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A Safety and Immunogenicity Trial of IHV01 (FLSC-001)

Primary Purpose

HIV Infection

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
300 ug FLSC vaccine
150 ug FLSC vaccine
75 ug FLSC vaccine
Placebo
Sponsored by
University of Maryland, Baltimore
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infection focused on measuring vaccine, healthy volunteer

Eligibility Criteria

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

Inclusion Criteria:

  1. Age: 18 to 45 years of age.
  2. Sex: Male or Female (female volunteers of child bearing potential must have a negative serum beta human chorionic gonadotropin (b-HCG or pregnancy) test at time of screening and entry into the study and provide assurance of the use of effective(as judged by the investigator) birth control methods or abstinence beginning at least 60 days prior to the study and during the study
  3. Documented HIV-1 negative by ELISA
  4. Be in good general health without clinically significant medical history, physical examination findings, or clinically significant abnormal laboratory results (i.e., chronic medical conditions as noted in the exclusion criteria such as cancer as well as any conditions that in the opinion of the investigator might pose a risk to the volunteer)
  5. No identifiable risk factor for acquisition of HIV infection (i.e., intravenous drug use/needle sharing, unprotected sex with multiple partners)
  6. Negative b-HCG pregnancy test on the day of initial vaccination.
  7. Negative screen for Hepatitis B surface antigen (HBsAg);
  8. Negative screen for antibodies to Hepatitis C virus (Patient may enroll if patient can provide documentation of negative hepatitis C viral load.)
  9. Participant must have a CD4 count ( a type of white blood cells) within the normal range of the clinical laboratory utilized for the study and a CD4 percentage within 20% of the normal range of the clinical laboratory
  10. Laboratory parameters must be within pre-specified limits as defined by exclusion criteria.
  11. Volunteers must be willing and able to provide written informed consent to participate in the study.
  12. Available for at least 48 weeks of follow-up.

Exclusion Criteria:

  1. High risk behavior for acquisition of HIV within 24 weeks of study entry(i.e., intravenous drug use/needle sharing, unprotected sex with multiple partners)
  2. Volunteers with an acute and clinically significant medical event (as determined by the investigator) within the past 30 days of screening.
  3. Have active tuberculosis or other systemic infectious process by review of systems and physical examination
  4. Have a history of immunodeficiency, autoimmune disease, or use of immunosuppressive medications
  5. Current treatment for malignancy other than basal or squamous cell carcinoma of the skin or carcinoma in situ of the cervix
  6. Is pregnant
  7. History of any chronic illness that would interfere with conduct or completion of study(as determined by the investigator)
  8. Have evidence of psychiatric, medical and/or substance abuse problems during the past 24 weeks that the investigator believes would adversely affect the volunteer's ability to participate in the trial
  9. Have occupational or other responsibilities that would prevent completion of participation in the study
  10. Have received any live, attenuated vaccine except rabies vaccine within 60 days of study entry
  11. Vaccine (FDA approved; e.g. influenza, pneumovax, etc) administration within 30 days of immunization with the study vaccine. NOTE: Medically indicated subunit or killed vaccines (e.g., Hepatitis A or Hepatitis B) should be given prior to trial initiation or after completion of the study immunizations. If patient requires immunization, injections should be given more than 2 weeks prior or 2 weeks after study immunization
  12. Have used experimental therapeutic agents within 30 days of study entry
  13. Have received blood products or immunoglobulins in the past 12 weeks
  14. Have a history of anaphylaxis or other serious adverse reactions to vaccines
  15. Have previously received an HIV vaccine
  16. Volunteers with any of the following laboratory parameters at the screening visit (within 30 days of immunization): Hemoglobin <10 (without having received a blood or red blood cell transfusion within 30 days prior to laboratory test); neutrophil count <750 cells/mm3; platelet count <50,000/mm3; serum creatinine > 2.0 mg/dL; aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 3 times the upper limits of normal; total bilirubin > 1.5 mg/dL
  17. Pregnant women or women who are breast-feeding; female volunteers of childbearing potential who are not using or willing to use an effective (as judged by the investigator) barrier contraceptive methods or abstinence while enrolled in this study.
  18. Use of any immune modulators or suppressors within 45 days of study entry including but not limited to agents such as interleukins (e.g. IL-2), interferons (e.g. IFN-*), high dose systemic steroids (e.g. ≥ 20 mg prednisone equivalent/day) for > 30 days, thalidomide, filgrastim (G-CSF), sargramostim (GM-CSF), dinitrochlorobenzene (DNCB), thymosin alpha, thymopentin, inosiplex, polyribonucleoside, ditiocarb sodium, cyclosporin, mycophenolate mofetil, methotrexate, and cancer chemotherapy.
  19. No other investigational agent within 30 days of study entry
  20. Any other condition which, in the opinion of the investigator, might interfere with completion of the study or evaluation of the results
  21. Have active Hepatitis B virus infection (positive HBsAg) or Hepatitis C infection(defined as positive antibodies)

