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Herpes SimplexPhase 1NCT04762511

A Study on the Reactogenicity, Safety and Immune Response of a Vaccine Against Herpes Simplex Virus (HSV)-2 in Healthy Participants Aged 18-40 Years

A Phase 1 study testing Lower dose formulation of HSV vaccine (GSK4108771A), Low dose formulation of HSV vaccine (GSK4108771A) and Medium dose formulation of HSV vaccine (GSK4108771A) in people with Herpes Simplex, run by GlaxoSmithKline at 2 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this first-time-in-human (FTiH) study is to assess the reactogenicity, safety and immunogenicity of four different dose levels of an experimental herpes simplex virus type 2 (HSV-2) vaccine, when administered intramuscularly (IM) on a 0, 2-month schedule to healthy participants aged 18-40 years. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Herpes Simplex
What is being tested?
Lower dose formulation of HSV vaccine (GSK4108771A), Low dose formulation of HSV vaccine (GSK4108771A) and Medium dose formulation of HSV vaccine (GSK4108771A)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
17 participants
Where
2 sitesUnited States
Study dates
2 Mar 2021to 26 May 2021
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 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants, who, in the opinion of the investigator, can and will comply with the requirements of the Protocol.
  • Written informed consent obtained from the participant prior to performance of any study-specific procedure.
  • Healthy participants as established by medical history and clinical examination before entering into the study.
  • Man or woman aged 18-40 years, included, at the time of the first vaccination.
  • Women of non-childbearing potential may be enrolled in the study.
  • Women of childbearing potential may be enrolled in the study, if the participant:
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  • Has practiced adequate contraception for one month prior to vaccination, and;
  • Has a negative pregnancy test result on the day of vaccination, and;
  • Has agreed to continue adequate contraception until the end of the study.
  • Seronegative for HIV, as determined by laboratory screening tests. Participants documented to be positive to HIV will not be eligible for study participation.
  • Seronegative for HSV-2 as determined by Western blot.

Who cannot join

  • Medical Conditions
  • Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the study.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the study vaccines.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Hypersensitivity to latex.
  • Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, endocrine, or renal functional abnormality, as determined by physical examination or laboratory screening tests.
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  • Recurrent history or uncontrolled neurological disorders or seizures.
  • Grade 2 or higher haematological and/or biochemical laboratory abnormality at screening.
  • Body mass index ≤ 18 kg/m^2 or ≥ 35 kg/m^2.
  • History of any form of ocular HSV infection, HSV-related erythema multiforme, or HSV-related neurological complications.
  • Participants with symptoms suggestive of Coronavirus disease 2019 (COVID-19) infection within 14 days before the first study vaccination. Participants should be free of symptoms for at least 14 days.
  • Participants with known COVID-19-positive contacts in the past 14 days before the first study vaccination.
  • Prior/Concomitant Therapy
  • Use of any investigational or non-registered product other than the study vaccines during the period beginning 30 days before the first dose of study vaccine (Day -29 to Day 1), or planned use during the study period.
  • Planned administration/administration of a vaccine not foreseen by the Protocol in the period starting 15 days before each dose and ending 15 days after each dose of study vaccine administration.
  • Administration of long-acting immune-modifying drugs at any time during the study period.
  • Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting three months before the first dose of study vaccine or planned administration during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs during the period starting three months prior to the first study vaccine dose. For corticosteroids, this will mean prednisone equivalent ≥ 20 mg/day, or equivalent. Inhaled and topical steroids are allowed.
  • Prior receipt of another vaccine containing HSV-2 antigens. Prior/Concurrent Clinical Study Experience
  • Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product.
  • Other Exclusions
  • Pregnant or lactating woman.
  • Woman planning to become pregnant or planning to discontinue contraceptive precautions.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • GSK Investigational Site

    Lenexa, Kansas, 66219

  • GSK Investigational Site

    Rochester, New York, 14609

Other trials in United States

About this study

Official title: A Phase I, Single-blind, Randomised, Placebo-controlled, Dose Escalation Study to Evaluate the Reactogenicity, Safety and Immune Response of an HSV Vaccine in Healthy Participants Aged 18-40 Years

The purpose of this first-time-in-human (FTiH) study is to assess the reactogenicity, safety and immunogenicity of four different dose levels of an experimental herpes simplex virus type 2 (HSV-2) vaccine, when administered intramuscularly (IM) on a 0, 2-month schedule to healthy participants aged 18-40 years.

