HIV InfectionPhase 2VIP-H1N1NCT01155037
Safety of and Immunogenicity to an H1N1 Influenza Vaccine in HIV-infected Adults
A Phase 2 study testing Adjuvanted vaccine against H1N1 influenza virus (GSK) in people with HIV Infection, run by Oswaldo Cruz Foundation at 1 site in Brazil.
Trial summary
This is a randomized, open label, phase II trial to evaluate the safety and immunogenicity of two different schedules of vaccination against influenza A H1N1 in HIV-infected individuals, in which each of the randomized groups will be compared with HIV-negative volunteers vaccinated with the regimen indicated by the… Read more about this study
- Who is it for?
- Ages 18 to 59 yearsHealthy volunteers can take part
- Conditions the study is for
- HIV Infection
- What is being tested?
- Adjuvanted vaccine against H1N1 influenza virus (GSK)
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 450 participants
- Where
- 1 siteBrazil
- Study dates
- Mar 2010to Apr 2012
- Phase
- Phase 2
- 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 59 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Both genders, aged between 18 and 59 years;
- Capacity to give informed consent voluntarily to participate in the study;
- Study participants with reproductive potential (defined as girls after menarche or women who have not reached menopause at least during 24 consecutive months, or who menstruated during the past 24 months, or have not undergone surgical sterilization) must have pregnancy test negative results, in blood or urine, at screening and in the vaccine application days. If they have sexual practices likely to promote pregnancy, the participants must use some form of contraception during the study period. At least one of the following methods MUST be properly used: Condoms (male or female, Hormonal contraceptive.
- Laboratory results in the study screening: hemoglobin > 8.0 g/dL; Direct bilirubin < 2.5 x the upper limit of normal; Alanine aminotransferase, ALT (SGPT) and aspartate aminotransferase, AST (SGOT) < 3 x the upper limit of normal; Platelet count > 100.000/mm3
- Inclusion Criteria - unique to the participants with HIV infection:
- HIV-1 infection (as evidenced by rapid HIV testing or ELISA kit approved and confirmed by repeating the ELISA, IFA, Western blot, HIV-1 plasma viral load) at any time before entering the study.
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- Without changing the antiretroviral treatment within 8 weeks prior to the screening for the study: If the volunteer is receiving HAART he/she is required to be using the same regimen within at least 8 weeks before screening. Changes in antiretroviral dosage within 8 weeks prior to entering the study are permitted. In addition, the exchange of pharmacological formulation (eg. the conventional formulation for combination formulations) is allowed. If the volunteer is not on regular antiretroviral treatment, he/she should not have received any dose of any antiretroviral within 8 weeks prior to screening, including for the prevention of HIV vertical transmission (previous prophylactic and therapeutic regimens are allowed)
- Without planning to change or start HAART in the next 6 months.
- Inclusion criteria - unique to the participants without HIV infection (control group):
- HIV-negative test result documented by rapid test approved in Brazil
- Health professionals with indication of receiving H1N1 virus vaccine
Who cannot join
- Use of any systemic anticancer or immunomodulator treatment, corticosteroid, experimental vaccines, interleukins, interferons, growth factors or intravenous immunoglobulin (IVIG) within 45 days prior to entry into the study.
- Pregnancy or lactation.
- Allergy and/or sensitivity or any known hypersensitivity to residues present in the vaccine (egg, chicken protein, egg albumin, formaldehyde, gentamicin sulphate and sodium deoxycholate) and/or thimerosal.
- Use of alcohol or addiction or other conditions which in the opinion of the site's investigator, may interfere with compliance to the study requirements.
- D5. Serious illness requiring systemic treatment and/or hospitalization within 45 days prior to entry into the study
- Severe febrile illness or acute infection at the time of screening for the study and/or days of vaccination
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- Vaccination against seasonal influenza in the last 12 months prior to study entry
- Previous vaccination against influenza A H1N1
- History or family history of Guillain-Barré Syndrome (parents, siblings, half-siblings or children).
- Diagnosis of neurological condition including (but not limited to) the absence of deep tendon reflexes, Achilles and patellar, in both legs (four missing) in the last six months.
- Disproportionate force loss in lower limb(s) compared to the upper limbs in the last six months.
Trial locations and contacts
1 site in 1 country.
