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Evaluation of Safety, Tolerability, and Immunogenicity Study of GLS-6150 in Healthy Volunteers and in Persons Previously Treated for Hepatitis C Virus Infection

Primary Purpose

HCV Infection

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
GLS-6150
Sponsored by
GeneOne Life Science, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HCV Infection focused on measuring Hepatitis C Virus, HCV, Vaccine, DNA

Eligibility Criteria

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

Inclusion Criteria:

  1. Age 19-65 years;
  2. HCV seronegative (Group 1 only), HCV seropositive (Groups 2, 3, 4 only)
  3. Prior treatment for genotype 1a or 1b Hepatitis C infection with treatment ending (12 weeks after end of DAA treatment, 24 weeks after end of combination treatment with Ribavirin/Interferon) prior to study enrollment and with documented achievement of HCV viral clearance (multiple episodes of treatment for Hepatitis C are allowed, Groups 2, 3, 4 only)
  4. Hepatitis C virus PCR negative at screen
  5. Able to provide consent to participate and having signed an Informed Consent Form (ICF);
  6. Able and willing to comply with all study procedures;
  7. Women of child-bearing potential agree to use medically effective contraception (oral contraception, barrier methods, spermicide, etc.) or have a partner who is sterile during this trial, or have a partner who is medically unable to induce pregnancy.
  8. Normal screening ECG or screening ECG with no clinically significant findings;
  9. Screening laboratory must be within normal limits or have only Grade 0-1 findings;
  10. No history of clinically significant immunosuppressive or autoimmune disease.
  11. Not currently or within the previous 4 weeks taking immunosuppressive agents (excluding inhaled, topical skin and/or eye drop-containing corticosteroids, low-dose methotrexate, or prednisone at a dose less than 10 mg/day, or a steroid equivalent).

Exclusion Criteria:

  1. Administration of an investigational compound either currently or within 3 months of first dose;
  2. Administration of any vaccine (excluding influenza vaccination) within 4 weeks of first dose;
  3. Administration of any monoclonal or polyclonal antibody product within 4 weeks of the first dose
  4. Administration of any blood product within 3 months of first dose;
  5. Pregnancy or breast feeding or plans to become pregnant during the course of the study;
  6. History of positive serologic test for HIV, hepatitis B surface antigen (HBsAg); or any potentially communicable infectious disease as determined by the Principal Investigator or Medical Monitor;
  7. Positive Hepatitis C serology performed at baseline (Group 1 only)
  8. Positive screening PCR test for hepatitis C virus;
  9. History of HCV infection with other than genotype 1a or 1b (Group 2, 3 and 4 only)
  10. Baseline evidence of kidney disease as measured by creatinine greater than 1.5 mg/dL
  11. Baseline screening lab(s) with Grade 2 or higher abnormality;
  12. Chronic liver disease, cirrhosis, hemochromatosis, Wilson's disease, alcoholic liver disease, autoimmune hepatitis, or α-1 antitrypsin deficiency(In case of cirrhosis, the person who has been judged F4 grade in Fibroscan);
  13. Immunosuppressive illness including hematologic malignancy, history of solid organ or bone marrow transplantation;
  14. Current or anticipated concomitant immunosuppressive therapy (excluding inhaled, topical skin and/or eye drop-containing corticosteroids, low-dose methotrexate, or prednisone at a dose equal to or greater than 10 mg/day, or steroid equivalent);
  15. Current or anticipated treatment with TNF-α inhibitors such as infliximab, adalimumab, etanercept;
  16. Prior major surgery or any radiation therapy within 4 weeks of the first vaccination;
  17. Any pre-excitation syndromes, e.g., Wolff-Parkinson-White syndrome; history of PSVT syndrome, history of prolonged QT syndrome;
  18. Presence of a cardiac pacemaker or automatic implantable cardioverter defibrillator (AICD)
  19. Metal implants within 20 cm of the planned site(s) of injection;
  20. Presence of keloid scar formation or hypertrophic scar as a clinically significant medical condition at the planned site(s) of injection.
  21. Prisoner or subjects who are compulsorily detained (involuntary incarceration) for treatment of either a physical or psychiatric illness;
  22. Active drug or alcohol use or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements or assessment of immunologic endpoints; or
  23. Not willing to allow storage and future use of samples for Hepatitis C virus related research
  24. Any illness or condition that in the opinion of the investigator may affect the safety of the subject or the evaluation of any study endpoint.

