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A Phase IIA Trial to Evaluate the Safety and Immunogenicity of a DNA HIV-1 Vaccine Followed by an MVA HIV-1 Vaccine in HIV-uninfected Volunteers

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
DNA.HIVA
MVA.HIVA
MVA.HIVA
MVA.HIVA
Sponsored by
International AIDS Vaccine Initiative
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infections focused on measuring HIV

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria

  1. Healthy males and females;
  2. Age at least 18 years on the day of screening and no greater than 60 years on the day of enrolment;
  3. Available for follow up for the planned duration of the study (screening plus 18 months);
  4. Able to give written informed consent;
  5. Does not engage in risk behaviour as defined by the protocol, willing to undergo HIV testing and receive results;
  6. If sexually active female, using an effective method of contraception (combined oral contraceptive pill; injectable contraceptive; IUCD; condoms; anatomical sterility in self or partner) from screening until at least 4 months after last vaccination and willing to undergo urine pregnancy tests at screening and prior to each vaccination and 4 months after the last vaccination;
  7. If sexually active male, willing to use an effective method of contraception (such as condoms) from screening until 4 months after the last vaccination.

Exclusion Criteria:

  1. Clinically relevant abnormality on history or examination including history of immunodeficiency or use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the designated trial physician in last 6 months;
  2. Presence of any chronic condition;
  3. Any of the following abnormal laboratory parameters that are moderate, severe, or very severe: haematology (haemoglobin, absolute neutrophil count absolute lymphocyte count , absolute CD4 count, platelets); urinalysis, biochemistries (total bilirubin, creatinine, AST, ALT). Volunteers with mild laboratory abnormalities which are judged by the principal investigator or designee to be not clinically significant may be enrolled.
  4. If female, pregnant or planning a pregnancy within 4 months after last vaccination or lactating;
  5. Receipt of live attenuated vaccine within 60 days or other vaccine within 14 days of enrolment;
  6. Receipt of blood transfusion or blood products 6 months prior to enrolment;
  7. Participation in another clinical trial of an investigational product currently or within last 12 weeks or expected participation during this study;
  8. History of severe local or general reaction to vaccination or history of allergic reactions;
  9. History of grand-mal epilepsy, or currently taking anti-epileptics;
  10. Confirmed HIV-1 or HIV-2 seropositive;
  11. Positive for hepatitis B (surface antigen) or confirmed diagnosis of active syphilis at the time of enrolment (RPR positive and TPHA positive or equivalent), positive for hepatitis C antibodies;
  12. Unlikely to comply with protocol. Prior receipt of smallpox vaccination should be documented, but will not be an exclusion criterion.

Sites / Locations

  • KAVI (Kenya AIDS Vaccine Initiative)
  • Guys and St. Thomas' Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A

Group B

Group C

Group D

Group E

Group F

Group G

Groups C2/D2/E2 (Subgroups of C,D,E)

Group F2/G2 (Subgroup of F and G)

Arm Description

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intradermally. Vaccine:Placebo =18/3

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered ID, SC, or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in C2/D2/E2 = 16.

DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered either SC or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in F/G= 29.

Outcomes

Primary Outcome Measures

Safety (local and systemic reactogenicity signs and symptoms, laboratory measures, and adverse events)

Secondary Outcome Measures

Immunogenicity: Proportion of volunteers with HIV-1 specific T-cell responses by ELISPOT assay.

Full Information

First Posted
May 31, 2011
Last Updated
June 9, 2011
Sponsor
International AIDS Vaccine Initiative
Collaborators
Medical Research Council-Oxford, University of Nairobi
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1. Study Identification

Unique Protocol Identification Number
NCT01371175
Brief Title
A Phase IIA Trial to Evaluate the Safety and Immunogenicity of a DNA HIV-1 Vaccine Followed by an MVA HIV-1 Vaccine in HIV-uninfected Volunteers
Official Title
A Randomized, Placebo-Controlled, Dosage-Escalating Phase 2A Study, Double-Blinded With Respect to Assignment to Either Vaccine or Placebo, to Evaluate the Safety and Immunogenicity of a DNA HIV-1 Vaccine Administered Intramuscularly Followed by an MVA HIV-1 Vaccine Administered at Three Different Dosage Levels and by Three Different Routes to HIV-Uninfected, Healthy, Volunteers.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2011
Overall Recruitment Status
Completed
Study Start Date
April 2003 (undefined)
Primary Completion Date
May 2005 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
International AIDS Vaccine Initiative
Collaborators
Medical Research Council-Oxford, University of Nairobi

