Leukapheresis Sampling for Immune Responses After BCG Vaccination in BCG-naïve Healthy Adults in the US
Primary Purpose
Tuberculosis
Status
Completed
Phase
Early Phase 1
Locations
Study Type
Interventional
Intervention
BCG
Sponsored by
About this trial
This is an interventional basic science trial for Tuberculosis
Eligibility Criteria
Inclusion Criteria:
- Has completed the written informed consent process.
- Is age ≥18 years and ≤55 years on Study Day 0.
- Agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study.
- Agrees to avoid elective surgery during the study.
- Willingness to receive HIV test results.
- For female participants: agrees to avoid pregnancy from 21 days prior to Study Day 0 and for the full duration of the study.
- Has general good health, confirmed by medical history and physical examination.
- Has not received vaccination or immunotherapy with a BCG product at any time prior to Study Day 0.
Exclusion Criteria:
- Acute illness on Study Day 0.
- HIV-1/2 positive
- Oral temperature ≥37.5°C on Study Day 0.
- Abnormal laboratory values per local laboratory parameters from most recent blood collection prior to Study Day 0 for specific parameters listed in the protocol.
- Evidence of significant active infection.
- Evidence of central nervous system tuberculosis or pleural tuberculosis.
- Screening TST reaction >5 mm.
- History of treatment for active or latent tuberculosis infection.
- History or evidence of active tuberculosis.
- Shared a residence within the last year with an individual on anti-tuberculosis treatment or with culture or smear positive tuberculosis.
- History of occupational exposure to an individual with active tuberculosis in a health care setting.
- History of autoimmune disease or immunosuppression.
- Used immunosuppressive medication within 42 days before Study Day 0 (inhaled and topical corticosteroids are permitted).
- Received immunoglobulin or blood products within 42 days before Study Day 0.
- Received any investigational drug or investigational vaccine within 182 days before Study Day 0, or planned participation in any other interventional study during the study period.
- Received investigational TB vaccine at any time.
- Planned administration/administration of a licensed vaccine in the period starting 28 days before and ending 56 days after BCG vaccination in this study.
- Current chronic drug therapy including hormone replacement such as thyroxin, insulin, etc (estrogen and progesterone replacement and contraceptives are acceptable).
- History or laboratory evidence of any past, present, or future possible immunodeficiency state including but not limited to any laboratory indication of HIV-1 infection.
- No contraindications for BCG administration as described in the BCG package insert (Appendix B).
- Previous medical history that may compromise the safety of the participant in the study, including but not limited to: severe impairment of pulmonary function from tuberculosis infection or other pulmonary disease; chronic illness with signs of cardiac or renal failure; suspected progressive neurological disease; or uncontrolled epilepsy.
- Evidence of a new acute illness that may compromise the safety of the participant in the study.
- History or evidence of chronic hepatitis.
- History of alcohol or drug abuse within the past 2 years.
- History of keloid formation.
- Positive urine test for illicit drugs (opiates, cocaine, amphetamines).
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Bacillus Calmette-Guérin (BCG)
Arm Description
Tice brand BCG used to vaccinate BCG-Naïve adults.
Outcomes
Primary Outcome Measures
Immune response measured by Intracellular cytokine staining (ICS)
ICS used to characterize the response to BCG.
Secondary Outcome Measures
Full Information
NCT ID
NCT02413502
First Posted
March 10, 2015
Last Updated
October 7, 2015
Sponsor
Aeras
Collaborators
University of Rochester
1. Study Identification
Unique Protocol Identification Number
NCT02413502
Brief Title
Leukapheresis Sampling for Immune Responses After BCG Vaccination in BCG-naïve Healthy Adults in the US
Official Title
Collection and Storage of Biological Samples Obtained by Leukapheresis for the Future Study of Immune Responses After BCG Vaccination in BCG-naïve Healthy Adults in the US (A-046)
Study Type
Interventional
2. Study Status
Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
October 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aeras
Collaborators
University of Rochester
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of this protocol is to obtain biological samples through leukapheresis and cryopreservation of cells for the future study, by in vitro assay, of immune responses after one dose of BCG in BCG-naïve healthy adults.
