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Safety of and Immune Response to an HIV-1 Vaccine (VRC-HIVDNA016-00-VP) and a Vaccine Booster (VRC-HIVADV014-00-VP) in HIV Uninfected East African Adults

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
VRC-HIVDNA016-00-VP
VRC-HIVADV014-00-VP
VRC-DILUENT013-DIL-VP
VRC-HIVADV014-00-VP placebo
Sponsored by
National Institute of Allergy and Infectious Diseases (NIAID)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infections focused on measuring HIV Seronegativity, HIV Preventive Vaccine

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Good general health Willing to follow all the requirements of the study and available for follow-up for the duration of the study (14 to 16 months) Able and willing to provide informed consent Willing to undergo HIV testing and counseling and willing to receive HIV test results Willing to not engage in high-risk behavior for HIV infection during the study Willing to provide location and be visited at home Willing to be identified with picture identification for study purposes Willing to use acceptable forms of contraception Pregnant women and those with conditions which render phlebotomy volumes hazardous will be allowed to participate using a minimized phlebotomy schedule Exclusion Criteria: HIV or HBV infection HIV vaccines in prior HIV vaccine trial Immunosuppressive or cytotoxic medications within the 6 months prior to study entry. Participants who have used corticosteroid nasal spray for allergic rhinitis or topical corticosteroids for acute uncomplicated dermatitis are not excluded. Blood products within 120 days prior to study entry Immunoglobulin within 60 days prior to study entry Live attenuated vaccines within 30 days prior to first study vaccine administration Medically indicated subunit or killed vaccines or allergy treatment with antigen injections within 14 days prior to first study vaccine administration Investigational research agents within 30 days prior to first study vaccine administration Current tuberculosis prophylaxis or therapy Participated in high-risk behavior for HIV infection within 6 months prior to study entry. More information on this criterion can be found in the protocol. Serious adverse reactions to vaccines, such as anaphylaxis, hives, respiratory difficulty, angioedema, or abdominal pain Autoimmune disease or immunodeficiency Unstable asthma or asthma requiring emergent or urgent care, hospitalization, intubation, or oral or intravenous corticosteroids during the 2 years prior to study entry Diabetes mellitus type 1 or 2. Patients with gestational diabetes are not excluded. Thyroid disease, including removal of thyroid or disease requiring medication within 3 years prior to study entry Serious angioedema within 3 years prior to study entry or disease requiring medication within 2 years prior to study entry Uncontrolled hypertension Bleeding disorder Active syphilis Active cancer OR treated cancer that may recur during the duration of the study Seizure disorder. Participants who have had fever-related seizures prior to age 2 are not excluded. Absence of spleen OR partial or complete lack of splenic function Psychiatric condition that may interfere with the study, including past or present psychoses, bipolar disorder, or suicidal attempts Any medical, psychiatric, or social condition that, in the opinion of the investigator, may interfere with the study Any occupational or other responsibility that, in the opinion of the investigator, may interfere with the study Pregnancy, breastfeeding, or plan to become pregnant Any occupational or other responsibility that, in the opinion of the investigator, may interfere with the study Incapacitating illness precluding clinic visits Unable to provide informed consent Prisoners will not be enrolled while incarcerated and if enrolled prior to incarceration, will not be followed while in confinement. Re-consent will not be required upon release from prison.

Sites / Locations

  • Kenya Med. Research Inst./Walter Reed Project, Clinical Research Centre, Off Hospital Road. Kericho
  • National Institute for Medical Research (NIMR) - Mbeya Medical Research Center (MMRC) CRS
  • Makerere University Walter Reed Project (MUWRP)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

1A

1B

1C

1D

2A

2B

Arm Description

Participants will receive a low dose of the adenovirus-vectored HIV vaccine or placebo at study entry

Participants will receive a higher dose of the adenovirus-vectored HIV vaccine or placebo at study entry

Participants will receive the DNA plasmid vaccine or placebo at study entry and Days 28 and 56. They will also receive either a low dose of the adenovirus-vectored HIV vaccine or placebo at Day 168.

Participants will receive the DNA plasmid vaccine or placebo at study entry and Days 28 and 56. They will also receive either a higher dose of the adenovirus-vectored HIV vaccine or placebo at Day 168.

Participants will receive the DNA plasmid vaccine at study entry and Days 28 and 56. They will also receive a low dose of the adenovirus-vectored HIV vaccine at Day 168.

