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A Phase I, Randomized, Double-Blind, Placebo-Controlled, Clinical Trial to Compare the Safety and Immunogenicity of Recombinant Envelope Protein rgp120/HIV-1SF2 (BIOCINE) Combined With Seven Adjuvants in Healthy HIV-1 Uninfected Individuals

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Aluminum hydroxide
Lipid A, Monophosphoryl
Lipid A, Liposome-encapsulated monophosphoryl
Syntex adjuvant formulation
MF59
Threonyl Muramyl Dipeptide
rgp120/HIV-1 SF-2
MTP-PE/MF59
Sponsored by
National Institute of Allergy and Infectious Diseases (NIAID)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infections focused on measuring Vaccines, Synthetic, Drug Therapy, Combination, Adjuvants, Immunologic, HIV Envelope Protein gp120, Acetylmuramyl-Alanyl-Isoglutamine, monophosphoryl lipid A, AIDS Vaccines, HIV Seronegativity, HIV Preventive Vaccine

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria Subjects must have: HIV negativity by ELISA. Normal history and physical exam. CD4 count >= 400 cells/mm3. Lower risk sexual behavior. Normal urine dipstick with esterase and nitrite. PER AMENDMENT 3/6/96: Extension study - Consenting Protocol 015 volunteers who have received four immunizations. Exclusion Criteria Co-existing Condition: Subjects with the following symptoms or conditions are excluded: Hepatitis B surface antigen. Active syphilis. NOTE:Subjects for whom serology is documented to be a false positive or due to a remote (> 6 months) treated infection are eligible. Active tuberculosis. NOTE:Subjects with a positive PPD and normal chest x-ray showing no evidence of TB and not requiring isoniazid therapy are eligible. Medical or psychiatric condition or occupational responsibilities that would preclude compliance. Subjects with the following prior conditions are excluded: History of immunodeficiency, chronic illness, or autoimmune disease. History of anaphylaxis or other serious adverse reactions to vaccines. PER AMENDMENT 3/6/96: Extension study - History of eczema or allergic-type reactions to vaccine in Protocol 015. Prior Medication: Excluded: Live attenuated vaccines within 60 days prior to study entry. (NOTE: Medically indicated subunit or killed vaccines, such as influenza or pneumococcal, are allowed but should be given at least 2 weeks prior to HIV immunizations.) Experimental agents within 30 days prior to study entry. Prior HIV vaccines. PER AMENDMENT 3/6/96: Extension study - Use of systemic steroids in the past month. Prior Treatment: Excluded: Blood products or immunoglobulin within 6 months prior to study entry. Higher risk behavior for HIV infection (as determined by screening questionnaire), including history of injection drug use within the last 12 months and higher or intermediate risk sexual behavior.

Sites / Locations

  • St. Louis Univ. School of Medicine AVEG
  • Univ. of Rochester AVEG
  • UW - Seattle AVEG

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 2, 1999
Last Updated
October 28, 2021
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT00001042
Brief Title
A Phase I, Randomized, Double-Blind, Placebo-Controlled, Clinical Trial to Compare the Safety and Immunogenicity of Recombinant Envelope Protein rgp120/HIV-1SF2 (BIOCINE) Combined With Seven Adjuvants in Healthy HIV-1 Uninfected Individuals
Official Title
A Phase I, Randomized, Double-Blind, Placebo-Controlled, Clinical Trial to Compare the Safety and Immunogenicity of Recombinant Envelope Protein rgp120/HIV-1SF2 (BIOCINE) Combined With Seven Adjuvants in Healthy HIV-1 Uninfected Individuals
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 1996 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

