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A BCG Challenge Model Study to Assess Anti-mycobacterial Immunity Induced by BCG and a Candidate TB Vaccine, MVA85A

Primary Purpose

Tuberculosis

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
BCG: 100 microlitres ~ 2-8 x 105 pfu
MVA85A: 1 x 108 pfu BCG: 100 microlitres ~ 2-8 x 105 pfu
Sponsored by
University of Oxford
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Tuberculosis focused on measuring Mycobacterium tuberculosis, BCG, MVA85A

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult aged 18-55 years
  • Resident in or near Oxford for the duration of the study period
  • No relevant findings in medical history or on physical examination
  • Willingness to allow the Investigators to discuss the individual's medical history with their GP
  • Willingness to use effective contraception for the duration of the study period (females only)
  • Agreement to refrain from blood donation during the course of the study
  • Willingness to give written informed consent
  • Agreement to allow the Investigator to register volunteer details with a confidential database to prevent concurrent entry into clinical trials
  • Able and willing (in the Investigator's opinion) to comply with all the study requirements

Additional criteria to be met for subjects in group A:

  • None

Additional criteria to be met for subjects in group B:

  • Willingness to use continuous effective barrier contraception for three months after receiving
  • MVA85A vaccination (males and females)

Additional criteria to be met for subjects in group C:

  • Confirmation of prior vaccination with BCG not less than three months prior to projected study enrolment date (by visible BCG scar on examination or written documentation)

Additional criteria to be met for subjects in group D:

  • Confirmation of prior vaccination with BCG not less than three months prior to projected study enrolment date (by visible BCG scar on examination or written documentation)
  • Willingness to use continuous effective barrier contraception for three months after receiving MVA85A vaccination (males and females)

Exclusion Criteria:

  • Clinical, radiological, or laboratory evidence of current active TB disease
  • Laboratory evidence at screening of latent M. tb infection as indicated by a positive ELISPOT test (>17 sfc/million PBMC) in any ESAT6 peptide or CFP10 peptide poola
  • Previous vaccination with candidate TB vaccine MVA85A or candidate TB vaccine FP85A
  • Clinically significant history of skin disorder, allergy, immunodeficiency (including HIV), cancer (except BCC or CIS), cardiovascular disease, respiratory disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, neurological illness, psychiatric disorder, drug or alcohol abuse
  • History of serious psychiatric condition
  • Concurrent oral or systemic steroid medication or the concurrent use of other immunosuppressive agents
  • History of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the study vaccine
  • Any abnormality of screening blood or urine tests that is deemed to be clinically significant or that may compromise the safety of the volunteer in the studyb
  • Positive HBsAg, HCV or HIV antibodies
  • Female currently lactating, confirmed pregnancy or intention to become pregnant during study period
  • Use of an investigational medicinal product or non-registered drug, live vaccine, or medical device other than the study vaccine for 60 days prior to dosing with the study vaccine, or planned use during the study period
  • Administration of immunoglobulins and/or any blood products within the three months preceding the planned trial vaccination date
  • Any other significant disease, disorder, or finding, which, in the opinion of the Investigator, may either put the volunteer at risk or may influence the result of the study or may affect the volunteer's ability to participate in the study

Additional exclusion criteria for subjects in group A:

  • Previous vaccination with BCG

Additional exclusion criteria for subjects in group B:

  • Previous vaccination with a recombinant MVA vaccine other than MVA85A or FP85A
  • Previous vaccination with BCG

Additional exclusion criteria for subjects in group C:

  • None

Additional exclusion criteria for subjects in group D:

  • Previous vaccination with a recombinant MVA vaccine other than MVA85A or FP85A

Sites / Locations

  • Centre for Clinical Vaccinology and Tropical Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A

Group B

Group C

Group D

Arm Description

BCG-naive subjects receiving intradermal "challenge" injection of BCG and challenge site punch biopsy

BCG-naïve subjects receiving intradermal injection of MVA85A followed by intradermal "challenge" injection of BCG and challenge site punch biopsy

