HIV InfectionsPhase 1NCT01937455
A Phase 1, Randomized, Blinded, Dose-escalation Study of rAAV1-PG9DP Recombinant AAV Vector Coding for PG9 Antibody in Healthy Male Adults.
A Phase 1 study testing rAAV1-PG9DP in people with HIV Infections, run by International AIDS Vaccine Initiative at 2 sites in United Kingdom.
Trial summary
The purpose of this study is to evaluate the safety, tolerability and immunogenicity of rAAV1-PG9DP when administered intramuscularly at different dose levels in healthy male adults. Read more about this study
- Who is it for?
- Ages 18 to 45 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- HIV Infections
- What is being tested?
- rAAV1-PG9DP
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 21 participants
- Where
- 2 sitesUnited Kingdom
- Study dates
- Sep 2014to Feb 2018
- 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 45 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy male.
- 18 to 45 years of age.
- 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 and based on Assessment of Informed Consent Understanding results, has understood the information provided and has provided informed consent.
- Willing to undergo HIV testing, risk reduction counseling and receive HIV test results.
- All sexually active males must be willing to use male condoms with all sexual partners (female or male) from the day of first injection until 3 months after the injection.
- Willing to forgo donations of blood or any other tissues during the study and, for those who test HIV-positive due to vaccine-induced antibodies, until the anti-HIV antibody titers become undetectable.
Who cannot join
- Confirmed HIV-1 or HIV-2 infection.
- Any clinically relevant abnormality on history or examination including history of immunodeficiency or autoimmune disease; use of systemic corticosteroids, immunosuppressive, anticancer, or other medications considered significant by the investigator within the previous 6 months.
- Any clinically significant acute or chronic medical condition that is considered progressive or in the opinion of the investigator makes the volunteer unsuitable for participation in the study.
- Any of the following specific risk behaviour for HIV infection within 6 months prior to injection:
- Unprotected sexual intercourse with a known HIV infected person or a partner known to be at high risk for HIV infection or a casual partner (i.e., no continuing established relationship)
- Unprotected anal intercourse with another man (either insertive or receptive)
Show all 30Show fewer
- Three or more sexual partners
- Engaged in sex work
- Frequent excessive daily alcohol use or frequent binge drinking or chronic marijuana abuse or any other use of illicit drugs
- History of newly-acquired syphilis, gonorrhea, non-gonococcal urethritis, HSV-2, chlamydia, epididymitis, proctitis, lymphogranuloma venereum, chancroid, or hepatitis B
- Bleeding disorder that was diagnosed by a physician (e.g., factor deficiency, coagulopathy or platelet disorder that requires special precautions).
- Clinically significant laboratory abnormalities.
- Anti-AAV1 antibody level above the cut-off.
- Receipt of live attenuated vaccine within the previous 60 days or planned receipt within 60 days after injection with IP; or receipt of other vaccine within the previous 14 days or planned receipt within 14 days after injection with IP (exception is live attenuated influenza vaccine within 14 days).
- Receipt of blood transfusion or blood-derived products within the previous 3 months.
- Participation in another clinical trial of an IMP currently, within the previous 3 months or expected participation during this study.
- Prior receipt of another AAV vector, investigational HIV vaccine candidate, monoclonal antibody or polyclonal immunoglobulin (note: receipt of placebo in a previous HIV vaccine or monoclonal antibody trial will not exclude a volunteer from participation).
- History of severe local or systemic reactogenicity to vaccines or infusions (e.g., anaphylaxis, respiratory difficulties, angioedema)
- Psychiatric condition that compromises safety of the volunteer and precludes compliance with the protocol.
- In the opinion of the Principal Investigator, it is not in the best interest of the volunteer to participate in the trial.
- Seizure disorder: a participant who has had a seizure in the last 3 years.
- ECG with clinically significant findings or features.
- History of, or known active cardiovascular disease.
