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Goal of VPM is the development of a recombinant urease C-deficient listeriolysin expressing BCG vaccine strain (VPM1002) as a safe, well tolerated and efficacious vaccine against TB for residents in endemic areas and persons at risk in non-endemic areas. The new live vaccine VPM1002 should be at least as potent as the currently used BCG vaccine and should cause fewer side effects (Kaufmann, 2007; Grode et al., 2005). It is formulated as lyophilised bacteria to be resuspended before intradermal injection. First application of VPM1002 in human male volunteers will evaluate its safety, local and systemic tolerability as well as its immunogenicity. The study has a dose-escalating sequential design with comparison to commercially available BCG. 80 volunteers in Germany will randomly be allocated to 4 groups each with 20 volunteers stratified for their history of BCG-vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | VPM1002 in three dosages |
|
| 2 | Active Comparator | BCG |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VPM1002 | Biological | live vaccine |
| |
| BCG |
| Measure | Description | Time Frame |
|---|---|---|
| Safety: physical examination, vital signs, ECG, liver sonography, chest X-ray, laboratory safety parameters (including haematology, coagulation, clinical chemistry and urinalysis), tolerability, recording of concomitant medication and adverse events | days -1, 1, 2, 3, 5, 11, 29, 57 and month 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity: LST for PPD with subsequent IFN-gamma specific ELISA on supernatants of PBMC | baseline, days 29, 57, month 6 | |
| Immunogenicity: ELISPOT for the number of IFN-gamma secreting PBMC after stimulation with PPD | baseline, days 29, 57, month 6 |
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Inclusion Criteria:
Exclusion Criteria:
For the group of volunteers who were vaccinated with a BCG vaccine:
• Tuberculin-PPD-in-vivo-test equal or more than 10 mm at baseline
For the group of naive volunteers:
• Tuberculin-PPD-in-vivo-Test equal or more than 1 mm at baseline
For all volunteers
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| Name | Affiliation | Role |
|---|---|---|
| Andreas Schrödter, MD | FOCUS CDD GmbH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Focus Clinical Drug Development GmbH | Neuss | 41460 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29915522 | Derived | Choi SW, Han S, Shim WJ, Choi DJ, Kim YJ, Yoo BS, Hwang KK, Jeon HK, Shin MS, Ryu KH. Impact of Heart Rate Reduction with Maximal Tolerable Dose of Bisoprolol on Left Ventricular Reverse Remodeling. J Korean Med Sci. 2018 May 11;33(25):e171. doi: 10.3346/jkms.2018.33.e171. eCollection 2018 Jun 18. | |
| 23290835 | Derived |
| Label | URL |
|---|---|
| Background Information on VPM1002 | View source |
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| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| ID | Term |
|---|---|
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
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| ID | Term |
|---|---|
| C000705187 | VPM1002 recombinant BCG vaccine |
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| Biological |
commercially available live vaccine BCG |
|
| Immunogenicity: whole blood stimulated with PPD and measuring IFN-gamma in the plasma by ELISA | baseline, days 29, 57, month 6 |
| ICS for IFN-gamma, TNF-alpha and IL-2 in CD4+ and CD8+ lymphocytes upon stimulation with PPD | baseline, days 29, 57 and month 6 |
| Immunogenicity: ICS with other triple combinations of markers in CD4+ and CD8+ lymphocytes upon stimulation with PPD | baseline, days 29, 57 and month 6 |
| Immunogenicity: TB85B as recall antigen for ELISA, ELISPOT, WBA and ICS | baseline, days 29, 57 and month 6 |
| Immunogenicity: serum antibodies against PPD or AG85B | baseline, days 29, 57 and month 6 |
| Grode L, Ganoza CA, Brohm C, Weiner J 3rd, Eisele B, Kaufmann SH. Safety and immunogenicity of the recombinant BCG vaccine VPM1002 in a phase 1 open-label randomized clinical trial. Vaccine. 2013 Feb 18;31(9):1340-8. doi: 10.1016/j.vaccine.2012.12.053. Epub 2013 Jan 3. |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |