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NCT02850016: ROADMAP

Romidepsin Plus 3BNC117 Phase 2a Study

Completed Phase 2 Results posted Last updated 14 July 2022
What this trial tests

Phase 2 trial testing 3BNC117 in Human Immunodeficiency Virus (HIV) in 48 participants. Completed in 31 December 2020.

Timeline
6 January 2017
Primary endpoint
31 December 2020
31 December 2020

Quick facts

Lead sponsorRockefeller University
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment48
Start date6 January 2017
Primary completion31 December 2020
Estimated completion31 December 2020
Sites3 locations across Denmark, United States, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Rockefeller University

Who can join

Adults 18 to 65, any sex, with Human Immunodeficiency Virus (HIV). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Days to Viral Rebound During Analytical Treatment Interruption (ATI) Primary · Week 24 to Week 36

Viral rebound is defined as HIV-1 RNA ≥ 200 copies/mL on 2 consecutive measurements during ATI. If viral rebound occurs, the date of the first measurement of HIV-1 RNA ≥ 200 copies/mL will be defined as "date of viral rebound

GroupValue95% CI
Group A1814 – 28
Group B2821 – 35
Number of of Adverse Events (AE), Serious Adverse Events (SAE), and Serious Unexpected Serious Adverse Reactions (SUSAR). Secondary · 48 weeks

The occurrence of adverse events was assessed during each follow up visit. Adverse events of grades 1 or higher were reported.

All Adverse events related to Romidepsin
GroupValue95% CI
Group A112
Group B66
All Adverse events related to 3BNC117
GroupValue95% CI
Group A4
Group B0
Grade 2 or higher Adverse Events Related to Romidepsin
GroupValue95% CI
Group A29
Group B5
Grade 2 or higher Adverse Events Related to 3BNC117
GroupValue95% CI
Group A1
Group B0
Change in the Size of the Proviral HIV-1 Reservoir Secondary · baseline and week 24

Determined by total HIV-1 DNA and episomal HIV-1 DNA (2-LTR) in circulating total CD4+ T cells at baseline and prior to the ATI period (week 24).

GroupValue95% CI
Group A5827 – 482
Group B460 – 270
Plasma HIV-1 RNA Secondary · 48 weeks

As measured by a routine clinical assay (Cobas Taqman; detection limit 20 copies/mL), a transcription mediated amplification (TMA)-based assay (detection limit 12 copies/ml) and/or a single copy assay (detection limit 1-2 copies/mL)

GroupValue95% CI
Group A4
Group B4
HIV-1 Transcriptional Activity as Determined by Unspliced HIV-1 RNA (CA usHIV-1 RNA) in Circulating Total CD4+ T Cells. Secondary · baseline and week 24

The median fold-change in cell-associated unspliced HIV-1 RNA concentrations after romidepsin administration across all infusions

GroupValue95% CI
Group A91 – 111
Group B115 – 85

Adverse events — posted to ClinicalTrials.gov

Time frame: 48 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group A
Serious: 0/11 (0%)
Deaths: 0/11
Group B
Serious: 0/9 (0%)
Deaths: 0/9
Other adverse events (17 terms — click to expand)

ReactionSystemGroup AGroup B
NauseaGastrointestinal disorders
FatigueGeneral disorders
HeadacheGeneral disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
MalaiseGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
XerostomiaEye disorders
Decreased phosphorusInvestigations
Increased creatinineRenal and urinary disorders
HeartburnGastrointestinal disorders
NeutropeniaCardiac disorders
ThrombocytopeniaBlood and lymphatic system disorders
Prolonged QT intervalCardiac disorders
ConstipationGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
Abdominal discomfortGastrointestinal disorders

Data from ClinicalTrials.gov NCT02850016 adverse events section.

Sponsor's own description

The aim of this protocol is to evaluate the effects of romidepsin plus 3BNC117 or romidepsin alone on delaying or preventing viral rebound in ART-treated HIV-1-infected individuals during an analytical interruption of ART.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Curing HIV: Seeking to Target and Clear Persistent Infection.
    Margolis DM, Archin NM, Cohen MS, Eron JJ, et al · · 2020 · cited 144× · PMID 32220311 · DOI 10.1016/j.cell.2020.03.005
  2. Antibody therapies for the prevention and treatment of viral infections.
    Salazar G, Zhang N, Fu TM, An Z. · · 2017 · cited 135× · PMID 29263875 · DOI 10.1038/s41541-017-0019-3
  3. Effect of 3BNC117 and romidepsin on the HIV-1 reservoir in people taking suppressive antiretroviral therapy (ROADMAP): a randomised, open-label, phase 2A trial.
    Gruell H, Gunst JD, Cohen YZ, Pahus MH, et al · · 2022 · cited 65× · PMID 35544074 · DOI 10.1016/s2666-5247(21)00239-1
  4. Recent advances in therapeutic applications of neutralizing antibodies for virus infections: an overview.
    Ali MG, Zhang Z, Gao Q, Pan M, et al · · 2020 · cited 55× · PMID 33161557 · DOI 10.1007/s12026-020-09159-z
  5. Antibody-mediated prevention and treatment of HIV-1 infection.
    Gruell H, Klein F. · · 2018 · cited 53× · PMID 30445968 · DOI 10.1186/s12977-018-0455-9
  6. Advances toward Curing HIV-1 Infection in Tissue Reservoirs.
    Henderson LJ, Reoma LB, Kovacs JA, Nath A. · · 2020 · cited 52× · PMID 31694954 · DOI 10.1128/jvi.00375-19
  7. Nanotechnology approaches to eradicating HIV reservoirs.
    Cao S, Woodrow KA. · · 2019 · cited 37× · PMID 29879528 · DOI 10.1016/j.ejpb.2018.06.002
  8. Broadly neutralizing monoclonal antibodies for HIV prevention.
    Miner MD, Corey L, Montefiori D. · · 2021 · cited 34× · PMID 34806308 · DOI 10.1002/jia2.25829

Verify or expand the search:

Other trials of 3BNC117

Trials testing the same drug.

Other recruiting trials for Human Immunodeficiency Virus (HIV)

Currently open trials in the same condition.

Other Rockefeller University trials

Trials by the same sponsor.

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