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Study to Evaluate the Safety and Efficacy of Vesatolimod in Antiretroviral Treated Human Immunodeficiency Virus (HIV-1) Infected Controllers

A Phase 1b, Randomized, Double-Blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of GS-9620 in Antiretroviral Treated HIV-1 Infected Controllers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03060447
Enrollment
25
Registered
2017-02-23
Start date
2017-05-09
Completion date
2020-02-13
Last updated
2021-04-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV-1 Infection

Brief summary

The primary objective of this study is to evaluate the safety and tolerability of a 10-dose regimen of vesatolimod in HIV-1 infected controllers on antiretroviral treatment (ART) and during analytical treatment interruption (ATI) following vesatolimod dosing.

Interventions

Tablets Administered orally

DRUGPlacebo

Tablets Administered orally

DRUGART

ART regimens administered in accordance with their prescribing information. The following agents are allowed as part of the ART regimen: nucleoside reverse transcriptase inhibitors, raltegravir, dolutegravir (DTG), rilpivirine, and maraviroc.

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Plasma HIV-1 ribonucleic acid (RNA) levels \< 50 copies/mL at screening * Chronic HIV-1 infection (for ≥ 6 months) prior to ART initiation * Pre-ART Plasma HIV-1 RNA set point between 50 and ≤ 5,000 copies/mL measured within two years prior to ART initiation * On ART for ≥ 6 consecutive months prior to screening * Documented plasma HIV-1 RNA \< 50 copies/mL for ≥ 6 months preceding the screening visit (or undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). Unconfirmed virologic elevations of ≥ 50 copies/mL (transient detectable viremia, or blip) prior to screening are acceptable. * No documented history of resistance to any components of the current ART regimen * Availability of a fully active alternative ART regimen, in the opinion of the Investigator, in the event of discontinuation of the current ART regimen with development of resistance. * Hemoglobin ≥ 11.5 g/dL (males) or ≥ 11 g/dL (females) * White Blood Cells ≥ 2,500 cells/μL * Platelets ≥ 125,000/mL * Absolute Neutrophil Counts ≥ 1000 cells/μL * Cluster of Differentiation 4 (CD4)+ count ≥ 500 cells/μL * Alanine aminotransferase (ALT), aspartate aminotransferase (AST) or bilirubin ≤ 2 × upper limit of normal (ULN) * Estimated glomerular filtration rate ≥ 60 mL/min * No autoimmune disease requiring on-going immunosuppression * No evidence of current hepatitis B virus (HBV) infection * No evidence of current hepatitis C virus (HCV) infection (positive anti-HCV antibody and negative HCV polymerase chain reaction (PCR) results are acceptable) * No documented history of pre-ART CD4 nadir \< 200 cells/μL (unknown pre-ART CD4 nadir is acceptable) * No history of opportunistic illness indicative of stage 3 HIV * No acute febrile illness within 35 days prior to Pre-Baseline/ Day -13 Note: Other protocol defined Inclusion/

Exclusion criteria

may apply.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)From first dose up to 30 days after permanent discontinuation of study drug (assessed maximum up to 33 months and 5 days)AE was any untoward medical occurrence in a clinical study participant administered a medicinal product (MP), which did not necessarily had a causal relationship with treatment. AE was therefore any unfavorable and/or unintended sign, symptom, or disease temporally associated with use of MP, whether or not considered related to MP. TEAEs: AE with an onset date on or after the study drug start date and no later than 30 days after study drug stop date; or any AE leading to study drug discontinuation. TESAEs: event that resulted in following: death; life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization; persistent or significant disability or incapacity; congenital anomaly or birth defect; medically important event or reaction: such events might not have been immediately life-threatening or resulted in death or hospitalization but may jeopardize participant or may require intervention to prevent one of the other outcomes constituting SAEs.

Secondary

MeasureTime frameDescription
Time to Virologic ReboundFrom Day 1 (Period 1) up to 24 weeks of Period 2 plus 6 months following virologic re-suppression on ART, an average of 17 monthsTime to virologic rebound was analyzed using the Kaplan-Meier method at two cut-off values; ≥ 50 copies/mL and ≥ 200 copies/mL. Virologic rebound at ≥ 50 copies/mL was defined as 2 consecutive HIV-1 RNA measurements ≥ 50 copies/mL. Virologic rebound at ≥ 200 copies/mL was defined as 2 consecutive HIV-1 RNA measurements ≥ 200 copies/mL. The date of rebound was the first time HIV-1 RNA measurement ≥ 50 copies/mL or ≥ 200 respectively.
Peak HIV-1 Viral Load During Period 2From Week 1 up to Week 24For participants who did not restart ART, the maximum value of HIV-1 RNA measurements during ATI was used as the peak value and for participants who restarted ART, the maximum value of HIV-1 RNA measurements during ATI before the restart of ART was used as the peak value.
Change in Plasma Viral Load Set-Point Following ATIPre-ART (Initial Screening Visit) and 24 weeks plus 6 months following virologic re-suppression on ART (maximum 33 months and 5 days)Plasma viral load set-point values were calculated at pre-ART stage and following ATI. Change in plasma viral load set-point following ATI = viral set-point following ATI minus pre-ART set point. The plasma viral set-point following ATI was calculated as the geometric mean of all the HIV-1 RNA measurements between a start date and an end date. The start date and end date was provided by clinical based on blinded individual participant's data review.
Change From Baseline in Levels of Serum CytokinesBaseline and Dose 1: Day 2,8; Dose 4: Days 1,2,8; Dose 10: Days 1,2,8; ATI Remission Visit (12 weeks post ATI Visit: evaluated at maximum of 24 weeks); Early study drug discontinuation (7 days post- last ATI visit at Week 24)Following Serum Cytokines Levels were evaluated: interferon-a (IFN-a), interleukin-1 receptor antagonist (IL-1RA), inducible protein-10 (IP-10) and inducible T cell alpha chemoattractant (ITAC).
Fold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodBaseline and Dose 1: Day 2; Dose 4: Days 1,2; Dose 10: Day 1,2; Early Study Drug Discontinuation (7 days post- last ATI visit at Week 24)Following ISGs Levels were evaluated: Interferon-stimulated Gene 15 (ISG15), Oligoadenylate synthase-1 (OAS-1), and interferon-induced guanosine triphosphate-binding protein MX1. Fold change was calculated as postbaseline value divided by baseline value.
Change From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Baseline and Dose 1: Days 2,8; Dose 2: Days 1,8; Dose 3: Days 1,8; Dose 4: Days 1,2,4,8; Dose 5: Day 1,8; Dose 6: Days 1,4,8; Dose 7: Days 1,8; Dose 8: Days 1,8; Dose 9: Days 1,8; Dose 10: Days 1,2,4,8,14Plasma log 10 HIV-1 RNA was measured using Taqman version 2.0 assay with limit of quantification of 20 copies/mL.
Pharmacokinetic (PK) Parameter: Cmax of VesatolimodPre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.Cmax is defined as the maximum concentration of drug.
PK Parameter: AUClast of VesatolimodPre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.AUClast is defined as the concentration of drug from time zero to the last observable concentration.
PK Parameter: AUCinf of VesatolimodPre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.AUCinf was defined as the concentration of drug extrapolated to infinite time.
PK Parameter: %AUCexp of VesatolimodPre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.%AUCexp is defined as the percentage of AUC extrapolated between AUClast and AUCinf.
PK Parameter: Tmax of VesatolimodPre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.Tmax is defined as the time (observed time point) of Cmax.
Change From Baseline in Immune Cell ActivationBaseline and Dose 4: Days 1,2,4; Dose 6: Days 1,4; Dose 10: Days 1,2,4,14; ATI Remission Visit (12 weeks post ATI Visit: evaluated at maximum of 24 weeks)Activation of Immune cells (T cells: CD4/CD38/HLADR, CD8/CD38/HLADR and NK cells: CD69+CD56+CD16+, CD69+CD56dimCD16neg, CD69+CD56brCD16dim) was measured by cytometry.

