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A Heterologous Protein Prime/MVA Boost Therapeutic Hepatitis B Vaccine Candidate

Primary Purpose

Chronic Hepatitis B

Status
Not yet recruiting
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
HEPLISAV B; TherVacB
TherVacB
Sponsored by
Universitätsklinikum Hamburg-Eppendorf
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Key inclusion criteria: Ability to understand the subject information and to personally name, sign and date the informed consent to participate in the clinical trial. Provided written informed consent. Healthy male and female subjects aged 18-65 years at time of informed consent. No clinically significant health problems as determined during medical history and physical examination and clinical laboratory results at screening visit. The following laboratory parameters should be within normal limits: WBC, ANC, platelets. AST and ALT should be ≤ULN, CrCL >60mL/min and total bilirubin should not exceed 1,5 x ULN. Non-clinically significant, minor deviations of laboratory measurements can be tolerated as they will not increase the risk of the individual having an adverse outcome from participating in this clinical trial as judged by the investigator. Participant may be on chronic or as needed medications if, in the opinion of the investigator, they pose no additional risk to participant safety or assessment of reactogenicity and immunogenicity and do not indicate worsening of a pre-existing medical condition. Body mass index 18.5-32.0 kg/m2 and weight >50 kg at screening. Women of child-bearing potential (WOCBP) only: non-pregnant, non-lactating women with negative pregnancy test. WOCBP who agree to comply with the applicable contraceptive requirements of the protocol. Key exclusion criteria: Receipt of any vaccine in the 2 weeks prior to first trial vaccination (4 weeks for live vaccines), during trial or planned receipt of any vaccine in the 3 weeks following last trial vaccination. Exception: Required recommended pandemic vaccines are allowed. Previous hepatitis B vaccination or an anti-HBs positive serum status. Smallpox vaccination or immunization with a poxvirus-based viral vector. A suspected or confirmed monkeypox infection within the last 10 years. Known allergy to components of the vaccine products (incl. hypersensitivity to yeast) or history of life-threatening reactions to vaccines containing one of the substances. Known history of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the trial vaccines. History of previous HBV infection (serostatus: anti-HBc negative). Clinically relevant findings in ECG or significant thromboembolic events in medical history. Evidence for a condition in the subject's medical history or during medical examination that might influence either the safety of the subject or the absorption, distribution, metabolism or excretion of vaccine pro-ducts. Any confirmed or suspected immunosuppressive or immunodeficient condition, cytotoxic therapy in the previous 5 years. Any chronic or active neurologic disorder, including seizures, and epilepsy, excluding a febrile seizure as a child and occasional migraine headaches. -

Sites / Locations

  • CTC North

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Arm A0

Arm B0.1

Arm B0.2

Arm C0.1

Arm C0.2

Arm C0.3

Arm Description

HEPLISAV B® and MVA-HBVac high dose

HEPLISAV B® & HBcoreAg low dose and MVA-HBVac low dose

2 x HEPLISAV B® & HBcoreAg medium and MVA-HBVac high dose

HBsAg high dose & HBcoreAg high dose and MVA-HBVac high dose

HBsAg medium dose + adjuvant low dose & HBcoreAg medium dose and MVA-HBVac high dose

HBsAg high dose + adjuvant high dose & HBcoreAg high dose and MVA-HBVac high dose

Outcomes

Primary Outcome Measures

occurence of solicited local reactogenicity signs and symptoms (AEs)
numerbers of solicited AEs for 7 days after each vaccination
occurence of unsolicited local reactogenicity signs and symptoms
numbers of of unsolicited AEs for 28 days after each vaccination
changes of safety laboratory measures
changes of values from safety laboratory measures from baseline
nature, frequency and severity of adverse events associated with the vaccine
numbers and severity grade of SAEs throughout the period of the clinical trial

Secondary Outcome Measures

Magnitude of anti-HBs antibody responses
determined by an accredited serological immuno-assay
Percentage of participants who seroconvert to anti-HBs (>10 IU/l), anti-HBc or anti-HBs and anti-HBc
determined by an accredited serological immuno-assay
Magnitude of HBV-specific T-cell responses
determined by cytokine release assays

