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Immunogenicity and Safety of 4 Prime-boost Combinations of HIV Vaccine Candidates in Healthy Volunteers (VRI01)

Primary Purpose

HIV Infection

Status
Completed
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
LIPO-5
MVA HIV-B (MVATG17401)
GTU®-MultiHIV B: 0.5 mL IM via Biojector® 2000 and 0.5mL IntraDermic, 3 shots
Sponsored by
ANRS, Emerging Infectious Diseases
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infection

Eligibility Criteria

21 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Written and signed informed consent
  • Subject at low risk to contract HIV i.e.

    • no history of injecting drug use in the previous ten years;
    • no gonorrhea or syphilis in the last six months;
    • no high risk partner (e.g. injecting drug user, HIV positive partner) either currently or within the past six months ;
    • no unprotected anal intercourse in the last six months, outside a relationship with a regular partner known/presumed to be HIV negative ;
    • no unprotected vaginal intercourse in the last six months outside a relationship with a regular known/presumed HIV negative partner
  • Available for follow-up for the duration of the study (56 weeks from screening)
  • Willing to undergo a HIV test
  • Willing to undergo a genital infection screen
  • If heterosexually active female, using an effective method of contraception with partner (combined oral contraceptive pill; injectable contraceptive; contraceptive implant/patch; IntraUterine Contraceptive Device (IUCD); consistent record with condoms if using these; physiological or anatomical sterility in self or partner) from 14 days prior to the first vaccination until 4 months after the last, and willing to undergo urine pregnancy tests prior to each vaccination
  • If heterosexually active male, using an effective method of contraception with their partner from the first day of vaccination until 4 months after the last vaccination
  • Subject registered in French Health ministry computerised file and authorised to participate in a clinical trial
  • Subject covered by Health Insurance

Exclusion Criteria:

  • Clinically relevant abnormality on history or examination including history of:

    • uncontrolled infection;
    • autoimmune disease;
    • immunodeficiency or use of immunosuppressive drugs within 3 months prior to screening;
    • cancer;
    • chronic diseases requiring long-term treatment whose interruption during the trial has no impact on the health status in the short or long-term
  • Receipt of live attenuated vaccine within 60 days or other vaccine within 14 days prior to W0
  • Planned receipt of other vaccines than those planned by the protocol and those recommended in France (excluding live attenuated vaccines) during the trial follow-up (reference : Weekly Epidemiological Newsletter 14-15 dated on April 10th, 2012 (Bulletin Epidémiologique hebdomadaire 14-15 / 10 avril 2012))
  • Receipt of blood products or immunoglobin within 4 months prior to screening
  • History of severe local or general reaction to vaccination defined as

    • local: extensive, indurated redness and swelling involving most of the antero-lateral thigh or the major circumference of the arm, not resolving within 72 hours
    • general: fever ≥ 39.5°C within 48 hours; anaphylaxis; bronchospasm; laryngeal oedema; collapse; convulsions or encephalopathy within 72 hours
  • Positive for ANA antibodies at a titer considered clinically significant: titer ≥ local cut-off associated with positive anti-native DNA and extractable nuclear antigen antibodies
  • HIV-1 or HIV-2 positive or indeterminate at screening
  • Woman expecting to conceive during the study period
  • Pregnant or breastfeeding woman
  • Symptoms, physical signs or laboratory values suggestive of systemic disorders, including renal, hepatic, cardiovascular, pulmonary, skin, immunodeficiency, psychiatric, which could interfere with the interpretation of the trial results or compromise the health of the volunteers
  • Clinically significant grade 1 routine laboratory parameters
  • Grade 2 or above routine laboratory parameters
  • Known hypersensitivity to aminoglycosides and eggs (as used in the vaccine production processes)
  • Known hypersensitivity to one of the trial vaccine components, the metabolites or formulation excipients
  • Anticipated non-compliance with the protocol
  • Participation in another clinical trial with an on-going exclusion period at screening
  • Participation in a HIV preventive vaccine clinical trial (unless participant were randomized in placebo arm)
  • Subject under legal guardianship or incapacitation
  • Subject who is an active blood donor and unwilling to interrupt blood donations during the his/her participation in the trial

Sites / Locations

  • Service d'Immunologie Clinique 51, avenue du Marechal de Lattre de Tassigny

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

MVA HIV-B and LIPO-5 vaccines

LIPO-5 and MVA HIV-B vaccines

GTU-MultiHIV B and LIPO-5 vaccines

GTU-MultiHIV B and MVA HIV-B vaccines

Arm Description

MVA HIV-B primes 0,5 milliliter (mL) Intramuscular at Week 0 and Week 8 LIPO-5 1mL Intramuscular boosts at Week 20 and Week 28

LIPO-5 primes 1mL intramuscular at Week 0 and Week 8 and MVA HIV-B 0,5mL intramuscular boosts at Week 20 and Week 28

GTU-MultiHIV B 0,5mL intramuscular via Biojector 2000 and 0,5mL intradermic primes at Week 0, Week 4 and Week 12 and LIPO-5 1mL intramuscular boosts at Week 20 and Week 28

GTU-MultiHIV B 0,5mL intramuscular via Biojector 2000 and 0,5mL intradermic primes at Week 0, Week 4 and Week 12 and MVA HIV-B 0,5mL intramuscular boosts at Week 20 and Week 28

Outcomes

Primary Outcome Measures

Evaluation of the safety of MVA HIV-B at Week 2 in arm 1
• Proportion of participants without any grade 3 or 4 adverse events (clinical or biological) related to MVA-vaccine immunisation, reported from Week 0 to Week 2 in arm 1
To discard vaccine strategies with an insufficient level of immunogenicity, defined by HIV-specific IFN-γ-ELISPOT responses, among 4 HIV prophylactic prime-boost combinations in healthy volunteers at low risk of HIV infection
Proportion of participants with a HIV-specific Interferon-gamma Enzyme Linked Immunosorbent SPOT (IFN-γ ELISPOT) response in each of the 4 arms, defined by a positive response to at least one of the stimulating HIV peptide pools (15-mer pools covering Env, Gag, Pol, and Nef) measured in stimulated Peripheral Blood Mononuclear Cell (PBMC) by a standard IFN-γ ELISPOT assay at Week 30, i.e. 2 weeks after the last vaccine immunisation.

Secondary Outcome Measures

To assess the tolerance of each prime-boost combination
Grade 1 or more clinical and laboratory adverse events related to vaccine immunisation: proportion of participants with an event; number, nature, grade and time of occurrence. Any event related to vaccine immunisation, leading to discontinuation of the immunisation regimen: proportion of participants with an event; number, nature, grade and time of occurrence. Grade 3 or 4 clinical and laboratory adverse events, validated by the Endpoint Review Committee, regardless of the relationship to vaccine immunisation: proportion of participants with an event; number, nature, grade and time of occurrence. Serious adverse events, regardless of the relationship to vaccine immunisation: proportion of participants with an event; number, nature, grade and time of occurrence.
To assess for each prime-boost combination the type of vaccine-induced T cell response
In all participants having received at least 1 dose of vaccine: Proportion of HIV-specific IFN-γ-ELISPOT responders Ex-vivo transcriptome analysis In participants having received at least 1 dose of vaccine and a positive IFN-γ-ELISPOT response at the considered timepoint: • Magnitude and breadth of HIV-specific IFN-γ-ELISPOT responses, measured following stimulation of PBMC with HIV-1 peptide pools 2 weeks after each vaccine immunisation. In a random sample of participants, having received at least 1 dose of vaccine, with random sampling stratified on trial arm and ELISPOT response at Week 30: Production of cytokine (IFN- γ, Interleukin-2 (IL-2), Tumor Necrosis Factor-alfa (TNF-alfa)) by HIV-specific Cluster of Differentiation 8 (CD8+) and Cluster of Differentiation 4 (CD4+) T cells Secretion of cytokines by PBMC measured by Luminex® Gene expression profile of PBMC measured by transcriptome analysis

Full Information

First Posted
January 2, 2014
Last Updated
May 31, 2016
Sponsor
ANRS, Emerging Infectious Diseases
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1. Study Identification

Unique Protocol Identification Number
NCT02038842
Brief Title
Immunogenicity and Safety of 4 Prime-boost Combinations of HIV Vaccine Candidates in Healthy Volunteers
Acronym
VRI01
Official Title
Phase I/II Open-label Randomized Multicenter Trial to Assess Immunogenicity and Safety of 4 Prime-boost Combinations of HIV Vaccine Candidates (MVA HIV-B/ LIPO-5; LIPO-5/MVA HIV-B; GTU®-MultiHIV B / LIPO-5; GTU®-MultiHIV B/MVA HIV-B) in Healthy Volunteers at Low Risk of HIV Infection
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Completed
Study Start Date
March 2014 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ANRS, Emerging Infectious Diseases

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The development of a safe and effective HIV-1 vaccine strategy would probably be the best solution for the ultimate control of the worldwide AIDS pandemic. Heterologous prime-boost immunisations are today considered promising HIV prophylactic vaccine strategies. It is thus relevant to pursue the development of different candidate vaccines in prime-boost vaccine strategies to identify the most promising prime-boost combinations and to integrate scientific inquiry into trial protocols from the beginning to maximize learning opportunities.
Detailed Description
Phase I/II, multicenter, national, open-label, randomized trial HIV including 4 prophylactic prime-boost HIV vaccines strategies: Volunteers are randomly allocated in a 1:1:1:1 ratio at trial entry to 4 parallel arms with the following prime-boost strategies: Arm 1. MVA HIV-B primes at Week 0 and Week 8 + LIPO-5 boosts at Week 20 and Week 28 Arm 2. LIPO-5 primes at Week 0 and Week 8 + MVA HIV-B boosts at Week 20 and Week 28 Arm 3. GTU-MultiHIV B primes at Week 0, Week 4 and Week 12 + LIPO-5 boosts at Week 20 and Week 28 Arm 4. GTU-MultiHIV B primes at Week 0, Week 4 and Week 12 + MVA HIV-B boosts at Week 20 and Week 28

