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HIV InfectionsPhase 1/2CABNATENCT07275606

A Study to Investigate Cabotegravir for Neonates Exposed to HIV-1

A Phase 1/2 study testing Oral CAB and IM CAB LA in people with HIV Infections, run by ViiV Healthcare at 1 site in South Africa.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics (PK) of cabotegravir in neonates exposed to human immunodeficiency virus (HIV)-1. Read more about this study

Who is it for?
Ages Up to 10 daysHealthy volunteers can take part
Conditions the study is for
HIV Infections
What is being tested?
Oral CAB and IM CAB LA
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteSouth Africa
Study dates
15 Apr 2026to 10 Oct 2029
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 Up to 10 days
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • At least 37 weeks gestation at delivery.
  • <=10 days of life.
  • Birth weight at least 2 kg.
  • At Entry, neonate has initiated standard of care Antiretroviral drug (ARV) prophylaxis.
  • At Entry, neonate is generally healthy as determined by the site Investigator based on review of all available medical history information and physical examination findings.
  • Mother is on a Dolutegravir (DTG) based regimen for a minimum of 4 weeks prior to delivery, regardless of maternal viral load.
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  • Mother is currently breastfeeding or plans to breastfeed infant.
  • Mother is of legal age or circumstance to provide independent informed consent and is willing and able to provide documented informed consent for her and her infant's participation in this study.
  • Mother has confirmed HIV-1 infection based on positive test results from 2 samples collected from 2 separate blood samples. Test results may be obtained from medical records or from testing performed during the study Screening period.

Who cannot join

  • Medical conditions
  • Severe congenital malformation or other medical condition not compatible with life or that would interfere with study participation or interpretation, as judged by examining clinician.
  • Known maternal-fetal blood group incompatibility which can result in hemolytic disease of the newborn.
  • Known family history of G6PD deficiency.
  • Prior/Concomitant therapy
  • Mother who has previously received, is receiving, or will be receiving CAB post-partum.
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  • Neonate or breastfeeding mother is receiving any disallowed medication.
  • Prior/Concurrent clinical study participation
  • Neonate has exposure to other investigational drugs that might interfere with study intervention metabolism.
  • Diagnostic assessments
  • Mother has known Integrase strand transfer inhibitor (InSTI) resistance.
  • At Entry, neonate with a confirmed, documented positive HIV Nucleic acid amplification test (NAAT) test result.
  • At Screening, neonate has any of the following laboratory test results:
  • Alanine transaminase or Aspartate aminotransferase of more than 2.5 x Upper limit of normal (ULN).
  • Total bilirubin in range for phototherapy at Entry.
  • Hemoglobin <13.0 g/dL.
  • Decreased white blood cells Grade 3 or above.
  • Platelets <50 000 cells/mm3
  • Creatinine value more than 1.3 the ULN for postnatal age as defined in Division of AIDS (DAIDS)
  • Albumin Grade 3 or higher.
  • Direct bilirubin Grade 3 and above.
  • Any other Grade ≥3 event on DAIDS toxicity table
  • Neonates with prior exchange transfusion. Other exclusion criteria
  • Mother or neonate has a condition that, in the site Investigator or designee's opinion, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.
  • Neonate is receiving DTG as part of HIV prophylactic regimen. Liver safety exclusion criteria
  • Known maternal hepatitis B infection. Cardiac safety exclusion criteria
  • At screening, QT interval corrected using Fridericia's formula >450 msec.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

US GSK Clinical Trials Call Center contact

877-379-3718

GSKClinicalSupportHD@gsk.com

EU GSK Clinical Trials Call Center contact

+44 (0) 20 89904466

GSKClinicalSupportHD@gsk.com

South Africa1 site, 1 recruiting
  • GSK Investigational Site

    Parow Valley, 7505

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting

Other trials in South Africa

About this study

Official title: A Phase 1/2 Study of the Safety, Tolerability, and Pharmacokinetics of Cabotegravir in Neonates Exposed to HIV-1

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics (PK) of cabotegravir in neonates exposed to human immunodeficiency virus (HIV)-1.

Conditions
HIV Infections
Being tested
Oral CAB, IM CAB LA
Keywords
Cabotegravir, Neonate, HIV, Safety, Tolerability, Pharmacokinetics
Medical subject headings
HIV Infections

What participants receive

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

  • Oral CABDrug

    Also called Cabotegravir

    CAB administered once orally on study Day 1 to the Stage 1: Single Oral Dose CAB (Cohort 1) and multiple times to the Stage 1: Multiple Oral Dose CAB (Cohort 2) group. Dose and dosing frequency for Cohort 2 to be determined based on emerging data from Cohort 1.