Countries

United States

Participant flow

Recruitment details

Participants were enrolled at study sites in the United States. The first participant was screened on 09 May 2017. The last study visit occurred on 13 February 2020.

Pre-assignment details

31 participants were screened.

Participants by arm

ArmCount
Vesatolimod
Participants in Period 1 received 10 doses of vesatolimod (4 mg to 8 mg) tablets once every 14 days over a 20-week period along with their prescribed ART. Participants in Period 2 (ATI) discontinued ART and vesatolimod and were monitored for rebound in HIV-1 plasma viremia for 24 weeks. Participants who restarted ART during Period 2 due to virologic rebound completed the ART Re-Initiation Visits, and then Post-ART Re-suppression Visits monthly for 6 additional months. Participants who completed 24 Weeks of ATI without restarting ART moved onto Period 3 and had 2 options. They remained off ART for up to an additional 24 weeks. Those who restarted ART at the start of Period 3 completed ART Re-initiation Visits and then Post-ART Re-suppression Visits monthly for 6 additional months.
17
Placebo
Participants in Period 1 received 10 doses of placebo matched to vesatolimod tablets once every 14 days over a 20-week period along with their prescribed ART. Participants in Period 2 (ATI) discontinued ART and placebo and were monitored for rebound in HIV-1 plasma viremia for 24 weeks. Participants who restarted ART during Period 2 due to virologic rebound completed the ART Re-Initiation Visits, and then Post-ART Re-suppression Visits monthly for 6 additional months. Participants who completed 24 Weeks of ATI without restarting ART moved onto Period 3 and had 2 options. They remained off ART for up to an additional 24 weeks. Those who restarted ART at the start of Period 3 completed ART Re-initiation Visits and then Post-ART Re-suppression Visits monthly for 6 additional months.
8
Total25

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicPlaceboTotalVesatolimod
Age, Continuous42 years
STANDARD_DEVIATION 9.4
46 years
STANDARD_DEVIATION 11.2
49 years
STANDARD_DEVIATION 11.4
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants24 Participants17 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
HIV-1 RNA1.28 log10 copies/mL
STANDARD_DEVIATION 0
1.30 log10 copies/mL
STANDARD_DEVIATION 0.089
1.30 log10 copies/mL
STANDARD_DEVIATION 0.108
HIV-1 RNA Category
< 50 copies/mL
8 Participants24 Participants16 Participants
HIV-1 RNA Category
≥ 50 copies/mL
0 Participants1 Participants1 Participants
Pre-ART Plasma Viral Set-point3.08 log10 copies/mL
STANDARD_DEVIATION 0.469
3.13 log10 copies/mL
STANDARD_DEVIATION 0.34
3.15 log10 copies/mL
STANDARD_DEVIATION 0.275
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants8 Participants6 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
6 Participants17 Participants11 Participants
Sex: Female, Male
Female
0 Participants4 Participants4 Participants
Sex: Female, Male
Male
8 Participants21 Participants13 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 170 / 8
other
Total, other adverse events
16 / 176 / 8
serious
Total, serious adverse events
1 / 170 / 8

Outcome results

Primary

Percentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)

AE was any untoward medical occurrence in a clinical study participant administered a medicinal product (MP), which did not necessarily had a causal relationship with treatment. AE was therefore any unfavorable and/or unintended sign, symptom, or disease temporally associated with use of MP, whether or not considered related to MP. TEAEs: AE with an onset date on or after the study drug start date and no later than 30 days after study drug stop date; or any AE leading to study drug discontinuation. TESAEs: event that resulted in following: death; life-threatening situation; in-patient hospitalization or prolongation of existing hospitalization; persistent or significant disability or incapacity; congenital anomaly or birth defect; medically important event or reaction: such events might not have been immediately life-threatening or resulted in death or hospitalization but may jeopardize participant or may require intervention to prevent one of the other outcomes constituting SAEs.

