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Phase 1 LEP-F1 + GLA-SE Vaccine Trial in Healthy Adult Volunteers

Primary Purpose

Leprosy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LEP-F1 + GLA-SE
Sponsored by
Access to Advanced Health Institute (AAHI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Leprosy focused on measuring Leprosy, vaccine, adjuvant, GLA, GLA-SE

Eligibility Criteria

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

Inclusion Criteria:

  1. Males and females 18 years to 55 years of age.
  2. Must be in good general health as confirmed by a medical history and physical exam.
  3. Female subjects of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test on the day of each study vaccination, must not be breast-feeding, and are required to use one of the following methods of contraception from enrollment (Day 0) in study until 30 days after last injection (only if in sexual relationships with men): hormonal (e.g. oral, transdermal, intravaginal, implant, or injection); double barrier (i.e., condom, diaphragm, or cervical cap with spermicide); intrauterine device (IUD) or system (IUS); vasectomized partner (6 months minimum); or abstinence; bilateral tubal ligation (if no conception post-procedure); tubal occlusion; or bilateral salpingectomy. These precautions are necessary due to unknown effects that LEP-F1 + GLA-SE might cause in a fetus or newborn infant. Women are considered non-child-bearing potential if they are post-menopausal (defined as at least 12 months spontaneous amenorrhea and confirmed with FSH > 40 mIU/ml) or have had documented hysterectomy and/or oophorectomy.
  4. The following screening laboratory values must be within the normal ranges or not clinically significant as determined by the Investigator and approved by the Medical Monitor: sodium, potassium, BUN, ALT, AST, total bilirubin, alkaline phosphatase, creatinine, fasting glucose, total WBC count, hemoglobin, and platelet count. Abnormal results may be repeated once for confirmation at Investigator discretion.
  5. The following serology tests must be negative: HIV 1/2 antibody, hepatitis B surface antigen (HBsAg), QuantiFERON®-TB Gold (QFT), and hepatitis C virus (HCV) antibody.
  6. Negative test for recreational drugs and alcohol per Clinical Research Unit standards.
  7. Normal or not clinically significant urinalysis as determined by the study clinician or designee. Abnormal results may be repeated at Investigator discretion.
  8. Must be capable of completing a study memory aid in English.
  9. Must give informed consent, be able and willing to make all evaluation visits, be reachable by telephone or personal contact by the study site personnel, and have a permanent address.

Exclusion Criteria:

  1. History of infection with M. leprae or previous exposure to M. leprae vaccines or experimental products containing GLA-SE.
  2. History of BCG vaccination.
  3. History of active or documented latent TB.
  4. History of previous infection with other non-tuberculous mycobacteria.
  5. Travel to or residence in India, Brazil, or Indonesia for more than 6 months.
  6. Participation in another experimental protocol and/or receipt of any investigational products within the past 3 months prior to Screening.
  7. Treatment with immunosuppressive drugs (e.g., oral or injected steroids, such as prednisone; high dose inhaled steroids) or cytotoxic therapies (e.g., chemotherapy drugs or radiation) in the past 6 months prior to Screening.
  8. Received a blood transfusion within past 3 months prior to Screening.
  9. Donated blood products (platelets, whole blood, plasma, etc.) within past one month prior to Screening.
  10. Received any vaccine within past 1 month prior to Screening or have any planned immunizations while on study, with the exception of seasonal influenza vaccine which can be given after 1 month post the third study injection (Day 84).
  11. History of autoimmune disease or other causes of immunosuppressive states.
  12. History of any other acute or chronic illness (including cardiovascular, pulmonary, neurological, hepatic, rheumatic, hematological, metabolic or renal disorders, uncontrolled hypertension), or use of medication that, in the opinion of the Principal Investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine.
  13. Rash, tattoos, or any other dermatological condition that could adversely affect the vaccine injection site or interfere with its evaluation.
  14. BMI ≥ 32.
  15. Hypertension (systolic > 150 or diastolic > 95) at screening and Day 0.
  16. History of significant psychiatric illness with current use of medication.
  17. Known or suspected alcohol or drug abuse within the past 6 months prior to Screening.
  18. Chronic tobacco user (> 20 pack years).
  19. Subjects with a history of previous anaphylaxis or severe allergic reaction to vaccines or unknown allergens.
  20. Subjects who are unlikely to cooperate with the requirements of the study protocol.

