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Safety and Immune Response to Preventive HIV Immunization With Adenovirus Serotype 5 or 35 Vector

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
DNA Vaccine
DNA Vaccine placebo
rAd35
rAd35 placebo
rAd5
rAd5 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, Adenovirus

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Good general health
  • Access to a participating HVTN clinical research site and willingness to be followed for the duration of the study
  • Assessment of understanding, including understanding of Step Study results
  • Willing to receive HIV test results
  • Willing to discuss HIV infection risks, agree to HIV risk reduction counseling, and willing to continue 5 years of annual follow-up contact
  • Willing to commit to maintaining behavior consistent with low risk of HIV exposure through the last required protocol visit
  • Considered low risk for HIV infection after clinical staff assessment. More information on this criterion can be found in the protocol.
  • Certain laboratory values. More information on this criterion can be found in the protocol.
  • Negative Hepatitis B surface antigen
  • Negative anti-Hepatitis C virus antibodies
  • For females, agree to use effective contraception from at least 21 days prior to enrollment through the last protocol visit. More information on this criterion can be found in the protocol.

Exclusion Criteria:

  • HIV-infected
  • Active drug or alcohol abuse within 12 months prior to study entry
  • History of newly acquired sexually transmitted infections. More information on this criterion can be found in the protocol.
  • Experimental vaccines received within 5 years prior to study entry
  • Immunosuppressive medications received within 168 days prior to first vaccination
  • Blood products received within 120 days prior to first vaccination
  • Immunoglobulin received within 60 days prior to first vaccination
  • Live attenuated vaccines received within 30 days prior to first vaccination
  • Investigational research agents received within 30 days prior to first vaccination
  • Intent to participate in another study of an investigational research agent during planned duration of the study
  • Any vaccines that not live attenuated vaccines and were received within 14 days prior to first vaccination
  • Allergy treatment with antigen injections within 30 days prior to first vaccination or scheduled within 14 days after first vaccination
  • Clinically significant medical condition, findings, results, or history with implications for current health. More information on this criterion can be found in the protocol.
  • Serious adverse reactions to vaccines
  • Autoimmune disease
  • Immunodeficiency
  • Active Syphilis infection within the past 6 months
  • Asthma. More information on this criterion can be found in the protocol.
  • Diabetes mellitus
  • Thyroidectomy or thyroid disease requiring medication during the last 12 months
  • Hypertension. More information on this criterion can be found in the protocol.
  • Body mass index greater than 35 or 40. More information on this criterion can be found in the protocol.
  • Bleeding disorder
  • Malignancy
  • Seizure disorder
  • Asplenia
  • Psychiatric condition that precludes compliance with the protocol
  • Any other clinically significant condition or laboratory abnormality that, in the opinion of the investigator, would interfere with the study
  • Pregnant or breastfeeding

Sites / Locations

  • Alabama CRS
  • Bridge HIV CRS
  • The Hope Clinic of the Emory Vaccine Center CRS
  • Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
  • Fenway Health (FH) CRS
  • Columbia P&S CRS
  • New York Blood Center CRS
  • University of Rochester Vaccines to Prevent HIV Infection CRS
  • Vanderbilt Vaccine (VV) CRS
  • Seattle Vaccine and Prevention CRS

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

1A

1B

2A

2B

3A

3B

4A

4B

Arm Description

rAD5-naive participants will receive rAd35 intramuscularly at study entry and rAd5 intramuscularly at Month 6

Participants will receive rAd35 placebo intramuscularly at study entry and rAd5 placebo intramuscularly at Month 6

rAD5-naive participants will receive DNA vaccine intramuscularly at study entry and Months 1 and 2 and rAd5 intramuscularly at Month 6

Participants will receive DNA vaccine placebo intramuscularly at study entry and Months 1 and 2 and rAd5 placebo intramuscularly at Month 6

Participants will receive DNA vaccine intramuscularly at study entry and Months 1 and 2 and rAd35 intramuscularly at Month 6

Participants will receive DNA vaccine placebo intramuscularly at study entry and Months 1 and 2 and rAd35 placebo intramuscularly at Month 6

Participants will receive DNA vaccine intramuscularly at study entry and Months 1 and 2 and rAd35 intramuscularly at Month 6