- Have 3 or more of the following risk factors:
- Hypertension diagnosed by a doctor
- Hypercholesterolemia diagnosed by a doctor
- Diabetes mellitus
- Hyperglycemia diagnosed by a doctor
- First degree relative (i.e., mother, father, brother, sister) who had a heart condition before the age of 50
- Currently smoke cigarettes
Trial locations and contacts
2 sites in 1 country.
United Kingdom2 sites
Surrey Clinical Research Centre
Guildford, GU2 7XP
Southampton Centre for Biomedical Research
Southampton, SO16 6YD
About this study
Official title: Safety and Immunogenicity Study of rAAV1-PG9DP Recombinant AAV Vector Coding for PG9 Antibody in Healthy Male Adults.
The purpose of this study is to evaluate the safety, tolerability and immunogenicity of rAAV1-PG9DP when administered intramuscularly at different dose levels in healthy male adults.
Read the detailed description
This study is a phase 1, randomized, blinded, dose-escalation study to evaluate the safety and tolerability of rAAV1-PG9DP when administered intramuscularly at 4x10^12 vg, 4x10^13 vg, 8x10^13 vg and 1.2x10^14 vg in healthy male adults.
Volunteers will be screened up to 42 days before injection and will be followed for 12 months after the single administration. It is anticipated that it will take approximately 13 months to enroll the study.
Volunteers will be randomly assigned investigational product (IP) or placebo within each of the dose groups described in the study design table above depending on which group is enrolling. Study staff and volunteers will be blinded only with respect to the allocation of placebo or IP. Blinding will not apply to the assignment of dosage levels.
Volunteers will be offered enrollment into a follow-up study at the research center when they have finished participating in the trial
- Conditions
- HIV Infections
- Being tested
- rAAV1-PG9DP
- Keywords
- HIV, AIDS, HIV vaccine, HIV prevention, AAV, PG9
- Medical subject headings
- HIV Infections, Acquired Immunodeficiency Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
rAAV1-PG9DPBiological
4x10^12 vg administered intramuscularly
rAAV1-PG9DPBiological
4x10^13 vg administered intramuscularly
rAAV1-PG9DPBiological
8x10^13 vg administered intramuscularly
rAAV1-PG9DPBiological
1.2x10^14 vg administered intramuscularly
| Study group | Role | What they receive |
|---|---|---|
| Group A | Experimental | rAAV1-PG9DP or placebo (v:p = 3:1) Receives: Biological: rAAV1-PG9DP |
| Group B | Experimental | rAAV1-PG9DP or placebo (v:p = 3:1) Receives: Biological: rAAV1-PG9DP |
| Group C/C1 | Experimental | rAAV1-PG9DP or placebo (v:p = 3:1 in Group C, and v:p = 9:3 in Group C1) Receives: Biological: rAAV1-PG9DP |
| Group D/D1 | Experimental | rAAV1-PG9DP or placebo (v:p = 3:1 in Group D, v:p = 4:1 in Group D1) Receives: Biological: rAAV1-PG9DP |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety and Tolerability
- Proportion of volunteers with moderate or greater reactogenicity (i.e., solicited adverse events) during a 7 day follow-up period after the injection
- Proportion of volunteers with moderate or greater adverse events (i.e. unsolicited adverse events) including safety laboratory (biochemical, haematological) parameters, from the day of the injection up to 180 days post injection
- Proportion of volunteers with serious adverse events (SAEs) related to the IMP throughout the study period
- The proportion of volunteers in each group with Adverse Event of Special Interest, defined as adverse events potentially caused by antigen-antibody complexes or immune responses directed to cells producing the transgene
Measured: 12 months
Secondary outcomes (1)
Pharmacokinetics and Immunogenicity
To assess (qualitative and quantitative) immune responses elicited by the different dose levels.
