Determining Responses to Two Different Vaccines in HIV and HCV Infected Individuals
HIV Infections, Hepatitis C
About this trial
This is an interventional prevention trial for HIV Infections focused on measuring Treatment Experienced, Treatment Naive, Immunizations
Eligibility Criteria
Inclusion Criteria for Arm A Participants:
- HCV-infected
- HIV-uninfected
Inclusion Criteria for Arm B Participants:
- HIV-infected
- HCV-uninfected
- CD4 count greater than or equal to 300 cells/mm3 within 60 days prior to study entry
Inclusion Criteria for Arm C Participants:
- HIV-infected
- HCV-infected
Inclusion Criteria for All Participants:
- Documented hepatitis B virus (HBV) antibody status. If anti-HBV core antibody positive, documented HBV negative test within 30 days prior to study entry is required.
- Willing to use acceptable forms of contraception for the duration of the study and for 24 weeks after the last vaccination
Exclusion Criteria for Arm A Participants:
- Concurrent or recent treatment for HCV infection (within the past three months)
Exclusion Criteria for Arm B Participants:
- Current, prior, or clinical need for antiretroviral therapy (within the past three months prior to study entry)
- Opportunistic infection other than HCV
Exclusion Criteria for Arm C Participants:
- Concurrent or recent treatment for HCV infection (within the past three months)
- Current, prior, or clinical need for antiretroviral therapy (within the past three months prior to study entry). More information on this criterion can be found in the protocol.
- Opportunistic infection other than HCV
Exclusion Criteria for All Participants:
- History of exposure to hepatitis A vaccine, hepatitis B vaccine, or combined hepatitis A-hepatitis B vaccines
- Immunomodulatory agents for 7 days or more within 30 days prior to study entry. More information on this criterion can be found in the protocol.
- Concurrent immunizations (e.g., influenza, pneumococcal, other vaccine)within 3 days prior to study entry
- Active or recent (in the last six months prior to study entry) CDC Category C event. More information on this criterion can be found in the protocol
- Systemic anticancer chemotherapy or radiation within 24 weeks prior to study entry, or anticipated need to begin such treatment
- Past or current immunologically-mediated disease. More information on this criterion can be found in the protocol.
- Current bacterial infection requiring treatment, therapy, or hospitalization within 1 week prior to study entry
- Serious illness requiring systemic treatment and/or hospitalization. Participants who complete therapy or are clinically stable on therapy for at least 14 days prior to study entry are not excluded.
- Current uncontrolled seizure disorders
- Active bleeding varices, or Child's B or C cirrhosis. More information on this criterion can be found in the protocol.
- Serious bleeding disorder that poses a risk to a participant for intramuscular injections
- Known allergy or sensitivity to study vaccines or their formulations
- Current drug or alcohol use that, in the opinion of the investigator, interferes with study participation
- Pregnant or breastfeeding
- Use of systemic investigational agents within 30 days prior to entry
- History of any hepatitis A vaccine within one year
Sites / Locations
- UCSD Antiviral Research Center CRS
- Ucsf Aids Crs
- University of Colorado Hospital CRS
- IHV Baltimore Treatment CRS
- Massachusetts General Hospital Clinical Research Site (MGH CRS) CRS
- Columbia P&S CRS
- Duke Univ. Med. Ctr. Adult CRS
- Case CRS
- MetroHealth CRS
- The Ohio State University Medical Center
- Trinity Health and Wellness Center CRS
- Puerto Rico AIDS Clinical Trials Unit CRS
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
A
B
C
HCV-infected defined as a positive result using polymerase chain reaction (PCR) without previous HCV-based therapy and without the presence of Child's B or C cirrhosis. These participants will be HIV-uninfected.
HIV-infected and ARV naive, with a CD4 cell count of 300 cells/mm3 or greater, with no prior or current opportunistic infection, and with no indication for HIV therapy. These participants will be HCV-uninfected.
HCV/HIV-coinfected as defined above in Arms A and B.