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HIV InfectionsPhase 1NCT00111605

Study of an HIV Preventive Vaccine Given With or Without an Adjuvant in HIV Uninfected Adults

A Phase 1 study testing HIV-1 gag DNA, HIV-1 gag DNA plus IL-12 DNA adjuvant and CTL MEP/RC529-SE/GM-CSF (CTL MEP vaccine) in people with HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 4 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety and tolerability of an experimental HIV vaccine. The vaccine will be given with or without IL-12 DNA adjuvant (at three escalating doses of 100, 500, and 1,500 mcg respectively), a substance that helps the body respond to a vaccine. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
HIV Infections
What is being tested?
HIV-1 gag DNA, HIV-1 gag DNA plus IL-12 DNA adjuvant and CTL MEP/RC529-SE/GM-CSF (CTL MEP vaccine)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
144 participants
Where
4 sitesin 2 countries
Study dates
Start not givento May 2008
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • HIV uninfected
  • Access to a participating HIV Vaccine Trials Unit (HVTU)
  • Willing to receive HIV test results
  • Willing and able to comply with all study requirements
  • In good general health
  • Willing to use acceptable methods of contraception for at least 21 days prior to study entry and until the last study visit. More information about this criterion can be found in the protocol.
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  • Hepatitis B surface antigen negative
  • Anti-hepatitis C virus (anti-HCV) antibody negative or negative HCV PCR if anti-HCV antibody is positive
  • Weighs of or greater than 110 pounds (50 kg)

Who cannot join

  • HIV infection
  • HIV vaccines or placebos in prior HIV trial
  • Immunosuppressive medications within 168 days prior to first study vaccination
  • Blood products within 120 days prior to first study vaccination
  • Live attenuated vaccines within 30 days prior to first study vaccination
  • Medically indicated subunit or killed vaccines within 14 days prior to first study vaccination
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  • Pneumococcal vaccine within 14 days prior to first study vaccination
  • Allergy treatment with antigen injections within 30 days prior to first study vaccination
  • Current anti-tuberculosis (TB) preventive therapy or treatment
  • Clinically significant medical condition, abnormal physical exam findings, abnormal laboratory results, or past medical history that may affect current health
  • Any medical, psychiatric, or social condition that would interfere with the study. More information about this criterion can be found in the protocol.
  • Any job-related responsibility that would interfere with the study
  • Allergies to local amide-type anesthetics
  • Serious adverse reactions to vaccines, including hypersensitivity and related symptoms. A person who had an adverse reaction to pertussis vaccine as a child is not excluded.
  • Autoimmune disease or immunodeficiency
  • Active syphilis infection. Participants who have been fully treated for syphilis over 6 months prior to study entry are not excluded.
  • Moderate to severe asthma. More information on this criterion can be found in the protocol.
  • Type 1 or type 2 diabetes mellitus. Participants with histories of isolated gestational diabetes are not excluded.
  • Thyroid disease or surgical removal of the thyroid requiring medication during the 12 months prior to study entry
  • Accumulation of fluid in the blood vessels (angioedema) within 3 years prior to study entry, with episodes requiring medication in the 2 years prior to study entry
  • Hypertension that is not well controlled by medication OR blood pressure of 150/100 or higher at study entry
  • Body mass index (BMI) of 40 or greater OR BMI of 35 or greater, if certain criteria are met. More information about these criteria can be found in the protocol.
  • Bleeding disorder
  • Cancer. Participants with surgically removed cancer that, in the opinion of the investigator, is unlikely to recur are not excluded.
  • Absence of the spleen
  • Plans to become pregnant during the study
  • Pregnancy or breastfeeding
  • Allergies to yeast-derived products

Trial locations and contacts

4 sites in 2 countries.

4 sites in 2 countries

United States3 sites
  • Project Brave HIV Vaccine CRS

    Baltimore, Maryland, 21201

  • Alabama Vaccine CRS

    Birmingham, Alabama, 35294-2041

  • Vanderbilt Vaccine CRS

    Nashville, Tennessee, 37232

Other trials in United States

Thailand1 site
  • Chiang Mai Univ. HVTN CRS

    Chiang Mai

Other trials in Thailand

About this study

Official title: A Phase I Clinical Trial to Evaluate the Safety and Immunogenicity of an HIV-1 Gag DNA Vaccine With or Without IL-12 DNA Adjuvant, Boosted With Homologous Plasmids in Healthy, HIV-1 Uninfected Adult Participants

The purpose of this study is to evaluate the safety and tolerability of an experimental HIV vaccine. The vaccine will be given with or without IL-12 DNA adjuvant (at three escalating doses of 100, 500, and 1,500 mcg respectively), a substance that helps the body respond to a vaccine. This study will also determine the safety and tolerability of an experimental HIV vaccine boosted with two adjuvants.