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 posted9 Sep 2013 (estimated)
- Study startSep 2014
- Primary completionFeb 2018 (estimated)
- Study completionFeb 2018 (estimated)
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 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
- 21 participants (actual)
Sponsor and investigators
- Lead sponsor
- International AIDS Vaccine Initiative
- Sponsor type
- Research network
- Collaborators
- National Institute of Allergy and Infectious Diseases (NIAID), Children's Hospital of Philadelphia
- Responsible party
- Sponsor
- Investigators
- David JM Lewis, Principal investigator, Clinical Research Centre, Institute of Biosciences and Medicine, FHMS, University of Surrey
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01937455
- Sponsor's protocol ID
- IAVI A003/CHOP HVDDT 001
- Other IDs
- 2013-002268-14, HHSN272201000021C
- Status last verified
- Jan 2018
- First submitted
- 4 Sep 2013
- Last updated
- 11 Jan 2018
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Libera M, Caputo V, Laterza G, Moudoud L, Soggiu A, Bonizzi L, Diotti RA. The Question of HIV Vaccine: Why Is a Solution Not Yet Available? J Immunol Res. 2024 Apr 8;2024:2147912. doi: 10.1155/2024/2147912. eCollection 2024.
PubMed 38628675Priddy FH, Lewis DJM, Gelderblom HC, Hassanin H, Streatfield C, LaBranche C, Hare J, Cox JH, Dally L, Bendel D, Montefiori D, Sayeed E, Ackland J, Gilmour J, Schnepp BC, Wright JF, Johnson P. Adeno-associated virus vectored immunoprophylaxis to prevent HIV in healthy adults: a phase 1 randomised controlled trial. Lancet HIV. 2019 Apr;6(4):e230-e239. doi: 10.1016/S2352-3018(19)30003-7. Epub 2019 Mar 15.
PubMed 30885692
Study at a glance
From the registry record, last updated by the sponsor on 11 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety and Immunogenicity Study of rAAV1-PG9DP Recombinant AAV Vector Coding for PG9 Antibody in Healthy Male Adults.
- ClinicalTrials.gov ID
- NCT01937455
- Acronym / sponsor ID
- IAVI A003/CHOP HVDDT 001
- Conditions
- HIV Infections
- Keywords
- HIV, AIDS, HIV vaccine, HIV prevention, AAV, PG9
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 21 participants (actual)
- Lead sponsor
- International AIDS Vaccine InitiativeResearch network
- Collaborators
- National Institute of Allergy and Infectious Diseases (NIAID), Children's Hospital of Philadelphia
- Study start
- Sep 2014
- Primary completion
- Feb 2018 (estimated)
- Study completion
- Feb 2018 (estimated)
- First posted
- 9 Sep 2013 (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, tolerability and immunogenicity of rAAV1-PG9DP when administered intramuscularly at different dose levels in healthy male adults.
Detailed description
This study is a phase 1, randomized, blinded, dose-escalation study to evaluate the safety and tolerability of rAAV1-PG9DP when administered intramuscularly at 4x10^12 vg, 4x10^13 vg, 8x10^13 vg and 1.2x10^14 vg in healthy male adults.
Volunteers will be screened up to 42 days before injection and will be followed for 12 months after the single administration. It is anticipated that it will take approximately 13 months to enroll the study.
Volunteers will be randomly assigned investigational product (IP) or placebo within each of the dose groups described in the study design table above depending on which group is enrolling. Study staff and volunteers will be blinded only with respect to the allocation of placebo or IP. Blinding will not apply to the assignment of dosage levels.
Volunteers will be offered enrollment into a follow-up study at the research center when they have finished participating in the trial
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Group A | Experimental | Biological: rAAV1-PG9DPrAAV1-PG9DP or placebo (v:p = 3:1) |
| Group B | Experimental | Biological: rAAV1-PG9DPrAAV1-PG9DP or placebo (v:p = 3:1) |
| Group C/C1 | Experimental | Biological: rAAV1-PG9DPrAAV1-PG9DP or placebo (v:p = 3:1 in Group C, and v:p = 9:3 in Group C1) |
| Group D/D1 | Experimental | Biological: rAAV1-PG9DPrAAV1-PG9DP or placebo (v:p = 3:1 in Group D, v:p = 4:1 in Group D1) |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Healthy male.
