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Safety and Immunogenicity of IMVAMUNE® (MVA-BN®) Smallpox Vaccine in HIV Infected Patients

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
IMVAMUNE (MVA-BN)
Sponsored by
Bavarian Nordic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infections focused on measuring HIV, treatment experienced, treatment vaccinia naive

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Genders eligible for Study: Both Age: between 18 and 55 years Healthy volunteers are accepted Inclusion Criteria: Subjects tested positive for HIV-1 infection (HIV-infected subjects). Subjects that are tested negative for HIV (Healthy subjects). Either on stable antiretroviral therapy or not on antiretroviral therapy. CD4 cells > = 200 - 750/µl. Subjects must be in good general health except for HIV infection. Women must not be pregnant and use an acceptable method of contraception. Exclusion Criteria: Impairment of immunologic function (other than HIV infection). History of coronary heart disease, myocardial infarction, angina, congestive heart failure, cardiomyopathy, stroke or transient ischemic attack, uncontrolled high blood pressure. Uncontrolled serious infection. History of or active autoimmune disease. History or clinical manifestation of clinically significant and severe hematological, renal, hepatic, pulmonary, central nervous, cardiovascular or gastrointestinal disorders. History of an immediate family member (father, mother, brother, or sister) who has had onset of ischemic heart disease before the age of 50 years. High risk of developing a myocardial infarction or coronary death. History of intravenous drug abuse (within the last 12 months). Known allergy to egg or aminoglycoside (gentamicin). History of anaphylaxis or severe allergic reaction. Subjects undergoing treatment for tuberculosis infection or disease. Chronic administration of systemic immuno-suppressants.

Sites / Locations

  • Alabama Vaccine Research Clinic; University of Alabama at Birmingham
  • Health for Life Clinic, PLLC
  • Providence Clinical Research
  • Northern California Research
  • CSI Clinical Trials, Inc.
  • AltaMed Health Services
  • Alta Bates Summit Medical Center, East Bay AIDS Center
  • Benchmark Clinical Research
  • Clinical Research of West Florida
  • Consultive Medicine
  • Northpoint Medical, PA
  • The Kinder Medical Group
  • Infectious Diseases of NW Florida
  • Palm Beach Center
  • Atlanta ID Group
  • The CORE Center
  • Northstar Medical Center
  • Indiana University School of Medicine; Division of Infectious Disease
  • University of Iowa, Division of Infectious Diseases
  • Nemechek Health Renewal
  • St. Louis University, Center for Vaccine Dev.
  • Washington University School of Medicine
  • University of Nebraska Medical Center
  • Immuniodeficiency Clinic, ECMC
  • Universtity of Rochester School of Medicine
  • University of Oklahoma
  • University of Pennsylvania
  • Clinical Trials Research Services
  • Brown Medical School
  • University of South Carolina
  • Vanderbilt University, AIDS Clinical Trials Center
  • Nicholaos C. Bellos, MD PA
  • Valley AIDS Council
  • Diversified Medical Practices
  • Clinical Research P.R., Inc.
  • Maternal Infant Studies Center (CEMI)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Healthy subjects

HIV-infected, vaccinia-naive

HIV-infected, vaccinia-experienced

Arm Description

Control group with and without a history of previous smallpox vaccination IMVAMUNE (MVA-BN)

Subjects without a history of previous smallpox vaccination, IMVAMUNE (MVA-BN)

Subjects with a history of previous smallpox vaccination, IMVAMUNE (MVA-BN)

Outcomes

Primary Outcome Measures

Serious Adverse Events
Incidence, relationship and intensity of any Serious Adverse Event (SAE)

