search
Back to results

Safety of and Immune Response to Two HIV Vaccines: SAAVI DNA-C2 Boosted With SAAVIMVA-C, in HIV-Negative Adults

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
SAAVI DNA-C2 vaccine
SAAVI MVA-C vaccine
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 - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Laboratory test results within specified ranges [complete blood count, chemistries, cardiac troponin T, urinalysis]
  • Good general health
  • HIV-1 and -2 uninfected
  • Have access to a participating HIV Vaccine Trials Unit (HVTU) and willing to be followed for the duration of the study
  • Willing to receive HIV test results
  • Negative hepatitis B surface antigen
  • Negative hepatitis C virus (HCV) antibodies OR negative HCV PCR if anti-HCV test is positive
  • Willing to use acceptable forms of contraception from at least 21 days prior to enrollment through the duration of the study

Exclusion Criteria:

  • History of vaccination against smallpox
  • HIV vaccines in prior HIV vaccine trial
  • Immunosuppressive medications within 168 days prior to first study vaccination
  • Blood products within 120 days prior to first study vaccination
  • Immunoglobulin within 60 days prior to first study vaccination
  • Live attenuated vaccines within 30 days prior to first study vaccination or scheduled within 14 days after other vaccination (e.g., measles, mumps, and rubella [MMR]; oral polio vaccine [OPV]; varicella; yellow fever; influenza vaccine in nasal form)
  • Investigational research agents within 30 days prior to first study vaccination
  • Any vaccines that are not live attenuated vaccines within 14 days prior to first study vaccination
  • Allergy treatment with antigen injections within 30 days prior to first vaccination or scheduled within 14 days after vaccination
  • Received investigational research agents within 30 days prior to first vaccination
  • Current tuberculosis (TB) prophylaxis or therapy
  • Recreational cocaine or methamphetamine use within the last 12 months prior to first study vaccination
  • Clinically significant medical condition, abnormal physical exam findings, abnormal laboratory results, or past medical history that may affect current health. More information about this criterion can be found in the protocol.
  • Any medical, psychiatric, social, or job-related condition that would interfere with the study
  • Serious adverse reaction to vaccines. Participants who have had an adverse reaction to pertussis vaccine as a child are not excluded.
  • Hypersensitivity to eggs or egg products
  • Electrocardiogram (ECG) with clinically significant findings. More information about this criterion can be found in the protocol.
  • Risk factors for heart disease. More information about this criterion can be found in the protocol.
  • History of or current heart disease. More information about this criterion can be found in the protocol.
  • Autoimmune disease or immunodeficiency
  • Active syphilis infection. Participants with fully treated syphilis at least 6 months prior to study entry are not excluded.
  • Unstable asthma. More information about this criterion can be found in the protocol.
  • Diabetes mellitus type 1 or 2. Participants with a history of isolated gestational diabetes are not excluded.
  • History of thyroid removal or of thyroid disease requiring treatment in the 12 months prior to study entry
  • Serious angioedema within the past 3 years or requiring medication within 2 years of study entry
  • Hypertension that is not well-controlled
  • Body mass index (BMI) of 40 or more
  • Bleeding disorder
  • Cancer. Participants with surgically removed cancer that is unlikely to recur are not excluded.
  • Seizure disorder requiring medication within the last 3 years
  • Absence of spleen
  • Certain abnormal laboratory values
  • Psychiatric condition that would interfere with compliance with the protocol
  • Other conditions that, in the opinion of the investigator, would interfere with the study
  • Pregnancy or breastfeeding

Sites / Locations

  • Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
  • Fenway Health (FH) CRS
  • Soweto HVTN CRS
  • Emavundleni CRS

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Vaccine

Placebo

Arm Description

SAAVI DNA-C2 administered as 1 ml intramuscularly in either deltoid at study entry and Months 1 and 2; SAAVI MVA-C administered as 0.5 ml intramuscularly in either deltoid at Months 4 and 5

Placebo administered at Months 0, 1, 2, 4 and 5

Outcomes

Primary Outcome Measures

Signs and symptoms of local and systemic reactogenicity, laboratory measures of safety, and adverse events

Secondary Outcome Measures

T-cell responses as detected by HIV-1 specific interferon-gamma/interleukin-2 intracellular cytokine staining
HIV-1-specific neutralizing and binding antibody assays

Full Information

First Posted
December 13, 2007
Last Updated
October 13, 2021
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
HIV Vaccine Trials Network
search

1. Study Identification

Unique Protocol Identification Number
NCT00574600
Brief Title
Safety of and Immune Response to Two HIV Vaccines: SAAVI DNA-C2 Boosted With SAAVIMVA-C, in HIV-Negative Adults
Official Title
A Phase 1 Placebo-controlled Clinical Trial to Evaluate the Safety and Immunogenicity of SAAVI DNA-C2 Vaccine Boosted by SAAVI MVA-C Vaccine, in HIV Uninfected Healthy Vaccinia Naive Adult Participants in South Africa and the United States
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
November 2008 (undefined)
Primary Completion Date
October 2010 (Actual)
Study Completion Date
January 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
HIV Vaccine Trials Network

