HIV InfectionsPhase 1NCT00902824
Safety and Immunogenicity of TBC-M4, a MVA HIV Vaccine Alone or in a Prime-Boost Regimen With ADVAX DNA HIV Vaccine
A Phase 1 study testing ADVAX and TBC-M4 in people with HIV Infections, run by International AIDS Vaccine Initiative at 1 site in United Kingdom.
Trial summary
This trial will study a prime-boost vaccine approach designed mainly to induce cell-mediated immune (CTL) responses. 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?
- ADVAX and TBC-M4
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 32 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- Nov 2008to Apr 2010
- 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
- At least 18 years of age on the day of screening and no greater than 50 years (i.e., had not reached his/her 51st birthday) on the day of first vaccination;
- Willing to comply with the requirements of the protocol and available for follow-up for the planned duration of the study;
- In the opinion of the Principal Investigator or designee, has understood the information provided. Written informed consent needs to be given before any study-related procedures are performed;
- Willing to undergo HIV Testing, HIV counselling and receive HIV test results;
- If sexually active female, using an effective method of contraception (hormonal contraceptive; diaphragm; intrauterine device (IUD); condoms; anatomical sterility in self or partner) from screening until at least 4 months after last vaccination. All female volunteers must be willing to undergo urine pregnancy tests at time points as indicated in the Schedule of Procedures (Appendix A);
- If sexually active male, willing to use an effective method of contraception (such as condoms, anatomical sterility) from the day of enrolment until at least 4 months after the last vaccination;
- Willing to forgo donations of blood, sperm, eggs, bone marrow or organs during the study.
Who cannot join
- Confirmed HIV-1 or HIV-2 infection;
- High-risk behaviour for HIV infection which is defined as (Within 6 months before vaccination, the volunteer has):
- Had unprotected vaginal or anal sex with a known HIV infected person or a casual partner (i.e., no continuing established relationship)
- Engaged in sex work for money or drugs
- Substance abuse/use injection drugs
- Acquired a sexually transmitted disease (STD) (e.g., gonorrhoea, chlamydia, syphilis, Trichomonas vaginalis, and symptomatic herpes genitalis)
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- Having a high-risk partner either currently or within the previous 6 months
- Any clinically significant abnormality on history or examination including history of immunodeficiency or autoimmune disease; use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the investigator within the previous 6 months; (Note: use of inhaled steroids for asthma and use of topical steroids for localized skin conditions will not exclude a volunteer from participation.)
- Any clinically significant acute or chronic medical condition that is considered progressive or in the opinion of the investigator would make the volunteer unsuitable for the study;
- Any of the following abnormal laboratory parameters listed below:
- Haemoglobin <10.0 g/dL
- Absolute Neutrophil Count (ANL): <1,000/mm3
- Absolute Lymphocyte Count (ALC): <600/mm3
- Platelets: <100,000/mm3
- Creatinine: >1.3 x ULN
- AST: >2.5 x ULN
- ALT: >2.5 x ULN
- Cardiac Troponin I: > ULN
- Urinalysis: Abnormal dipstick confirmed by microscopy:
- blood = 3+ or more (not due to menses)
- protein = 3+ or more
- leucocytes = 3+ or more
- Confirmed diagnosis of hepatitis B (HBsAg), hepatitis C (HCV antibodies), or active syphilis;
- If female, pregnant or planning a pregnancy within 4 months after last vaccination; or lactating;
- Receipt of live attenuated vaccine within the previous 60 days (live attenuated flu vaccine within 14 days) or planned receipt within 60 days after vaccination with Investigational Product or receipt of other vaccine within the previous 14 days or planned receipt within 14 days after vaccination with Investigational Product;
- Receipt of blood transfusion or blood products within the previous 6 months.
