Drug intelligence / Profile preview

lotivibart + cabotegravir

Development stage
Phase 2
Lead developer
ViiV Healthcare
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intramuscular, Intravenous, Subcutaneous
01

Overview

Lotivibart + cabotegravir is an investigational, ultra-long-acting combination regimen being developed by ViiV Healthcare for the treatment of HIV-1 infection. The regimen combines lotivibart (also known as N6LS or VH3810109), a second-generation broadly neutralizing antibody (bNAb) that targets the CD4 binding site on the HIV-1 envelope glycoprotein gp120, with cabotegravir, a small-molecule integrase strand transfer inhibitor (INSTI). In the Phase IIb EMBRACE trial, the combination is evaluated as a long-acting maintenance therapy in virologically suppressed adults, with lotivibart administered intravenously or subcutaneously every 4 to 6 months and cabotegravir administered intramuscularly every 1 to 2 months. This dual-modality approach aims to provide a highly effective, ultra-long-acting treatment option with a high genetic barrier to resistance.

Other names
cabotegravir + lotivibartcabotegravir and lotivibartlotivibart and cabotegravirN6LS + cabotegravirN6LS and cabotegravirN-6LS and cabotegravirN 6LS and cabotegravirVH3810109 + cabotegravirVH3810109 and cabotegravirVH-3810109 and cabotegravirVH 3810109 and cabotegravir
02

Targets

CD4 (T lymphocyte surface antigen)Env (HIV-1 envelope glycoprotein)Integrase allosteric pocket (HIV)MCL1 (Myeloid cell leukemia sequence 1)gp120 (HIV-1 envelope glycoprotein (gp120/gp41) epitopes)

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