Time frame: From first dose up to 30 days after permanent discontinuation of study drug (assessed maximum up to 33 months and 5 days)

Population: The Safety Analysis Set included all participants who were randomized and received at least 1 dose of study drug. Per planned analysis, this outcome measure was analyzed by vesatolimod dose level and placebo.

ArmMeasureGroupValue (NUMBER)
Vesatolimod 4 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TESAEs0 percentage of participants
Vesatolimod 4 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TEAEs100.00 percentage of participants
Vesatolimod 4/6 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TESAEs0 percentage of participants
Vesatolimod 4/6 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TEAEs75.00 percentage of participants
Vesatolimod 6 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TESAEs0 percentage of participants
Vesatolimod 6 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TEAEs100.00 percentage of participants
Vesatolimod 6/8 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TESAEs33.3 percentage of participants
Vesatolimod 6/8 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TEAEs100.00 percentage of participants
Vesatolimod 8 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TESAEs0 percentage of participants
Vesatolimod 8 mgPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TEAEs100.00 percentage of participants
PlaceboPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TESAEs0 percentage of participants
PlaceboPercentage of Participants Experiencing Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events (TEAEs)TEAEs75.00 percentage of participants
Secondary

Change From Baseline in Immune Cell Activation

Activation of Immune cells (T cells: CD4/CD38/HLADR, CD8/CD38/HLADR and NK cells: CD69+CD56+CD16+, CD69+CD56dimCD16neg, CD69+CD56brCD16dim) was measured by cytometry.

Time frame: Baseline and Dose 4: Days 1,2,4; Dose 6: Days 1,4; Dose 10: Days 1,2,4,14; ATI Remission Visit (12 weeks post ATI Visit: evaluated at maximum of 24 weeks)

