Evaluating the Safety and Efficacy of the VRC01 Antibody in Reducing Acquisition of HIV-1 Infection Among Men and Transgender Persons Who Have Sex With Men
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ClinicalTrials.gov Identifier: NCT02716675 |
Recruitment Status :
Completed
First Posted : March 23, 2016
Results First Posted : February 8, 2022
Last Update Posted : February 23, 2022
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Sponsor:
National Institute of Allergy and Infectious Diseases (NIAID)
Information provided by (Responsible Party):
National Institute of Allergy and Infectious Diseases (NIAID)
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Prevention |
Condition |
HIV Infections |
Interventions |
Biological: VRC01 Biological: Placebo for VRC01 |
Enrollment | 2699 |
Participant Flow
Recruitment Details | |
Pre-assignment Details | Participants were randomly assigned to the placebo, low-dose VRC01, or high-dose VRC01 arm. The pooled VRC01 arm represents participants assigned to low-dose or high-dose VRC01 and is the primary comparison group for the primary analysis of prevention efficacy. |
Arm/Group Title | Placebo | Low-Dose VRC01 | High-Dose VRC01 |
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Placebo (Sodium Chloride, USP 0.9%) by intravenous (IV) infusion at Weeks 0 (study entry), 8, 16, 24, 32, 40, 48, 56, 64, and 72. | VRC01 mAb by intravenous (IV) infusion at a dose of 10 mg/kg at Weeks 0 (study entry), 8, 16, 24, 32, 40, 48, 56, 64, and 72. | VRC01 mAb by intravenous (IV) infusion at a dose of 30 mg/kg at Weeks 0 (study entry), 8, 16, 24, 32, 40, 48, 56, 64, and 72. |
Period Title: Overall Study | |||
Started [1] | 903 | 899 | 897 |
Modified Intent-to-treat Population [2] | 898 | 895 | 894 |
Completed | 703 | 702 | 686 |
Not Completed | 200 | 197 | 211 |
Reason Not Completed | |||
Death | 2 | 3 | 0 |
Physician Decision | 2 | 1 | 1 |
Lost to Follow-up | 100 | 87 | 99 |
Withdrawal by Subject | 22 | 25 | 20 |
Protocol Violation | 0 | 3 | 1 |
Participant Unable to Adhere to Visit Schedule | 36 | 31 | 42 |
Other | 38 | 47 | 48 |
[1]
Enrollment is concurrent with receiving the first infusion (safety analyses)
[2]
Participants excluded from MITT if HIV positive at enrollment or randomized/enrolled more than once (efficacy analyses)
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Baseline Characteristics
Arm/Group Title | Placebo | Low-Dose VRC01 | High-Dose VRC01 | Total | |
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Placebo (Sodium Chloride, USP 0.9%) by intravenous (IV) infusion at Weeks 0 (study entry), 8, 16, 24, 32, 40, 48, 56, 64, and 72. | VRC01 mAb by intravenous (IV) infusion at a dose of 10 mg/kg at Weeks 0 (study entry), 8, 16, 24, 32, 40, 48, 56, 64, and 72. | VRC01 mAb by intravenous (IV) infusion at a dose of 30 mg/kg at Weeks 0 (study entry), 8, 16, 24, 32, 40, 48, 56, 64, and 72. | Total of all reporting groups | |
Overall Number of Baseline Participants | 903 | 899 | 897 | 2699 | |
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Safety Population
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Age, Continuous
Median (Full Range) Unit of measure: Years |
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Number Analyzed | 903 participants | 899 participants | 897 participants | 2699 participants | |
28
(18 to 50)
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28
(18 to 52)
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27
(18 to 50)
|
28
(18 to 52)
|
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Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 903 participants | 899 participants | 897 participants | 2699 participants |
Less than 18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
18 - 20 years |
95 10.5%
|
94 10.5%
|
106 11.8%
|
295 10.9%
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|
21 - 30 years |
496 54.9%
|
474 52.7%
|
480 53.5%
|
1450 53.7%
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31 - 40 years |
232 25.7%
|
253 28.1%
|
208 23.2%
|
693 25.7%
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|
41 - 50 years |
80 8.9%
|
77 8.6%
|
103 11.5%
|
260 9.6%
|
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Above 50 years |
0 0.0%
|
1 0.1%
|
0 0.0%
|
1 0.0%
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|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 903 participants | 899 participants | 897 participants | 2699 participants | |
Female |
11 1.2%
|
7 0.8%
|
8 0.9%
|
26 1.0%
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|
Male |
892 98.8%
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892 99.2%
|
889 99.1%
|
2673 99.0%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 903 participants | 899 participants | 897 participants | 2699 participants | |
Hispanic or Latino |
532 58.9%
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517 57.5%
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495 55.2%
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1544 57.2%
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Not Hispanic or Latino |
371 41.1%
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382 42.5%
|
402 44.8%
|
1155 42.8%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
|
0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 903 participants | 899 participants | 897 participants | 2699 participants | |
American Indian or Alaska Native |
6 0.7%
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7 0.8%
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3 0.3%
|
16 0.6%
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|
Asian |
22 2.4%
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29 3.2%
|
18 2.0%
|
69 2.6%
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Native Hawaiian or Other Pacific Islander |
4 0.4%
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2 0.2%
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2 0.2%
|
8 0.3%
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Black or African American |
132 14.6%
|
132 14.7%
|
144 16.1%
|
408 15.1%
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White |
286 31.7%
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272 30.3%
|
293 32.7%
|
851 31.5%
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More than one race |
32 3.5%
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32 3.6%
|
24 2.7%
|
88 3.3%
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Unknown or Not Reported |
421 46.6%
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425 47.3%
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413 46.0%
|
1259 46.6%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 903 participants | 899 participants | 897 participants | 2699 participants |
United States |
460 50.9%
|
464 51.6%
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457 50.9%
|
1381 51.2%
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Brazil |
51 5.6%
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49 5.5%
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51 5.7%
|
151 5.6%
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Peru |
380 42.1%
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374 41.6%
|
377 42.0%
|
1131 41.9%
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Switzerland |
12 1.3%
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12 1.3%
|
12 1.3%
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36 1.3%
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Outcome Measures
Adverse Events