PMID- 28507108 OWN - NLM STAT- MEDLINE DCOM- 20180403 LR - 20220331 IS - 1098-6596 (Electronic) IS - 0066-4804 (Print) IS - 0066-4804 (Linking) VI - 61 IP - 7 DP - 2017 Jul TI - Safety, Pharmacokinetics, and Antiviral Activity of a Novel HIV Antiviral, ABX464, in Treatment-Naive HIV-Infected Subjects in a Phase 2 Randomized, Controlled Study. LID - 10.1128/AAC.00545-17 [doi] LID - e00545-17 AB - We investigated the safety and antiviral effects of an anti-HIV compound (ABX464) with a unique mechanism of viral replication inhibition. This was a randomized, double-blind, placebo-controlled, dose-ranging study in treatment-naive HIV-infected patients. Participants were assigned to eight groups; each group included eight subjects receiving either the study compound, ABX464 (n = 6), or the corresponding placebo (n = 2), according to a randomization code. The first dose administered was 25 mg, given once or 3 times a day over a 2- to 3-week period. Ascending doses of up to 150 mg were delivered after review of the safety data. The primary objective of the study was to assess the safety and tolerability of ABX464 after repeated oral administrations in subjects infected by HIV. Sixty-six subjects were enrolled and were randomized. Sixty-three subjects completed the study according to the study protocol. Twenty-one adverse events (AEs) were reported by 7 subjects out of 16 (44%) who received placebo, and 158 AEs were reported by 39 subjects out of 50 (78%) who received the study drug. In the ABX464 treatment group, all of these adverse events were mild to moderate. No subjects discontinued treatment due to drug-related AEs. Administration of ABX464 at up to 150 mg once a day was safe and well tolerated in HIV-infected subjects. An efficacy signal with respect to a reduction of the viral load by ABX464 was detected, mainly in subjects treated at the highest dose. Further studies will be required to demonstrate antiviral effects in HIV-infected subjects in combination with other antiretroviral therapies. (This study is registered on the ClinicalTrials.gov website under registration no. NCT02452242.). CI - Copyright (c) 2017 Steens et al. FAU - Steens, Jean-Marc AU - Steens JM AD - Abivax, Paris, France. FAU - Scherrer, Didier AU - Scherrer D AD - Abivax, Paris, France. FAU - Gineste, Paul AU - Gineste P AD - Abivax, Paris, France Paul.Gineste@abivax.com. FAU - Barrett, P Noel AU - Barrett PN AD - Independent Consultant, c/o Abivax, Paris, France. FAU - Khuanchai, Supparatpino AU - Khuanchai S AD - Department of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Winai, Ratanasuwan AU - Winai R AD - Department of Preventive and Social Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Ruxrungtham, Kiat AU - Ruxrungtham K AD - HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT), Chulalongkorn University Hospital, Bangkok, Thailand. FAU - Tazi, Jamal AU - Tazi J AD - Institut de Genetique Moleculaire, University of Montpellier, Montpellier, France. FAU - Murphy, Robert AU - Murphy R AD - Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. FAU - Ehrlich, Hartmut AU - Ehrlich H AD - Abivax, Paris, France. LA - eng SI - ClinicalTrials.gov/NCT02452242 PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20170627 PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 RN - 0 (ABX464) RN - 0 (Anti-HIV Agents) RN - 0 (Quinolines) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Anti-HIV Agents/adverse effects/pharmacokinetics/*therapeutic use MH - Double-Blind Method MH - Female MH - HIV Infections/drug therapy MH - HIV-1/*drug effects/*pathogenicity MH - Humans MH - Male MH - Middle Aged MH - Quinolines/adverse effects/pharmacokinetics/*therapeutic use MH - Treatment Outcome MH - Viral Load/drug effects MH - Virus Replication/drug effects MH - Young Adult PMC - PMC5487684 OTO - NOTNLM OT - ABX464 OT - human immunodeficiency virus EDAT- 2017/05/17 06:00 MHDA- 2018/04/04 06:00 PMCR- 2017/06/27 CRDT- 2017/05/17 06:00 PHST- 2017/03/14 00:00 [received] PHST- 2017/05/04 00:00 [accepted] PHST- 2017/05/17 06:00 [pubmed] PHST- 2018/04/04 06:00 [medline] PHST- 2017/05/17 06:00 [entrez] PHST- 2017/06/27 00:00 [pmc-release] AID - AAC.00545-17 [pii] AID - 00545-17 [pii] AID - 10.1128/AAC.00545-17 [doi] PST - epublish SO - Antimicrob Agents Chemother. 2017 Jun 27;61(7):e00545-17. doi: 10.1128/AAC.00545-17. Print 2017 Jul.