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Phase 1 ID93 + GLA-SE Vaccine Trial in Healthy Adult Volunteers

Primary Purpose

Pulmonary Tuberculosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ID93 + GLA-SE
ID93 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 Pulmonary Tuberculosis focused on measuring Tuberculosis, TB, Pulmonary, Vaccine

Eligibility Criteria

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

Inclusion Criteria:

  • Has completed the written informed consent process prior to start of screening evaluations
  • Male or female who is 18 to 45 years of age at the time of randomization
  • Agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study
  • Agrees to avoid elective surgery for the full duration of the study
  • For female subjects: agrees to avoid pregnancy through Study Day 238. Women 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 an acceptable method of avoiding pregnancy during this period. Acceptable methods of avoiding pregnancy include a sterile sexual partner, sexual abstinence (not engaging in sexual intercourse), hormonal contraceptives (oral, injection, transdermal patch, or implant), vaginal ring, intrauterine device (IUD), condoms or the combination of diaphragm with spermicide
  • Has body mass index (BMI) between 19 and 33 (weight/height2) by nomogram at the time of randomization

Exclusion Criteria:

  • Acute illness at the time of randomization
  • Oral temperature greater than 37.5C (99.5F) at the time of randomization
  • Values for any of the following screening laboratory parameters, from blood collected within 15 days prior to randomization, outside the normal ranges per local laboratory parameters: hemoglobin, hematocrit, absolute neutrophil count, absolute lymphocyte count, white blood cell count, electrolytes, ALT, AST, total bilirubin, alkaline phosphatase (ALP), creatinine, BUN, and lipid profile
  • Evidence of systemic or local disease process on screening urinalysis
  • Evidence of significant active infection
  • Positive laboratory test (e.g., QuantiFERON(R)-TB) evidence of Mtb infection at screening
  • History of treatment for active or latent tuberculosis infection
  • History or evidence of active tuberculosis
  • Has received vaccination or immunotherapy with a BCG product at any time prior to randomization
  • Shared a residence within the last year prior to randomization with an individual on anti-tuberculosis treatment or with culture or smear positive tuberculosis
  • History of or evidence of current hypertension
  • History of autoimmune disease or immunosuppression
  • Used immunosuppressive medication within 42 days before randomization (inhaled and topical corticosteroids are permitted)
  • Received immunoglobulin or blood products within 42 days before randomization
  • Received any investigational drug therapy or investigational vaccine within 182 days before randomization, or planned participation in any other investigational study during the study period
  • Received investigational Mtb vaccine at any time prior to randomization
  • Unable to discontinue current chronic prescription drug therapy including hormone replacement such as thyroxin, insulin, and medications that can be hepatotoxic or toxic to the bone marrow (such as statins) etc (estrogen and progesterone replacement and contraceptives, topical medications, and nasal steroids are acceptable)
  • History or laboratory evidence of immunodeficiency state including but not limited to laboratory indication of HIV 1 infection at screening
  • History of allergic disease or reactions (such as an allergic reaction to eggs), including eczema, likely to be exacerbated by any component of the study vaccine
  • History of allergic reaction to kanamycin-related antibiotics
  • Previous medical history that may compromise the safety of the subject in the study, including but not limited to: severe impairment of pulmonary function from tuberculosis infection or other pulmonary disease; chronic illness with signs of cardiac or renal failure; suspected progressive neurological disease; or uncontrolled epilepsy or infantile spasms
  • History of positive tuberculin skin test
  • Evidence of chronic hepatitis (e.g., hepatitis B core antibody or hepatitis C antibody) at screening
  • History of alcohol or drug abuse within the past 2 years or consumes more than 1 (women) or 2 (men) alcoholic beverage(s) per day
  • Tobacco or cannabis smoking 3 or more days per week
  • History of keloid formation
  • Positive urine test for illicit drugs (opiates, cocaine, amphetamines) at screening
  • History or evidence on physical examination of any systemic disease or any acute or chronic illness that, in the opinion of the investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine, including axillary lymphadenopathy
  • All female subjects: currently pregnant or lactating/nursing; or positive urine pregnancy test during screening or positive urine pregnancy test on the day of study injection
  • Received a tuberculin skin test within 3 months (90 days) prior to the time of randomization
  • Any current medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the subject will comply with the protocol

Sites / Locations

  • Johnson County Clin-Trials

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

2 µg ID93 + 2 µg GLA-SE

10 µg ID93 + 2 µg GLA-SE

2 µg ID93 + 5 µg GLA-SE

10 µg ID93 + 5 µg GLA-SE

2 µg ID93 alone

10 µg ID93 alone

Arm Description

Low dose and antigen and low dose of adjuvant.

High dose of antigen and low dose of adjuvant.

Low dose of antigen and high dose of adjuvant.

High dose of antigen and high dose of adjuvant.

Low dose of antigen alone.

High dose of antigen alone.

Outcomes

Primary Outcome Measures

Number of patients experiencing adverse events.
To evaluate the safety and tolerability of 2 or 10 μg of ID93 together with 2 or 5 μg of GLA-SE compared to 2 or 10 µg of ID93 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 ID93 + GLA-SE compared to ID93 alone by evaluating IgG antibody and T-cell responses to ID93 at specified timepoints.

Full Information

First Posted
May 14, 2012
Last Updated
September 14, 2017
Sponsor
Access to Advanced Health Institute (AAHI)
Collaborators
Aeras, Paul G. Allen Family Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT01599897
Brief Title
Phase 1 ID93 + GLA-SE Vaccine Trial in Healthy Adult Volunteers
Official Title
A Phase 1, Randomized, Dose-escalation Study to Evaluate the Safety and Immunogenicity of the ID93 + GLA-SE Vaccine at Two Dose Levels of the ID93 Antigen and the GLA-SE Adjuvant in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Completed
Study Start Date
August 2012 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Access to Advanced Health Institute (AAHI)
Collaborators
Aeras, Paul G. Allen Family Foundation

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 prevention of pulmonary tuberculosis. The vaccine, identified as ID93 + GLA-SE, consists of the recombinant four-antigen Mycobacterium tuberculosis recombinant protein ID93 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
Pulmonary Tuberculosis
Keywords
Tuberculosis, TB, Pulmonary, Vaccine

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
2 µg ID93 + 2 µg GLA-SE
Arm Type
Experimental
Arm Description
Low dose and antigen and low dose of adjuvant.
Arm Title
10 µg ID93 + 2 µg GLA-SE
Arm Type
Experimental
Arm Description
High dose of antigen and low dose of adjuvant.
Arm Title
2 µg ID93 + 5 µg GLA-SE
Arm Type
Experimental
Arm Description
Low dose of antigen and high dose of adjuvant.
Arm Title
10 µg ID93 + 5 µg GLA-SE
Arm Type
Experimental
Arm Description
High dose of antigen and high dose of adjuvant.
Arm Title
2 µg ID93 alone
Arm Type
Active Comparator
Arm Description
Low dose of antigen alone.
Arm Title
10 µg ID93 alone
Arm Type
Active Comparator
Arm Description
High dose of antigen alone.
Intervention Type
Biological
Intervention Name(s)
ID93 + GLA-SE
Intervention Description
ID93 antigen and GLA-SE adjuvant. 3 injections at Days 0, 28, and 56.
Intervention Type
Biological
Intervention Name(s)
ID93 alone
Intervention Description
ID93 antigen alone. 3 injections and Days 0, 28, and 56.
Primary Outcome Measure Information:
Title
Number of patients experiencing adverse events.
Description
To evaluate the safety and tolerability of 2 or 10 μg of ID93 together with 2 or 5 μg of GLA-SE compared to 2 or 10 µg of ID93 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
420 days
Secondary Outcome Measure Information:
Title
Immunogenicity
Description
To assess the immunogenicity of ID93 + GLA-SE compared to ID93 alone by evaluating IgG antibody and T-cell responses to ID93 at specified timepoints.
Time Frame
Days 0, 1, 3, 7, 14, 28, 42, 56, 70, 84, 238