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 6: Day 1-0.6 percentage of cell activationStandard Deviation 0.7
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 211.1 percentage of cell activationStandard Deviation 2.72
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 41.0 percentage of cell activationStandard Deviation 1.6
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 41.7 percentage of cell activationStandard Deviation 1.99
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 6: Day 41.5 percentage of cell activationStandard Deviation 1.53
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 140.8 percentage of cell activationStandard Deviation 6.77
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 4: Day 10.4 percentage of cell activationStandard Deviation 0.58
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 11.5 percentage of cell activationStandard Deviation 2.82
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg, Baseline12.2 percentage of cell activationStandard Deviation 6.41
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 140.5 percentage of cell activationStandard Deviation 0.36
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 4: Day 1-1.8 percentage of cell activationStandard Deviation 5.13
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 27.0 percentage of cell activationStandard Deviation 4.83
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 4: Day 26.7 percentage of cell activationStandard Deviation 4.95
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 6: Day 40.9 percentage of cell activationStandard Deviation 0.41
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 4: Day 41.9 percentage of cell activationStandard Deviation 6.02
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 43.0 percentage of cell activationStandard Deviation 3.25
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 6: Day 1-0.7 percentage of cell activationStandard Deviation 5.36
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 4: Day 40.7 percentage of cell activationStandard Deviation 0.53
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 6: Day 42.6 percentage of cell activationStandard Deviation 3.81
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 141.6 percentage of cell activationStandard Deviation 3.03
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 1-0.7 percentage of cell activationStandard Deviation 5.15
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR, Baseline5.4 percentage of cell activationStandard Deviation 2.43
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 223.9 percentage of cell activationStandard Deviation 8.15
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 11.0 percentage of cell activationStandard Deviation 0.56
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 42.0 percentage of cell activationStandard Deviation 2.55
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+, Baseline7.5 percentage of cell activationStandard Deviation 7.04
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 141.6 percentage of cell activationStandard Deviation 4.89
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 4: Day 10.6 percentage of cell activationStandard Deviation 1.41
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 4: Day 1-2.2 percentage of cell activationStandard Deviation 5.43
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim, Baseline5.0 percentage of cell activationStandard Deviation 2.68
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 4: Day 20.9 percentage of cell activationStandard Deviation 0.88
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 4: Day 1-1.5 percentage of cell activationStandard Deviation 1.46
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 4: Day 24.5 percentage of cell activationStandard Deviation 7.45
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 4: Day 21.0 percentage of cell activationStandard Deviation 2.98
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 4: Day 21.6 percentage of cell activationStandard Deviation 1.19
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 4: Day 40.9 percentage of cell activationStandard Deviation 1.63
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 4: Day 41.0 percentage of cell activationStandard Deviation 3.04
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 6: Day 11.9 percentage of cell activationStandard Deviation 2.09
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 22.6 percentage of cell activationStandard Deviation 0.11
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 6: Day 46.2 percentage of cell activationStandard Deviation 6.68
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 6: Day 10.2 percentage of cell activationStandard Deviation 2.36
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 40.0 percentage of cell activationStandard Deviation 1.46
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 15.0 percentage of cell activationStandard Deviation 7
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 4: Day 40.8 percentage of cell activationStandard Deviation 0.56
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 217.2 percentage of cell activationStandard Deviation 16.49
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 6: Day 40.9 percentage of cell activationStandard Deviation 0.95
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 6: Day 10.5 percentage of cell activationStandard Deviation 0.41
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 142.7 percentage of cell activationStandard Deviation 3.14
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 10.5 percentage of cell activationStandard Deviation 0.61
Vesatolimod 4 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR, Baseline2.7 percentage of cell activationStandard Deviation 0.94
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 6: Day 40.2 percentage of cell activationStandard Deviation 1.72
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 11.3 percentage of cell activationStandard Deviation 1.72
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 22.2 percentage of cell activationStandard Deviation 5.08
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 43.3 percentage of cell activationStandard Deviation 3.7
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 10: Day 140.9 percentage of cell activationStandard Deviation 2.93
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at ATI Remission0.2 percentage of cell activationStandard Deviation 0.91
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR, Baseline2.3 percentage of cell activationStandard Deviation 1.04
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 4: Day 1-0.3 percentage of cell activationStandard Deviation 0.38
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 4: Day 20.4 percentage of cell activationStandard Deviation 1.02
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 4: Day 4-0.3 percentage of cell activationStandard Deviation 0.74
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 6: Day 1-0.2 percentage of cell activationStandard Deviation 0.9
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 6: Day 4-0.1 percentage of cell activationStandard Deviation 1.2
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 1-0.4 percentage of cell activationStandard Deviation 0.45
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 2-0.3 percentage of cell activationStandard Deviation 0.75
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 4-0.2 percentage of cell activationStandard Deviation 1.45
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at Dose 10: Day 140.1 percentage of cell activationStandard Deviation 1.16
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD4/CD38/HLADR,Change at ATI Remission1.3 percentage of cell activationStandard Deviation 1.63
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR, Baseline5.2 percentage of cell activationStandard Deviation 2.86
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 4: Day 1-0.8 percentage of cell activationStandard Deviation 1.23
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 4: Day 20.2 percentage of cell activationStandard Deviation 2.06
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 4: Day 4-0.9 percentage of cell activationStandard Deviation 1.83
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 6: Day 1-1.1 percentage of cell activationStandard Deviation 1.56
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 6: Day 4-0.7 percentage of cell activationStandard Deviation 2.14
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 1-1.3 percentage of cell activationStandard Deviation 1.77
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 2-1.2 percentage of cell activationStandard Deviation 2.09
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 4-1.3 percentage of cell activationStandard Deviation 2.31
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at Dose 10: Day 140.0 percentage of cell activationStandard Deviation 2.81
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD8/CD38/HLADR,Change at ATI Remission Visit6.0 percentage of cell activationStandard Deviation 6.41
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+, Baseline6.7 percentage of cell activationStandard Deviation 6.31
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 4: Day 1-0.4 percentage of cell activationStandard Deviation 3.24
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 4: Day 20.5 percentage of cell activationStandard Deviation 2.81
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 4: Day 40.0 percentage of cell activationStandard Deviation 5.12
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 6: Day 10.4 percentage of cell activationStandard Deviation 4.32
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 6: Day 4-1.5 percentage of cell activationStandard Deviation 4.78
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 1-1.2 percentage of cell activationStandard Deviation 4.67
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 2-2.2 percentage of cell activationStandard Deviation 5.81
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 4-1.4 percentage of cell activationStandard Deviation 5.1
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at Dose 10: Day 14-0.4 percentage of cell activationStandard Deviation 3.92
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56+CD16+,Change at ATI Remission Visit-1.7 percentage of cell activationStandard Deviation 1.34
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg, Baseline11.3 percentage of cell activationStandard Deviation 10.37
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 4: Day 1-0.7 percentage of cell activationStandard Deviation 2.72
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 4: Day 2-0.8 percentage of cell activationStandard Deviation 4.1
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 4: Day 4-1.1 percentage of cell activationStandard Deviation 6.5
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 6: Day 1-3.0 percentage of cell activationStandard Deviation 7.89
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 6: Day 4-3.0 percentage of cell activationStandard Deviation 7
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 1-3.7 percentage of cell activationStandard Deviation 7.02
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 2-4.2 percentage of cell activationStandard Deviation 7.94
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 4-2.0 percentage of cell activationStandard Deviation 6.7
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: Day 14-2.5 percentage of cell activationStandard Deviation 8.49
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56dimCD16neg,Change at Dose 10: ATI Remission-7.3 percentage of cell activationStandard Deviation 13.15
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim, Baseline2.6 percentage of cell activationStandard Deviation 1.02
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 4: Day 1-0.3 percentage of cell activationStandard Deviation 1.89
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 4: Day 20.6 percentage of cell activationStandard Deviation 2.49
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 4: Day 42.9 percentage of cell activationStandard Deviation 2.13
Vesatolimod 4/6 mgChange From Baseline in Immune Cell ActivationCD69+CD56brCD16dim,Change at Dose 6: Day 11.5 percentage of cell activationStandard Deviation 2.9
Comparison: CD4/CD38/HLADR, Baselinep-value: 0.7469Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 4: Day 1p-value: 0.1207Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 4: Day 2p-value: 0.4113Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 4: Day 4p-value: 0.1113Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 6: Day 1p-value: 0.241Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 6: Day 4p-value: 0.1098Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 10: Day 1p-value: 0.0369Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 10: Day 2p-value: 0.0814Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 10: Day 4p-value: 0.1658Wilcoxon (Mann-Whitney)
Comparison: CD4/CD38/HLADR, Dose 10: Day 14p-value: 0.9431Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Baselinep-value: 0.6514Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 4: Day 1p-value: 0.0821Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 4: Day 2p-value: 0.2353Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 4: Day 4p-value: 0.1779Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 6: Day 1p-value: 0.7491Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 6: Day 4p-value: 0.07Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 10: Day 1p-value: 0.3711Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 10: Day 2p-value: 0.0814Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 10: Day 4p-value: 0.07Wilcoxon (Mann-Whitney)
Comparison: CD8/CD38/HLADR, Dose 10: Day 14p-value: 0.8303Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Baselinep-value: 0.953Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 4: Day 1p-value: 0.1735Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 4: Day 2p-value: 0.2971Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 4: Day 4p-value: 1Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 6: Day 1p-value: 1Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 6: Day 4p-value: 0.3374Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 10: Day 1p-value: 0.7656Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 10: Day 2p-value: 0.0814Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 10: Day 4p-value: 0.3374Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56+CD16+, Dose 10: Day 14p-value: 0.432Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Baselinep-value: 0.8597Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 4: Day 1p-value: 1Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 4: Day 2p-value: 0.0306Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 4: Day 4p-value: 0.8345Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 6: Day 1p-value: 0.9151Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 6: Day 4p-value: 0.1098Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 10: Day 1p-value: 1Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 10: Day 2p-value: 0.0814Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 10: Day 4p-value: 0.4555Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56dimCD16neg, Dose 10: Day 14p-value: 0.6171Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Baselinep-value: 0.0677Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 4: Day 1p-value: 0.4712Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 4: Day 2p-value: 0.6889Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 4: Day 4p-value: 0.1437Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 6: Day 1p-value: 0.7491Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 6: Day 4p-value: 0.07Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 10: Day 1p-value: 0.7656Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 10: Day 2p-value: 0.1752Wilcoxon (Mann-Whitney)
Comparison: CD69+CD56brCD16dim, Dose 10: Day 4p-value: 0.07Wilcoxon (Mann-Whitney)
p-value: 0.2246Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Levels of Serum Cytokines

Following Serum Cytokines Levels were evaluated: interferon-a (IFN-a), interleukin-1 receptor antagonist (IL-1RA), inducible protein-10 (IP-10) and inducible T cell alpha chemoattractant (ITAC).