Sites / Locations

  • University of Maryland, Institute of Human Virology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

300 ug FLSC vaccine

150 ug FLSC vaccine

75 ug FLSC vaccine

Placebo

Arm Description

Subjects will be vaccinated with 300 ug FLSC vaccine (highest vaccine dose) on study days 0, 28, 56 and 168.

Subjects will be vaccinated with 150 ug FLSC vaccine (middle vaccine dose) on study days 0, 28, 56 and 168.

Subjects will be vaccinated with 75 ug FLSC vaccine (lowest vaccine dose) on study days 0, 28, 56 and 168.

Subjects will be vaccinated with placebo (control group) on study days 0, 28, 56 and 168.

Outcomes

Primary Outcome Measures

Number of Participants With Local and Systemic Reactogenicity Signs and Symptoms
Signs and symptoms include pain, tenderness, maximum severity of pain and/or tenderness, erythema, induration, fever, malaise/fatigue, myalgia, headache, nausea, vomiting, chills, arthralgia, and maximum severity of systemic symptoms.
Number of Participants With Related Adverse Events
Treatment emergent adverse events assessed by investigator to be either possibly, probably, or definitely related to study treatment. Medical Dictionary for Regulatory Activities (MedDRA) preferred term, severity, and assessed relationship to study products.
Number of Participants With Sustained Decrease in CD4 Count and CD4%.
CD4 count was monitored from baseline and at each study visit through study completion. Baseline CD4 and CD4% levels were calculated by taking the average of the screening and first vaccination visits. The number of individuals who had sustained (2 consecutive time points) 30% decrease in CD4 cell/ul and CD4% from baseline were counted.

Secondary Outcome Measures

Binding Antibody Response Rates to FLSC
Percent of participants with anti-FLSC antibodies as assessed by ELISA by 2 weeks after final vaccination
Binding Antibody Response Rates to BaL-gp120
Percent of participants with anti-gp120 antibodies as assessed by ELISA
Competitive Antibody Rates to CD4i Epitopes
Percent of participants with antibodies competing with A32 or 17b as assessed by ELISA.

Full Information

First Posted
April 17, 2016
Last Updated
November 15, 2021
Sponsor
University of Maryland, Baltimore
Collaborators
Bill and Melinda Gates Foundation, Auro Vaccines LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02756208
Brief Title
A Safety and Immunogenicity Trial of IHV01
Acronym
FLSC-001
Official Title
A Phase I Safety and Immunogenicity Trial of IHV01 in HIV-1 Uninfected Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
November 2015 (Actual)
Primary Completion Date
July 2018 (Actual)
Study Completion Date
July 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Maryland, Baltimore
Collaborators
Bill and Melinda Gates Foundation, Auro Vaccines LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is designed to evaluate the safety of the FLSC vaccine and will be a randomized, placebo-controlled, modified double-blinded dose escalation study in 60 healthy adult volunteers (Human Immunodeficiency Virus-1 uninfected).
Detailed Description
This is a Phase 1 randomized, placebo-controlled, modified double-blinded dose escalation study in 60 healthy adult volunteers who are Human Immunodeficiency Virus-1 (HIV-1) uninfected. Participants in the study will receive 4 injections at 0, 4, 8 and 24 weeks and will be followed for an additional 24 weeks. The total study duration will be 48 weeks. As this is a Phase 1 trial, the primary objective is to document safety of the Full Length Single Chain (FLSC) gp120-CD4 complex vaccine with a secondary objective to evaluate immune responses induced by the vaccine. This vaccine is being evaluated as it is constructed so that the gp120 and CD4 moieties form a stable intra-chain binding interaction that forms a transition state structure that presents conserved, conformational domains involved in the early HIV replication process. It is hypothesized that antibodies directed to these epitopes would be highly cross-reactive and potentially useful for HIV vaccine development.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infection
Keywords
vaccine, healthy volunteer

