Evaluate Tolerability and Safety of BD03 for Prevention of CMV and BKV Reactivation in Kidney Transplant Recipient

NCT ID: NCT03576014

Last Updated: 2018-07-03

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-27

Study Completion Date

2019-07-24

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study is a phase I, open-label study to determine recommended phase 2 dose (RP2D) for the BD03 vaccination in kidney transplant recipients. The recommended dose will be selected based on the safety and tolerability profiles observed.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

It is reported that CMV and BKV infection and/or reactivations are associated with mortality and morbidity of kidney transplant recipient, and occurrence of PyVAN in kidney transplant recipients.

BD03 is a DNA vaccine that consists of 3 plasmid DNAs encoding CMV antigens, BKV antigens and genetic adjuvant. It is expected to express antigen specific T-cell immune response, and ultimately prevent activation of both viruses. Plasmid DNA that encode CMV and BKV antigens are fused with tPA and Flt-3L to promote antigen specific immune response.

Patient scheduled to receive kidney transplant from living donor are enrolled in this study. Eligible subjects will receive BD03 intramuscularly by electroporator three times on 6 weeks and 2 weeks prior to kidney transplant and 2\~4 weeks after the transplant.

This study will be comprised of 3+3 dose escalation scheme and starting dose is 0.6mg and dose will be increased to 2mg and 6mg.

Occurrence of dose limiting toxicities observed until 1 week after second injection (1week before kidney transplant) will guide whether to increase a dose.

After third injection of BD03, follow up visits are done for 18 weeks.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Cytomegalovirus Infections Preventation of Cytomegalovirus Reactivation BK Virus Infection Preventation of BK Virus Reactivation

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

BD03

This study will be comprised of 3+3 dose escalation design with three dose levels, 0.6mg (cohort1), 2mg(cohort2), 6mg(cohort3).

Decision to increase dose will be guided by occurrence of DLT (dose limiting toxicity) evaluated 1week after the second injection (5weeks after first injection)

Group Type EXPERIMENTAL

BD03

Intervention Type BIOLOGICAL

BD03 is to be administered intramuscularly 6 weeks and 2 weeks prior to kidney transplant and 2\~4 weeks after the transplant.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

BD03

BD03 is to be administered intramuscularly 6 weeks and 2 weeks prior to kidney transplant and 2\~4 weeks after the transplant.

Intervention Type BIOLOGICAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Age of ≥ 19
* Body Mass Index ≤ 35
* Weight ≥ 40kg

Exclusion Criteria

* CMV IgG seronegative patient
* Patient scheduled for retransplant of kidney
* Patient known to be positive for Human Immunodeficiency Virus (HIV), Hepatitis B or Hepatitis C
* Patient expected to receive T-cell depleting agents or rituximab
* Patient with history of splenectomy
* Patient with CMV related disease or shows active CMV infection or who has been treated with CMV related disease or CMV infection within 3 months from consent date.
* Patient expected to undergo CMV prophylaxis using anti-virals or immunoglobulins.
* Patient who has hypersensitivity to BD03 or components of BD03.
* Patient with history of epilepsy or seizure with the last 2 years
* Patients with pre-excitation syndrome or any other disease who would be considered ineligible for electroporation injection.
* Patient with blood coagulation disorder who would be considered ineligible for electroporation injection
* Patient with injection site thickness greater than 40mm
* Patient with artificial implant near injection site
* Pregnant or breast-feeding female patient
* Female subject or partner of male subject with child bearing potential and who has not agreed to sexual abstinence
* Patient who has participated in any other clinical trial within 30 days
* Patient who has any clinically meaningful disease investigator's judgement to prevent participating in this study
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

SL BIGEN

UNKNOWN

Sponsor Role collaborator

SL VAXiGEN

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Samsung Medical center

Seoul, , South Korea

Site Status RECRUITING

Seoul St.Mary's Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

South Korea

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Sujin Kim, Ph.D

Role: CONTACT

031-628-2182

Mincheol Kim

Role: CONTACT

031-628-2182

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Sungjoo Kim, M.D, Ph.D

Role: primary

Chulwoo Yang, M.D, Ph.D

Role: primary

References

Explore related publications, articles, or registry entries linked to this study.

Hirsch HH, Randhawa P; AST Infectious Diseases Community of Practice. BK polyomavirus in solid organ transplantation. Am J Transplant. 2013 Mar;13 Suppl 4:179-88. doi: 10.1111/ajt.12110.

Reference Type BACKGROUND
PMID: 23465010 (View on PubMed)

Kidney Disease: Improving Global Outcomes (KDIGO) Transplant Work Group. KDIGO clinical practice guideline for the care of kidney transplant recipients. Am J Transplant. 2009 Nov;9 Suppl 3:S1-155. doi: 10.1111/j.1600-6143.2009.02834.x.

Reference Type BACKGROUND
PMID: 19845597 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

BD03_KT_P1

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

ZOSTAVAX® in Renal Transplant Patients
NCT01137669 COMPLETED PHASE1