Full Information

First Posted
November 6, 2022
Last Updated
April 22, 2023
Sponsor
Universitätsklinikum Hamburg-Eppendorf
Collaborators
German Center for Infection Research, Clinical Trial Center North (CTC North GmbH), Medical Biometry and Epidemiology_- Universitätsklinikum Hamburg Eppendorf, Helmholtz Zentrum München, Fraunhofer Gesellschaft, Institute of Virology Helmholtz Zentrum München (HMGU)
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1. Study Identification

Unique Protocol Identification Number
NCT05727267
Brief Title
A Heterologous Protein Prime/MVA Boost Therapeutic Hepatitis B Vaccine Candidate
Official Title
TherVacB_Phase1a: Open Single Center Phase 1a Trial to Assess the Safety and Immunogenicity of a Heterologous Protein Prime/MVA Boost Therapeutic Hepatitis B Vaccine Candidate in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
May 2023 (Anticipated)
Primary Completion Date
June 2024 (Anticipated)
Study Completion Date
August 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Universitätsklinikum Hamburg-Eppendorf
Collaborators
German Center for Infection Research, Clinical Trial Center North (CTC North GmbH), Medical Biometry and Epidemiology_- Universitätsklinikum Hamburg Eppendorf, Helmholtz Zentrum München, Fraunhofer Gesellschaft, Institute of Virology Helmholtz Zentrum München (HMGU)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is a single-center, open-label, ascending dose phase 1a trial to assess the safety and immunogenicity of a heterologous protein prime/MVA boost therapeutic hepatitis B vaccine
Detailed Description
The clinical trial is divided into two overlapping parts (part I and part II) in 24 healthy male and female subjects aged 18-65 years. Part I (N = 11) Protein prime vaccinations two times (day 0 and 28) and MVA based boost vaccination 1 x (day 56) 3 subjects will be allocated to A0 and receive HEPLISAV B® and a boost with MVA-HBVac high dose 3 subjects will be allocated to B0.1 and receive HEPLISAV B® & HBcoreAg low dose and a boost with MVA-HBVac low dose 5 subjects will be allocated to B0.2 and receive 2 x HEPLISAV B® & HBcoreAg medium dose and a boost with MVA-HBVac high dose Part II (N = 13) Protein prime vaccinations two times (day 0 and 28) and MVA based boost with MVA-HBVac high dose on day 56 3 subjects will be allocated to C0.1 and receive HBsAg high dose & HBcoreAg high dose plus boost 5 subjects will be allocated to C0.2 and receive HBsAg medium dose + adjuvant low dose & HBcoreAg medium dose plus boost 5 subjects will be allocated to C0.3 and receive HBsAg high dose + adjuvant high dose &HBcoreAg high dose plus boost

