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Safety and Immunogenicity of a Plasmid HIV Vaccine in HIV Uninfected Adults (C001)

Primary Purpose

HIV Infection

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ADVAX
Sponsored by
International AIDS Vaccine Initiative
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infection

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Healthy, adult males and females; Age at least 18 years on the day of screening and no greater than 60 years on the day of the first vaccination; Available for follow up for the planned duration of the study (screening plus 18 months); In the opinion of the principal investigator or designee, has understood the information provided. Written informed consent needs to be given before any study-related procedures are performed; Willing to undergo HIV testing and counseling, and receive HIV test results; If sexually active female, using an effective method of contraception from screening until at least 4 months after last vaccination, and willing to undergo urine pregnancy test. If sexually active male, willing to use an effective method of contraception from screening until 4 months after the last vaccination. Exclusion Criteria: Clinically relevant abnormality on history or examination including history of immunodeficiency or use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the designated trial physician in last 6 months; Any acute or chronic medical condition requiring care of a physician (e.g.,, diabetes, coronary artery disease, rheumatologic illness, malignancy, substance abuse) that, in the opinion of the investigator, would preclude participation; Any of the following abnormal laboratory parameters that are moderate, severe, or very severe: haematology (hemoglobin, absolute neutrophil count, absolute lymphocyte count, absolute CD4/CD8 count, platelets); urinalysis, biochemistries (total bilirubin, creatinine, AST, ALT). Volunteers with mild laboratory abnormalities that are judged by the principal investigator or designee to be not clinically significant may be enrolled. Reported high- risk behaviour for HIV infection, defined as: Had unprotected vaginal or anal sex with a known HIV infected person or a casual partner (i.e., no continuing established relationship) within 6 months before vaccination Engaged in sex work for money or drugs within 6 months before vaccination Used injection drugs (illicit), or Acquired an STD within 6 months before vaccination ; If female, pregnant or planning a pregnancy within 4 months after last vaccination or lactating; Receipt of blood transfusion or blood products 6 months prior to vaccination; Receipt of a live attenuated vaccine (other than influenza) within 30 days or other vaccine within 14 days of vaccination; Participation in another clinical trial of an investigational product currently or within past 12 weeks or expected participation during this study; Receipt of another experimental HIV vaccine at any time; Infected with HIV-1 or HIV-2 as indicated by ELISA and/or RT-PCR; History of severe local or systemic reaction to vaccination or history of severe allergic reactions; Confirmed diagnosis of hepatitis B (surface antigen, HbsAg); hepatitis C (HCV antibodies) or active syphillis; History of grand-mal epilepsy, or currently taking anti-epileptics; In the opinion of the investigator, unlikely to comply with protocol.

Sites / Locations

  • Rockefeller University Hospital
  • University of Rochester Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

HIV vaccine

Placebo

Arm Description

dosage escalation of ADVAX

Sodium phosphate

Outcomes

Primary Outcome Measures

Safety of ADVAX
dose escalation study

Secondary Outcome Measures

Immunogenicity of ADVAX

Full Information

First Posted
November 3, 2005
Last Updated
February 8, 2013
Sponsor
International AIDS Vaccine Initiative
Collaborators
Aaron Diamond AIDS Research Center, University of Rochester
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1. Study Identification

Unique Protocol Identification Number
NCT00249106
Brief Title
Safety and Immunogenicity of a Plasmid HIV Vaccine in HIV Uninfected Adults
Acronym
C001
Official Title
Randomized, Placebo-Controlled, Dose-Escalating, Double-Blinded Phase 1 Safety and Immunogenicity Study of Clade C DNA Vaccine ADVAX e/g + ADVAX p/N-t (ADVAX) Administered Intramuscularly to HIV-Uninfected, Healthy Volunteers.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2011
Overall Recruitment Status
Completed
Study Start Date
December 2003 (undefined)
Primary Completion Date
October 2005 (Actual)
Study Completion Date
October 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
International AIDS Vaccine Initiative
Collaborators
Aaron Diamond AIDS Research Center, University of Rochester