Secondary Outcome Measures

Related Grade >=3 Adverse Events
Incidence of any Grade 3 or higher adverse drug reaction (missing, unknown, not evaluable, possibly, probably, or definitely related) to the study vaccine
Solicited Local Adverse Events
Incidence and intensity of solicited local AEs (pain, erythema, swelling). Percentages based on subjects with at least one completed diary card.
Solicited General Adverse Events
Incidence of solicited general AEs (increased body temperature, headache, myalgia, chills, nausea, and fatigue): Intensity and relationship to vaccination. Percentages based on subjects with at least one completed diary card.
Unsolicited Adverse Events: Incidence
Incidence of any unsolicited adverse events
Unsolicited Adverse Events: Intensity
Occurrence of unsolicited adverse events by Intensity
Unsolicited Adverse Events: Relationship to Vaccination
Occurrence of unsolicited adverse events by relationship to study vaccine
CD4+ T-cell Counts
Median CD4+ T-cell counts over time
CD8+ T-cell Counts
Median CD8+ T-cell counts over time
Viral Load
Viral load (HIV-1 RNA levels) over time
PRNT Seroconversion Rate
Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (6) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.
PRNT GMT
Geometric Mean Titers (GMT) based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Titers below the detection limit are included with a value of '1'.
ELISA Seroconversion Rate
Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.
ELISA GMT
Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Titers below the detection limit are included with a value of '1'.
ELISPOT IFN-γ: Response Rate
Response rate based on number of subjects with response in an interferon gamma (IFN-γ) ELISPOT assay. Response is defined as the appearance of a signal in subjects that had no signal at Baseline or a relative increase by a factor of ≥1.7 compared to Baseline in subjects that had a signal at Baseline. Percentages based on number of subjects with data available.
ELISPOT IFN-γ: SFU
Median number of interferon gamma (IFN-γ) secreting peripheral blood mononuclear cells (PBMC) in response to stimulation with MVA-BN detected by ELISPOT assay.

Full Information

First Posted
April 19, 2006
Last Updated
December 7, 2018
Sponsor
Bavarian Nordic
Collaborators
National Institutes of Health (NIH)
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1. Study Identification

Unique Protocol Identification Number
NCT00316589
Brief Title
Safety and Immunogenicity of IMVAMUNE® (MVA-BN®) Smallpox Vaccine in HIV Infected Patients
Official Title
A Multicenter, Open-label, Controlled Phase II Study to Evaluate Safety and Immunogenicity of MVA-BN® (IMVAMUNE) Smallpox Vaccine in 18-55 Year Old Naive and Previously Vaccinated HIV Infected Subjects With CD4 Counts >200 - 750/µl.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
June 2006 (undefined)
Primary Completion Date
March 2009 (Actual)
Study Completion Date
October 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bavarian Nordic
Collaborators
National Institutes of Health (NIH)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to gather information on the safety and immunogenicity of an investigational smallpox vaccine in HIV infected populations. Subjects will receive two vaccinations

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
HIV, treatment experienced, treatment vaccinia naive

