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dc.contributor.author | Goga, Ameena Ebrahim![]() |
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dc.contributor.author | Ramraj, Trisha![]() |
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dc.contributor.author | Naidoo, Logashvari![]() |
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dc.contributor.author | Daniels, Brodie![]() |
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dc.contributor.author | Matlou, Masefetsane![]() |
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dc.contributor.author | Chetty, Terusha![]() |
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dc.contributor.author | Dassaye, Reshmi![]() |
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dc.contributor.author | Ngandu, Nobubelo![]() |
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dc.contributor.author | Galli, Laura![]() |
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dc.contributor.author | Reddy, Tarylee![]() |
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dc.contributor.author | Seocharan, Ishen![]() |
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dc.contributor.author | Ndlangamandla, Qondeni![]() |
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dc.contributor.author | September, Qholokazi![]() |
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dc.contributor.author | Ngcobo, Nokwanda![]() |
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dc.contributor.author | Reddy, Mayuri![]() |
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dc.contributor.author | Cafun‑Naidoo, Tamon![]() |
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dc.contributor.author | Woeber, Kubashni![]() |
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dc.contributor.author | Jeenarain, , Nitesha![]() |
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dc.contributor.author | Imamdin, Rabia![]() |
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dc.contributor.author | Maharajh, Keshnee![]() |
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dc.contributor.author | Ramjeth, Ashmintha![]() |
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dc.contributor.author | Bhengu, Thobile![]() |
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dc.contributor.author | Clarence, Emma![]() |
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dc.contributor.author | Van de Perre, Philippe![]() |
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dc.contributor.author | Tylleskar, Thorkild![]() |
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dc.contributor.author | Nagot, Nicolas![]() |
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dc.contributor.author | Moles, Jean-Pierre![]() |
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dc.contributor.author | Moore, Penny L.![]() |
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dc.contributor.author | Mkhize, Nonhlanhla N.![]() |
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dc.contributor.author | Gama, Lucio![]() |
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dc.contributor.author | Dispinseri, Stefania![]() |
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dc.contributor.author | Biswas, Priscilla![]() |
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dc.contributor.author | Scarlatti, Gabriella![]() |
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dc.date.accessioned | 2024-08-07T12:55:28Z | |
dc.date.available | 2024-08-07T12:55:28Z | |
dc.date.issued | 2024-07 | |
dc.description | SUPPLEMENTARY MATERIAL 1 : Appendix 1. Table 1. Changes to the protocol. | en_US |
dc.description | SUPPLEMENTARY MATERIAL 2 : Appendix 2. PedMAb1_IC_Version 4.0 Dated 15Mar2024_ENGLISH. | en_US |
dc.description | SUPPLEMENTARY MATERIAL 3 : Appendix 3. PedMAb1_PIS_Version 4.0 Dated 15Mar2024_ENGLISH. | en_US |
dc.description | SUPPLEMENTARY MATERIAL 4 : Appendix 4.word Table 7: Schedule of sample collection for HIV exposed infants without HIV: ARMS 1 to 5. And Table 8: Schedule of sample collection for HIV exposed infants without HIV: ARMS 6/6b. Schedule for collection of the biological samples of arms 1-5 and arms 6/6b. | en_US |
dc.description | DATA AVAILABILITY STATEMENT : No datasets were generated or analysed during the current study. | en_US |