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the safety and immune response to a investigational DNA Plasmid HIV vaccine, ADVAX e/g + ADVAX p/n-t (ADVAX), at three different dosage levels, in adults who are not infected with HIV.
Detailed Description
This is a dose escalation trial. Study site staff and volunteers will be blinded, blinding will not apply to the assignment of dose levels (low, middle or high). Volunteers will be screened up to 42 days before vaccination and will be followed for 18 months after the first vaccination. 15 volunteers will be randomized in a 4:1 ratio of active vaccine to placebo. Safety and tolerability of the ADVAX e/g + ADVAX p/n-t investigational product will be evaluated at least 14 days after the tenth volunteer in the lower dosage group receives the second injection before proceeding to the nextdosage group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HIV vaccine
Arm Type
Experimental
Arm Description
dosage escalation of ADVAX
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Sodium phosphate
Intervention Type
Biological
Intervention Name(s)
ADVAX
Other Intervention Name(s)
DNA HIV vaccine
Primary Outcome Measure Information:
Title
Safety of ADVAX
Description
dose escalation study
Time Frame
18 months
Secondary Outcome Measure Information:
Title
Immunogenicity of ADVAX
Time Frame
18 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, adult males and females; Age at least 18 years on the day of screening and no greater than 60 years on the day of the first vaccination; Available for follow up for the planned duration of the study (screening plus 18 months); In the opinion of the principal investigator or designee, has understood the information provided. Written informed consent needs to be given before any study-related procedures are performed; Willing to undergo HIV testing and counseling, and receive HIV test results; If sexually active female, using an effective method of contraception from screening until at least 4 months after last vaccination, and willing to undergo urine pregnancy test. If sexually active male, willing to use an effective method of contraception from screening until 4 months after the last vaccination. Exclusion Criteria: Clinically relevant abnormality on history or examination including history of immunodeficiency or use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the designated trial physician in last 6 months; Any acute or chronic medical condition requiring care of a physician (e.g.,, diabetes, coronary artery disease, rheumatologic illness, malignancy, substance abuse) that, in the opinion of the investigator, would preclude participation; Any of the following abnormal laboratory parameters that are moderate, severe, or very severe: haematology (hemoglobin, absolute neutrophil count, absolute lymphocyte count, absolute CD4/CD8 count, platelets); urinalysis, biochemistries (total bilirubin, creatinine, AST, ALT). Volunteers with mild laboratory abnormalities that are judged by the principal investigator or designee to be not clinically significant may be enrolled. Reported high- risk behaviour for HIV infection, defined as: Had unprotected vaginal or anal sex with a known HIV infected person or a casual partner (i.e., no continuing established relationship) within 6 months before vaccination Engaged in sex work for money or drugs within 6 months before vaccination Used injection drugs (illicit), or Acquired an STD within 6 months before vaccination ; If female, pregnant or planning a pregnancy within 4 months after last vaccination or lactating; Receipt of blood transfusion or blood products 6 months prior to vaccination; Receipt of a live attenuated vaccine (other than influenza) within 30 days or other vaccine within 14 days of vaccination; Participation in another clinical trial of an investigational product currently or within past 12 weeks or expected participation during this study; Receipt of another experimental HIV vaccine at any time; Infected with HIV-1 or HIV-2 as indicated by ELISA and/or RT-PCR; History of severe local or systemic reaction to vaccination or history of severe allergic reactions; Confirmed diagnosis of hepatitis B (surface antigen, HbsAg); hepatitis C (HCV antibodies) or active syphillis; History of grand-mal epilepsy, or currently taking anti-epileptics; In the opinion of the investigator, unlikely to comply with protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Ho, MD
Organizational Affiliation
Aaron Diamond AIDS Research Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Michael Keefer, MD
Organizational Affiliation
University of Rochester
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Soe Than, MD
Organizational Affiliation
International AIDS Vaccine Initiative
Official's Role
Study Director
Facility Information:
Facility Name
Rockefeller University Hospital
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20111582
Citation
Vasan S, Schlesinger SJ, Huang Y, Hurley A, Lombardo A, Chen Z, Than S, Adesanya P, Bunce C, Boaz M, Boyle R, Sayeed E, Clark L, Dugin D, Schmidt C, Song Y, Seamons L, Dally L, Ho M, Smith C, Markowitz M, Cox J, Gill DK, Gilmour J, Keefer MC, Fast P, Ho DD. Phase 1 safety and immunogenicity evaluation of ADVAX, a multigenic, DNA-based clade C/B' HIV-1 candidate vaccine. PLoS One. 2010 Jan 25;5(1):e8617. doi: 10.1371/journal.pone.0008617.
Results Reference
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Safety and Immunogenicity of a Plasmid HIV Vaccine in HIV Uninfected Adults

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