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Study of AERAS 422 in Healthy Adults

Primary Purpose

Tuberculosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AERAS-422
BCG Tice
Sponsored by
Aeras
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tuberculosis

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

-≥18 years and ≤45 years of age on randomization day

  • Has general good health, confirmed by medical history and physical examination
  • Has a screening body mass index (BMI) ≥19 and <33
  • Females physically capable of pregnancy (not sterilized and still menstruating or within 1 year of the last menses if menopausal) in sexual relationships with men must use acceptable method of avoiding pregnancy from 28 days prior to randomization through the end of the study.
  • Acceptable methods of avoiding pregnancy -Females physically capable of pregnancy must have:
  • Negative urine pregnancy test within 21 days prior to randomization AND within 24 hours prior to Study Day 0 vaccination
  • Ability to complete all protocol study visits and be reachable by telephone
  • Provided written informed consent prior to screening evaluations
  • Completed simultaneous enrollment in the Aeras Vaccine Registry protocol

Exclusion Criteria:

  • Acute illness on randomization day
  • Oral temperature >=37.5 degrees C on randomization day
  • Abnormal laboratory values from blood collected within 21 days prior to randomization as follows:
  • Positive test for hepatitis B core antibody or hepatitis C antibody
  • Positive test for HIV
  • Positive urine test for opiates, cocaine, or amphetamines
  • Positive QuantiFERON®-TB Gold test
  • History of treatment for active or latent tuberculosis infection
  • Other evidence of active or latent tuberculosis, in the opinion of the investigator
  • Tuberculin skin test (TST) within 90 days prior to randomization
  • History or evidence of allergic disease or reaction that in the opinion of the investigator is likely to be exacerbated by any component of AERAS-422 or BCG Tice
  • History or evidence of autoimmune disease, immunosuppression, or immunodeficiency, in the opinion of the investigator
  • History or evidence of cheloid formation, axillary or cervical lymphadenopathy, or other dermatologic or anatomic findings that, in the opinion of the investigator, may interfere with the assessment of injection site reactions
  • History or evidence of any other acute or chronic disease or condition that, in the opinion of the investigator, may compromise the safety of the subject or interfere with the evaluation of the vaccine safety or immunogenicity
  • Medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely the subject will comply with the protocol
  • Inability to discontinue daily prescription medications (except contraceptives) during the study.
  • Received immunosuppressive medication within 45 days prior to randomization (inhaled and topical corticosteroids are permitted)
  • Received investigational drugs or vaccine products within 182 days prior to randomization, or planned participation in any other investigational study during the study
  • Received investigational Mtb vaccine at any time prior to randomization
  • Received vaccination or immunotherapy with a BCG product at any time prior to randomization
  • Received immunoglobulin or blood products within 45 days prior to randomization
  • Received inactivated influenza vaccine within 14 days prior to randomization or any other standard vaccine within 45 days prior to randomization.
  • Received systemic antibiotics within 14 days prior to randomization

Sites / Locations

  • St. Louis University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

AERAS-422 Low dose

AERAS-422 High Dose

BCG Tice

Arm Description

>=10^5 to < 10^6 CFU

>=10^6 CFU

BCG Tice 1-8 x 10^5 CFU

Outcomes

Primary Outcome Measures

Safety
Assessment of collected unsolicited and solicited adverse events (including site of injection reaction (pain, erythema, induration, ulceration, drainage, and scarring), regional lymphadenopathy (axillary and cervical), fever, headache, myalgia, arthralgia and fatigue. The adverse event collection timeframe includes all events that occur up to 56 days after study vaccination. Assessment of serious adverse events will be based on events collected throughout the duration of the study. All safety data will be evaluated before moving into the next successive dose level.

Secondary Outcome Measures

Immunogenicity
Measurement of immunogenicity based on the percentage of cytokine producing T cells.

Full Information

First Posted
February 24, 2011
Last Updated
August 15, 2012
Sponsor
Aeras
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1. Study Identification

Unique Protocol Identification Number
NCT01340820
Brief Title
Study of AERAS 422 in Healthy Adults
Official Title
A Phase 1, Randomized, Controlled, Double-blind, Dose-Escalation Study to Evaluate the Safety and Immunogenicity of AERAS-422 in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
February 2012 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aeras

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and immunogenicity of AERAS-422 in healthy, BCG-naïve adults.
Detailed Description
This is a Phase I, randomized, controlled, double-blind, dose-escalation study of AERAS-422. This study will be conducted in 24 HIV-negative, healthy adults who are BCG-naïve and negative for prior exposure to Mtb at enrollment. The study will be conducted at one or more clinical research sites in the United States. AERAS-422 will be administered on Study Day 0 as a single 0.1 mL intradermal (ID) injection containing either >= 10^5 to <10^6 CFU (low-dose) or >=10^6 CFU (high-dose). BCG Tice® will be used as an active control for AERAS-422 and will be administered as a single 0.1 mL ID injection containing 1-8 x 10^5 CFU on Study Day 0.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AERAS-422 Low dose
Arm Type
Experimental
Arm Description
>=10^5 to < 10^6 CFU
Arm Title
AERAS-422 High Dose
Arm Type
Experimental
Arm Description
>=10^6 CFU
Arm Title
BCG Tice
Arm Type
Active Comparator
Arm Description
BCG Tice 1-8 x 10^5 CFU
Intervention Type
Drug
Intervention Name(s)
AERAS-422
Other Intervention Name(s)
BCG Tice
Intervention Description
rBCG
Intervention Type
Drug
Intervention Name(s)
BCG Tice
Intervention Description
1-8 x 10^5 CFU
Primary Outcome Measure Information:
Title
Safety
Description
Assessment of collected unsolicited and solicited adverse events (including site of injection reaction (pain, erythema, induration, ulceration, drainage, and scarring), regional lymphadenopathy (axillary and cervical), fever, headache, myalgia, arthralgia and fatigue. The adverse event collection timeframe includes all events that occur up to 56 days after study vaccination. Assessment of serious adverse events will be based on events collected throughout the duration of the study. All safety data will be evaluated before moving into the next successive dose level.
Time Frame
Days 0, 3, 7, 14, 28, 56, 84, 112, 140 & 182
Secondary Outcome Measure Information:
Title
Immunogenicity
Description
Measurement of immunogenicity based on the percentage of cytokine producing T cells.
Time Frame
Days 0, 14, 28, 56, 84, 112, 140 and 182

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: -≥18 years and ≤45 years of age on randomization day Has general good health, confirmed by medical history and physical examination Has a screening body mass index (BMI) ≥19 and <33 Females physically capable of pregnancy (not sterilized and still menstruating or within 1 year of the last menses if menopausal) in sexual relationships with men must use acceptable method of avoiding pregnancy from 28 days prior to randomization through the end of the study. Acceptable methods of avoiding pregnancy -Females physically capable of pregnancy must have: Negative urine pregnancy test within 21 days prior to randomization AND within 24 hours prior to Study Day 0 vaccination Ability to complete all protocol study visits and be reachable by telephone Provided written informed consent prior to screening evaluations Completed simultaneous enrollment in the Aeras Vaccine Registry protocol Exclusion Criteria: Acute illness on randomization day Oral temperature >=37.5 degrees C on randomization day Abnormal laboratory values from blood collected within 21 days prior to randomization as follows: Positive test for hepatitis B core antibody or hepatitis C antibody Positive test for HIV Positive urine test for opiates, cocaine, or amphetamines Positive QuantiFERON®-TB Gold test History of treatment for active or latent tuberculosis infection Other evidence of active or latent tuberculosis, in the opinion of the investigator Tuberculin skin test (TST) within 90 days prior to randomization History or evidence of allergic disease or reaction that in the opinion of the investigator is likely to be exacerbated by any component of AERAS-422 or BCG Tice History or evidence of autoimmune disease, immunosuppression, or immunodeficiency, in the opinion of the investigator History or evidence of cheloid formation, axillary or cervical lymphadenopathy, or other dermatologic or anatomic findings that, in the opinion of the investigator, may interfere with the assessment of injection site reactions History or evidence of any other acute or chronic disease or condition that, in the opinion of the investigator, may compromise the safety of the subject or interfere with the evaluation of the vaccine safety or immunogenicity Medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely the subject will comply with the protocol Inability to discontinue daily prescription medications (except contraceptives) during the study. Received immunosuppressive medication within 45 days prior to randomization (inhaled and topical corticosteroids are permitted) Received investigational drugs or vaccine products within 182 days prior to randomization, or planned participation in any other investigational study during the study Received investigational Mtb vaccine at any time prior to randomization Received vaccination or immunotherapy with a BCG product at any time prior to randomization Received immunoglobulin or blood products within 45 days prior to randomization Received inactivated influenza vaccine within 14 days prior to randomization or any other standard vaccine within 45 days prior to randomization. Received systemic antibiotics within 14 days prior to randomization
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel Hoft, MD
Organizational Affiliation
St. Louis University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Louis University Hospital
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
27322481
Citation
Hoft DF, Blazevic A, Selimovic A, Turan A, Tennant J, Abate G, Fulkerson J, Zak DE, Walker R, McClain B, Sadoff J, Scott J, Shepherd B, Ishmukhamedov J, Hokey DA, Dheenadhayalan V, Shankar S, Amon L, Navarro G, Podyminogin R, Aderem A, Barker L, Brennan M, Wallis RS, Gershon AA, Gershon MD, Steinberg S. Safety and Immunogenicity of the Recombinant BCG Vaccine AERAS-422 in Healthy BCG-naive Adults: A Randomized, Active-controlled, First-in-human Phase 1 Trial. EBioMedicine. 2016 May;7:278-86. doi: 10.1016/j.ebiom.2016.04.010. Epub 2016 Apr 19.
Results Reference
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Study of AERAS 422 in Healthy Adults

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