A Study of ABI-2280 Vaginal Insert (Previously Referred to as ABI-2280 Vaginal Tablet) in Participants With Cervical Intraepithelial Neoplasia

Last updated: September 20, 2024
Sponsor: Antiva Biosciences
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neoplasms

Cervical Intraepithelial Neoplasia

Genitourinary Cancer

Treatment

ABI-2280

ABI-2280 Vaginal Tablet/Insert

Clinical Study ID

NCT05502367
ABI-2280-303
  • Ages 25-55
  • Female

Study Summary

This is an open-label study to evaluate the safety, tolerability, and efficacy of ABI-2280 in participants with cervical squamous intraepithelial lesions. This study is divided into 2 parts - Part A and Part B.

Part A consists of up to 9 dose escalation cohorts. Part B consists of dose expansion cohorts.

Participants will self-administer ABI-2280.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Women, 25 to 55 years old.

  • For Cohorts A1 and A2 in Part A, participants with biopsy-confirmed CIN (withvisible lesions) regardless of p16 positivity may be enrolled upon consultation withPI and Medical Monitor. These participants will not be required to get LLETZ if notmedically necessary, as determined by the PI in consultation with the MedicalMonitor.

  • For Cohorts A3 and above in Part A and Part B POC cohorts, biopsy-confirmed cHSILthat is p16+ (p16INK4a expressed) within 60 days of enrollment (dosing) with noevidence of invasive cancer in any specimen. If biopsy was performed ≥ 60 daysbefore planned enrollment, participants must agree to have another biopsy performedat the Screening visit, unless approved by the Medical Monitor.

  • A positive high-risk HPV (hrHPV) result by provider-obtained cervical swab atscreening or previously obtained and documented within the past 3 months.

  • No prior treatment for Cervical intraepithelial neoplasia (CIN).

  • Generally, in good health with no clinically significant pulmonary, cardiac,gastro-enterologic, neurologic, renal, musculoskeletal, rheumatologic, metabolic,neoplastic, or endocrine disease.

Exclusion

Exclusion Criteria:

  • Women who are pregnant, plan to become pregnant in the next 4 months, or lactatingfemales.

  • Unwilling to use stringent methods of contraception (including barrier method, aswell as another acceptable method) throughout the course of the study.

  • History of cancer, except basal cell or squamous cell carcinoma of the skin.

  • History of genital herpes with outbreak within prior 12 months.

  • Have an active pelvic or non-HPV (Human papillomavirus) vaginal infection (e.g.,that was detected by a positive urine screen for gonorrhea or chlamydial infection,bimanual exam consistent with pelvic inflammatory disease, positive bedside testingcriteria for bacterial vaginosis, candida vaginitis or trichomonal vaginitis, etc).

  • Current or recent abnormal vaginal discharge and /or abnormal vaginal bleeding.

  • Had a therapeutic abortion or miscarriage less than 3 months prior.

  • Any clinically significant immune suppressing condition.

  • Participants with a significant acute condition or any other condition that in theopinion of the Investigator might interfere with the evaluation of the studyobjectives.

  • Women who, in the PI's judgment, would be harmed by the delay in undergoingdefinitive treatment as a result of study participation and the ABI-2280 VaginalTablet dosing schedule.

  • Vaccination (even 1 dose) with a prophylactic HPV vaccine (i.e., Gardasil®,Gardasil®-9 or Cervarix®) in the last 3 months.

  • Vaccination with a therapeutic HPV vaccine.

  • Other inclusion/exclusion criteria may apply

Study Design

Total Participants: 110
Treatment Group(s): 2
Primary Treatment: ABI-2280
Phase: 1/2
Study Start date:
September 10, 2022
Estimated Completion Date:
June 30, 2025

Connect with a study center

  • East Sydney Doctors

    Darlinghurst, New South Wales 2010
    Australia

    Active - Recruiting

  • Gold Coast University Hospital

    Southport, Queensland 4215
    Australia

    Site Not Available

  • CerviCusco

    Cusco,
    Peru

    Active - Recruiting

  • Ginobs S.A.

    Lima,
    Peru

    Active - Recruiting

  • Farmovs

    Bloemfontein, Free State 9301
    South Africa

    Active - Recruiting

  • Farmvos

    Bloemfontein, Free State 9301
    South Africa

    Active - Recruiting

  • Nafasi Integrated Solutions

    Sunnyside, Gauteng 0002
    South Africa

    Active - Recruiting

  • Botho ke Bontle Health Services

    Waltloo, Gauteng 0184
    South Africa

    Active - Recruiting

  • Gole Biomedical Research Centre

    Ga-Mothapo, Limpopo
    South Africa

    Active - Recruiting

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