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: Has completed the written informed consent process prior to start of screening evaluations Male or female who is 18 to 45 years of age at the time of randomization Agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study Agrees to avoid elective surgery for the full duration of the study For female subjects: agrees to avoid pregnancy through Study Day 238. Women 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 an acceptable method of avoiding pregnancy during this period. Acceptable methods of avoiding pregnancy include a sterile sexual partner, sexual abstinence (not engaging in sexual intercourse), hormonal contraceptives (oral, injection, transdermal patch, or implant), vaginal ring, intrauterine device (IUD), condoms or the combination of diaphragm with spermicide Has body mass index (BMI) between 19 and 33 (weight/height2) by nomogram at the time of randomization Exclusion Criteria: Acute illness at the time of randomization Oral temperature greater than 37.5C (99.5F) at the time of randomization Values for any of the following screening laboratory parameters, from blood collected within 15 days prior to randomization, outside the normal ranges per local laboratory parameters: hemoglobin, hematocrit, absolute neutrophil count, absolute lymphocyte count, white blood cell count, electrolytes, ALT, AST, total bilirubin, alkaline phosphatase (ALP), creatinine, BUN, and lipid profile Evidence of systemic or local disease process on screening urinalysis Evidence of significant active infection Positive laboratory test (e.g., QuantiFERON(R)-TB) evidence of Mtb infection at screening History of treatment for active or latent tuberculosis infection History or evidence of active tuberculosis Has received vaccination or immunotherapy with a BCG product at any time prior to randomization Shared a residence within the last year prior to randomization with an individual on anti-tuberculosis treatment or with culture or smear positive tuberculosis History of or evidence of current hypertension History of autoimmune disease or immunosuppression Used immunosuppressive medication within 42 days before randomization (inhaled and topical corticosteroids are permitted) Received immunoglobulin or blood products within 42 days before randomization Received any investigational drug therapy or investigational vaccine within 182 days before randomization, or planned participation in any other investigational study during the study period Received investigational Mtb vaccine at any time prior to randomization Unable to discontinue current chronic prescription drug therapy including hormone replacement such as thyroxin, insulin, and medications that can be hepatotoxic or toxic to the bone marrow (such as statins) etc (estrogen and progesterone replacement and contraceptives, topical medications, and nasal steroids are acceptable) History or laboratory evidence of immunodeficiency state including but not limited to laboratory indication of HIV 1 infection at screening History of allergic disease or reactions (such as an allergic reaction to eggs), including eczema, likely to be exacerbated by any component of the study vaccine History of allergic reaction to kanamycin-related antibiotics Previous medical history that may compromise the safety of the subject in the study, including but not limited to: severe impairment of pulmonary function from tuberculosis infection or other pulmonary disease; chronic illness with signs of cardiac or renal failure; suspected progressive neurological disease; or uncontrolled epilepsy or infantile spasms History of positive tuberculin skin test Evidence of chronic hepatitis (e.g., hepatitis B core antibody or hepatitis C antibody) at screening History of alcohol or drug abuse within the past 2 years or consumes more than 1 (women) or 2 (men) alcoholic beverage(s) per day Tobacco or cannabis smoking 3 or more days per week History of keloid formation Positive urine test for illicit drugs (opiates, cocaine, amphetamines) at screening History or evidence on physical examination of any systemic disease or any acute or chronic illness that, in the opinion of the investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine, including axillary lymphadenopathy All female subjects: currently pregnant or lactating/nursing; or positive urine pregnancy test during screening or positive urine pregnancy test on the day of study injection Received a tuberculin skin test within 3 months (90 days) prior to the time of randomization Any current medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the subject will comply with the 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
First Name & Middle Initial & Last Name & Degree
Anna Marie Beckmann, PhD
Organizational Affiliation
Access to Advanced Health Institute (AAHI)
Official's Role
Study Director
Facility Information:
Facility Name
Johnson County Clin-Trials
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
30210819
Citation
Coler RN, Day TA, Ellis R, Piazza FM, Beckmann AM, Vergara J, Rolf T, Lu L, Alter G, Hokey D, Jayashankar L, Walker R, Snowden MA, Evans T, Ginsberg A, Reed SG; TBVPX-113 Study Team. The TLR-4 agonist adjuvant, GLA-SE, improves magnitude and quality of immune responses elicited by the ID93 tuberculosis vaccine: first-in-human trial. NPJ Vaccines. 2018 Sep 4;3:34. doi: 10.1038/s41541-018-0057-5. eCollection 2018.
Results Reference
derived

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Phase 1 ID93 + GLA-SE Vaccine Trial in Healthy Adult Volunteers

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