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
65 (Actual)

8. Arms, Groups, and Interventions

Arm Title
300 ug FLSC vaccine
Arm Type
Experimental
Arm Description
Subjects will be vaccinated with 300 ug FLSC vaccine (highest vaccine dose) on study days 0, 28, 56 and 168.
Arm Title
150 ug FLSC vaccine
Arm Type
Experimental
Arm Description
Subjects will be vaccinated with 150 ug FLSC vaccine (middle vaccine dose) on study days 0, 28, 56 and 168.
Arm Title
75 ug FLSC vaccine
Arm Type
Experimental
Arm Description
Subjects will be vaccinated with 75 ug FLSC vaccine (lowest vaccine dose) on study days 0, 28, 56 and 168.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects will be vaccinated with placebo (control group) on study days 0, 28, 56 and 168.
Intervention Type
Biological
Intervention Name(s)
300 ug FLSC vaccine
Other Intervention Name(s)
Full length single chain gp120-CD4 complex vaccine
Intervention Description
FLSC vaccine 300 ug (1.0 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168
Intervention Type
Biological
Intervention Name(s)
150 ug FLSC vaccine
Other Intervention Name(s)
Full length single chain gp120-CD4 complex vaccine
Intervention Description
FLSC vaccine 150 ug (0.5 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168
Intervention Type
Biological
Intervention Name(s)
75 ug FLSC vaccine
Other Intervention Name(s)
Full length single chain gp120-CD4 complex vaccine
Intervention Description
FLSC vaccine 75 ug (0.25 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168
Intervention Type
Biological
Intervention Name(s)
Placebo
Other Intervention Name(s)
sterile saline
Intervention Description
Placebo sterile saline (0.25 - 1.0 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168
Primary Outcome Measure Information:
Title
Number of Participants With Local and Systemic Reactogenicity Signs and Symptoms
Description
Signs and symptoms include pain, tenderness, maximum severity of pain and/or tenderness, erythema, induration, fever, malaise/fatigue, myalgia, headache, nausea, vomiting, chills, arthralgia, and maximum severity of systemic symptoms.
Time Frame
48 weeks
Title
Number of Participants With Related Adverse Events
Description
Treatment emergent adverse events assessed by investigator to be either possibly, probably, or definitely related to study treatment. Medical Dictionary for Regulatory Activities (MedDRA) preferred term, severity, and assessed relationship to study products.
Time Frame
48 weeks
Title
Number of Participants With Sustained Decrease in CD4 Count and CD4%.
Description
CD4 count was monitored from baseline and at each study visit through study completion. Baseline CD4 and CD4% levels were calculated by taking the average of the screening and first vaccination visits. The number of individuals who had sustained (2 consecutive time points) 30% decrease in CD4 cell/ul and CD4% from baseline were counted.
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Binding Antibody Response Rates to FLSC
Description
Percent of participants with anti-FLSC antibodies as assessed by ELISA by 2 weeks after final vaccination
Time Frame
2 weeks after 4th (last) vaccination.
Title
Binding Antibody Response Rates to BaL-gp120
Description
Percent of participants with anti-gp120 antibodies as assessed by ELISA
Time Frame
2 weeks after 4th (last) vaccination
Title
Competitive Antibody Rates to CD4i Epitopes
Description
Percent of participants with antibodies competing with A32 or 17b as assessed by ELISA.
Time Frame
2 weeks after 4th (last) vaccination

