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Phase I/IIa Dose Ranging CHRONVAC-C® Study in Chronic HCV Patients

Primary Purpose

Chronic Hepatitis C Virus Infection

Status
Unknown status
Phase
Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
CHRONVAC-C®
Sponsored by
Tripep AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis C Virus Infection

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female patient 18 -65 years of age with a known chronic hepatitis C infection.
  • Genotype 1 infection.
  • Viral load equal to or less than 800.000 IU/mL.
  • BMI less than 30.
  • Considered probable that the deltoid muscles (left and right) of the patient will be reached at vaccination using a 12.7 mm cannula for injection and a 15 mm applicator tip for electroporation.
  • Written informed consent obtained, and a copy provided to the patient.
  • Patient legally competent and able to communicate effectively with the study personnel.
  • Patient likely to co-operate and attend the clinic at the appointed times during the study.

Exclusion Criteria:

  • Patient having clinically significant concomitant diseases other than HCV in the medical history to the discretion of the investigator.
  • Patient having clinically significant findings on physical examination, vital signs, ECG or clinical laboratory evaluations to the discretion of the investigator.
  • Patient having clinical or biochemical signs of cirrhosis.
  • Positive hepatitis B surface antigen (HBsAg).
  • Positive HIV antigen or antibody test.
  • Patient having an ongoing and/or known viral infection other than HCV that requires treatment and/or special medical intention.
  • Patient having received previous treatment for HCV.
  • Radiation therapy or cytotoxic chemotherapeutic agents within 4 weeks prior to the first dose of study drug.
  • Treatment with immunomodulating agents such as systemic corticosteroids, IL-2, IFN-alpha, IFN-beta, IFN-gamma within 4 weeks prior to the first dose of study drug.
  • Treatment with NSAID within 10 days of the first dose of study drug.
  • Immunization within 30 days of the first dose of the study drug.
  • Patient having received an investigational drug product, or been enrolled in other investigational drug protocols within a period of 30 days prior to receiving the first dose of the study drug.
  • Prior treatment with DNA therapy.
  • Known allergy towards vaccines.
  • Known abuse of alcohol, drugs or pharmaceuticals.
  • History, signs or symptoms of a cardiac disease.
  • Presence of an implantable pacemaker.
  • Any metal implants within the treatment areas (close to the right and/or left deltoid muscles).
  • Diagnoses of a serious psychiatric illness which may influence study participation.
  • Female patient who is breast feeding.
  • Female patient not clinically sterile (hysterectomy, tubal ligation or postmenopausal (amenorrhea > 1 year and FSH > 30 mU/ml) OR if not clinically sterile unwilling to use a reliable contraception method.
  • Patient with a positive urine pregnancy test.
  • Male patient unwilling to use condom for active prevention of pregnancy from first vaccination to 4 months after last injection.
  • Patient or their immediate families being an investigator or site personnel directly affiliated with this study. Immediate family is defined as a spouse, parent, child or sibling, whether biologically or legally adopted.

Sites / Locations

  • I73 Department of Infectious Diseases, Karolinska Institute, Karolinska University Hospital, Huddinge
  • Department of Gastroenterology and Hepatology, Karolinska University Hospital, Solna

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Other

Other

Other

Arm Label

1

2

3

Arm Description

Low dose

Medium dose

High dose

Outcomes

Primary Outcome Measures

To evaluate safety and tolerability of electroporation mediated i.m. delivery of CHRONVAC-C® in chronically HCV infected, treatment naive patients with low viral load.

Secondary Outcome Measures

To provide information regarding dose related anti-viral immune response and dose related effect on viral load.

Full Information

First Posted
November 23, 2007
Last Updated
February 9, 2010
Sponsor
Tripep AB
Collaborators
Inovio Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00563173
Brief Title
Phase I/IIa Dose Ranging CHRONVAC-C® Study in Chronic HCV Patients
Official Title
A Phase I/IIa Open-Label, Dose Ranging, Parallel, Safety, Tolerability and Efficacy Study of i.m. Administered CHRONVAC-C® in Combination With Electroporation in Chronic HCV Genotype 1 Infected and Treatment Naïve Patients With Low Viral Load
Study Type
Interventional

2. Study Status

Record Verification Date
February 2010
Overall Recruitment Status
Unknown status
Study Start Date
October 2007 (undefined)
Primary Completion Date
April 2010 (Anticipated)
Study Completion Date
April 2010 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Tripep AB
Collaborators
Inovio Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate if the DNA vaccine CHRONVAC-C® intended for future treatment of Hepatitis C infections is safe and tolerated when administered to HCV infected individuals with a low viral load. In addition the capability of the vaccine to induce an immune response and the effect on viral load will be studied. In order to increase the uptake of the vaccine the intra muscular injection is combined with electroporation, meaning that a brief electric field is applied to the injection site resulting in temporary pores in the cell membranes that allows the vaccine to enter the cells.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis C Virus Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Other
Arm Description
Low dose
Arm Title
2
Arm Type
Other
Arm Description
Medium dose
Arm Title
3
Arm Type
Other
Arm Description
High dose
Intervention Type
Drug
Intervention Name(s)
CHRONVAC-C®
Intervention Description
DNA vaccine, solution for injection, i.m. administration in combination with electroporation
Primary Outcome Measure Information:
Title
To evaluate safety and tolerability of electroporation mediated i.m. delivery of CHRONVAC-C® in chronically HCV infected, treatment naive patients with low viral load.
Time Frame
From start of treatment to 24 weeks post treatment
Secondary Outcome Measure Information:
Title
To provide information regarding dose related anti-viral immune response and dose related effect on viral load.
Time Frame
From start of treatment to 24 weeks post treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female patient 18 -65 years of age with a known chronic hepatitis C infection. Genotype 1 infection. Viral load equal to or less than 800.000 IU/mL. BMI less than 30. Considered probable that the deltoid muscles (left and right) of the patient will be reached at vaccination using a 12.7 mm cannula for injection and a 15 mm applicator tip for electroporation. Written informed consent obtained, and a copy provided to the patient. Patient legally competent and able to communicate effectively with the study personnel. Patient likely to co-operate and attend the clinic at the appointed times during the study. Exclusion Criteria: Patient having clinically significant concomitant diseases other than HCV in the medical history to the discretion of the investigator. Patient having clinically significant findings on physical examination, vital signs, ECG or clinical laboratory evaluations to the discretion of the investigator. Patient having clinical or biochemical signs of cirrhosis. Positive hepatitis B surface antigen (HBsAg). Positive HIV antigen or antibody test. Patient having an ongoing and/or known viral infection other than HCV that requires treatment and/or special medical intention. Patient having received previous treatment for HCV. Radiation therapy or cytotoxic chemotherapeutic agents within 4 weeks prior to the first dose of study drug. Treatment with immunomodulating agents such as systemic corticosteroids, IL-2, IFN-alpha, IFN-beta, IFN-gamma within 4 weeks prior to the first dose of study drug. Treatment with NSAID within 10 days of the first dose of study drug. Immunization within 30 days of the first dose of the study drug. Patient having received an investigational drug product, or been enrolled in other investigational drug protocols within a period of 30 days prior to receiving the first dose of the study drug. Prior treatment with DNA therapy. Known allergy towards vaccines. Known abuse of alcohol, drugs or pharmaceuticals. History, signs or symptoms of a cardiac disease. Presence of an implantable pacemaker. Any metal implants within the treatment areas (close to the right and/or left deltoid muscles). Diagnoses of a serious psychiatric illness which may influence study participation. Female patient who is breast feeding. Female patient not clinically sterile (hysterectomy, tubal ligation or postmenopausal (amenorrhea > 1 year and FSH > 30 mU/ml) OR if not clinically sterile unwilling to use a reliable contraception method. Patient with a positive urine pregnancy test. Male patient unwilling to use condom for active prevention of pregnancy from first vaccination to 4 months after last injection. Patient or their immediate families being an investigator or site personnel directly affiliated with this study. Immediate family is defined as a spouse, parent, child or sibling, whether biologically or legally adopted.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ola RH Weiland, Professor
Organizational Affiliation
I73 Department of Infectious Diseases, Karolinska Institute, Karolinska University Hospital, Huddinge, Sweden
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Anders Vahlne, Professor
Organizational Affiliation
Tripep AB
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Matti Sällberg, Professor
Organizational Affiliation
Tripep AB
Official's Role
Study Director
Facility Information:
Facility Name
I73 Department of Infectious Diseases, Karolinska Institute, Karolinska University Hospital, Huddinge
City
Stockholm
ZIP/Postal Code
SE-141 86
Country
Sweden
Facility Name
Department of Gastroenterology and Hepatology, Karolinska University Hospital, Solna
City
Stockholm
ZIP/Postal Code
SE-171 76
Country
Sweden

12. IPD Sharing Statement

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Phase I/IIa Dose Ranging CHRONVAC-C® Study in Chronic HCV Patients

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