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and tolerability of plasmid DNA and recombinant MVA (Modified Vaccinia Virus Ankara) in a prime-boost regimen. Approximately 111 volunteers (90 vaccine recipients/21 placebo recipients) will be enrolled at two sites. Approximately 56 volunteers will be enrolled at each site. An over-enrolment of up to 10% (approximately 10 additional volunteers) will be permitted in the study.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
115 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3
Arm Title
Group B
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3
Arm Title
Group C
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intradermally. Vaccine:Placebo =18/3
Arm Title
Group D
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3
Arm Title
Group E
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3
Arm Title
Group F
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3
Arm Title
Group G
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3
Arm Title
Groups C2/D2/E2 (Subgroups of C,D,E)
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered ID, SC, or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in C2/D2/E2 = 16.
Arm Title
Group F2/G2 (Subgroup of F and G)
Arm Type
Experimental
Arm Description
DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered either SC or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in F/G= 29.
Intervention Type
Biological
Intervention Name(s)
DNA.HIVA
Intervention Description
0.5mg DNA.HIVA or placebo
Intervention Type
Biological
Intervention Name(s)
MVA.HIVA
Intervention Description
5x10^6 pfu MVA or placebo
Intervention Type
Biological
Intervention Name(s)
MVA.HIVA
Intervention Description
5x10^7 pfu MVA or placebo
Intervention Type
Biological
Intervention Name(s)
MVA.HIVA
Intervention Description
2.5x10^8 pfu MVA or placebo
Primary Outcome Measure Information:
Title
Safety (local and systemic reactogenicity signs and symptoms, laboratory measures, and adverse events)
Time Frame
18 months
Secondary Outcome Measure Information:
Title
Immunogenicity: Proportion of volunteers with HIV-1 specific T-cell responses by ELISPOT assay.
Time Frame
Day 0, Month 1, Month 2, Month 5, Month 6, Month 8, Month 9, Month 12, Month 18

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Healthy males and females; Age at least 18 years on the day of screening and no greater than 60 years on the day of enrolment; Available for follow up for the planned duration of the study (screening plus 18 months); Able to give written informed consent; Does not engage in risk behaviour as defined by the protocol, willing to undergo HIV testing and receive results; If sexually active female, using an effective method of contraception (combined oral contraceptive pill; injectable contraceptive; IUCD; condoms; anatomical sterility in self or partner) from screening until at least 4 months after last vaccination and willing to undergo urine pregnancy tests at screening and prior to each vaccination and 4 months after the last vaccination; If sexually active male, willing to use an effective method of contraception (such as condoms) from screening until 4 months after the last vaccination. Exclusion Criteria: Clinically relevant abnormality on history or examination including history of immunodeficiency or use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the designated trial physician in last 6 months; Presence of any chronic condition; Any of the following abnormal laboratory parameters that are moderate, severe, or very severe: haematology (haemoglobin, absolute neutrophil count absolute lymphocyte count , absolute CD4 count, platelets); urinalysis, biochemistries (total bilirubin, creatinine, AST, ALT). Volunteers with mild laboratory abnormalities which are judged by the principal investigator or designee to be not clinically significant may be enrolled. If female, pregnant or planning a pregnancy within 4 months after last vaccination or lactating; Receipt of live attenuated vaccine within 60 days or other vaccine within 14 days of enrolment; Receipt of blood transfusion or blood products 6 months prior to enrolment; Participation in another clinical trial of an investigational product currently or within last 12 weeks or expected participation during this study; History of severe local or general reaction to vaccination or history of allergic reactions; History of grand-mal epilepsy, or currently taking anti-epileptics; Confirmed HIV-1 or HIV-2 seropositive; Positive for hepatitis B (surface antigen) or confirmed diagnosis of active syphilis at the time of enrolment (RPR positive and TPHA positive or equivalent), positive for hepatitis C antibodies; Unlikely to comply with protocol. Prior receipt of smallpox vaccination should be documented, but will not be an exclusion criterion.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Barry S. Peters, MD
Organizational Affiliation
Guys and St. Thomas' Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Walter Jaoko
Organizational Affiliation
KAVI (Kenya AIDS Vaccine Initiative)
Official's Role
Principal Investigator
Facility Information:
Facility Name
KAVI (Kenya AIDS Vaccine Initiative)
City
Nairobi
Country
Kenya
Facility Name
Guys and St. Thomas' Hospital
City
London
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
http://www.iavi.org
Description
International AIDS Vaccine Initiative

Learn more about this trial

A Phase IIA Trial to Evaluate the Safety and Immunogenicity of a DNA HIV-1 Vaccine Followed by an MVA HIV-1 Vaccine in HIV-uninfected Volunteers

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