Participants will receive DNA vaccine placebo intramuscularly at study entry and Months 1 and 2 and rAd35 placebo intramuscularly at Month 6

Outcomes

Primary Outcome Measures

Local and systemic reactogenicity signs and symptoms, laboratory measures of safety, and adverse and expedited adverse events
Magnitude and frequency of immune responses between HIV-1 clade A env rAD35 and rAd5 vaccines when given as a boost after DNA vaccine
Magnitude and frequency of immune responses between clade A env rAD35 vaccine primed by Ad35 versus DNA
Magnitude and frequency of immune responses of HIV-1 clade A env rAD35 vaccine when given as a boost

Secondary Outcome Measures

Immunogenicity of HIV-1 clade A env rAD35 vaccine given as a prime

Full Information

First Posted
December 2, 2008
Last Updated
October 13, 2021
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
HIV Vaccine Trials Network
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1. Study Identification

Unique Protocol Identification Number
NCT00801697
Brief Title
Safety and Immune Response to Preventive HIV Immunization With Adenovirus Serotype 5 or 35 Vector
Official Title
A Phase 1B Clinical Trial to Evaluate the Safety and Immunogenicity of Recombinant Adenoviral Subtype 35 (rAd35) and Subtype 5 (rAd5) HIV-1 Vaccines When Given as a Heterologous Prime-boost Regimen or as Boosts to a Recombinant DNA Vaccine in Healthy, Ad5-Naïve and Ad5-Exposed, Low Risk, HIV-1 Uninfected Adult Participants
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
February 2009 (undefined)
Primary Completion Date
February 2011 (Actual)
Study Completion Date
April 2015 (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

5. Study Description

Brief Summary
This study will evaluate the safety and preliminary immune response to recombinant adenoviral serotype 35 and 5 HIV-1 vaccines in HIV-uninfected adults.
Detailed Description
One of the more promising approaches in the development of a preventive HIV vaccine uses a DNA plasmid to prime the immune response to an adenoviral vector boost. This primary purpose of this study is to evaluate the safety, tolerability, and immune response to recombinant adenoviral serotype 35 (rAd35) and serotype 5 (rAD5) HIV-1 vaccines in Ad-5 naive and Ad-5 exposed HIV-uninfected adults. This study will last approximately 12 months. Participants will include those who are both rAD5-naive and rAD5-exposed and will be stratified into one of four groups. Each group will consist of two arms, one interventional and one control. Participants in Groups 1, 2, and 3 will be rAD5-naive. Participants in Group 4 will be rAD5-exposed. Participants in Group 1 will receive an injection of rAD35 vaccine or placebo at study entry and an injection of rAD5 vaccine or placebo at Month 6 with nine follow-up visits through Month 12. Participants in Groups 2, 3, and 4 will injections of DNA vaccinations or placebo at study entry and at Months 1 and 2, and an injection of rAD35 vaccine, rAD5 vaccine, or placebo at Month 6 with twelve follow-up visits though Month 12. A physical, questionnaire, and counseling will occur at all visits. Blood and urine collection will occur at most visits. A rectal swab will occur at selected visits. For females, a pregnancy test will occur at all visits. Participants will be contacted for safety follow-ups after the injection every year for 5 years. Health and adverse events will be recorded. Participants will not need to return to the study clinic unless HIV confirmatory testing is needed.

