TuberculosisPhase 1NCT00749034
Dose-Escalation Study on Safety and Immunogenicity of VPM1002 in Comparison With BCG in Healthy Male Volunteers
A Phase 1 study testing VPM1002 and BCG in people with Tuberculosis and Healthy, run by Serum Life Science Europe GmbH at 1 site in Germany.
Trial summary
Goal of VPM is the development of a recombinant urease C-deficient listeriolysin expressing BCG vaccine strain (VPM1002) as a safe, well tolerated and efficacious vaccine against TB for residents in endemic areas and persons at risk in non-endemic areas. Read more about this study
- Who is it for?
- Ages 18 to 55 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Tuberculosis, Healthy
- What is being tested?
- VPM1002 and BCG
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 1 siteGermany
- Study dates
- Sep 2008to Dec 2009
- 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 55 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Male volunteers 18 to 55 years of age.
- Healthy (medical history, physical examination, vital signs, ECG and laboratory tests at screening).
- No signs of active or latent tuberculosis infection.
- BMI of 19 - 30 kg/m2.
- Subjects must be able and willing to comply with the study protocol, available and willing to complete all study measurements and have signed an Informed Consent form approved by the Ethics Committee.
- Intention not to travel to endemic regions for tuberculosis (such as Africa, Asia, former USSR) and reachable by phone during the whole study period (6 months).
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- Negative test for HIV1 and HIV2, hepatitis B surface antigen and antibody to hepatitis C virus .
- No anamnestic evidence for a primary or secondary immunodeficiency.
- No skin eczema lesion at the intended injection site.
- No anamnestic predisposition for scarring badly or for keloid formation.
- No other vaccination during eight weeks before and during the follow-up period of the current study. If a vaccination is necessary during this period, the volunteer will be withdrawn from the study.
- No participation in another clinical trial within 3 months before study vaccination and the 6 months of the current study.
- Able and willing to abstain from physical exercise 24 hours before screening examination, and from 24 hours before admission until discharge from the clinic.
- No blood donation for non study-related purposes during the entire duration of the study.
- normal sonographic liver imaging
Who cannot join
- For the group of volunteers who were vaccinated with a BCG vaccine:
- • Tuberculin-PPD-in-vivo-test equal or more than 10 mm at baseline
- For the group of naive volunteers:
- • Tuberculin-PPD-in-vivo-Test equal or more than 1 mm at baseline
- For all volunteers
- systemic disorders which could interfere with the interpretation of the study results or compromise the health of the volunteers.
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- BCG-vaccination during 10 years before study vaccination.
- Acute fever or fever in the last 7 days before dosing.
- Any malignant condition.
- Concomitant treatment with medication that may affect immune function during 3 months before study vaccination and the 6 months of current study.
- Treatment with blood products or Immunoglobulins in the past 6 months up to end of study.
- Any clinically significant laboratory abnormalities on screened blood samples.
- A history of drug or alcohol abuse.
- History of anaphylaxis or severe allergic reactions.
- Positive test for drugs of abuse on urine testing at screening or admission.
- Known allergies to any component of the investigational or reference product or known history of severe skin reaction against the Tuberculin test.
- Professional or regular contact with life animals for food production.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Phase I Open Label, Randomized, Controlled, Dose-Escalation Study to Evaluate Safety and Immunogenicity of VPM1002 in Comparison With BCG in Healthy Male Volunteers Stratified for History of BCG-Vaccination
Goal of VPM is the development of a recombinant urease C-deficient listeriolysin expressing BCG vaccine strain (VPM1002) as a safe, well tolerated and efficacious vaccine against TB for residents in endemic areas and persons at risk in non-endemic areas. The new live vaccine VPM1002 should be at least as potent as the currently used BCG vaccine and should cause fewer side effects (Kaufmann, 2007; Grode et al., 2005). It is formulated as lyophilised bacteria to be resuspended before intradermal injection. First application of VPM1002 in human male volunteers will evaluate its safety, local and systemic tolerability as well as its immunogenicity. The study has a dose-escalating sequential design with comparison to commercially available BCG. 80 volunteers in Germany will randomly be allocated to 4 groups each with 20 volunteers stratified for their history of BCG-vaccination.