Time frame: Baseline and Dose 1: Day 2,8; Dose 4: Days 1,2,8; Dose 10: Days 1,2,8; ATI Remission Visit (12 weeks post ATI Visit: evaluated at maximum of 24 weeks); Early study drug discontinuation (7 days post- last ATI visit at Week 24)

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Early Study Drug Discontinuation31.2 pg/mL
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 4: Day 20.75 pg/mLStandard Deviation 2.361
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 4: Day 80.01 pg/mLStandard Deviation 0.064
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 10: Day 1-0.01 pg/mLStandard Deviation 0.031
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 10: Day 20.51 pg/mLStandard Deviation 1.028
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 10: Day 80.01 pg/mLStandard Deviation 0.072
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at ATI Remission Visit-0.03 pg/mLStandard Deviation 0.059
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Early study drug discontinuation0.00 pg/mL
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA, Baseline2346.1 pg/mLStandard Deviation 3743.44
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 1: Day 22797.6 pg/mLStandard Deviation 2908.21
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 1: Day 8-326.9 pg/mLStandard Deviation 914.43
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 4: Day 1390.4 pg/mLStandard Deviation 856.29
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 4: Day 25140.4 pg/mLStandard Deviation 8692.35
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 4: Day 8-63.9 pg/mLStandard Deviation 1749.75
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 10: Day 1-160.9 pg/mLStandard Deviation 1229.91
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 10: Day 23790.2 pg/mLStandard Deviation 6401.27
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 10: Day 8-77.6 pg/mLStandard Deviation 521.52
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at ATI Remission Visit-161.7 pg/mLStandard Deviation 1030.42
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Early study drug discontinuation222.4 pg/mL
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10, Baseline161.0 pg/mLStandard Deviation 82.04
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10, Change at Dose 1: Day 2554.1 pg/mLStandard Deviation 693.55
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 1: Day 838.8 pg/mLStandard Deviation 126.82
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 4: Day 127.8 pg/mLStandard Deviation 71.62
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 4: Day 2337.9 pg/mLStandard Deviation 487.83
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 4: Day 823.4 pg/mLStandard Deviation 58.5
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 10: Day 119.1 pg/mLStandard Deviation 44.13
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 10: Day 2554.6 pg/mLStandard Deviation 893.7
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10, Change at Dose 10: Day 818.1 pg/mLStandard Deviation 82.14
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at ATI Remission47.5 pg/mLStandard Deviation 48.42
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Early Study Drug Discontinuation0.7 pg/mL
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC, Baseline71.8 pg/mLStandard Deviation 108.1
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC, Change at Dose 1: Day 250.4 pg/mLStandard Deviation 80.46
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 1: Day 811.5 pg/mLStandard Deviation 34.78
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC, Change at Dose 4: Day 18.0 pg/mLStandard Deviation 25.97
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 4: Day 248.0 pg/mLStandard Deviation 78.14
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC, Change at Dose 4: Day 82.0 pg/mLStandard Deviation 24.2
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 10: Day 1-1.6 pg/mLStandard Deviation 19.11
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 10: Day 269.1 pg/mLStandard Deviation 181.55
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 10: Day 82.2 pg/mLStandard Deviation 12.19
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at ATI Remission19.1 pg/mLStandard Deviation 20.44
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a, Baseline0.02 pg/mLStandard Deviation 0.036
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 1: Day 20.41 pg/mLStandard Deviation 0.834
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 1: Day 80.14 pg/mLStandard Deviation 0.447
Vesatolimod 4 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 4: Day 1-0.01 pg/mLStandard Deviation 0.03
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a, Baseline0.05 pg/mLStandard Deviation 0.075
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at ATI Remission26.2 pg/mLStandard Deviation 92.41
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 1: Day 2-0.01 pg/mLStandard Deviation 0.073
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 4: Day 2-8.9 pg/mLStandard Deviation 33.81
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 1: Day 80.04 pg/mLStandard Deviation 0.129
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10, Baseline178.5 pg/mLStandard Deviation 103.5
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 4: Day 10.10 pg/mLStandard Deviation 0.358
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 10: Day 2-1.0 pg/mLStandard Deviation 27.68
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 4: Day 2-0.01 pg/mLStandard Deviation 0.065
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10, Change at Dose 1: Day 2-23.9 pg/mLStandard Deviation 52.24
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 4: Day 8-0.03 pg/mLStandard Deviation 0.077
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC, Baseline206.3 pg/mLStandard Deviation 329.55
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 10: Day 1-0.03 pg/mLStandard Deviation 0.056
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 1: Day 834.5 pg/mLStandard Deviation 182.93
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 10: Day 2-0.02 pg/mLStandard Deviation 0.055
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC, Change at Dose 4: Day 85.0 pg/mLStandard Deviation 27.98
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at Dose 10: Day 8-0.04 pg/mLStandard Deviation 0.065
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 4: Day 1-25.3 pg/mLStandard Deviation 46.15
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIFN-a,Change at ATI Remission Visit0.17 pg/mLStandard Deviation 0.301
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC, Change at Dose 1: Day 2-13.9 pg/mLStandard Deviation 42.68
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 4: Day 2-13.8 pg/mLStandard Deviation 78.1
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA, Baseline882.9 pg/mLStandard Deviation 306.75
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at ATI Remission39.6 pg/mLStandard Deviation 88.54
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 1: Day 294.8 pg/mLStandard Deviation 190.53
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 4: Day 8-59.0 pg/mLStandard Deviation 58.04
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 1: Day 81004.9 pg/mLStandard Deviation 2432.36
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 1: Day 8-10.4 pg/mLStandard Deviation 44.02
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 4: Day 142.2 pg/mLStandard Deviation 227.9
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 10: Day 1-22.8 pg/mLStandard Deviation 54.29
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 4: Day 2186.4 pg/mLStandard Deviation 449.94
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 10: Day 1-8.4 pg/mLStandard Deviation 33.91
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 4: Day 8-143.5 pg/mLStandard Deviation 226.83
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10,Change at Dose 10: Day 2-17.5 pg/mLStandard Deviation 50.94
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 10: Day 1563.9 pg/mLStandard Deviation 1201.78
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC, Change at Dose 4: Day 1-25.4 pg/mLStandard Deviation 65.76
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 10: Day 214.1 pg/mLStandard Deviation 467.9
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIP-10, Change at Dose 10: Day 8-51.1 pg/mLStandard Deviation 57.23
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at Dose 10: Day 8-13.9 pg/mLStandard Deviation 308.8
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesITAC,Change at Dose 10: Day 8-7.4 pg/mLStandard Deviation 22.5
Vesatolimod 4/6 mgChange From Baseline in Levels of Serum CytokinesIL-1RA,Change at ATI Remission Visit491.1 pg/mLStandard Deviation 306.12
Comparison: IFN-a, Baselinep-value: 0.34Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 1: Day 2p-value: 0.11Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 1: Day 8p-value: 0.81Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 4: Day 1p-value: 0.83Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 4: Day 2p-value: 0.12Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 4: Day 8p-value: 0.45Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 10: Day 1p-value: 0.25Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 10: Day 2p-value: 0.053Wilcoxon (Mann-Whitney)
Comparison: IFN-a, Dose 10: Day 8p-value: 0.16Wilcoxon (Mann-Whitney)
Comparison: IFN-a, ATI Remission Visitp-value: 0.27Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Baselinep-value: 0.35Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 1: Day 2p-value: 0.013Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 1: Day 8p-value: 0.15Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 4: Day 1p-value: 0.3Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 4: Day 2p-value: 0.003Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 4: Day 8p-value: 0.49Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 10: Day 1p-value: 0.25Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 10: Day 2p-value: 0.055Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, Dose 10: Day 8p-value: 0.9Wilcoxon (Mann-Whitney)
Comparison: IL-1RA, ATI Remission Visitp-value: 0.39Wilcoxon (Mann-Whitney)
Comparison: IP-10, Baselinep-value: 0.75Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 1: Day 2p-value: <0.001Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 1: Day 8p-value: 0.69Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 4: Day 1p-value: 0.15Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 4: Day 2p-value: 0.018Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 4: Day 8p-value: 0.03Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 10: Day 1p-value: 0.087Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 10: Day 2p-value: <0.001Wilcoxon (Mann-Whitney)
Comparison: IP-10, Dose 10: Day 8p-value: 0.066Wilcoxon (Mann-Whitney)
Comparison: IP-10, ATI Remissionp-value: 0.86Wilcoxon (Mann-Whitney)
Comparison: ITAC, Baselinep-value: 0.19Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 1: Day 2p-value: 0.021Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 1: Day 8p-value: 0.31Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 4: Day 1p-value: 0.1Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 4: Day 2p-value: 0.018Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 4: Day 8p-value: 0.69Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 10: Day 1p-value: 0.46Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 10: Day 2p-value: 0.21Wilcoxon (Mann-Whitney)
Comparison: ITAC, Dose 10: Day 8p-value: 0.67Wilcoxon (Mann-Whitney)
Comparison: ITAC, ATI Remissionp-value: 0.6Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0