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, Adenovirus

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
192 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1A
Arm Type
Experimental
Arm Description
rAD5-naive participants will receive rAd35 intramuscularly at study entry and rAd5 intramuscularly at Month 6
Arm Title
1B
Arm Type
Placebo Comparator
Arm Description
Participants will receive rAd35 placebo intramuscularly at study entry and rAd5 placebo intramuscularly at Month 6
Arm Title
2A
Arm Type
Experimental
Arm Description
rAD5-naive participants will receive DNA vaccine intramuscularly at study entry and Months 1 and 2 and rAd5 intramuscularly at Month 6
Arm Title
2B
Arm Type
Placebo Comparator
Arm Description
Participants will receive DNA vaccine placebo intramuscularly at study entry and Months 1 and 2 and rAd5 placebo intramuscularly at Month 6
Arm Title
3A
Arm Type
Experimental
Arm Description
Participants will receive DNA vaccine intramuscularly at study entry and Months 1 and 2 and rAd35 intramuscularly at Month 6
Arm Title
3B
Arm Type
Placebo Comparator
Arm Description
Participants will receive DNA vaccine placebo intramuscularly at study entry and Months 1 and 2 and rAd35 placebo intramuscularly at Month 6
Arm Title
4A
Arm Type
Experimental
Arm Description
Participants will receive DNA vaccine intramuscularly at study entry and Months 1 and 2 and rAd35 intramuscularly at Month 6
Arm Title
4B
Arm Type
Placebo Comparator
Arm Description
Participants will receive DNA vaccine placebo intramuscularly at study entry and Months 1 and 2 and rAd35 placebo intramuscularly at Month 6
Intervention Type
Biological
Intervention Name(s)
DNA Vaccine
Intervention Description
4 mg VRC-HIVDNA044-00-VP administered as 1 mL
Intervention Type
Biological
Intervention Name(s)
DNA Vaccine placebo
Intervention Description
1 mL VRC-PBSPLA043-00-VP
Intervention Type
Biological
Intervention Name(s)
rAd35
Intervention Description
VRC-HIVADV027-00-VP 1 x 10^10 PU administered as 1 mL
Intervention Type
Biological
Intervention Name(s)
rAd35 placebo
Intervention Description
1 mL VRC-PBSPLA043-00-0VP
Intervention Type
Biological
Intervention Name(s)
rAd5
Intervention Description
4 mg VRC-HIVADV038-00-VP administered as 1 mL
Intervention Type
Biological
Intervention Name(s)
rAd5 placebo
Intervention Description
1 mL VRC-DILUENT013-DIL-VP
Primary Outcome Measure Information:
Title
Local and systemic reactogenicity signs and symptoms, laboratory measures of safety, and adverse and expedited adverse events
Time Frame
Throughout study
Title
Magnitude and frequency of immune responses between HIV-1 clade A env rAD35 and rAd5 vaccines when given as a boost after DNA vaccine
Time Frame
At Week 4 following the fourth vaccination
Title
Magnitude and frequency of immune responses between clade A env rAD35 vaccine primed by Ad35 versus DNA
Time Frame
At Week 4 following the last vaccination
Title
Magnitude and frequency of immune responses of HIV-1 clade A env rAD35 vaccine when given as a boost
Time Frame
At Week 4 following the fourth vaccination
Secondary Outcome Measure Information:
Title
Immunogenicity of HIV-1 clade A env rAD35 vaccine given as a prime
Time Frame
At Week 4 following the first vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Good general health Access to a participating HVTN clinical research site and willingness to be followed for the duration of the study Assessment of understanding, including understanding of Step Study results Willing to receive HIV test results Willing to discuss HIV infection risks, agree to HIV risk reduction counseling, and willing to continue 5 years of annual follow-up contact Willing to commit to maintaining behavior consistent with low risk of HIV exposure through the last required protocol visit Considered low risk for HIV infection after clinical staff assessment. More information on this criterion can be found in the protocol. Certain laboratory values. More information on this criterion can be found in the protocol. Negative Hepatitis B surface antigen Negative anti-Hepatitis C virus antibodies For females, agree to use effective contraception from at least 21 days prior to enrollment through the last protocol visit. More information on this criterion can be found in the protocol. Exclusion Criteria: HIV-infected Active drug or alcohol abuse within 12 months prior to study entry History of newly acquired sexually transmitted infections. More information on this criterion can be found in the protocol. Experimental vaccines received within 5 years prior to study entry Immunosuppressive medications received within 168 days prior to first vaccination Blood products received within 120 days prior to first vaccination Immunoglobulin received within 60 days prior to first vaccination Live attenuated vaccines