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Study of a Novel Therapeutic Vaccine for Hepatitis C Virus

Primary Purpose

Hepatitis C

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
AdCh3NSmut
Ad6NSmut
Sponsored by
ReiThera Srl
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C focused on measuring Hepatitis C, HCV, Adenovirus, Vaccine

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The patient must satisfy all the following criteria to be eligible for the study:

    • HCV infected with genotype-1 infection
    • Adults aged 18 to 65 years (inclusive)
    • In arms A1-A3 patients will only be vaccinated if they have a >2log drop in viral load at week 12 of IFN-alpha and ribavirin therapy. Vaccination will then occur at week 14 into IFN-alpha and ribavirin therapy.
    • Resident in or near the trial sites for the duration of the vaccination study
    • Able and willing (in the Investigator's opinion) to comply with all study requirements
    • For women of child bearing potential, willingness to practice continuous effective contraception during the study and a negative pregnancy test on the day(s) of vaccination
    • For men to use barrier contraception until three months after the last vaccination
    • Written informed consent

Exclusion Criteria:

  • The patient may not enter the study if any of the following apply:

    • Participation in another research study involving an investigational product in the 30 days preceding enrolment, or planned use during the study period
    • Prior receipt of a recombinant simian or human adenoviral vaccine
    • Clinical, biochemical, ultrasonographic, or liver biopsy (histology) evidence of cirrhosis or portal hypertension
    • Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed)
    • Patients likely to have been infected with HCV within the last 12 months
    • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g., Kathon
    • Patients who failed to respond (non-responders) to previous IFN-alpha monotherapy
    • Patients who received IFN-alpha and ribavirin in the past and who were non-responders or relapsed during or after therapy
    • History of clinically significant contact dermatitis
    • For Arm A, patients must be treatment naïve (i.e. never have had previous IFNα or ribavirin treatment). Arm B may include patients who have previously been treated for HCV and failed to achieve a sustained virological response (defined by undetectable HCV by PCR at 6 months post cessation of treatment)
    • Any history of anaphylaxis in reaction to vaccination
    • Pregnancy, lactation or willingness/intention to become pregnant during the study
    • History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
    • Any other serious chronic illness requiring hospital specialist supervision
    • Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week
    • Current suspected or known injecting drug abuse
    • Seropositive for hepatitis B surface antigen (HBsAg)
    • Seropositive for HIV (antibodies to HIV) at screening
    • Seropositive for simian adenovirus 3 (antibodies to AdCh3) at titres >200, at screening
    • Seropositive for human adenovirus 6 (antibodies to Ad6) at titres >200, at screening
    • Any other significant disease, disorder or finding, which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study, or may influence the result of the study, or the patient's ability to participate in the study
    • Any other finding which in the opinion of the investigators would significantly increase the risk of having an adverse outcome from participating in the protocol
    • Individuals who have had a temperature >38°C in the 3 days preceding vaccination.

Sites / Locations

  • Wellcome Clinical Research Facility, Queen Elizabeth's Hospital, University Hospital Birmingham NHS Foundation Trust
  • John Radcliffe Hospital, Headley Way

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Arm A, group 1

Arm A, group 2

Arm A, group 3

Arm A, group 4

Arm A, group 5

Arm A, group 6

Arm B, group 1

Arm B, group 2

Arm B, group 3

Arm Description

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^8vp at week 14 and 1 dose Ad6NSmut 5 x 10^8vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 2

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^9vp at week 14 and 1 dose Ad6NSmut 5 x 10^9vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 2

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at week 14 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 6

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at week 2 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 12, after starting PEG-IFN and ribavirin therapy. Patients: 6

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at weeks 14 and 18, and 1 dose Ad6NSmut 2.5 x 10^10vp at week 28, after starting PEG-IFN and ribavirin therapy. Patients: 4

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at weeks 2 and 6, and 1 dose Ad6NSmut 2.5 x 10^10vp at week 16, after starting PEG-IFN and ribavirin therapy. Patients: 4

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^8vp at week 4 and 1 dose Ad6NSmut 5 x 10^8vp at week 14. Patients: 2

Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^9vp at week 4 and 1 dose Ad6NSmut 5 x 10^9vp at week 14. Patients: 2

Interventions: AdCh3NSmut; Ad6NSmut. 1 dose AdCh3NSmut 2.5 x 10^10vp at week 4 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 14. Patients: 4

Outcomes

Primary Outcome Measures

Safety and immunogenicity
To assess the safety and immunogenicity of new hepatitis C vaccine candidates, AdCh3NSmut and Ad6NSmut when administered in a prime/boost regimen to HCV infected patients. The specific endpoints for safety and reactogenicity will be actively and passively collected data on adverse events. The specific endpoint of cellular immune response will be collected via IFN-gamma ELISpot assay and other exploratory immunological tests.

Secondary Outcome Measures

Full Information

First Posted
March 25, 2010
Last Updated
April 22, 2015
Sponsor
ReiThera Srl
Collaborators
University of Oxford
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1. Study Identification

Unique Protocol Identification Number
NCT01094873
Brief Title
Study of a Novel Therapeutic Vaccine for Hepatitis C Virus
Official Title
A Phase I Study to Assess the Safety and Immunogenicity of Ad6NSmut and AdCh3NSmut in Patients With Hepatitis C Virus Infection
Study Type
Interventional

2. Study Status

Record Verification Date
August 2013
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
April 2013 (Actual)
Study Completion Date
April 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ReiThera Srl
Collaborators
University of Oxford

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
HCV002TV is a Phase I study to ascertain the safety and immunogenicity of a novel vaccine against Hepatitis C virus (HCV) in chronically infected patients. The vaccine is based on the sequential delivery, by intramuscular route, of two different adenoviral vectors, of chimpanzee and human origin respectively, bearing the same genetic information for HCV antigens (NS region). The two recombinant vaccine vectors, called AdCh3NSmut and Ad6NSmut, are weakened and unable to multiply within the body; they are designed to induce an immune response against HCV proteins. AdCh3NSmut and Ad6NSmut are being used in the ongoing HCV001 study in healthy volunteers with very good safety and immunogenicity results. HCV002TV is a dose-escalation study; the AdCh3NSmut is administered as priming vaccination and Ad6NSmut as boosting vaccination. The trial includes: Arm A, in which vaccinated patients are into Interferon-ribavirin therapy (the gold standard therapy for hepatitis C); Arm B, in which vaccinated patients are not into therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C
Keywords
Hepatitis C, HCV, Adenovirus, Vaccine

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Arm A, group 1
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^8vp at week 14 and 1 dose Ad6NSmut 5 x 10^8vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 2
Arm Title
Arm A, group 2
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^9vp at week 14 and 1 dose Ad6NSmut 5 x 10^9vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 2
Arm Title
Arm A, group 3
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at week 14 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 24, after starting PEG-IFN and ribavirin therapy. Patients: 6
Arm Title
Arm A, group 4
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at week 2 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 12, after starting PEG-IFN and ribavirin therapy. Patients: 6
Arm Title
Arm A, group 5
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at weeks 14 and 18, and 1 dose Ad6NSmut 2.5 x 10^10vp at week 28, after starting PEG-IFN and ribavirin therapy. Patients: 4
Arm Title
Arm A, group 6
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 2.5 x 10^10vp at weeks 2 and 6, and 1 dose Ad6NSmut 2.5 x 10^10vp at week 16, after starting PEG-IFN and ribavirin therapy. Patients: 4
Arm Title
Arm B, group 1
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^8vp at week 4 and 1 dose Ad6NSmut 5 x 10^8vp at week 14. Patients: 2
Arm Title
Arm B, group 2
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. Administration schedule: 1 dose AdCh3NSmut 5 x 10^9vp at week 4 and 1 dose Ad6NSmut 5 x 10^9vp at week 14. Patients: 2
Arm Title
Arm B, group 3
Arm Type
Experimental
Arm Description
Interventions: AdCh3NSmut; Ad6NSmut. 1 dose AdCh3NSmut 2.5 x 10^10vp at week 4 and 1 dose Ad6NSmut 2.5 x 10^10vp at week 14. Patients: 4
Intervention Type
Biological
Intervention Name(s)
AdCh3NSmut
Intervention Description
Genetic vaccines against Hepatitis C virus infection
Intervention Type
Biological
Intervention Name(s)
Ad6NSmut
Intervention Description
Genetic vaccine against Hepatitis C virus infection
Primary Outcome Measure Information:
Title
Safety and immunogenicity
Description
To assess the safety and immunogenicity of new hepatitis C vaccine candidates, AdCh3NSmut and Ad6NSmut when administered in a prime/boost regimen to HCV infected patients. The specific endpoints for safety and reactogenicity will be actively and passively collected data on adverse events. The specific endpoint of cellular immune response will be collected via IFN-gamma ELISpot assay and other exploratory immunological tests.
Time Frame
Different time points depending on the study groups with a 6-months follow-up after last vaccination for all groups

