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HIV InfectionsPhase 2CINNAMONNCT06039579

Proof of Concept Treatment Study of Orally Administered VH4004280 or VH4011499 in HIV-1 Infected Adults

A Phase 2 study testing VH4004280, VH4011499 and Antiretroviral therapy in people with HIV Infections, run by ViiV Healthcare at 20 sites in 9 countries.

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

The primary purpose of the study is to evaluate the antiviral activity of orally administered VH4004280 and VH4011499 monotherapy over 10 days in human immunodeficiency virus (HIV-1) infected Treatment-Naïve (TN) participants. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
HIV Infections
What is being tested?
VH4004280, VH4011499 and Antiretroviral therapy
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
44 participants
Where
20 sitesin 9 countries
Study dates
25 Oct 2023to 24 Jun 2024
Phase
Phase 2
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants who are overtly healthy (other than HIV-1 infection).
  • Screening cluster of differentiation-4 (CD4+) T-cell count greater than or equal to (≥)200 cells/microliter (µL).
  • Documented HIV-1 infection and Screening plasma HIV-1 RNA ≥3000 copies/milliliter (mL).
  • Treatment-naïve: Defined as no antiretroviral therapy received after the diagnosis of HIV-1 infection. Prior use of oral pre-exposure prophylaxis (PreP) is permitted. Prior use of parenteral PreP is exclusionary.
  • Has body mass index (BMI) within the range of 18.5-31.0 kilograms per meter square (kg/m^2).
  • Participants male at birth must use male condoms and participants female at birth who are of childbearing potential must be using acceptable forms of birth control.
  • Participants capable of giving signed informed consent.
  • Participant must be willing and able to start locally accessible and commercially available combination antiretroviral therapy after the monotherapy period.

Who cannot join

  • Women who are breastfeeding or plan to become pregnant or breast feed during the study.
  • Participants with acute HIV infection.
  • Any evidence of an active Centers for Disease Control and Prevention (CDC) Stage 3 disease.
  • Untreated syphilis infection.
  • Ongoing malignancy other than certain localised malignancies.
  • Treatment with immunomodulating agents or any agent with known anti-HIV activity.
Show all 13Show fewer
  • Has exclusionary psychiatric, hepatic, cardiovascular gastrointestinal, renal condition.
  • Participant having any condition which, in the opinion of the investigator, may interfere with the absorption, distribution, metabolism or excretion of the study drugs or render the participant unable to take oral medication.
  • Participants having exclusionary electrocardiogram (ECG) findings.
  • Participants who have been exposed to any prohibited medication or vaccine.
  • Participant positive for hepatitis B or hepatitis C.
  • Participants with exclusionary safety laboratory (e.g Grade 3 or greater abnormality).
  • Participants who have positive results for illicit drug use, regular use of drugs of abuse and/or excessive alcohol use.

Trial locations and contacts

20 sites in 9 countries.