Participants will receive the DNA plasmid vaccine placebo at study entry and Days 28 and 56. They will also receive a the adenovirus-vectored HIV vaccine placebo at Day 168.

Outcomes

Primary Outcome Measures

Local reactogenicity signs and symptoms
Systemic reactogenicity signs and symptoms
Laboratory measures of safety
Adverse and serious adverse experiences
Unfractionated IFN-gamma ELISPOT responses to HIV-1
CD4+ and CD8+ T cell responses to HIV-1, as measured by flow cytometry-based intracellular cytokine staining (ICS) assay

Secondary Outcome Measures

Full Information

First Posted
July 22, 2005
Last Updated
November 4, 2021
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
United States Department of Defense
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1. Study Identification

Unique Protocol Identification Number
NCT00123968
Brief Title
Safety of and Immune Response to an HIV-1 Vaccine (VRC-HIVDNA016-00-VP) and a Vaccine Booster (VRC-HIVADV014-00-VP) in HIV Uninfected East African Adults
Official Title
A Phase I/II Clinical Trial to Evaluate the Safety and Immunogenicity of a Multiclade HIV-1 DNA Plasmid Vaccine, VRC-HIVDNA016-00-VP, Boosted by a Multiclade HIV-1 Recombinant Adenovirus-5 Vector Vaccine, VRC-HIVADV014-00-VP, in HIV Uninfected Adult Volunteers in East Africa
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
May 2006 (undefined)
Primary Completion Date
June 2012 (Actual)
Study Completion Date
June 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
United States Department of Defense