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient must satisfy all the following criteria to be eligible for the study: HCV infected with genotype-1 infection Adults aged 18 to 65 years (inclusive) In arms A1-A3 patients will only be vaccinated if they have a >2log drop in viral load at week 12 of IFN-alpha and ribavirin therapy. Vaccination will then occur at week 14 into IFN-alpha and ribavirin therapy. Resident in or near the trial sites for the duration of the vaccination study Able and willing (in the Investigator's opinion) to comply with all study requirements For women of child bearing potential, willingness to practice continuous effective contraception during the study and a negative pregnancy test on the day(s) of vaccination For men to use barrier contraception until three months after the last vaccination Written informed consent Exclusion Criteria: The patient may not enter the study if any of the following apply: Participation in another research study involving an investigational product in the 30 days preceding enrolment, or planned use during the study period Prior receipt of a recombinant simian or human adenoviral vaccine Clinical, biochemical, ultrasonographic, or liver biopsy (histology) evidence of cirrhosis or portal hypertension Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed) Patients likely to have been infected with HCV within the last 12 months History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, e.g., Kathon Patients who failed to respond (non-responders) to previous IFN-alpha monotherapy Patients who received IFN-alpha and ribavirin in the past and who were non-responders or relapsed during or after therapy History of clinically significant contact dermatitis For Arm A, patients must be treatment naïve (i.e. never have had previous IFNα or ribavirin treatment). Arm B may include patients who have previously been treated for HCV and failed to achieve a sustained virological response (defined by undetectable HCV by PCR at 6 months post cessation of treatment) Any history of anaphylaxis in reaction to vaccination Pregnancy, lactation or willingness/intention to become pregnant during the study History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ) Any other serious chronic illness requiring hospital specialist supervision Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week Current suspected or known injecting drug abuse Seropositive for hepatitis B surface antigen (HBsAg) Seropositive for HIV (antibodies to HIV) at screening Seropositive for simian adenovirus 3 (antibodies to AdCh3) at titres >200, at screening Seropositive for human adenovirus 6 (antibodies to Ad6) at titres >200, at screening Any other significant disease, disorder or finding, which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study, or may influence the result of the study, or the patient's ability to participate in the study Any other finding which in the opinion of the investigators would significantly increase the risk of having an adverse outcome from participating in the protocol Individuals who have had a temperature >38°C in the 3 days preceding vaccination.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eleanor Barnes, MD
Organizational Affiliation
University of Oxford, UK
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
David Mutimer, Dr.
Organizational Affiliation
University of Birmingham
Official's Role
Principal Investigator
Facility Information:
Facility Name
Wellcome Clinical Research Facility, Queen Elizabeth's Hospital, University Hospital Birmingham NHS Foundation Trust
City
Birmingham
State/Province
West Midlands
ZIP/Postal Code
B15 2TH
Country
United Kingdom
Facility Name
John Radcliffe Hospital, Headley Way
City
Headington, Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
http://www.okairos.com
Description
HCV002TV study sponsor Web site

Learn more about this trial

Study of a Novel Therapeutic Vaccine for Hepatitis C Virus

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