20 sites in 9 countries

Argentina4 sites
  • GSK Investigational Site

    Buenos Aires, 1023

  • GSK Investigational Site

    Buenos Aires, C1202ABB

  • GSK Investigational Site

    Buenos Aires, C1425AGC

  • GSK Investigational Site

    Ciudad Autonoma de Bueno, C1405CKC

Other trials in Argentina

Spain4 sites
  • GSK Investigational Site

    Barcelona, 08907

  • GSK Investigational Site

    Barcelona, 08916

  • GSK Investigational Site

    Madrid, 28034

  • GSK Investigational Site

    Madrid, 28046

Other trials in Spain

United States3 sites
  • GSK Investigational Site

    Bakersfield, California, 93301

  • GSK Investigational Site

    DeLand, Florida, 32720

  • GSK Investigational Site

    Newark, New Jersey, 07102

Other trials in United States

France3 sites
  • GSK Investigational Site

    Marseille, 13003

  • GSK Investigational Site

    Nantes, 44093

  • GSK Investigational Site

    Paris, 75018

Other trials in France

Mexico2 sites
  • GSK Investigational Site

    Guadalajara, 44160

  • GSK Investigational Site

    Mexico City, 06760

Other trials in Mexico

Canada1 site
  • GSK Investigational Site

    Montreal, Quebec, H2L 4P9

Other trials in Canada

Germany1 site
  • GSK Investigational Site

    Cologne, 50937

Other trials in Germany

Italy1 site
  • GSK Investigational Site

    Milan, 20157

Other trials in Italy

United Kingdom1 site
  • GSK Investigational Site

    London, SE5 8RX

Other trials in United Kingdom

About this study

Official title: A Randomized, Double-Blind (Sponsor Unblinded), Placebo-Controlled, Phase 2a Trial to Investigate the Antiviral Effect, Safety, Tolerability and Pharmacokinetics of Orally Administered Investigational Capsid Inhibitor Monotherapy in HIV-1 Infected Treatment-Naïve Adults

The primary purpose of the study is to evaluate the antiviral activity of orally administered VH4004280 and VH4011499 monotherapy over 10 days in human immunodeficiency virus (HIV-1) infected Treatment-Naïve (TN) participants.

Conditions
HIV Infections
Being tested
VH4004280, VH4011499, VH4004280 Matching Placebo, VH4011499 Matching Placebo, Antiretroviral therapy
Keywords
HIV-1, VH4004280, VH4011499, Treatment Naïve, Phase 2a, Monotherapy
Medical subject headings
HIV Infections

What participants receive

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

  • VH4004280Drug

    VH4004280 was administered as tablets orally at Day 1.

  • VH4011499Drug

    VH4011499 was administered as tablets orally at Day 1 and Day 6.

  • VH4004280 Matching PlaceboDrug

    VH4004280 Matching Placebo was administered as tablets orally at Day 1.

  • VH4011499 Matching PlaceboDrug

    VH4011499 Matching Placebo was administered as tablets orally at Day 1 and Day 6.

  • Antiretroviral therapyDrug

    Antiretroviral therapy was administered as available and as per investigator's recommendation.

Study groups in NCT06039579
Study groupRoleWhat they receive
Part 1a: VH4004280 Dose Level 1ExperimentalParticipants received a single dose of VH4004280 Dose Level 1 (low concentration) on Day 1 (evaluated for a 10-day period). On Day 11, participants switched to an open-label antiretroviral therapy (ART) up to day 39.
Receives: Drug: VH4004280; Drug: Antiretroviral therapy
Part 1a: VH4004280 Dose Level 2ExperimentalParticipants received a single dose of VH4004280 Dose Level 2 (medium concentration) on Day 1 (evaluated for a 10-day period). On Day 11, participants switched to an open-label ART up to day 39.
Receives: Drug: VH4004280; Drug: Antiretroviral therapy
Part 2a: VH4004280 pre-specified doseExperimentalParticipants received a single pre-specified dose of VH4004280 (high concentration) on Day 1 (evaluated for a 10-day period). On Day 11, participants switched to an open-label ART up to day 39.
Receives: Drug: VH4004280; Drug: Antiretroviral therapy
Matching placebo for VH4004280Placebo comparatorParticipants received a matching placebo for VH4004280 on Day 1 (evaluated for a 10-day period). On Day 11, participants switched to an open-label ART up to day 39.
Receives: Drug: VH4004280 Matching Placebo; Drug: Antiretroviral therapy
Part 1b: VH4011499 Dose Level 1ExperimentalParticipants received a single dose of VH4011499 Dose Level 1 (low concentration) on Day 1 and Day 6 (evaluated for a 10-day period). On Day 11, participants had the option to switch to an open-label ART up to day 39.
Receives: Drug: VH4011499; Drug: Antiretroviral therapy
Part 1b: VH4011499 Dose Level 2ExperimentalParticipants received a single dose of VH4011499 Dose Level 2 (medium concentration) on Day 1 and Day 6 (evaluated for a 10-day period). On Day 11, participants switched to an open-label ART up to day 39.
Receives: Drug: VH4011499; Drug: VH4011499 Matching Placebo; Drug: Antiretroviral therapy
Part 2b: VH4011499 pre-specified doseExperimentalParticipants received a single pre-specified dose of VH4011499 (high concentration) on Day 1 and Day 6 (evaluated for a 10-day period). On Day 11, participants switched to an open-label ART up to day 39.
Receives: Drug: VH4011499; Drug: Antiretroviral therapy
Matching placebo for VH4011499Placebo comparatorParticipants received a matching placebo for VH4011499 on Day 1 and Day 6 (evaluated for a 10-day period). On Day 11, participants switched to an open-label ART up to day 39.
Receives: Drug: Antiretroviral therapy

