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Phase 1 LEISH-F3 + SLA-SE Vaccine Trial in Healthy Adult Volunteers

Primary Purpose

Visceral Leishmaniasis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LEISH-F3 + SLA-SE
LEISH-F3 + GLA-SE
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 Visceral Leishmaniasis focused on measuring Leishmaniasis, Visceral leishmaniasis, Vaccine, Adjuvant, GLA, SLA

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Males and females 18 to 49 years of age.
  • Must be in good general health as confirmed by a medical history and physical exam.
  • Female subjects must have a negative serum pregnancy test at screening and a negative urine pregnancy test on the day of each study vaccination, 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 + SLA-SE or LEISH-F3 + GLA-SE might cause in a fetus or newborn infant.
  • The following screening laboratory values must be within the normal ranges or not clinically significant as determined by the PI and Medical Monitor (MM): sodium, potassium, BUN, ALT, AST, total bilirubin, alkaline phosphatase, creatinine, fasting glucose, 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 memory aid in English.
  • Must give informed consent, be able and willing to make all evaluation visits, be reachable by telephone or personal contact by the study site personnel, and have a permanent address.

Exclusion Criteria:

  • History of possible infection with Leishmania or previous exposure to Leishmania vaccines or experimental products containing SLA or GLA.
  • 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 one month.
  • Received any vaccine within past 1 month and no planned immunizations while on study with the exception of seasonal influenza vaccine which should not be given between Day 0-84 or Day 138-168 due to 30-day washout period prior to immunology blood draws.
  • 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, that in the opinion of the Investigator, poses a health risk.
  • Hypertension (systolic >150 or diastolic >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 (> 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

  • Covance, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

20 mcg LEISH-F3 + 5 mcg SLA-SE Vaccine

20 mcg LEISH-F3 + 10 mcg GLA-SE Vaccine

5 mcg LEISH-F3 + 10 mcg GLA-SE Vaccine

20 mcg LEISH-F3 + 10 mcg SLA-SE Vaccine

Arm Description

Three intramuscular injections of LEISH-F3 + SLA-SE at Days 0, 28, and 56. High dose of antigen and low dose of SLA-SE adjuvant.

Three intramuscular injections of LEISH-F3 + GLA-SE at Days 0, 28, and 56. High dose of antigen and high dose of GLA-SE adjuvant.

Three intramuscular injections of LEISH-F3 + GLA-SE at Days 0, 28, and 56. Low dose of antigen and high dose of GLA-SE adjuvant.

Three intramuscular injections of LEISH-F3 + SLA-SE at Days 0, 28, and 56. High dose of antigen and high dose of SLA-SE adjuvant.

Outcomes

Primary Outcome Measures

Number of Adverse Events
Solicited and unsolicited adverse events will be recorded for 28 days following each study injection; serious adverse events and adverse events of special interest will be recorded for the duration of the study.

Secondary Outcome Measures

Immunogenicity
Immunogenicity will be evaluated by measuring humoral and cellular responses to LEISH-F3 + SLA-SE or LEISH-F3 + GLA-SE at specified timepoints.

Full Information

First Posted
February 24, 2014
Last Updated
February 22, 2016
Sponsor
Access to Advanced Health Institute (AAHI)
Collaborators
Bill and Melinda Gates Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT02071758
Brief Title
Phase 1 LEISH-F3 + SLA-SE Vaccine Trial in Healthy Adult Volunteers
Official Title
A Phase 1, Open-Label Clinical Trial to Evaluate the Safety, Tolerability, and Immunogenicity of the LEISH-F3 + SLA-SE Vaccine Compared to LEISH-F3 + GLA-SE Vaccine in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
April 2014 (undefined)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Access to Advanced Health Institute (AAHI)
Collaborators
Bill and Melinda Gates Foundation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to compare the safety, tolerability, and immunogenicity in healthy adult subjects of an investigational vaccine being developed for the prevention of visceral leishmaniasis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Visceral Leishmaniasis
Keywords
Leishmaniasis, Visceral leishmaniasis, Vaccine, Adjuvant, GLA, SLA

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
39 (Actual)

8. Arms, Groups, and Interventions

Arm Title
20 mcg LEISH-F3 + 5 mcg SLA-SE Vaccine
Arm Type
Experimental
Arm Description
Three intramuscular injections of LEISH-F3 + SLA-SE at Days 0, 28, and 56. High dose of antigen and low dose of SLA-SE adjuvant.
Arm Title
20 mcg LEISH-F3 + 10 mcg GLA-SE Vaccine
Arm Type
Experimental
Arm Description
Three intramuscular injections of LEISH-F3 + GLA-SE at Days 0, 28, and 56. High dose of antigen and high dose of GLA-SE adjuvant.
Arm Title
5 mcg LEISH-F3 + 10 mcg GLA-SE Vaccine
Arm Type
Experimental
Arm Description
Three intramuscular injections of LEISH-F3 + GLA-SE at Days 0, 28, and 56. Low dose of antigen and high dose of GLA-SE adjuvant.
Arm Title
20 mcg LEISH-F3 + 10 mcg SLA-SE Vaccine
Arm Type
Experimental
Arm Description
Three intramuscular injections of LEISH-F3 + SLA-SE at Days 0, 28, and 56. High dose of antigen and high dose of SLA-SE adjuvant.
Intervention Type
Biological
Intervention Name(s)
LEISH-F3 + SLA-SE
Intervention Type
Biological
Intervention Name(s)
LEISH-F3 + GLA-SE
Primary Outcome Measure Information:
Title
Number of Adverse Events
Description
Solicited and unsolicited adverse events will be recorded for 28 days following each study injection; serious adverse events and adverse events of special interest will be recorded for the duration of the study.
Time Frame
421 days
Secondary Outcome Measure Information:
Title
Immunogenicity
Description
Immunogenicity will be evaluated by measuring humoral and cellular responses to LEISH-F3 + SLA-SE or LEISH-F3 + GLA-SE 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
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and females 18 to 49 years of age. Must be in good general health as confirmed by a medical history and physical exam. Female subjects must have a negative serum pregnancy test at screening and a negative urine pregnancy test on the day of each study vaccination, 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 + SLA-SE or LEISH-F3 + GLA-SE might cause in a fetus or newborn infant. The following screening laboratory values must be within the normal ranges or not clinically significant as determined by the PI and Medical Monitor (MM): sodium, potassium, BUN, ALT, AST, total bilirubin, alkaline phosphatase, creatinine, fasting glucose, 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 memory aid in English. Must give informed consent, be able and willing to make all evaluation visits, be reachable by telephone or personal contact by the study site personnel, and have a permanent address. Exclusion Criteria: History of possible infection with Leishmania or previous exposure to Leishmania vaccines or experimental products containing SLA or GLA. 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 one month. Received any vaccine within past 1 month and no planned immunizations while on study with the exception of seasonal influenza vaccine which should not be given between Day 0-84 or Day 138-168 due to 30-day washout period prior to immunology blood draws. 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, that in the opinion of the Investigator, poses a health risk. Hypertension (systolic >150 or diastolic >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 (> 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
Anna Marie Beckmann, PhD
Organizational Affiliation
Access to Advanced Health Institute (AAHI)
Official's Role
Study Director
Facility Information:
Facility Name
Covance, Inc.
City
Daytona Beach
State/Province
Florida
ZIP/Postal Code
32117
Country
United States

12. IPD Sharing Statement

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Phase 1 LEISH-F3 + SLA-SE Vaccine Trial in Healthy Adult Volunteers

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