Safety and Immunogenicity of Recombinant HIV Vaccines for HIV/AIDS

NCT ID: NCT01881581

Last Updated: 2013-06-20

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2014-08-31

Brief Summary

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This is a randomized, double-blind placebo-controlled dose-escalation clinical trial to evaluate the safety and the immunogenicity of DNA and modified vaccinia virus Ankara (MVA) HIV-1 vaccines in subjects receiving stable highly active antiretroviral therapy (HAART) who have an HIV-1 RNA \< 50 copies/mm3 and CD4+ T cells count ≥ 350 cells/mm3.

Detailed Description

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HIV-infected patients treated with antiretroviral therapy for prolonged periods of time may show decreased levels of HIV-specific immune responses. In these patients, a prime-boost vaccine strategy may induce both humoral and cell-mediated immunity. The hypothesis of this study is that the vaccine strategy selected will be both safe and immunogenic in the patient population being tested.

Patients continue antiretroviral medications throughout the course of this study. Three groups of patients receive dose-escalation (0.5mg, 2mg or 4mg) intramuscular injections of DNA vaccine (D-GPEi) respectively, the other three groups of patients receive dose-escalation (3×10\^7pfu, 1×10\^8pfu or 3×10\^8pfu) intradermal injections of MVA vaccine (M-GPE), two weeks post immunization of lower dose, if the vaccine is safe and well tolerant, the next dose of immunization will begin. After the maximum tolerated dose of DNA and MVA is identified, DNA prime/ MVA boosting will be tested in another two groups of patients. Lower or the maximum tolerated dose of D-GPEi was used at week 0 and 1, lower or the maximum tolerated dose of M-GPE was used at week 2 and 3, patients are monitored for safety 72 hours after each immunization. In addition, each patient records adverse events in a diary. Patients have regular physical exams, pregnancy tests, and blood drawn for virologic and immunologic assessments. The induction of HIV-specific responses will be measured.

Conditions

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Acquired Immunodeficiency Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Lower dose DNA or Placebo

2.0 mL lower dose D-GPEi (0.5mg) or Saline solution at weeks 0

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

D-GPEi

Intervention Type BIOLOGICAL

D-GPEi is used in Arm A,B,C,G and H.

Medium dose DNA or Placebo

2.0 mL medium dose D-GPEi (2mg) or Saline solution at weeks 0

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

D-GPEi

Intervention Type BIOLOGICAL

D-GPEi is used in Arm A,B,C,G and H.

High dose DNA or Placebo

2.0 mL high dose D-GPEi (4mg) or Saline solution at weeks 0

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

D-GPEi

Intervention Type BIOLOGICAL

D-GPEi is used in Arm A,B,C,G and H.

Lower dose MVA or Placebo

100μL lower dose M-GPE (3×10\^7pfu) or Saline solution at weeks 0

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

M-GPE

Intervention Type BIOLOGICAL

M-GPE is used in Arm D,E,F,G and H

Medium dose MVA or Placebo

100μL medium dose M-GPE (1×10\^8pfu) or Saline solution at weeks 0

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

M-GPE

Intervention Type BIOLOGICAL

M-GPE is used in Arm D,E,F,G and H

High dose MVA or Placebo

300μL high dose M-GPE (3×10\^8pfu) or Saline solution at weeks 0

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

M-GPE

Intervention Type BIOLOGICAL

M-GPE is used in Arm D,E,F,G and H

Low dose DNA+MVA or Placebo control

The dose below the maximum tolerated dose of D-GPEi or 2.0 mL Saline solution at week 0,1; The dose below the maximum tolerated dose of M-GPE or 100/300μL Saline solution at week 2,3

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

D-GPEi

Intervention Type BIOLOGICAL

D-GPEi is used in Arm A,B,C,G and H.

M-GPE

Intervention Type BIOLOGICAL

M-GPE is used in Arm D,E,F,G and H

High dose DNA+MVA or Placebo control

The maximum tolerated dose of D-GPEi or 2.0 mL Saline solution at week 0,1;The maximum tolerated dose of M-GPE or 100/300μL Saline solution at week 2,3

Group Type EXPERIMENTAL

Saline Solution

Intervention Type BIOLOGICAL

Saline Solution is used as control in all arms.

D-GPEi

Intervention Type BIOLOGICAL

D-GPEi is used in Arm A,B,C,G and H.

M-GPE

Intervention Type BIOLOGICAL

M-GPE is used in Arm D,E,F,G and H

Interventions

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Saline Solution

Saline Solution is used as control in all arms.

Intervention Type BIOLOGICAL

D-GPEi

D-GPEi is used in Arm A,B,C,G and H.

Intervention Type BIOLOGICAL

M-GPE

M-GPE is used in Arm D,E,F,G and H

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Are willing to participate this study and available for follow-up for the duration of the study.
* Men and women aged 18-50 years.
* Are HIV-positive.
* Have been taking stable anti-HIV drugs for at least 6 months.
* CD4 count ≥ 350 cells/mm3
* Plasma viral load \< 50 copies/ml.
* Willing to use acceptable forms of contraception at least 21 days prior to first vaccination until 56 days after the last vaccination.

Exclusion Criteria

* Pregnancy or breast-feeding.
* History of previous vaccination with an HIV-1 vaccine.
* Use of immunoinhibitory agents, such as corticosteroids or cytotoxic drugs by oral administration, injection route or inhalation route within 6 months of study entry (But corticosteroids used for allergic rhinitis and skin topical application of corticosteroids were not included); Use of immunomodulatory agents including but not limited to interleukin-2(IL-2) and granulocyte-macrophage colony-stimulating factor (GM-CSF) within 30 days of study entry.
* Use of blood products within 3 months of study entry.
* Use of other experimental drugs within 3 months of study entry.
* Any immunization within 3 months of study entry.
* Comply with any of the following items: Active pulmonary tuberculosis; History of serious adverse reaction to other vaccines; Serious asthma; Have untreated thyroid disease; Syphilis
* Laboratory values(Comply with any of the following items):

Hemoglobin \< 100 g/L (male subjects),\<90 g/L (female subjects); Absolute neutrophil count ≤ 1000 cells/mm3; Serum creatinine ≥15 mg/L,endogenous creatinine clearance rate \<50 ml/min; alanine aminotransferase(ALT), aspartate aminotransferase(AST) ≥3× upper limit of normal range; Total bilirubin ≥2× upper limit of normal range

* Clinically significant electrocardiogram changes.
* Hypertension ( If it is well controlled by medication and is less than 150/100mmHg , should not be excluded) and other cardiac disease;
* Any medical, psychiatric, social condition, occupational reason judged by the investigator that would limit the evaluation of a subject.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Ditan Hospital

OTHER

Sponsor Role collaborator

National Institutes for Food and Drug Control, China

OTHER

Sponsor Role collaborator

Centers for Disease Control and Prevention, China

OTHER_GOV

Sponsor Role lead

Responsible Party

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Yi Zeng

Departement Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xingwang Li, M.D.

Role: PRINCIPAL_INVESTIGATOR

Beijng Ditan Hospital of Capital Medical University

Rongmeng Jiang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Beijng Ditan Hospital of Capital Medical University

Yi Zeng

Role: PRINCIPAL_INVESTIGATOR

National Institute for Viral Disease Control and Prevention, China CDC

Xia Feng, Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Institute for Viral Disease Control and Prevention, China CDC

Ke Xu, Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Institute for Viral Disease Control and Prevention, China CDC

Locations

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Beijing Ditan Hospital of Capital Medical University

Beijing, , China

Site Status RECRUITING

Countries

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China

Facility Contacts

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Xingwang Li

Role: primary

15611973658

Other Identifiers

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CDCPChina001

Identifier Type: -

Identifier Source: org_study_id

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