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Phase 1 LEISH-F3 Vaccine Trial in Healthy Adult Volunteers

Primary Purpose

Leishmaniasis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LEISH-F3 + GLA-SE
LEISH-F3 + GLA-SE
LEISH-F3 alone
Sponsored by
Access to Advanced Health Institute (AAHI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Leishmaniasis

Eligibility Criteria

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

Inclusion Criteria:

Subjects must meet ALL of the following criteria to be eligible for inclusion in the study:

  • Males and females 18 years to 45 years of age.
  • Must be in good general health as confirmed by a medical history and physical exam.
  • Female subjects of childbearing potential must have a negative serum pregnancy test at screening, a negative urine pregnancy test on the day of each study injection, must not be breast-feeding, and are required to use one of the following methods of contraception during the first 3 months of the study: hormonal (e.g. oral, transdermal, intravaginal, implant, or injection); double barrier (i.e., condom, diaphragm with spermicide); intrauterine device (IUD) or system (IUS); vasectomized partner (6 months minimum); abstinence; or bilateral tubal ligation (if no conception post-procedure). These precautions are necessary due to unknown effects that LEISH-F3 + GLA SE or LEISH-F3 alone might have in a fetus or newborn infant.
  • The following screening laboratory blood tests must have values within the normal ranges or not clinically significant as determined by the PI and Medical Monitor: sodium, potassium, BUN, ALT, AST, total bilirubin, alkaline phosphatase, creatinine, fasting glucose, fasting lipid panel, total WBC count, hemoglobin, and platelet count.
  • The following serology tests must be negative: HIV 1/2 antibody, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody.
  • Negative urine test for recreational drugs and alcohol per Clinical Research Unit standards.
  • Urinalysis not clinically significant as determined by the study clinician.
  • Must be capable of completing a study diary in English.
  • Must give written informed consent, be able and willing to attend all evaluation visits, be reachable by telephone or personal contact by the study site personnel, and have a permanent address.

Exclusion Criteria:

Subjects who meet ANY of the following criteria will be excluded from the study (ineligible):

  • History of possible infection with Leishmania or previous exposure to Leishmania vaccines or experimental products containing GLA-SE.
  • Veterans who served in the military in the Middle East (Iran, Iraq), Afghanistan, or any other areas endemic to Leishmania.
  • Travelers to, or immigrants from, areas endemic to Leishmania.
  • Participation in another experimental protocol or receipt of any investigational products within the past 3 months.
  • Treatment with immunosuppressive drugs (e.g., oral or injected steroids, such as prednisone; high dose inhaled steroids) or cytotoxic therapies (e.g., chemotherapy drugs or radiation) within the past 6 months.
  • Received a blood transfusion within the past 3 months.
  • Donated blood products (platelets, whole blood, plasma, etc.) within past 1 month.
  • Received any vaccine within past 1 month. Note: No immunizations while on study with the exception of seasonal influenza vaccine which should not be given until 1 month after the third study injection (Day 84).
  • History of autoimmune disease or other causes of immunosuppressive states.
  • History or evidence of any acute or chronic illness (including cardiovascular, pulmonary, neurological, hepatic, rheumatic, hematological, metabolic, or renal disorders, controlled hypertension), or use of medication that, in the opinion of the Principal Investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine.
  • Rash, tattoos or any other dermatological condition that could adversely affect the vaccine injection site or interfere with its evaluation.
  • BMI greater than 30 kg/m2
  • Hypertension (systolic greater than 150 or diastolic greater than 95).
  • History of significant psychiatric illness with current use of medication.
  • Known or suspected alcohol or drug abuse within the past 6 months.
  • Chronic smoker (less than 20 pack years).
  • Subjects with a history of previous anaphylaxis or severe allergic reaction to vaccines, eggs, or unknown allergens.
  • Subjects who are unlikely to cooperate with the requirements of the study protocol.

