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A combined Phase Ib and IIa randomized, placebo-controlled, double-blind study of VM-1500 in healthy subjects and in patients with HIV-1 infection that are antiretroviral therapy naïve.
The study will be split into two parts:
Part I: A randomized, placebo-controlled, single dose, double-blind study in healthy volunteers with 20 mg followed by 40 mg after DSMB approval.
Healthy group: one dose with 1 PK day 12 health volunteers (total): 6 subjects will randomized (4:2) to VM-1500 20 mg or placebo. After DSMB approval, 6 subjects will be randomized (4:2) to VM-1500 40 mg or placebo Part II: A randomized, placebo-controlled, multiple dose, double-blind study for 7 days in patients with HIV infection who are antiretroviral therapy-naïve. After positive DMSB review the dose will be escalated from 20 mg to 40 mg once daily.
Patient group: 2 PK days (in-house) at day 1 and day 7 16 patients (total): 8 subjects will be randomized (7:1) to VM-1500 20 mg or placebo once daily for 7 days. After DSMB approval, 8 subjects will be randomized (7:1) to VM-1500 40 mg or placebo once daily for 7 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 20 mg VM-1500/Placebo Healthy group | Experimental | VM-1500 20 mg or placebo single dose. |
|
| 40 mg VM-1500/Placebo Healthy group | Experimental | VM-1500 40 mg or placebo single dose. |
|
| 20 mg VM-1500/Placebo Patient group | Experimental | VM-1500 20 mg or placebo once daily for 7 days. |
|
| 40 mg VM-1500/Placebo Patient group | Experimental | VM-1500 40 mg or placebo once daily for 7 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VM-1500/Placebo | Drug | VM-1500 or Placebo |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of VM-1500 in adult healthy subjects and in patients with early-stage chronic HIV-1 infection based on analysis of AEs, laboratory values. | about one and half month |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic (PK) profile of VM-1500 in healthy subjects (Cmax, AUC, T1/2) and in HIV-1-infected patients. | about one and half month | |
| Dose dependency between VM-1500 plasma levels and corresponding HIV RNA reduction with the administered dosages of VM-1500. |
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Inclusion Criteria for Healthy Subjects:
Male age between 18-40 years
Has been determined healthy by physical examination, assessment of drug abuse, medical history and vital signs
Has normal results for the following screening tests: complete blood count , blood urea nitrogen, serum creatinine , fasting blood sugar, total bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and urinalysis.
Negative result for hepatitis B, hepatitis C and HIV antibodies
Willing to participate and signed the informed consent form
Inclusion Criteria for Patients:
Males or females aged 18 to 65 years
HIV-1 infection, as documented by a rapid HIV test or any licensed ELISA test kit and confirmed by Western blot at any time prior to study entry
Antiretroviral therapy naïve.
Exclusion Criteria for Healthy Subjects:
Exclusion Criteria for Patients:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine, Siriraj Hospital | Bangkok | Wanglang Road | 10700 | Thailand |
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| about one and half month |
| Virologic activity as measured by plasma HIV RNA following treatment for seven (7) days with VM-1500. | about one and half month |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
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