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FDA required the sponsor to halt enrollment in the trial and transition participants to available therapies for the treatment of their disease. The trial was subsequently terminated once participants were transitioned.
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PRO 140_CD02 Extension study seeks to evaluate the long-term efficacy, safety and tolerability of PRO 140 weekly injection in combination with Optimized Background Therapy (OBT) in patients infected with Human Immunodeficiency virus (HIV-1).
This is an extension study, to provide continued access to PRO 140 to subjects who complete participation in PRO140_CD02 and continue to receive clinical benefit and would require PRO 140 to form a viable regimen, in the opinion of the treating physician. The patient population for this trial are treatment-experienced HIV infected patients with C-C Chemokine Receptor Type 5 (CCR5)-tropic virus who demonstrate evidence of HIV-1 suppression after successfully completed 24 weeks of treatment in the PRO140_CD02 or CD02_OpenLabel study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Leronlimab (PRO 140) | Experimental | The treatment extension phase consists of weekly treatment injection of PRO 140 in addition to Optimized Background Therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRO 140 | Drug | PRO 140 is a humanized IgG4, monoclonal antibody (mAb) to the C-C chemokine receptor type 5 (CCR5). Participants received 350 or 700 mg weekly injections of PRO 140. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change in Viral Load (HIV-1 RNA Levels) at the Conclusion of Treatment Period | The change from baseline in HIV-1 RNA levels (log 10 copies/mL) was summarized at least once every four weeks during the treatment extension phase. The time-weighted mean of change of the post baseline values was calculated. The time-weighted mean was adjusted AUC (area under the curve) by time. | From TE1 (first treatment administration) to once every four weeks until last treatment visit (up to 56 months). |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change in CD4 Cell Count at the Conclusion of Treatment Period | The change from baseline in CD4 cell count was summarized for each visit during the treatment phase. The time-weighted mean of change of the post baseline values was calculated. The time-weighted mean was adjusted AUC (area under the curve) by time. | From first treatment administration to each weekly visit until the last treatment visit (up to 56 months) |
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Inclusion Criteria: Potential subjects are required to meet all of the following criteria for enrollment into the study.
Subjects who have completed 24 weeks of treatment in PRO 140_CD 02 or CD02_OpenLabel study, and Investigator believes subject requires continued access to PRO 140 in order to continue deriving clinical benefit and maintain HIV-1 viral suppression.
HIV-1 RNA ≤ 50 copies/ml at T23 Visit in PRO140_CD02 study
Both male and female patients and their partners of childbearing potential must agree to use 2 medically accepted methods of contraception (e.g., barrier contraceptives [male condom, female condom, or diaphragm with a spermicidal gel], hormonal contraceptives [implants, injectables, combination oral contraceptives, transdermal patches, or contraceptive rings], and intrauterine devices) during the course of the study (excluding women who are not of childbearing potential and men who have been sterilized).
Females of childbearing potential must have a negative urine pregnancy test prior to receiving the first dose of study drug.
Willing and able to participate in all aspects of the study, including use of subcutaneous (SC) medication, completion of subjective evaluations, attendance at scheduled clinic visits, and compliance with all protocol requirements as evidenced by providing written informed consent.
Exclusion Criteria: Potential subjects meeting any of the following criteria will be excluded from enrollment.
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| Name | Affiliation | Role |
|---|---|---|
| Jacob Lalezari, MD | CytoDyn, Inc. | Principal Investigator |
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This trial was conducted in 43 participants in the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | PRO 140 | Eligible subjects received 350 mg or 700 mg PRO 140 (leronlimab) administered weekly as subcutaneous injections along with Optimized Background Therapy (OBT) until virologic failure or another reason for discontinuation. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
All patients who received at least one dose of PRO 140 (leronlimab) were included in the baseline analysis population.
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| ID | Title | Description |
|---|---|---|
| BG000 | PRO 140 | Eligible subjects received 350 mg or 700 mg PRO 140 (leronlimab) administered weekly as subcutaneous injections along with Optimized Background Therapy (OBT) until virologic failure or another reason for discontinuation. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Change in Viral Load (HIV-1 RNA Levels) at the Conclusion of Treatment Period | The change from baseline in HIV-1 RNA levels (log 10 copies/mL) was summarized at least once every four weeks during the treatment extension phase. The time-weighted mean of change of the post baseline values was calculated. The time-weighted mean was adjusted AUC (area under the curve) by time. | The analysis population is defined as all subjects who enrolled in the study and received at least one dose of PRO 140. Subjects who had undefined change from baseline due to missing data were excluded from the analysis population. | Posted | Mean | Standard Deviation | log10 copies/mL | From TE1 (first treatment administration) to once every four weeks until last treatment visit (up to 56 months). |
|
Adverse events were reported from the time of the first treatment extension visit and continue up until the final study visit, up to 56 months.