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
92 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MVA HIV-B and LIPO-5 vaccines
Arm Type
Experimental
Arm Description
MVA HIV-B primes 0,5 milliliter (mL) Intramuscular at Week 0 and Week 8 LIPO-5 1mL Intramuscular boosts at Week 20 and Week 28
Arm Title
LIPO-5 and MVA HIV-B vaccines
Arm Type
Experimental
Arm Description
LIPO-5 primes 1mL intramuscular at Week 0 and Week 8 and MVA HIV-B 0,5mL intramuscular boosts at Week 20 and Week 28
Arm Title
GTU-MultiHIV B and LIPO-5 vaccines
Arm Type
Experimental
Arm Description
GTU-MultiHIV B 0,5mL intramuscular via Biojector 2000 and 0,5mL intradermic primes at Week 0, Week 4 and Week 12 and LIPO-5 1mL intramuscular boosts at Week 20 and Week 28
Arm Title
GTU-MultiHIV B and MVA HIV-B vaccines
Arm Type
Experimental
Arm Description
GTU-MultiHIV B 0,5mL intramuscular via Biojector 2000 and 0,5mL intradermic primes at Week 0, Week 4 and Week 12 and MVA HIV-B 0,5mL intramuscular boosts at Week 20 and Week 28
Intervention Type
Biological
Intervention Name(s)
LIPO-5
Other Intervention Name(s)
ANRS LIPO-5 vaccine candidate, ANRS MVA HIV-B (MVATG17401) vaccine candidate, FIT Biotech GTU-MultiHIV B vaccine candidate
Intervention Description
LIPO-5: 1mL IntraMuscular, 2 shots;
Intervention Type
Biological
Intervention Name(s)
MVA HIV-B (MVATG17401)
Intervention Description
MVA HIV-B (MVATG17401): 0.5mL IntraMuscular, 2 shots;
Intervention Type
Biological
Intervention Name(s)
GTU®-MultiHIV B: 0.5 mL IM via Biojector® 2000 and 0.5mL IntraDermic, 3 shots
Intervention Description
GTU®-MultiHIV B: 0.5 mL IM via Biojector® 2000 and 0.5mL IntraDermic, 3 shots
Primary Outcome Measure Information:
Title
Evaluation of the safety of MVA HIV-B at Week 2 in arm 1
Description
• Proportion of participants without any grade 3 or 4 adverse events (clinical or biological) related to MVA-vaccine immunisation, reported from Week 0 to Week 2 in arm 1
Time Frame
Visit Week 2
Title
To discard vaccine strategies with an insufficient level of immunogenicity, defined by HIV-specific IFN-γ-ELISPOT responses, among 4 HIV prophylactic prime-boost combinations in healthy volunteers at low risk of HIV infection
Description
Proportion of participants with a HIV-specific Interferon-gamma Enzyme Linked Immunosorbent SPOT (IFN-γ ELISPOT) response in each of the 4 arms, defined by a positive response to at least one of the stimulating HIV peptide pools (15-mer pools covering Env, Gag, Pol, and Nef) measured in stimulated Peripheral Blood Mononuclear Cell (PBMC) by a standard IFN-γ ELISPOT assay at Week 30, i.e. 2 weeks after the last vaccine immunisation.
Time Frame
Visit Week 30
Secondary Outcome Measure Information:
Title
To assess the tolerance of each prime-boost combination
Description
Grade 1 or more clinical and laboratory adverse events related to vaccine immunisation: proportion of participants with an event; number, nature, grade and time of occurrence. Any event related to vaccine immunisation, leading to discontinuation of the immunisation regimen: proportion of participants with an event; number, nature, grade and time of occurrence. Grade 3 or 4 clinical and laboratory adverse events, validated by the Endpoint Review Committee, regardless of the relationship to vaccine immunisation: proportion of participants with an event; number, nature, grade and time of occurrence. Serious adverse events, regardless of the relationship to vaccine immunisation: proportion of participants with an event; number, nature, grade and time of occurrence.
Time Frame
visit Week 52
Title
To assess for each prime-boost combination the type of vaccine-induced T cell response
Description
In all participants having received at least 1 dose of vaccine: Proportion of HIV-specific IFN-γ-ELISPOT responders Ex-vivo transcriptome analysis In participants having received at least 1 dose of vaccine and a positive IFN-γ-ELISPOT response at the considered timepoint: • Magnitude and breadth of HIV-specific IFN-γ-ELISPOT responses, measured following stimulation of PBMC with HIV-1 peptide pools 2 weeks after each vaccine immunisation. In a random sample of participants, having received at least 1 dose of vaccine, with random sampling stratified on trial arm and ELISPOT response at Week 30: Production of cytokine (IFN- γ, Interleukin-2 (IL-2), Tumor Necrosis Factor-alfa (TNF-alfa)) by HIV-specific Cluster of Differentiation 8 (CD8+) and Cluster of Differentiation 4 (CD4+) T cells Secretion of cytokines by PBMC measured by Luminex® Gene expression profile of PBMC measured by transcriptome analysis
Time Frame
Visit Week 30