- Conditions
- Tuberculosis, Healthy
- Being tested
- VPM1002, BCG
- Keywords
- Safety, Immunogenicity, Tuberculosis, Vaccination, Vaccination against tuberculosis, Safety and immunogenicity of VPM1002 in comparison with BCG
- Medical subject headings
- Tuberculosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VPM1002Biological
live vaccine
BCGBiological
commercially available live vaccine BCG
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | VPM1002 in three dosages Receives: Biological: VPM1002 |
| 2 | Active comparator | BCG Receives: Biological: BCG |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety: physical examination, vital signs, ECG, liver sonography, chest X-ray, laboratory safety parameters (including haematology, coagulation, clinical chemistry and urinalysis), tolerability, recording of concomitant medication and adverse events
Measured: days -1, 1, 2, 3, 5, 11, 29, 57 and month 6
Secondary outcomes (7)
Immunogenicity: LST for PPD with subsequent IFN-gamma specific ELISA on supernatants of PBMC
Measured: baseline, days 29, 57, month 6
Immunogenicity: ELISPOT for the number of IFN-gamma secreting PBMC after stimulation with PPD
Measured: baseline, days 29, 57, month 6
Immunogenicity: whole blood stimulated with PPD and measuring IFN-gamma in the plasma by ELISA
Measured: baseline, days 29, 57, month 6
ICS for IFN-gamma, TNF-alpha and IL-2 in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Measured: baseline, days 29, 57 and month 6
Immunogenicity: ICS with other triple combinations of markers in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Measured: baseline, days 29, 57 and month 6
Immunogenicity: TB85B as recall antigen for ELISA, ELISPOT, WBA and ICS
Measured: baseline, days 29, 57 and month 6
Immunogenicity: serum antibodies against PPD or AG85B
Measured: baseline, days 29, 57 and month 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Sep 2008 (estimated)
- Study startSep 2008
- Primary completionDec 2009
- Study completionDec 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for TuberculosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 80 participants (actual)
Sponsor and investigators
- Lead sponsor
- Serum Life Science Europe GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Andreas Schrödter, MD, Principal investigator, FOCUS CDD GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00749034
- Sponsor's protocol ID
- VPM1002-GE-1.01TB
- Status last verified
- Apr 2010
- First submitted
- 5 Sep 2008
- Last updated
- 20 May 2010
- Results posted
- No
- Data monitoring committee
- No
Publications
Choi SW, Han S, Shim WJ, Choi DJ, Kim YJ, Yoo BS, Hwang KK, Jeon HK, Shin MS, Ryu KH. Impact of Heart Rate Reduction with Maximal Tolerable Dose of Bisoprolol on Left Ventricular Reverse Remodeling. J Korean Med Sci. 2018 May 11;33(25):e171. doi: 10.3346/jkms.2018.33.e171. eCollection 2018 Jun 18.
PubMed 29915522Grode L, Ganoza CA, Brohm C, Weiner J 3rd, Eisele B, Kaufmann SH. Safety and immunogenicity of the recombinant BCG vaccine VPM1002 in a phase 1 open-label randomized clinical trial. Vaccine. 2013 Feb 18;31(9):1340-8. doi: 10.1016/j.vaccine.2012.12.053. Epub 2013 Jan 3.
PubMed 23290835
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I Open Label, Randomized, Controlled, Dose-Escalation Study to Evaluate Safety and Immunogenicity of VPM1002 in Comparison With BCG in Healthy Male Volunteers Stratified for History of BCG-Vaccination
- ClinicalTrials.gov ID
- NCT00749034
- Acronym / sponsor ID
- VPM1002-GE-1.01TB
- Conditions
- Tuberculosis, Healthy
- Keywords
- Safety, Immunogenicity, Tuberculosis, Vaccination, Vaccination against tuberculosis, Safety and immunogenicity of VPM1002 in comparison with BCG
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 80 participants (actual)
- Lead sponsor
- Serum Life Science Europe GmbHIndustry (pharma, biotech, devices)
- Study start
- Sep 2008
- Primary completion
- Dec 2009 (actual)
- Study completion
- Dec 2009 (actual)
- First posted
- 9 Sep 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Goal of VPM is the development of a recombinant urease C-deficient listeriolysin expressing BCG vaccine strain (VPM1002) as a safe, well tolerated and efficacious vaccine against TB for residents in endemic areas and persons at risk in non-endemic areas. The new live vaccine VPM1002 should be at least as potent as the currently used BCG vaccine and should cause fewer side effects (Kaufmann, 2007; Grode et al., 2005). It is formulated as lyophilised bacteria to be resuspended before intradermal injection. First application of VPM1002 in human male volunteers will evaluate its safety, local and systemic tolerability as well as its immunogenicity. The study has a dose-escalating sequential design with comparison to commercially available BCG. 80 volunteers in Germany will randomly be allocated to 4 groups each with 20 volunteers stratified for their history of BCG-vaccination.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Biological: VPM1002VPM1002 in three dosages |
| 2 | Active comparator | Biological: BCGBCG |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (15 listed)
- Male volunteers 18 to 55 years of age.
