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LeishmaniasisPhase 1NCT01751048

LEISH-F3 + GLA-SE and the LEISH-F3 + MPL-SE Vaccine

A Phase 1 study testing GLA-SE, LEISH-F3 and MPL-SE in people with Leishmaniasis, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

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

Investigational products: LEISH-F3 (recombinant protein antigen) + GLA-SE (adjuvant) leishmaniasis vaccine and LEISH-F3 (recombinant protein antigen) + MPL-SE (adjuvant) leishmaniasis vaccine. Stage of development: Phase 1 clinical development. Healthy adult subjects, 18 to 49 will be recruited through a U.S. site. Read more about this study

Who is it for?
Ages 18 to 49 yearsHealthy volunteers can take part
Conditions the study is for
Leishmaniasis
What is being tested?
GLA-SE, LEISH-F3 and MPL-SE
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteUnited States
Study dates
Mar 2013to Jan 2015
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 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 1. Males and nonpregnant females between the ages of 18 and 49 years, inclusive. 2. Women of childbearing potential (not surgically sterile via tubal ligation, bilateral oophorectomy or hysterectomy or who have not been postmenopausal for >/=1 year) must agree to practice adequate contraception for the 28-day period before vaccination through 90 days after the third vaccination. Acceptable birth control methods for the purposes of this study may include, but are not limited to, abstinence, monogamous relationship with vasectomized partner, barrier methods such as condoms, diaphragms, spermicides, and intrauterine devices, and licensed hormonal methods. 3. In good health, as judged by the investigator and determined by vital signs [temperature < 38 degrees Celsius, heart rate </= 100 bpm and > 50 bpm, systolic blood pressure </= 140 mmHg and > 89 mmHg, diastolic blood pressure </= 90 mmHg and >/= 60 mm Hg, medical history and a targeted physical examination. Athletically trained subjects with a pulse >/= 45 may be enrolled at the discretion of the principal investigator or designated licensed clinical investigator]. 4. Screening laboratory values must be within normal limits. These include blood hemoglobin, white blood cell (WBC) count, neutrophil count, platelets, creatinine, AST (Aspartate Aminotransferase), ALT (Alanine Aminotransferase), bilirubin (total), glucose (random, must be less than 140), and urine dipstick for protein and glucose. Note: trace proteinuria is acceptable; creatinine, AST, ALT, and bilirubin values lower than the normal range are acceptable. The following serology tests must be negative: HIV (Human immunodeficiency virus) ( 1/2 antibody, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody. HIV and hepatitis C viral load PCR (Polymerase chain reaction) testing may be performed for individuals suspected of having indeterminate antibody testing. 5. Able to understand and comply with planned study procedures. 6. Willing to be available for all study-required procedures, visits and calls for the duration of the study. 7. Provide written informed consent before initiation of any study procedures and be available for all study visits. 8. Willing to abstain from donating whole blood or blood derivatives until 90 days after the final study vaccination. Eligibility Criteria for Doses 2 and 3 Subjects must meet all inclusion and exclusion criteria as outlined in sections 5.1 and 5.2 with the exception of clinical safety lab values. Subjects with safety laboratory values that meet Grade 2 or greater severity (according to the toxicity table, Appendix C), that do not return to the protocol-defined normal range prior to the second or third vaccination will not be eligible to receive additional doses of study vaccine. Repeat HIV, hepatitis B and hepatitis C serologies are not required prior to the second and third vaccinations. Eligibility for Unvaccinated Substudy Control Population 1. Males and females between the ages of 18 and 49 years, inclusive. 2. In good health, as judged by the investigator and determined by vital signs [temperature < 38degrees C, heart rate </= 100 bpm and > 50 bpm, systolic blood pressure </= 140 mmHg and > 89 mmHg, diastolic blood pressure </= 90 mmHg and >/= 60 mm Hg, medical history and a targeted physical examination. Athletically trained subjects with a pulse >/= 45 may be enrolled at the discretion of the principal investigator or designated licensed clinical investigator. 3. Has received tetanus toxoid vaccination within the past 10 years. 4. Able to understand and comply with planned study procedures. 5. Willing to be available for a ll study-required procedures, visits and calls for the duration of the study. 6. Provide written informed consent before initiation of any study procedures and be available for all study visits.

