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NCT02859961

Study of PRO 140 SC as Single Agent Maintenance Therapy in Virally Suppressed Subjects With CCR5-tropic HIV-1 Infection

Completed Phase 2, PHASE3 Results posted Last updated 4 March 2026
What this trial tests

Phase 2, PHASE3 trial testing PRO 140 (350 mg) in HIV in 562 participants. Completed in 7 December 2020.

Timeline
7 December 2016
Primary endpoint
16 September 2020
7 December 2020

Quick facts

Lead sponsorCytoDyn, Inc.
PhasePhase 2, PHASE3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment562
Start date7 December 2016
Primary completion16 September 2020
Estimated completion7 December 2020
Sites12 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

CytoDyn, Inc. — full company profile →

Who can join

18 and older, any sex, with 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.

Proportion of Participants Who Remain on PRO 140 Monotherapy Regimen at the End of Week 48 Without Experiencing Virologic Failure Primary · From T1 (first treatment administration) to week 48 (T48).

The proportion of participants experiencing virologic failure was analyzed and reported. Virological failure is defined as two consecutive plasma HIV-1 RNA levels of \>= 200 copies/mL.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A0.23
Part 1 - 525 mg Weekly Injections of PRO 140, Group B0.43
Part 1 - 700 mg Weekly Injections of PRO 140, Group C0.45
Proportion of Participants Experiencing Virologic Failure While on PRO 140 Monotherapy Regimen Secondary · From T1 (first treatment administration) to week 48 (T48).

Proportion of participants experiencing virologic failure while on PRO 140 monotherapy arm of the study.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A0.66
Part 1 - 525 mg Weekly Injections of PRO 140, Group B0.42
Part 1 - 700 mg Weekly Injections of PRO 140, Group C0.41
Time to Virologic Failure After Initiating PRO 140 Monotherapy Secondary · From T1 (first treatment administration) to week 48 (T48).

The average time to virologic failure after initiating PRO 140 monotherapy was measured in days for confirmed viral load. For the censored subjects (i.e. subjects who did not have an event) the date of event was the time of the last visit date. Virological failure is defined as two consecutive plasma HIV-1 RNA levels of \>= 200 copies/mL.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A136.9± 115.5
Part 1 - 525 mg Weekly Injections of PRO 140, Group B197.7± 132.4
Part 1 - 700 mg Weekly Injections of PRO 140, Group C200.6± 133.5
Proportion of Participants Achieving Viral Suppression (HIV-1 RNA < 50 Copies/mL) After Experiencing Virologic Failure. Secondary · From T1 (first treatment administration) to subsequent visit when viral re-suppression achieved (up to 52 weeks).

Virologic suppression was defined as plasma HIV-1 RNA levels \< 50 copies/mL as quantified by Human Immunodeficiency Virus 1 (HIV-1) Quantitative, RNA (Taqman® Real-Time PCR) assay.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A0.92
Part 1 - 525 mg Weekly Injections of PRO 140, Group B0.79
Time to Achieving Viral Suppression (HIV-1 RNA < 50 Copies/mL) After Experiencing Virologic Failure Secondary · From T1 (first treatment administration) to subsequent visit when viral re-suppression achieved (up to 52 weeks).

Virologic suppression was defined as plasma HIV-1 RNA levels \< 50 copies/mL as quantified by Human Immunodeficiency Virus 1 (HIV-1) Quantitative, RNA (Taqman® Real-Time PCR) assay.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A78.6± 55.12
Part 1 - 525 mg Weekly Injections of PRO 140, Group B60.89± 60.33
Proportion of Participants With Viral Suppression (HIV-1 RNA < 50 Copies/mL) at Week 48 From the Start of PRO 140 Treatment Phase. Secondary · From T1 (first treatment administration) to week 48 (T48).

Virologic suppression was defined as plasma HIV-1 RNA levels \< 50 copies/mL as quantified by Human Immunodeficiency Virus 1 (HIV-1) Quantitative, RNA (Taqman® Real-Time PCR) assay.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A0.33
Part 1 - 525 mg Weekly Injections of PRO 140, Group B0.54
Part 1 - 700 mg Weekly Injections of PRO 140, Group C0.41
Measurement of Treatment Adherence to the PRO 140 Monotherapy Regimen Secondary · From T1 (first treatment administration) to week 25 (T25).

