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Safety and Immunogenicity of a Candidate Tuberculosis (TB) Vaccine Given to PPD-Negative Adults

Primary Purpose

Tuberculosis (TB)

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GSK's candidate Mycobacterium tuberculosis vaccine 692342
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Tuberculosis (TB) focused on measuring Tuberculosis vaccine

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male or female between 18 and 40 years of age at the time of screening
  • Negative PPD skin test at screening.
  • Subjects must have chest X-ray showing no evidence of pulmonary pathology.
  • Female subjects of childbearing potential must have a negative serum pregnancy test at screening, must not be breast-feeding and are required to use adequate contraception from enrolment till 1 month after dose 3.
  • Screening laboratory values must be within the laboratory normal ranges.
  • Negative for human immunodeficiency virus-1 and 2 (HIV 1/2) antibody, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody.
  • Subjects must give written informed consent.
  • Subjects must be willing to make all evaluation visits, be readily reachable by telephone or personal contact by the study site personnel and have a permanent address.
  • Subjects' resting seated vital signs must be within the protocol-defined ranges.

Exclusion Criteria:

  • History of prior Bacillus Calmette-Guérin (BCG) vaccinations.
  • History of documented exposure to Mycobacterium tuberculosis.
  • History of previous administration of experimental Mycobacterium tuberculosis vaccines or previous exposure to experimental products containing components of the experimental vaccine.
  • History of employment in a healthcare facility in a capacity that had direct or indirect contact with TB patients.
  • Administration of any immunoglobulins or any immunotherapy within the 3 months preceding the first dose of study vaccination, and/or any blood products within the 4 months preceding HIV screening, or planned administrations during the study period.
  • Use of St. John's Wort within six months of the Day 0 visit or planned administrations during the study period.
  • Participation in another experimental protocol and/or receipt of any investigational products within 30 days prior to Day 0.
  • History of autoimmune disease or causes of immunosuppressive states.
  • History of any acute or chronic illness or medication that, in the opinion of the Investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine.
  • History of significant psychiatric illness.
  • Current drug or alcohol abuse
  • History of previous anaphylaxis or severe allergic reaction to vaccines or any other allergen.
  • Subjects who are, in the opinion of the investigator, at significantly increased risk of non-cooperation with requirements of the study protocol.
  • Any chronic drug therapy to be continued during the study period, with the exception of vitamins and/or dietary supplements (including mineral preparations such as calcium carbonate), herbal medications except St. John's Wort, birth control pills, anti-histamines for seasonal allergies, SSRIs (e.g. Prozac, Zoloft, Paxil), NSAIDs (e.g. aspirin, ibuprofen), and acetominophen.
  • Chronic administration (defined as more than 14 days total) of immunosuppressants or other immune modifying drugs within six months prior to the first vaccine dose.
  • History of chronic or intermittently recurring illnesses such as migraine headaches, diabetes, heart disease, and asthma.
  • Current administration of anti-TB prophylaxis or therapy.
  • History of administration of a live attenuated virus vaccine within 30 days of enrollment.
  • History of administration of a subunit or killed vaccine within 14 days of enrollment.

Sites / Locations

  • GSK Clinical Trials Call Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group A

Group B

Arm Description

Subjects receiving the low-dose antigen candidate TB vaccine

Subjects receiving the high-dose antigen candidate TB vaccine

Outcomes

Primary Outcome Measures

Occurrence of dose limiting toxicity
Occurrence of serious adverse events
Occurrence of adverse events
Laboratory measurements of serum chemistry and hematology
Resting vital signs (blood pressure, pulse, temperature)
Chest X-ray findings

Secondary Outcome Measures

Evaluation of T cell and antibody responses to the fusion protein and to each of the three Mycobacterium tuberculosis antigen domains.
Evaluation of PPD skin reactivity

Full Information

First Posted
August 7, 2008
Last Updated
August 7, 2008
Sponsor
GlaxoSmithKline
Collaborators
Corixa Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00730795
Brief Title
Safety and Immunogenicity of a Candidate Tuberculosis (TB) Vaccine Given to PPD-Negative Adults
Official Title
A Phase I Open Label, Dose-Escalation Study to Evaluate the Safety and Immunogenicity of the Recombinant Mycobacterium Tuberculosis Vaccine, Mtb72F With AS02A Adjuvant, When Administered Intramuscularly to Healthy PPD-Negative Adults
Study Type
Interventional

2. Study Status

Record Verification Date
August 2008
Overall Recruitment Status
Completed
Study Start Date
January 2004 (undefined)
Primary Completion Date
December 2004 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
GlaxoSmithKline
Collaborators
Corixa Corporation