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis B

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Arm A0
Arm Type
Experimental
Arm Description
HEPLISAV B® and MVA-HBVac high dose
Arm Title
Arm B0.1
Arm Type
Experimental
Arm Description
HEPLISAV B® & HBcoreAg low dose and MVA-HBVac low dose
Arm Title
Arm B0.2
Arm Type
Experimental
Arm Description
2 x HEPLISAV B® & HBcoreAg medium and MVA-HBVac high dose
Arm Title
Arm C0.1
Arm Type
Experimental
Arm Description
HBsAg high dose & HBcoreAg high dose and MVA-HBVac high dose
Arm Title
Arm C0.2
Arm Type
Experimental
Arm Description
HBsAg medium dose + adjuvant low dose & HBcoreAg medium dose and MVA-HBVac high dose
Arm Title
Arm C0.3
Arm Type
Experimental
Arm Description
HBsAg high dose + adjuvant high dose & HBcoreAg high dose and MVA-HBVac high dose
Intervention Type
Biological
Intervention Name(s)
HEPLISAV B; TherVacB
Intervention Description
Administration of the described combinations via the intramuscular route
Intervention Type
Biological
Intervention Name(s)
TherVacB
Intervention Description
Administration of the described combinations via the intramuscular route
Primary Outcome Measure Information:
Title
occurence of solicited local reactogenicity signs and symptoms (AEs)
Description
numerbers of solicited AEs for 7 days after each vaccination
Time Frame
up to day 63
Title
occurence of unsolicited local reactogenicity signs and symptoms
Description
numbers of of unsolicited AEs for 28 days after each vaccination
Time Frame
up to day 84
Title
changes of safety laboratory measures
Description
changes of values from safety laboratory measures from baseline
Time Frame
up to day 224
Title
nature, frequency and severity of adverse events associated with the vaccine
Description
numbers and severity grade of SAEs throughout the period of the clinical trial
Time Frame
up to day 224
Secondary Outcome Measure Information:
Title
Magnitude of anti-HBs antibody responses
Description
determined by an accredited serological immuno-assay
Time Frame
day 0,day 7,day 28,day 35,day 56,day 63,day 70,day 84,day 224
Title
Percentage of participants who seroconvert to anti-HBs (>10 IU/l), anti-HBc or anti-HBs and anti-HBc
Description
determined by an accredited serological immuno-assay
Time Frame
day 0,day 7,day 28,day 35,day 56,day 63,day 70,day 84,day 224
Title
Magnitude of HBV-specific T-cell responses
Description
determined by cytokine release assays
Time Frame
day 0,day 7,day 28,day 35,day 56,day 63,day 70,day 84,day 224

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key inclusion criteria: Ability to understand the subject information and to personally name, sign and date the informed consent to participate in the clinical trial. Provided written informed consent. Healthy male and female subjects aged 18-65 years at time of informed consent. No clinically significant health problems as determined during medical history and physical examination and clinical laboratory results at screening visit. The following laboratory parameters should be within normal limits: WBC, ANC, platelets. AST and ALT should be ≤ULN, CrCL >60mL/min and total bilirubin should not exceed 1,5 x ULN. Non-clinically significant, minor deviations of laboratory measurements can be tolerated as they will not increase the risk of the individual having an adverse outcome from participating in this clinical trial as judged by the investigator. Participant may be on chronic or as needed medications if, in the opinion of the investigator, they pose no additional risk to participant safety or assessment of reactogenicity and immunogenicity and do not indicate worsening of a pre-existing medical condition. Body mass index 18.5-32.0 kg/m2 and weight >50 kg at screening. Women of child-bearing potential (WOCBP) only: non-pregnant, non-lactating women with negative pregnancy test. WOCBP who agree to comply with the applicable contraceptive requirements of the protocol. Key exclusion criteria: Receipt of any vaccine in the 2 weeks prior to first trial vaccination (4 weeks for live vaccines), during trial or planned receipt of any vaccine in the 3 weeks following last trial vaccination. Exception: Required recommended pandemic vaccines are allowed. Previous hepatitis B vaccination or an anti-HBs positive serum status. Smallpox vaccination or immunization with a poxvirus-based viral vector. A suspected or confirmed monkeypox infection within the last 10 years. Known allergy to components of the vaccine products (incl. hypersensitivity to yeast) or history of life-threatening reactions to vaccines containing one of the substances. Known history of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the trial vaccines. History of previous HBV infection (serostatus: anti-HBc negative). Clinically relevant findings in ECG or significant thromboembolic events in medical history. Evidence for a condition in the subject's medical history or during medical examination that might influence either the safety of the subject or the absorption, distribution, metabolism or excretion of vaccine pro-ducts. Any confirmed or suspected immunosuppressive or immunodeficient condition, cytotoxic therapy in the previous 5 years. Any chronic or active neurologic disorder, including seizures, and epilepsy, excluding a febrile seizure as a child and occasional migraine headaches. -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Marylyn M Addo, Prof
Phone
+49 40 7410 51102
Email
sekretariataddo@uke.de
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Marylyn M Addo, Prof
Organizational Affiliation
Universitätsklinikum Hamburg-Eppendorf
Official's Role
Principal Investigator
Facility Information:
Facility Name
CTC North
City
Hamburg
ZIP/Postal Code
20251
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No

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A Heterologous Protein Prime/MVA Boost Therapeutic Hepatitis B Vaccine Candidate

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