  • IM CAB LADrug

    Also called Cabotegravir long-acting

    CAB LA administered once intramuscularly on study Day 1 to the Stage 2: Single IM Dose CAB LA (Cohort 3) group and multiple times to the Stage 2: Multiple IM Dose CAB LA (Cohort 4) group, into the in the anterolateral thigh muscle of participants. Dose for Cohort 3 to be determined based on emerging data from Cohort 2. Dose and dosing frequency for Cohort 4 to be determined based on emerging data from Cohort 3.

Study groups in NCT07275606
Study groupRoleWhat they receive
Stage 1: Single Oral Dose CAB (Cohort 1) groupExperimentalParticipants receive a single dose of oral CAB suspension on study Day 1.
Receives: Drug: Oral CAB
Stage 1: Multiple Oral Dose CAB (Cohort 2) groupExperimentalParticipants receive repeat doses of oral CAB suspension starting on study Day 1. Dose and dosing frequency to be determined based on data from Cohort 1.
Receives: Drug: Oral CAB
Stage 2: Single IM Dose CAB LA (Cohort 3) groupExperimentalParticipants receive a single IM dose of CAB LA on study Day 1. Dose to be determined based on data from Cohort 2.
Receives: Drug: IM CAB LA
Stage 2: Multiple IM Dose CAB LA (Cohort 4) groupExperimentalParticipants receive repeat IM doses of CAB LA starting on study Day 1. Dose and dosing frequency to be determined based on data from Cohort 3.
Receives: Drug: IM CAB LA

What is being measured

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

  1. Maximum observed plasma concentration (Cmax) of CAB in participants from Stage 1: Single Oral Dose CAB (Cohort 1) group

    Blood samples are collected at specific time points for PK analysis to determine Cmax.

    Measured: At study Days 1, 3, 8, 15 and 22

  2. Maximum observed plasma concentration (Cmax) of CAB LA in participants from Stage 2: Single IM Dose CAB LA (Cohort 3) group

    Blood samples are collected at specific time points for PK analysis to determine Cmax.

    Measured: At study Days 1, 3, 9,16, 28 and 42

  3. Last observed plasma concentration (Clast) of CAB in participants from Stage 1: Single Oral Dose CAB (Cohort 1) group

    Blood samples are collected at specific time points for PK analysis to determine Clast.

    Measured: At study Days 1, 3, 8, 15 and 22

  4. Last observed plasma concentration (Clast) of CAB LA in participants from Stage 2: Single IM Dose CAB LA (Cohort 3) group

    Blood samples are collected at specific time points for PK analysis to determine Clast.

    Measured: At study Days 1, 3, 9, 16, 28 and 42

  5. Area under the curve time 0 to the last time point (AUC0-t) of CAB in participants from Stage 1: Single Oral Dose CAB (Cohort 1) group

    Blood samples are collected at specific time points for PK analysis to determine AUC0-t.

    Measured: At study Days 1, 3, 8, 15 and 22

  6. Area under the curve time 0 to the last time point (AUC0-t) of CAB LA in participants from Stage 2: Single IM Dose CAB LA (Cohort 3) group

    Blood samples are collected at specific time points for PK analysis to determine AUC0-t.

    Measured: At study Days 1, 3, 9, 16, 28 and 42

  7. Pre-dose concentrations (C0h) of CAB in participants from Stage 1: Multiple Oral Dose CAB (Cohort 2) group

    Blood samples are collected at specific time points for PK analysis to determine C0h.

    Measured: At Study Days 1, 3, 7, 14, 28, 35, 42 and 49

  8. Pre-dose concentrations (C0h) of CAB LA in participants from Stage 2: Multiple IM Dose CAB LA (Cohort 4) group

    Blood samples are collected at specific time points for PK analysis to determine C0h.

    Measured: At Study Days 1, 3, 7, 21, 28, 42, 56, 70, 84, 98, 112, 140 and 168

  9. Post-dose concentrations of CAB in participants from Stage 1: Multiple Oral Dose CAB (Cohort 2) group

    Blood samples are collected at specific time points for PK analysis to determine post-dose concentrations.

    Measured: At Study Days 1, 3, 7, 14, 21, 28, 35, 42 and 49

  10. Post-dose concentrations of CAB LA in participants from Stage 2: Multiple IM Dose CAB LA (Cohort 4) group

    Blood samples are collected at specific time points for PK analysis to determine post-dose concentrations.

    Measured: At Study Days 1, 3, 7, 14, 21, 28, 35, 42, 56, 70, 84, 98, 112, 140 and 168

  11. Number of participants with drug-related adverse event (AEs) by severity

    A drug-related AE is any untoward medical occurrence in a clinical study participant considered related to the study intervention. The severity of events is graded using the DAIDS grading scale, where grades are defined based on numeric criteria as follows: Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe and Grade 4 = potentially life-threatening. A higher grade indicates greater severity.