Who cannot join

  • 1. History of possible infection with Leishmania or previous exposure to Leishmania vaccines or experimental products containing GLA-SE. 2. Veterans who served in the military in the Middle East (Iran, Iraq), Afghanistan, or any other areas endemic to Leishmania. 3. Travelers to, or immigrants from, areas endemic to Leishmania (Appendix D). Certain countries have endemic leishmaniasis only in certain regions of the country.The study PI (Principle Investigator) or a designated clinician may review the travel history with a potential candidate to determine if travel included areas of the country with endemic leishmaniasis. 4. Body temperature >/= 100.4 degrees Farenheit (>/=38.0 degrees Celsius) or acute illness within 3 days before vaccination (subject may be rescheduled). 5. A positive serum or urine pregnancy test within 24 hours prior to vaccination (if female of childbearing potential as defined in Inclusion Criterion 2), women who are planning to become pregnant from 30 days prior to entering the study until 90 days after the final study vaccination, or women who are breastfeeding. 6. Immunosuppression as a result of an underlying illness or treatment or use of anticancer chemotherapy or radiation therapy (cytotoxic) within the preceding 36 months. 7. An active neoplastic disease (excluding nonmelanoma skin cancer) or a history of any hematologic malignancy. Active neoplastic disease is defined as neoplastic disease or treatment for neoplastic disease within the past 5 years 8. A history of autoimmune disease (systemic lupus, rheumatoid arthritis, scleroderma, polyarteritis, thyroiditis, etc). 9, Used an immunosuppressive or immunomodulatory drug such as >0.5 mg/kg/day or >/= 20 mg total dose/day of prednisone orally or >800 microgram of inhaled beclomethasone for 2 or more consecutive weeks within 6 months prior to the first vaccination (Nasal and topical steroids are allowed). 10. A diagnosis of schizophrenia, bipolar disease, or history of hospitalization for a psychiatric condition or previous suicide attempt. 11. A history of treatment for any other psychiatric disorder in the past 3 years that increases the risk to the subject in the opinion of the investigator. 12. A history of receiving immunoglobulin or other blood product within the previous 3 months before vaccination or a history of donating whole blood within the past two months or other blood derivatives within 2 weeks. 13. Received or plan to receive any live licensed vaccines within 4 weeks or inactivated licensed vaccines within 2 weeks of any study vaccination. 14. An acute or chronic medical condition that, in the opinion of the investigator, would render vaccination unsafe or would interfere with the evaluation of responses or is not generally seen in healthy, normal subjects. (This includes, but is not limited to, known cardiac disease, pulmonary disease, liver disease, renal disease, unstable or progressive neurological disorders, diabetes mellitus, and transplant recipients.) 15. Subjects with a history of previous anaphylaxis or severe allergic reaction to vaccines, eggs, or unknown allergens or known allergy to components of the vaccine. 16. Received an experimental agent (vaccine, drug, biologic, device, blood product, or medication) within 1 month before vaccination in this study or expect to receive an experimental agent during the 18 month study period. 17. Any condition that would, in the opinion of the investigator, place them at an unacceptable risk of injury, render them unable to meet the requirements of the protocol, or that may interfere with successful completion of the study. 18. A history of alcohol or drug abuse du ring the previous 1 year, for example, daily excessive alcohol use or frequent binge drinking as determined by the investigator, or chronic marijuana abuse or any other illicit drug use. 19. Presence of tattoos that would preclude evaluation of the injection site. Subject Exclusion Criteria for Unvaccinated Substudy Control Population 1. History of possible infection with Leishmania or previous exposure to Leishmania vaccines. 2. Veterans who served in the military in the Middle East (Iran, Iraq), Afghanistan, or any other areas endemic to Leishmania. 3. Travelers to, or immigrants from, areas endemic to Leishmania (Appendix D). Certain countries have endemic leishmaniasis only in certain regions of the country. The study PI or a designated clinician may review the travel history with a potential candidate to determine if travel included areas of the country with endemic leishmaniasis. 4. Body temperature >/=100.4 degrees F (>/=38.0 degrees C) or acute illness within 3 days before vaccination (subject may be rescheduled). 5. Immunosuppression as a result of an underlying illness or treatment or use of anticancer chemotherapy or radiation therapy (cytotoxic) within the preceding 36 months. 6. An active neoplastic disease (excluding nonmelanoma skin cancer) or a history of any hematologic malignancy. Active neoplastic disease is defined as neoplastic disease or treatment for neoplastic disease within the past 5 years. 7. A history of autoimmune disease (systemic lupus, rheumatoid arthritis, scleroderma, polyarteritis, thyroiditis, etc). 8. Used an immunosuppressive or immunomodulatory drug such as >0.5 mg/kg/day or >/=20 mg total dose/day of prednisone orally or >800 mcg of inhaled beclomethasone for 2 or more consecutive weeks within 6 months prior to phlebotomy (Nasal and topical steroids are allowed). 9. A diagnosis of schizophrenia, bipolar disease, or history of hospitalization for a psychiatric condition or previous suicide attempt. 10. A history of treatment for any other psychiatric disorder in the past 3 years. 11. A history of receiving immunoglobulin or other blood product within the previous 3 months before vaccination or a history of donating whole blood within the past two months or other blood derivatives within 2 weeks. 12. Received or plan to receive any live licensed vaccines within 4 weeks or inactivated licensed vaccines within 2 weeks of any study vaccination. 13. An acute or chronic medical condition that, in the opinion of the investigator, would interfere with the evaluation of responses or is not generally seen in healthy, normal subjects. (This includes, but is not limited to, known cardiac disease, pulmonary disease, liver disease, renal disease, unstable or progressive neurological disorders, diabetes mellitus, and transplant recipients.)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Iowa - Vaccine Research and Education Unit

    Iowa City, Iowa, 52242-2600

Other trials in United States

About this study

Official title: A Phase 1 Clinical Trial to Evaluate the Safety, Tolerability, and Immunogenicity of the Vaccine Candidates LEISH-F3 + GLA-SE, LEISH-F3 + MPL-SE, and LEISH-F3 + SE in Healthy Adult Subjects

Investigational products: LEISH-F3 (recombinant protein antigen) + GLA-SE (adjuvant) leishmaniasis vaccine and LEISH-F3 (recombinant protein antigen) + MPL-SE (adjuvant) leishmaniasis vaccine. Stage of development: Phase 1 clinical development. Healthy adult subjects, 18 to 49 will be recruited through a U.S. site. Primary objective: To evaluate the safety and tolerability of the LEISH-F3 + GLA-SE vaccine and the LEISH-F3 + MPL-SE vaccine following intramuscular (IM) administration of 20 µg of LEISH-F3 together with 2 or 5 µg of GLA-SE or 10 µg of MPL-SE on Days 0, 28, and 168. Secondary objective: To assess the immunogenicity of LEISH-F3 formulated with GLA-SE, MPL-SE, or SE by evaluating IgG antibody responses to LEISH-F3 at Days 0, 28, 56, 168, 196, and 365, and T cell responses to LEISH-F3 at Days 0, 14, 42, 168, 182, and 365. Each subject's duration of participation will be about 18 months.

Read the detailed description

Leishmaniasis is a disease caused by protozoan parasites of the genus Leishmania. The parasites are transmitted from an animal or human reservoir through the bite of infected female phlebotomine sand flies. This study is a randomized, open-label clinical trial designed to evaluate the safety, tolerability, and immunogenicity of the LEISH-F3 recombinant protein antigen formulated with GLA-SE, MPL-SE, or SE adjuvant in healthy adults 18 to 49 years of age. Each subject's duration of participation will be about 18 months. Subjects will receive a total of 3 doses of vaccine, which will be given by intramuscular injection on Days 0, 28, and 168. The volume of each vaccine dose will be 0.5 mL. A computerized system will be used to acquire any data regarding halting criteria throughout the study. Primary objective is to evaluate the safety and tolerability of LEISH-F3 formulated with GLA-SE, MPL-SE, or SE following intramuscular administration of 20 µg of LEISH-F3 together with 5 µg of GLA-SE, 10 µg of MPL-SE, or SE alone. Secondary objective is to assess the immunogenicity of LEISH-F3 formulated with GLA-SE, MPL-SE, or SE by evaluating IgG antibody responses to LEISH-F3 at Days 0, 28, 56, 168, 196, and 365, and T cell responses to LEISH-F3 at Days 0, 14, 42, 168, 182, and 365. A substudy will be performed using up to 12 subjects from each Study Group (Groups 1, 2 and 3) and an additional 12 subjects to serve as controls. This substudy will investigate whether, as in murine cells, cell surface markers (CD11a, CD49d) can be used as a surrogate to identify protective immune CD4+ T cells in human subjects receiving a vaccine antigen.

Conditions
Leishmaniasis
Being tested
GLA-SE, LEISH-F3, MPL-SE, SE
Keywords
GLA-SE,LEISH-F3,leishmaniasis,MPL-SE,parent protocol,vaccine
Medical subject headings
Leishmaniasis

What participants receive

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

  • GLA-SEBiological

    Glucopyranosyl Lipid A- Stable oil-in-water emulsion (GLA-SE) is formulated in a stable oil-in-water emulsion (SE) to yield the adjuvant formulation GLA-SE. The combination of GLA-SE with a recombinant protein antigen (LEISH-F3) results in a Th1-type T cell response. GLA-SE appears as a milky- white liquid. 16 subjects receive vaccine on day 0, 28, and 168 of 0.5 ml of 20 mcg of LEISH-F3 + 5 mcg GLA-SE.

  • LEISH-F3Biological

    LEISH-F3 is a lyophilized formulation containing 50 mcg LEISH-F3 and excipients (mannitol, sucrose, and polysorbate 80). All subjects receive vaccine on day 0, 28, and 168 of 0.5 ml of 20 mcg of LEISH-F3.

  • MPL-SEBiological

    Monophosphoryl Lipid A-Stable oil-in-water emulsion (MPL-SE) is an oil-in-water emulsion that contains Monophosphoryl Lipid A, an attenuated form of Lipid A from Salmonella Minnesota R595 in a emulsion (SE). The combination of MPL-SE with a recombinant protein antigen (LEISH-F3) results in a TH1-type T cell response. MPL-SE appears as a milky-white liquid. 16 subjects receive vaccine on day 0, 28, and 168 of 0.5 ml of 20 mcg of LEISH-F3+10 mcg MPL-SE.

  • SEDrug

    Stable oil-in-water Emulsion (SE) is a squalene oil-in-water emulsion that has adjuvant properties of its own, but in a Th2-dependent manner. SE appears as milky-white liquid. 16 subjects receive vaccine on day 0, 28, and 168 of 0.5 ml of 20 mcg LEISH-F3 + SE.

Study groups in NCT01751048
Study groupRoleWhat they receive
Group #1ExperimentalN=16 subjects receive vaccine on day 0, 28, and 168 of 0.5 ml of 20 mcg of LEISH-F3 + 5 mcg Glucopyranosyl Lipid A- Stable oil-in-water emulsion (GLA-SE)
Receives: Biological: GLA-SE; Biological: LEISH-F3
Group #2ExperimentalN=16 subjects receive vaccine on day 0, 28, and 168 of 0.5 ml of 20 mcg of LEISH-F3 + 10 mcg Monophosphoryl Lipid A-Stable oil-in-water emulsion (MPL-SE)
Receives: Biological: LEISH-F3; Biological: MPL-SE
Group #3ExperimentalN=16 subjects receive vaccine on day 0, 28, and 168 of 0.5 ml of 20 mcg LEISH-F3 + Stable oil-in-water Emulsion (SE)
Receives: Biological: LEISH-F3; Drug: SE

What is being measured

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

  1. The number of serious adverse events considered related to the vaccination at any point during the study period.

    Measured: approximately 533 days

  2. The number of subjects experiencing solicited injection site reaction within 7 days following vaccination.

    Measured: Through 7 days following vaccination

  3. The number of subjects experiencing solicited systemic reactions within 7 days following vaccination.

    Measured: Through 7 days following vaccination

  4. The number of subjects spontaneously reporting adverse events considered related to the vaccination at any point during the study period.

    Measured: Through Day 365

Secondary outcomes (2)
  1. The magnitude of Th1 and Th2 cytokine production in PBMCs in response to the LEISH-F3 antigen relative to baseline as assayed by Luminex.

    Measured: Days 14, 42, 168, 182, and 365

  2. The proportion of subjects with at least a 4-fold increase in IgG antibody responses to LEISH-F3 relative to baseline.

    Measured: Days 28, 56, 168, 196, and 365

Timeline

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

  1. First posted17 Dec 2012 (estimated)
  2. Study startMar 2013
  3. Primary completionJan 2015
  4. Study completionJan 2015

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
None (open label)
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01751048
Sponsor's protocol ID
11-0031
Other IDs
HHSN272200800008C
Status last verified
May 2015
First submitted
13 Dec 2012
Last updated
2 Jan 2017
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing GLA-SE, LEISH-F3 and MPL-SE in people with Leishmaniasis, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

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 1 inclusion and 1 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 2 Jan 2017. 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 States. 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?

The number of serious adverse events considered related to the vaccination at any point during the study period. (time frame: approximately 533 days). The study lists 4 primary outcomes in all. 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 2 Jan 2017.

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