4. Oversight

5. Study Description

Brief Summary
The purpose of the study is to determine the safety of and immune response to an investigational HIV vaccine, VRC-HIVDNA016-00-VP, and a vaccine booster, VRC-HIVADV014-00-VP, in HIV uninfected adults from Kenya, Tanzania, and Uganda.
Detailed Description
The worldwide HIV/AIDS epidemic may only be controlled through development of a safe and effective vaccine that will prevent HIV infection. This study will evaluate the safety and immunogenicity of an experimental adenovirus-vectored multiclade HIV vaccine, VRC-HIVADV014-00-VP, followed with or without a similarly structured DNA plasmid HIV vaccine, VRC-HIVDNA016-00-VP. The DNA in both vaccines codes for proteins from HIV subtypes A, B, and C, which together represent 90% of new HIV infections in the world. HIV uninfected volunteers will be recruited in the East African nations of Kenya, Tanzania, and Uganda. This study will comprise two parts, 1 and 2. Part 1 will enroll 144 participants who will be randomly assigned to one of four different groups: Group 1A participants will receive a low dose of the adenovirus-vectored HIV vaccine or placebo at study entry. Group 1B participants will receive a higher dose of the adenovirus-vectored HIV vaccine or placebo at study entry. Group 1C will receive the DNA plasmid vaccine or placebo at study entry and Days 28 and 56. They will also receive either a low dose of the adenovirus-vectored HIV vaccine or placebo at Day 168. Group 1D will receive the DNA plasmid vaccine or placebo at study entry and Days 28 and 56. They will also receive either a higher dose of the adenovirus-vectored HIV vaccine or placebo at Day 168. Enrollment into Part 2 (Groups 2A and 2B) will begin after the completion of the safety data evaluation of Groups 3 and 4 and after Part A has been fully enrolled. Group 2A participants will receive the DNA plasmid vaccine or placebo at study entry and Days 28 and 56. They will also receive either a low dose of the adenovirus-vectored HIV vaccine or placebo at Day 168. There will be 11 study visits over 14 to 16 months for Parts 1 and 2. All study visits will include a physical exam, medical and medication history, vital signs measurement, lymph node assessment, HIV and pregnancy counseling, and blood and urine collection. A home visit will also occur at study entry. A 3-day diary card to report side effects will be completed by participants at study entry and on Days 28, 56, 168, and 210. There will be 14 study visits for Groups 3, 4, and 5; these visits will include the same tests and assessments as for Groups 1 and 2. As per an amendment (dated December 19, 2005), follow-up for this study will be extended. The purpose for this extension is to examine in greater depth the efficacy of the vaccine. Specifically, investigators will be exploring whether there is a persistent immune response in participants who received the vaccine as well as if new or boosted responses to the adenovirus vaccine are persistent. The extended follow-up will last for 2 years with clinic visits every 4 months. During visits blood will be drawn for laboratory tests, including HIV testing. Participants will also be informed of ways to reduce their risk of contracting HIV. Two weeks after each visit, participants will be asked to come to the study site for a short post HIV test counseling visit. There will be a total of 6 visits per year, 3 follow-up visits, and 3 post HIV test counseling visits. There will be no more vaccinations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
HIV Seronegativity, HIV Preventive Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
326 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1A
Arm Type
Experimental
Arm Description
Participants will receive a low dose of the adenovirus-vectored HIV vaccine or placebo at study entry
Arm Title
1B
Arm Type
Experimental
Arm Description
Participants will receive a higher dose of the adenovirus-vectored HIV vaccine or placebo at study entry
Arm Title
1C
Arm Type
Experimental
Arm Description
Participants will receive the DNA plasmid vaccine or placebo at study entry and Days 28 and 56. They will also receive either a low dose of the adenovirus-vectored HIV vaccine or placebo at Day 168.
Arm Title
1D
Arm Type
Experimental
Arm Description
Participants will receive the DNA plasmid vaccine or placebo at study entry and Days 28 and 56. They will also receive either a higher dose of the adenovirus-vectored HIV vaccine or placebo at Day 168.
Arm Title
2A
Arm Type
Experimental
Arm Description
Participants will receive the DNA plasmid vaccine at study entry and Days 28 and 56. They will also receive a low dose of the adenovirus-vectored HIV vaccine at Day 168.
Arm Title
2B
Arm Type
Experimental
Arm Description
Participants will receive the DNA plasmid vaccine placebo at study entry and Days 28 and 56. They will also receive a the adenovirus-vectored HIV vaccine placebo at Day 168.
Intervention Type
Biological
Intervention Name(s)
VRC-HIVDNA016-00-VP
Intervention Description
1x10^11 per unit vaccine administered intramuscularly via Bioinjector
Intervention Type
Biological
Intervention Name(s)
VRC-HIVADV014-00-VP
Intervention Description
4 mg administered intramuscularly via injection
Intervention Type
Biological
Intervention Name(s)
VRC-DILUENT013-DIL-VP
Other Intervention Name(s)
VRC-HIVDNA016-00-VP placebo
Intervention Description
Administered intramuscularly via Bioinjector
Intervention Type
Biological
Intervention Name(s)
VRC-HIVADV014-00-VP placebo
Intervention Description
4 mg administered intramuscularly via injection
Primary Outcome Measure Information:
Title
Local reactogenicity signs and symptoms
Time Frame
Throughout study
Title
Systemic reactogenicity signs and symptoms
Time Frame
Throughout study
Title
Laboratory measures of safety
Time Frame
Throughout study
Title
Adverse and serious adverse experiences
Time Frame
Throughout study
Title
Unfractionated IFN-gamma ELISPOT responses to HIV-1
Time Frame
At Day 196
Title
CD4+ and CD8+ T cell responses to HIV-1, as measured by flow cytometry-based intracellular cytokine staining (ICS) assay
Time Frame
At Day 196

