1. Safety, Tolerability, and Pharmacokinetics of a Long-Acting Broadly Neutralizing Human Immunodeficiency Virus Type 1 (HIV-1) Monoclonal Antibody VRC01LS in HIV-1–Exposed Newborn Infants
- Author
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McFarland, Elizabeth J, Cunningham, Coleen K, Muresan, Petronella, Capparelli, Edmund V, Perlowski, Charlotte, Morgan, Patricia, Smith, Betsy, Hazra, Rohan, Purdue, Lynette, Harding, Paul A, Theron, Gerhard, Mujuru, Hilda, Agwu, Allison, Purswani, Murli, Rathore, Mobeen H, Flach, Britta, Taylor, Alison, Lin, Bob C, McDermott, Adrian B, Mascola, John R, Graham, Barney S, Rossouw, Magdel, Rossouw, Lindie, Louw, Jeanne, Vhembo, Tichaona, Mhembere, Tsungai Patience, Matibe, Petronella, Mahmoudi, Saniyyah, Maldonado, Alexandrea, Maraqa, Nizar, Baig, Mahboobullah M, Rogo, Tanya, Cavallo, Martha, Collinson-Streng, Aleisha, Anderson, Thuy, Golden, W Christopher, Persaud, Deborah, Puga, Ana M, Robinson, Lisa-Gaye, Eysallenne, Zulma, Leon, Dayana, Paul, Mary E, McMullen-Jackson, Chivon, Buschur, Shelley, Pontifes, Mariam, Sung, Joyce, Glenny, Carrie, Dunn, Jennifer, and Navarro, Kacey
- Subjects
Paediatrics ,Medical Microbiology ,Biomedical and Clinical Sciences ,Immunology ,Perinatal Period - Conditions Originating in Perinatal Period ,Pediatric ,Infectious Diseases ,Vaccine Related ,Pediatric AIDS ,Sexually Transmitted Infections ,Immunization ,Vaccine Related (AIDS) ,Prevention ,HIV/AIDS ,6.1 Pharmaceuticals ,Infection ,Good Health and Well Being ,Anti-Retroviral Agents ,Antibodies ,Monoclonal ,Broadly Neutralizing Antibodies ,Dose-Response Relationship ,Drug ,Female ,HIV Antibodies ,HIV Infections ,HIV-1 ,Half-Life ,Humans ,Infant ,Newborn ,Infectious Disease Transmission ,Vertical ,Male ,broadly neutralizing antibodies ,VRC01LS ,VRC01 ,neonates ,monoclonal antibodies ,bNAb ,perinatal HIV-1 transmission ,pharmacokinetics ,passive immunization ,HIV-1 prevention ,International Maternal Pediatric Adolescent AIDS Clinical Trials Network (IMPAACT) P1112 Team ,Biological Sciences ,Medical and Health Sciences ,Microbiology ,Biological sciences ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundPerinatal human immunodeficiency virus type 1 (HIV-1) continues to occur due to barriers to effective antiretroviral prevention that might be mitigated by long-acting broadly neutralizing monoclonal antibodies (bNAbs).MethodsAn extended half-life bNAb, VRC01LS, was administered subcutaneously at 80 mg/dose after birth to HIV-1-exposed, nonbreastfed (cohort 1, n = 10) and breastfed (cohort 2, n = 11) infants. Cohort 2 received a second dose (100 mg) at 12 weeks. All received antiretroviral prophylaxis. VRC01LS levels were compared to VRC01 levels determined in a prior cohort.ResultsLocal reactions (all grade ≤2) occurred in 67% and 20% after dose 1 and dose 2, respectively. The weight-banded dose (mean 28.8 mg/kg) of VRC01LS administered subcutaneously achieved a mean (standard deviation) plasma level of 222.3 (71.6) µg/mL by 24 hours and 44.0 (11.6) µg/mL at week 12, prior to dose 2. The preestablished target of ≥50 µg/mL was attained in 95% and 32% at weeks 8 and 12, respectively. The terminal half-life was 37-41 days. VRC01LS level after 1 dose was significantly greater (P
- Published
- 2021