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| Name | Class |
|---|---|
| Bill and Melinda Gates Foundation | OTHER |
| Auro Vaccines LLC | INDUSTRY |
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This study is designed to evaluate the safety of the FLSC vaccine and will be a randomized, placebo-controlled, modified double-blinded dose escalation study in 60 healthy adult volunteers (Human Immunodeficiency Virus-1 uninfected).
This is a Phase 1 randomized, placebo-controlled, modified double-blinded dose escalation study in 60 healthy adult volunteers who are Human Immunodeficiency Virus-1 (HIV-1) uninfected. Participants in the study will receive 4 injections at 0, 4, 8 and 24 weeks and will be followed for an additional 24 weeks. The total study duration will be 48 weeks. As this is a Phase 1 trial, the primary objective is to document safety of the Full Length Single Chain (FLSC) gp120-CD4 complex vaccine with a secondary objective to evaluate immune responses induced by the vaccine. This vaccine is being evaluated as it is constructed so that the gp120 and CD4 moieties form a stable intra-chain binding interaction that forms a transition state structure that presents conserved, conformational domains involved in the early HIV replication process. It is hypothesized that antibodies directed to these epitopes would be highly cross-reactive and potentially useful for HIV vaccine development.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 300 ug FLSC vaccine | Experimental | Subjects will be vaccinated with 300 ug FLSC vaccine (highest vaccine dose) on study days 0, 28, 56 and 168. |
|
| 150 ug FLSC vaccine | Experimental | Subjects will be vaccinated with 150 ug FLSC vaccine (middle vaccine dose) on study days 0, 28, 56 and 168. |
|
| 75 ug FLSC vaccine | Experimental | Subjects will be vaccinated with 75 ug FLSC vaccine (lowest vaccine dose) on study days 0, 28, 56 and 168. |
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| Placebo | Placebo Comparator | Subjects will be vaccinated with placebo (control group) on study days 0, 28, 56 and 168. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 300 ug FLSC vaccine | Biological | FLSC vaccine 300 ug (1.0 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Local and Systemic Reactogenicity Signs and Symptoms | Signs and symptoms include pain, tenderness, maximum severity of pain and/or tenderness, erythema, induration, fever, malaise/fatigue, myalgia, headache, nausea, vomiting, chills, arthralgia, and maximum severity of systemic symptoms. | 48 weeks |
| Number of Participants With Related Adverse Events | Treatment emergent adverse events assessed by investigator to be either possibly, probably, or definitely related to study treatment. Medical Dictionary for Regulatory Activities (MedDRA) preferred term, severity, and assessed relationship to study products. | 48 weeks |
| Number of Participants With Sustained Decrease in CD4 Count and CD4%. | CD4 count was monitored from baseline and at each study visit through study completion. Baseline CD4 and CD4% levels were calculated by taking the average of the screening and first vaccination visits. The number of individuals who had sustained (2 consecutive time points) 30% decrease in CD4 cell/ul and CD4% from baseline were counted. | 48 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Binding Antibody Response Rates to FLSC | Percent of participants with anti-FLSC antibodies as assessed by ELISA by 2 weeks after final vaccination | 2 weeks after 4th (last) vaccination. |
| Binding Antibody Response Rates to BaL-gp120 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Charles E Davis, M.D. | Institute of Human Virology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Maryland, Institute of Human Virology | Baltimore | Maryland | 21201 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | 300 ug FLSC Vaccine | Highest dose vaccine group |
| FG001 | 150 ug FLSC Vaccine | Middle dose vaccine group |
| FG002 | 75 ug FLSC Vaccine | Lowest dose vaccine group |
| FG003 | Placebo | Placebo control group |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Intention-to-treat Analysis: Subjects who received at least 1 dose of vaccine or placebo.
