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Human Immunodeficiency Virus I InfectionPhase 1NCT05261191

A Study of MGD020 Alone or Combined With MGD014 in Persons With HIV-1 on Antiretroviral Therapy

A Phase 1 study testing MGD020 and MGD014 in people with Human Immunodeficiency Virus I Infection and Immunodeficiency Virus Type 1, Human, run by MacroGenics at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study CP-MGD020-01 is a phase 1, open-label, dose-escalation, and multi-dose expansion study of MGD020 as a single agent or in combination with MGD014 in persons with HIV-1 (PWH) on antiretroviral therapy (ART). Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
MGD020 and MGD014
Could I receive a placebo?
No, everyone receives an active treatment
How many people
17 participants
Where
3 sitesUnited States
Study dates
26 Sep 2022to 29 May 2024
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged ≥ 18 years and ≤ 70 years of age and able to provide informed consent
  • HIV-1 infection documented by rapid HIV test or HIV enzyme or chemiluminescence immunoassay and confirmed by a different second test.
  • Plasma HIV-1 RNA viral load
  • < 50 copies/mL at 2 time points within 24 months prior to screening (1 time point within 12 months prior to screening), and
  • < 50 copies/mL at screening, and
  • Not ≥ 50 copies/mL on 2 consecutive time points within 24 months nor > 1000 copies/mL at any time within 6 months prior to screening
Show all 10Show fewer
  • On continuous antiretroviral therapy (ART) for at least 24 months prior to screening and must continue ART throughout the study.
  • CD4 cell count > 350 cells/mm3 at screening
  • Acceptable laboratory values related to bone marrow, kidney and liver function.
  • Individuals of childbearing potential must agree to use highly effective forms of contraception throughout the study through 6 months after the last dose of MGD014.

Who cannot join

  • History of any HIV-1 vaccine or HIV-1 immunotherapy, except MGD014 or MGD020, within 6 months prior to screening.
  • History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the patient's participation for the full duration of the trial, or is not in the best interest of the patient.
  • Active viral, bacterial, or systemic fungal infection requiring intravenous antibiotic, antiviral, or antifungal treatment within 7 days prior to the initiation of study drug.
  • Active coronavirus disease 19 (COVID-19)/severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
  • Participation in another investigational clinical research study within 60 days prior to screening.
  • History of virologic failure on an ART regimen containing FDA-approved HIV-1 entry inhibitors (maraviroc, enfuvirtide, and/or ibalizumab). Virologic failure is defined as a confirmed plasma HIV-1 RNA ≥ 150 copies/mL following assessment of drug adherence, repeat HIV-1 RNA testing with continued treatment, and/or resistance testing

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • UNC Hospital - Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Case Western Reserve University Hospital

    Cleveland, Ohio, 44106

  • Icahn School of Medicine at Mt. Sinai

    New York, New York, 10029

Other trials in United States

About this study

Official title: A Phase 1 Study of MGD020 as a Single Agent or in Combination With MGD014 in Persons With HIV-1 on Antiretroviral Therapy

Study CP-MGD020-01 is a phase 1, open-label, dose-escalation, and multi-dose expansion study of MGD020 as a single agent or in combination with MGD014 in persons with HIV-1 (PWH) on antiretroviral therapy (ART). The study is designed to evaluate the safety, tolerability, pharmacokinetics (PK), immunogenicity, and pharmacodynamics (PD) of the study drugs. The study consists of 3 parts (Part 1A, Part 1B, and Part 2). The participant's standard of care ART regimen is continued throughout the study period.

MGD020 is a bispecific DART® molecule that binds CD3 and gp41 subunit of HIV-1 envelope. MGD014 is a bispecific DART® molecule that binds CD3 and gp120 subunit of HIV-1 envelope. These DART molecules redirect CD3+ T lymphocytes to kill HIV-1-infected CD4+ T cells.

Read more

Part 1A evaluates groups of participants given a single dose of MGD020. A 2-week safety period is observed prior to escalation to the next dose level. Dose escalation continues until either the maximum tolerated dose (MTD) or maximum administered dose (MAD) is determined.

Part 1B begins after the end of Part 1A. Part 1B evaluates groups of participants given a single dose of the MGD020 MTD or MAD from Part 1A and a fixed dose of of MGD014. The first group will be treated with a single dose of MGD020, at a dose determined to be one dose lower than the single-agent MTD/MAD from Part 1A, and a single 300 mcg/kg dose of MGD014. Dose escalation proceeds until either the MTD or MAD is determined.

Part 2 begins after the end of Part 1B. Part 2 is a multi-dose expansion group. Each participant will receive the MTD or MAD of MGD020 from Part 1B and a fixed dose of MGD014 from Part 1B, administered every 2 weeks (Q2W) for 3 combination doses over 4 weeks. Up to 6 participants may be enrolled in Part 2.

