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Presentation Abstract
Session Number:
073
Monday, Sep 10, 2012, 8:30 AM -11:00 AM
Presentation Title:
H-554 - Albuvirtide, the First Long-acting HIV Fusion Inhibitor, Suppressed Viral Replicaiton in HIV-Infected Adults
Location:
Room 104
Presentation Number:
H-554
Pres. Time:
Monday, Sep 10, 2012, 9:30 AM - 9:45 AM
Category:
H2
Keywords:
fusion; long-acting; HIV
Author(s):
H. Wu, MD -
Division Chief
1
, C. Yao, PhD -
Medical Manager
2
, R. J. Lu, PhD -
Vice President
2
, T. Zhang, MD -
Professor
1
, M. X. Wang, PhD -
Professor
1
, H. X. Zhao, MD -
Professor
3
, H. Y. Peng, MS -
Research Assistant
4
, Y. Xie, BS -
Research Assistant
2
, W. J. Min, MS -
Research Assistant
2
, H. Jiang, PhD -
Professor
2
, C. J. Wang, PhD -
Professor
2
,
D. Xie, PhD (Doctor of Philosophy) -
Chief Scientific Officer
2
, R. H. Jin, MD -
Professor
1
;
1
Beijing You'an Hosp., Capital Med. Univ., Beijing, China,
2
Chongqing Frontier Biotechnologies Co. Ltd., Chongqing, China,
3
Beijing Ditan Hosp., Capital Med. Univ., Beijing, China,
4
Beijing Kao Ke Rui Co., Beijing, China.
Financial Disclosures:
H. Wu,
None.
C. Yao,
Chongqing Frontier Biotechnologies Co. Ltd.
Role(s):
Employee.
R. J. Lu,
Chongqing Frontier Biotechnologies Co. Ltd.
Role(s):
Employee.
T. Zhang,
None..
M. X. Wang,
None..
H. X. Zhao,
None..
H. Y. Peng,
None..
Y. Xie,
None..
W. J. Min,
None..
H. Jiang,
None..
C. J. Wang,
None.
D. Xie,
Chongqing Frontier Biotechnologies Co.
Role(s):
Board Member, Employee.
R. H. Jin,
None.
Abstract:
Background:
The emergence of multi-drug class resistant HIV-1 viruses and poor patient compliance continue to be the major cause of treatment failure. A long-acting drug of a new molecular mechanism that can reduce treatment frequency is highly desirable. Previously, we reported that albuvirtide, a maleimide modified peptide derived from the HIV-1 gp41 sequence, showed long plasma half life and potent anti-HIV activity
in vitro
and
in vivo.
Here we report proof-of-concept clinical data of albuvirtide in HIV-1 infected adults.
Methods:
Treatment-naïve HIV-1-infected adults with a plasma HIV-1 RNA of at least 5000 copies/ml were enrolled. The study included a single dose escalation, randomized, placebo controlled trial of albuvirtide by intravenous injection of 20 mg to 640 mg, and an open-label multiple dose trial with two dose levels of 160mg or 320 mg albuvirtide respectively.
R
esults:
Albuvirtide was well tolerated by all subjects. No injection site reactions were observed, and no anti-albuvirtide antibody was detected in patient plasma samples after multiple injections in 42 days. Albuvirtide exhibited a plasma half-life of 10-13 days. Patient HIV RNA level was suppressed for 6-10 days by a single administration. There was a clear correlation (p<0.001) between albuvirtide plasma concentration and the HIV viral load decrease. In the multiple dose study, all patients exhibited decline of plasma HIV RNA level up to 1.67 Log
10
, with a mean maximum decline of 0.68 log
10
copies/ml (0.22-1.04) and 1.05 log
10
copies/ml (0.69-1.67) at 160 mg and 320mg albuvirtide, respectively.
Conclusions:
The data warrants further clinical investigation that combines albuvirtide with other antiretrovirals in treatment-experienced HIV infected patients.
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