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
581 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Healthy subjects
Arm Type
Experimental
Arm Description
Control group with and without a history of previous smallpox vaccination IMVAMUNE (MVA-BN)
Arm Title
HIV-infected, vaccinia-naive
Arm Type
Experimental
Arm Description
Subjects without a history of previous smallpox vaccination, IMVAMUNE (MVA-BN)
Arm Title
HIV-infected, vaccinia-experienced
Arm Type
Experimental
Arm Description
Subjects with a history of previous smallpox vaccination, IMVAMUNE (MVA-BN)
Intervention Type
Biological
Intervention Name(s)
IMVAMUNE (MVA-BN)
Other Intervention Name(s)
IMVANEX
Intervention Description
2 immunizations, four weeks apart: 1 x 10E8 TCID50, subcutaneous
Primary Outcome Measure Information:
Title
Serious Adverse Events
Description
Incidence, relationship and intensity of any Serious Adverse Event (SAE)
Time Frame
within 32 weeks
Secondary Outcome Measure Information:
Title
Related Grade >=3 Adverse Events
Description
Incidence of any Grade 3 or higher adverse drug reaction (missing, unknown, not evaluable, possibly, probably, or definitely related) to the study vaccine
Time Frame
within 29 days after any vaccination
Title
Solicited Local Adverse Events
Description
Incidence and intensity of solicited local AEs (pain, erythema, swelling). Percentages based on subjects with at least one completed diary card.
Time Frame
within 8 days after any vaccination
Title
Solicited General Adverse Events
Description
Incidence of solicited general AEs (increased body temperature, headache, myalgia, chills, nausea, and fatigue): Intensity and relationship to vaccination. Percentages based on subjects with at least one completed diary card.
Time Frame
within 8 days after any vaccination
Title
Unsolicited Adverse Events: Incidence
Description
Incidence of any unsolicited adverse events
Time Frame
within 29 days after any vaccination
Title
Unsolicited Adverse Events: Intensity
Description
Occurrence of unsolicited adverse events by Intensity
Time Frame
within 29 days after any vaccination
Title
Unsolicited Adverse Events: Relationship to Vaccination
Description
Occurrence of unsolicited adverse events by relationship to study vaccine
Time Frame
within 29 days after any vaccination
Title
CD4+ T-cell Counts
Description
Median CD4+ T-cell counts over time
Time Frame
within 32 weeks
Title
CD8+ T-cell Counts
Description
Median CD8+ T-cell counts over time
Time Frame
within 32 weeks
Title
Viral Load
Description
Viral load (HIV-1 RNA levels) over time
Time Frame
within 32 weeks
Title
PRNT Seroconversion Rate
Description
Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (6) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.
Time Frame
within 32 weeks
Title
PRNT GMT
Description
Geometric Mean Titers (GMT) based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Titers below the detection limit are included with a value of '1'.
Time Frame
within 32 weeks
Title
ELISA Seroconversion Rate
Description
Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.
Time Frame
within 32 weeks
Title
ELISA GMT
Description
Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Titers below the detection limit are included with a value of '1'.
Time Frame
within 32 weeks
Title
ELISPOT IFN-γ: Response Rate
Description
Response rate based on number of subjects with response in an interferon gamma (IFN-γ) ELISPOT assay. Response is defined as the appearance of a signal in subjects that had no signal at Baseline or a relative increase by a factor of ≥1.7 compared to Baseline in subjects that had a signal at Baseline. Percentages based on number of subjects with data available.
Time Frame
within 32 weeks
Title
ELISPOT IFN-γ: SFU
Description
Median number of interferon gamma (IFN-γ) secreting peripheral blood mononuclear cells (PBMC) in response to stimulation with MVA-BN detected by ELISPOT assay.
Time Frame
within 32 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Genders eligible for Study: Both Age: between 18 and 55 years Healthy volunteers are accepted Inclusion Criteria: Subjects tested positive for HIV-1 infection (HIV-infected subjects). Subjects that are tested negative for HIV (Healthy subjects). Either on stable antiretroviral therapy or not on antiretroviral therapy. CD4 cells > = 200 - 750/µl. Subjects must be in good general health except for HIV infection. Women must not be pregnant and use an acceptable method of contraception. Exclusion Criteria: Impairment of immunologic function (other than HIV infection). History of coronary heart disease, myocardial infarction, angina, congestive heart failure, cardiomyopathy, stroke or transient ischemic attack, uncontrolled high blood pressure. Uncontrolled serious infection. History of or active autoimmune disease. History or clinical manifestation of clinically significant and severe hematological, renal, hepatic, pulmonary, central nervous, cardiovascular or gastrointestinal disorders. History of an immediate family member (father, mother, brother, or sister) who has had onset of ischemic heart disease before the age of 50 years. High risk of developing a myocardial infarction or coronary death. History of intravenous drug abuse (within the last 12 months). Known allergy to egg or aminoglycoside (gentamicin). History of anaphylaxis or severe allergic reaction. Subjects undergoing treatment for tuberculosis infection or disease. Chronic administration of systemic immuno-suppressants.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edgar Turner Overton, MD