Detailed Description
This is an open-label protocol in 12 healthy adults who are BCG-naïve. All participants will receive a single dose of BCG, by percutaneous administration, on Study Day 0. There will be two follow-up visits on Study Days 54 and 56, with telephone contact every 2 weeks in between these visits. Leukapheresis will be conducted on Study Days 0 and 56. The Study Day 56 leukapheresis was selected based on results from functional biological assays that suggest analysis of samples at this time point may provide insight into the protective immune responses elicited by BCG. The study will be conducted at a single site in the US (University of Rochester Medical Center [URMC]).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis
7. Study Design
Primary Purpose
Basic Science
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Bacillus Calmette-Guérin (BCG)
Arm Type
Experimental
Arm Description
Tice brand BCG used to vaccinate BCG-Naïve adults.
Intervention Type
Biological
Intervention Name(s)
BCG
Other Intervention Name(s)
TICE BCG
Intervention Description
BCG Vaccine USP attenuated live culture for percutaneous use (Merck) at 1-8 x 10^8 CFUs.
Primary Outcome Measure Information:
Title
Immune response measured by Intracellular cytokine staining (ICS)
Description
ICS used to characterize the response to BCG.
Time Frame
Day 56 of the study
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Has completed the written informed consent process.
Is age ≥18 years and ≤55 years on Study Day 0.
Agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study.
Agrees to avoid elective surgery during the study.
Willingness to receive HIV test results.
For female participants: agrees to avoid pregnancy from 21 days prior to Study Day 0 and for the full duration of the study.
Has general good health, confirmed by medical history and physical examination.
Has not received vaccination or immunotherapy with a BCG product at any time prior to Study Day 0.
Exclusion Criteria:
Acute illness on Study Day 0.
HIV-1/2 positive
Oral temperature ≥37.5°C on Study Day 0.
Abnormal laboratory values per local laboratory parameters from most recent blood collection prior to Study Day 0 for specific parameters listed in the protocol.
Evidence of significant active infection.
Evidence of central nervous system tuberculosis or pleural tuberculosis.
Screening TST reaction >5 mm.
History of treatment for active or latent tuberculosis infection.
History or evidence of active tuberculosis.
Shared a residence within the last year with an individual on anti-tuberculosis treatment or with culture or smear positive tuberculosis.
History of occupational exposure to an individual with active tuberculosis in a health care setting.
History of autoimmune disease or immunosuppression.
Used immunosuppressive medication within 42 days before Study Day 0 (inhaled and topical corticosteroids are permitted).
Received immunoglobulin or blood products within 42 days before Study Day 0.
Received any investigational drug or investigational vaccine within 182 days before Study Day 0, or planned participation in any other interventional study during the study period.
Received investigational TB vaccine at any time.
Planned administration/administration of a licensed vaccine in the period starting 28 days before and ending 56 days after BCG vaccination in this study.
Current chronic drug therapy including hormone replacement such as thyroxin, insulin, etc (estrogen and progesterone replacement and contraceptives are acceptable).
History or laboratory evidence of any past, present, or future possible immunodeficiency state including but not limited to any laboratory indication of HIV-1 infection.
No contraindications for BCG administration as described in the BCG package insert (Appendix B).
Previous medical history that may compromise the safety of the participant in the study, including but not limited to: severe impairment of pulmonary function from tuberculosis infection or other pulmonary disease; chronic illness with signs of cardiac or renal failure; suspected progressive neurological disease; or uncontrolled epilepsy.
Evidence of a new acute illness that may compromise the safety of the participant in the study.
History or evidence of chronic hepatitis.
History of alcohol or drug abuse within the past 2 years.
History of keloid formation.
Positive urine test for illicit drugs (opiates, cocaine, amphetamines).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ann M. Ginsberg, MD, PhD
Organizational Affiliation
Aeras
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Leukapheresis Sampling for Immune Responses After BCG Vaccination in BCG-naïve Healthy Adults in the US
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