Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202005582198497 Date of Approval: 20/05/2020
Trial Status: Retrospective registration - This trial was registered after enrolment of the first participant
TRIAL DESCRIPTION
Public title HPTN 081 AMP Study
Official scientific title A phase 2b study to evaluate the safety and efficacy of VRC01 broadly neutralizing monoclonal antibody in reducing acquisition of HIV-1 infection in women in sub-Saharan Africa. DAIDS DOCUMENT ID 12045
Brief summary describing the background and objectives of the trial VRC01 is a human mAb, developed by VRC/NIAID/NIH, directed against the CD4-binding site of HIV-1. The bulk lot of the drug substance was manufactured under current Good Manufacturing Practice (cGMP) conditions in a Chinese Hamster Ovary (CHO) cell line and the drug product vials were filled and labeled at the VRC Vaccine Pilot Plant (Frederick, Maryland, USA) operated by Leidos Biomedical Research, Inc. (formerly SAIC-Frederick), Frederick, Maryland (USA). Primary objective 1: To evaluate the safety and tolerability of VRC01 mAb administered through IV infusion in sub-Saharan African women Primary endpoint 1: Local and systemic reactogenicity signs and symptoms, laboratory measures of safety, AEs, SAEs, and rates of discontinuation Primary objective 2: To determine if the VRC01 mAb prevents HIV-1 infection and to estimate the level of efficacy in sub-Saharan African women Primary endpoint 2: Documented HIV-1 infection by the Week 80 study visit
Type of trial RCT
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied HIV/AIDS
Purpose of the trial Prevention
Anticipated trial start date 01/12/2016
Actual trial start date 06/12/2016
Anticipated date of last follow up 01/08/2020
Actual Last follow-up date
Anticipated target sample size (number of participants) 82
Actual target sample size (number of participants) 82
Recruitment status Closed to recruitment,follow-up continuing
Publication URL
Secondary Ids Issuing authority/Trial register
3175 Kenya Medical Research Institute Scientifics and Ethics Review Unit
160401 Kenya Pharmacy and Poisons Board
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Factorial: participants randomly allocated to either no, one, some or all interventions simultaneously Randomised Simple randomization using a randomization table created by a computer software program Allocation was determined by the holder of the sequence who is situated off site Masking/blinding used Care giver/Provider,Outcome Assessors,Participants
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Control Group Placebo group 3 72 weeks IV infusion 20 Placebo
Experimental Group Intravenous VRCO1 Group 1 10 mg/kg every 8 weeks 72 Weeks IV Infusion 20
Experimental Group Intravenous VRCO1 Group 2 30 mg/kg every 8 weeks 72 weeks IV Infusion 20
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
Inclusion criteria General and Demographic Criteria 1. Age of 18 to 40 years 2. Access to a participating CRS and willingness to be followed for the planned duration of the study 3. Ability and willingness to provide informed consent 4. Assessment of understanding: volunteer demonstrates understanding of this study and completes a questionnaire prior to first infusion with verbal demonstration of understanding of all questionnaire items answered incorrectly 5. Agrees not to enroll in another study of an investigational research agent for the duration of the participant’s trial participation 6. Good general health as shown by medical history, physical exam, and screening laboratory tests HIV-Related Criteria: 7. Willingness to receive HIV test results 8. Willingness to discuss HIV infection risks and amenable to HIV risk reduction counseling 9. Persons born Female (assigned female sex at birth) and identifying as female, who, in the 6 months prior to randomization, has had vaginal and/or anal intercourse with a male partner Exclusion criteria General 1. Investigational research agents received within 30 days before first infusion 2. Body mass index (BMI) ≥ 40 3. Pregnant or breastfeeding 4. Any reactive, indeterminate, or positive HIV test, even if subsequent testing indicates that the individual is not HIV infected, except as permitted by the HVTN 703/HPTN 081 PSRT Vaccines 5. HIV vaccine(s) received in a prior HIV vaccine trial. For volunteers who have received control/placebo in an HIV vaccine trial, the HVTN 703/HPTN 081 PSRT will determine eligibility on a case-by-case basis. Immune System 6. Serious adverse reactions to VRC01 formulation components such as sodium citrate, sodium chloride, and L-arginine hydrochloride, including history of anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema, and/or abdominal pain. 7. Autoimmune disease, including Type I diabetes mellitus (Not excluded from participation: Volunteer with mild, stable and uncomplicated autoimmune disease that does not require consistent immunosuppressive medication and that, in the judgment of the site investigator, is likely not subject to exacerbation and likely not to complicate reactogenicity and AE assessments) 8. Immunodeficiency syndrome Clinically significant medical conditions 9. 