Plasma log 10 HIV-1 RNA was measured using Taqman version 2.0 assay with limit of quantification of 20 copies/mL.

Time frame: Baseline and Dose 1: Days 2,8; Dose 2: Days 1,8; Dose 3: Days 1,8; Dose 4: Days 1,2,4,8; Dose 5: Day 1,8; Dose 6: Days 1,4,8; Dose 7: Days 1,8; Dose 8: Days 1,8; Dose 9: Days 1,8; Dose 10: Days 1,2,4,8,14

Population: Participants in the Full Analysis Set (included all participants who were randomized into the study and received at least one dose of study drug) with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 1-0.03 Log10 copies/mLStandard Deviation 0.111
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 1: Day 80.05 Log10 copies/mLStandard Deviation 0.212
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 2: Day 10.09 Log10 copies/mLStandard Deviation 0.372
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 2: Day 8-0.03 Log10 copies/mLStandard Deviation 0.111
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 3: Day 1-0.03 Log10 copies/mLStandard Deviation 0.111
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 3: Day 8-0.03 Log10 copies/mLStandard Deviation 0.111
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 1: Day 2-0.01 Log10 copies/mLStandard Deviation 0.027
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 2-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 4-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 8-0.03 Log10 copies/mLStandard Deviation 0.111
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 5: Day 1-0.03 Log10 copies/mLStandard Deviation 0.111
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 5: Day 8-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 6: Day 1-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 6: Day 4-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 6: Day 8-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 7: Day 1-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 7: Day 8-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 8: Day 1-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 8: Day 8-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 9: Day 1-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 9: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 1-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 2-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 4-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 8-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 14-0.03 Log10 copies/mLStandard Deviation 0.115
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 9: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 1: Day 20.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 6: Day 40.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 1: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 2: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 6: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 2: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 9: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 3: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 7: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 3: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 40.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 7: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 20.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 40.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 8: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 4: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 140.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 5: Day 10.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 8: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 5: Day 80.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 10: Day 20.00 Log10 copies/mLStandard Deviation 0
Vesatolimod 4/6 mgChange From Baseline in Plasma Log 10 HIV-1 RNA by Taqman 2.0Change at Dose 6: Day 10.00 Log10 copies/mLStandard Deviation 0
Comparison: Dose 1: Day 2p-value: 0.55Wilcoxon (Mann-Whitney)
Comparison: Dose 1: Day 8p-value: 0.54Wilcoxon (Mann-Whitney)
Comparison: Dose 2: Day 1p-value: 0.54Wilcoxon (Mann-Whitney)
Comparison: Dose 2: Day 8p-value: 0.54Wilcoxon (Mann-Whitney)
Comparison: Dose 3: Day 1p-value: 0.54Wilcoxon (Mann-Whitney)
Comparison: Dose 3: Day 8p-value: 0.57Wilcoxon (Mann-Whitney)
Comparison: Dose 4: Day 1p-value: 0.54Wilcoxon (Mann-Whitney)
Comparison: Dose 4: Day 2p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 4: Day 4p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 4: Day 8p-value: 0.61Wilcoxon (Mann-Whitney)
Comparison: Dose 5: Day 1p-value: 0.54Wilcoxon (Mann-Whitney)
Comparison: Dose 5: Day 8p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 6: Day 1p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 6: Day 4p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 6: Day 8p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 7: Day 1p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 7 - Day 8p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 8: Day 1p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 8: Day 8p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 9: Day 1p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 9: Day 8p-value: 1Wilcoxon (Mann-Whitney)
Comparison: Dose 10: Day 1p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 10: Day 2p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 10: Day 4p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 10: Day 8p-value: 0.52Wilcoxon (Mann-Whitney)
Comparison: Dose 10: Day 14p-value: 0.52Wilcoxon (Mann-Whitney)
Secondary