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Written and signed informed consent Subject at low risk to contract HIV i.e. no history of injecting drug use in the previous ten years; no gonorrhea or syphilis in the last six months; no high risk partner (e.g. injecting drug user, HIV positive partner) either currently or within the past six months ; no unprotected anal intercourse in the last six months, outside a relationship with a regular partner known/presumed to be HIV negative ; no unprotected vaginal intercourse in the last six months outside a relationship with a regular known/presumed HIV negative partner Available for follow-up for the duration of the study (56 weeks from screening) Willing to undergo a HIV test Willing to undergo a genital infection screen If heterosexually active female, using an effective method of contraception with partner (combined oral contraceptive pill; injectable contraceptive; contraceptive implant/patch; IntraUterine Contraceptive Device (IUCD); consistent record with condoms if using these; physiological or anatomical sterility in self or partner) from 14 days prior to the first vaccination until 4 months after the last, and willing to undergo urine pregnancy tests prior to each vaccination If heterosexually active male, using an effective method of contraception with their partner from the first day of vaccination until 4 months after the last vaccination Subject registered in French Health ministry computerised file and authorised to participate in a clinical trial Subject covered by Health Insurance Exclusion Criteria: Clinically relevant abnormality on history or examination including history of: uncontrolled infection; autoimmune disease; immunodeficiency or use of immunosuppressive drugs within 3 months prior to screening; cancer; chronic diseases requiring long-term treatment whose interruption during the trial has no impact on the health status in the short or long-term Receipt of live attenuated vaccine within 60 days or other vaccine within 14 days prior to W0 Planned receipt of other vaccines than those planned by the protocol and those recommended in France (excluding live attenuated vaccines) during the trial follow-up (reference : Weekly Epidemiological Newsletter 14-15 dated on April 10th, 2012 (Bulletin Epidémiologique hebdomadaire 14-15 / 10 avril 2012)) Receipt of blood products or immunoglobin within 4 months prior to screening History of severe local or general reaction to vaccination defined as local: extensive, indurated redness and swelling involving most of the antero-lateral thigh or the major circumference of the arm, not resolving within 72 hours general: fever ≥ 39.5°C within 48 hours; anaphylaxis; bronchospasm; laryngeal oedema; collapse; convulsions or encephalopathy within 72 hours Positive for ANA antibodies at a titer considered clinically significant: titer ≥ local cut-off associated with positive anti-native DNA and extractable nuclear antigen antibodies HIV-1 or HIV-2 positive or indeterminate at screening Woman expecting to conceive during the study period Pregnant or breastfeeding woman Symptoms, physical signs or laboratory values suggestive of systemic disorders, including renal, hepatic, cardiovascular, pulmonary, skin, immunodeficiency, psychiatric, which could interfere with the interpretation of the trial results or compromise the health of the volunteers Clinically significant grade 1 routine laboratory parameters Grade 2 or above routine laboratory parameters Known hypersensitivity to aminoglycosides and eggs (as used in the vaccine production processes) Known hypersensitivity to one of the trial vaccine components, the metabolites or formulation excipients Anticipated non-compliance with the protocol Participation in another clinical trial with an on-going exclusion period at screening Participation in a HIV preventive vaccine clinical trial (unless participant were randomized in placebo arm) Subject under legal guardianship or incapacitation Subject who is an active blood donor and unwilling to interrupt blood donations during the his/her participation in the trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jean-Daniel LELIEVRE Study Chair, Pr
Organizational Affiliation
Hopital Henri Mondor
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Laura RICHERT Methodologist, Dr
Organizational Affiliation
Inserm Unit 897
Official's Role
Principal Investigator
Facility Information:
Facility Name
Service d'Immunologie Clinique 51, avenue du Marechal de Lattre de Tassigny
City
Creteil
ZIP/Postal Code
94010
Country
France

12. IPD Sharing Statement

Learn more about this trial

Immunogenicity and Safety of 4 Prime-boost Combinations of HIV Vaccine Candidates in Healthy Volunteers

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