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: Age: 18 to 45 years of age. Sex: Male or Female (female volunteers of child bearing potential must have a negative serum beta human chorionic gonadotropin (b-HCG or pregnancy) test at time of screening and entry into the study and provide assurance of the use of effective(as judged by the investigator) birth control methods or abstinence beginning at least 60 days prior to the study and during the study Documented HIV-1 negative by ELISA Be in good general health without clinically significant medical history, physical examination findings, or clinically significant abnormal laboratory results (i.e., chronic medical conditions as noted in the exclusion criteria such as cancer as well as any conditions that in the opinion of the investigator might pose a risk to the volunteer) No identifiable risk factor for acquisition of HIV infection (i.e., intravenous drug use/needle sharing, unprotected sex with multiple partners) Negative b-HCG pregnancy test on the day of initial vaccination. Negative screen for Hepatitis B surface antigen (HBsAg); Negative screen for antibodies to Hepatitis C virus (Patient may enroll if patient can provide documentation of negative hepatitis C viral load.) Participant must have a CD4 count ( a type of white blood cells) within the normal range of the clinical laboratory utilized for the study and a CD4 percentage within 20% of the normal range of the clinical laboratory Laboratory parameters must be within pre-specified limits as defined by exclusion criteria. Volunteers must be willing and able to provide written informed consent to participate in the study. Available for at least 48 weeks of follow-up. Exclusion Criteria: High risk behavior for acquisition of HIV within 24 weeks of study entry(i.e., intravenous drug use/needle sharing, unprotected sex with multiple partners) Volunteers with an acute and clinically significant medical event (as determined by the investigator) within the past 30 days of screening. Have active tuberculosis or other systemic infectious process by review of systems and physical examination Have a history of immunodeficiency, autoimmune disease, or use of immunosuppressive medications Current treatment for malignancy other than basal or squamous cell carcinoma of the skin or carcinoma in situ of the cervix Is pregnant History of any chronic illness that would interfere with conduct or completion of study(as determined by the investigator) Have evidence of psychiatric, medical and/or substance abuse problems during the past 24 weeks that the investigator believes would adversely affect the volunteer's ability to participate in the trial Have occupational or other responsibilities that would prevent completion of participation in the study Have received any live, attenuated vaccine except rabies vaccine within 60 days of study entry Vaccine (FDA approved; e.g. influenza, pneumovax, etc) administration within 30 days of immunization with the study vaccine. NOTE: Medically indicated subunit or killed vaccines (e.g., Hepatitis A or Hepatitis B) should be given prior to trial initiation or after completion of the study immunizations. If patient requires immunization, injections should be given more than 2 weeks prior or 2 weeks after study immunization Have used experimental therapeutic agents within 30 days of study entry Have received blood products or immunoglobulins in the past 12 weeks Have a history of anaphylaxis or other serious adverse reactions to vaccines Have previously received an HIV vaccine Volunteers with any of the following laboratory parameters at the screening visit (within 30 days of immunization): Hemoglobin <10 (without having received a blood or red blood cell transfusion within 30 days prior to laboratory test); neutrophil count <750 cells/mm3; platelet count <50,000/mm3; serum creatinine > 2.0 mg/dL; aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 3 times the upper limits of normal; total bilirubin > 1.5 mg/dL Pregnant women or women who are breast-feeding; female volunteers of childbearing potential who are not using or willing to use an effective (as judged by the investigator) barrier contraceptive methods or abstinence while enrolled in this study. Use of any immune modulators or suppressors within 45 days of study entry including but not limited to agents such as interleukins (e.g. IL-2), interferons (e.g. IFN-*), high dose systemic steroids (e.g. ≥ 20 mg prednisone equivalent/day) for > 30 days, thalidomide, filgrastim (G-CSF), sargramostim (GM-CSF), dinitrochlorobenzene (DNCB), thymosin alpha, thymopentin, inosiplex, polyribonucleoside, ditiocarb sodium, cyclosporin, mycophenolate mofetil, methotrexate, and cancer chemotherapy. No other investigational agent within 30 days of study entry Any other condition which, in the opinion of the investigator, might interfere with completion of the study or evaluation of the results Have active Hepatitis B virus infection (positive HBsAg) or Hepatitis C infection(defined as positive antibodies)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Charles E Davis, M.D.
Organizational Affiliation
Institute of Human Virology
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Maryland, Institute of Human Virology
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

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A Safety and Immunogenicity Trial of IHV01

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