Change in Plasma Viral Load Set-Point Following ATI

Plasma viral load set-point values were calculated at pre-ART stage and following ATI. Change in plasma viral load set-point following ATI = viral set-point following ATI minus pre-ART set point. The plasma viral set-point following ATI was calculated as the geometric mean of all the HIV-1 RNA measurements between a start date and an end date. The start date and end date was provided by clinical based on blinded individual participant's data review.

Time frame: Pre-ART (Initial Screening Visit) and 24 weeks plus 6 months following virologic re-suppression on ART (maximum 33 months and 5 days)

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEDIAN)
Vesatolimod 4 mgChange in Plasma Viral Load Set-Point Following ATI-0.37 Log10 copies/mL
Vesatolimod 4/6 mgChange in Plasma Viral Load Set-Point Following ATI-0.28 Log10 copies/mL
p-value: 0.78Wilcoxon (Mann-Whitney)
Secondary

Fold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole Blood

Following ISGs Levels were evaluated: Interferon-stimulated Gene 15 (ISG15), Oligoadenylate synthase-1 (OAS-1), and interferon-induced guanosine triphosphate-binding protein MX1. Fold change was calculated as postbaseline value divided by baseline value.

Time frame: Baseline and Dose 1: Day 2; Dose 4: Days 1,2; Dose 10: Day 1,2; Early Study Drug Discontinuation (7 days post- last ATI visit at Week 24)

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 1: Day 219.53 fold changeStandard Deviation 15.548
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Early Study Drug Discontinuation1.14 fold change
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 1: Day 26.83 fold changeStandard Deviation 4.225
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 4: Day 29.91 fold changeStandard Deviation 8.061
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 4: Day 12.21 fold changeStandard Deviation 2.087
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 4: Day 13.35 fold changeStandard Deviation 5.212
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 4: Day 27.44 fold changeStandard Deviation 4.65
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 10: Day 210.29 fold changeStandard Deviation 8.862
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 10: Day 11.47 fold changeStandard Deviation 0.665
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 4: Day 219.09 fold changeStandard Deviation 15.113
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 10: Day 26.83 fold changeStandard Deviation 5.189
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 10: Day 11.59 fold changeStandard Deviation 0.844
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Early Study Drug Discontinuation1.08 fold change
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 1: Day 29.36 fold changeStandard Deviation 6.873
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 4: Day 12.98 fold changeStandard Deviation 4.65
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 10: Day 11.62 fold changeStandard Deviation 0.742
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Early Study Drug Discontinuation1.06 fold change
Vesatolimod 4 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 10: Day 219.71 fold changeStandard Deviation 20.209
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 1: Day 21.06 fold changeStandard Deviation 0.249
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 4: Day 11.17 fold changeStandard Deviation 0.312
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 4: Day 23.49 fold changeStandard Deviation 6.957
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 10: Day 11.03 fold changeStandard Deviation 0.226
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodMX1, Dose 10: Day 20.98 fold changeStandard Deviation 0.232
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 1: Day 21.06 fold changeStandard Deviation 0.32
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 4: Day 11.24 fold changeStandard Deviation 0.343
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 4: Day 28.41 fold changeStandard Deviation 20.782
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 10: Day 11.02 fold changeStandard Deviation 0.223
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodISG15, Dose 10: Day 21.02 fold changeStandard Deviation 0.366
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 1: Day 21.07 fold changeStandard Deviation 0.285
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 4: Day 11.13 fold changeStandard Deviation 0.395
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 4: Day 22.62 fold changeStandard Deviation 4.676
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 10: Day 11.03 fold changeStandard Deviation 0.218
Vesatolimod 4/6 mgFold Change in Messenger Ribonucleic Acid (mRNA) of Interferon-Stimulated Genes (ISGs) in Whole BloodOAS-1, Dose 10: Day 21.04 fold changeStandard Deviation 0.162
Comparison: ISG15, Dose 1: Day 2p-value: 0.002Wilcoxon (Mann-Whitney)
Comparison: ISG15, Dose 4: Day 1p-value: 0.58Wilcoxon (Mann-Whitney)
Comparison: ISG15, Dose 4: Day 2p-value: 0.009Wilcoxon (Mann-Whitney)
p-value: 0.031Wilcoxon (Mann-Whitney)
Comparison: ISG15, Dose 10: Day 2p-value: 0.001Wilcoxon (Mann-Whitney)
Comparison: OAS-1, Dose 1: Day 2p-value: 0.003Wilcoxon (Mann-Whitney)
Comparison: OAS-1, Dose 4: Day 1p-value: 0.057Wilcoxon (Mann-Whitney)
Comparison: OAS-1, Dose 4: Day 2p-value: 0.009Wilcoxon (Mann-Whitney)
Comparison: OAS-1, Dose 10: Day 1p-value: 0.057Wilcoxon (Mann-Whitney)
Comparison: OAS-1, Dose 10: Day 2p-value: 0.005Wilcoxon (Mann-Whitney)
Comparison: MX1, Dose 1: Day 2p-value: <0.001Wilcoxon (Mann-Whitney)
Comparison: MX1, Dose 4: Day 1p-value: 0.17Wilcoxon (Mann-Whitney)
Comparison: MX1, Dose 4: Day 2p-value: 0.003Wilcoxon (Mann-Whitney)
p-value: 0.1Wilcoxon (Mann-Whitney)
Comparison: MX1, Dose 10: Day 2p-value: <0.001Wilcoxon (Mann-Whitney)
Secondary

