HIV InfectionsPhase 2NCT01371175
A Phase IIA Trial to Evaluate the Safety and Immunogenicity of a DNA HIV-1 Vaccine Followed by an MVA HIV-1 Vaccine in HIV-uninfected Volunteers
A Phase 2 study testing DNA.HIVA and MVA.HIVA in people with HIV Infections, run by International AIDS Vaccine Initiative at 2 sites in 2 countries.
Trial summary
The purpose of this study is to evaluate the safety and tolerability of plasmid DNA and recombinant MVA (Modified Vaccinia Virus Ankara) in a prime-boost regimen. Approximately 111 volunteers (90 vaccine recipients/21 placebo recipients) will be enrolled at two sites. Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- HIV Infections
- What is being tested?
- DNA.HIVA and MVA.HIVA
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 115 participants
- Where
- 2 sitesin 2 countries
- Study dates
- Apr 2003to May 2005
- 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 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy males and females;
- Age at least 18 years on the day of screening and no greater than 60 years on the day of enrolment;
- Available for follow up for the planned duration of the study (screening plus 18 months);
- Able to give written informed consent;
- Does not engage in risk behaviour as defined by the protocol, willing to undergo HIV testing and receive results;
- If sexually active female, using an effective method of contraception (combined oral contraceptive pill; injectable contraceptive; IUCD; condoms; anatomical sterility in self or partner) from screening until at least 4 months after last vaccination and willing to undergo urine pregnancy tests at screening and prior to each vaccination and 4 months after the last vaccination;
- If sexually active male, willing to use an effective method of contraception (such as condoms) from screening until 4 months after the last vaccination.
Who cannot join
- Clinically relevant abnormality on history or examination including history of immunodeficiency or use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the designated trial physician in last 6 months;
- Presence of any chronic condition;
- Any of the following abnormal laboratory parameters that are moderate, severe, or very severe: haematology (haemoglobin, absolute neutrophil count absolute lymphocyte count , absolute CD4 count, platelets); urinalysis, biochemistries (total bilirubin, creatinine, AST, ALT). Volunteers with mild laboratory abnormalities which are judged by the principal investigator or designee to be not clinically significant may be enrolled.
- If female, pregnant or planning a pregnancy within 4 months after last vaccination or lactating;
- Receipt of live attenuated vaccine within 60 days or other vaccine within 14 days of enrolment;
- Receipt of blood transfusion or blood products 6 months prior to enrolment;
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- Participation in another clinical trial of an investigational product currently or within last 12 weeks or expected participation during this study;
- History of severe local or general reaction to vaccination or history of allergic reactions;
- History of grand-mal epilepsy, or currently taking anti-epileptics;
- Confirmed HIV-1 or HIV-2 seropositive;
- Positive for hepatitis B (surface antigen) or confirmed diagnosis of active syphilis at the time of enrolment (RPR positive and TPHA positive or equivalent), positive for hepatitis C antibodies;
- Unlikely to comply with protocol. Prior receipt of smallpox vaccination should be documented, but will not be an exclusion criterion.
Trial locations and contacts
2 sites in 2 countries.
2 sites in 2 countries
About this study
Official title: A Randomized, Placebo-Controlled, Dosage-Escalating Phase 2A Study, Double-Blinded With Respect to Assignment to Either Vaccine or Placebo, to Evaluate the Safety and Immunogenicity of a DNA HIV-1 Vaccine Administered Intramuscularly Followed by an MVA HIV-1 Vaccine Administered at Three Different Dosage Levels and by Three Different Routes to HIV-Uninfected, Healthy, Volunteers.
The purpose of this study is to evaluate the safety and tolerability of plasmid DNA and recombinant MVA (Modified Vaccinia Virus Ankara) in a prime-boost regimen.
Approximately 111 volunteers (90 vaccine recipients/21 placebo recipients) will be enrolled at two sites. Approximately 56 volunteers will be enrolled at each site. An over-enrolment of up to 10% (approximately 10 additional volunteers) will be permitted in the study.
- Conditions
- HIV Infections
- Being tested
- DNA.HIVA, MVA.HIVA
- 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.
DNA.HIVABiological
0.5mg DNA.HIVA or placebo
MVA.HIVABiological
5x10^6 pfu MVA or placebo
MVA.HIVABiological
5x10^7 pfu MVA or placebo
MVA.HIVABiological
2.5x10^8 pfu MVA or placebo
| Study group | Role | What they receive |
|---|---|---|
| Group A | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3 Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
| Group B | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3 Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
| Group C | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intradermally. Vaccine:Placebo =18/3 Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
| Group D | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3 Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
| Group E | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3 Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
| Group F | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3 Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
| Group G | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3 Receives: Biological: DNA.HIVA |
| Groups C2/D2/E2 (Subgroups of C,D,E) | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered ID, SC, or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in C2/D2/E2 = 16. Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
| Group F2/G2 (Subgroup of F and G) | Experimental | DNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered either SC or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in F/G= 29. Receives: Biological: DNA.HIVA; Biological: MVA.HIVA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety (local and systemic reactogenicity signs and symptoms, laboratory measures, and adverse events)
Measured: 18 months
Secondary outcomes (1)
Immunogenicity: Proportion of volunteers with HIV-1 specific T-cell responses by ELISPOT assay.