Adverse events were elicited through direct questioning and subject reports. Any abnormalities in visit evaluations, physical examination findings or laboratory results that the Investigator believed were clinically significant to the research subject and that occurred after initiation of the first study treatment was reported as an adverse event.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PRO 140 350 mg | Eligible subjects received 350 mg PRO 140 (leronlimab) administered weekly as subcutaneous injections along with Optimized Background Therapy (OBT) until virologic failure or another reason for discontinuation. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Coronary artery occlusion | Cardiac disorders | MedDRA (25.1) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | MedDRA (25.1) | Non-systematic Assessment |
FDA required the sponsor to halt enrollment in the trial and transition participants to available therapies for the treatment of their disease. The trial was subsequently terminated once participants were transitioned.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Vice President, Clinical Operations | CytoDyn | 36009808524 | jmeidling@cytodyn.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 2, 2021 | Jul 16, 2025 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 19, 2020 | Jul 16, 2025 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D000163 | Acquired Immunodeficiency Syndrome |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C420063 | leronlimab |
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|
| Proportion of Participants Experiencing Emergence of Dual/Mixed (D/M)- and CXCR4-tropic Virus in Patients Who Had Exclusive CCR5-tropic Virus at Study Entry. | All patients have exclusive C-C chemokine receptor type 5 (CCR5)-tropic virus at study entry. The proportion of patients with any tropism result of dual/mixed was summarized. | From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
| Tolerability of Repeated Subcutaneous Administration of PRO 140 as Assessed by Investigator Evaluation of Injection Site Reactions (ISR) | At each visit during the treatment extension phase, an injection site reaction assessment was completed for the current and previous injection sites. To assess severity, subcutaneous (SC) injection related events were recorded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table). Grade 1 indicates a mild event Grade 2 indicates a moderate event Grade 3 indicates a severe event Grade 4 indicates a potentially life-threatening event Participants who had no symptoms of injection site reactions, "0" was assigned. | From TE1 (first treatment administration) weekly until last treatment visit (up to 56 months). |
| Number of Participants With Treatment-related Adverse Events Resulting in Study Drug Discontinuation | Treatment-related adverse events are defined as events with an onset on or after the first treatment (TE1). | From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
| Number of Participants With Grade 3 or 4 Adverse Events as Defined by the DAIDS Adverse Event Scale | The Division of AIDS (DAIDS) grading table provides an adverse event severity grading scale ranging from grades 1 to 5 with descriptions for each adverse event based on the following general guidelines:
| From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
| Number of Participants With at Least One Treatment-related Serious Adverse Event. | Treatment-related (as defined by the investigator) serious adverse events are defined as serious events with an onset on or after the first treatment. A serious adverse event is defined as any adverse event that:
| From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
|
|
|
| Secondary | Mean Change in CD4 Cell Count at the Conclusion of Treatment Period | The change from baseline in CD4 cell count was summarized for each visit during the treatment phase. The time-weighted mean of change of the post baseline values was calculated. The time-weighted mean was adjusted AUC (area under the curve) by time. | The analysis population is defined as all subjects who enrolled in the study and received at least one dose of PRO 140. Subjects who had undefined change from baseline due to missing data were excluded from the analysis population. | Posted | Mean | Standard Deviation | cells/uL | From first treatment administration to each weekly visit until the last treatment visit (up to 56 months) |
|
|
|
| Secondary | Proportion of Participants Experiencing Emergence of Dual/Mixed (D/M)- and CXCR4-tropic Virus in Patients Who Had Exclusive CCR5-tropic Virus at Study Entry. | All patients have exclusive C-C chemokine receptor type 5 (CCR5)-tropic virus at study entry. The proportion of patients with any tropism result of dual/mixed was summarized. | The analysis population is defined as all subjects who enrolled in the extension portion of the study and received at least one dose of PRO140. Participants who had no dual/mixed tropism data collected or had undefined change from baseline due to missing data were excluded from the analysis. | Posted | Number | proportion of participants | From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
|
|
|
| Secondary | Tolerability of Repeated Subcutaneous Administration of PRO 140 as Assessed by Investigator Evaluation of Injection Site Reactions (ISR) | At each visit during the treatment extension phase, an injection site reaction assessment was completed for the current and previous injection sites. To assess severity, subcutaneous (SC) injection related events were recorded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table). Grade 1 indicates a mild event Grade 2 indicates a moderate event Grade 3 indicates a severe event Grade 4 indicates a potentially life-threatening event Participants who had no symptoms of injection site reactions, "0" was assigned. | All patients who received at least one dose of PRO 140 (leronlimab) were included in the baseline analysis population. Subjects who had undefined value due to missing data were excluded from the analysis population. | Posted | Number | participants | From TE1 (first treatment administration) weekly until last treatment visit (up to 56 months). |
|
|
|
| Secondary | Number of Participants With Treatment-related Adverse Events Resulting in Study Drug Discontinuation | Treatment-related adverse events are defined as events with an onset on or after the first treatment (TE1). | All patients who received at least one dose of PRO 140 (leronlimab) were included in the baseline analysis population. | Posted | Number | participants | From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
|
|
|
| Secondary | Number of Participants With Grade 3 or 4 Adverse Events as Defined by the DAIDS Adverse Event Scale | The Division of AIDS (DAIDS) grading table provides an adverse event severity grading scale ranging from grades 1 to 5 with descriptions for each adverse event based on the following general guidelines:
| All patients who received at least one dose of PRO 140 (leronlimab) were included in the baseline analysis population. | Posted | Number | participants | From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
|
|
|
| Secondary | Number of Participants With at Least One Treatment-related Serious Adverse Event. | Treatment-related (as defined by the investigator) serious adverse events are defined as serious events with an onset on or after the first treatment. A serious adverse event is defined as any adverse event that:
| All patients who received at least one dose of PRO 140 (leronlimab) were included in the baseline analysis population. | Posted | Count of Participants | Participants | From TE1 (first treatment administration) to last treatment visit, up to 56 months. |
|
|
|
| 3 |
| 29 |
| 11 |
| 29 |
| 27 |
| 29 |
| EG001 | PRO 140 700 mg | Eligible subjects received 700 mg PRO 140 (leronlimab) administered weekly as subcutaneous injections along with Optimized Background Therapy (OBT) until virologic failure or another reason for discontinuation. | 1 | 14 | 4 | 14 | 13 | 14 |
| Aplastic anaemia | Blood and lymphatic system disorders | MedDRA (25.1) | Systematic Assessment |
|
| Acute myocardial infarction | Cardiac disorders | MedDRA (25.1) | Systematic Assessment |
|
| Haematochezia | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Chest pain | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Death | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Multiple organ dysfunction syndrome | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Epstein-Barr virus infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Septic shock | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Mycobacterium avium complex infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Pyelonephritis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Medical device site joint infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Staphylococcal bacteraemia | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Abscess limb | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Head Injury | Injury, poisoning and procedural complications | MedDRA (25.1) | Systematic Assessment |
|
| Myelodysplastic syndrome | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (25.1) | Systematic Assessment |
|
| Arterial thrombosis | Vascular disorders | MedDRA (25.1) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (25.1) | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| abdominal pain | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Injection site pain | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Injection site haemorrhage | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Chest pain | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA (25.1) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (25.1) | Systematic Assessment |
|
| Ecchymosis | Skin and subcutaneous tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (25.1) | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA (25.1) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| upper respiratory tract infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Abdominal rebound tenderness | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA (25.1) | Systematic Assessment |
|
| Blood HIV RNA increased | Investigations | MedDRA (25.1) | Systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Chronic kidney disease | Renal and urinary disorders | MedDRA (25.1) | Systematic Assessment |
|
| Covid-19 | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Gastrointestinal viral infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Herpes zoster | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Hydrocele | Congenital, familial and genetic disorders | MedDRA (25.1) | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (25.1) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (25.1) | Systematic Assessment |
|
| Lip Injury | Investigations | MedDRA (25.1) | Systematic Assessment |
|
| Nasal Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Oral candidiasis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Orchitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Pharyngitis | Renal and urinary disorders | MedDRA (25.1) | Systematic Assessment |
|
| Red blood cells urine | Investigations | MedDRA (25.1) | Systematic Assessment |
|
| Tooth infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Uveitis | Eye disorders | MedDRA (25.1) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Wound infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Sciatica | Nervous system disorders | MedDRA (25.1) | Systematic Assessment |
|
| Anal fissure | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Anal dysplasia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (25.1) | Systematic Assessment |
|
| Scapula pain | Musculoskeletal and connective tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Hearing loss | Ear and labyrinth disorders | MedDRA (25.1) | Systematic Assessment |
|
| Olecranon bursitis | Musculoskeletal and connective tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
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| D015229 |
| Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| Title | Measurements |
|---|---|
|