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety of and immune response to an experimental DNA HIV vaccine followed by boosting with an experimental modified vaccinia HIV vaccine (MVA) in HIV uninfected adults.
Detailed Description
The worldwide HIV/AIDS epidemic may only be controlled through development and utilization of a safe and effective vaccine that will prevent HIV infection. Due to the high prevalence of HIV-1 subtype C in southern Africa, the South African AIDS Vaccine Initiative (SAAVI), the HIV Vaccine Trials Network (HVTN) and the National Institute of Allergy and Infectious Diseases (NIAID) are evaluating two subtype C HIV vaccines, SAAVI DNA-C2 and SAAVI MVA-C through this study . These two vaccines will be used together in a prime-boost regimen. The SAAVI DNA-C2 vaccine is a multigene DNA vaccine consisting of two DNA plasmids in equal amounts that express an HIV-1 subtype C polyprotein comprising of Gag-Reverse Transcriptase-Tat-Nef and an HIV-1 subtype C truncated Env. SAAVI MVA-C is a recombinant MVA vaccine expressing the same immunogens as the SAAVI DNA-C2 vaccine. MVA is a highly attenuated vaccinia virus. The purpose of this study is to evaluate the safety and immunogenicity of an experimental DNA HIV vaccine, SAAVI DNA C2, followed by boosting with an experimental recombinant MVA HIV vaccine, SAAVI MVA-C, in HIV uninfected adults. Participants will actively participate in this study for 12 months and will then be contacted and asked questions about their health once annually for 3 years following initial study injection. Participants will be randomly assigned to receive either the SAAVI prime-boost preventive vaccine regimen or placebo. Vaccination with the SAAVI DNA-C2 vaccine will occur at Months 0, 1, and 2; boost vaccinations with the SAAVI MVA-C vaccine will occur at Months 4 and 5. Additional study visits will occur at Weeks 2, 6, 10, 16, 18, and 20 and Days 147, 154, 273, and 364. Study procedures include physical exams, blood and urine collection, HIV testing, an electrocardiogram, and questionnaire. Some blood collected from participants will be stored and used in future research. Risk-reduction counseling will be conducted at all study visits.

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
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine
Arm Type
Experimental
Arm Description
SAAVI DNA-C2 administered as 1 ml intramuscularly in either deltoid at study entry and Months 1 and 2; SAAVI MVA-C administered as 0.5 ml intramuscularly in either deltoid at Months 4 and 5
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo administered at Months 0, 1, 2, 4 and 5
Intervention Type
Biological
Intervention Name(s)
SAAVI DNA-C2 vaccine
Intervention Description
DNA vaccine
Intervention Type
Biological
Intervention Name(s)
SAAVI MVA-C vaccine
Intervention Description
Boost vaccine
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo vaccine
Primary Outcome Measure Information:
Title
Signs and symptoms of local and systemic reactogenicity, laboratory measures of safety, and adverse events
Time Frame
Measured throughout study
Secondary Outcome Measure Information:
Title
T-cell responses as detected by HIV-1 specific interferon-gamma/interleukin-2 intracellular cytokine staining
Time Frame
Measured 2 weeks following the fourth and fifth vaccinations
Title
HIV-1-specific neutralizing and binding antibody assays
Time Frame
Measured 2 weeks following the fourth and fifth vaccinations