Conditions
Herpes Simplex
Being tested
Lower dose formulation of HSV vaccine (GSK4108771A), Low dose formulation of HSV vaccine (GSK4108771A), Medium dose formulation of HSV vaccine (GSK4108771A), High dose formulation of HSV vaccine (GSK4108771A), Placebo (saline)
Keywords
First Time in Human, Vaccine, Healthy participants, Herpes Simplex Virus, Reactogenicity, Safety, Immune response
Medical subject headings
Herpes Simplex

What participants receive

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

  • Lower dose formulation of HSV vaccine (GSK4108771A)Biological

    2 doses of the lower dose formulation of HSV vaccine (GSK4108771A) administered intramuscularly in the non-dominant arm, one each at Day 1 and Day 57.

  • Low dose formulation of HSV vaccine (GSK4108771A)Biological

    2 doses of the low dose formulation of HSV vaccine (GSK4108771A) administered intramuscularly in the non-dominant arm, one each at Day 1 and Day 57.

  • Medium dose formulation of HSV vaccine (GSK4108771A)Biological

    2 doses of the medium dose formulation of HSV vaccine (GSK4108771A) administered intramuscularly in the non-dominant arm, one each at Day 1 and Day 57.

  • High dose formulation of HSV vaccine (GSK4108771A)Biological

    2 doses of the high dose formulation of the HSV vaccine (GSK4108771A) administered intramuscularly in the non-dominant arm, one each at Day 1 and Day 57.

  • Placebo (saline)Drug

    2 doses of placebo (saline) administered intramuscularly in the non-dominant arm, one each at Day 1 and Day 57.

Study groups in NCT04762511
Study groupRoleWhat they receive
HSV lower dose formulation GroupExperimentalHealthy participants, 18 to 40 years of age, receive two doses of the HSV lower dose formulation vaccine intramuscularly, one at Day 1 and one at Day 57.
Receives: Biological: Lower dose formulation of HSV vaccine (GSK4108771A)
Placebo Step 1 GroupPlacebo comparatorHealthy participants, 18 to 40 years of age, receive two doses of placebo (saline) intramuscularly, one at Day 1 and one at Day 57.
Receives: Drug: Placebo (saline)
HSV low dose formulation GroupExperimentalHealthy participants, 18 to 40 years of age, receive two doses of the HSV low dose formulation vaccine intramuscularly, one at Day 1 and one at Day 57.
Receives: Biological: Low dose formulation of HSV vaccine (GSK4108771A)
Placebo Step 2 GroupPlacebo comparatorHealthy participants, 18 to 40 years of age, receive two doses of placebo (saline) intramuscularly, one at Day 1 and one at Day 57.
Receives: Drug: Placebo (saline)
HSV medium dose formulation GroupExperimentalHealthy participants, 18 to 40 years of age, receive two doses of the HSV medium dose formulation vaccine intramuscularly, one at Day 1 and one at Day 57.
Receives: Biological: Medium dose formulation of HSV vaccine (GSK4108771A)
Placebo Step 3 GroupPlacebo comparatorHealthy participants, 18 to 40 years of age, receive two doses of placebo (saline) intramuscularly, one at Day 1 and one at Day 57.
Receives: Drug: Placebo (saline)
HSV high dose formulation GroupExperimentalHealthy participants, 18 to 40 years of age, receive two doses of the HSV high dose formulation vaccine intramuscularly, one at Day 1 and one at Day 57.
Receives: Biological: High dose formulation of HSV vaccine (GSK4108771A)
Placebo Step 4 GroupPlacebo comparatorHealthy participants, 18 to 40 years of age, receive two doses of placebo (saline) intramuscularly, one at Day 1 and one at Day 57.
Receives: Drug: Placebo (saline)

What is being measured

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

  1. Percentage of participants reporting solicited administration site events within 7 days after the first vaccine dose administered at Day 1

    The solicited administration site events are pain, redness and swelling.