Brazil1 site
Instituto de Pesquisa Clinica Evandro Chagas (IPEC) - Fiocruz
Rio de Janeiro
About this study
Official title: Phase 2 Study to Evaluate the Safety of and the Immunogenicity to an Adjuvanted A(H1N1)v Influenza Vaccine in HIV-Infected Adults
This is a randomized, open label, phase II trial to evaluate the safety and immunogenicity of two different schedules of vaccination against influenza A H1N1 in HIV-infected individuals, in which each of the randomized groups will be compared with HIV-negative volunteers vaccinated with the regimen indicated by the Brazilian National Immunization Program. Will be included in the study HIV-infected patients, stratified by CD4 count (< 200 cells/mm3 or > 200 cells/mm3) at the time of screening for the study, not receiving antiretroviral therapy treatment or receiving stable treatment for at least 8 weeks, with no plans to change over the next 6 months, eligible to receive vaccine against influenza A H1N1. The control group will be formed by HIV-negative individuals, confirmed by serology performed at screening, eligible to receive vaccine against influenza A H1N1. Patients infected with HIV will receive one of two possible vaccination regimens: 1) 3.75 µg in two applications 21 days apart, 2) 7.5 µg in two applications 21 days apart. The volunteers in the control group will receive a single application of 3.75 µg dose of the vaccine. The study's hypotheses are: 1) The vaccine against the H1N1 virus promotes antibody titers above the level specified for protection (seroconversion), being as safe and well tolerated in patients HIV-1 infected as in non HIV-infected volunteers; 2) The proportion of seroconversion for H1N1 virus vaccine at a dose of 3.75 µg in HIV-1-infected patients is similar to the proportion of seroconversion induced by the same vaccine at a dose of 7.5 µg; 3)The proportion of seroconversion with one dose of the vaccine against H1N1 virus is similar to the proportion after the second dose.
- Conditions
- HIV Infection
- Being tested
- Adjuvanted vaccine against H1N1 influenza virus (GSK)
- Keywords
- HIV, influenza A H1N1, vaccine
- Medical subject headings
- HIV Infections, Orthomyxoviridae Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Adjuvanted vaccine against H1N1 influenza virus (GSK)Biological
Patients infected with HIV will receive 3.75 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart.
Adjuvanted vaccine against H1N1 influenza virus (GSK)Biological
Patients infected with HIV will receive 7.5 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart.
Adjuvanted vaccine against H1N1 influenza virus (GSK)Biological
Control group will receive 3.75 µg of an adjuvanted A H1N1 vaccine in one single application.
| Study group | Role | What they receive |
|---|---|---|
| 3.75 µg of the vaccine on days 0 and 21 | Experimental | Patients infected with HIV will receive 3.75 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. Receives: Biological: Adjuvanted vaccine against H1N1 influenza virus (GSK) |
| 7.5 µg of the vaccine on days 0 and 21 | Experimental | Patients infected with HIV will receive 7.5µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. Receives: Biological: Adjuvanted vaccine against H1N1 influenza virus (GSK) |
| 3.75 µg of the vaccine on day 0 | Active comparator | The volunteers in the control group will receive a single application of 3.75 µg dose of the vaccine. Receives: Biological: Adjuvanted vaccine against H1N1 influenza virus (GSK) |
What is being measured
The primary outcome is the main question the study is designed to answer.
proportions of seroconversion
proportions of seroconversion for influenza A H1N1 in each of the four subsets of HIV-positive patients, and in the control group
Measured: 21 days after vaccination regimen
proportions of seroprotection
proportions of seroprotection for influenza A H1N1 in each of the four subsets of HIV-positive patients and in the control group
Measured: 21 days after vaccination regimen
Safety of the A H1N1 vaccine at two different regimens in HIV-infected adults
Safety and tolerability of the vaccine against H1N1 virus in different doses and administration regimens in IV-infected adults
Measured: 1 months after vaccination
Secondary outcomes (4)
Prevalence of A H1N1 influenza symptomatic disease in the study population
proportions of the vaccine's protective factor against influenza A H1N1 in each of the four subsets of HIV-positive patients and in the control group
Measured: 12 months after vaccination
Persistence of antibodies against H1N1 virus
Evaluate the persistence of antibody titers against H1N1 virus after the vaccine series in HIV-infected patients and control group
Measured: 12 months after vaccination
Changes in HIV viral load and CD4
Assess changes in HIV-1 viral load and CD4+ counts after the vaccine series.
Measured: 12 months after vaccination
Cellular immune responses to H1N1 vaccination in HIV-infected patients
Determine the cellular immune responses and their correlation to the development and magnitude of responses to H1N1 virus, and compare the cellular immune responses
Measured: 12 months after vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2010 (estimated)
- Study startMar 2010
- Primary completionMar 2012
- Study completionApr 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionStudies 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 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 450 participants (actual)
Sponsor and investigators
- Lead sponsor
- Oswaldo Cruz Foundation
- Sponsor type
- University, hospital or other
- Collaborators
- Ministry of Health, Brazil
- Responsible party
- Principal investigator, Marilia Santini de Oliveira, Oswaldo Cruz Foundation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01155037
- Sponsor's protocol ID
- VIP-H1N1
- Acronym
- VIP-H1N1
- Status last verified
- Jul 2018
- First submitted
- 29 Jun 2010
- Last updated
- 18 Jul 2018
- Results posted
- No
- Data monitoring committee
- No
Publications
Santini-Oliveira M, Camacho LA, Souza TM, Luz PM, Vasconcellos MT, Giacoia-Gripp CB, Morgado MG, Nunes EP, Lemos AS, Ferreira AC, Moreira RI, Veloso VG, Siqueira MM, Grinsztejn B. H1N1pdm09 adjuvanted vaccination in HIV-infected adults: a randomized trial of two single versus two double doses. PLoS One. 2012;7(6):e39310. doi: 10.1371/journal.pone.0039310. Epub 2012 Jun 25.
PubMed 22761759
Study at a glance
From the registry record, last updated by the sponsor on 18 Jul 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 2 Study to Evaluate the Safety of and the Immunogenicity to an Adjuvanted A(H1N1)v Influenza Vaccine in HIV-Infected Adults
- ClinicalTrials.gov ID
- NCT01155037
- Acronym / sponsor ID
- VIP-H1N1 / VIP-H1N1
- Conditions
- HIV Infection
- Keywords
- HIV, influenza A H1N1, vaccine
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 450 participants (actual)
- Lead sponsor
- Oswaldo Cruz FoundationUniversity, hospital or other
- Collaborators
- Ministry of Health, Brazil
- Study start
- Mar 2010
- Primary completion
- Mar 2012 (actual)
- Study completion
- Apr 2012 (actual)
- First posted
- 1 Jul 2010 (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 is a randomized, open label, phase II trial to evaluate the safety and immunogenicity of two different schedules of vaccination against influenza A H1N1 in HIV-infected individuals, in which each of the randomized groups will be compared with HIV-negative volunteers vaccinated with the regimen indicated by the Brazilian National Immunization Program. Will be included in the study HIV-infected patients, stratified by CD4 count (< 200 cells/mm3 or > 200 cells/mm3) at the time of screening for the study, not receiving antiretroviral therapy treatment or receiving stable treatment for at least 8 weeks, with no plans to change over the next 6 months, eligible to receive vaccine against influenza A H1N1. The control group will be formed by HIV-negative individuals, confirmed by serology performed at screening, eligible to receive vaccine against influenza A H1N1. Patients infected with HIV will receive one of two possible vaccination regimens: 1) 3.75 µg in two applications 21 days apart, 2) 7.5 µg in two applications 21 days apart. The volunteers in the control group will receive a single application of 3.75 µg dose of the vaccine. The study's hypotheses are: 1) The vaccine against the H1N1 virus promotes antibody titers above the level specified for protection (seroconversion), being as safe and well tolerated in patients HIV-1 infected as in non HIV-infected volunteers; 2) The proportion of seroconversion for H1N1 virus vaccine at a dose of 3.75 µg in HIV-1-infected patients is similar to the proportion of seroconversion induced by the same vaccine at a dose of 7.5 µg; 3)The proportion of seroconversion with one dose of the vaccine against H1N1 virus is similar to the proportion after the second dose.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 3.75 µg of the vaccine on days 0 and 21 | Experimental | Biological: Adjuvanted vaccine against H1N1 influenza virus (GSK)Patients infected with HIV will receive 3.75 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. |
| 7.5 µg of the vaccine on days 0 and 21 | Experimental | Biological: Adjuvanted vaccine against H1N1 influenza virus (GSK)Patients infected with HIV will receive 7.5µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. |
| 3.75 µg of the vaccine on day 0 | Active comparator | Biological: Adjuvanted vaccine against H1N1 influenza virus (GSK)The volunteers in the control group will receive a single application of 3.75 µg dose of the vaccine. |
Who may qualify
- Ages
- 18 to 59 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (11 listed)
- Both genders, aged between 18 and 59 years;
- Capacity to give informed consent voluntarily to participate in the study;
- Study participants with reproductive potential (defined as girls after menarche or women who have not reached menopause at least during 24 consecutive months, or who menstruated during the past 24 months, or have not undergone surgical sterilization) must have pregnancy test negative results, in blood or urine, at screening and in the vaccine application days. If they have sexual practices likely to promote pregnancy, the participants must use some form of contraception during the study period. At least one of the following methods MUST be properly used: Condoms (male or female, Hormonal contraceptive.
