A Study to Evaluate Safety and Immunogenicity of AERAS-402
Primary Purpose
Tuberculosis
Status
Completed
Phase
Phase 1
Locations
India
Study Type
Interventional
Intervention
AERAS 402
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Tuberculosis focused on measuring vaccine, TB, tuberculosis
Eligibility Criteria
Inclusion Criteria:
- Is male or female
- Is age 18 through 45 years on Study Day 0
- Has completed written informed consent
- Had BCG vaccination at least 5 years ago, documented through medical history or presence of scar
- Has general good health, confirmed by medical history and physical examination
- Has Body Mass Index (BMI) between 19 and 30 (kg/m2)
- Has ability to complete follow-up period of 182 days as required by the protocol
- Females: Ability to avoid pregnancy from 28-days prior to initial study vaccination through the duration of their participation in the study.
- Will commit to avoiding elective surgery for the duration of the study
- Has ability to stay in contact with the investigative site for the duration of the study
- Has completed simultaneous enrollment in Aeras Vaccine Development Registry protocol
Exclusion Criteria:
- Acute illness on the day of randomization
- Oral temperature ≥37.5°C on the day of randomization
- Evidence of significant active infection
- Used immunosuppressive medication within 42 days before entry into the study
- Received immunoglobulin or blood products within 42 days
- Received any investigational drug therapy or vaccine within 182 days
- Received any standard vaccine within 42 days
- Participated in any clinical trial of an investigational adenovirus-based vaccine previously.
- Current chronic drug therapy
- History or laboratory evidence of any past, present or future possible immunodeficiency state which will include (but is not limited to) any laboratory indication of HIV infection
- History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine
- Previous medical history that may compromise the safety of the subject in the study
- Evidence of a new acute illness that may compromise the safety of the subject in the study
- Evidence of chronic hepatitis (e.g., hepatitis B core antibody, or hepatitis C antibody, or other)
- Inability to discontinue daily medications except contraceptives during the study period
- History of alcohol or drug abuse within the past 2 years
- Tobacco or cannabis smoking three or more days per week
- Positive urine test for illicit drugs (opiates, cocaine, amphetamines)
- History or evidence of any systemic disease on physical examination
- History or evidence (including chest X-ray) of active tuberculosis
- Shared a residence within the last year with an individual on anti-tuberculosis treatment or with culture or smear positive tuberculosis
- All females: Positive urine pregnancy test during screening; positive serum pregnancy test on the day of study vaccination; are nursing
- Abnormal (per local laboratory parameters) hemoglobin, hematocrit, white blood cell count, absolute neutrophil count, absolute lymphocyte count, prothrombin time (PT), partial thromboplastin time (PTT), serum creatinine, GGT, ALT, AST, total bilirubin, alkaline phosphatase (ALP), or creatinine drawn within 36 hours prior to randomization.
- Laboratory test evidence of Mtb infection
- Tuberculin skin test evidence of Mtb infection, defined as 15 mm of induration or greater.
- Anal intercourse with another man at least one time (with or without condoms)
- Exchange of goods, money, services or drugs for sex.
- Use of intravenous drugs.
- Sexual intercourse or genital contact within the last 12 months with a known HIV positive individual
- Vaginal intercourse within the last 12 months without use of a condom with a known user of intravenous drugs
- Oral to genital contact within the last 12 months with a known user of intravenous drug
- Vaginal intercourse within the last 12 months without use of a condom with an individual known to have more than one sex partner
- Oral to genital contact within the last 12 months with an individual known to have more than one sex partner
Sites / Locations
- Lotus Labs
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Active Comparator
Arm Label
Placebo Arm
AERAS 402 Arm
Arm Description
Outcomes
Primary Outcome Measures
Number and Percentage of Adverse Events by treatment group
The number and percentage of Adverse Events will be presented and compared by treatment group (placebo vs AERAS 402).
Secondary Outcome Measures
Immune Response
Percentage of CD4 and CD8 cells producing specific cytokines will be measured and tabulated in subjects who have received the vaccine.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01378312
Brief Title
A Study to Evaluate Safety and Immunogenicity of AERAS-402
Official Title
A Phase I Randomized Placebo-Controlled, Double-Blind Study to Evaluate Safety and Immunogenicity of AERAS-402 When Administered to HIV-Negative BCG-Vaccinated Adults Without Evidence of Tuberculosis Infection
Study Type
Interventional
2. Study Status
Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
March 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
This Phase I study will be conducted as a randomized, double-blind, placebo-controlled study in healthy adult subjects who are HIV-negative, BCG-vaccinated, and have no evidence of tuberculosis infection. The study will be conducted at one clinical research site in India.