Read the detailed description

The HIV epidemic is a major global health challenge, causing tremendous human suffering and economic loss throughout the world. The need for a safe, effective, and affordable HIV preventive vaccine is critical. This study will determine the safety and immunogenicity of an experimental HIV vaccine, HIV-1 gag DNA, given with or without an IL-12 adjuvant and boosted HIV-1 gag DNA with or without IL-12 DNA adjuvant.

This study will comprise two parts (Parts A and B). Part A will last 9 months and Part B, 15 months. Part A will consist of 48 participants enrolled in 4 groups. Group 1 participants will be randomly assigned to receive the gag DNA vaccine or placebo. Participants in Groups 2, 3, and 4 will be randomly assigned to receive the gag DNA vaccine and either 100 mcg, 500 mcg, or 1,500 mcg IL-12 DNA or placebo. Vaccinations for Groups 1 through 4 will be given intramuscularly and will occur at study entry and at Months 1 and 3.

Part B will consist of 96 participants, enrolled in 3 groups. Participants in Part B will receive their first vaccination 2 weeks after Part A participants receive their second vaccination. Group 5 participants will receive either the HIV-1 gag DNA vaccine or placebo. Group 6 participants will receive either the HIV-1 gag DNA vaccine plus IL-12 DNA or placebo. Vaccinations for Groups 5 and 6 will occur at study entry and at Months 1, 3, 6, and 9. Group 7 participants will receive either the gag DNA vaccine plus IL-12 DNA or placebo at study entry and at Months 1 and 3. Throughout the study, blood and urine collections will occur, physical exams will be conducted, HIV testing and counseling will be offered, and interviews and questionnaires will be completed.

Conditions
HIV Infections
Being tested
HIV-1 gag DNA, HIV-1 gag DNA plus IL-12 DNA adjuvant, CTL MEP/RC529-SE/GM-CSF (CTL MEP vaccine), Sodium chloride injection (0.9%)
Keywords
AIDS Vaccines, HIV Vaccines, HIV Preventive Vaccine, HIV Seronegativity
Medical subject headings
HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HIV-1 gag DNABiological

    A 0.75 mL intramuscular injection of HIV gag DNA vaccine into the deltoid

  • HIV-1 gag DNA plus IL-12 DNA adjuvantBiological

    Injection IL-12 DNA adjuvant intramuscularly into the deltoid

  • CTL MEP/RC529-SE/GM-CSF (CTL MEP vaccine)Biological

    A 1 mL intramuscular injection in the deltoid

  • Sodium chloride injection (0.9%)Biological

    All placebo groups will receive an intramuscular injection of sodium chloride (0.9%) in the deltoid.

    Group 1 will receive a 0.75 mL injection on Days 0, 28, and 84. Group 2 will receive a 0.8 mL injection on Days 0, 28, and 84. Group 3 will receive a 1.0 mL injection on Days 0, 28, and 84. Group 4 will receive a 1.5 mL injection on Days 0, 28, and 84. Group 5 will receive a 0.75 mL injection on Days 0, 28, 84, 168, and 273. Group 6 will receive a 1.5 mL injection on Days 0, 28, 84, 168, and 273. Group 7 will receive a 1.5 mL injection on Days 0, 28, and 84 and a 1 mL injection into the deltoid on Days 168 and 273.