Being tested
MGD020, MGD014
Medical subject headings
Acquired Immunodeficiency Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MGD020Biological

    MGD020 is a bispecific DART molecule that binds CD3 and gp41 subunit of HIV-1 envelope.

  • MGD014Biological

    MGD014 is a bispecific DART molecule that binds CD3 and gp120 subunit of HIV-1 envelope.

Study groups in NCT05261191
Study groupRoleWhat they receive
Part 1A: Dose level 1ExperimentalSingle dose MGD020
Receives: Biological: MGD020
Part 1A: Dose level 2ExperimentalSingle dose MGD020
Receives: Biological: MGD020
Part 1A: Dose level 3ExperimentalSingle dose MGD020
Receives: Biological: MGD020
Part 1A: Dose level 4ExperimentalSingle dose MGD020
Receives: Biological: MGD020
Part 1A: Dose level 5ExperimentalSingle dose MGD020
Receives: Biological: MGD020
Part 1A: Dose level 6ExperimentalSingle dose MGD020
Receives: Biological: MGD020
Part 1B: MTD/MAD -1 MGD020 and MGD014ExperimentalSingle dose MGD020 and MGD014
Receives: Biological: MGD020; Biological: MGD014
Part 1B: MTD/MAD MGD020 and MGD014ExperimentalSingle dose MGD020 and MGD014
Receives: Biological: MGD020; Biological: MGD014
Part 2: MGD020 and MGD014ExperimentalMultiple doses of MGD020 and MGD014
Receives: Biological: MGD020; Biological: MGD014

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1A

    Observation of side effects determines the highest safe dose for further study

    Measured: Throughout the study, up to 43 days

  2. Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.

    Observation of side effects determines the highest safe dose for further study

    Measured: Throughout the study, up to 43 days

  3. Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.

    Observation of side effects determines the highest safe dose for further study

    Measured: Throughout the study, up to 81 days.

Secondary outcomes (15)
  1. Mean Maximum Concentration of MGD020

    The highest concentration of MGD020 at the end of the infusion

    Measured: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

  2. Mean Maximum Concentration of MGD014

    The highest concentration of MGD014 at the end of the infusion (Cmax).

    Measured: Throughout the study, up to 43 days for Part 1B, and up to 78 days for Part 2

  3. Mean Time to Maximal Concentration of MGD020

    The amount of time required to get maximum concentration of MGD020

    Measured: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

  4. Mean Time to Maximal Concentration of MGD014

    The amount of time required to get maximum concentration of MGD014

    Measured: Throughout the study, up to 43 days for Part 1B, and up to 78 days for Part 2

  5. Mean Area Under the Concentration-time Curve (AUC) of MGD020

    Total body exposure to MGD020

    Measured: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

  6. Mean AUC of MGD014

    Total body exposure to MGD014

    Measured: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

  7. Mean Half-life of MGD020

    The amount of time needed for the body to clear half of the dose of MGD020

    Measured: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

  8. Mean Half-life of MGD014

    The amount of time needed for the body to clear half of the dose of MGD014

    Measured: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

  9. Mean Volume of Distribution at Steady State (Vss) of MGD020

    This parameter measures how much of the drug remains in the bloodstream or is distributed to body tissues.

    Measured: Throughout the study, up to 78 days for Part 2

  10. Mean Volume of Distribution at Steady State of MGD014

    This parameter measures how much of the drug remains in the bloodstream or is distributed to body tissues.

    Measured: Throughout the study, up to 78 days for Part 2

  11. Mean Clearance of MGD020

    Total body clearance of the drug from plasma of MGD020

    Measured: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

  12. Mean Clearance of MGD014

    Total body clearance of the drug from plasma of MGD014

    Measured: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

  13. Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-α

    Measured: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2.

  14. Anti-drug Antibody Formation to MGD020

    Number of patients who develop antibodies against MDG020

    Measured: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

  15. Anti-drug Antibody Formation to MGD014

    Number of patients who develop antibodies against MDG014

    Measured: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Mar 2022
  2. Study start26 Sep 2022
  3. Primary completion29 May 2024
  4. Study completion29 May 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05261191
Sponsor's protocol ID
CP-MGD020-01
Other IDs
272201500032C-P00008-9999-1
Status last verified
Mar 2025
First submitted
18 Feb 2022
Last updated
28 Mar 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MGD020 and MGD014 in people with Human Immunodeficiency Virus I Infection and Immunodeficiency Virus Type 1, Human, run by MacroGenics at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1A (time frame: Throughout the study, up to 43 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Mar 2025.

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