Safety of Recombinant HIV Vaccines in HIV Infected Young Adults on Stable Therapy

NCT ID: NCT00107549

Last Updated: 2021-11-01

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

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Completion Date

2009-02-28

Brief Summary

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The purpose of this study is to determine the safety of two recombinant HIV vaccines in HIV infected young adults on stable anti-HIV therapy.

Detailed Description

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By helping to control viral replication, HAART has dramatically improved the prognosis for HIV infected individuals. However, because of extensive side effects, some of which may be acute and life-threatening, many patients find it difficult to tolerate a HAART regimen. HAART-associated long-term morbidity or mortality contribute to this difficulty. Administering an HIV therapeutic vaccine might allow HIV infected individuals to delay or interrupt treatment, avoiding the side effects associated with antiretroviral exposure. This study will evaluate the safety of two injections of two recombinant therapeutic vaccines in HIV infected young adults who are currently on stable HAART.

This study will last 72 weeks. All participants will receive two rMVA vaccines (env/gag and tat/rev/nef-RT) at study entry and at Week 4 and two rFPV vaccines (env/gag and tat/rev/nef-RT) at Weeks 8 and 24. Safety will be assessed immediately after each immunization and at 1 hour and 48 hours postimmunization. There will be 16 study visits over 72 weeks. A physical exam, blood collection, and administration of an adherence module will occur at most visits. An electrocardiogram (ECG) will occur at study entry and Weeks 2 and 10. Urine collection will occur at study entry and Weeks 4, 8, and 24.

Conditions

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HIV Infections

Keywords

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Treatment Experienced HIV Therapeutic Vaccine

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

All participants in this study will receive two injections of the rMVA-HIV vaccine and the rFPV-HIV vaccine

Group Type EXPERIMENTAL

rMVA-HIV (env/gag [TBC-M358] + tat/rev/nef-RT [TBC-M335)])

Intervention Type BIOLOGICAL

Recombinant experimental therapeutic vaccine using the modified vaccinia Ankara vector given at study entry and Week 4

rFPV-HIV (env/gag [TBC-F357] + tat/rev/nef-RT [TBC-F349])

Intervention Type BIOLOGICAL

Recombinant experimental therapeutic vaccine using fowlpox vector given at Weeks 8 and 24

Interventions

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rMVA-HIV (env/gag [TBC-M358] + tat/rev/nef-RT [TBC-M335)])

Recombinant experimental therapeutic vaccine using the modified vaccinia Ankara vector given at study entry and Week 4

Intervention Type BIOLOGICAL

rFPV-HIV (env/gag [TBC-F357] + tat/rev/nef-RT [TBC-F349])

Recombinant experimental therapeutic vaccine using fowlpox vector given at Weeks 8 and 24

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* HIV-1 infected
* CD4 count of 350 cells/mm3 or greater
* If hepatitis B or C infected, infection must be chronic and stable
* Normal electrocardiogram (ECG)
* On stable HAART consisting of at least 3 different antiretrovirals from 2 different classes AND with a viral load of less than 100 copies/ml for at least 6 months prior to study entry
* Willing to use acceptable forms of contraception. Females enrolled in the study must use contraception for at least 21 days prior to first vaccination until the last study visit. Males enrolled in the study must use a condom from the first vaccination until one month after the last vaccination.
* Willing to follow all study requirements
* Available for follow-up for the duration of the study

Exclusion Criteria

* History of allergic reaction to eggs or egg products
* Known hypersensitivity to vaccine components
* Chemotherapy for active cancer in the 12 months prior to study entry
* Prior vaccination with any HIV-1 vaccine
* Prior vaccination against smallpox
* Prior vaccinia immunization
* Any immunization within 1 month of study screening
* History of or known active heart disease including myocardial infarction, angina pectoris, congestive heart failure, cardiomyopathy, pericarditis, stroke or transient ischemic attack, chest pain or shortness of breath with activity such as walking upstairs, mitral valve prolapse, or other heart conditions under a doctor's care
* Immunomodulatory agents, gamma globulin, or investigational agents within 6 months of study entry
* Systemic steroids, including nonprescription street steroids, within 6 months of study entry
* Documented or suspected serious bacterial infection, metabolic illness, cancer, or immediate life-threatening condition
* Any clinically significant diseases other than HIV infection or clinically significant findings during study screening that, in the investigator's opinion, may interfere with the study
* Current alcohol or drug abuse that, in the investigator's opinion, may interfere with the study
* Pregnancy or breastfeeding
Minimum Eligible Age

