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| ID | Type | Description | Link |
|---|---|---|---|
| 2011-000846-39 | EudraCT Number |
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| Name | Class |
|---|---|
| Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia | OTHER |
| Hospital Clinic of Barcelona | OTHER |
| HIVACAT | UNKNOWN |
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The HIVconsv gene was constructed by assembling the 14 most conserved regions of the HIV-1 proteome into one chimaeric protein. This gene has been inserted into 2 leading non-replicating vaccine vectors: an attenuated chimpanzee adenovirus serotype 63 (ChAdV63) and a modified vaccinia virus Ankara (MVA) to construct the ChAdV63.HIVconsv and MVA.HIVconsv HIV-1 candidate vaccines. The present study is named ChAd-MVA.HIVconsv-BCN01 and it is a phase I, multicenter primary/booster therapeutic vaccination study to evaluate the safety and immunogenicity of ChAdV63.HIVcons and MVA.HIVconsv HIV-1 vaccines, delivered intramuscularly according to a 0-8 weeks or a 0-24 weeks schedule to recently HIV-1 infected individuals with early viral suppression 6 months after initiation of Tenofovir/Emtricitabine plus Raltegravir.
It is a Phase I, multicenter primary/booster therapeutic vaccination study to evaluate the safety and immunogenicity of ChAdV63.HIVcons and MVA.HIVconsv HIV-1 vaccines, delivered intramuscularly according to a 0-8 weeks or a 0-24 weeks schedule to recently HIV-1 infected individuals with early viral suppression 6 months after initiation of Tenofovir/Emtricitabine plus Raltegravir.
24 patients who meet all eligibility criteria will be enrolled, first 10 individuals will be assigned in the 0-24 week prime/boost regimen (ARM A). The next 10 volunteers will be assigned in the 0-8 week prime/boost regimen (ARM B).Four additional volunteers will be included as 'back-up' and assigned 2 in ARM A and 2 in ARM B to cover a possible 10% of patients who drop-off during the follow-up. Purpose of staging of 2 study arms is just to shorten overall study duration (from screening of first volunteer to 6 months after last immunisation of last volunteer).
Lastly, 24 patients who also meet all eligibility criteria will be enrolled as controls, will also initiate promptly antiretroviral treatment with Tenofovir/Emtricitabine plus Raltegravir but will not receive the investigational vaccines. Control patients will consecutively be assigned to the 0-24w control arm (ARM C 'long control') or 0-8w control arm (ARM D 'short control') until 12 patients per arm are reached. The purpose of the control arms is to have a study population to compare the viral reservoir decay kinetics in the absence of vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 0-24 week prime/boost regimen (ARM A) | Experimental | Start antiretroviral treatment raltegravir + tenofovir/emtricitabine. ChAdV63.HIVcons and MVA.HIVconsv HIV-1 vaccines, delivered intramuscularly, 0-24 week prime/boost regimen |
|
| 0-8 week prime/boost regimen (ARM B) | Experimental | Start antiretroviral treatment raltegravir + tenofovir/emtricitabine. ChAdV63.HIVcons and MVA.HIVconsv HIV-1 vaccines, delivered intramuscularly, 0-8 week prime/boost regimen |
|
| Arm A control (ARM C) | No Intervention | Start antiretroviral treatment raltegravir + tenofovir/emtricitabine. Follow-up as in Arm A. | |
| Arm B control (ARM D) | No Intervention | Start antiretroviral treatment raltegravir + tenofovir/emtricitabine. Follow-up as in Arm B. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 0-24 week prime/boost regimen | Biological | ChAdV63.HIVcons (5x10^10 vp) and MVA.HIVconsv (2x10^8 pfu) HIV-1 vaccines, delivered intramuscularly |
|
| Measure | Description | Time Frame |
|---|---|---|
| Grade 3 or 4 local reaction | The proportion of volunteers who develop a grade 3 or 4 local reaction | Up to 24 weeks |
| Grade 3 or 4 systemic reaction | The proportion of volunteers who develop a grade 3 or 4 systemic reaction | Up to 24 weeks |
| Serious adverse event, including laboratory abnormalities. | The proportion of volunteers who develop a serious adverse event, including laboratory abnormalities. | Up to 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| HIV-specific CD8+ T cell responses | Magnitude and phenotype of HIV-1-specific CD8+ T cell populations , in selected volunteers with appropriate human leukocyte antigen (HLA) class I alleles will be assessed according to first immunogenicity results. | Change from baseline (pre-HAART) and w24, to +1week, +4weeks, +12weeks and +24weeks post vaccination. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christian Brander, PhD | Institut de Recerca de la Sida IrsiCaixa-HIVACAT | Study Chair |
| Beatriz Mothe, MD,PhD | Institut de Recerca de la Sida IrsiCaixa-HIVACAT | Principal Investigator |
| Josep Maria Miró, MD,PhD | Hospital ClÃnic i Provincial de Barcelona, HIVACAT | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Germans Trias i Pujol Hospital | Badalona | Barcelona | 08916 | Spain | ||
| Clinic de Barcelona Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31312806 | Derived | Mothe B, Manzardo C, Sanchez-Bernabeu A, Coll P, Moron-Lopez S, Puertas MC, Rosas-Umbert M, Cobarsi P, Escrig R, Perez-Alvarez N, Ruiz I, Rovira C, Meulbroek M, Crook A, Borthwick N, Wee EG, Yang H, Miro JM, Dorrell L, Clotet B, Martinez-Picado J, Brander C, Hanke T. Therapeutic Vaccination Refocuses T-cell Responses Towards Conserved Regions of HIV-1 in Early Treated Individuals (BCN 01 study). EClinicalMedicine. 2019 Jun 5;11:65-80. doi: 10.1016/j.eclinm.2019.05.009. eCollection 2019 May-Jun. |
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| ID | Term |
|---|---|
| C035382 | PRIME protocol |
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| University of Oxford |
| OTHER |
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|
| 0-8 week prime/boost regimen | Biological | ChAdV63.HIVcons (5x10^10 vp) and MVA.HIVconsv (2x10^8 pfu) HIV-1 vaccines, delivered intramuscularly |
|
|
| Magnitude and phenotype of HIV-1-specific CD8+ T cell populations | Magnitude and phenotype of HIV-1-specific CD8+ T cell populations , in selected volunteers with appropriate HLA class I alleles will be assessed according to first immunogenicity results. | Change from baseline (pre-HAART) and w24, to +1week, +4weeks, +12weeks and +24weeks post vaccination. |
| Lymphocyte activation marker HLADR+CD38+ | Lymphocyte activation marker HLA-DR+CD38+ will be assessed at selected timepoints according to first immunogenicity results | Change from baseline (pre-HAART) and w24, to +1week, +4weeks, +12weeks and +24weeks post vaccination. |
| Integrated and unintegrated viral HIV-1 DNA in PBMCs. | Quantification of integrated and unintegrated viral HIV-1 DNA in peripheral blood mononucleated cells (PBMC)s will be determined at selected timepoints according to first immunogenicity results | Change from baseline (pre-HAART) and w24, to +1week, +4weeks, +12weeks and +24weeks post vaccination. |
| Viral suppressive capacity of CD8+ T cells in vitro | Viral suppressive capacity of CD8+ T cells in vitro using a flow cytometric assay at selected timepoints according to first immunogenicity results | Change from baseline (pre-HAART) and w24, to +1week, +4weeks, +12weeks and +24weeks post vaccination. |
| Barcelona |
| 08036 |
| Spain |