Organizational Affiliation
Washington University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Alabama Vaccine Research Clinic; University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294-2050
Country
United States
Facility Name
Health for Life Clinic, PLLC
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72207
Country
United States
Facility Name
Providence Clinical Research
City
Burbank
State/Province
California
ZIP/Postal Code
91505
Country
United States
Facility Name
Northern California Research
City
Carmichael
State/Province
California
ZIP/Postal Code
95608
Country
United States
Facility Name
CSI Clinical Trials, Inc.
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
AltaMed Health Services
City
Los Angeles
State/Province
California
ZIP/Postal Code
90022
Country
United States
Facility Name
Alta Bates Summit Medical Center, East Bay AIDS Center
City
Oakland
State/Province
California
ZIP/Postal Code
94609
Country
United States
Facility Name
Benchmark Clinical Research
City
San Francisco
State/Province
California
ZIP/Postal Code
94102
Country
United States
Facility Name
Clinical Research of West Florida
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Consultive Medicine
City
Daytona Beach
State/Province
Florida
ZIP/Postal Code
32117
Country
United States
Facility Name
Northpoint Medical, PA
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33308
Country
United States
Facility Name
The Kinder Medical Group
City
Miami
State/Province
Florida
ZIP/Postal Code
33133
Country
United States
Facility Name
Infectious Diseases of NW Florida
City
Pensacola
State/Province
Florida
ZIP/Postal Code
32504
Country
United States
Facility Name
Palm Beach Center
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
Facility Name
Atlanta ID Group
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30309
Country
United States
Facility Name
The CORE Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Northstar Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60657
Country
United States
Facility Name
Indiana University School of Medicine; Division of Infectious Disease
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202-2859
Country
United States
Facility Name
University of Iowa, Division of Infectious Diseases
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Nemechek Health Renewal
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64111
Country
United States
Facility Name
St. Louis University, Center for Vaccine Dev.
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
University of Nebraska Medical Center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68198-5130
Country
United States
Facility Name
Immuniodeficiency Clinic, ECMC
City
Buffalo
State/Province
New York
ZIP/Postal Code
14260
Country
United States
Facility Name
Universtity of Rochester School of Medicine
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
University of Oklahoma
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104-6073
Country
United States
Facility Name
Clinical Trials Research Services
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15206
Country
United States
Facility Name
Brown Medical School
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02906
Country
United States
Facility Name
University of South Carolina
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29203
Country
United States
Facility Name
Vanderbilt University, AIDS Clinical Trials Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Nicholaos C. Bellos, MD PA
City
Dallas
State/Province
Texas
ZIP/Postal Code
75204
Country
United States
Facility Name
Valley AIDS Council
City
Harlingen
State/Province
Texas
ZIP/Postal Code
78550
Country
United States
Facility Name
Diversified Medical Practices
City
Houston
State/Province
Texas
ZIP/Postal Code
77027
Country
United States
Facility Name
Clinical Research P.R., Inc.
City
San Juan
ZIP/Postal Code
00909
Country
Puerto Rico
Facility Name
Maternal Infant Studies Center (CEMI)
City
San Juan
ZIP/Postal Code
00936-5067
Country
Puerto Rico

12. IPD Sharing Statement

Citations:
PubMed Identifier
26380340
Citation
Overton ET, Stapleton J, Frank I, Hassler S, Goepfert PA, Barker D, Wagner E, von Krempelhuber A, Virgin G, Meyer TP, Muller J, Badeker N, Grunert R, Young P, Rosch S, Maclennan J, Arndtz-Wiedemann N, Chaplin P. Safety and Immunogenicity of Modified Vaccinia Ankara-Bavarian Nordic Smallpox Vaccine in Vaccinia-Naive and Experienced Human Immunodeficiency Virus-Infected Individuals: An Open-Label, Controlled Clinical Phase II Trial. Open Forum Infect Dis. 2015 May 5;2(2):ofv040. doi: 10.1093/ofid/ofv040. eCollection 2015 Apr. Erratum In: Open Forum Infect Dis. 2016 Jan;3(1):ofv183.
Results Reference
result

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Safety and Immunogenicity of IMVAMUNE® (MVA-BN®) Smallpox Vaccine in HIV Infected Patients

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