Sites / Locations

  • Comprehensive Clinical Development NW, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Vaccine: 20 ug LEISH-F3 + 2 ug GLA-SE

Vaccine: 20 ug LEISH-F3 + 5 ug GLA-SE

20 ug LEISH-F3 alone

Arm Description

Low dose of adjuvant.

Higher dose of adjuvant.

20 ug of LEISH-F3 antigen alone. 3 injections at Days 0, 28, and 56.

Outcomes

Primary Outcome Measures

Number of patients experiencing adverse events.
To evaluate the safety and tolerability of 20 μg of LEISH-F3 together with 2 or 5 μg of GLA-SE compared to 20 µg of LEISH-F3 alone following intramuscular administration on Days 0, 28, and 56. The safety assessments will be based on local and systemic reactions, including reported adverse events, changes in laboratory values, and changes in vital signs. The severity and relationship to treatment will be recorded for all adverse events.

Secondary Outcome Measures

Immunogenicity
To assess the immunogenicity of LEISH-F3 + GLA-SE compared to LEISH-F3 alone by evaluating IgG antibody and T-cell responses to LEISH-F3 at specified timepoints.

Full Information

First Posted
November 29, 2011
Last Updated
February 24, 2014
Sponsor
Access to Advanced Health Institute (AAHI)
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1. Study Identification

Unique Protocol Identification Number
NCT01484548
Brief Title
Phase 1 LEISH-F3 Vaccine Trial in Healthy Adult Volunteers
Official Title
A Phase 1, Randomized Clinical Trial To Evaluate The Safety, Tolerability, And Immunogenicity Of The LEISH-F3 + GLA-SE Vaccine Compared To The LEISH-F3 Protein Alone In Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
August 2012 (Actual)
Study Completion Date
May 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Access to Advanced Health Institute (AAHI)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the safety, tolerability, and immunogenicity in healthy adult subjects of an investigational vaccine being developed for the prophylaxis of visceral leishmaniasis. The vaccine, identified as LEISH-F3 + GLA-SE, consists of the recombinant two-antigen Leishmania recombinant protein LEISH-F3 together with the adjuvant GLA-SE.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine: 20 ug LEISH-F3 + 2 ug GLA-SE
Arm Type
Experimental
Arm Description
Low dose of adjuvant.
Arm Title
Vaccine: 20 ug LEISH-F3 + 5 ug GLA-SE
Arm Type
Experimental
Arm Description
Higher dose of adjuvant.
Arm Title
20 ug LEISH-F3 alone
Arm Type
Active Comparator
Arm Description
20 ug of LEISH-F3 antigen alone. 3 injections at Days 0, 28, and 56.
Intervention Type
Biological
Intervention Name(s)
LEISH-F3 + GLA-SE
Intervention Description
20 ug of LEISH-F3 and 2 ug of GLA-SE adjuvant. 3 injections at Days 0, 28, and 56.
Intervention Type
Biological
Intervention Name(s)
LEISH-F3 + GLA-SE
Intervention Description
20 ug of LEISH-F3 and 5 ug of GLA-SE adjuvant. 3 injections at Days 0, 28, and 56.
Intervention Type
Biological
Intervention Name(s)
LEISH-F3 alone
Intervention Description
20 ug of LEISH-F3 antigen alone. 3 injections at Days 0, 28, and 56.
Primary Outcome Measure Information:
Title
Number of patients experiencing adverse events.
Description
To evaluate the safety and tolerability of 20 μg of LEISH-F3 together with 2 or 5 μg of GLA-SE compared to 20 µg of LEISH-F3 alone following intramuscular administration on Days 0, 28, and 56. The safety assessments will be based on local and systemic reactions, including reported adverse events, changes in laboratory values, and changes in vital signs. The severity and relationship to treatment will be recorded for all adverse events.
Time Frame
421 days
Secondary Outcome Measure Information:
Title
Immunogenicity
Description
To assess the immunogenicity of LEISH-F3 + GLA-SE compared to LEISH-F3 alone by evaluating IgG antibody and T-cell responses to LEISH-F3 at specified timepoints.
Time Frame
Days 0, 7, 35, 63, 84, and 168.