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Good general health Willing to follow all the requirements of the study and available for follow-up for the duration of the study (14 to 16 months) Able and willing to provide informed consent Willing to undergo HIV testing and counseling and willing to receive HIV test results Willing to not engage in high-risk behavior for HIV infection during the study Willing to provide location and be visited at home Willing to be identified with picture identification for study purposes Willing to use acceptable forms of contraception Pregnant women and those with conditions which render phlebotomy volumes hazardous will be allowed to participate using a minimized phlebotomy schedule Exclusion Criteria: HIV or HBV infection HIV vaccines in prior HIV vaccine trial Immunosuppressive or cytotoxic medications within the 6 months prior to study entry. Participants who have used corticosteroid nasal spray for allergic rhinitis or topical corticosteroids for acute uncomplicated dermatitis are not excluded. Blood products within 120 days prior to study entry Immunoglobulin within 60 days prior to study entry Live attenuated vaccines within 30 days prior to first study vaccine administration Medically indicated subunit or killed vaccines or allergy treatment with antigen injections within 14 days prior to first study vaccine administration Investigational research agents within 30 days prior to first study vaccine administration Current tuberculosis prophylaxis or therapy Participated in high-risk behavior for HIV infection within 6 months prior to study entry. More information on this criterion can be found in the protocol. Serious adverse reactions to vaccines, such as anaphylaxis, hives, respiratory difficulty, angioedema, or abdominal pain Autoimmune disease or immunodeficiency Unstable asthma or asthma requiring emergent or urgent care, hospitalization, intubation, or oral or intravenous corticosteroids during the 2 years prior to study entry Diabetes mellitus type 1 or 2. Patients with gestational diabetes are not excluded. Thyroid disease, including removal of thyroid or disease requiring medication within 3 years prior to study entry Serious angioedema within 3 years prior to study entry or disease requiring medication within 2 years prior to study entry Uncontrolled hypertension Bleeding disorder Active syphilis Active cancer OR treated cancer that may recur during the duration of the study Seizure disorder. Participants who have had fever-related seizures prior to age 2 are not excluded. Absence of spleen OR partial or complete lack of splenic function Psychiatric condition that may interfere with the study, including past or present psychoses, bipolar disorder, or suicidal attempts Any medical, psychiatric, or social condition that, in the opinion of the investigator, may interfere with the study Any occupational or other responsibility that, in the opinion of the investigator, may interfere with the study Pregnancy, breastfeeding, or plan to become pregnant Any occupational or other responsibility that, in the opinion of the investigator, may interfere with the study Incapacitating illness precluding clinic visits Unable to provide informed consent Prisoners will not be enrolled while incarcerated and if enrolled prior to incarceration, will not be followed while in confinement. Re-consent will not be required upon release from prison.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Merlin Robb, MD
Organizational Affiliation
US Military HIV Research Program
Official's Role
Study Chair
Facility Information:
Facility Name
Kenya Med. Research Inst./Walter Reed Project, Clinical Research Centre, Off Hospital Road. Kericho
City
Kericho
ZIP/Postal Code
20200
Country
Kenya
Facility Name
National Institute for Medical Research (NIMR) - Mbeya Medical Research Center (MMRC) CRS
City
Mbeya
ZIP/Postal Code
025
Country
Tanzania
Facility Name
Makerere University Walter Reed Project (MUWRP)
City
Kampala
Country
Uganda

12. IPD Sharing Statement

Citations:
PubMed Identifier
12699356
Citation
Esparza J, Osmanov S. HIV vaccines: a global perspective. Curr Mol Med. 2003 May;3(3):183-93. doi: 10.2174/1566524033479825.
Results Reference
background
PubMed Identifier
12089434
Citation
Gaschen B, Taylor J, Yusim K, Foley B, Gao F, Lang D, Novitsky V, Haynes B, Hahn BH, Bhattacharya T, Korber B. Diversity considerations in HIV-1 vaccine selection. Science. 2002 Jun 28;296(5577):2354-60. doi: 10.1126/science.1070441.
Results Reference
background
PubMed Identifier
14738219
Citation
Stratov I, DeRose R, Purcell DF, Kent SJ. Vaccines and vaccine strategies against HIV. Curr Drug Targets. 2004 Jan;5(1):71-88. doi: 10.2174/1389450043490686.
Results Reference
background
PubMed Identifier
20078213
Citation
Kibuuka H, Kimutai R, Maboko L, Sawe F, Schunk MS, Kroidl A, Shaffer D, Eller LA, Kibaya R, Eller MA, Schindler KB, Schuetz A, Millard M, Kroll J, Dally L, Hoelscher M, Bailer R, Cox JH, Marovich M, Birx DL, Graham BS, Michael NL, de Souza MS, Robb ML. A phase 1/2 study of a multiclade HIV-1 DNA plasmid prime and recombinant adenovirus serotype 5 boost vaccine in HIV-Uninfected East Africans (RV 172). J Infect Dis. 2010 Feb 15;201(4):600-7. doi: 10.1086/650299.
Results Reference
derived
PubMed Identifier
19360102
Citation
Kibuuka H, Guwatudde D, Kimutai R, Maganga L, Maboko L, Watyema C, Sawe F, Shaffer D, Matsiko D, Millard M, Michael N, Wabwire-Mangen F, Robb M. Contraceptive use in women enrolled into preventive HIV vaccine trials: experience from a phase I/II trial in East Africa. PLoS One. 2009;4(4):e5164. doi: 10.1371/journal.pone.0005164. Epub 2009 Apr 10.
Results Reference
derived

Learn more about this trial

Safety of and Immune Response to an HIV-1 Vaccine (VRC-HIVDNA016-00-VP) and a Vaccine Booster (VRC-HIVADV014-00-VP) in HIV Uninfected East African Adults

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