- Participation in another clinical study of an investigational product currently, within the previous 3 months or expected participation during this study;
- Receipt of another investigational HIV vaccine in the last 6 years (note: receipt of an HIV vaccine placebo will not exclude a subject from participation if documentation is available to the study site and the IAVI Medical Monitor gives approval);
- History of severe local or systemic reactogenicity to vaccines 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;
- Smallpox vaccination within the previous 3 years;
- ECG with clinically significant findings or features that would interfere with the assessment of myopericarditis, including but not limited to:
- Conduction disturbance (atrio-ventricular or intra-ventricular conduction, left or right bundle branch block, AV block of any degree, or QTc prolongation)
- Repolarization (ST segment or T wave) abnormality
- Significant atrial or ventricular arrhythmia
- Frequent atrial or ventricular arrhythmia
- Frequent atrial or ventricular ectopy (e.g., frequent premature atrial contractions, two premature ventricular contractions in a row)
- ST elevation consistent with ischemia
- Evidence of past or evolving myocardial infarction (heart attack).
- History of, or known active cardiac disease, including but not limited to:
- Previous myocardial infarction
- Angina pectoris
- Congestive heart failure
- Valvular heart disease, including mitral valve prolapse
- Cardiomyopathy
- Pericarditis
- Stroke or transient ischemic attack
- Chest pain or shortness of breath with activity (such as walking up stairs)
- Other heart conditions under the care of a doctor.
- Have 3 or more of the following risk factors:
- High blood pressure diagnosed by a doctor
- High blood cholesterol diagnosed by a doctor
- Diabetes
- High blood sugar diagnosed by a doctor
- First degree relative (e.g., mother, father, brother, sister) who had a heart condition before the age of 50
- Smoke cigarettes now.
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
St Stephen's Centre Chelsea and Westminster Hospital
London, London, SW10 9NH
About this study
Official title: Phase I Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Safety and Immunogenicity of TBC-M4 (MVA Based HIV Vaccine) Alone or in a Prime-Boost Regimen With ADVAX, DNA HIV Vaccine
This trial will study a prime-boost vaccine approach designed mainly to induce cell-mediated immune (CTL) responses.
Read the detailed description
Two vaccine candidates will be used in two different prime-boost regimens: ADVAX (DNA) + TBC-M4 (MVA) and TBC-M4 (MVA) alone. Both these vaccines have already been tested in humans and both were found to be well tolerated and immunogenic. Approximately 32 volunteers (24 vaccine /8 placebo recipients) will be included in the study.
- Conditions
- HIV Infections
- Being tested
- ADVAX, TBC-M4, Placebo
- Keywords
- HIV
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ADVAXBiological
Receive 4mg ADVAX at Months 0, 1, and 2 (Biojector), and receive boost of 5x10^7 pfu TBC-M4 (IM)
TBC-M4Biological
Receive 5x10^7 pfu TBC-M4 (IM) at Months 0, 1, and 6.
PlaceboOther
Group A (n=4) will receive the ADVAX placebo (formulation buffer) via Biojector.
Group B (n=4) will receive the TBC-M4 placebo (formulation buffer) via IM.
| Study group | Role | What they receive |
|---|---|---|
| Group A | Active comparator | ADVAX at 0,1 and 2 months followed by TBC-M4 at 6 months
Number of volunteers: 12 Receives: Biological: ADVAX |
| Group B | Active comparator | TBC-M4 at 0,1,6 months
Number of volunteers: 12 Receives: Biological: TBC-M4 |
| Placebo | Placebo comparator | Both Groups A and B will have 4 volunteers each (8 total) that will receive a placebo. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety of TBC-M4 alone or in a prime-boost regimen with ADVAX
Safety and tolerability of TBC-M4 alone (given im) or in a prime-boost regimen with ADVAX (administered by Biojector)
Measured: 12 months
Secondary outcomes (1)
Immunogenicity of TBM-M4 alone or in a prime-boost regimen with ADVAX
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 May 2009 (estimated)
- Study startNov 2008
- Primary completionApr 2010
- Study completionApr 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HIV InfectionsStudies 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- International AIDS Vaccine Initiative
- Sponsor type
- Research network
- Responsible party
- Sponsor
- Investigators
- Brian Gazzard, MD, Principal investigator, St. Stephen's Centre
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00902824
- Sponsor's protocol ID
- IAVI P002
- Status last verified
- Feb 2013
- First submitted
- 13 May 2009
- Last updated
- 11 Feb 2013
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 11 Feb 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Safety and Immunogenicity of TBC-M4 (MVA Based HIV Vaccine) Alone or in a Prime-Boost Regimen With ADVAX, DNA HIV Vaccine
- ClinicalTrials.gov ID
- NCT00902824
- Acronym / sponsor ID
- IAVI P002
- Conditions
- HIV Infections
- Keywords
- HIV
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- International AIDS Vaccine InitiativeResearch network
- Study start
- Nov 2008
- Primary completion
- Apr 2010 (actual)
- Study completion
- Apr 2010 (actual)
- First posted
- 15 May 2009 (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.
This trial will study a prime-boost vaccine approach designed mainly to induce cell-mediated immune (CTL) responses.
Detailed description
Two vaccine candidates will be used in two different prime-boost regimens: ADVAX (DNA) + TBC-M4 (MVA) and TBC-M4 (MVA) alone. Both these vaccines have already been tested in humans and both were found to be well tolerated and immunogenic. Approximately 32 volunteers (24 vaccine /8 placebo recipients) will be included in the study.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group A | Active comparator | Biological: ADVAXADVAX at 0,1 and 2 months followed by TBC-M4 at 6 months Number of volunteers: 12 |
| Group B | Active comparator | Biological: TBC-M4TBC-M4 at 0,1,6 months Number of volunteers: 12 |
| Placebo | Placebo comparator | Other: PlaceboBoth Groups A and B will have 4 volunteers each (8 total) that will receive a placebo. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- At least 18 years of age on the day of screening and no greater than 50 years (i.e., had not reached his/her 51st birthday) on the day of first vaccination;
- Willing to comply with the requirements of the protocol and available for follow-up for the planned duration of the study;
- In the opinion of the Principal Investigator or designee, has understood the information provided. Written informed consent needs to be given before any study-related procedures are performed;
- Willing to undergo HIV Testing, HIV counselling and receive HIV test results;
- If sexually active female, using an effective method of contraception (hormonal contraceptive; diaphragm; intrauterine device (IUD); condoms; anatomical sterility in self or partner) from screening until at least 4 months after last vaccination. All female volunteers must be willing to undergo urine pregnancy tests at time points as indicated in the Schedule of Procedures (Appendix A);
Key exclusion criteria (56 listed)
- Confirmed HIV-1 or HIV-2 infection;
- High-risk behaviour for HIV infection which is defined as (Within 6 months before vaccination, the volunteer has):
- Any clinically significant abnormality on history or examination including history of immunodeficiency or autoimmune disease; use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the investigator within the previous 6 months; (Note: use of inhaled steroids for asthma and use of topical steroids for localized skin conditions will not exclude a volunteer from participation.)
- Any clinically significant acute or chronic medical condition that is considered progressive or in the opinion of the investigator would make the volunteer unsuitable for the study;
- Any of the following abnormal laboratory parameters listed below:
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 |
|---|---|---|
| ADVAXReceive 4mg ADVAX at Months 0, 1, and 2 (Biojector), and receive boost of 5x10^7 pfu TBC-M4 (IM) | Biological | Group A |
| TBC-M4Receive 5x10^7 pfu TBC-M4 (IM) at Months 0, 1, and 6. | Biological | Group B |
| PlaceboGroup A (n=4) will receive the ADVAX placebo (formulation buffer) via Biojector. Group B (n=4) will receive the TBC-M4 placebo (formulation buffer) via IM. | Other | Placebo |
Primary outcome
Safety of TBC-M4 alone or in a prime-boost regimen with ADVAX
Time frame: 12 months
Safety and tolerability of TBC-M4 alone (given im) or in a prime-boost regimen with ADVAX (administered by Biojector)
1 secondary outcome
Immunogenicity of TBM-M4 alone or in a prime-boost regimen with ADVAX
Time frame: 12 months
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 11 Feb 2013.
- International AIDS Vaccine InitiativeLink 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.
Brian Gazzard, MD principal investigator
St. Stephen's Centre
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 ADVAX and TBC-M4 in people with HIV Infections, run by International AIDS Vaccine Initiative at 1 site in United Kingdom.
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 7 inclusion and 56 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 11 Feb 2013. 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 United Kingdom. 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. Some participants in this study may receive a placebo. 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 of TBC-M4 alone or in a prime-boost regimen with ADVAX (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 11 Feb 2013.