What is being measured

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

  1. Monotherapy, VH4004280: Maximum Change From Baseline (Day 1) in Plasma HIV-1 Ribonucleic Acid (RNA) log10

    Plasma samples were collected for quantitative analysis of plasma HIV-1 RNA. Maximum change from baseline was calculated by subtracting the baseline value from the post-dose visit value when the plasma HIV-1 RNA reached its minimum level up to Day 11 (inclusive). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. The results were expressed as log10 copies per milliliter (log10 c/mL).

    Measured: From Baseline (Day 1) and up to Day 11

  2. Monotherapy, VH4011499: Maximum Change From Baseline (Day 1) in Plasma HIV-1 RNA log10

    Plasma samples were collected for quantitative analysis of plasma HIV-1 RNA. Maximum change from baseline was calculated by subtracting the baseline value from the post-dose visit value when the plasma HIV-1 RNA reached its minimum level up to Day 11 (inclusive). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.

    Measured: From Baseline (Day 1) and up to Day 11

Secondary outcomes (21)
  1. Monotherapy: Number of Participants With Any Adverse Events (AEs)

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any = occurrence of the event regardless of intensity grade or relation to the study intervention.

    Measured: From Baseline (Day 1) and up to Day 11

  2. Follow-up: Number of Participants With Any AEs

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any = occurrence of the event regardless of intensity grade or relation to the study intervention.

    Measured: From Day 11 and up to Day 39

  3. Monotherapy: Number of Participants With AEs by Severity

    Severity was rated according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) grading criteria, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening, Grade 5 = death.

    Measured: From Baseline (Day 1) and up to Day 11

  4. Follow-up: Number of Participants With AEs by Severity

    Severity was rated according to the DAIDS grading criteria, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening, Grade 5 = death.

    Measured: From Day 11 and up to Day 39

  5. Monotherapy: Number of Participants With AEs Leading to Study Treatment Discontinuation

    'Discontinuation' of study intervention refers to any participant who has not received all planned doses of study intervention.

    Measured: From Baseline (Day 1) and up to Day 11

  6. Monotherapy and Follow-up, VH4004280: Change From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin

    Change from Baseline values for liver panel laboratory parameters total bilirubin and direct bilirubin were summarised. Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.Standard deviation (SD) = 0.0000 is defined as following: if all participants analyzed for a specific parameter at a specific time point have the same value, then SD is equal with 0.0000.

    Measured: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39

  7. Monotherapy and Follow-up, VH4011499: Change From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin

    Change from Baseline values for liver panel laboratory parameters total bilirubin and direct bilirubin were summarised. Change from baseline was calculated by subtracting the baseline value from the post-dose visit value. SD = 0.0000 is defined as following: if all participants analyzed for a specific parameter at a specific time point have the same value, then SD is equal with 0.0000.

    Measured: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39

  8. Monotherapy and Follow-up, VH4004280: Change From Baseline for Liver Panel Laboratory Parameters - Alanine Aminotransferace (ALT), Alkaline Phosphatase (ALP) and Aspartate Aminotransferase (AST)

    Change from Baseline values for liver panel laboratory parameters ALT, ALP and AST were summarised. Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.

    Measured: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39

  9. Monotherapy and Follow-up, VH4011499: Change From Baseline for Liver Panel Laboratory Parameters - ALT, ALP and AST

    Change from Baseline values for liver panel laboratory parameters ALT, ALP and AST were summarised. Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.

    Measured: At Baseline (Day 1) and at Days 2, 4, 6, 7, 9, 11, 18, 25, 32 and 39

  10. Monotherapy and Follow-up, VH4004280: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin

    Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.

