Eligibility |
Inclusion Criteria:
ART-treated aviremic subjects who meet all inclusion criteria (A~C and 1~5) will be
eligible for Part A: A. Documentation of continuous ART treatment with suppression of
plasma viral level below the limit of detection for =1 years. Individuals with "blips"
(i.e., detectable viral levels on ART) prior to the Screening Visit (SV) may be included
provided they satisfy the following criteria:
1. The blips are <400 copies/mL, and
2. Succeeding viral levels return to levels below the limit of detection on subsequent
testing B. Tolerated the baseline ART regimen (without major toxicity) and are
expected to continue in the trial period (since SV till EOS) the same ART regimen. The
change in brand or formulation but not in the 3 ARV types (eg, from 3 tablets to 1
single tablet containing the same 3 ARV drugs, or from immediate-release to
extended-release tablet per day, or other similar change are allowed) are considered
the same ART regimen; C. Viral load should below 50 RNA copies/mL at the SV; ART-naïve
viremic subjects who meet all inclusion criteria (D~F and 1~5) will be eligible for
Part B:
D. HIV-1 viral load >200 copies/mL at the SV; E. HIV antiretroviral therapy (ART)-naïve
i.e., subjects who receive no prior or current ART.
However, subjects who have previously received pre- or post-exposure prophylaxis but
eventually confirmed HIV-1 seropositive can be enrolled; F. Asymptomatic (generalized
lymphadenopathy can be included), defined as subjects without stage 3 defining
opportunistic illnesses according to revised Surveillance Case Definition for HIV Infection
published in 2014, which was determined by the Investigator based on the medical history,
physical examination, ECG, and laboratory evaluations;
Inclusion criteria for both Part A and B:
1. HIV-1 seropositive, with documented HIV-1 infection by official, signed, written
history (e.g.
laboratory report);
2. Male and female, age 18 years or older;
3. CD4+ (D1) T cell count > 350 cells/mm3 at the SV;
4. Male subjects and female subjects of childbearing potential must agree to use the
acceptable method of contraception during the course of the study (excluding women who
are not of childbearing potential). Women of childbearing potential (WOCBP) must have
a negative serum pregnancy test at the SV; Definitions Women NOT of childbearing
potential: women who are permanently or surgically sterilized or postmenopausal.
Permanent sterilization includes hysterectomy, and/or bilateral oophorectomy, and/or
bilateral salpingectomy and/or tubal ligation.
Postmenopausal women: 12 months of amenorrhea in a woman over age 45 years in the
absence of other biological or physiological causes. Acceptable method of birth
control for WOCBP: abstinence; implant; intrauterine device; hormonal contraceptive
(injectable, oral contraceptives, transdermal patches, or contraceptive rings) plus
barrier method (male condom, female condom or diaphragm). Acceptable method of birth
control for male subjects: abstinence; condom.
5. Subjects signed the informed consent before undergoing any study procedures.
Exclusion Criteria:
Subjects who have any of the following conditions will be excluded from both Part A and B
1. Females who are pregnant, lactating, or breastfeeding, or who plan to become pregnant
during the study;
2. Subjects with acute opportunistic infection(s) or bacterial infection(s), that the
delayed initiation of ART would not be allowed, as judged by the Investigator;
3. Any stage 3 defining opportunistic illnesses such as Kaposi's sarcoma according to the
revised Surveillance Case Definition for HIV Infection published in 2014 within the
past 12 months before the SV;
4. Serious illness requiring systemic treatment and/or hospitalization for at least 7
days prior to the SV;
5. Any previous exposure to a monoclonal antibody within 12 weeks prior to the SV;
6. Any previous hypersensitivity reaction to monoclonal antibody;
7. Have ever experienced urticaria in the previous 2 years before the SV or with ongoing
dermatologic problem with rash appearance (eg. eczema, atopic dermatitis, urticaria)
at the SV;
8. Any significant diseases (other than HIV-1 infection) or clinically significant
findings that, in the Investigator's judgment, would potentially compromise study
compliance or the ability to evaluate safety/efficacy;
9. Current or chronic history of liver disease, or known hepatic or biliary abnormalities
(with the exception of Gilbert's syndrome or asymptomatic gallstones);
10. Presence of hepatitis B surface antigen (HBsAg) or HCV antibody and RNA double
positive at the Screening Visit or within 12 weeks prior to the SV;
11. Serum GPT/ALT value is 2.5 times or greater than the upper limit of normal (= 2.5
xULN) at the Screening Visit;
12. Serum GOT/AST value is 2.5 times or greater than the upper limit of normal (= 2.5
xULN) at the Screening Visit;
13. Serum total bilirubin (TBIL) value is 2.5 times or greater than the upper limit of
normal (= 2.5 xULN) at the SV;
14. Serum creatinine value is greater than 1.5 times the upper limit of normal (> 1.5 x
ULN) at the SV;
15. Any vaccination within 8 weeks prior to the SV;
16. Any treatment with immunomodulators, such as interleukins, interferon, cyclosporine,
systemic corticosteroid, or systemic chemotherapy within 12 weeks prior to the
Screening Visit; Note: Subjects received short-term low dose oral (i.e. prednisone
=0.5mg/kg/day f or = 1 - month duration), inhaled, nasal, or topical steroids will not
be excluded.)
17. Prior participation in any HIV vaccine trial;
18. Receipt of other investigational study agent within 12 weeks before the SV;
19. Life expectancy of less than 12 months;
20. Any current alcohol or illicit drug use that, in the Investigator's opinion, would
interfere with the subject's ability to comply with the dosing and visit schedules and
protocol evaluations
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