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:  Any contraindication to repeated infusions or blood draws, including inability to establish venous access;  A condition that requires active medical intervention or monitoring to avert grave danger to the volunteer’s health or well-being during the study period; or A condition or process for which signs or symptoms could be confused with reactions to VRC01. 10. Any medical, psychiatric, occupational, or other condition that, in the judgment of the investigator, would interfere with, or serve as a contraindication to, protocol adherence, assessment of safety or infusion reactions, or a volunteer’s ability to give informed consent 11. Psychiatric condition that precludes compliance with the protocol. Specifically excluded are persons with psychoses within the past 3 years, ongoing risk for suicide, or history of suicide attempt or gesture within the past 3 years. 12. Asthma, other than mild, well-controlled asthma 13. Bleeding disorder diagnosed by a doctor (eg, factor deficiency, coagulopathy, or platelet disorder requiring special precautions) 14. Malignancy (Not excluded from participation: Volunteer who has had malignancy excised surgically and who, in the investigator’s estimation, has a reasonable assurance of sustained cure. or who is unlikely to experience recurrence of malignancy during the period of the study) 15. Seizure disorder: History of seizure(s) within past three years. Also exclude if volunteer has used medications in order to prevent or treat seizure(s) at any time within the past 3 years. 16. History of hereditary angioedema, acquired angioedema, or idiopathic angioedema 17. History of receiving transplantation of life-saving organs or tissue (includes heart, kidney, pancreas, lungs, liver, and intestines) 18. Known hepatic or renal dysfunction Adult: 19 Year-44 Year 18 Year(s) 40 Year(s) Female
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 03/03/2016 KEMRI SERU
Ethics Committee Address
Street address City Postal code Country
PO BOX 54840 Nairobi Off Mbagathi way Nairobi 00200 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 14/07/2016 Kenya Pharmcy and Poisons Board
Ethics Committee Address
Street address City Postal code Country
PO BOX 27663 Lenana Road , Nairobi Nairobi 00506 Kenya
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Local and systemic reactogenicity signs and symptoms, laboratory measures of safety, AEs, SAEs, and rates of discontinuation Ongoing
Primary Outcome Documented HIV-1 infection by the Week 80 study visit week 80
Secondary Outcome Serum concentration of VRC01 in participants assigned to receive the mAb (ELISA, neutralizing assay) end of study
Secondary Outcome Serum mAb effector functions to HIV-1 Envs representing variability of the VRC01 antibody footprint end of study
Secondary Outcome Sequences of breakthrough HIV infections from the earliest available HIV-positive plasma samples End of Study
Secondary Outcome VRC01 neutralization-sensitivity of, and effector function against, HIV strains from infected trial participants from the earliest available post–HIV-infection serum samples End of stuudy
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Kisumu Clinical Research Site KEMRI Off Busia Road PO BOX 1578 Kisumu 40100 Kenya
FUNDING SOURCES
Name of source Street address City Postal code Country
National Institute of Allergy and Infectious Diseases NIAID Office of Communications and Government Relations 5601 Fishers Lane, MSC 9806 Bethseda United States of America
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Division of AIDS N/A NA United States of America Funding Agency
COLLABORATORS
Name Street address City Postal code Country
Kenya Medical Research Institute PO BOX 1578 Kisumu JOOTRH Hospital Busia Road Kisumu Kisumu 40100 Kenya
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Grace Mboya gmboya@kemricdc.org +254705300452 Kemri Off Busia Road
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya Medical OfficerPrincipal Investigator
Role Name Email Phone Street address
Public Enquiries Philister Adhiambo Philister PAdhiambo@kemricdc.org +254703704299 Kemri Off Busia Road
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya Study Coordinator
Role Name Email Phone Street address
Scientific Enquiries Nereah Kisera nkisera@kemricdc.org +254723333370 Kemri off Busia Road
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya Phamacist of Record
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes Statistical Center for HIV/AIDS Research and Prevention(SCHARP) provides statistical support and data management services for all participants Clinical Study Report,Informed Consent Form,Statistical Analysis Plan,Study Protocol Study updates are shared annually to IRB. Complete IPD will be shared by sponsor at end of Study as this is a multi site trial HPTN study website
URL Results Available Results Summary Result Posting Date First Journal Publication Date
No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information