received within 30 days prior to first vaccination Investigational research agents received within 30 days prior to first vaccination Intent to participate in another study of an investigational research agent during planned duration of the study Any vaccines that not live attenuated vaccines and were received within 14 days prior to first vaccination Allergy treatment with antigen injections within 30 days prior to first vaccination or scheduled within 14 days after first vaccination Clinically significant medical condition, findings, results, or history with implications for current health. More information on this criterion can be found in the protocol. Serious adverse reactions to vaccines Autoimmune disease Immunodeficiency Active Syphilis infection within the past 6 months Asthma. More information on this criterion can be found in the protocol. Diabetes mellitus Thyroidectomy or thyroid disease requiring medication during the last 12 months Hypertension. More information on this criterion can be found in the protocol. Body mass index greater than 35 or 40. More information on this criterion can be found in the protocol. Bleeding disorder Malignancy Seizure disorder Asplenia Psychiatric condition that precludes compliance with the protocol Any other clinically significant condition or laboratory abnormality that, in the opinion of the investigator, would interfere with the study Pregnant or breastfeeding
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jonathan Fuchs, MD, MPH
Organizational Affiliation
SFDPH/UCSF
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Pierre-Alexandre Bart, MD
Organizational Affiliation
CHUV (Lausanne)
Official's Role
Study Chair
Facility Information:
Facility Name
Alabama CRS
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
Bridge HIV CRS
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
The Hope Clinic of the Emory Vaccine Center CRS
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30030
Country
United States
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
Columbia P&S CRS
City
New York
State/Province
New York
ZIP/Postal Code
10032-3732
Country
United States
Facility Name
New York Blood Center CRS
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
University of Rochester Vaccines to Prevent HIV Infection CRS
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
Vanderbilt Vaccine (VV) CRS
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232-2582
Country
United States
Facility Name
Seattle Vaccine and Prevention CRS
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109-1024
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
19012954
Citation
Buchbinder SP, Mehrotra DV, Duerr A, Fitzgerald DW, Mogg R, Li D, Gilbert PB, Lama JR, Marmor M, Del Rio C, McElrath MJ, Casimiro DR, Gottesdiener KM, Chodakewitz JA, Corey L, Robertson MN; Step Study Protocol Team. Efficacy assessment of a cell-mediated immunity HIV-1 vaccine (the Step Study): a double-blind, randomised, placebo-controlled, test-of-concept trial. Lancet. 2008 Nov 29;372(9653):1881-1893. doi: 10.1016/S0140-6736(08)61591-3. Epub 2008 Nov 13.
Results Reference
background
PubMed Identifier
18433307
Citation
Priddy FH, Brown D, Kublin J, Monahan K, Wright DP, Lalezari J, Santiago S, Marmor M, Lally M, Novak RM, Brown SJ, Kulkarni P, Dubey SA, Kierstead LS, Casimiro DR, Mogg R, DiNubile MJ, Shiver JW, Leavitt RY, Robertson MN, Mehrotra DV, Quirk E; Merck V520-016 Study Group. Safety and immunogenicity of a replication-incompetent adenovirus type 5 HIV-1 clade B gag/pol/nef vaccine in healthy adults. Clin Infect Dis. 2008 Jun 1;46(11):1769-81. doi: 10.1086/587993.
Results Reference
background
PubMed Identifier
18830892
Citation
Sheets RL, Stein J, Bailer RT, Koup RA, Andrews C, Nason M, He B, Koo E, Trotter H, Duffy C, Manetz TS, Gomez P. Biodistribution and toxicological safety of adenovirus type 5 and type 35 vectored vaccines against human immunodeficiency virus-1 (HIV-1), Ebola, or Marburg are similar despite differing adenovirus serotype vector, manufacturer's construct, or gene inserts. J Immunotoxicol. 2008 Jul;5(3):315-35. doi: 10.1080/15376510802312464.
Results Reference
background
PubMed Identifier
34843602
Citation
Fischinger S, Cizmeci D, Deng D, Grant SP, Frahm N, McElrath J, Fuchs J, Bart PA, Pantaleo G, Keefer M, O Hahn W, Rouphael N, Churchyard G, Moodie Z, Donastorg Y, Streeck H, Alter G. Sequence and vector shapes vaccine induced antibody effector functions in HIV vaccine trials. PLoS Pathog. 2021 Nov 29;17(11):e1010016. doi: 10.1371/journal.ppat.1010016. eCollection 2021 Nov.
Results Reference
derived

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Safety and Immune Response to Preventive HIV Immunization With Adenovirus Serotype 5 or 35 Vector

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