Sites / Locations

  • Pusan National University Hospital
  • Yonsei University Health System, Severance Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1

Group 2

Group 3

Group 4

Arm Description

GLS-6150 at 2.0 mg DNA/dose (3 dose prime plus boost)

GLS-6150 at 1.0 mg DNA/dose (3 dose prime plus boost)

GLS-6150 at 2.0 mg DNA/dose(3 dose prime plus boost)

GLS-6150 at 2.0 mg DNA/dose(2 dose prime plus boost)

Outcomes

Primary Outcome Measures

Incidence of adverse events
Administration (injection) site reactions
Changes in safety laboratory parameters described by frequency and severity grade

Secondary Outcome Measures

Antigen specific cellular immune responses to Hepatitis C virus as determined by Interferon-gamma (IFN-γ) ELISpot and/or FACS assay
Binding antibody titers to the HCV non-structural proteins (NS3, NS4, NS5) measured by ELISA

Full Information

First Posted
September 14, 2018
Last Updated
May 22, 2020
Sponsor
GeneOne Life Science, Inc.
Collaborators
Inovio Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03674125
Brief Title
Evaluation of Safety, Tolerability, and Immunogenicity Study of GLS-6150 in Healthy Volunteers and in Persons Previously Treated for Hepatitis C Virus Infection
Official Title
A Multi-center, Open-label, Dose-ranging, Phase 1 Study to Evaluate the Safety, Tolerability, and Immunogenicity of GLS-6150, Administered ID and Followed by Cellectra® 2000 Healthy Adults and in Persons Previously Treated for Hepatitis C Virus Infection.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Completed
Study Start Date
September 4, 2018 (Actual)
Primary Completion Date
April 7, 2020 (Actual)
Study Completion Date
May 4, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GeneOne Life Science, Inc.
Collaborators
Inovio Pharmaceuticals

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
Hepatitis C virus (HCV) is an enveloped, single strand, positive sense RNA flavivirus. Infection by HCV is typically chronic, although an estimated ~10-20% may spontaneously clear the virus. HCV affects between 1.3 - 2 billion individuals, or 2-3% of the global population. HCV has a seroprevalence of approximately 1% in developed countries such as the US and Korea. Chronic HCV infection leads to hepatic fibrosis and cirrhosis. This Phase I study will evaluate the safety, tolerability and immunogenicity of GLS-6150 administered intradermally (ID) followed by electroporation at 1.0 mg and 2.0 mg/dose assessing 3 and 4-dose regimens.
Detailed Description
HCV-003 will assess the safety and immunogenicity of GLS-6150 in those previously treated for HCV infection and who have achieved a sustained virologic response (SVR). This study will provide information as to whether GLS-6150 may be useful to prevent re-infection for those successfully cleared of HCV infection. GLS-6150 is a DNA plasmid vaccine that expresses the NS3/4A gene of HCV, NS4B gene of HCV, the NS5A gene of HCV and IL-28B. GLS-6150 will be administered at one of two dose levels (1 mg or 2 mg) and given as a 2 or 3 vaccination priming regimen with a boost vaccination given at 6 months. Immune T cell and serologic responses will be determined after each dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HCV Infection
Keywords
Hepatitis C Virus, HCV, Vaccine, DNA