Study groups in NCT00111605
Study groupRoleWhat they receive
1ExperimentalHIV gag DNA vaccine or placebo on Days 0, 28, and 84
Receives: Biological: HIV-1 gag DNA; Biological: Sodium chloride injection (0.9%)
2ExperimentalHIV gag DNA vaccine plus 100 mcg of IL-12 or placebo on Days 0, 28, and 84
Receives: Biological: HIV-1 gag DNA; Biological: HIV-1 gag DNA plus IL-12 DNA adjuvant; Biological: Sodium chloride injection (0.9%)
3ExperimentalHIV gag DNA vaccine plus 500 mcg of IL-12 or placebo on Days 0, 28, and 84
Receives: Biological: HIV-1 gag DNA; Biological: HIV-1 gag DNA plus IL-12 DNA adjuvant; Biological: Sodium chloride injection (0.9%)
4ExperimentalHIV gag DNA vaccine plus 1,500 mcg of IL-12 or placebo on Days 0, 28, and 84
Receives: Biological: HIV-1 gag DNA; Biological: HIV-1 gag DNA plus IL-12 DNA adjuvant; Biological: Sodium chloride injection (0.9%)
5ExperimentalHIV gag DNA vaccine or placebo on Days 0, 28, 84, 168, and 273
Receives: Biological: HIV-1 gag DNA; Biological: Sodium chloride injection (0.9%)
6ExperimentalHIV gag DNA vaccine plus IL-12 or placebo on Days 0, 28, and 84 plus CTL MEP/RC529-SE/GM-SCF booster vaccine on Days 168 and 273
Receives: Biological: HIV-1 gag DNA; Biological: HIV-1 gag DNA plus IL-12 DNA adjuvant; Biological: CTL MEP/RC529-SE/GM-CSF (CTL MEP vaccine); Biological: Sodium chloride injection (0.9%)
7ExperimentalHIV gag DNA vaccine plus IL-12 DNA adjuvant or placebo on Days 0 and 84
Receives: Biological: HIV-1 gag DNA; Biological: Sodium chloride injection (0.9%)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety, as judged by local and systemic reactogenicity signs and symptoms, laboratory measures of safety, and adverse and serious experiences

    Measured: Throughout the study

Secondary outcomes (1)
  1. Immunogenicity, as judged by HIV-specific cellular responses assessed by interferon-gamma ELISpot assays and by intracellular cytokine staining (ICS)

    Measured: Throughout the study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 May 2005 (estimated)
  2. Study completionMay 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
144 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00111605
Sponsor's protocol ID
HVTN 060
Other IDs
10057
Status last verified
Oct 2021
First submitted
23 May 2005
Last updated
14 Oct 2021
Results posted
No

Publications

  • Bolesta E, Gzyl J, Wierzbicki A, Kmieciak D, Kowalczyk A, Kaneko Y, Srinivasan A, Kozbor D. Clustered epitopes within the Gag-Pol fusion protein DNA vaccine enhance immune responses and protection against challenge with recombinant vaccinia viruses expressing HIV-1 Gag and Pol antigens. Virology. 2005 Feb 20;332(2):467-79. doi: 10.1016/j.virol.2004.09.043.

    PubMed 15680412
  • Letvin NL. Progress toward an HIV vaccine. Annu Rev Med. 2005;56:213-23. doi: 10.1146/annurev.med.54.101601.152349.

    PubMed 15660510
  • Sha BE, Onorato M, Bartlett JA, Bosch RJ, Aga E, Nokta M, Adams EM, Li XD, Eldridge J, Pollard RB. Safety and immunogenicity of a polyvalent peptide C4-V3 HIV vaccine in conjunction with IL-12. AIDS. 2004 May 21;18(8):1203-6. doi: 10.1097/00002030-200405210-00015.

    PubMed 15166537
  • Jin X, Morgan C, Yu X, DeRosa S, Tomaras GD, Montefiori DC, Kublin J, Corey L, Keefer MC; NIAID HIV Vaccine Trials Network. Multiple factors affect immunogenicity of DNA plasmid HIV vaccines in human clinical trials. Vaccine. 2015 May 11;33(20):2347-53. doi: 10.1016/j.vaccine.2015.03.036. Epub 2015 Mar 25.

    PubMed 25820067
  • Kalams SA, Parker S, Jin X, Elizaga M, Metch B, Wang M, Hural J, Lubeck M, Eldridge J, Cardinali M, Blattner WA, Sobieszczyk M, Suriyanon V, Kalichman A, Weiner DB, Baden LR; NIAID HIV Vaccine Trials Network. Safety and immunogenicity of an HIV-1 gag DNA vaccine with or without IL-12 and/or IL-15 plasmid cytokine adjuvant in healthy, HIV-1 uninfected adults. PLoS One. 2012;7(1):e29231. doi: 10.1371/journal.pone.0029231. Epub 2012 Jan 5.

    PubMed 22242162

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HIV-1 gag DNA, HIV-1 gag DNA plus IL-12 DNA adjuvant and CTL MEP/RC529-SE/GM-CSF (CTL MEP vaccine) in people with HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 4 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States, Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety, as judged by local and systemic reactogenicity signs and symptoms, laboratory measures of safety, and adverse and serious experiences (time frame: Throughout the study). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00111605, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2021.

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