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: Subjects must meet ALL of the following criteria to be eligible for inclusion in the study: Males and females 18 years to 45 years of age. Must be in good general health as confirmed by a medical history and physical exam. Female subjects of childbearing potential must have a negative serum pregnancy test at screening, a negative urine pregnancy test on the day of each study injection, must not be breast-feeding, and are required to use one of the following methods of contraception during the first 3 months of the study: hormonal (e.g. oral, transdermal, intravaginal, implant, or injection); double barrier (i.e., condom, diaphragm with spermicide); intrauterine device (IUD) or system (IUS); vasectomized partner (6 months minimum); abstinence; or bilateral tubal ligation (if no conception post-procedure). These precautions are necessary due to unknown effects that LEISH-F3 + GLA SE or LEISH-F3 alone might have in a fetus or newborn infant. The following screening laboratory blood tests must have values within the normal ranges or not clinically significant as determined by the PI and Medical Monitor: sodium, potassium, BUN, ALT, AST, total bilirubin, alkaline phosphatase, creatinine, fasting glucose, fasting lipid panel, total WBC count, hemoglobin, and platelet count. The following serology tests must be negative: HIV 1/2 antibody, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody. Negative urine test for recreational drugs and alcohol per Clinical Research Unit standards. Urinalysis not clinically significant as determined by the study clinician. Must be capable of completing a study diary in English. Must give written informed consent, be able and willing to attend all evaluation visits, be reachable by telephone or personal contact by the study site personnel, and have a permanent address. Exclusion Criteria: Subjects who meet ANY of the following criteria will be excluded from the study (ineligible): History of possible infection with Leishmania or previous exposure to Leishmania vaccines or experimental products containing GLA-SE. Veterans who served in the military in the Middle East (Iran, Iraq), Afghanistan, or any other areas endemic to Leishmania. Travelers to, or immigrants from, areas endemic to Leishmania. Participation in another experimental protocol or receipt of any investigational products within the past 3 months. Treatment with immunosuppressive drugs (e.g., oral or injected steroids, such as prednisone; high dose inhaled steroids) or cytotoxic therapies (e.g., chemotherapy drugs or radiation) within the past 6 months. Received a blood transfusion within the past 3 months. Donated blood products (platelets, whole blood, plasma, etc.) within past 1 month. Received any vaccine within past 1 month. Note: No immunizations while on study with the exception of seasonal influenza vaccine which should not be given until 1 month after the third study injection (Day 84). History of autoimmune disease or other causes of immunosuppressive states. History or evidence of any acute or chronic illness (including cardiovascular, pulmonary, neurological, hepatic, rheumatic, hematological, metabolic, or renal disorders, controlled hypertension), or use of medication that, in the opinion of the Principal Investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine. Rash, tattoos or any other dermatological condition that could adversely affect the vaccine injection site or interfere with its evaluation. BMI greater than 30 kg/m2 Hypertension (systolic greater than 150 or diastolic greater than 95). History of significant psychiatric illness with current use of medication. Known or suspected alcohol or drug abuse within the past 6 months. Chronic smoker (less than 20 pack years). Subjects with a history of previous anaphylaxis or severe allergic reaction to vaccines, eggs, or unknown allergens. Subjects who are unlikely to cooperate with the requirements of the study protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Franco Piazza, MD, MPH
Organizational Affiliation
Access to Advanced Health Institute (AAHI)
Official's Role
Study Director
Facility Information:
Facility Name
Comprehensive Clinical Development NW, Inc.
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98418
Country
United States

12. IPD Sharing Statement

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Phase 1 LEISH-F3 Vaccine Trial in Healthy Adult Volunteers

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