Peak HIV-1 Viral Load During Period 2

For participants who did not restart ART, the maximum value of HIV-1 RNA measurements during ATI was used as the peak value and for participants who restarted ART, the maximum value of HIV-1 RNA measurements during ATI before the restart of ART was used as the peak value.

Time frame: From Week 1 up to Week 24

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEDIAN)
Vesatolimod 4 mgPeak HIV-1 Viral Load During Period 24.21 Log10 copies/mL
Vesatolimod 4/6 mgPeak HIV-1 Viral Load During Period 23.97 Log10 copies/mL
p-value: 0.67Wilcoxon (Mann-Whitney)
Secondary

Pharmacokinetic (PK) Parameter: Cmax of Vesatolimod

Cmax is defined as the maximum concentration of drug.

Time frame: Pre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.

Population: The vesatolimod PK Analysis Set included all participants who were randomized into the study, received at least 1 dose of active vesatolimod, and had at least 1 non-missing post baseline concentration value for vesatolimod. Per planned analysis this outcome measure was analyzed by actual treatment received (i.e. 'Vesatolimod').

ArmMeasureValue (MEAN)Dispersion
Vesatolimod 4 mgPharmacokinetic (PK) Parameter: Cmax of Vesatolimod7149.6 pg/mLStandard Deviation 7662.17
Secondary

PK Parameter: %AUCexp of Vesatolimod

%AUCexp is defined as the percentage of AUC extrapolated between AUClast and AUCinf.

Time frame: Pre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.

Population: Participants in the vesatolimod PK Analysis Set with available data were analyzed. Per planned analysis this outcome measure was analyzed by actual treatment received (i.e. 'Vesatolimod').

ArmMeasureValue (MEAN)Dispersion
Vesatolimod 4 mgPK Parameter: %AUCexp of Vesatolimod22.4 Percentage of AUCStandard Deviation 7.9
Secondary

PK Parameter: AUCinf of Vesatolimod

AUCinf was defined as the concentration of drug extrapolated to infinite time.

Time frame: Pre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.

Population: Participants in the vesatolimod PK Analysis Set with available data were analyzed. Per planned analysis this outcome measure was analyzed by actual treatment received (i.e. 'Vesatolimod').

ArmMeasureValue (MEAN)Dispersion
Vesatolimod 4 mgPK Parameter: AUCinf of Vesatolimod60040.3 hour*pg/mLStandard Deviation 59280.72
Secondary

PK Parameter: AUClast of Vesatolimod

AUClast is defined as the concentration of drug from time zero to the last observable concentration.

Time frame: Pre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.

Population: Participants in the vesatolimod PK Analysis Set were analyzed. Per planned analysis this outcome measure was analyzed by actual treatment received (i.e. 'Vesatolimod').

ArmMeasureValue (MEAN)Dispersion
Vesatolimod 4 mgPK Parameter: AUClast of Vesatolimod49323.5 hour*pg/mlStandard Deviation 48542.34
Secondary

PK Parameter: Tmax of Vesatolimod

Tmax is defined as the time (observed time point) of Cmax.

Time frame: Pre-dose (≤ 5 minutes prior to dosing), 0.5, 1, 2, 4, 6, 8, 10, and 24 hours post dose at Dose 1-Day 1 visit.

Population: Participants in the vesatolimod PK Analysis Set with available data were analyzed. Per planned analysis this outcome measure was analyzed by actual treatment received (i.e. 'Vesatolimod').

ArmMeasureValue (MEDIAN)
Vesatolimod 4 mgPK Parameter: Tmax of Vesatolimod2.00 hour
Secondary

Time to Virologic Rebound

Time to virologic rebound was analyzed using the Kaplan-Meier method at two cut-off values; ≥ 50 copies/mL and ≥ 200 copies/mL. Virologic rebound at ≥ 50 copies/mL was defined as 2 consecutive HIV-1 RNA measurements ≥ 50 copies/mL. Virologic rebound at ≥ 200 copies/mL was defined as 2 consecutive HIV-1 RNA measurements ≥ 200 copies/mL. The date of rebound was the first time HIV-1 RNA measurement ≥ 50 copies/mL or ≥ 200 respectively.

Time frame: From Day 1 (Period 1) up to 24 weeks of Period 2 plus 6 months following virologic re-suppression on ART, an average of 17 months

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEDIAN)
Vesatolimod 4 mgTime to Virologic Rebound≥ 50 Copies/mL4.3 weeks
Vesatolimod 4 mgTime to Virologic Rebound≥ 200 Copies/mL5.1 weeks
Vesatolimod 4/6 mgTime to Virologic Rebound≥ 50 Copies/mL4.0 weeks
Vesatolimod 4/6 mgTime to Virologic Rebound≥ 200 Copies/mL4.1 weeks
Comparison: ≥ 50 Copies/mLp-value: 0.035Log Rank
Comparison: ≥ 200 Copies/mLp-value: 0.024Log Rank

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026