5. Study Description

Brief Summary
To determine in healthy HIV-negative volunteers the safety and immunogenicity of rgp120/HIV-1SF2 (BIOCINE) formulated with each of seven adjuvants. PER AMENDMENT 3/6/96: Purpose of the extension study - To determine the ability of immunization with rgp 120/SF-2 to induce an HIV-1 envelope-specific delayed-type hypersensitivity (DTH) response in volunteers who receive rsgp 120/MN skin testing. One approach to improve the immunogenicity of an HIV-1 subunit protein vaccine is to combine the immunogen with an adjuvant. Adjuvants may augment vaccine immunogenicity by several mechanisms, and as a result induce a more favorable antibody response with high titers, which appear earlier in the course of immunization and persist over time.
Detailed Description
One approach to improve the immunogenicity of an HIV-1 subunit protein vaccine is to combine the immunogen with an adjuvant. Adjuvants may augment vaccine immunogenicity by several mechanisms, and as a result induce a more favorable antibody response with high titers, which appear earlier in the course of immunization and persist over time. Volunteers are randomized to receive 50 mcg rgp120/HIV-1SF2 in combination with one of seven different adjuvants: aluminum hydroxide (alum), monophosphoryl lipid A, liposome-encapsulated monophosphoryl lipid A, MF59, MTP-PE/MF59, Syntex adjuvant formulation (SAF/2), and SAF/2 plus threonyl muramyl dipeptide (threonyl MDP). An additional placebo control arm of volunteers receive alum only. Doses are administered at 0, 2, and 6 months. Volunteers are followed for 1 year after the last immunization. Per 8/5/94 amendment, eligible volunteers except those who received monophosphoryl lipid A for the first three immunizations may receive a fourth dose at month 15. PER AMENDMENT 3/6/96: Extension Study- Protocol 015 has been modified to add a special DTH study. At the end of the study, on day 784, intradermal injections of MN rsgp 120 will be administered to consenting volunteers who have received 4 immunizations as part of protocol 015. Follow up will be extended to 56 days after administration of the intradermal injections.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Vaccines, Synthetic, Drug Therapy, Combination, Adjuvants, Immunologic, HIV Envelope Protein gp120, Acetylmuramyl-Alanyl-Isoglutamine, monophosphoryl lipid A, AIDS Vaccines, HIV Seronegativity, HIV Preventive Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Masking
Double
Enrollment
112 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
Aluminum hydroxide
Intervention Type
Biological
Intervention Name(s)
Lipid A, Monophosphoryl
Intervention Type
Biological
Intervention Name(s)
Lipid A, Liposome-encapsulated monophosphoryl
Intervention Type
Biological
Intervention Name(s)
Syntex adjuvant formulation
Intervention Type
Biological
Intervention Name(s)
MF59
Intervention Type
Biological
Intervention Name(s)
Threonyl Muramyl Dipeptide
Intervention Type
Biological
Intervention Name(s)
rgp120/HIV-1 SF-2
Intervention Type
Biological
Intervention Name(s)
MTP-PE/MF59

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Subjects must have: HIV negativity by ELISA. Normal history and physical exam. CD4 count >= 400 cells/mm3. Lower risk sexual behavior. Normal urine dipstick with esterase and nitrite. PER AMENDMENT 3/6/96: Extension study - Consenting Protocol 015 volunteers who have received four immunizations. Exclusion Criteria Co-existing Condition: Subjects with the following symptoms or conditions are excluded: Hepatitis B surface antigen. Active syphilis. NOTE:Subjects for whom serology is documented to be a false positive or due to a remote (> 6 months) treated infection are eligible. Active tuberculosis. NOTE:Subjects with a positive PPD and normal chest x-ray showing no evidence of TB and not requiring isoniazid therapy are eligible. Medical or psychiatric condition or occupational responsibilities that would preclude compliance. Subjects with the following prior conditions are excluded: History of immunodeficiency, chronic illness, or autoimmune disease. History of anaphylaxis or other serious adverse reactions to vaccines. PER AMENDMENT 3/6/96: Extension study - History of eczema or allergic-type reactions to vaccine in Protocol 015. Prior Medication: Excluded: Live attenuated vaccines within 60 days prior to study entry. (NOTE: Medically indicated subunit or killed vaccines, such as influenza or pneumococcal, are allowed but should be given at least 2 weeks prior to HIV immunizations.) Experimental agents within 30 days prior to study entry. Prior HIV vaccines. PER AMENDMENT 3/6/96: Extension study - Use of systemic steroids in the past month. Prior Treatment: Excluded: Blood products or immunoglobulin within 6 months prior to study entry. Higher risk behavior for HIV infection (as determined by screening questionnaire), including history of injection drug use within the last 12 months and higher or intermediate risk sexual behavior.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
McElrath J
Official's Role
Study Chair
Facility Information:
Facility Name
St. Louis Univ. School of Medicine AVEG
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States
Facility Name
Univ. of Rochester AVEG
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
UW - Seattle AVEG
City
Seattle
State/Province
Washington
ZIP/Postal Code
98144
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
9086128
Citation
Zolla-Pazner S, Alving C, Belshe R, Berman P, Burda S, Chigurupati P, Clements ML, Duliege AM, Excler JL, Hioe C, Kahn J, McElrath MJ, Sharpe S, Sinangil F, Steimer K, Walker MC, Wassef N, Xu S. Neutralization of a clade B primary isolate by sera from human immunodeficiency virus-uninfected recipients of candidate AIDS vaccines. J Infect Dis. 1997 Apr;175(4):764-74. doi: 10.1086/513969.
Results Reference
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A Phase I, Randomized, Double-Blind, Placebo-Controlled, Clinical Trial to Compare the Safety and Immunogenicity of Recombinant Envelope Protein rgp120/HIV-1SF2 (BIOCINE) Combined With Seven Adjuvants in Healthy HIV-1 Uninfected Individuals

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