18 Years

Maximum Eligible Age

24 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

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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Coleen K. Cunningham, MD

Role: STUDY_CHAIR

Pediatric Infectious Diseases, Duke University

Locations

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Children's Hospital Los Angeles NICHD CRS

Los Angeles, California, United States

Site Status

Usc La Nichd Crs

Los Angeles, California, United States

Site Status

Univ. of Colorado Denver NICHD CRS

Aurora, Colorado, United States

Site Status

Chicago Children's CRS

Chicago, Illinois, United States

Site Status

Univ. of Maryland Baltimore NICHD CRS

Baltimore, Maryland, United States

Site Status

Columbia IMPAACT CRS

New York, New York, United States

Site Status

DUMC Ped. CRS

Durham, North Carolina, United States

Site Status

St. Jude/UTHSC CRS

Memphis, Tennessee, United States

Site Status

Univ. of Puerto Rico Ped. HIV/AIDS Research Program CRS

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Caputo A, Gavioli R, Ensoli B. Recent advances in the development of HIV-1 Tat-based vaccines. Curr HIV Res. 2004 Oct;2(4):357-76. doi: 10.2174/1570162043350986.

Reference Type BACKGROUND
PMID: 15544457 (View on PubMed)

Cosma A, Nagaraj R, Buhler S, Hinkula J, Busch DH, Sutter G, Goebel FD, Erfle V. Therapeutic vaccination with MVA-HIV-1 nef elicits Nef-specific T-helper cell responses in chronically HIV-1 infected individuals. Vaccine. 2003 Dec 8;22(1):21-9. doi: 10.1016/s0264-410x(03)00538-3.

Reference Type BACKGROUND
PMID: 14604567 (View on PubMed)

Kent SJ, Zhao A, Best SJ, Chandler JD, Boyle DB, Ramshaw IA. Enhanced T-cell immunogenicity and protective efficacy of a human immunodeficiency virus type 1 vaccine regimen consisting of consecutive priming with DNA and boosting with recombinant fowlpox virus. J Virol. 1998 Dec;72(12):10180-8. doi: 10.1128/JVI.72.12.10180-10188.1998.

Reference Type BACKGROUND
PMID: 9811759 (View on PubMed)

Mwau M, Cebere I, Sutton J, Chikoti P, Winstone N, Wee EG, Beattie T, Chen YH, Dorrell L, McShane H, Schmidt C, Brooks M, Patel S, Roberts J, Conlon C, Rowland-Jones SL, Bwayo JJ, McMichael AJ, Hanke T. A human immunodeficiency virus 1 (HIV-1) clade A vaccine in clinical trials: stimulation of HIV-specific T-cell responses by DNA and recombinant modified vaccinia virus Ankara (MVA) vaccines in humans. J Gen Virol. 2004 Apr;85(Pt 4):911-919. doi: 10.1099/vir.0.19701-0.

Reference Type BACKGROUND
PMID: 15039533 (View on PubMed)

Pancharoen C, Ananworanich J, Thisyakorn U. Immunization for persons infected with human immunodeficiency virus. Curr HIV Res. 2004 Oct;2(4):293-9. doi: 10.2174/1570162043351084.

Reference Type BACKGROUND
PMID: 15544450 (View on PubMed)

Shiu C, Cunningham CK, Greenough T, Muresan P, Sanchez-Merino V, Carey V, Jackson JB, Ziemniak C, Fox L, Belzer M, Ray SC, Luzuriaga K, Persaud D; Pediatric AIDS Clinical Trials Group P1059 Team. Identification of ongoing human immunodeficiency virus type 1 (HIV-1) replication in residual viremia during recombinant HIV-1 poxvirus immunizations in patients with clinically undetectable viral loads on durable suppressive highly active antiretroviral therapy. J Virol. 2009 Oct;83(19):9731-42. doi: 10.1128/JVI.00570-09. Epub 2009 Jul 15.

Reference Type DERIVED
PMID: 19605490 (View on PubMed)

Other Identifiers

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10051

Identifier Type: REGISTRY

Identifier Source: secondary_id

PACTG P1059

Identifier Type: -

Identifier Source: secondary_id

P1059

Identifier Type: -

Identifier Source: org_study_id