    Measured: Within 7 days after the first vaccine dose (administered at Day 1)

  2. Percentage of participants reporting solicited administration site events within 7 days after the second vaccine dose administered at Day 57

    The solicited administration site events are pain, redness and swelling.

    Measured: Within 7 days after the second vaccine dose (administered at Day 57)

  3. Percentage of participants reporting solicited systemic events within 7 days after the first vaccine dose administered at Day 1

    The solicited systemic events are fever, fatigue, headache, nausea, vomiting, diarrhoea, abdominal pain, myalgia and arthralgia. The preferred location for measuring temperature is the oral cavity. Fever is defined as temperature equal to or above (≥) 38.0 degree Celsius (°C)/ 100.4°F, regardless the location of measurement.

    Measured: Within 7 days after the first vaccine dose (administered at Day 1)

  4. Percentage of participants reporting solicited systemic events within 7 days after the second vaccine dose administered at Day 57

    The solicited systemic events are fever, fatigue, headache, nausea, vomiting, diarrhoea, abdominal pain, myalgia and arthralgia. The preferred location for measuring temperature is the oral cavity. Fever is defined as temperature equal to or above (≥) 38.0 degree Celsius (°C)/ 100.4°F, regardless the location of measurement.

    Measured: Within 7 days after the second vaccine dose (administered at Day 57)

  5. Percentage of participants reporting unsolicited adverse events (AEs) within 28 days after the first vaccine dose administered at Day 1

    An unsolicited AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention, whether or not considered related to the study intervention and that was not included in a list of solicited events using a Participant Diary.

    Measured: Within 28 days after the first vaccine dose (administered at Day 1)

  6. Percentage of participants reporting unsolicited adverse events (AEs) within 28 days after the second vaccine dose administered at Day 57

    An unsolicited AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention, whether or not considered related to the study intervention and that was not included in a list of solicited events using a Participant Diary.

    Measured: Within 28 days after the second vaccine dose (administered at Day 57)

  7. Percentage of participants reporting medically attended AEs (MAEs)

    A MAE is an unsolicited AE for which the participants received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.

    Measured: From Day 1 up to study end at Day 421

  8. Percentage of participants reporting serious adverse events (SAEs)

    An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study patient or results in abnormal pregnancy outcomes.

    Measured: From Day 1 up to study end at Day 421

  9. Percentage of participants reporting potential immune-mediated diseases (pIMDs)

    PIMDs are a subset of adverse events of special interest (AESIs) that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.

    Measured: From Day 1 up to study end at Day 421

  10. Percentage of participants reporting potential orolabial HSV-1 recurrence

    Potential orolabial HSV-1 recurrence represents a subset of adverse events of special interest (AESIs).

    Measured: From Day 1 up to study end at Day 421

  11. Percentage of participants reporting any haematological and biochemical laboratory abnormalities at pre-vaccination (Day 1)

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. In the absence of a diagnosis, abnormal laboratory findings assessments (e.g., Grade 2 or higher abnormal haematological and biochemical parameters) or other abnormal results the investigator considers clinically significant are recorded as an AE or SAE, if they meet the definition of an AE or SAE.

    Measured: At pre-vaccination (Day 1)

  12. Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 2

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. In the absence of a diagnosis, abnormal laboratory findings assessments (e.g., Grade 2 or higher abnormal haematological and biochemical parameters) or other abnormal results the investigator considers clinically significant are recorded as an AE or SAE, if they meet the definition of an AE or SAE.

    Measured: At Day 2

  13. Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 8

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. In the absence of a diagnosis, abnormal laboratory findings assessments (e.g., Grade 2 or higher abnormal haematological and biochemical parameters) or other abnormal results the investigator considers clinically significant are recorded as an AE or SAE, if they meet the definition of an AE or SAE.

    Measured: At Day 8

  14. Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 57

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. In the absence of a diagnosis, abnormal laboratory findings assessments (e.g., Grade 2 or higher abnormal haematological and biochemical parameters) or other abnormal results the investigator considers clinically significant are recorded as an AE or SAE, if they meet the definition of an AE or SAE.

