Leone Peter A, Losos Jan, Wannamaker Paul, D'Agostino Riccardo, Warwick-Sanders Michael, Ghita Gabriela L, Wilches Viviana, Donatti Christina, Brown Kathryn, Gandhi Yash
ViiV Healthcare, Durham, North Carolina, USA.
GSK, London, United Kingdom.
Antimicrob Agents Chemother. 2025 Jul 23:e0025825. doi: 10.1128/aac.00258-25.
The CD4-binding site antibody VH3810109 (N6LS) demonstrated broad and potent neutralization activity and robust antiviral activity in people with HIV-1. We report safety, tolerability, pharmacokinetics, and anti-drug antibody (ADA) incidence for subcutaneous (SC) and intravenous (IV) N6LS. Safety and pharmacokinetics of a single dose of VH3810109 (also known as GSK3810109), administered either subcutaneously (SC) with rHuPH20 or intravenously (IV) [SPAN]) was an open-label, three-part, phase 1 study evaluating single-dose N6LS in adults without HIV (part 1, 20 mg/kg SC + recombinant human hyaluronidase PH20 [rHuPH20] 2,000 U/mL; part 2, 60 mg/kg IV; part 3, 3,000 mg SC + rHuPH20 2,000 U/mL). Over 24 weeks, adverse events (AEs), injection site reactions (ISRs), pharmacokinetics, and ADAs were monitored. Twenty-four participants (8/part) were enrolled and received a single N6LS dose. Overall AE incidence between SC doses was similar and higher compared with IV, driven by ISRs. No ISRs were reported for IV N6LS; for SC, 15/16 participants reported ISRs, and 17/32 events were grade 3 (all injection site erythema). All ISRs resolved without sequelae or treatment. All participants rated local reactions and pain as acceptable. No serious AEs or deaths occurred. Pharmacokinetics were as expected for a broadly neutralizing antibody; median terminal half-life ranged from 43 to 47 days. No ADAs were observed after IV N6LS (0/8); 5/16 participants had treatment-emergent ADAs after SC N6LS; however, a clear impact on pharmacokinetics was observed in only one participant. N6LS administered IV or SC + rHuPH20 had a favorable safety profile and was well tolerated. Results support the ongoing development of N6LS 3,000 mg SC + rHuPH20 and 60 mg/kg IV into phase 2b.CLINICAL TRIALSRegistered at ClinicalTrials.gov (NCT05291520).
CD4结合位点抗体VH3810109(N6LS)在HIV-1感染者中表现出广泛而有效的中和活性以及强大的抗病毒活性。我们报告了皮下注射(SC)和静脉注射(IV)N6LS的安全性、耐受性、药代动力学和抗药抗体(ADA)发生率。单剂量VH3810109(也称为GSK3810109)的安全性和药代动力学,分别采用皮下注射(SC)联合重组人透明质酸酶PH20(rHuPH20)或静脉注射(IV)[SPAN]),这是一项开放标签、三部分的1期研究,评估单剂量N6LS在未感染HIV的成年人中的情况(第1部分,20mg/kg SC + 重组人透明质酸酶PH20 [rHuPH20] 2000U/mL;第2部分,60mg/kg IV;第3部分,3000mg SC + rHuPH20 2000U/mL)。在24周内,监测不良事件(AE)、注射部位反应(ISR)、药代动力学和ADA。招募了24名参与者(每组8名)并接受单剂量N6LS。皮下注射剂量之间的总体AE发生率相似,且由于ISR,高于静脉注射。静脉注射N6LS未报告ISR;对于皮下注射,16名参与者中有15名报告了ISR,17/32例事件为3级(均为注射部位红斑)。所有ISR均无后遗症或无需治疗即可缓解。所有参与者对局部反应和疼痛的评分均可接受。未发生严重AE或死亡。药代动力学符合广泛中和抗体的预期;中位终末半衰期为43至47天。静脉注射N6LS后未观察到ADA(0/8);皮下注射N6LS后,16名参与者中有5名出现治疗中出现的ADA;然而,仅在一名参与者中观察到对药代动力学有明显影响。静脉注射或皮下注射 + rHuPH20给药的N6LS具有良好的安全性,耐受性良好。结果支持将皮下注射3000mg + rHuPH20和静脉注射60mg/kg的N6LS推进到2b期临床试验。在ClinicalTrials.gov(NCT05291520)注册。
Cochrane Database Syst Rev. 2021-10-19
Expert Opin Drug Deliv. 2021-11
N Engl J Med. 2021-3-18
Curr Opin HIV AIDS. 2020-1