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| Name | Class |
|---|---|
| Targeted Genetics Corporation | INDUSTRY |
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This phase 2 study will evaluate the safety, immunogenicity and optimal timing of two injections at three dose levels of the tgAAC09 vaccine in healthy volunteers. Study volunteers will receive two intramuscular injections of tgAAC09 or placebo at Months 0 and 6 (groups A, C, E and G) or at Months 0 and 12 (groups B, D and F) and be followed for a total of 18 months following the first injection with the exception of group G in which volunteers will be followed for 12 months after the first injection (6 months after the second injection). This study will explore whether boosting is possible, and compare a shorter and more practical six-month time interval with a twelve-month time interval.
The study design will also assess the effect of the presence of anti-AAV2 capsid neutralizing antibodies at the time of vaccination on the safety and immunogenicity of tgAAC09. Since the prevalence of pre-existing neutralizing antibodies to AAV2 capsid is high (IAVI and Targeted Genetics, data on file), this protocol amendment adds Group G which is composed of volunteers who have documented pre-existing anti-AAV2 capsid neutralizing antibodies titers ≤ 1/8. This will assure that there are sufficient numbers of volunteers with and without antibodies for a useful comparison.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Number of Vaccine Recipients: 10 Dosage level 3 x 10^10 DRP Month 0 + 6 |
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| Group B | Experimental | Number of Vaccine Recipients: 10 Dosage level 3 x 10^10 DRP Month 0+12 |
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| Group C | Experimental | Number of Vaccine Recipients: 10 Dosage level 3 x 10^11 DRP Month 0+6 |
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| Group D | Experimental | Number of Vaccine Recipients: 10 Dosage level 3 x 10^11 DRP Month 0+12 |
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| Group E | Experimental | Number of Vaccine Recipients: 10 Dosage level 3 x 10^12 DRP Month 0+6 |
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| Group F | Experimental | Number of Vaccine Recipients: 10 Dosage level 3 x 10^12 DRP Month 0+12 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tgAAC09 | Biological |
| ||
| tgAAC09 |
| Measure | Description | Time Frame |
|---|---|---|
| Safety: proportion of volunteers with severe local and systemic reactions, proportion of volunteers with other SAEs (including laboratory abnormalities) related to study vaccine, number of volunteers with SAEs related to study vaccine | 18 months | |
| Proportion of volunteers with HIV-1 specific T- cell responses quantified by γ-IFN ELISPOT and magnitude of the response, and proportion of volunteers with HIV-1 specific binding antibodies and magnitude of the response | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Safety: high versus low or negative titres of neutralizing antibodies to AAV2 at the time of each vaccination | 18 months | |
| Immunogenicity: proportion of volunteers with HIV-1 specific T- cell responses by γ-IFN CFC or other T-cell assays | 18 months |
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Inclusion Criteria:
Exclusion Criteria:
HIV-1 or HIV-2 infection
Active tuberculosis
Clinically relevant abnormality on history or examination including history of immunodeficiency, or cancer, or autoimmune disorder
Use of systemic corticosteroids, immunosuppressive or anticancer medications in the last six months
Chronic condition that, in the opinion of the investigator or the designated trial physician, would make the volunteer unsuitable for the study
Any of the following abnormal laboratory parameters:
Any of the following high-risk behaviors:
If female, pregnant, lactating or planning a pregnancy within four months after last study injection
Receipt of live attenuated vaccine within 30 days or other vaccine within 14 days of the first study injection
Receipt of blood transfusion or blood products six months prior to the first study injection
Participation in another clinical trial of an investigational product currently or within last 12 weeks of first study injection or expected participation during this study
Prior receipt of an investigational HIV vaccine
History of severe local or systemic reaction to vaccination(s) or history of severe allergic reactions
History of major neurological or psychiatric disorders
Positive for hepatitis B surface antigen, active untreated syphilis (confirmed by treponemal test such as TPHA in addition to nontreponemal test such as RPR) or other active sexually transmitted diseases
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| Name | Affiliation | Role |
|---|---|---|
| Eftyhia Vardas, MD | Perinatal HIV Research Unit (PHRU), Baragwanath | Study Chair |
| Linda-Gail Bekker, MD | Desmond Tutu HIV Centre Cape Town | Principal Investigator |
| Anwar Hoosen | Medical University of Southern Africa (Medunsa) | Principal Investigator |
| Elwyn Chomba, MD | Zambia-Emory HIV Research Project (ZEHRP), Lusaka | Principal Investigator |
| Pontiano Kaleebu, MD, PhD | MRC/UVRI and LSHTM Uganda Research Unit | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Desmond Tutu HIV Centre Cape Town | Cape Town | South Africa | 7920 | South Africa | ||
| Medunsa |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20666584 | Result | Vardas E, Kaleebu P, Bekker LG, Hoosen A, Chomba E, Johnson PR, Anklesaria P, Birungi J, Barin B, Boaz M, Cox J, Lehrman J, Stevens G, Gilmour J, Tarragona T, Hayes P, Lowenbein S, Kizito E, Fast P, Heald AE, Schmidt C. A phase 2 study to evaluate the safety and immunogenicity of a recombinant HIV type 1 vaccine based on adeno-associated virus. AIDS Res Hum Retroviruses. 2010 Aug;26(8):933-42. doi: 10.1089/aid.2009.0242. |
| Label | URL |
|---|---|
| Related Info | View source |
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| Group G | Experimental | Number of Vaccine Recipients: 10 Preselected for baseline AAV neutralization titers of <1/8 Dosage level 3 x 10^12 DRP Month 0+6 |
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| Placebo | Placebo Comparator | 3 volunteers will receive placebo matched to each experimental group. |
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| tgAAC09 | Biological |
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| Formulation buffer | Other | Sterile isotonic buffered salt solution |
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| Immunogenicity endpoints in volunteers with high versus low or negative titres of neutralizing antibodies to AAV2 at the time of each vaccination | 18 months |
| Immunogenicity endpoints in volunteers with versus without four-fold or greater increase in titres of neutralizing antibodies to AAV2 after vaccination | 18 months |
| Immunogenicity endpoints after the second study injection, compared with the first study injection | 18 months |
| Immunogenicity endpoints after the second study injection following a twelve-month interval compared to a six-month interval | 18 months |
| Vaccine biodistribution: presence and persistence of vaccine in peripheral blood mononuclear cells (PBMC), saliva, nasal swabs, urine and semen or cervical/vaginal secretions | 18 months |
| South Africa |
| South Africa |
| 0204 |
| South Africa |
| Perinatal HIV Research Unit, Baragwanath Hospital | Soweto | South Africa | 2013 | South Africa |
| Uganda Virus Research Institute | Entebbe | Entebbe | Uganda |
| Zambia-Emory HIV Research Project (ZEHRP) | Lusaka | Lusaka Province | Zambia |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
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