Dose-Escalation Study on Safety and Immunogenicity of VPM1002 in Comparison With BCG in Healthy Male Volunteers
Primary Purpose
Tuberculosis, Healthy
Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
VPM1002
BCG
Sponsored by

About this trial
This is an interventional prevention trial for Tuberculosis focused on measuring Safety, Immunogenicity, Tuberculosis, Vaccination, Vaccination against tuberculosis, Safety and immunogenicity of VPM1002 in comparison with BCG
Eligibility Criteria
Inclusion Criteria:
- Male volunteers 18 to 55 years of age.
- Healthy (medical history, physical examination, vital signs, ECG and laboratory tests at screening).
- No signs of active or latent tuberculosis infection.
- BMI of 19 - 30 kg/m2.
- Subjects must be able and willing to comply with the study protocol, available and willing to complete all study measurements and have signed an Informed Consent form approved by the Ethics Committee.
- Intention not to travel to endemic regions for tuberculosis (such as Africa, Asia, former USSR) and reachable by phone during the whole study period (6 months).
- Negative test for HIV1 and HIV2, hepatitis B surface antigen and antibody to hepatitis C virus .
- No anamnestic evidence for a primary or secondary immunodeficiency.
- No skin eczema lesion at the intended injection site.
- No anamnestic predisposition for scarring badly or for keloid formation.
- No other vaccination during eight weeks before and during the follow-up period of the current study. If a vaccination is necessary during this period, the volunteer will be withdrawn from the study.
- No participation in another clinical trial within 3 months before study vaccination and the 6 months of the current study.
- Able and willing to abstain from physical exercise 24 hours before screening examination, and from 24 hours before admission until discharge from the clinic.
- No blood donation for non study-related purposes during the entire duration of the study.
- normal sonographic liver imaging
Exclusion Criteria:
For the group of volunteers who were vaccinated with a BCG vaccine:
• Tuberculin-PPD-in-vivo-test equal or more than 10 mm at baseline
For the group of naive volunteers:
• Tuberculin-PPD-in-vivo-Test equal or more than 1 mm at baseline
For all volunteers
- systemic disorders which could interfere with the interpretation of the study results or compromise the health of the volunteers.
- BCG-vaccination during 10 years before study vaccination.
- Acute fever or fever in the last 7 days before dosing.
- Any malignant condition.
- Concomitant treatment with medication that may affect immune function during 3 months before study vaccination and the 6 months of current study.
- Treatment with blood products or Immunoglobulins in the past 6 months up to end of study.
- Any clinically significant laboratory abnormalities on screened blood samples.
- A history of drug or alcohol abuse.
- History of anaphylaxis or severe allergic reactions.
- Positive test for drugs of abuse on urine testing at screening or admission.
- Known allergies to any component of the investigational or reference product or known history of severe skin reaction against the Tuberculin test.
- Professional or regular contact with life animals for food production.
Sites / Locations
- Focus Clinical Drug Development GmbH
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
1
2
Arm Description
VPM1002 in three dosages
BCG
Outcomes
Primary Outcome Measures
Safety: physical examination, vital signs, ECG, liver sonography, chest X-ray, laboratory safety parameters (including haematology, coagulation, clinical chemistry and urinalysis), tolerability, recording of concomitant medication and adverse events
Secondary Outcome Measures
Immunogenicity: LST for PPD with subsequent IFN-gamma specific ELISA on supernatants of PBMC
Immunogenicity: ELISPOT for the number of IFN-gamma secreting PBMC after stimulation with PPD
Immunogenicity: whole blood stimulated with PPD and measuring IFN-gamma in the plasma by ELISA
ICS for IFN-gamma, TNF-alpha and IL-2 in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Immunogenicity: ICS with other triple combinations of markers in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Immunogenicity: TB85B as recall antigen for ELISA, ELISPOT, WBA and ICS
Immunogenicity: serum antibodies against PPD or AG85B
Full Information
NCT ID
NCT00749034
First Posted
September 5, 2008
Last Updated
May 19, 2010
Sponsor
Vakzine Projekt Management GmbH
1. Study Identification
Unique Protocol Identification Number
NCT00749034
Brief Title
Dose-Escalation Study on Safety and Immunogenicity of VPM1002 in Comparison With BCG in Healthy Male Volunteers
Official Title
Phase I Open Label, Randomized, Controlled, Dose-Escalation Study to Evaluate Safety and Immunogenicity of VPM1002 in Comparison With BCG in Healthy Male Volunteers Stratified for History of BCG-Vaccination
Study Type
Interventional
2. Study Status
Record Verification Date
April 2010
Overall Recruitment Status
Completed
Study Start Date
September 2008 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2009 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Vakzine Projekt Management GmbH
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Goal of VPM is the development of a recombinant urease C-deficient listeriolysin expressing BCG vaccine strain (VPM1002) as a safe, well tolerated and efficacious vaccine against TB for residents in endemic areas and persons at risk in non-endemic areas. The new live vaccine VPM1002 should be at least as potent as the currently used BCG vaccine and should cause fewer side effects (Kaufmann, 2007; Grode et al., 2005). It is formulated as lyophilised bacteria to be resuspended before intradermal injection. First application of VPM1002 in human male volunteers will evaluate its safety, local and systemic tolerability as well as its immunogenicity. The study has a dose-escalating sequential design with comparison to commercially available BCG. 80 volunteers in Germany will randomly be allocated to 4 groups each with 20 volunteers stratified for their history of BCG-vaccination.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis, Healthy