Measured: Day 0, Month 1, Month 2, Month 5, Month 6, Month 8, Month 9, Month 12, Month 18
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jun 2011 (estimated)
- Study startApr 2003
- Primary completionMay 2005
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 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 115 participants (actual)
Sponsor and investigators
- Lead sponsor
- International AIDS Vaccine Initiative
- Sponsor type
- Research network
- Collaborators
- Medical Research Council-Oxford, University of Nairobi
- Investigators
- Barry S. Peters, MD, Principal investigator, Guys and St. Thomas' HospitalWalter Jaoko, Principal investigator, KAVI (Kenya AIDS Vaccine Initiative)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01371175
- Sponsor's protocol ID
- IAVI 010
- Status last verified
- Jun 2011
- First submitted
- 31 May 2011
- Last updated
- 10 Jun 2011
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 10 Jun 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Placebo-Controlled, Dosage-Escalating Phase 2A Study, Double-Blinded With Respect to Assignment to Either Vaccine or Placebo, to Evaluate the Safety and Immunogenicity of a DNA HIV-1 Vaccine Administered Intramuscularly Followed by an MVA HIV-1 Vaccine Administered at Three Different Dosage Levels and by Three Different Routes to HIV-Uninfected, Healthy, Volunteers.
- ClinicalTrials.gov ID
- NCT01371175
- Acronym / sponsor ID
- IAVI 010
- Conditions
- HIV Infections
- Keywords
- HIV
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 115 participants (actual)
- Lead sponsor
- International AIDS Vaccine InitiativeResearch network
- Collaborators
- Medical Research Council-Oxford, University of Nairobi
- Study start
- Apr 2003
- Primary completion
- May 2005 (actual)
- First posted
- 10 Jun 2011 (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.
The purpose of this study is to evaluate the safety and tolerability of plasmid DNA and recombinant MVA (Modified Vaccinia Virus Ankara) in a prime-boost regimen.
Approximately 111 volunteers (90 vaccine recipients/21 placebo recipients) will be enrolled at two sites. Approximately 56 volunteers will be enrolled at each site. An over-enrolment of up to 10% (approximately 10 additional volunteers) will be permitted 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
- 9
| Arm | Type | Receives |
|---|---|---|
| Group A | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3 |
| Group B | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3 |
| Group C | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intradermally. Vaccine:Placebo =18/3 |
| Group D | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3 |
| Group E | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3 |
| Group F | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered subcutaneously. Vaccine:Placebo =12/3 |
| Group G | Experimental | Biological: DNA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and 8 delivered intramuscularly. Vaccine:Placebo =12/3 |
| Groups C2/D2/E2 (Subgroups of C,D,E) | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered ID, SC, or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in C2/D2/E2 = 16. |
| Group F2/G2 (Subgroup of F and G) | Experimental | Biological: DNA.HIVA, Biological: MVA.HIVADNA or Placebo delivered intramuscularly at Months 0 and 1 followed by MVA or Placebo at Months 5 and Month 12+ (volunteers offered second MVA/placebo more than 12 months (late boost) after their enrollment into their original treatment assignment) delivered either SC or IM according to original randomization. Vaccine:Placebo = blinded ratio, maximum in F/G= 29. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Healthy males and females;
- Age at least 18 years on the day of screening and no greater than 60 years on the day of enrolment;
- Available for follow up for the planned duration of the study (screening plus 18 months);
- Able to give written informed consent;
- Does not engage in risk behaviour as defined by the protocol, willing to undergo HIV testing and receive results;
Key exclusion criteria (12 listed)
- Clinically relevant abnormality on history or examination including history of immunodeficiency or use of systemic corticosteroids, immunosuppressive, antiviral, anticancer, or other medications considered significant by the designated trial physician in last 6 months;
- Presence of any chronic condition;
- Any of the following abnormal laboratory parameters that are moderate, severe, or very severe: haematology (haemoglobin, absolute neutrophil count absolute lymphocyte count , absolute CD4 count, platelets); urinalysis, biochemistries (total bilirubin, creatinine, AST, ALT). Volunteers with mild laboratory abnormalities which are judged by the principal investigator or designee to be not clinically significant may be enrolled.
- If female, pregnant or planning a pregnancy within 4 months after last vaccination or lactating;
- Receipt of live attenuated vaccine within 60 days or other vaccine within 14 days of enrolment;
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 |
|---|---|---|
| DNA.HIVA0.5mg DNA.HIVA or placebo | Biological | Group A, Group B, Group C, Group D, Group E, Group F, Group F2/G2 (Subgroup of F and G), Group G, Groups C2/D2/E2 (Subgroups of C,D,E) |
| MVA.HIVA5x10^6 pfu MVA or placebo | Biological | Group A, Group B |
| MVA.HIVA5x10^7 pfu MVA or placebo | Biological | Group C, Group D, Group E, Groups C2/D2/E2 (Subgroups of C,D,E) |
| MVA.HIVA2.5x10^8 pfu MVA or placebo | Biological | Group E, Group F, Group F2/G2 (Subgroup of F and G) |
Primary outcome
Safety (local and systemic reactogenicity signs and symptoms, laboratory measures, and adverse events)
Time frame: 18 months
1 secondary outcome
Immunogenicity: Proportion of volunteers with HIV-1 specific T-cell responses by ELISPOT assay.
Time frame: Day 0, Month 1, Month 2, Month 5, Month 6, Month 8, Month 9, Month 12, Month 18
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 10 Jun 2011.
- 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.
Barry S. Peters, MD principal investigator
Guys and St. Thomas' Hospital
Walter Jaoko principal investigator
KAVI (Kenya AIDS Vaccine Initiative)
2 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing DNA.HIVA and MVA.HIVA in people with HIV Infections, run by International AIDS Vaccine Initiative at 2 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 7 inclusion and 12 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 10 Jun 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Kenya, 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. 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?
Safety (local and systemic reactogenicity signs and symptoms, laboratory measures, and adverse events) (time frame: 18 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 10 Jun 2011.