Treatment adherence in the Safety Population for all three treatment groups is provided. Measurement is proportion of subjects that reached treatment week 25 (T25)

GroupValue95% CI
Part1 - 350 mg Weekly Injections of PRO 140, Group A111
Part 1 - 525 mg Weekly Injections of PRO 140, Group B116
Part 1 - 700 mg Weekly Injections of PRO 140, Group C54
Total Time That Participants Remain Off Combination ART Regimen, Defined as the Time Between Start of PRO 140 Monotherapy and Restart of Combination ART Regimen Secondary · From T1 (first treatment administration) to last visit, up to 20 months.

Total time that participants remain off combination ART regimen will be calculated, defined as the time between start of PRO 140 monotherapy and restart of combination ART Regimen.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A201.53± 131.82
Part 1 - 525 mg Weekly Injections of PRO 140, Group B250.48± 164.43
Part 1 - 700 mg Weekly Injections of PRO 140, Group C273.25± 167.63
Mean Change in CD4 Cell Count, at Each Visit Within the Treatment Phase Secondary · From T1 (first treatment administration) to week 48 (T48).

Mean change in CD4 cell count from baseline to final visit for each participant within the Treatment Phase was calculated and summarized. Visit 48 values were imputed using the last observation carried forward if missing.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A-41.1± 219.3
Part 1 - 525 mg Weekly Injections of PRO 140, Group B-7.4± 217.3
Part 1 - 700 mg Weekly Injections of PRO 140, Group C7.6± 245.4
Proportion of Participants Within Each Treatment Group Experiencing Emerging Resistance Secondary · From T1 (first treatment administration) to VF visit (up to 7 months).

Proportion of participants experiencing emerging resistance exhibited by fold increase (\>= 3-fold increase) in maraviroc and PRO 140 FC (IC90 relative to wild-type virus) between baseline and the time of virologic failure, as a measure of post-baseline phenotypic resistance.

GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A0.23
Part 1 - 525 mg Weekly Injections of PRO 140, Group B0.13
Part 1 - 700 mg Weekly Injections of PRO 140, Group C0.13
Mean HIV-1 RNA Concentrations in CSF in Central Nervous System (CNS) Sub-study Secondary · From T1 (first treatment administration), T4 (week 4), and VF visit (up to 7 months).

Central Nervous System (CNS) sub-study Data: mean level of HIV-1 RNA in CSF (cerebrospinal fluid) at T1 (prior to first dose of PRO 140), T4, and VF visits for each treatment group.

T1 (prior to first dose) visit
GroupValue95% CI
Part 1 - 525 mg Weekly Injections of PRO 140, Group B1.56± 5.60
Part 1 - 700 mg Weekly Injections of PRO 140, Group C1.51± 4.23
T4 visit
GroupValue95% CI
Part 1 - 525 mg Weekly Injections of PRO 140, Group B1.90± 11.93
Part 1 - 700 mg Weekly Injections of PRO 140, Group C1.60± 3.57
VF visit
GroupValue95% CI
Part 1 - 525 mg Weekly Injections of PRO 140, Group B1± 0
Part 1 - 700 mg Weekly Injections of PRO 140, Group C20.1± 17.6
Mean PRO 140 Concentration in Plasma for Central Nervous System (CNS) Sub-study Secondary · From T1 (first treatment administration), T4 (week 4), and VF visit (up to 7 months).

PRO 140 concentrations were measured in plasma for a subset of participants at T1, T4, and VF timepoints. Participants contributed data only at timepoints where valid measurements were available. Timepoints with missing or invalid data were excluded.

Visit T1
GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A80± 0
Part 1 - 525 mg Weekly Injections of PRO 140, Group B80± 0
Part1 - 700 mg Weekly Injections of PRO 140, Group C80± 0
Visit T4
GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A15861.03± 9605.10
Part 1 - 525 mg Weekly Injections of PRO 140, Group B21126.59± 8953.93
Part1 - 700 mg Weekly Injections of PRO 140, Group C30672.09± 19165.06
Visit VF
GroupValue95% CI
Part 1 - 350 mg Weekly Injections of PRO 140, Group A1536.50± 3501.59
Part 1 - 525 mg Weekly Injections of PRO 140, Group B31713.25± 16122.03
Part1 - 700 mg Weekly Injections of PRO 140, Group C16278.38± 24824.48

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were reported from the time of the first treatment visit and continued up until the final study visit, up to 22 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1 - 350 mg Weekly Injections of PRO 140, Group A
Serious: 16/226 (7%)
Deaths: 1/226
Part 1 - 525 mg Weekly Injections of PRO 140, Group B
Serious: 12/205 (6%)
Deaths: 1/205
Part 1 - 700 mg Weekly Injections of PRO 140, Group C
Serious: 7/131 (5%)
Deaths: 1/131
Part 2 - Group A
Serious: 4/69 (6%)
Deaths: 0/69
Part 2 - Group B
Serious: 3/65 (5%)
Deaths: 0/65

