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| Name | Class |
|---|---|
| Swedish Institute for Communicable Disease Control, Sweden | UNKNOWN |
| European and Developing Countries Clinical Trials Partnership (EDCTP) | OTHER_GOV |
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While antiretroviral drugs have shown great promise in reducing HIV replication and thus in reducing HIV/AIDS associated morbi-mortality and HIV transmission, the cost is substantial and side effects are a potentially limiting factor. Development of an effective safe-affordable vaccine is likely to be the best way to stop further virus spread. The study aims to determine safety and immunogenicity of the DNA-vaccine at a dose of 600µg and 1200µg delivered id in combination with MVA-CMDR boost im.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IA | Active Comparator | 600 µg i.d. (separate plasmids pools) of DNA priming at weeks 0, 4 and 12 108 pfu i.m. MVA boosting at weeks 24 and 36 |
|
| IB | Placebo Comparator | 2 x 0.1 ml of saline solution i.d at weeks 0, 4 and 12 saline solution i.m at weeks 24 and 36 |
|
| IIA | Active Comparator | 1200 µg i.d. (separate plasmids pools) of DNA priming at weeks 0, 4 and 12;108 pfu i.m. MVA boosting at weeks 24 and 36 |
|
| IIB | Placebo Comparator | 2 x 0.2 ml of saline solution i.d at weeks 0, 4 and 12 ; saline solution i.m at weeks 24 and 36 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DNA HIVIS and MVA-CMDR | Biological | 600 µg i.d. (separate plasmids pools) of DNA priming at weeks 0, 4 and 12; 108 pfu i.m. MVA boosting at weeks 24 and 36 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (local and system reactogenicity) | The safety of immunization will be assessed by clinical features and standard clinical chemistry and hematological tests. Safety endpoints: Adverse events will be assessed using a standard format for soliciting local and systemic reactogenicity to the vaccine and collection of unsolicited adverse events. Solicited reactogenicity will be evaluated for 7 days following each vaccination. All other AE will be collected from the time of first injection until the end of the study follow-up period. | 44 weeks |
| Immunogenicity | The primary immunogenicity endpoint will be determined by the interferon gamma (IFN-gama) enzyme linked immunospot (ELISPOT) assay. Secondary immunogenicity endpoints will include cellular immune responses determined by intracellular cytokine staining and T cell proliferation assays as well as binding antibody and neutralizing antibody responses. | 44 weeks |
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Inclusion Criteria:
Age: 18 to 26 years
Willing to undergo HIV (Human Immunodeficiency Virus) counseling and testing
Have a negative antigen/antibody or antibody ELISA for HIV infection
Able to give informed consent
Satisfactory completion of an assessment of understanding prior to enrolment defined as 89% correct answers after three opportunities to take the test
Basic abilities to read and write
Resident in Maputo, and willing to remain so for the duration of the study
At low risk of HIV infection, defined as the absence of an identifiable risk factor/ behavior (their presence is therefore an exclusion criteria):
Verbal assurances that adequate birth control methods are used not to conceive/father a child during the study and up to 3 months after the last vaccine injection.
Women shall have a negative urine pregnancy test
Be willing to practice safe sex for the duration of the study to avoid sexually transmitted infections including HIV
Good health as determined by medical history, physical examination, clinical judgment and by key laboratory parameters as judged by the study physician.
Laboratory criteria:
Exclusion Criteria:
At risk of HIV infection as mentioned above in the inclusion criteria
Active tuberculosis or other systemic infectious process elicited by review of systems, physical examination and laboratory detection
A history of immunodeficiency, chronic illness requiring continuous or frequent medical intervention
Autoimmune disease by history and physical examination
Hives or recurrent hives and severe eczema
A history of psychiatric, medical (including traditional medicine) and/or substance abuse problems during the past 6 months that the investigator believes would adversely affect the volunteer's ability to participate in the trial
History of epilepsy, or currently taking anti-epileptics
Received blood or blood products or immunoglobulins in the past 3 months
Receiving immunosuppressive therapy such as systemic corticosteroids or cancer chemotherapy
Use of experimental therapeutic agents within 30 days of study entry
Reception of any live, attenuated vaccine within 60 days of study entry.
Abnormality in Electrocardiogram (ECG) that could indicate risk or make interpretation of vaccine effects difficult according to the study operating procedures
Previously received an HIV vaccine candidate
History of severe local or general reaction to vaccination defined as:
Being a lactating mother
Study site employees who are involved in the protocol and may have direct access to the immunogenicity results
Unlikely to comply with protocol as judged by the principal investigator or his designate.
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| Name | Affiliation | Role |
|---|---|---|
| Ilesh Jani, PhD | Instituto Nacional de Saúde, Mozambique | Principal Investigator |
| Nafissa Osman, MD, PhD | Hospital Central de Maputo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centro de Investigação e Treino em Saúde de Polana Caniço | Maputo | Cidade de Maputo | Mozambique |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28969431 | Derived | Viegas EO, Tembe N, Nilsson C, Meggi B, Maueia C, Augusto O, Stout R, Scarlatti G, Ferrari G, Earl PL, Wahren B, Andersson S, Robb ML, Osman N, Biberfeld G, Jani I, Sandstrom E. Intradermal HIV-1 DNA Immunization Using Needle-Free Zetajet Injection Followed by HIV-Modified Vaccinia Virus Ankara Vaccination Is Safe and Immunogenic in Mozambican Young Adults: A Phase I Randomized Controlled Trial. AIDS Res Hum Retroviruses. 2018 Feb;34(2):193-205. doi: 10.1089/AID.2017.0121. Epub 2017 Nov 27. |
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| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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| DNA HIVIS and MVA-CMDR | Biological | 1200 µg i.d. (separate plasmids pools) of DNA priming at weeks 0, 4 and 12 ; 108 pfu i.m. MVA boosting at weeks 24 and 36 |
|
| Saline solution | Biological | 2 x 0.1 ml of saline solution i.d at weeks 0, 4 and 12 ; saline solution i.m at weeks 24 and 36 |
|
| Saline solution | Biological | 2 x 0.2 ml of saline solution i.d at weeks 0, 4 and 12 ; saline solution i.m at weeks 24 and 36 |
|
| 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 |