [7]
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Area Under the Curve (AUCtau)
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Assessment method [7]
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Area Under the Curve (AUCtau) during the dosing intervals for ABBV-181.
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Timepoint [7]
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Up to approximately 36 weeks
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Primary outcome [8]
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Half-life (t1/2)
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Assessment method [8]
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Half-life (t1/2) of ABBV-181 following the last dose.
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Timepoint [8]
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Up to approximately 36 weeks
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Eligibility
Key inclusion criteria
* Body Mass Index (BMI) between 18.0 and 35 kg/m2.
* HIV-1 infected on antiretroviral therapy (ART) for at least 12 months prior to screening and on current ART regimen for at least 8 weeks prior to screening.
* Meets HIV-specific laboratory parameters as below:
* Plasma HIV-1 RNA below lower limit of quantification (LLOQ) at screening and at least 6 months prior to screening.
* CD4+ T cell count >= 500 cells/uL at screening and at least once during the 12 months prior to screening.
* CD4+ T cell nadir of >= 200 cells/uL during chronic infection.
* Willing to undergo ART interruption.
* Agrees to use an effective barrier method of protection (male and/or female condoms) during sexual activity for protection against HIV-1 transmission throughout the entire study.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Known resistance to at least 2 classes of ART.
* History of AIDS-defining illness.
* Active or suspected malignancy or history of malignancy (other than basal cell skin cancer or cervical carcinoma in situ) in the past 5 years.
* History of or active immunodeficiency (other than HIV).
* Active autoimmune disease or history of autoimmune disease that has required systemic treatment.
* Prior receipt of immunomodulatory or immunosuppressive (including intravenous infusion or oral steroids at any dose, but excluding steroids that are inhaled, topical or by local injection) therapy within 24 weeks prior to the first dose of study drug.
* Prior therapy/exposure to ABBV-181 or any other immune checkpoint inhibitor.
* Current hepatitis B virus or hepatitis C virus infection.
* Clinically significant medical disorders that might expose the participants to undue risk of harm, confound study outcomes, or prevent the participant from completing the study (including but not limited to significant or unstable cardiac, neurologic or pulmonary disease, chronic active infectious disease except for HIV, chronic liver disease, poorly controlled diabetes mellitus and history of Stevens Johnson Syndrome toxic epidermal necrolysis (TEN), or drug reaction with eosinophilia and systemic symptoms (DRESS)).
* Known psychiatric or substance abuse disorders that would interfere with adherence to study requirements.
* Female participants must not be pregnant, breastfeeding, or considering becoming pregnant during the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
30/01/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
27/02/2023
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Sample size
Target
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Accrual to date
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Final
41
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Holdsworth House Medical Practice /ID# 215352 - Darlinghurst
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Recruitment hospital [2]
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St Vincent's Hospital Sydney /ID# 215354 - Darlinghurst
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Recruitment hospital [3]
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The Royal Melbourne Hospital /ID# 215351 - Parkville
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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3050 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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District of Columbia
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Country [3]
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United States of America
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State/province [3]
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Florida
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Country [4]
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United States of America
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State/province [4]
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Michigan
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Country [5]
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United States of America
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State/province [5]
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Minnesota
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Country [6]
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United States of America
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State/province [6]
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New Jersey
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Country [7]
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United States of America
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State/province [7]
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Ohio
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Country [8]
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United States of America
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State/province [8]
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Texas
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Country [9]
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United States of America
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State/province [9]
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Washington
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Country [10]
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Canada
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State/province [10]
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Ontario
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Country [11]
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Canada
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State/province [11]
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Quebec
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Country [12]
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Puerto Rico
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State/province [12]
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San Juan
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AbbVie
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will be conducted in two stages and will test the safety/tolerability, pharmacokinetics (how the body handles study drug) and pharmacodynamics (effects on the immune system and the virus) of the study drug ABBV-181 in Human immunodeficiency virus (HIV)-1 infected participants undergoing Antiretroviral therapy (ART) interruption.
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Trial website
https://clinicaltrials.gov/study/NCT04223804
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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ABBVIE INC.
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Address
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AbbVie
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04223804