A Study of LIPO-5 and ALVAC-HIV (vCP1452) as Possible HIV Vaccines

NCT ID: NCT00076063

Last Updated: 2021-10-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-03-31

Study Completion Date

2007-03-31

Brief Summary

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This study will test the immune system response to and safety of two HIV vaccines alone and in combination: ALVAC-HIV (vCP1452) and LIPO-5. ALVAC-HIV (vCP1452) uses a canarypox virus with man-made parts of HIV attached to it. The canarypox virus cannot cause disease in people. LIPO-5 is a mixture of five man-made proteins similar to proteins found in HIV.

These vaccines are not produced from live HIV or from infected cells and do not contain the virus. It is not possible to become infected with HIV from these vaccines.

Detailed Description

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Immune priming of cytotoxic T lymphocytes (CTLs) has been most successfully achieved with live attenuated virus or live virus vector vaccines. Recombinant canarypox vaccines have an excellent safety record and have induced HIV neutralizing antibodies and CTLs in early clinical trials. This study will evaluate the use of HIV lipopeptides (LIPO-5) alone and in combination with a canarypox-based HIV vaccine \[ALVAC-HIV (vCP1452)\] to further increase CTL activity.

Participants in this study will be randomly assigned to one of five groups. Participants in Groups A and B will receive four injections over 6 months. Participants in Group A will receive four injections of either LIPO-5 or a placebo. Participants in Group B will receive four injections of either the ALVAC-HIV (vCP1452) or a placebo. Participants in Groups C, D, and E will receive six injections over 6 months. Participants in these groups will receive either ALVAC-HIV (vCP1452) and LIPO-5 or a placebo. Participants who receive the vaccine combination will receive four injections of the same dose of ALVAC-HIV (vCP1452) and two injections of LIPO-5. The dose of LIPO-5 will be different for participants in Groups C, D, and E.

Participants will have 11 study visits over 18 months; the total duration of the study will be 30 months. The length of visits will vary and may last up to 3 hours. Study visits will include a medical interview, brief physical exam, and blood and urine tests. Participants will be tested for HIV before entering the study and at least five times during the study. All vaccine and placebo injections will be given in the upper arm muscle.

Conditions

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HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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A

Participants in Groups A will receive four injections over 6 months of either LIPO-5 or a placebo.

Group Type EXPERIMENTAL

LIPO-5

Intervention Type BIOLOGICAL

experimental vaccine

B

Participants in Group B will receive four injections over 6 months of either the ALVAC-HIV (vCP1452) or a placebo.

Group Type EXPERIMENTAL

ALVAC-HIV (vCP1452)

Intervention Type BIOLOGICAL

experimental vaccine

C

Participants in Groups C will receive six injections over 6 months. Participants in this group will receive either ALVAC-HIV (vCP1452) and LIPO-5 or a placebo. Participants who receive the vaccine combination will receive four injections of the same dose of ALVAC-HIV (vCP1452) and two injections of LIPO-5. The dose of LIPO-5 will be different for participants in Groups C, D, and E.

Group Type EXPERIMENTAL

ALVAC-HIV (vCP1452)

Intervention Type BIOLOGICAL

experimental vaccine

LIPO-5

Intervention Type BIOLOGICAL

experimental vaccine

D

Participants in Group D will receive six injections over 6 months. Participants in this group will receive either ALVAC-HIV (vCP1452) and LIPO-5 or a placebo. Participants who receive the vaccine combination will receive four injections of the same dose of ALVAC-HIV (vCP1452) and two injections of LIPO-5. The dose of LIPO-5 will be different for participants in Groups C, D, and E.

Group Type EXPERIMENTAL

ALVAC-HIV (vCP1452)

Intervention Type BIOLOGICAL

experimental vaccine

LIPO-5

Intervention Type BIOLOGICAL

experimental vaccine

E

Participants in Group E will receive six injections over 6 months. Participants in this group will receive either ALVAC-HIV (vCP1452) and LIPO-5 or a placebo. Participants who receive the vaccine combination will receive four injections of the same dose of ALVAC-HIV (vCP1452) and two injections of LIPO-5. The dose of LIPO-5 will be different for participants in Groups C, D, and E.

Group Type EXPERIMENTAL

ALVAC-HIV (vCP1452)

Intervention Type BIOLOGICAL

experimental vaccine

LIPO-5

Intervention Type BIOLOGICAL

experimental vaccine

Interventions

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ALVAC-HIV (vCP1452)

experimental vaccine

Intervention Type BIOLOGICAL

LIPO-5

experimental vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* HIV uninfected
* Willing to receive HIV test results
* Good general health
* Acceptable methods of contraception for females of reproductive potential
* Access to participating site and available for follow-up during the study