    Measured: From Day 1 up to 2-months post last dose administration (last dose administered at Day 1 to the single dose groups, at Month 1 to Stage 1: Multiple Oral Dose CAB (Cohort 2) group and at Month 6 to Stage 2: Multiple IM Dose CAB LA (Cohort 4) group)

  12. Number of participants with serious AEs (SAEs) by severity

    An SAE is defined as any untoward medical occurrence that is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or results in death.

    The severity of events is graded using the DAIDS grading scale, where grades are defined based on numeric criteria as follows: Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe and Grade 4 = potentially life-threatening. A higher grade indicates greater severity.

    Measured: From Day 1 up to 2-months post last dose administration (last dose administered at Day 1 to the single dose groups, at Month 1 to Stage 1: Multiple Oral Dose CAB (Cohort 2) group and at Month 6 to Stage 2: Multiple IM Dose CAB LA (Cohort 4) group)

  13. Number of participants with injection site reactions (ISRs) by severity

    An ISR is defined as an adverse event which is localized at the injection site, typically includes pain, tenderness, erythema, redness, induration, swelling, nodules or pruritus, but may also encompass other reactions. The severity of events is graded using the DAIDS grading scale, where grades are defined based on numeric criteria as follows: Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe and Grade 4 = potentially life-threatening. A higher grade indicates greater severity.

    Measured: From Day 1 up to 2-months post last dose administration (last dose administered at Day 1 to the single dose groups, at Month 1 to Stage 1: Multiple Oral Dose CAB (Cohort 2) group and at Month 6 to Stage 2: Multiple IM Dose CAB LA (Cohort 4) group)

  14. Number of participants who discontinue the study intervention due to AEs or injection intolerability

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention.

    Measured: From Day 1 up to 2-months post last dose administration (last dose administered at Day 1 to the single dose groups, at Month 1 to Stage 1: Multiple Oral Dose CAB (Cohort 2) group and at Month 6 to Stage 2: Multiple IM Dose CAB LA (Cohort 4) group)

Secondary outcomes (2)
  1. Number of participants developing Grade 3 and higher AEs and SAEs, by severity

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An SAE is defined as any untoward medical occurrence that is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or results in death. The severity of events is graded using the DAIDS grading scale, where grades are defined based on numeric criteria as follows: Grade 3 = severe and Grade 4 = potentially life-threatening. A higher grade indicates greater severity.

    Measured: From Day 1 up to 2-months post last dose administration (last dose administered at Day 1 to the single dose groups, at Month 1 to Stage 1: Multiple Oral Dose CAB (Cohort 2) group and at Month 6 to Stage 2: Multiple IM Dose CAB LA (Cohort 4) group)

  2. Number of participants with Grade 3 and above bilirubin elevation.

    The severity of events is graded using the DAIDS grading scale, where grades are defined based on numeric criteria as follows: Grade 3 = severe and Grade 4 = potentially life-threatening. A higher grade indicates greater severity.

    Measured: From Day 1 up to 2-months post last dose administration (last dose administered at Day 1 to the single dose groups, at Month 1 to Stage 1: Multiple Oral Dose CAB (Cohort 2) group and at Month 6 to Stage 2: Multiple IM Dose CAB LA (Cohort 4) group)

Timeline

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

  1. First posted10 Dec 2025
  2. Study start15 Apr 2026
  3. Primary completion10 Oct 2029 (estimated)
  4. Study completion10 Oct 2029 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Sequential
Model description
The study will be conducted in a staggered design. There will be 2 stages with 2 cohorts in each. The 1st stage will focus on the oral CAB, the 2nd on the CAB LA injectable. In the 1st cohort at each stage, a single dose will be given. In the 2nd cohort of each stage, there will be a multi-dose regimen. Dose review decisions will be based upon safety, tolerability and pharmacokinetic data from each cohort.
Masking
None (open label)
Enrolment
44 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07275606
Sponsor's protocol ID
223560
Acronym
CABNATE
Status last verified
May 2026
First submitted
27 Nov 2025
Last updated
19 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Study 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.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Oral CAB and IM CAB LA in people with HIV Infections, run by ViiV Healthcare at 1 site in South Africa.

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 9 inclusion and 27 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: looking for participants now, as of the sponsor's last update on 19 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Africa. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this combined phase mean?

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

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?

This study is still under way. Results are not available in the source record yet.

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

Contact US GSK Clinical Trials Call Center (877-379-3718, GSKClinicalSupportHD@gsk.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum observed plasma concentration (Cmax) of CAB in participants from Stage 1: Single Oral Dose CAB (Cohort 1) group (time frame: At study Days 1, 3, 8, 15 and 22). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

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

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 May 2026.

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