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Study of a Potential Preventive Vaccine Against HIV in Healthy Volunteers (ADVAX-EP)

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TriGrid™ Delivery System
conventional intramuscular injection
Sponsored by
Rockefeller University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infections focused on measuring HIV vaccine, HIV, AIDS, prevention, HIV/AIDS, HIV Preventative Vaccine, HIV Seronegativity

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy Men and Women
  2. Ages 18 to 60
  3. Not considered to be at high risk to acquire HIV infection.

Exclusion Criteria:

  1. Confirmed HIV-1 or HIV-2 infection
  2. Any clinically significant abnormality on history or examination
  3. Any clinically significant 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
  4. Hepatitis B; hepatitis C
  5. Syphilis
  6. If female, pregnant, planning a pregnancy during the trial period, or breastfeeding
  7. Receipt of a live attenuated vaccine (other than influenza) within 30 days or other vaccine within 14 days of ADVAX vaccination
  8. Receipt of blood transfusion or blood products 6 months prior to vaccination
  9. Participation in another clinical study of an investigational product currently or within past 3 months, or expected participation while enrolled in this study
  10. History of severe local or systemic reactogenicity to vaccination or history of severe allergic reactions
  11. Major psychiatric illness including any history of schizophrenia or severe psychosis, bipolar disorder requiring therapy, suicidal attempt or ideation in the previous 3 years
  12. Any electronic stimulation device, such as cardiac demand pacemakers, automatic implantable cardiac defibrillator, nerve stimulators, or deep brain stimulators
  13. Individuals in which a skin-fold measurement of the cutaneous and subcutaneous tissue for all eligible injection sites (deltoid muscles with intact lymph drainage) exceeds 40 mm
  14. In the opinion of the investigator, unlikely to comply with protocol

Sites / Locations

  • The Rockefeller University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

intramuscular injection

TriGrid Delivery System

Arm Description

administration of an HIV-1 vaccine by conventional intramuscular injection

electroporation-mediated intramuscular delivery using the TriGridTM device by Ichor Medical Systems, Inc.

Outcomes

Primary Outcome Measures

To evaluate the safety of an intramuscular prime and boost injection of the ADVAX DNA-based HIV vaccine via TriGrid™ electroporation at all three dosing levels

Secondary Outcome Measures

• To evaluate the immunogenicity of an intramuscular prime and boost injection of the ADVAX DNA-based HIV vaccine via TriGrid™ electroporation compared to placebo or standard syringe injection at all three dosing levels.

Full Information

First Posted
October 16, 2007
Last Updated
May 4, 2011
Sponsor
Rockefeller University
Collaborators
Aaron Diamond AIDS Research Center, Bill and Melinda Gates Foundation, Ichor Medical Systems Incorporated, International AIDS Vaccine Initiative
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1. Study Identification

Unique Protocol Identification Number
NCT00545987
Brief Title
Study of a Potential Preventive Vaccine Against HIV in Healthy Volunteers
Acronym
ADVAX-EP
Official Title
Evaluation of Local and Systemic Reactogenicity Following Serial Administration of ADVAX, a Clade C DNA Vaccine, ADVAX e/g + ADVAX p/N-t, by Ichor TriGrid™ in Vivo Electroporation to HIV-Uninfected, Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
May 2011
Overall Recruitment Status
Completed
Study Start Date
September 2007 (undefined)
Primary Completion Date
October 2009 (Actual)
Study Completion Date
April 2011 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Rockefeller University
Collaborators
Aaron Diamond AIDS Research Center, Bill and Melinda Gates Foundation, Ichor Medical Systems Incorporated, International AIDS Vaccine Initiative

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will test the safety of a HIV DNA vaccine after it is injected into your muscle using an electroporation device (TriGrid™ Delivery System made by Ichor Medical Systems), and will test the ability of the vaccine to help your body make antibodies and T-Cells. In this study, we would like to learn about the effects that electroporation of the HIV DNA has on you and your immune system.
Detailed Description
Over 40 million people worldwide are currently infected with HIV, the virus that causes AIDS (Acquired Immune Deficiency Syndrome). The number of new cases continues to rise at an alarming rate. Other infectious diseases, such as smallpox or poliomyelitis, have been controlled, or even eliminated, by vaccination programs. Many experts believe that an HIV vaccine offers the best hope for controlling the epidemic. Many different possible HIV vaccines are currently being developed and tested. The ADVAX vaccine which you will receive is one vaccine that has been tested. To date, one to three doses of the ADVAX vaccine have been given to 45 individuals in a study that took place between December 2003 and October 2005 at the Rockefeller University and the University of Rochester and it appears to be safe. The difference between this ADVAX study and the previous one is that you will only receive two doses of the vaccine or placebo by either standard intramuscular injection or by "electroporation." This study is part of a broader research effort to see if changes in the way vaccines are given can make vaccines more effective. The results of other studies suggest that using regular needles may not be the most potent way to inject this type of vaccine. This is why we are studying a new method of injection called electroporation. Electroporation uses a device that injects substances into muscle along with small amounts of electricity. This device has been used to a limited extent in human subjects and has been shown to be more effective than regular needles and safe when tested in animals. Devices similar to this have been used in many studies to deliver chemotherapy directly into patients' tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
HIV vaccine, HIV, AIDS, prevention, HIV/AIDS, HIV Preventative Vaccine, HIV Seronegativity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
intramuscular injection
Arm Type
Active Comparator
Arm Description
administration of an HIV-1 vaccine by conventional intramuscular injection
Arm Title
TriGrid Delivery System
Arm Type
Experimental
Arm Description
electroporation-mediated intramuscular delivery using the TriGridTM device by Ichor Medical Systems, Inc.
Intervention Type
Device
Intervention Name(s)
TriGrid™ Delivery System
Intervention Description
Subjects will be administered the study drug using Ichor Medical Systems' intramuscular TriGrid™ delivery device.
Intervention Type
Device
Intervention Name(s)
conventional intramuscular injection
Intervention Description
administration of an HIV-1 vaccine encoding the gag, env, pol, nef, and tat antigens (ADVAX)by conventional intramuscular injection
Primary Outcome Measure Information:
Title
To evaluate the safety of an intramuscular prime and boost injection of the ADVAX DNA-based HIV vaccine via TriGrid™ electroporation at all three dosing levels
Time Frame
wk. 1,2, 4, 9, 10, 12, 16, 24, 36, 48 and 56
Secondary Outcome Measure Information:
Title
• To evaluate the immunogenicity of an intramuscular prime and boost injection of the ADVAX DNA-based HIV vaccine via TriGrid™ electroporation compared to placebo or standard syringe injection at all three dosing levels.
Time Frame
wk. 1,2, 4, 9, 10, 12, 16, 24, 36, 48 and 56

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 Men and Women Ages 18 to 60 Not considered to be at high risk to acquire HIV infection. Exclusion Criteria: Confirmed HIV-1 or HIV-2 infection Any clinically significant abnormality on history or examination Any clinically significant 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 Hepatitis B; hepatitis C Syphilis If female, pregnant, planning a pregnancy during the trial period, or breastfeeding Receipt of a live attenuated vaccine (other than influenza) within 30 days or other vaccine within 14 days of ADVAX vaccination Receipt of blood transfusion or blood products 6 months prior to vaccination Participation in another clinical study of an investigational product currently or within past 3 months, or expected participation while enrolled in this study History of severe local or systemic reactogenicity to vaccination or history of severe allergic reactions Major psychiatric illness including any history of schizophrenia or severe psychosis, bipolar disorder requiring therapy, suicidal attempt or ideation in the previous 3 years Any electronic stimulation device, such as cardiac demand pacemakers, automatic implantable cardiac defibrillator, nerve stimulators, or deep brain stimulators Individuals in which a skin-fold measurement of the cutaneous and subcutaneous tissue for all eligible injection sites (deltoid muscles with intact lymph drainage) exceeds 40 mm In the opinion of the investigator, unlikely to comply with protocol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Ho, M.D.
Organizational Affiliation
The Aaron Diamond AIDS Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Rockefeller University Hospital
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21603651
Citation
Vasan S, Hurley A, Schlesinger SJ, Hannaman D, Gardiner DF, Dugin DP, Boente-Carrera M, Vittorino R, Caskey M, Andersen J, Huang Y, Cox JH, Tarragona-Fiol T, Gill DK, Cheeseman H, Clark L, Dally L, Smith C, Schmidt C, Park HH, Kopycinski JT, Gilmour J, Fast P, Bernard R, Ho DD. In vivo electroporation enhances the immunogenicity of an HIV-1 DNA vaccine candidate in healthy volunteers. PLoS One. 2011;6(5):e19252. doi: 10.1371/journal.pone.0019252. Epub 2011 May 16.
Results Reference
derived
Links:
URL
http://www.adarc.org/
Description
The Aaron Diamond AIDS Research Center

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Study of a Potential Preventive Vaccine Against HIV in Healthy Volunteers

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