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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
Aeras
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Tuberculosis

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Has completed the written informed consent process.
  2. Is age ≥18 years and ≤55 years on Study Day 0.
  3. 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.
  4. Agrees to avoid elective surgery during the study.
  5. Willingness to receive HIV test results.
  6. For female participants: agrees to avoid pregnancy from 21 days prior to Study Day 0 and for the full duration of the study.
  7. Has general good health, confirmed by medical history and physical examination.
  8. Has not received vaccination or immunotherapy with a BCG product at any time prior to Study Day 0.

Exclusion Criteria:

  1. Acute illness on Study Day 0.
  2. HIV-1/2 positive
  3. Oral temperature ≥37.5°C on Study Day 0.
  4. Abnormal laboratory values per local laboratory parameters from most recent blood collection prior to Study Day 0 for specific parameters listed in the protocol.
  5. Evidence of significant active infection.
  6. Evidence of central nervous system tuberculosis or pleural tuberculosis.
  7. Screening TST reaction >5 mm.
  8. History of treatment for active or latent tuberculosis infection.
  9. History or evidence of active tuberculosis.
  10. Shared a residence within the last year with an individual on anti-tuberculosis treatment or with culture or smear positive tuberculosis.
  11. History of occupational exposure to an individual with active tuberculosis in a health care setting.
  12. History of autoimmune disease or immunosuppression.
  13. Used immunosuppressive medication within 42 days before Study Day 0 (inhaled and topical corticosteroids are permitted).
  14. Received immunoglobulin or blood products within 42 days before Study Day 0.
  15. 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.
  16. Received investigational TB vaccine at any time.
  17. Planned administration/administration of a licensed vaccine in the period starting 28 days before and ending 56 days after BCG vaccination in this study.
  18. Current chronic drug therapy including hormone replacement such as thyroxin, insulin, etc (estrogen and progesterone replacement and contraceptives are acceptable).
  19. 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.
  20. No contraindications for BCG administration as described in the BCG package insert (Appendix B).
  21. 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.
  22. Evidence of a new acute illness that may compromise the safety of the participant in the study.
  23. History or evidence of chronic hepatitis.
  24. History of alcohol or drug abuse within the past 2 years.
  25. History of keloid formation.
  26. 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

    First Posted
    March 10, 2015
    Last Updated
    October 7, 2015
    Sponsor
    Aeras
    Collaborators
    University of Rochester
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    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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