    Measured: At Day 57

  15. Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 58

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. In the absence of a diagnosis, abnormal laboratory findings assessments (e.g., Grade 2 or higher abnormal haematological and biochemical parameters) or other abnormal results the investigator considers clinically significant are recorded as an AE or SAE, if they meet the definition of an AE or SAE.

    Measured: At Day 58

  16. Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 64

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. In the absence of a diagnosis, abnormal laboratory findings assessments (e.g., Grade 2 or higher abnormal haematological and biochemical parameters) or other abnormal results the investigator considers clinically significant are recorded as an AE or SAE, if they meet the definition of an AE or SAE.

    Measured: At Day 64

  17. Percentage of participants reporting any haematological and biochemical laboratory abnormalities at Day 85

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. In the absence of a diagnosis, abnormal laboratory findings assessments (e.g., Grade 2 or higher abnormal haematological and biochemical parameters) or other abnormal results the investigator considers clinically significant are recorded as an AE or SAE, if they meet the definition of an AE or SAE.

    Measured: At Day 85

Secondary outcomes (4)
  1. Anti-vaccine antibody concentrations

    Antibody concentrations determined by Enzyme Linked Immunosorbent Assay (ELISA) are presented as GMCs and expressed in ELISA unit per milliliter (EU/mL).

    Measured: At pre-vaccination (Day 1), Day 29, Day 57, Day 85, Day 239 and Day 421

  2. Percentage of seropositive participants for anti-vaccine antibodies

    The percentage of seropositive participants for anti-vaccine antibodies (i.e. participants with anti-vaccine antibody concentrations above the predefined threshold, as assessed by ELISA) is reported.

    Measured: At pre-vaccination (Day 1), Day 29, Day 57, Day 85, Day 239 and Day 421

  3. Frequency of antigen specific Cluster of Differentiation (CD)4+ T-cells expressing at least two activation markers

    Frequency of antigen-specific CD4+ T-cells is expressed as antigen-specific CD4+ T-cells per million peripheral blood mononuclear cells (antigen-specific CD4+ T-cells/million PBMCs), as assessed by cytokine flow cytometry. Among the activation markers expressed are interleukin-2/13/17 (IL-2, IL-13, IL-17), cluster of 40 ligand (CD40L), 4-1BB, tumour necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At pre-vaccination (Day 1), Day 29, Day 57, Day 85, Day 239 and Day 421

  4. Frequency of antigen-specific CD8+ T-cells expressing at least two activation markers

    Frequency of antigen-specific CD8+ T-cells is expressed as antigen-specific CD8+ T-cells/million PBMCs. Among the activation markers expressed are interleukin-2/13/17 (IL-2, IL-13, IL-17), cluster of 40 ligand (CD40L), 4-1BB, tumour necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At pre-vaccination (Day 1), Day 29, Day 57, Day 85, Day 239 and Day 421

Timeline

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

  1. First posted21 Feb 2021
  2. Study start2 Mar 2021
  3. Primary completion26 May 2021
  4. Study completion26 May 2021

Why it stopped: To enable development of an enhanced version of the vaccine

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04762511
Sponsor's protocol ID
213830
Status last verified
Jun 2021
First submitted
17 Feb 2021
Last updated
28 Jun 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: IPD for this study will be made available via the Clinical Study Data Request site.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Lower dose formulation of HSV vaccine (GSK4108771A), Low dose formulation of HSV vaccine (GSK4108771A) and Medium dose formulation of HSV vaccine (GSK4108771A) in people with Herpes Simplex, run by GlaxoSmithKline at 2 sites 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 11 inclusion and 23 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: stopped early, as of the sponsor's last update on 28 Jun 2021. 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 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. 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 was stopped early (reason given: To enable development of an enhanced version of the vaccine). 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?

Percentage of participants reporting solicited administration site events within 7 days after the first vaccine dose administered at Day 1 (time frame: Within 7 days after the first vaccine dose (administered at Day 1)). The study lists 17 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 28 Jun 2021.

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