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
GLS-6150 at 2.0 mg DNA/dose (3 dose prime plus boost)
Arm Title
Group 2
Arm Type
Experimental
Arm Description
GLS-6150 at 1.0 mg DNA/dose (3 dose prime plus boost)
Arm Title
Group 3
Arm Type
Experimental
Arm Description
GLS-6150 at 2.0 mg DNA/dose(3 dose prime plus boost)
Arm Title
Group 4
Arm Type
Experimental
Arm Description
GLS-6150 at 2.0 mg DNA/dose(2 dose prime plus boost)
Intervention Type
Biological
Intervention Name(s)
GLS-6150
Intervention Description
Group 1: GLS-6150 2.0 mg at 0, 4, 12, and 24 weeks (N=8, healthy volunteers); Group 2: GLS-6150 1.0 mg at 0, 4, 12, and 24 weeks (N=8, previously treated for HCV infection); Group 3: GLS-6150 2.0 mg at 0, 4, 12, and 24 weeks (N=8, previously treated for HCV infection); Group 4: GLS-6150 2.0 mg at 0, 8, and 24 weeks (N=8, previously treated for HCV infection)
Primary Outcome Measure Information:
Title
Incidence of adverse events
Time Frame
Day0 through up to 28 weeks
Title
Administration (injection) site reactions
Time Frame
Day0 through up to 28 weeks
Title
Changes in safety laboratory parameters described by frequency and severity grade
Time Frame
Day0 through up to 28 weeks
Secondary Outcome Measure Information:
Title
Antigen specific cellular immune responses to Hepatitis C virus as determined by Interferon-gamma (IFN-γ) ELISpot and/or FACS assay
Time Frame
Day0 through up to 28 weeks
Title
Binding antibody titers to the HCV non-structural proteins (NS3, NS4, NS5) measured by ELISA
Time Frame
Day0 through up to 28 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 19-65 years; HCV seronegative (Group 1 only), HCV seropositive (Groups 2, 3, 4 only) Prior treatment for genotype 1a or 1b Hepatitis C infection with treatment ending (12 weeks after end of DAA treatment, 24 weeks after end of combination treatment with Ribavirin/Interferon) prior to study enrollment and with documented achievement of HCV viral clearance (multiple episodes of treatment for Hepatitis C are allowed, Groups 2, 3, 4 only) Hepatitis C virus PCR negative at screen Able to provide consent to participate and having signed an Informed Consent Form (ICF); Able and willing to comply with all study procedures; Women of child-bearing potential agree to use medically effective contraception (oral contraception, barrier methods, spermicide, etc.) or have a partner who is sterile during this trial, or have a partner who is medically unable to induce pregnancy. Normal screening ECG or screening ECG with no clinically significant findings; Screening laboratory must be within normal limits or have only Grade 0-1 findings; No history of clinically significant immunosuppressive or autoimmune disease. Not currently or within the previous 4 weeks taking immunosuppressive agents (excluding inhaled, topical skin and/or eye drop-containing corticosteroids, low-dose methotrexate, or prednisone at a dose less than 10 mg/day, or a steroid equivalent). Exclusion Criteria: Administration of an investigational compound either currently or within 3 months of first dose; Administration of any vaccine (excluding influenza vaccination) within 4 weeks of first dose; Administration of any monoclonal or polyclonal antibody product within 4 weeks of the first dose Administration of any blood product within 3 months of first dose; Pregnancy or breast feeding or plans to become pregnant during the course of the study; History of positive serologic test for HIV, hepatitis B surface antigen (HBsAg); or any potentially communicable infectious disease as determined by the Principal Investigator or Medical Monitor; Positive Hepatitis C serology performed at baseline (Group 1 only) Positive screening PCR test for hepatitis C virus; History of HCV infection with other than genotype 1a or 1b (Group 2, 3 and 4 only) Baseline evidence of kidney disease as measured by creatinine greater than 1.5 mg/dL Baseline screening lab(s) with Grade 2 or higher abnormality; Chronic liver disease, cirrhosis, hemochromatosis, Wilson's disease, alcoholic liver disease, autoimmune hepatitis, or α-1 antitrypsin deficiency(In case of cirrhosis, the person who has been judged F4 grade in Fibroscan); Immunosuppressive illness including hematologic malignancy, history of solid organ or bone marrow transplantation; Current or anticipated concomitant immunosuppressive therapy (excluding inhaled, topical skin and/or eye drop-containing corticosteroids, low-dose methotrexate, or prednisone at a dose equal to or greater than 10 mg/day, or steroid equivalent); Current or anticipated treatment with TNF-α inhibitors such as infliximab, adalimumab, etanercept; Prior major surgery or any radiation therapy within 4 weeks of the first vaccination; Any pre-excitation syndromes, e.g., Wolff-Parkinson-White syndrome; history of PSVT syndrome, history of prolonged QT syndrome; Presence of a cardiac pacemaker or automatic implantable cardioverter defibrillator (AICD) Metal implants within 20 cm of the planned site(s) of injection; Presence of keloid scar formation or hypertrophic scar as a clinically significant medical condition at the planned site(s) of injection. Prisoner or subjects who are compulsorily detained (involuntary incarceration) for treatment of either a physical or psychiatric illness; Active drug or alcohol use or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements or assessment of immunologic endpoints; or Not willing to allow storage and future use of samples for Hepatitis C virus related research Any illness or condition that in the opinion of the investigator may affect the safety of the subject or the evaluation of any study endpoint.
Facility Information:
Facility Name
Pusan National University Hospital
City
Busan
Country
Korea, Republic of
Facility Name
Yonsei University Health System, Severance Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Evaluation of Safety, Tolerability, and Immunogenicity Study of GLS-6150 in Healthy Volunteers and in Persons Previously Treated for Hepatitis C Virus Infection

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