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| ID | Title | Description |
|---|---|---|
| BG000 | 300 ug FLSC Vaccine | Highest dose vaccine group |
| BG001 | 150 ug FLSC Vaccine | Middle dose vaccine group |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Local and Systemic Reactogenicity Signs and Symptoms | Signs and symptoms include pain, tenderness, maximum severity of pain and/or tenderness, erythema, induration, fever, malaise/fatigue, myalgia, headache, nausea, vomiting, chills, arthralgia, and maximum severity of systemic symptoms. | Intention-to-treat Population - All subjects who received at least one dose of vaccine/placebo | Posted | Count of Participants | Participants | 48 weeks |
|
1 year
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 300 ug FLSC Vaccine | Highest dose vaccine group | 0 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Substance abuse | Psychiatric disorders | MedDRA (Unspecified) | Systematic Assessment | Substance abuse relapse resulting in hospitalization. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site pain | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Mohammad Sajadi | Institute of Human Virology | 410-7061779 | msajadi@ihv.umaryland.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 27, 2017 | Jan 2, 2019 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | May 7, 2018 | Jan 2, 2019 | ICF_001.pdf |
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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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| 150 ug FLSC vaccine | Biological | FLSC vaccine 150 ug (0.5 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168 |
|
|
| 75 ug FLSC vaccine | Biological | FLSC vaccine 75 ug (0.25 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168 |
|
|
| Placebo | Biological | Placebo sterile saline (0.25 - 1.0 mL) given by intramuscular injection into the arm on study Days 0, 28, 56, 168 |
|
|
Percent of participants with anti-gp120 antibodies as assessed by ELISA
| 2 weeks after 4th (last) vaccination |
| Competitive Antibody Rates to CD4i Epitopes | Percent of participants with antibodies competing with A32 or 17b as assessed by ELISA. | 2 weeks after 4th (last) vaccination |
| Lost to Follow-up |
|
| Physician Decision |
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| Protocol Violation |
|
| BG002 |
| 75 ug FLSC Vaccine |
Lowest dose vaccine group |
| BG003 | Placebo | Placebo control group |
| BG004 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
|
| OG002 | 75 ug FLSC Vaccine | Lowest dose vaccine group |
| OG003 | Placebo | Placebo control group |
|
|
| Primary | Number of Participants With Related Adverse Events | Treatment emergent adverse events assessed by investigator to be either possibly, probably, or definitely related to study treatment. Medical Dictionary for Regulatory Activities (MedDRA) preferred term, severity, and assessed relationship to study products. | Intention-to-treat population: Subjects who have received at least one dose of vaccine/placebo. | Posted | Count of Participants | Participants | 48 weeks |
|
|
|
| Primary | Number of Participants With Sustained Decrease in CD4 Count and CD4%. | CD4 count was monitored from baseline and at each study visit through study completion. Baseline CD4 and CD4% levels were calculated by taking the average of the screening and first vaccination visits. The number of individuals who had sustained (2 consecutive time points) 30% decrease in CD4 cell/ul and CD4% from baseline were counted. | The analysis included number of participants with sustained (2 consecutive time points) of 30% decrease in CD4 cell/ul and CD4%. | Posted | Count of Participants | Participants | 48 weeks |
|
|
|
| Secondary | Binding Antibody Response Rates to FLSC | Percent of participants with anti-FLSC antibodies as assessed by ELISA by 2 weeks after final vaccination | Sample size in each group was less than safety time point because of 8 volunteers who were lost to follow-up, 5 missed vaccination visits/samples, and several samples that had high background levels to individual assays. | Posted | Number | percentage of participants | 2 weeks after 4th (last) vaccination. |
|
|
|
| Secondary | Binding Antibody Response Rates to BaL-gp120 | Percent of participants with anti-gp120 antibodies as assessed by ELISA | Sample size in each group was less than safety time point because of 8 volunteers who were lost to follow-up, 5 missed vaccination visits/samples, and several samples that had high background levels to individual assays. | Posted | Number | percentage of participants | 2 weeks after 4th (last) vaccination |
|
|
|
| Secondary | Competitive Antibody Rates to CD4i Epitopes | Percent of participants with antibodies competing with A32 or 17b as assessed by ELISA. | Sample size in each group was less than safety time point because of 8 volunteers who were lost to follow-up, 5 missed vaccination visits/samples, and several samples that had high background levels to individual assays. | Posted | Number | percentage of participants | 2 weeks after 4th (last) vaccination |
|
|
|
| 18 |
| 0 |
| 18 |
| 17 |
| 18 |
| EG001 | 150 ug FLSC Vaccine | Middle dose vaccine group | 0 | 16 | 2 | 16 | 16 | 16 |
| EG002 | 75 ug FLSC Vaccine | Lowest dose vaccine group | 0 | 15 | 2 | 15 | 14 | 15 |
| EG003 | Placebo | Control group | 0 | 16 | 0 | 16 | 12 | 16 |
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| Depression | Psychiatric disorders | MedDRA (Unspecified) | Systematic Assessment | Depression resulting in hospitalization |
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| Cholecystitis | Hepatobiliary disorders | MedDRA (Unspecified) | Non-systematic Assessment | Acute cholecystitis requiring hospitalization and surgery |
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| Suicidal ideation | Psychiatric disorders | MedDRA (Unspecified) | Non-systematic Assessment | Suicidal ideation resulting in hospitalization |
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| Alcohol withdrawal syndrome | Psychiatric disorders | MedDRA (Unspecified) | Non-systematic Assessment | Alcohol withdrawal syndrome resulting in hospitalization |
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| Upper respiratory tract infection | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Fatigue | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Toothache | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Dysmenorrhea | Reproductive system and breast disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Sinus congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
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| 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 |