Sites / Locations

  • Covance Clinical Research Unit

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

2 μg LEP-F1 + 5 μg GLA-SE

10 μg LEP-F1 + 5 μg GLA-SE

Arm Description

Three intramuscular injections of LEP-F1 + GLA-SE at Days 0, 28, and 56. Low dose of antigen.

Three intramuscular injections of LEP-F1 + GLA-SE at Days 0, 28, and 56. Higher dose of antigen.

Outcomes

Primary Outcome Measures

Number of adverse events
Solicited and unsolicited adverse events will be recorded for 28 days following each study injection; serious adverse events and adverse events of special interest will be recorded for the duration of the study.

Secondary Outcome Measures

Immunogenicity (IgG antibody and T cell responses to LEP-F1)
Immunogenicity will be evaluated by measuring humoral and cellular responses to LEP-F1 + GLA-SE at specified timepoints.

Full Information

First Posted
October 2, 2017
Last Updated
April 9, 2019
Sponsor
Access to Advanced Health Institute (AAHI)
Collaborators
American Leprosy Missions
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1. Study Identification

Unique Protocol Identification Number
NCT03302897
Brief Title
Phase 1 LEP-F1 + GLA-SE Vaccine Trial in Healthy Adult Volunteers
Official Title
A Phase 1, Open Label, Antigen Dose-Escalation Clinical Trial to Evaluate the Safety, Tolerability, and Immunogenicity of LEP-F1 + GLA-SE in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
October 2, 2017 (Actual)
Primary Completion Date
March 5, 2019 (Actual)
Study Completion Date
March 5, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Access to Advanced Health Institute (AAHI)
Collaborators
American Leprosy Missions

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to compare the safety, tolerability, and immunogenicity in healthy adult subjects of an investigational vaccine being developed for the prevention of leprosy. Two dose levels of the vaccine will be evaluated.
Detailed Description
The purpose of this study is to compare the safety, tolerability, and immunogenicity of the LEP-F1 + GLA-SE vaccine. The vaccine consists of the recombinant four-antigen Mycobacterium leprae antigen LEP-F1 in combination with the adjuvant formulation GLA-SE (Glucopyranosyl Lipid A - Stable Emulsion) and is being developed for the prevention of leprosy disease. This is a first-in-human study and will be conducted in healthy adult subjects. Two dose levels of the vaccine (2 μg LEP-F1 + 5 μg GLA-SE and 10 μg LEP-F1 + 5 μg GLA-SE) will be given by intramuscular administration on study Days 0, 28, and 56.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leprosy
Keywords
Leprosy, vaccine, adjuvant, GLA, GLA-SE

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
2 μg LEP-F1 + 5 μg GLA-SE
Arm Type
Experimental
Arm Description
Three intramuscular injections of LEP-F1 + GLA-SE at Days 0, 28, and 56. Low dose of antigen.
Arm Title
10 μg LEP-F1 + 5 μg GLA-SE
Arm Type
Experimental
Arm Description
Three intramuscular injections of LEP-F1 + GLA-SE at Days 0, 28, and 56. Higher dose of antigen.
Intervention Type
Biological
Intervention Name(s)
LEP-F1 + GLA-SE
Intervention Description
Investigational vaccine
Primary Outcome Measure Information:
Title
Number of adverse events
Description
Solicited and unsolicited adverse events will be recorded for 28 days following each study injection; serious adverse events and adverse events of special interest will be recorded for the duration of the study.
Time Frame
421 days
Secondary Outcome Measure Information:
Title
Immunogenicity (IgG antibody and T cell responses to LEP-F1)
Description
Immunogenicity will be evaluated by measuring humoral and cellular responses to LEP-F1 + GLA-SE at specified timepoints.
Time Frame
Days 0, 35, and 63