BCG-experienced subjects receiving intradermal "challenge" injection of BCG and challenge site punch biopsy

BCG-experienced subjects receiving intradermal injection of MVA85A followed by intradermal "challenge" injection of BCG and challenge site punch biopsy

Outcomes

Primary Outcome Measures

Culture and RT-PCR quantification of BCG in challenge site biopsy

Secondary Outcome Measures

Established and exploratory markers of cell mediated immunity in blood samples and biopsied tissue

Full Information

First Posted
August 31, 2010
Last Updated
August 29, 2012
Sponsor
University of Oxford
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1. Study Identification

Unique Protocol Identification Number
NCT01194180
Brief Title
A BCG Challenge Model Study to Assess Anti-mycobacterial Immunity Induced by BCG and a Candidate TB Vaccine, MVA85A
Official Title
A Phase 1 Study to Evaluate a BCG Challenge Model as a Method of Assessing Anti-mycobacterial Immunity Induced by BCG and a Candidate TB Vaccine, MVA85A, Alone and in Combination
Study Type
Interventional

2. Study Status

Record Verification Date
October 2011
Overall Recruitment Status
Completed
Study Start Date
May 2010 (undefined)
Primary Completion Date
January 2012 (Actual)
Study Completion Date
January 2012 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the BCG 'challenge' model a four-arm study design has been chosen. Twelve subjects will be recruited into each arm of the study. Allocation of BCG-naïve volunteers to either group A or B, and BCG-vaccinated volunteers to either group C or D, will be performed on a one-to-one alternating basis. Subjects in each group will be challenged by BCG administered intradermally. Prior to challenge, pre-existing immunity to TB will be induced by vaccination with BCG, MVA85A, and both in combination (when compared to BCG- & MVA85A-naïve individuals). BCG quantification will be assessed by analysing the tissue obtained in a punch biopsy of volunteers' skin over the site of BCG 'challenge' vaccination. Any reduction in BCG quantification between groups will then be correlated to existing (and future) laboratory assays of vaccine-induced immune responses in order to identify potential immunological correlates of protection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis
Keywords
Mycobacterium tuberculosis, BCG, MVA85A

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
BCG-naive subjects receiving intradermal "challenge" injection of BCG and challenge site punch biopsy
Arm Title
Group B
Arm Type
Experimental
Arm Description
BCG-naïve subjects receiving intradermal injection of MVA85A followed by intradermal "challenge" injection of BCG and challenge site punch biopsy
Arm Title
Group C
Arm Type
Experimental
Arm Description
BCG-experienced subjects receiving intradermal "challenge" injection of BCG and challenge site punch biopsy
Arm Title
Group D
Arm Type
Experimental
Arm Description
BCG-experienced subjects receiving intradermal injection of MVA85A followed by intradermal "challenge" injection of BCG and challenge site punch biopsy
Intervention Type
Biological
Intervention Name(s)
BCG: 100 microlitres ~ 2-8 x 105 pfu
Intervention Description
BCG vaccination at day C (challenge day) then punch biopsy at day C+14
Intervention Type
Biological
Intervention Name(s)
MVA85A: 1 x 108 pfu BCG: 100 microlitres ~ 2-8 x 105 pfu
Intervention Description
MVA85A vaccination at day C-28 followed by BCG vaccination at day C (challenge day) then biopsy at day C+14
Primary Outcome Measure Information:
Title
Culture and RT-PCR quantification of BCG in challenge site biopsy
Time Frame
10 weeks post biopsy
Secondary Outcome Measure Information:
Title
Established and exploratory markers of cell mediated immunity in blood samples and biopsied tissue
Time Frame
10 weeks post biopsy