The available live tuberculosis vaccine, Bacillus Calmette-Guérin (BCG), provides incomplete protection against pulmonary tuberculosis. For unknown reasons, a BCG revaccination or "booster", while not toxic, does not provide much additional protection. AERAS-402 presents tuberculosis antigens in the setting of a new, live, replication-deficient adenovirus vaccine that may increase T cell-mediated immunity and thus protection from tuberculosis. Since BCG-vaccinated individuals are the population for which AERAS-402 might be indicated, AERAS-402 will be administered to individuals already vaccinated with BCG.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis
Keywords
vaccine, TB, tuberculosis
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
12 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo Arm
Arm Type
Placebo Comparator
Arm Title
AERAS 402 Arm
Arm Type
Active Comparator
Intervention Type
Biological
Intervention Name(s)
AERAS 402
Intervention Description
0.5 mL IM injection of 3 x 1010vp AERAS-402 on Study Days 0 and 28
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
0.5 mL IM injection of 0vp (Placebo) on Study Days 0 and 28
Primary Outcome Measure Information:
Title
Number and Percentage of Adverse Events by treatment group
Description
The number and percentage of Adverse Events will be presented and compared by treatment group (placebo vs AERAS 402).
Time Frame
Day 56
Secondary Outcome Measure Information:
Title
Immune Response
Description
Percentage of CD4 and CD8 cells producing specific cytokines will be measured and tabulated in subjects who have received the vaccine.
Time Frame
Day 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:
Is male or female
Is age 18 through 45 years on Study Day 0
Has completed written informed consent
Had BCG vaccination at least 5 years ago, documented through medical history or presence of scar
Has general good health, confirmed by medical history and physical examination
Has Body Mass Index (BMI) between 19 and 30 (kg/m2)
Has ability to complete follow-up period of 182 days as required by the protocol
Females: Ability to avoid pregnancy from 28-days prior to initial study vaccination through the duration of their participation in the study.
Will commit to avoiding elective surgery for the duration of the study
Has ability to stay in contact with the investigative site for the duration of the study
Has completed simultaneous enrollment in Aeras Vaccine Development Registry protocol
Exclusion Criteria:
Acute illness on the day of randomization
Oral temperature ≥37.5°C on the day of randomization
Evidence of significant active infection
Used immunosuppressive medication within 42 days before entry into the study
Received immunoglobulin or blood products within 42 days
Received any investigational drug therapy or vaccine within 182 days
Received any standard vaccine within 42 days
Participated in any clinical trial of an investigational adenovirus-based vaccine previously.
Current chronic drug therapy
History or laboratory evidence of any past, present or future possible immunodeficiency state which will include (but is not limited to) any laboratory indication of HIV infection
History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine
Previous medical history that may compromise the safety of the subject in the study
Evidence of a new acute illness that may compromise the safety of the subject in the study
Evidence of chronic hepatitis (e.g., hepatitis B core antibody, or hepatitis C antibody, or other)
Inability to discontinue daily medications except contraceptives during the study period
History of alcohol or drug abuse within the past 2 years
Tobacco or cannabis smoking three or more days per week
Positive urine test for illicit drugs (opiates, cocaine, amphetamines)
History or evidence of any systemic disease on physical examination
History or evidence (including chest X-ray) of active tuberculosis
Shared a residence within the last year with an individual on anti-tuberculosis treatment or with culture or smear positive tuberculosis
All females: Positive urine pregnancy test during screening; positive serum pregnancy test on the day of study vaccination; are nursing
Abnormal (per local laboratory parameters) hemoglobin, hematocrit, white blood cell count, absolute neutrophil count, absolute lymphocyte count, prothrombin time (PT), partial thromboplastin time (PTT), serum creatinine, GGT, ALT, AST, total bilirubin, alkaline phosphatase (ALP), or creatinine drawn within 36 hours prior to randomization.
Laboratory test evidence of Mtb infection
Tuberculin skin test evidence of Mtb infection, defined as 15 mm of induration or greater.
Anal intercourse with another man at least one time (with or without condoms)
Exchange of goods, money, services or drugs for sex.
Use of intravenous drugs.
Sexual intercourse or genital contact within the last 12 months with a known HIV positive individual
Vaginal intercourse within the last 12 months without use of a condom with a known user of intravenous drugs
Oral to genital contact within the last 12 months with a known user of intravenous drug
Vaginal intercourse within the last 12 months without use of a condom with an individual known to have more than one sex partner
Oral to genital contact within the last 12 months with an individual known to have more than one sex partner
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vanya Dhagat, MD
Organizational Affiliation
Lotus Labs
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lotus Labs
City
Bangalore
Country
India
12. IPD Sharing Statement
Citations:
PubMed Identifier
22296955
Citation
Hoft DF, Blazevic A, Stanley J, Landry B, Sizemore D, Kpamegan E, Gearhart J, Scott A, Kik S, Pau MG, Goudsmit J, McClain JB, Sadoff J. A recombinant adenovirus expressing immunodominant TB antigens can significantly enhance BCG-induced human immunity. Vaccine. 2012 Mar 9;30(12):2098-108. doi: 10.1016/j.vaccine.2012.01.048. Epub 2012 Jan 30.
Results Reference
derived
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A Study to Evaluate Safety and Immunogenicity of AERAS-402
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