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: Males and females 18 years to 55 years of age. Must be in good general health as confirmed by a medical history and physical exam. Female subjects of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test on the day of each study vaccination, must not be breast-feeding, and are required to use one of the following methods of contraception from enrollment (Day 0) in study until 30 days after last injection (only if in sexual relationships with men): hormonal (e.g. oral, transdermal, intravaginal, implant, or injection); double barrier (i.e., condom, diaphragm, or cervical cap with spermicide); intrauterine device (IUD) or system (IUS); vasectomized partner (6 months minimum); or abstinence; bilateral tubal ligation (if no conception post-procedure); tubal occlusion; or bilateral salpingectomy. These precautions are necessary due to unknown effects that LEP-F1 + GLA-SE might cause in a fetus or newborn infant. Women are considered non-child-bearing potential if they are post-menopausal (defined as at least 12 months spontaneous amenorrhea and confirmed with FSH > 40 mIU/ml) or have had documented hysterectomy and/or oophorectomy. The following screening laboratory values must be within the normal ranges or not clinically significant as determined by the Investigator and approved by the Medical Monitor: sodium, potassium, BUN, ALT, AST, total bilirubin, alkaline phosphatase, creatinine, fasting glucose, total WBC count, hemoglobin, and platelet count. Abnormal results may be repeated once for confirmation at Investigator discretion. The following serology tests must be negative: HIV 1/2 antibody, hepatitis B surface antigen (HBsAg), QuantiFERON®-TB Gold (QFT), and hepatitis C virus (HCV) antibody. Negative test for recreational drugs and alcohol per Clinical Research Unit standards. Normal or not clinically significant urinalysis as determined by the study clinician or designee. Abnormal results may be repeated at Investigator discretion. Must be capable of completing a study memory aid in English. Must give informed consent, be able and willing to make all evaluation visits, be reachable by telephone or personal contact by the study site personnel, and have a permanent address. Exclusion Criteria: History of infection with M. leprae or previous exposure to M. leprae vaccines or experimental products containing GLA-SE. History of BCG vaccination. History of active or documented latent TB. History of previous infection with other non-tuberculous mycobacteria. Travel to or residence in India, Brazil, or Indonesia for more than 6 months. Participation in another experimental protocol and/or receipt of any investigational products within the past 3 months prior to Screening. Treatment with immunosuppressive drugs (e.g., oral or injected steroids, such as prednisone; high dose inhaled steroids) or cytotoxic therapies (e.g., chemotherapy drugs or radiation) in the past 6 months prior to Screening. Received a blood transfusion within past 3 months prior to Screening. Donated blood products (platelets, whole blood, plasma, etc.) within past one month prior to Screening. Received any vaccine within past 1 month prior to Screening or have any planned immunizations while on study, with the exception of seasonal influenza vaccine which can be given after 1 month post the third study injection (Day 84). History of autoimmune disease or other causes of immunosuppressive states. History of any other acute or chronic illness (including cardiovascular, pulmonary, neurological, hepatic, rheumatic, hematological, metabolic or renal disorders, uncontrolled hypertension), or use of medication that, in the opinion of the Principal Investigator, may interfere with the evaluation of the safety or immunogenicity of the vaccine. Rash, tattoos, or any other dermatological condition that could adversely affect the vaccine injection site or interfere with its evaluation. BMI ≥ 32. Hypertension (systolic > 150 or diastolic > 95) at screening and Day 0. History of significant psychiatric illness with current use of medication. Known or suspected alcohol or drug abuse within the past 6 months prior to Screening. Chronic tobacco user (> 20 pack years). Subjects with a history of previous anaphylaxis or severe allergic reaction to vaccines or unknown allergens. Subjects who are unlikely to cooperate with the requirements of the study protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Corey Casper, MD, MPH
Organizational Affiliation
Access to Advanced Health Institute (AAHI)
Official's Role
Study Director
Facility Information:
Facility Name
Covance Clinical Research Unit
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53704
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Phase 1 LEP-F1 + GLA-SE Vaccine Trial in Healthy Adult Volunteers

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