Serious adverse events (41 terms)

ReactionSystemPart 1 - 350 mg Weekly Inj…Part 1 - 525 mg Weekly Inj…Part 1 - 700 mg Weekly Inj…Part 2 - Group APart 2 - Group B
Abdominal Pain UpperGastrointestinal disorders
GastroenteritisGastrointestinal disorders
Cerebrovascular accidentNervous system disorders
Coronary Artery DiseaseCardiac disorders
Intestinal obstructionGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
AppendicitisInfections and infestations
Gastroenteritis shigellaInfections and infestations
Klebsiella sepsisInfections and infestations
Localised infectionInfections and infestations
Meningitis asepticInfections and infestations
Meningitis bacterialInfections and infestations
Craniocerebral injuryInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
Back PainMusculoskeletal and connective tissue disorders
Rotator cuff syndromeMusculoskeletal and connective tissue disorders
Metastatic malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Alcoholic seizureNervous system disorders
SeizuresNervous system disorders
Subarachnoid haemorrhageNervous system disorders
HallucinationPsychiatric disorders
Skin lesionSkin and subcutaneous tissue disorders
Multiple organ failureGeneral disorders
CholecystectomySurgical and medical procedures
Other adverse events (16 terms — click to expand)

ReactionSystemPart 1 - 350 mg Weekly Inj…Part 1 - 525 mg Weekly Inj…Part 1 - 700 mg Weekly Inj…Part 2 - Group APart 2 - Group B
DiarrhoeaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
FatigueGeneral disorders
Injection site haemorrhageGeneral disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
Injection site painGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Injection site pruritusGeneral disorders
Abdominal painGastrointestinal disorders
Viral upper respiratory tract infectionInfections and infestations
Injection site erythemaGeneral disorders
NasopharyngitisInfections and infestations
VomitingGastrointestinal disorders
PresyncopeNervous system disorders
Drug abusePsychiatric disorders

Most-reported serious reactions: Abdominal Pain Upper, Gastroenteritis, Cerebrovascular accident, Coronary Artery Disease, Intestinal obstruction, Pancreatitis acute, Small intestinal obstruction, Appendicitis.

Data from ClinicalTrials.gov NCT02859961 adverse events section.

Sponsor's own description

This study is a Phase 2b/3, multi-center study designed to evaluate the efficacy, safety, and tolerability of the strategy of shifting clinically stable patients receiving suppressive combination antiretroviral therapy to PRO 140 monotherapy and maintaining viral suppression for 48 weeks following study entry. Consenting patients will be shifted from combination antiretroviral regimen to weekly PRO 140 monotherapy for 48 weeks during the Treatment Phase with the one week overlap of existing retroviral regimen and PRO 140 at the beginning of the study treatment and also one week overlap at the end of the treatment in subjects who do not experience virologic failure.

Publications & conference data

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

  1. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  2. Antibodies to watch in 2018.
    Kaplon H, Reichert JM. · · 2018 · cited 179× · PMID 29300693 · DOI 10.1080/19420862.2018.1415671
  3. Antibody therapies for the prevention and treatment of viral infections.
    Salazar G, Zhang N, Fu TM, An Z. · · 2017 · cited 138× · PMID 29263875 · DOI 10.1038/s41541-017-0019-3
  4. Repurposing anticancer drugs for the management of COVID-19.
    El Bairi K, Trapani D, Petrillo A, Le Page C, et al · · 2020 · cited 59× · PMID 33125946 · DOI 10.1016/j.ejca.2020.09.014
  5. Alternative Routes of Administration for Therapeutic Antibodies-State of the Art.
    Pitiot A, Heuzé-Vourc'h N, Sécher T. · · 2022 · cited 45× · PMID 36134952 · DOI 10.3390/antib11030056
  6. Advances in Long-Acting Agents for the Treatment of HIV Infection.
    Rana AI, Castillo-Mancilla JR, Tashima KT, Landovitz RL. · · 2020 · cited 38× · PMID 32180205 · DOI 10.1007/s40265-020-01284-1
  7. New genetic and epigenetic insights into the chemokine system: the latest discoveries aiding progression toward precision medicine.
    Xu H, Lin S, Zhou Z, Li D, et al · · 2023 · cited 37× · PMID 37198402 · DOI 10.1038/s41423-023-01032-x
  8. Strategies to overcome HIV drug resistance-current and future perspectives.
    Temereanca A, Ruta S. · · 2023 · cited 35× · PMID 36876064 · DOI 10.3389/fmicb.2023.1133407

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing