A Clinical Trial of an Alphavirus Replicon Vaccine for Cytomegalovirus (CMV) (CMV)
Primary Purpose
Cytomegalovirus Infections
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AVX601
Placebo
AVX601
Placebo
AVX601
AVX601
AVX601
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Cytomegalovirus Infections focused on measuring CMV, cytomegalovirus, Alphavirus
Eligibility Criteria
Inclusion Criteria:
- Between 18 and 45 years of age, inclusive
- Good general health without significant physical examination findings or clinically significant abnormal laboratory results
- Available to participate for the entire study period of approximately 12 months
- For women of childbearing potential, a negative urine pregnancy test at screening and before each immunization, and agreement to consistently use contraception from 28 days prior to enrollment until the last protocol visit, for sexual activity that could lead to pregnancy
Acceptable laboratory parameters:
- negative CMV serology
- hemoglobin ≥ 11.2 g/dL for women, ≥ 12.8 g/dL for men
- white blood cell count 3,300 - 12,000 cells/mm3
- platelet count 125,000 - 550,000/mm3
- alanine aminotransferase (ALT) within normal range for study laboratory
- serum creatinine within normal range for study laboratory
- normal urine dipstick (negative glucose, negative hemoglobin, and negative or trace protein)
- negative hepatitis B virus (HBV) and hepatitis C virus (HCV) blood tests
- negative HIV blood test
- Willingness to have blood stored for up to 10 years for use in additional assays to evaluate immune responses to CMV or the alphavirus vector if such assays become available
- Willingness to participate in the study as evidenced by signed informed consent obtained before screening
Exclusion Criteria:
- Venous access deemed inadequate for the phlebotomy demands of the study
- Women who are breast feeding
- In female subjects, a positive urine pregnancy test at screening or on the day of any vaccine injection
- Receipt of any vaccine within 30 days prior to enrollment
- Use of any investigational agent within 30 days prior to enrollment
- Receipt of immunoglobulin or blood products within 60 days prior to enrollment
- Use of cytotoxic medications within 6 months prior to enrollment
- Use of systemic corticosteroids within 6 months prior to enrollment (except that participants who have completed a course of prednisone, at up to 20 mg per day for up to 7 days, at least 1 month prior to enrollment are eligible for enrollment)
- History of serious adverse reactions to any vaccine, including anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema or abdominal pain
- History of immunodeficiency or autoimmune disease
- History of diabetes mellitus
- History of splenectomy
- History of malignancy within the last 3 years (except that participants with a diagnosis of basal cell carcinoma of the skin are eligible for enrollment)
- Psychiatric condition that may interfere with the ability to comply with the protocol requirements. Specifically excluded are persons with history of psychosis within the past 3 years or history of suicidal attempt or gesture within the past 3 years.
- History of medical, occupational or family problems as a result of alcohol or illicit drug use during the past 12 months
- Any condition which leads the investigator to believe that the participant cannot comply with the protocol requirements or that may place the participant at an unacceptable risk for participation
Sites / Locations
- Cincinnati Center for Clinical Research
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm Type
Active Comparator
Placebo Comparator
Active Comparator
Placebo Comparator
Active Comparator
Placebo Comparator
Active Comparator
Placebo Comparator
Arm Label
T1
C1
T2
C2
T3
C3
T4
C4
Arm Description
Outcomes
Primary Outcome Measures
evaluate safety of AVX601 based on teh frequency of Grade 2,3,or 4 systemic reactogenicity events
Secondary Outcome Measures
evaluate the immunogenicity of AVX601 in healthy volunteers after 3 doses of vaccine
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00439803
Brief Title
A Clinical Trial of an Alphavirus Replicon Vaccine for Cytomegalovirus (CMV)
Acronym
CMV
Official Title
A Single-Site, Phase 1, Double-Blind, Safety and Immunogenicity Trial of an Alphavirus Replicon Vaccine Expressing Cytomegalovirus Genes (AVX601) in Healthy Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
November 2008
Overall Recruitment Status
Completed
Study Start Date
April 2007 (undefined)
Primary Completion Date
July 2008 (Actual)
Study Completion Date
July 2008 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
AlphaVax, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
AVX601, a bivalent alphavirus replicon vaccine expressing three CMV proteins (gB, pp65 and IE1) is a candidate vaccine against cytomegalovirus (CMV).
The objectives of this Phase 1 study are to test the safety of the vaccine and the immune response to the vaccine in healthy volunteers who have not previously been infected with CMV. Volunteers will be assigned by randomization to receive either the vaccine or an inactive substance (placebo) by injections in each arm on three occasions over 6 months. The study will last 12 months and will have a total of 12 visits.
Detailed Description
This is a randomized, double-blind, placebo-controlled Phase 1 study of the safety and immunogenicity of AVX601 vaccine at two dosage levels and two routes of administration in healthy volunteers conducted at a single research center. A total of 40 participants will be enrolled into two groups of 20 participants each. Within each group, participants will be randomized to receive the active vaccine by IM injection (N = 8) or SC injection (N = 8) or to receive a placebo by IM injection (N = 2) or SC injection (N = 2). Each participant will receive a total of six injections of vaccine or placebo, two at each visit at Weeks 0, 8 and 24, administered by a study nurse in an outpatient setting, and will be followed for 12 months after the first immunization. Safety data will include local and systemic reactogenicity after each dose of vaccine, collected in a systematic format using a subject memory aid and a standard grading scale, specific safety laboratory parameters and general AEs. Immunogenicity data will be obtained by collecting blood at defined time points before and after immunization and separating serum (for measurement of antibodies to CMV by ELISA and neutralization assays and to the vaccine vector by a VRP neutralization assay) and peripheral blood mononuclear cells (PMBC) (for measurement of cellular immune responses to CMV peptides).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cytomegalovirus Infections
Keywords
CMV, cytomegalovirus, Alphavirus
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
T1
Arm Type
Active Comparator
Arm Title
C1
Arm Type
Placebo Comparator
Arm Title
T2
Arm Type
Active Comparator
Arm Title
C2
Arm Type
Placebo Comparator
Arm Title
T3
Arm Type
Active Comparator
Arm Title
C3
Arm Type
Placebo Comparator
Arm Title
T4
Arm Type
Active Comparator
Arm Title
C4
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
AVX601
Intervention Description
3 doses of AVX601 at 1e7 IU given at T=0, 8, 24 weeks via the IM route
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
3 doses of placebo given at T=0, 8, 24 weeks via the IM route
Intervention Type
Biological
Intervention Name(s)
AVX601
Intervention Description
3 doses of AVX601 at 1e7 IU given at T=0, 8, 24 weeks via the SC route
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
3 doses of placebo given at T=0, 8, 24 weeks via the SC route
Intervention Type
Biological
Intervention Name(s)
AVX601
Intervention Description
3 doses of AVX601 at 1e8 IU given at T=0, 8, 24 weeks via the IM route
Intervention Type
Biological
Intervention Name(s)
AVX601
Intervention Description
3 doses of placebo given at T=0, 8, 24 weeks via the IM route
Intervention Type
Biological
Intervention Name(s)
AVX601
Intervention Description
3 doses of AVX601 at 1e8 IU given at T=0, 8, 24 weeks via the SC route
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
3 doses of placebo given at T=0, 8, 24 weeks via the SC route
Primary Outcome Measure Information:
Title
evaluate safety of AVX601 based on teh frequency of Grade 2,3,or 4 systemic reactogenicity events
Time Frame
1 year
Secondary Outcome Measure Information:
Title
evaluate the immunogenicity of AVX601 in healthy volunteers after 3 doses of vaccine
Time Frame
15 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Between 18 and 45 years of age, inclusive
Good general health without significant physical examination findings or clinically significant abnormal laboratory results
Available to participate for the entire study period of approximately 12 months
For women of childbearing potential, a negative urine pregnancy test at screening and before each immunization, and agreement to consistently use contraception from 28 days prior to enrollment until the last protocol visit, for sexual activity that could lead to pregnancy
Acceptable laboratory parameters:
negative CMV serology
hemoglobin ≥ 11.2 g/dL for women, ≥ 12.8 g/dL for men
white blood cell count 3,300 - 12,000 cells/mm3
platelet count 125,000 - 550,000/mm3
alanine aminotransferase (ALT) within normal range for study laboratory
serum creatinine within normal range for study laboratory
normal urine dipstick (negative glucose, negative hemoglobin, and negative or trace protein)
negative hepatitis B virus (HBV) and hepatitis C virus (HCV) blood tests
negative HIV blood test
Willingness to have blood stored for up to 10 years for use in additional assays to evaluate immune responses to CMV or the alphavirus vector if such assays become available
Willingness to participate in the study as evidenced by signed informed consent obtained before screening
Exclusion Criteria:
Venous access deemed inadequate for the phlebotomy demands of the study
Women who are breast feeding
In female subjects, a positive urine pregnancy test at screening or on the day of any vaccine injection
Receipt of any vaccine within 30 days prior to enrollment
Use of any investigational agent within 30 days prior to enrollment
Receipt of immunoglobulin or blood products within 60 days prior to enrollment
Use of cytotoxic medications within 6 months prior to enrollment
Use of systemic corticosteroids within 6 months prior to enrollment (except that participants who have completed a course of prednisone, at up to 20 mg per day for up to 7 days, at least 1 month prior to enrollment are eligible for enrollment)
History of serious adverse reactions to any vaccine, including anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema or abdominal pain
History of immunodeficiency or autoimmune disease
History of diabetes mellitus
History of splenectomy
History of malignancy within the last 3 years (except that participants with a diagnosis of basal cell carcinoma of the skin are eligible for enrollment)
Psychiatric condition that may interfere with the ability to comply with the protocol requirements. Specifically excluded are persons with history of psychosis within the past 3 years or history of suicidal attempt or gesture within the past 3 years.
History of medical, occupational or family problems as a result of alcohol or illicit drug use during the past 12 months
Any condition which leads the investigator to believe that the participant cannot comply with the protocol requirements or that may place the participant at an unacceptable risk for participation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert A Olmsted, Ph.D.
Organizational Affiliation
AlphaVax, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cincinnati Center for Clinical Research
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
12. IPD Sharing Statement
Links:
URL
http://www.alphavax.com
Description
AlphaVax Human Vaccines, Inc.
Learn more about this trial
A Clinical Trial of an Alphavirus Replicon Vaccine for Cytomegalovirus (CMV)
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