    Measured: From Baseline (Day 1) and up to Day 39

  11. Monotherapy and Follow-up, VH4011499: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - Total Bilirubin and Direct Bilirubin

    Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.

    Measured: From Baseline (Day 1) and up to Day 39

  12. Monotherapy and Follow-up, VH4004280: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - ALT, ALP and AST

    Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.

    Measured: From Baseline (Day 1) and up to Day 39

  13. Monotherapy and Follow-up, VH4011499: Number of Participants With Maximum Toxicity Grade Increase From Baseline for Liver Panel Laboratory Parameters - ALT, ALP and AST

    Laboratory abnormalities were graded according to DAIDS grading table Version 2.1 where grades were defined based on numeric criteria as follows Grade 0: participants with missing baseline values; Grade 1: Mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences.

    Measured: From Baseline (Day 1) and up to Day 39

  14. Monotherapy, VH4004280: Maximum Observed Plasma Drug Concentration (Cmax)

    Cmax is defined as the maximum concentration of the drug in plasma.

    Measured: After dose administration at Day 1

  15. Monotherapy, VH4011499: Cmax

    Cmax is defined as the maximum concentration of the drug in plasma.

    Measured: After dose administration at Day 1 and Day 6

  16. Monotherapy, VH4004280: Time to Maximum Observed Plasma Drug Concentration (Tmax)

    Tmax is a measure of the time required to reach the maximum concentration of the drug.

    Measured: After dose administration at Day 1

  17. Monotherapy, VH4011499: Tmax

    Tmax is a measure of the time required to reach the maximum concentration of the drug.

    Measured: After dose administration at Day 1 and Day 6

  18. Monotherapy, VH4004280: Plasma Concentration at Day 11 (C11)

    C11 is defined as the concentration of the drug in plasma at Day 11.

    Measured: At Day 11

  19. Monotherapy, VH4011499: C11

    C11 is defined as the concentration of the drug in plasma at Day 11.

    Measured: At Day 11

  20. Monotherapy, VH4004280: Change in Plasma HIV-1 RNA From Baseline

    Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.

    Measured: At Baseline (Day 1) and Day 11

  21. Monotherapy, VH4011499: Change in Plasma HIV-1 RNA From Baseline

    Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from baseline was calculated by subtracting the baseline value from the post-dose visit value.

    Measured: At Baseline (Day 1) and Day 11

Timeline

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

  1. First posted15 Sep 2023
  2. Study start25 Oct 2023
  3. Primary completion24 Jun 2024
  4. Study completion24 Jun 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06039579
Sponsor's protocol ID
218307
Other IDs
2023-505350-18-00, 2023
Acronym
CINNAMON
Status last verified
Sep 2025
First submitted
23 Aug 2023
Last updated
30 Sep 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to: https://www.viiv-studyregister.com/documents/About\_ViiV\_Patient\_Level\_Data\_Sharing\_Final\_25Sep2023.pdf.

Publications

  • Griesel R, Nunez SA, Cordova E, Perez Rios AM, Ridilenir VL, Lehmann C, Slim J, Arenzana CB, Szabo J, Cahn P, Post FA, Pierce A, Pestrak M, Jeffrey JL, Thakkar N, Shepherd B, Bainbridge V, Angelis K, McMillan C, Benn P. Antiviral Effect, Safety, and Tolerability of Oral VH4011499 (VH-499), a New HIV-1 Capsid Inhibitor: Proof-of-Concept Trial. Clin Infect Dis. 2026 Jul 29:ciag452. doi: 10.1093/cid/ciag452. Online ahead of print.

    PubMed 42525562

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VH4004280, VH4011499 and Antiretroviral therapy in people with HIV Infections, run by ViiV Healthcare at 20 sites in 9 countries.

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 8 inclusion and 13 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 30 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Argentina, Spain, United States, France, Mexico and 4 more countries. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 30 Sep 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?

Monotherapy, VH4004280: Maximum Change From Baseline (Day 1) in Plasma HIV-1 Ribonucleic Acid (RNA) log10 (time frame: From Baseline (Day 1) and up to Day 11). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06039579, which also lists 1 linked publication.

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 30 Sep 2025.

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