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: Laboratory test results within specified ranges [complete blood count, chemistries, cardiac troponin T, urinalysis] Good general health HIV-1 and -2 uninfected Have access to a participating HIV Vaccine Trials Unit (HVTU) and willing to be followed for the duration of the study Willing to receive HIV test results Negative hepatitis B surface antigen Negative hepatitis C virus (HCV) antibodies OR negative HCV PCR if anti-HCV test is positive Willing to use acceptable forms of contraception from at least 21 days prior to enrollment through the duration of the study Exclusion Criteria: History of vaccination against smallpox HIV vaccines in prior HIV vaccine trial Immunosuppressive medications within 168 days prior to first study vaccination Blood products within 120 days prior to first study vaccination Immunoglobulin within 60 days prior to first study vaccination Live attenuated vaccines within 30 days prior to first study vaccination or scheduled within 14 days after other vaccination (e.g., measles, mumps, and rubella [MMR]; oral polio vaccine [OPV]; varicella; yellow fever; influenza vaccine in nasal form) Investigational research agents within 30 days prior to first study vaccination Any vaccines that are not live attenuated vaccines within 14 days prior to first study vaccination Allergy treatment with antigen injections within 30 days prior to first vaccination or scheduled within 14 days after vaccination Received investigational research agents within 30 days prior to first vaccination Current tuberculosis (TB) prophylaxis or therapy Recreational cocaine or methamphetamine use within the last 12 months prior to first study vaccination Clinically significant medical condition, abnormal physical exam findings, abnormal laboratory results, or past medical history that may affect current health. More information about this criterion can be found in the protocol. Any medical, psychiatric, social, or job-related condition that would interfere with the study Serious adverse reaction to vaccines. Participants who have had an adverse reaction to pertussis vaccine as a child are not excluded. Hypersensitivity to eggs or egg products Electrocardiogram (ECG) with clinically significant findings. More information about this criterion can be found in the protocol. Risk factors for heart disease. More information about this criterion can be found in the protocol. History of or current heart disease. More information about this criterion can be found in the protocol. Autoimmune disease or immunodeficiency Active syphilis infection. Participants with fully treated syphilis at least 6 months prior to study entry are not excluded. Unstable asthma. More information about this criterion can be found in the protocol. Diabetes mellitus type 1 or 2. Participants with a history of isolated gestational diabetes are not excluded. History of thyroid removal or of thyroid disease requiring treatment in the 12 months prior to study entry Serious angioedema within the past 3 years or requiring medication within 2 years of study entry Hypertension that is not well-controlled Body mass index (BMI) of 40 or more Bleeding disorder Cancer. Participants with surgically removed cancer that is unlikely to recur are not excluded. Seizure disorder requiring medication within the last 3 years Absence of spleen Certain abnormal laboratory values Psychiatric condition that would interfere with compliance with the protocol Other conditions that, in the opinion of the investigator, would interfere with the study Pregnancy or breastfeeding
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Glenda Gray
Organizational Affiliation
University of the Witswatersrand
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Kenneth Mayer
Organizational Affiliation
Fenway Community Health
Official's Role
Study Chair
Facility Information:
Facility Name
Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115-6110
Country
United States
Facility Name
Fenway Health (FH) CRS
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215-4302
Country
United States
Facility Name
Soweto HVTN CRS
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
1862
Country
South Africa
Facility Name
Emavundleni CRS
City
Cape Town
State/Province
Western Cape Province
ZIP/Postal Code
7750
Country
South Africa

12. IPD Sharing Statement

Citations:
PubMed Identifier
17170430
Citation
Hanke T, McMichael AJ, Dorrell L. Clinical experience with plasmid DNA- and modified vaccinia virus Ankara-vectored human immunodeficiency virus type 1 clade A vaccine focusing on T-cell induction. J Gen Virol. 2007 Jan;88(Pt 1):1-12. doi: 10.1099/vir.0.82493-0. Erratum In: J Gen Virol. 2008 Feb;89(Pt 2):609. Goonetilleke, Nilu [added].
Results Reference
background
PubMed Identifier
11024131
Citation
Verrier F, Burda S, Belshe R, Duliege AM, Excler JL, Klein M, Zolla-Pazner S. A human immunodeficiency virus prime-boost immunization regimen in humans induces antibodies that show interclade cross-reactivity and neutralize several X4-, R5-, and dualtropic clade B and C primary isolates. J Virol. 2000 Nov;74(21):10025-33. doi: 10.1128/jvi.74.21.10025-10033.2000.
Results Reference
background
PubMed Identifier
12639249
Citation
Williamson C, Morris L, Maughan MF, Ping LH, Dryga SA, Thomas R, Reap EA, Cilliers T, van Harmelen J, Pascual A, Ramjee G, Gray G, Johnston R, Karim SA, Swanstrom R. Characterization and selection of HIV-1 subtype C isolates for use in vaccine development. AIDS Res Hum Retroviruses. 2003 Feb;19(2):133-44. doi: 10.1089/088922203762688649.
Results Reference
background
PubMed Identifier
27098021
Citation
Gray GE, Mayer KH, Elizaga ML, Bekker LG, Allen M, Morris L, Montefiori D, De Rosa SC, Sato A, Gu N, Tomaras GD, Tucker T, Barnett SW, Mkhize NN, Shen X, Downing K, Williamson C, Pensiero M, Corey L, Williamson AL. Subtype C gp140 Vaccine Boosts Immune Responses Primed by the South African AIDS Vaccine Initiative DNA-C2 and MVA-C HIV Vaccines after More than a 2-Year Gap. Clin Vaccine Immunol. 2016 Jun 6;23(6):496-506. doi: 10.1128/CVI.00717-15. Print 2016 Jun.
Results Reference
derived

Learn more about this trial

Safety of and Immune Response to Two HIV Vaccines: SAAVI DNA-C2 Boosted With SAAVIMVA-C, in HIV-Negative Adults

We'll reach out to this number within 24 hrs