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| ID | Type | Description | Link |
|---|---|---|---|
| VAC89220HPX1002 | Other Identifier | Janssen Vaccines & Prevention B.V. |
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The primary purpose of this study is to assess safety, tolerability of the different vaccine schedules (different regimen durations and different number of dose administrations) with Ad26.Mos.HIV and Clade C Glycoprotein (gp) 140 and to assess Envelope (Env)-binding Antibody (Ab) responses of the different vaccine schedules.
This is a phase 1 single-center, randomized (the study drug is assigned by chance), parallel group (each group of participants will be treated at the same time), placebo-controlled (study in which the experimental treatment or procedure is compared to a pretend treatment with no drug in it to test if the drug has a real effect), and double-blind (neither physician nor participant knows the treatment that the participant receives) study. Participants will be randomized in to 3 groups and will receive study vaccines or placebo. Group 1 will have 4 vaccination time points during 48 weeks, Groups 2 and 3 will have 3 vaccination time points during 24 weeks. The study comprises a Screening Period (up to 4 weeks), a Vaccination Period (maximum 48 weeks), and a Follow-up Period (up to 72 weeks). Participants' safety will be monitored throughout the study. An optional Long-term Extension (LTE) phase (approximately 1 year after Week 72) will be performed for participants randomized to receive study vaccine, who have received all planned vaccinations and are negative for HIV infection at Week 72. The duration of the participation will be approximately 124 weeks for participants participating to the optional LTE phase.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1A | Experimental | Participants will receive Ad26.Mos.HIV vaccine at Week 0 and 12; followed by Ad26.Mos.HIV vaccine + Clade C glycoprotein 140 vaccine containing 250 microgram (mcg) of total protein mixed with adjuvant (aluminum phosphate) at Week 24 and 48. |
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| Group 1B | Placebo Comparator | Participants will receive placebo at weeks 0, 12, 24 and 48. |
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| Group 2A | Experimental | Participants will receive Ad26.Mos.HIV vaccine + Clade C glycoprotein 140 vaccine containing 250 mcg of total protein mixed with adjuvant (aluminum phosphate) at Week 0, 12 and 24. |
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| Group 2B | Placebo Comparator | Participants will receive placebo at weeks 0, 12 and 24. |
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| Group 3A | Experimental | Participants will receive Ad26.Mos.HIV vaccine at Week 0; followed by Ad26.Mos.HIV vaccine + Clade C glycoprotein 140 vaccine containing 250 mcg of total protein mixed with adjuvant (aluminum phosphate) at Week 8 and 24. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ad26.Mos.HIV | Biological | Recombinant replication-deficient Ad26 vectored vaccine and consists of 3 Ad26 vectors, one containing a mosaic insert of envelope (Env) sequence, and 2 vectors containing mosaic inserts of Gag and Pol sequences (Ad26.Mos.1.Env + Ad26.Mos1.Gag-Pol + Ad26.Mos2.Gag-Pol). Total dose is 5*10^10 viral particle per 0.5 milliliter (mL) injection administered intramuscularly. |
| Measure | Description | Time Frame |
|---|---|---|
| Titer to HIV-Envelope Specific Binding Antibodies Assessed by Env-Ab-binding Assay | Up to Week 72 | |
| Breadth of HIV-Envelope Specific Binding Antibodies Assessed by Env-Ab-binding Assay | Up to Week 72 | |
| Number of Participants With Local and Systemic Reactogenicity for 8 Days After Each Vaccination | Participants will be asked to note occurrences of local reactions: pain/tenderness, erythema or swelling/induration at the injection site, and systemic events: fever (temperature measurement), fatigue, headache, nausea, myalgia and chills daily for 8 days post-vaccination. These occurrences will be recorded through the diary card provided to serve as a reminder to the participants for the next clinic visit. | Up to 8 days after each vaccination |
| Treatment Emergent Adverse Events (AEs) | Up to Week 72 | |
| Serious Adverse Events (SAEs) and AEs of Special Interest (AESI) | Up to Week 124 | |
| Discontinuations From Vaccination or From Study due to AEs | At the time of discontinuation from vaccination or from study (Up to Week 72) | |
| Number of Participants With AEs or SAEs | Up to 28 days after each vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Env-Specific Functional Antibodies: Phagocytosis Score | Up to Week 72 | |
| Env-Specific Functional Antibodies: Breadths | Up to Week 72 | |
| Env-Specific Binding Antibody Isotypes: Titers |
| Measure | Description | Time Frame |
|---|---|---|
| Mucosal Immunogenicity | Immune Responses to the Different Vaccine Schedules in Mucosal Secretions. | Up to week 72 |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janssen Vaccines & Prevention B.V. Clinical Trial | Janssen Vaccines & Prevention B.V. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boston | Massachusetts | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32078815 | Derived | Stephenson KE, Wegmann F, Tomaka F, Walsh SR, Tan CS, Lavreys L, Ansel JL, Kanjilal DG, Jaegle K, Nkolola JP, Peter L, Fogel R, Bradshaw C, Tyler A, Makoni T, Howe L, Quijada D, Chandrashekar A, Bondzie EA, Borducchi EN, Yanosick KE, Hendriks J, Nijs S, Truyers C, Tolboom J, Zahn RC, Seaman MS, Alter G, Stieh DJ, Pau MG, Schuitemaker H, Barouch DH. Comparison of shortened mosaic HIV-1 vaccine schedules: a randomised, double-blind, placebo-controlled phase 1 trial (IPCAVD010/HPX1002) and a preclinical study in rhesus monkeys (NHP 17-22). Lancet HIV. 2020 Jun;7(6):e410-e421. doi: 10.1016/S2352-3018(20)30001-1. Epub 2020 Feb 17. |
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| Group 3B | Placebo Comparator | Participants will receive placebo at weeks 0, 8 and 24. |
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| Clade C gp140 | Biological | The Clade C gp140 vaccine containing 250 mcg of total protein, mixed with aluminum phosphate adjuvant, per 0.5 mL injection administered intramuscularly. |
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| Placebo | Drug | Normal saline, 0.5 mL injection administered intramuscularly. |
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The Isotyping (Clade C) (IgA, IgG1-4)- Env binding antibody titers will be assessed using ELISA. |
| Up to Week 72 |
| Env-Specific Binding Antibody Isotypes: Breadths | The Isotyping (Clade C) (IgA, IgG1-4)- Env binding antibody breadths will be assessed using ELISA. | Up to Week 72 |
| Env-Specific Neutralizing Antibodies (nAbs): Titers | Up to Week 72 |
| Env-Specific Neutralizing Antibodies (nAbs): Breadths | Up to Week 72 |
| Induction of New T-cell Immune Response by the Vaccine | Induction of new T-cell immune response against one or more of the vaccine epitopes using Interferon gamma Enzyme Linked Immuno spot assay (IFNg-ELISPOT assay) measuring Spot forming Units per 1 million peripheral blood mononuclear cells (SFU/1 mio PBMCs) above threshold (> 50 sfu/mio PBMC). | Up to Week 72 |
| Change From Baseline of the Frequency of HIV-Specific PBMC and/or CD4 and/or CD8 T cells as Measured by ELISpot Interferon (IFN) Gamma | Up to Week 72 |
| ID | Term |
|---|---|
| D000163 | Acquired Immunodeficiency Syndrome |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| 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 |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
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