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult aged 18-55 years Resident in or near Oxford for the duration of the study period No relevant findings in medical history or on physical examination Willingness to allow the Investigators to discuss the individual's medical history with their GP Willingness to use effective contraception for the duration of the study period (females only) Agreement to refrain from blood donation during the course of the study Willingness to give written informed consent Agreement to allow the Investigator to register volunteer details with a confidential database to prevent concurrent entry into clinical trials Able and willing (in the Investigator's opinion) to comply with all the study requirements Additional criteria to be met for subjects in group A: None Additional criteria to be met for subjects in group B: Willingness to use continuous effective barrier contraception for three months after receiving MVA85A vaccination (males and females) Additional criteria to be met for subjects in group C: Confirmation of prior vaccination with BCG not less than three months prior to projected study enrolment date (by visible BCG scar on examination or written documentation) Additional criteria to be met for subjects in group D: Confirmation of prior vaccination with BCG not less than three months prior to projected study enrolment date (by visible BCG scar on examination or written documentation) Willingness to use continuous effective barrier contraception for three months after receiving MVA85A vaccination (males and females) Exclusion Criteria: Clinical, radiological, or laboratory evidence of current active TB disease Laboratory evidence at screening of latent M. tb infection as indicated by a positive ELISPOT test (>17 sfc/million PBMC) in any ESAT6 peptide or CFP10 peptide poola Previous vaccination with candidate TB vaccine MVA85A or candidate TB vaccine FP85A Clinically significant history of skin disorder, allergy, immunodeficiency (including HIV), cancer (except BCC or CIS), cardiovascular disease, respiratory disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, neurological illness, psychiatric disorder, drug or alcohol abuse History of serious psychiatric condition Concurrent oral or systemic steroid medication or the concurrent use of other immunosuppressive agents History of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the study vaccine Any abnormality of screening blood or urine tests that is deemed to be clinically significant or that may compromise the safety of the volunteer in the studyb Positive HBsAg, HCV or HIV antibodies Female currently lactating, confirmed pregnancy or intention to become pregnant during study period Use of an investigational medicinal product or non-registered drug, live vaccine, or medical device other than the study vaccine for 60 days prior to dosing with the study vaccine, or planned use during the study period Administration of immunoglobulins and/or any blood products within the three months preceding the planned trial vaccination date Any other significant disease, disorder, or finding, which, in the opinion of the Investigator, may either put the volunteer at risk or may influence the result of the study or may affect the volunteer's ability to participate in the study Additional exclusion criteria for subjects in group A: Previous vaccination with BCG Additional exclusion criteria for subjects in group B: Previous vaccination with a recombinant MVA vaccine other than MVA85A or FP85A Previous vaccination with BCG Additional exclusion criteria for subjects in group C: None Additional exclusion criteria for subjects in group D: Previous vaccination with a recombinant MVA vaccine other than MVA85A or FP85A
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Helen McShane
Organizational Affiliation
University of Oxford
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Clinical Vaccinology and Tropical Medicine
City
Oxford
State/Province
Oxon
ZIP/Postal Code
OX3 7LJ
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
31998295
Citation
Tanner R, Satti I, Harris SA, O'Shea MK, Cizmeci D, O'Connor D, Chomka A, Matsumiya M, Wittenberg R, Minassian AM, Meyer J, Fletcher HA, McShane H. Tools for Assessing the Protective Efficacy of TB Vaccines in Humans: in vitro Mycobacterial Growth Inhibition Predicts Outcome of in vivo Mycobacterial Infection. Front Immunol. 2020 Jan 10;10:2983. doi: 10.3389/fimmu.2019.02983. eCollection 2019.
Results Reference
derived
PubMed Identifier
24273174
Citation
Harris SA, Meyer J, Satti I, Marsay L, Poulton ID, Tanner R, Minassian AM, Fletcher HA, McShane H. Evaluation of a human BCG challenge model to assess antimycobacterial immunity induced by BCG and a candidate tuberculosis vaccine, MVA85A, alone and in combination. J Infect Dis. 2014 Apr 15;209(8):1259-68. doi: 10.1093/infdis/jit647. Epub 2013 Nov 23.
Results Reference
derived

Learn more about this trial

A BCG Challenge Model Study to Assess Anti-mycobacterial Immunity Induced by BCG and a Candidate TB Vaccine, MVA85A

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