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The purpose of this study is to investigate the safety and antibody (germ fighters) response of the experimental (investigational) vaccine against HCV when injected into the arm of healthy adults.
The Hepatitis C Virus (HCV) continues to be a significant public health threat, infecting 58 million people worldwide and over 250,000 Canadians. The virus disproportionately affects marginalized populations. It is a bloodborne virus that affects the liver and is most commonly spread through unsafe injection practices, sexual practices that lead to blood exposures, and unsafe health care (i.e., transfusion of contaminated blood and blood products). If left untreated, these infections progress to chronic hepatitis, liver cirrhosis (liver failure) and potentially hepatocellular carcinoma (liver cancer) or death. Current treatments for HCV include expensive drug combinations that can cure HCV in most but do not prevent reinfection if there is another exposure. At this time, there are no vaccines available to prevent HCV and the diseases that it causes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AVIHepC1 | Experimental | Contains two components: (1) GMP-Grade E1E2 heterodimer envelope protein (4.5µg); and (2) GMP-Grade SLA-SE adjuvant. |
|
| Normal Saline | Placebo Comparator | 0.9% sodium chloride |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AVIHepC1 | Biological | Intramuscular injection administered at 0, 4, and 24 weeks. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | Safety is the primary outcome. Clinical symptoms and signs, standard laboratory parameters (hematological and biochemical), and ancillary data will be collected and assessed for safety monitoring throughout the study which will also be reviewed by the Data Safety Monitoring Board (DSMB) accordingly. | 6 months after last dose of vaccine is administered |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity | Antibody titres: Samples of sera and PBMCs will be collected from the participants prior to each injection and at the scheduled clinic visits. The titre of vaccine specific antibodies will be determined using ELISA. The presence of vaccine-specific antibodies in all participants in the study will be monitored. | 6 months after last dose of vaccine is administered |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kelly Kim, BSc, BA | Contact | 587-598-2336 | hcv@ualberta.ca |
| Name | Affiliation | Role |
|---|---|---|
| Vanessa Meier-Stephenson, MD, PhD | University of Alberta | Study Chair |
| Michael Houghton, PhD | University of Alberta | Principal Investigator |
| Lorne Tyrrell, MD, PhD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alberta Hospital | Edmonton | Alberta | T6G 2B7 | Canada |
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| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
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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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The trial is divided into 2 stages - the 1st stage will be an open-label sentinel safety dosing in 3 participants; if no significant attributable safety concerns after these first 3 participants have received doses 1 and 2 and had their followup; the 2nd stage will be a double-blinded, placebo-controlled, randomized control trial with AVIHepC1 (the newly formulated E1E2 vaccine) compared to saline control in 24 volunteers (12 per trial arm) for a total of 27 participants.
Participants will receive doses of the investigational product (AVIHepC1) or placebo (normal saline) at 0, 1 and 6 months. Immediate side effects will be monitored with each visit; phone call and/or electronic check-in with daily diary for the first 8(+/-2) days post each vaccination; and blood draws to check for responses at 4 weeks post each dose and 6 months post the final dose.
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The first stage will be "open-label" where 3 participants will receive the AVIHepC1 vaccine to assess for safety dosing whereas, the second stage will be double-blinded where the remaining 24 participants will receive either the AVIHepC1 vaccine or a placebo (saline).
| Normal Saline |
| Biological |
*Only applicable for double-blinded randomized component of the study. Intramuscular injection administered at 0, 4, and 24 weeks. |
|
| Immunogenicity | Assessment for pan-genotypic neutralizing antibodies in vitro: Sera will be tested for neutralization capacity via a panel of infectious cell-culture-propagated HCV genotypes. | 6 months after last dose of vaccine is administered |
| Immunogenicity | T cell responses: T cell responses generated by vaccinees pre- and post-vaccination will be measured by flow cytometry. | 6 months after last dose of vaccine is administered |
| University of Alberta |
| Principal Investigator |
| Jordan Feld, MD, MSc | University of Toronto | Principal Investigator |
| Curtis Cooper, MD, MSc | University of Ottawa | Principal Investigator |
| Ottawa Hospital - General Campus | Ottawa | Ontario | K1H 8L6 | Canada |
|
| Toronto General Hospital - Toronto Centre for Liver Disease | Toronto | Ontario | M5G 2C4 | Canada |
|
| D014777 |
| Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |