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Trial to Evaluate Safety and Immunogenicity of a Vaccine Against HCMV

Primary Purpose

Cytomegalovirus Infection

Status
Completed
Phase
Phase 1
Locations
Belgium
Study Type
Interventional
Intervention
Low dose HB-101
Medium dose HB-101
High dose HB-101
Placebo
Sponsored by
Hookipa Biotech GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cytomegalovirus Infection focused on measuring Prevention

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Signed informed consent
  • Male or female, aged 18-45 years, in good health.
  • Negative for HCMV
  • Body mass index between 19 and 32 kg/m²
  • Willing to forego receipt of other routine vaccinations (with the exception of seasonal influenza vaccination) for five months after study entry.
  • For female volunteers: use of effective birth control for at least 2 months prior to study entry and willing to use effective birth control measures up to the Month 12 visit
  • Comply with the requirements of this protocol (e.g. return for follow-up visits), as judged by the Investigator.

Exclusion Criteria:

  • Works as a childcare provider.
  • Pregnant or breastfeeding woman.
  • Any screening safety laboratory value that is 2 times above the upper limit of normal value.
  • Any confirmed or suspected immunodeficiency or autoimmune disorder.
  • Treatment with any chronic immunosuppressive medication or other immuno-modifying drugs within 6 months prior to study entry. However, inhaled and topical steroids are allowed.
  • Any vaccination other than for seasonal influenza within 3 months prior to study entry.
  • Previous vaccination with an investigational HCMV vaccine.
  • Receipt of blood, blood products and/or immunoglobulins within 3 months prior to study entry.
  • History of severe allergic reactions and /or anaphylaxis
  • Allergy to any component of the vaccine preparation.
  • Expected to be unavailable to complete study follow up.
  • Tested positive for HIV, HBsAg and/or anti-HCV.
  • Participating in another clinical trial.
  • Subject with a rash, dermatological condition or tattoos in the area of the injection site, as these may interfere with administration site reaction rating.

Sites / Locations

  • Center for Vaccinology Ghent

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Low dose HB-101 group

Medium dose HB-101 group

High dose HB101 group

Placebo group

Arm Description

Intervention:Three administrations of a low dose of HB-101

Intervention:Three administrations of a middle dose of HB-101.

Intervention:Three administrations of a high dose of HB-101.

Intervention:Three administrations of placebo (diluent)

Outcomes

Primary Outcome Measures

Safety primary outcome (local solicited symptoms)
Local solicited symptoms will be assessed by diary card and scripted questions for 7 days after each administration: administration site pain, induration, erythema, pruritus and swelling
Safety primary outcome (general solicited symptoms)
General solicited symptoms will be assessed by diary card and scripted questions for 7 days after each administration: malaise, fatigue, body temperature (measured axillary), generalized myalgia.
Safety primary outcome (Unsolicited AE´s)
Unsolicited AEs will be recorded through open-ended general inquiries
Safety primary outcome (SAEs and pregnancies)
SAEs and pregnancies will be recorded during the whole study
Safety primary outcome (Vital signs)
Vital signs (blood pressure, heart rate and body temperature)
Safety primary outcome (physical examination)
general evaluation based on the Investigator judgment and local evaluation of the administration site
Safety primary outcome (Clinical evaluation - part I)
Complete blood count
Safety primary outcome (Clinical evaluation - part II)
Comprehensive Metabolic Panel

Secondary Outcome Measures

Humoral Immunogenicity
Human cytomegalovirus (HCMV) gB immunoglobulin G (IgG) by enzyme-linked immunosorbent assay (ELISA) HCMV neutralization on MRC-5 cells HCMV neutralization on ARPE-19 cells (depending on neutralization assay results in MRC-5 cells) Lymphocytic choriomeningitis virus (LCMV) neutralization on ARPE-19 cells
Cellular Immunogenicity
LCMV NP-specific interferon γ (IFN-γ) Enzyme-Linked Immunospot Assay (ELISPOT) LCMV NP-specific intracellular cytokine staining (ICS) of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L HCMV pp65-specific IFN-γ ELISPOT HCMV gB-specific IFN-γ ELISPOT HCMV pp65-specific ICS of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L HCMV gB-specific ICS of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L

Full Information

First Posted
June 9, 2016
Last Updated
April 1, 2018
Sponsor
Hookipa Biotech GmbH
Collaborators
Centre for Vaccinology Ghent - CEVAC
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1. Study Identification

Unique Protocol Identification Number
NCT02798692
Brief Title
Trial to Evaluate Safety and Immunogenicity of a Vaccine Against HCMV
Official Title
Randomized, Placebo-controlled, Double-blind Phase I Dose-escalating Trial to Evaluate the Safety and Immunogenicity of a Vaccine Against Human Cytomegalovirus
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
June 2016 (Actual)
Primary Completion Date
May 2017 (Actual)
Study Completion Date
March 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hookipa Biotech GmbH
Collaborators
Centre for Vaccinology Ghent - CEVAC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objectives of this first-in-human is to evaluate the safety and the immunogenicity of three administrations of a bivalent vaccine candidate against human cytomegalovirus, at three different dose levels.
Detailed Description
Hookipa Biotech AG is developing a replication-deficient lymphocytic choriomeningitis virus (rLCMV) vector platform. HB-101 is a bivalent vaccine containing two recombinant, replication-deficient lymphocytic choriomeningitis virus (rLCMV) vectors, one expressing the pp65 protein of the human cytomegalovirus (HCMV) and one expressing the gB protein of human cytomegalovirus (HCMV). This Phase 1 will enroll three successive cohorts of 18 healthy volunteers. Each cohort will receive either a low dose, a middle dose or a high dose of the vaccine (n=14 volunteers), or placebo (n=4). A DSMB will review the safety data for the low dose cohort, before progressing to the middle, and so before high dose. Eight DSMB meetings have been planned for the whole study. The subjects will be followed up to 12 months post first administration.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cytomegalovirus Infection
Keywords
Prevention

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Low dose HB-101 group
Arm Type
Active Comparator
Arm Description
Intervention:Three administrations of a low dose of HB-101
Arm Title
Medium dose HB-101 group
Arm Type
Active Comparator
Arm Description
Intervention:Three administrations of a middle dose of HB-101.
Arm Title
High dose HB101 group
Arm Type
Active Comparator
Arm Description
Intervention:Three administrations of a high dose of HB-101.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Intervention:Three administrations of placebo (diluent)
Intervention Type
Biological
Intervention Name(s)
Low dose HB-101
Intervention Description
Three intra muscular administrations at Day 0, Month 1 and Month 3
Intervention Type
Biological
Intervention Name(s)
Medium dose HB-101
Intervention Description
Three intra muscular administrations at Day 0, Month 1 and Month 3
Intervention Type
Biological
Intervention Name(s)
High dose HB-101
Intervention Description
Three intra muscular administrations at Day 0, Month 1 and Month 3
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Three intra muscular administrations at Day 0, Month 1 and Month 3. The diluent is used as placebo.
Primary Outcome Measure Information:
Title
Safety primary outcome (local solicited symptoms)
Description
Local solicited symptoms will be assessed by diary card and scripted questions for 7 days after each administration: administration site pain, induration, erythema, pruritus and swelling
Time Frame
Day 0 to Day 7 after each administration
Title
Safety primary outcome (general solicited symptoms)
Description
General solicited symptoms will be assessed by diary card and scripted questions for 7 days after each administration: malaise, fatigue, body temperature (measured axillary), generalized myalgia.
Time Frame
Day 0 to Day 7 after each administration
Title
Safety primary outcome (Unsolicited AE´s)
Description
Unsolicited AEs will be recorded through open-ended general inquiries
Time Frame
From Day 0 to Month 4
Title
Safety primary outcome (SAEs and pregnancies)
Description
SAEs and pregnancies will be recorded during the whole study
Time Frame
From Day 0 to Month 12
Title
Safety primary outcome (Vital signs)
Description
Vital signs (blood pressure, heart rate and body temperature)
Time Frame
From Day 0 to Month 12
Title
Safety primary outcome (physical examination)
Description
general evaluation based on the Investigator judgment and local evaluation of the administration site
Time Frame
From Day 0 to Month 12
Title
Safety primary outcome (Clinical evaluation - part I)
Description
Complete blood count
Time Frame
From Day 0 to Month 12
Title
Safety primary outcome (Clinical evaluation - part II)
Description
Comprehensive Metabolic Panel
Time Frame
From Day 0 to Month 12
Secondary Outcome Measure Information:
Title
Humoral Immunogenicity
Description
Human cytomegalovirus (HCMV) gB immunoglobulin G (IgG) by enzyme-linked immunosorbent assay (ELISA) HCMV neutralization on MRC-5 cells HCMV neutralization on ARPE-19 cells (depending on neutralization assay results in MRC-5 cells) Lymphocytic choriomeningitis virus (LCMV) neutralization on ARPE-19 cells
Time Frame
From Day 0 to Month 12
Title
Cellular Immunogenicity
Description
LCMV NP-specific interferon γ (IFN-γ) Enzyme-Linked Immunospot Assay (ELISPOT) LCMV NP-specific intracellular cytokine staining (ICS) of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L HCMV pp65-specific IFN-γ ELISPOT HCMV gB-specific IFN-γ ELISPOT HCMV pp65-specific ICS of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L HCMV gB-specific ICS of CD4+ and CD8+ T cells for IFN-γ, IL-2, TNF-α, CD107a and CD40L
Time Frame
From Day 0 to Month 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Signed informed consent Male or female, aged 18-45 years, in good health. Negative for HCMV Body mass index between 19 and 32 kg/m² Willing to forego receipt of other routine vaccinations (with the exception of seasonal influenza vaccination) for five months after study entry. For female volunteers: use of effective birth control for at least 2 months prior to study entry and willing to use effective birth control measures up to the Month 12 visit Comply with the requirements of this protocol (e.g. return for follow-up visits), as judged by the Investigator. Exclusion Criteria: Works as a childcare provider. Pregnant or breastfeeding woman. Any screening safety laboratory value that is 2 times above the upper limit of normal value. Any confirmed or suspected immunodeficiency or autoimmune disorder. Treatment with any chronic immunosuppressive medication or other immuno-modifying drugs within 6 months prior to study entry. However, inhaled and topical steroids are allowed. Any vaccination other than for seasonal influenza within 3 months prior to study entry. Previous vaccination with an investigational HCMV vaccine. Receipt of blood, blood products and/or immunoglobulins within 3 months prior to study entry. History of severe allergic reactions and /or anaphylaxis Allergy to any component of the vaccine preparation. Expected to be unavailable to complete study follow up. Tested positive for HIV, HBsAg and/or anti-HCV. Participating in another clinical trial. Subject with a rash, dermatological condition or tattoos in the area of the injection site, as these may interfere with administration site reaction rating.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Geert Leroux-Roels, MD PhD Prof
Organizational Affiliation
UZ Gent
Official's Role
Principal Investigator
Facility Information:
Facility Name
Center for Vaccinology Ghent
City
Ghent
State/Province
East Flanders
ZIP/Postal Code
9000
Country
Belgium

12. IPD Sharing Statement

Plan to Share IPD
No

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Trial to Evaluate Safety and Immunogenicity of a Vaccine Against HCMV

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