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Slow recruitment therefore study was stopped after 95% volunteers were enrolled.
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| Name | Class |
|---|---|
| Medical Research Council | OTHER_GOV |
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In this study, the novel vaccine candidate, MVA.HIVconsv, will be tested for safety, tolerability and immunogenicity in HIV-1-seropositive subjects receiving effective antiretroviral therapy.
MVA.HIVconsv will be tested as a single vaccine modality, as a prelude to testing in a heterologous viral vector boost regimen which will include a replication-defective simian adenovirus expressing the same immunogen.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low dose vaccinees | Experimental | Individuals will receive three intramuscular injections of MVA.HIVconsv alone at a dose of 1x10^8 pfu. |
|
| High dose vaccinees | Experimental | Individuals will receive three intramuscular injections of MVA.HIVconsv alone at a dose of 4x10^8 pfu. |
|
| Low dose placebo | Placebo Comparator | Individuals will receive three intramuscular injections of low dose placebo |
|
| High dose placebo | Placebo Comparator | Individuals will receive three intramuscular injections of high dose placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MVA.HIVconsv low dose | Biological | Three intramuscular injections of MVA.HIVconsv alone at a dose of 1x10^8 pfu at week 0, 4 and 12. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of volunteers who develop a grade 3 or 4 local or systemic reactions | Actively collected data throughout the study until 6 months after the last vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| A descriptive summary of grade 3 or 4 local and systemic events, including laboratory abnormalities | Actively collected data throughout the study until 6 months after the last vaccination | |
| A descriptive summary of serious adverse events, including laboratory abnormalities |
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Inclusion Criteria:
Male or female, aged 18-60 years
Confirmed HIV-1 seropositive
Willing and able to give written informed consent for participation in the study
Treated continuously with a combination of 3 or more antiretroviral agents for the preceding 12 months
Willing and able to adhere to an effective ART regimen for the duration of the study (switching from current regimen is allowed if for reasons of tolerability or toxicity)
CD4 cell count > 350 cells/μl at screening and at the preceding clinic visit
Plasma viral load < 50 copies / ml at screening and at the preceding clinic visit
No new AIDS-defining diagnosis or progression of HIV-related disease in the preceding 6/12 months
Haematological and biochemical laboratory parameters as follows:
Serology: negative for hepatitis B surface antigen OR HbsAg positive with HBV DNA < 1000 copies/ml; negative for hepatitis C antibodies OR confirmed clearance of HCV infection (spontaneous or following treatment); negative syphilis serology or documented adequate treatment of syphilis if positive EIA IgG or TPHA
Available for follow up for duration of study (screening + 38 weeks) and willing to comply with the protocol requirements
Women of child-bearing age must not be pregnant, planning a pregnancy or breast-feeding. Sexually active women must be willing to use an approved method of contraception from screening until 4 months after the third immunisation. Sexually active men in heterosexual relationships must be willing to use an approved method of contraception with their partners from screening until 4 months after the third immunisation.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tomas Hanke | University of Oxford | Principal Investigator |
| Andrew McMichael | University of Oxford | Principal Investigator |
| Lucy Dorrell | University of Oxford | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Weatherall Institute of Molecular Medicine | Oxford | Oxons | OX3 9DS | United Kingdom | ||
| Oxford Genitourinary Medicine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28537062 | Derived | Hancock G, Moron-Lopez S, Kopycinski J, Puertas MC, Giannoulatou E, Rose A, Salgado M, Hayton EJ, Crook A, Morgan C, Angus B, Chen F, Yang H, Martinez-Picado J, Hanke T, Dorrell L. Evaluation of the immunogenicity and impact on the latent HIV-1 reservoir of a conserved region vaccine, MVA.HIVconsv, in antiretroviral therapy-treated subjects. J Int AIDS Soc. 2017 May 19;20(1):21171. doi: 10.7448/IAS.20.1.21171. |
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Data are presented in a manuscript submitted to a peer-reviewed journal.
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| Placebo low dose | Other | Three intramuscular injections of placebo alone (200ul) at week 0, 4 and 12. |
|
| MVA.HIVconsv high dose | Biological | Three intramuscular injections of MVA.HIVconsv alone at a dose of 4x10^8 pfu at week 0, 4 and 12. |
|
| Placebo high dose | Other | Three intramuscular injections of placebo alone (800ul) at week 0, 4 and 12. |
|
| Actively collected data throughout the study until 6 months after the last vaccination |
| The proportion of volunteers who develop CD8+ T cell responses to a new HIV-1 epitope, as determined by IFN-γ ELISPOT assay | Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination) |
| The proportion of volunteers in whom the magnitude of CD8+ T cell responses to HIVconsv peptides increases by ≥ 3-fold, as determined by IFN-γ ELISPOT assay | Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination) |
| Evaluation of the effect of MVA.HIVconsv vaccinations on viral suppressive capacity of CD8+ T cells in vitro, using a novel flow cytometric assay | Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination) |
| Magnitude and phenotype, including but not limited to activation status, of HIV-1-specific CD8+ T cell populations identified by tetramer staining before and after vaccination, in selected volunteers with appropriate HLA class I alleles. | Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination) |
| PBMC will be stored for other exploratory assays to characterise vaccine-expanded T cell populations such as IL-10 secretion and CFSE proliferation assays. | Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination) |
| Serum and plasma will be stored for investigation of binding and neutralising antibodies to vaccinia and of pro-inflammatory cytokines. | Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination) |
| Oxford |
| Oxon |
| OX3 7LJ |
| United Kingdom |