- Laboratory results in the study screening: hemoglobin > 8.0 g/dL; Direct bilirubin < 2.5 x the upper limit of normal; Alanine aminotransferase, ALT (SGPT) and aspartate aminotransferase, AST (SGOT) < 3 x the upper limit of normal; Platelet count > 100.000/mm3
- HIV-1 infection (as evidenced by rapid HIV testing or ELISA kit approved and confirmed by repeating the ELISA, IFA, Western blot, HIV-1 plasma viral load) at any time before entering the study.
Key exclusion criteria (11 listed)
- Use of any systemic anticancer or immunomodulator treatment, corticosteroid, experimental vaccines, interleukins, interferons, growth factors or intravenous immunoglobulin (IVIG) within 45 days prior to entry into the study.
- Pregnancy or lactation.
- Allergy and/or sensitivity or any known hypersensitivity to residues present in the vaccine (egg, chicken protein, egg albumin, formaldehyde, gentamicin sulphate and sodium deoxycholate) and/or thimerosal.
- Use of alcohol or addiction or other conditions which in the opinion of the site's investigator, may interfere with compliance to the study requirements.
- D5. Serious illness requiring systemic treatment and/or hospitalization within 45 days prior to entry into the study
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 |
|---|---|---|
| Adjuvanted vaccine against H1N1 influenza virus (GSK)Patients infected with HIV will receive 3.75 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. | Biological | 3.75 µg of the vaccine on days 0 and 21 |
| Adjuvanted vaccine against H1N1 influenza virus (GSK)Patients infected with HIV will receive 7.5 µg of an adjuvanted A H1N1 vaccine in two applications 21 days apart. | Biological | 7.5 µg of the vaccine on days 0 and 21 |
| Adjuvanted vaccine against H1N1 influenza virus (GSK)Control group will receive 3.75 µg of an adjuvanted A H1N1 vaccine in one single application. | Biological | 3.75 µg of the vaccine on day 0 |
Primary outcome
proportions of seroconversion
Time frame: 21 days after vaccination regimen
proportions of seroconversion for influenza A H1N1 in each of the four subsets of HIV-positive patients, and in the control group
proportions of seroprotection
Time frame: 21 days after vaccination regimen
proportions of seroprotection for influenza A H1N1 in each of the four subsets of HIV-positive patients and in the control group
Safety of the A H1N1 vaccine at two different regimens in HIV-infected adults
Time frame: 1 months after vaccination
Safety and tolerability of the vaccine against H1N1 virus in different doses and administration regimens in IV-infected adults
4 secondary outcomes
Prevalence of A H1N1 influenza symptomatic disease in the study population
Time frame: 12 months after vaccination
Persistence of antibodies against H1N1 virus
Time frame: 12 months after vaccination
Changes in HIV viral load and CD4
Time frame: 12 months after vaccination
Cellular immune responses to H1N1 vaccination in HIV-infected patients
Time frame: 12 months after vaccination
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 18 Jul 2018.
- Derived from this study: PubMed 22761759Santini-Oliveira M, Camacho LA, Souza TM, Luz PM, Vasconcellos MT, Giacoia-Gripp CB, Morgado MG, Nunes EP, Lemos AS, Ferreira AC, Moreira RI, Veloso VG, Siqueira MM, Grinsztejn B. H1N1pdm09 adjuvanted vaccination in HIV-infected adults: a randomized trial of two single versus two double doses. PLoS One. 2012;7(6):e39310. doi: 10.1371/journal.pone.0039310. Epub 2012 Jun 25.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Adjuvanted vaccine against H1N1 influenza virus (GSK) in people with HIV Infection, run by Oswaldo Cruz Foundation at 1 site in Brazil.
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 11 inclusion and 11 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 18 Jul 2018. 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 Brazil. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
proportions of seroconversion (time frame: 21 days after vaccination regimen). The study lists 3 primary outcomes in all. 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 NCT01155037, which also lists 1 linked publication.
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 18 Jul 2018.