- Healthy (medical history, physical examination, vital signs, ECG and laboratory tests at screening).
- No signs of active or latent tuberculosis infection.
- BMI of 19 - 30 kg/m2.
- Subjects must be able and willing to comply with the study protocol, available and willing to complete all study measurements and have signed an Informed Consent form approved by the Ethics Committee.
Key exclusion criteria (17 listed)
- • Tuberculin-PPD-in-vivo-test equal or more than 10 mm at baseline
- • Tuberculin-PPD-in-vivo-Test equal or more than 1 mm at baseline
- For all volunteers
- systemic disorders which could interfere with the interpretation of the study results or compromise the health of the volunteers.
- BCG-vaccination during 10 years before study vaccination.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VPM1002live vaccine | Biological | 1 |
| BCGcommercially available live vaccine BCG | Biological | 2 |
Primary outcome
Safety: physical examination, vital signs, ECG, liver sonography, chest X-ray, laboratory safety parameters (including haematology, coagulation, clinical chemistry and urinalysis), tolerability, recording of concomitant medication and adverse events
Time frame: days -1, 1, 2, 3, 5, 11, 29, 57 and month 6
7 secondary outcomes
Immunogenicity: LST for PPD with subsequent IFN-gamma specific ELISA on supernatants of PBMC
Time frame: baseline, days 29, 57, month 6
Immunogenicity: ELISPOT for the number of IFN-gamma secreting PBMC after stimulation with PPD
Time frame: baseline, days 29, 57, month 6
Immunogenicity: whole blood stimulated with PPD and measuring IFN-gamma in the plasma by ELISA
Time frame: baseline, days 29, 57, month 6
ICS for IFN-gamma, TNF-alpha and IL-2 in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Time frame: baseline, days 29, 57 and month 6
Immunogenicity: ICS with other triple combinations of markers in CD4+ and CD8+ lymphocytes upon stimulation with PPD
Time frame: baseline, days 29, 57 and month 6
Immunogenicity: TB85B as recall antigen for ELISA, ELISPOT, WBA and ICS
Time frame: baseline, days 29, 57 and month 6
Immunogenicity: serum antibodies against PPD or AG85B
Time frame: baseline, days 29, 57 and month 6
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2010.
- Derived from this study: PubMed 29915522Choi SW, Han S, Shim WJ, Choi DJ, Kim YJ, Yoo BS, Hwang KK, Jeon HK, Shin MS, Ryu KH. Impact of Heart Rate Reduction with Maximal Tolerable Dose of Bisoprolol on Left Ventricular Reverse Remodeling. J Korean Med Sci. 2018 May 11;33(25):e171. doi: 10.3346/jkms.2018.33.e171. eCollection 2018 Jun 18.
- Derived from this study: PubMed 23290835Grode L, Ganoza CA, Brohm C, Weiner J 3rd, Eisele B, Kaufmann SH. Safety and immunogenicity of the recombinant BCG vaccine VPM1002 in a phase 1 open-label randomized clinical trial. Vaccine. 2013 Feb 18;31(9):1340-8. doi: 10.1016/j.vaccine.2012.12.053. Epub 2013 Jan 3.
- Background Information on VPM1002Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Andreas Schrödter, MD principal investigator
FOCUS CDD GmbH
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing VPM1002 and BCG in people with Tuberculosis and Healthy, run by Serum Life Science Europe GmbH at 1 site in Germany.
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 15 inclusion and 17 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 20 May 2010. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. 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: physical examination, vital signs, ECG, liver sonography, chest X-ray, laboratory safety parameters (including haematology, coagulation, clinical chemistry and urinalysis), tolerability, recording of concomitant medication and adverse events (time frame: days -1, 1, 2, 3, 5, 11, 29, 57 and month 6). 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 NCT00749034, which also lists 2 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 20 May 2010.