4. Oversight

5. Study Description

Brief Summary
This Phase I study will evaluate the safety and immunogenicity of two doses GSK Biologicals' candidate TB vaccine (692342) according to a 0, 1, 2 months schedule in PPD-negative adults.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis (TB)
Keywords
Tuberculosis vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
Subjects receiving the low-dose antigen candidate TB vaccine
Arm Title
Group B
Arm Type
Experimental
Arm Description
Subjects receiving the high-dose antigen candidate TB vaccine
Intervention Type
Biological
Intervention Name(s)
GSK's candidate Mycobacterium tuberculosis vaccine 692342
Intervention Description
Intramuscular injection, 3 doses at 0, 1, 2 months Different antigen doses (low and high)
Primary Outcome Measure Information:
Title
Occurrence of dose limiting toxicity
Time Frame
From study start up to Day 56.
Title
Occurrence of serious adverse events
Time Frame
During the entire study period.
Title
Occurrence of adverse events
Time Frame
At each visit
Title
Laboratory measurements of serum chemistry and hematology
Time Frame
At study start, prior to each vaccination and 1 and 6 months after dose 3
Title
Resting vital signs (blood pressure, pulse, temperature)
Time Frame
At study start, prior to each vaccination and 1 and 6 months after dose 3
Title
Chest X-ray findings
Time Frame
At study start and study end
Secondary Outcome Measure Information:
Title
Evaluation of T cell and antibody responses to the fusion protein and to each of the three Mycobacterium tuberculosis antigen domains.
Time Frame
Prior to each vaccination and 1 and 6 months after dose 3
Title
Evaluation of PPD skin reactivity
Time Frame
At study start and study end

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male or female between 18 and 40 years of age at the time of screening Negative PPD skin test at screening. Subjects must have chest X-ray showing no evidence of pulmonary pathology. Female subjects of childbearing potential must have a negative serum pregnancy test at screening, must not be breast-feeding and are required to use adequate contraception from enrolment till 1 month after dose 3. Screening laboratory values must be within the laboratory normal ranges. Negative for human immunodeficiency virus-1 and 2 (HIV 1/2) antibody, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody. Subjects must give written informed consent. Subjects must be willing to make all evaluation visits, be readily reachable by telephone or personal contact by the study site personnel and have a permanent address. Subjects' resting seated vital signs must be within the protocol-defined ranges. Exclusion Criteria: History of prior Bacillus Calmette-Guérin (BCG) vaccinations. History of documented exposure to Mycobacterium tuberculosis. History of previous administration of experimental Mycobacterium tuberculosis vaccines or previous exposure to experimental products containing components of the experimental vaccine. History of employment in a healthcare facility in a capacity that had direct or indirect contact with TB patients. Administration of any immunoglobulins or any immunotherapy within the 3 months preceding the first dose of study vaccination, and/or any blood products within the 4 months preceding HIV screening, or planned administrations during the study period. Use of St. John's Wort within six months of the Day 0 visit or planned administrations during the study period. Participation in another experimental protocol and/or receipt of any investigational products within 30 days prior to Day 0. History of autoimmune disease or causes of immunosuppressive states. History of any acute or chronic illness or medication that, in the opinion of the Investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine. History of significant psychiatric illness. Current drug or alcohol abuse History of previous anaphylaxis or severe allergic reaction to vaccines or any other allergen. Subjects who are, in the opinion of the investigator, at significantly increased risk of non-cooperation with requirements of the study protocol. Any chronic drug therapy to be continued during the study period, with the exception of vitamins and/or dietary supplements (including mineral preparations such as calcium carbonate), herbal medications except St. John's Wort, birth control pills, anti-histamines for seasonal allergies, SSRIs (e.g. Prozac, Zoloft, Paxil), NSAIDs (e.g. aspirin, ibuprofen), and acetominophen. Chronic administration (defined as more than 14 days total) of immunosuppressants or other immune modifying drugs within six months prior to the first vaccine dose. History of chronic or intermittently recurring illnesses such as migraine headaches, diabetes, heart disease, and asthma. Current administration of anti-TB prophylaxis or therapy. History of administration of a live attenuated virus vaccine within 30 days of enrollment. History of administration of a subunit or killed vaccine within 14 days of enrollment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Clinical Trials Call Center
City
Tacoma
State/Province
Washington
ZIP/Postal Code
9843
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
19587528
Citation
Von Eschen K, Morrison R, Braun M, Ofori-Anyinam O, De Kock E, Pavithran P, Koutsoukos M, Moris P, Cain D, Dubois MC, Cohen J, Ballou WR. The candidate tuberculosis vaccine Mtb72F/AS02A: Tolerability and immunogenicity in humans. Hum Vaccin. 2009 Jul;5(7):475-82. doi: 10.4161/hv.8570. Epub 2009 Jul 27.
Results Reference
derived

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Safety and Immunogenicity of a Candidate Tuberculosis (TB) Vaccine Given to PPD-Negative Adults

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