Keywords
Safety, Immunogenicity, Tuberculosis, Vaccination, Vaccination against tuberculosis, Safety and immunogenicity of VPM1002 in comparison with BCG
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
80 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
VPM1002 in three dosages
Arm Title
2
Arm Type
Active Comparator
Arm Description
BCG
Intervention Type
Biological
Intervention Name(s)
VPM1002
Intervention Description
live vaccine
Intervention Type
Biological
Intervention Name(s)
BCG
Intervention Description
commercially available live vaccine BCG
Primary Outcome Measure Information:
Title
Safety: physical examination, vital signs, ECG, liver sonography, chest X-ray, laboratory safety parameters (including haematology, coagulation, clinical chemistry and urinalysis), tolerability, recording of concomitant medication and adverse events
Time Frame
days -1, 1, 2, 3, 5, 11, 29, 57 and month 6
Secondary Outcome Measure Information:
Title
Immunogenicity: LST for PPD with subsequent IFN-gamma specific ELISA on supernatants of PBMC
Time Frame
baseline, days 29, 57, month 6
Title
Immunogenicity: ELISPOT for the number of IFN-gamma secreting PBMC after stimulation with PPD
Time Frame
baseline, days 29, 57, month 6
Title
Immunogenicity: whole blood stimulated with PPD and measuring IFN-gamma in the plasma by ELISA
Time Frame
baseline, days 29, 57, month 6
Title
ICS for IFN-gamma, TNF-alpha and IL-2 in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Time Frame
baseline, days 29, 57 and month 6
Title
Immunogenicity: ICS with other triple combinations of markers in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Time Frame
baseline, days 29, 57 and month 6
Title
Immunogenicity: TB85B as recall antigen for ELISA, ELISPOT, WBA and ICS
Time Frame
baseline, days 29, 57 and month 6
Title
Immunogenicity: serum antibodies against PPD or AG85B
Time Frame
baseline, days 29, 57 and month 6
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Male volunteers 18 to 55 years of age.
Healthy (medical history, physical examination, vital signs, ECG and laboratory tests at screening).
No signs of active or latent tuberculosis infection.
BMI of 19 - 30 kg/m2.
Subjects must be able and willing to comply with the study protocol, available and willing to complete all study measurements and have signed an Informed Consent form approved by the Ethics Committee.
Intention not to travel to endemic regions for tuberculosis (such as Africa, Asia, former USSR) and reachable by phone during the whole study period (6 months).
Negative test for HIV1 and HIV2, hepatitis B surface antigen and antibody to hepatitis C virus .
No anamnestic evidence for a primary or secondary immunodeficiency.
No skin eczema lesion at the intended injection site.
No anamnestic predisposition for scarring badly or for keloid formation.
No other vaccination during eight weeks before and during the follow-up period of the current study. If a vaccination is necessary during this period, the volunteer will be withdrawn from the study.
No participation in another clinical trial within 3 months before study vaccination and the 6 months of the current study.
Able and willing to abstain from physical exercise 24 hours before screening examination, and from 24 hours before admission until discharge from the clinic.
No blood donation for non study-related purposes during the entire duration of the study.
normal sonographic liver imaging
Exclusion Criteria:
For the group of volunteers who were vaccinated with a BCG vaccine:
• Tuberculin-PPD-in-vivo-test equal or more than 10 mm at baseline
For the group of naive volunteers:
• Tuberculin-PPD-in-vivo-Test equal or more than 1 mm at baseline
For all volunteers
systemic disorders which could interfere with the interpretation of the study results or compromise the health of the volunteers.
BCG-vaccination during 10 years before study vaccination.
Acute fever or fever in the last 7 days before dosing.
Any malignant condition.
Concomitant treatment with medication that may affect immune function during 3 months before study vaccination and the 6 months of current study.
Treatment with blood products or Immunoglobulins in the past 6 months up to end of study.
Any clinically significant laboratory abnormalities on screened blood samples.
A history of drug or alcohol abuse.
History of anaphylaxis or severe allergic reactions.
Positive test for drugs of abuse on urine testing at screening or admission.
Known allergies to any component of the investigational or reference product or known history of severe skin reaction against the Tuberculin test.
Professional or regular contact with life animals for food production.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andreas Schrödter, MD
Organizational Affiliation
FOCUS CDD GmbH
Official's Role
Principal Investigator
Facility Information:
Facility Name
Focus Clinical Drug Development GmbH
City
Neuss
ZIP/Postal Code
41460
Country
Germany
12. IPD Sharing Statement
Citations:
PubMed Identifier
29915522
Citation
Choi SW, Han S, Shim WJ, Choi DJ, Kim YJ, Yoo BS, Hwang KK, Jeon HK, Shin MS, Ryu KH. Impact of Heart Rate Reduction with Maximal Tolerable Dose of Bisoprolol on Left Ventricular Reverse Remodeling. J Korean Med Sci. 2018 May 11;33(25):e171. doi: 10.3346/jkms.2018.33.e171. eCollection 2018 Jun 18.
Results Reference
derived
PubMed Identifier
23290835
Citation
Grode L, Ganoza CA, Brohm C, Weiner J 3rd, Eisele B, Kaufmann SH. Safety and immunogenicity of the recombinant BCG vaccine VPM1002 in a phase 1 open-label randomized clinical trial. Vaccine. 2013 Feb 18;31(9):1340-8. doi: 10.1016/j.vaccine.2012.12.053. Epub 2013 Jan 3.
Results Reference
derived
Links:
URL
http://www.vakzine-manager.de/index.php?id=169&L=1
Description
Background Information on VPM1002
URL
http://www.eurekalert.org/pub_releases/2008-09/haog-ntv091108.php
Description
Press Release on First Application of VPM1002
Learn more about this trial
Dose-Escalation Study on Safety and Immunogenicity of VPM1002 in Comparison With BCG in Healthy Male Volunteers
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