dc.description.abstract | BACKGROUND: The ambitious goal to eliminate new pediatric HIV infections by 2030 requires accelerated prevention strategies in high-risk settings such as South Africa. One approach could be pre-exposure prophylaxis (PrEP) with broadly neutralizing anti-HIV-1 monoclonal antibodies (bNAbs). The aim of our study is to define the optimal dose(s), the ideal combination(s) of bNAbs in terms of potency and breadth, and timing of subcutaneous (SC) administration(s) to prevent breast milk transmission of HIV. METHODS: Two bNAbs, CAP256V2LS and VRC07-523LS, will be assessed in a sequential and randomized phase I, single-site, single-blind, dose-finding trial. We aim to investigate the 28-day safety and pharmacokinetics (PK) profile of incrementally higher doses of these bNAbs in breastfeeding HIV-1 exposed born without HIV neonates alongside standard of care antiretroviral (ARV) medication to prevent (infants) or treat (mothers) HIV infection. The trial design includes 3 steps and 7 arms (1, 2, 3, 4, 5, 6 and 6b) with 8 infants in each arm. The first step will evaluate the safety and PK profile of the bNAbs when given alone as a single subcutaneous (SC) administration at increasing mg/kg body weight doses within 96 h of birth: arms 1, 2 and 3 at doses of 5, 10, and 20 mg/kg of CAP256V2LS, respectively; arms 4 and 5 at doses of 20 and 30 mg/kg of VRC07-523LS, respectively. Step two will evaluate the safety and PK profile of a combination of the two bNAbs administered SC at fixed doses within 96 h of birth. Step three will evaluate the safety and PK profile of the two bNAbs administered SC in combination at fixed doses, after 3 months. Arms 1 and 6 will follow sequential recruitment, whereas randomization will occur sequentially between arms (a) 2 & 4 and (b) 3 & 5. Before each randomization, a safety pause will allow review of safety data of the preceding arms. DISCUSSION: The results of this trial will guide further studies on bNAbs to prevent breast milk transmission of HIV. PROTOCOL VERSION: Version 4.0 dated 15 March 2024. TRIAL REGISTRATION: Pan African Clinical Trial Registry (PACTR): PACTR202205715278722, 21 April 2022; South African National Clinical Trial Registry (SANCTR): DOH-27–062022-6058. | en_US |
dc.description.department | Paediatrics and Child Health | en_US |
dc.description.sdg | SDG-03:Good heatlh and well-being | en_US |
dc.description.sponsorship | The European & Developing Countries Clinical Trials Partnership—Research and Innovation Action, the South African Medical Research Council (SAMRC) and the South African Research Chairs Initiative of the Department of Science and Innovation and the National Research Foundation. | en_US |
dc.description.uri | https://bmcinfectdis.biomedcentral.com/ | en_US |
dc.identifier.citation | Goga, A., Ramraj, T., Naidoo, L. et al. Safety and pharmacokinetics of subcutaneous administration of broadly neutralizing anti-HIV-1 monoclonal antibodies (bNAbs), given to HIV-1 exposed, uninfected neonates and infants: study protocol for a phase I trial. BMC Infectious Diseases 24, 712 (2024). https://doi.org/10.1186/s12879-024-09588-3. | en_US |
dc.identifier.issn | 1471-2334 (online) | |
dc.identifier.other | 10.1186/s12879-024-09588-3 | |
dc.identifier.uri | http://hdl.handle.net/2263/97500 | |
dc.language.iso | en | en_US |
dc.publisher | BMC | en_US |
dc.rights | © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License. | en_US |
dc.subject | Vertical transmission of HIV-1 | en_US |
dc.subject | Vertical transmission | en_US |
dc.subject | Breastfeeding | en_US |
dc.subject | Long-acting drugs | en_US |
dc.subject | Safety | en_US |
dc.subject | Infant exposed to HIV | en_US |
dc.subject | Paediatric trial | en_US |
dc.subject | Human immunodeficiency virus (HIV) | en_US |
dc.subject | Pre-exposure prophylaxis (PrEP) | en_US |
dc.subject | Broadly neutralizing anti-HIV-1 monoclonal antibodies (bNAbs) | en_US |
dc.subject | SDG-03: Good health and well-being | en_US |
dc.title | Safety and pharmacokinetics of subcutaneous administration of broadly neutralizing anti-HIV-1 monoclonal antibodies (bNAbs), given to HIV-1 exposed, uninfected neonates and infants : study protocol for a Phase I trial | en_US |
dc.type | Article | en_US |