Preclinical assessment of broadly neutralizing HIV-1 antibody BNT351 with optimized pharmacokinetics and potent antiviral activity.
Sven Kratochvil, Maximilian Kullmann, Henning Gruell...
https://pubmed.ncbi.nlm.nih.gov/42325270/Actively Recruiting
Led by BioNTech SE · Updated on 2026-08-12
67
Participants Needed
6
Research Sites
30 weeks
Total Duration
Researchers are evaluating the safety, blood levels, and antiviral activity of the antibody BNT351 in adults living with and without HIV. This Phase I study focuses on understanding any side effects of BNT351, measuring its concentration in the blood over time, and assessing its impact on HIV viral load in people living with HIV PLWH. The study includes both people without HIV and those with HIV who have detectable virus levels. The study has two parts. Part A involves people without HIV and uses a randomized, double-blind, placebo-controlled design with single ascending doses of BNT351 given either subcutaneously or intravenously across four cohorts. Part B includes people living with HIV and is an open-label, proof-of-concept study with two cohorts receiving a single dose of BNT351 followed by combination antiretroviral therapy cART starting about 56 days after dosing. Dosing progresses cautiously with sentinel participants and staggered dose escalation. Participants will undergo about a 4-week screening period before receiving one dose of BNT351 or placebo in Part A or BNT351 alone in Part B. Following dosing, Part A participants will be followed for approximately 38 weeks, totaling about 42 weeks in the study. Part B participants will have up to 8 weeks of observation with HIV viral load tests before starting cART, with overall follow-up lasting about 38 weeks post-dose. Safety, antibody levels, HIV viral load, immune cell counts, and potential side effects will be regularly monitored throughout the study.
CONDITIONS
A Clinical Trial Investigating the Safety and Biological Activity of the Antibody BNT351 in Adults Living Without and With HIV
B
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BioNTech SE
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | BNT351 investigational antibody (trial dose/formulation cohorts) | Current standard care (cART for HIV-1, counseling for prevention) |
|---|---|---|
| What it is | Investigational broadly neutralizing monoclonal antibody (BNT351) given by infusion or injection to adults without HIV (at risk for acquisition, prevention role) and adults with early HIV-1 infection (not on cART), assigned to dose/formulation cohorts. Not an approved HIV treatment or prevention method. | Current standard of care is guideline-based HIV transmission risk reduction counseling for HIV-negative adults at risk, and immediate combination antiretroviral therapy (cART) for people with HIV-1 infection, as recommended in current guidelines. |
| Role in trial | Tested as single, escalating or expanded doses (IV or SC routes) in adults split by HIV status: prevention (HIV-negative, low-risk) or early infection, measuring safety, pharmacokinetics, and antiviral activity before cART initiation. | Not a trial group. Included here only for context; represents the established approach recommended outside experimental settings (counseling/risk reduction or cART initiation as indicated). |
| Primary clinical use | Currently investigational—evaluated for safety, dosing, and short-term biological activity as a prevention agent (pre-exposure prophylaxis) in HIV-negative adults and antiviral therapy prior to cART initiation in adults with early HIV-1 infection. | Prevention: counseling, education, and risk-reduction strategies for HIV-negative adults; Treatment: initiation of effective combination antiretroviral therapy (cART) in people with HIV-1 infection, as soon as possible after diagnosis. |
| How it is given or performed | Single infusion (IV) or injection under the skin (SC), dose and route as assigned by trial cohort, with planned monitoring period. cART not initiated until at least day 56 post-dose unless meeting protocol early-start criteria. | Prevention: counseling provided in-person or remotely for risk education. Treatment: cART is started as daily combination oral therapy, continued indefinitely and tailored for virologic suppression, per guideline advice. |
| Evidence status | Currently limited to early-phase clinical trials and supporting preclinical studies; no published clinical efficacy or outcomes for HIV prevention or treatment in humans as of registry date. | Multiple trials demonstrate that cART, when started early and taken as prescribed, yields durable viral suppression, immune recovery, reduced AIDS-defining events, and prevention of sexual transmission; prevention counseling reduces new HIV infections. |
| Important limitations | Evidence is limited to preclinical and early clinical safety/pharmacokinetics. Dosing, route, durability, and impact on transmission or long-term outcomes are unknown. Actual benefit or risk in prevention or treatment compared to cART remains unestablished. | cART requires long-term adherence, may cause side effects or drug interactions, and is not curative; risk counseling depends on individual acceptance and behavioral change for effectiveness. Not all patients are immediately linked to care. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - Up to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 42 weeks
Participants receive one dose of BNT351 antibody or placebo as assigned in the study. People without HIV may receive placebo or BNT351 at different doses. People living with HIV receive BNT351 followed by starting combination antiretroviral therapy after about 56 days.
Multiple visits during dosing and follow-up periods
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
6
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Sven Kratochvil, Maximilian Kullmann, Henning Gruell...
https://pubmed.ncbi.nlm.nih.gov/42325270/BioNTech SE
Lead Sponsor