Exclusion Criteria

* HIV vaccines or placebos in prior HIV vaccine trial
* Immunosuppressive medications within 168 days prior to first study vaccine administration
* Blood products within 120 days prior to first study vaccine administration
* Immunoglobulin within 60 days prior to first study vaccine administration
* Live attenuated vaccines within 30 days prior to first study vaccine administration
* Investigational research agents within 30 days prior to first study vaccine administration
* Subunit or killed vaccines within 14 days prior to first study vaccine administration
* Current tuberculosis prophylaxis or therapy
* Hypersensitivity to neomycin or egg products
* Uveitis, chronic Lyme disease, active mycobacterial diseases, or sarcoidosis
* Serious adverse reaction to a vaccine. A person who had an adverse reaction to pertussis vaccine as a child is not excluded.
* Autoimmune disease or immunodeficiency
* Active syphilis
* Unstable asthma
* Type 1 or Type 2 diabetes mellitus
* Thyroid disease requiring treatment in the past 12 months
* Serious angioedema within the past 3 years
* Uncontrolled hypertension
* Bleeding disorder
* Malignancy unless it has been surgically removed and, in the opinion of the investigator, is not likely to recur during the study period
* Seizure disorder requiring medication within the past 3 years
* Asplenia
* Mental illness that would interfere with compliance with the protocol
* Other conditions that, in the judgment of the investigator, would interfere with the study
* Pregnant or breast-feeding
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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ANRS, Emerging Infectious Diseases

OTHER_GOV

Sponsor Role collaborator

National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sharon Frey

Role: STUDY_CHAIR

St. Louis University

Larry Peiperl

Role: STUDY_CHAIR

San Francisco Dept. of Public Health

Locations

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Alabama Vaccine CRS

Birmingham, Alabama, United States

Site Status

Johns Hopkins Bloomberg School of Public Health,Ctr for Immunization Research,Project SAVE-Baltimore

Baltimore, Maryland, United States

Site Status

Project Brave HIV Vaccine CRS

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hosp. CRS

Boston, Massachusetts, United States

Site Status

Fenway Community Health Clinical Research Site (FCHCRS)

Boston, Massachusetts, United States

Site Status

Saint Louis Univ. School of Medicine, HVTU

St Louis, Missouri, United States

Site Status

Univ. of Rochester HVTN CRS

Rochester, New York, United States

Site Status

NY Blood Ctr./Bronx CRS

The Bronx, New York, United States

Site Status

Miriam Hospital's HVTU

Providence, Rhode Island, United States

Site Status

Vanderbilt Vaccine CRS

Nashville, Tennessee, United States

Site Status

FHCRC/UW Vaccine CRS

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Evans TG, Keefer MC, Weinhold KJ, Wolff M, Montefiori D, Gorse GJ, Graham BS, McElrath MJ, Clements-Mann ML, Mulligan MJ, Fast P, Walker MC, Excler JL, Duliege AM, Tartaglia J. A canarypox vaccine expressing multiple human immunodeficiency virus type 1 genes given alone or with rgp120 elicits broad and durable CD8+ cytotoxic T lymphocyte responses in seronegative volunteers. J Infect Dis. 1999 Aug;180(2):290-8. doi: 10.1086/314895.

Reference Type BACKGROUND
PMID: 10395842 (View on PubMed)

Klinguer C, David D, Kouach M, Wieruszeski JM, Tartar A, Marzin D, Levy JP, Gras-Masse H. Characterization of a multi-lipopeptides mixture used as an HIV-1 vaccine candidate. Vaccine. 1999 Sep;18(3-4):259-67. doi: 10.1016/s0264-410x(99)00196-6.

Reference Type BACKGROUND
PMID: 10506650 (View on PubMed)

Pialoux G, Gahery-Segard H, Sermet S, Poncelet H, Fournier S, Gerard L, Tartar A, Gras-Masse H, Levy JP, Guillet JG; ANRS VAC 04 Study Team. Lipopeptides induce cell-mediated anti-HIV immune responses in seronegative volunteers. AIDS. 2001 Jul 6;15(10):1239-49. doi: 10.1097/00002030-200107060-00005.

Reference Type BACKGROUND
PMID: 11426068 (View on PubMed)

Gahery-Segard H, Pialoux G, Figueiredo S, Igea C, Surenaud M, Gaston J, Gras-Masse H, Levy JP, Guillet JG. Long-term specific immune responses induced in humans by a human immunodeficiency virus type 1 lipopeptide vaccine: characterization of CD8+-T-cell epitopes recognized. J Virol. 2003 Oct;77(20):11220-31. doi: 10.1128/jvi.77.20.11220-11231.2003.

Reference Type BACKGROUND
PMID: 14512570 (View on PubMed)

Frey SE, Peiperl L, McElrath MJ, Kalams S, Goepfert PA, Keefer MC, Baden LR, Lally MA, Mayer K, Blattner WA, Harro CD, Hammer SM, Gorse GJ, Hural J, Tomaras GD, Levy Y, Gilbert P, deCamp A, Russell ND, Elizaga M, Allen M, Corey L. Phase I/II randomized trial of safety and immunogenicity of LIPO-5 alone, ALVAC-HIV (vCP1452) alone, and ALVAC-HIV (vCP1452) prime/LIPO-5 boost in healthy, HIV-1-uninfected adult participants. Clin Vaccine Immunol. 2014 Nov;21(11):1589-99. doi: 10.1128/CVI.00450-14. Epub 2014 Sep 24.

Reference Type DERIVED
PMID: 25253665 (View on PubMed)

Other Identifiers

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ANRS VAC019

Identifier Type: -

Identifier Source: secondary_id

10119

Identifier Type: REGISTRY

Identifier Source: secondary_id

HVTN 042

Identifier Type: -

Identifier Source: org_study_id