- 18 to 45 years of age.
- 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 and based on Assessment of Informed Consent Understanding results, has understood the information provided and has provided informed consent.
- Willing to undergo HIV testing, risk reduction counseling and receive HIV test results.
Key exclusion criteria (30 listed)
- Confirmed HIV-1 or HIV-2 infection.
- Any clinically relevant abnormality on history or examination including history of immunodeficiency or autoimmune disease; use of systemic corticosteroids, immunosuppressive, anticancer, or other medications considered significant by the investigator within the previous 6 months.
- Any clinically significant acute or chronic medical condition that is considered progressive or in the opinion of the investigator makes the volunteer unsuitable for participation in the study.
- Any of the following specific risk behaviour for HIV infection within 6 months prior to injection:
- Bleeding disorder that was diagnosed by a physician (e.g., factor deficiency, coagulopathy or platelet disorder that requires special precautions).
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 |
|---|---|---|
| rAAV1-PG9DP4x10^12 vg administered intramuscularly | Biological | Group A |
| rAAV1-PG9DP4x10^13 vg administered intramuscularly | Biological | Group B |
| rAAV1-PG9DP8x10^13 vg administered intramuscularly | Biological | Group C/C1 |
| rAAV1-PG9DP1.2x10^14 vg administered intramuscularly | Biological | Group D/D1 |
Primary outcome
Safety and Tolerability
Time frame: 12 months
1. Proportion of volunteers with moderate or greater reactogenicity (i.e., solicited adverse events) during a 7 day follow-up period after the injection 2. Proportion of volunteers with moderate or greater adverse events (i.e. unsolicited adverse events) including safety laboratory (biochemical, haematological) parameters, from the day of the injection up to 180 days post injection 3. Proportion of volunteers with serious adverse events (SAEs) related to the IMP throughout the study period 4. The proportion of volunteers in each group with Adverse Event of Special Interest, defined as adverse events potentially caused by antigen-antibody complexes or immune responses directed to cells producing the transgene
1 secondary outcome
Pharmacokinetics and Immunogenicity
Time frame: 12 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jan 2018.
- Derived from this study: PubMed 38628675Libera M, Caputo V, Laterza G, Moudoud L, Soggiu A, Bonizzi L, Diotti RA. The Question of HIV Vaccine: Why Is a Solution Not Yet Available? J Immunol Res. 2024 Apr 8;2024:2147912. doi: 10.1155/2024/2147912. eCollection 2024.
- Derived from this study: PubMed 30885692Priddy FH, Lewis DJM, Gelderblom HC, Hassanin H, Streatfield C, LaBranche C, Hare J, Cox JH, Dally L, Bendel D, Montefiori D, Sayeed E, Ackland J, Gilmour J, Schnepp BC, Wright JF, Johnson P. Adeno-associated virus vectored immunoprophylaxis to prevent HIV in healthy adults: a phase 1 randomised controlled trial. Lancet HIV. 2019 Apr;6(4):e230-e239. doi: 10.1016/S2352-3018(19)30003-7. Epub 2019 Mar 15.
- 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.
David JM Lewis principal investigator
Clinical Research Centre, Institute of Biosciences and Medicine, FHMS, University of Surrey
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing rAAV1-PG9DP in people with HIV Infections, run by International AIDS Vaccine Initiative at 2 sites 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 30 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: status not confirmed, as of the sponsor's last update on 11 Jan 2018. 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 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 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?
Results are not available in the source record.
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 and Tolerability (time frame: 12 months). 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 NCT01937455, 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 11 Jan 2018.