Safety Study of Tuberculosis Vaccines AERAS-402 and MVA85A
Primary Purpose
Tuberculosis
Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
AERAS-402
MVA85A
Sponsored by
About this trial
This is an interventional prevention trial for Tuberculosis focused on measuring Tuberculosis, Phase I, MVA85A, AERAS-402
Eligibility Criteria
Inclusion Criteria:
Subjects must meet all of the following criteria to enter the trial:
- Healthy adult aged 18-55 years
- Resident in or near Oxford (for CCVTM) or Birmingham (for WTCRF; and able to travel to Oxford for vaccinations) for the duration of the trial period
- No relevant findings in medical history or on physical examination
- Confirmation of prior vaccination with BCG not less than 6 months prior to projected trial vaccination date (by visible BCG scar on examination or written documentation)
- Allow the Investigators to discuss the individual's medical history with their GP
- Use effective contraception for the duration of the trial period (females only)
- Refrain from blood donation during the trial
- Give written informed consent
- Allow the Investigator to register subject details with a confidential database to prevent concurrent entry into clinical trials
- Agrees to avoid elective surgery for the duration of the trial
- Has a body mass index (BMI) between 18 and 33 (weight/height2) by nomogram
- Able and willing (in the Investigator's opinion) to comply with all the trial requirements
Exclusion Criteria:
Subjects must meet none of the following criteria to enter the trial:
- Laboratory evidence at screening of latent M. tb infection as indicated by a positive ELISPOT response to ESAT6 or CFP10 antigens
- Clinical, radiological, or laboratory evidence of current active TB disease
- Shared a residence within one year prior to day 0 with an individual on anti-tuberculosis treatment or with culture- or smear-positive pulmonary tuberculosis
- Previous treatment for active or latent tuberculosis infection
- Received a TST within 90 days prior to day 0
- Received a systemic antibiotic within 14 days prior to day 0
- Inability to discontinue daily medications other than the following during the trial: oral contraceptives, vitamins, nonprescription nutritional supplements, aspirin, antihistamines, antihypertensives, antidepressants, inhaled steroids, bronchodilators, and any other stable, regular medication not deemed to have an impact on safety or immunogenicity.
- Previous vaccination with candidate vaccine MVA85A or candidate vaccine FP85A or any other recombinant MVA or adenoviral vaccine; AERAS-402; or any other investigational M. tb vaccine
- Clinically significant history of skin disorder, allergy, immunodeficiency (including HIV), autoimmune disease, cancer (except BCC or CIS), cardiovascular disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, neurological illness, psychiatric disorder, drug or alcohol abuse
- History of serious psychiatric condition
- Concurrent oral or systemic steroid medication or the concurrent use of other immunosuppressive agents
- History of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the trial vaccine, including eggs
- Any abnormality of screening blood or urine tests that is deemed to be clinically significant or that may compromise the safety of the subject in the triala
- Positive HBsAg, HCV or HIV antibodies
- Female currently lactating, confirmed pregnancy or intention to become pregnant during trial period
- Use of an investigational medicinal product or non-registered drug, live vaccine, or medical device other than the trial vaccine for 30 days prior to dosing with the trial vaccine, or planned use during the trial period
- Administration of immunoglobulins and/or any blood products within the three months preceding the planned trial vaccination date
- Any other significant disease, disorder, or finding, which, in the opinion of the Investigator, may either put the subject at risk or may influence the result of the trial or may affect the subject's ability to participate in the trial
Sites / Locations
- Centre for Clinical Vaccinology and Tropical Medicine (CCVTM), Churchill Hospital
- The Wellcome Trust Clinical Research Facility (WTCRF), University of Birmingham
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Group A
Group B
Group C
Arm Description
Two doses of AERAS-402 (1x10^11 vp intramuscular injection) followed by one dose of MVA85A (1x10^8 pfu intradermal injection)
One dose of AERAS-402 (1x10^11 vp intramuscular injection) followed by one dose of MVA85A (1x10^8 pfu intradermal injection)
Three doses of AERAS-402 (1x10^11 vp intramuscular injection)
Outcomes
Primary Outcome Measures
Safety of AERAS-402 followed by MVA85A
To evaluate the safety profile of multiple doses of AERAS-402 alone, compared to one and two doses of AERAS-402 followed by MVA85A in healthy, BCG vaccinated adults, measured by number and severity of local and systemic adverse events
Secondary Outcome Measures
Immunogenicity of AERAS-402 followed by MVA85A
To evaluate and compare the immune responses as described by flow cytometric intracellular cytokine staining, antibody serology, and Elispot assays of multiple doses of AERAS-402 alone, compared to one and two doses of AERAS-402 followed by MVA85A in healthy, BCG vaccinated adults
Full Information
NCT ID
NCT01683773
First Posted
August 24, 2012
Last Updated
September 16, 2014
Sponsor
University of Oxford
Collaborators
Aeras, Crucell Holland BV, Emergent BioSolutions, University of Birmingham
1. Study Identification
Unique Protocol Identification Number
NCT01683773
Brief Title
Safety Study of Tuberculosis Vaccines AERAS-402 and MVA85A
Official Title
A Phase I, Open Label Trial to Evaluate the Safety and Immunogenicity of AERAS-402 Followed by MVA85A in BCG Vaccinated Adults (TB032)
Study Type
Interventional
2. Study Status
Record Verification Date
September 2014
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
August 2014 (Actual)
Study Completion Date
August 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Oxford
Collaborators
Aeras, Crucell Holland BV, Emergent BioSolutions, University of Birmingham
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This trial will investigate the administration of two new tuberculosis vaccines, called AERAS-402 and MVA85A. The purpose of this trial is to assess what happens when both of these vaccines are given one after the other. The trial will assess the safety of both vaccines and also their ability to stimulate an immune response within the body. It is hoped that when these two vaccines are given in sequence, the combined immune response is even better than when each vaccine is used individually.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis
Keywords
Tuberculosis, Phase I, MVA85A, AERAS-402
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group A
Arm Type
Experimental
Arm Description
Two doses of AERAS-402 (1x10^11 vp intramuscular injection) followed by one dose of MVA85A (1x10^8 pfu intradermal injection)
Arm Title
Group B
Arm Type
Experimental
Arm Description
One dose of AERAS-402 (1x10^11 vp intramuscular injection) followed by one dose of MVA85A (1x10^8 pfu intradermal injection)
Arm Title
Group C
Arm Type
Experimental
Arm Description
Three doses of AERAS-402 (1x10^11 vp intramuscular injection)
Intervention Type
Biological
Intervention Name(s)
AERAS-402
Other Intervention Name(s)
Ad35 TB-S
Intervention Description
Intramuscular needle injection 1x10^11 vp
Intervention Type
Biological
Intervention Name(s)
MVA85A
Other Intervention Name(s)
AERAS-485
Intervention Description
Intradermal needle injection 1x10^8 pfu
Primary Outcome Measure Information:
Title
Safety of AERAS-402 followed by MVA85A
Description
To evaluate the safety profile of multiple doses of AERAS-402 alone, compared to one and two doses of AERAS-402 followed by MVA85A in healthy, BCG vaccinated adults, measured by number and severity of local and systemic adverse events
Time Frame
3 months after final vaccination
Secondary Outcome Measure Information:
Title
Immunogenicity of AERAS-402 followed by MVA85A
Description
To evaluate and compare the immune responses as described by flow cytometric intracellular cytokine staining, antibody serology, and Elispot assays of multiple doses of AERAS-402 alone, compared to one and two doses of AERAS-402 followed by MVA85A in healthy, BCG vaccinated adults
Time Frame
12-18 months after first vaccination
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:
Subjects must meet all of the following criteria to enter the trial:
Healthy adult aged 18-55 years
Resident in or near Oxford (for CCVTM) or Birmingham (for WTCRF; and able to travel to Oxford for vaccinations) for the duration of the trial period
No relevant findings in medical history or on physical examination
Confirmation of prior vaccination with BCG not less than 6 months prior to projected trial vaccination date (by visible BCG scar on examination or written documentation)
Allow the Investigators to discuss the individual's medical history with their GP
Use effective contraception for the duration of the trial period (females only)
Refrain from blood donation during the trial
Give written informed consent
Allow the Investigator to register subject details with a confidential database to prevent concurrent entry into clinical trials
Agrees to avoid elective surgery for the duration of the trial
Has a body mass index (BMI) between 18 and 33 (weight/height2) by nomogram
Able and willing (in the Investigator's opinion) to comply with all the trial requirements
Exclusion Criteria:
Subjects must meet none of the following criteria to enter the trial:
Laboratory evidence at screening of latent M. tb infection as indicated by a positive ELISPOT response to ESAT6 or CFP10 antigens
Clinical, radiological, or laboratory evidence of current active TB disease
Shared a residence within one year prior to day 0 with an individual on anti-tuberculosis treatment or with culture- or smear-positive pulmonary tuberculosis
Previous treatment for active or latent tuberculosis infection
Received a TST within 90 days prior to day 0
Received a systemic antibiotic within 14 days prior to day 0
Inability to discontinue daily medications other than the following during the trial: oral contraceptives, vitamins, nonprescription nutritional supplements, aspirin, antihistamines, antihypertensives, antidepressants, inhaled steroids, bronchodilators, and any other stable, regular medication not deemed to have an impact on safety or immunogenicity.
Previous vaccination with candidate vaccine MVA85A or candidate vaccine FP85A or any other recombinant MVA or adenoviral vaccine; AERAS-402; or any other investigational M. tb vaccine
Clinically significant history of skin disorder, allergy, immunodeficiency (including HIV), autoimmune disease, cancer (except BCC or CIS), cardiovascular disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, neurological illness, psychiatric disorder, drug or alcohol abuse
History of serious psychiatric condition
Concurrent oral or systemic steroid medication or the concurrent use of other immunosuppressive agents
History of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the trial vaccine, including eggs
Any abnormality of screening blood or urine tests that is deemed to be clinically significant or that may compromise the safety of the subject in the triala
Positive HBsAg, HCV or HIV antibodies
Female currently lactating, confirmed pregnancy or intention to become pregnant during trial period
Use of an investigational medicinal product or non-registered drug, live vaccine, or medical device other than the trial vaccine for 30 days prior to dosing with the trial vaccine, or planned use during the trial period
Administration of immunoglobulins and/or any blood products within the three months preceding the planned trial vaccination date
Any other significant disease, disorder, or finding, which, in the opinion of the Investigator, may either put the subject at risk or may influence the result of the trial or may affect the subject's ability to participate in the trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Helen McShane
Organizational Affiliation
University of Oxford
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Clinical Vaccinology and Tropical Medicine (CCVTM), Churchill Hospital
City
Oxford
State/Province
Oxfordshire
ZIP/Postal Code
OX3 7LE
Country
United Kingdom
Facility Name
The Wellcome Trust Clinical Research Facility (WTCRF), University of Birmingham
City
Birmingham
State/Province
West Midlands
ZIP/Postal Code
B15 2TH
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
26529238
Citation
Sheehan S, Harris SA, Satti I, Hokey DA, Dheenadhayalan V, Stockdale L, Manjaly Thomas ZR, Minhinnick A, Wilkie M, Vermaak S, Meyer J, O'Shea MK, Pau MG, Versteege I, Douoguih M, Hendriks J, Sadoff J, Landry B, Moss P, McShane H. A Phase I, Open-Label Trial, Evaluating the Safety and Immunogenicity of Candidate Tuberculosis Vaccines AERAS-402 and MVA85A, Administered by Prime-Boost Regime in BCG-Vaccinated Healthy Adults. PLoS One. 2015 Nov 3;10(11):e0141687. doi: 10.1371/journal.pone.0141687. eCollection 2015.
Results Reference
derived
Links:
URL
http://www.jenner.ac.uk/clinicaltrials
Description
The Jenner Institute - Clinical Trials
Learn more about this trial
Safety Study of Tuberculosis Vaccines AERAS-402 and MVA85A
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