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A Safety and Immunogenicity Trial With an Adjuvanted TB Subunit Vaccine (Ag85B-ESAT-6 + IC31)

Phase 1
Completed
Conditions
Tuberculosis
Interventions
Biological: Antigen (Ag85B-ESAT-6)
Biological: Antigen (Ag85B-ESAT-6) with adjuvant (IC31)
Registration Number
NCT01049282
Lead Sponsor
Statens Serum Institut
Brief Summary

The study has the following objectives:

Primary objective To evaluate the safety profile of an adjuvanted TB subunit vaccine administered in different antigen/adjuvant formulations at 0 and 2 months Secondary objective To determine the immunogenicity profile of an adjuvanted TB subunit vaccine administered in different antigen/adjuvant formulations at 0 and 2 months.

Detailed Description

Number of trial subjects=48 Investigational product=Ag85B - ESAT-6 + IC31 Dosage Group 1: TST negative, 50 µg antigen Group 2: TST negative, 50 µg antigen + fixed adjuvant Group 3: BCG vaccinated, 50 µg antigen + fixed adjuvant Group 4 : Latent TB, 50 µg antigen + fixed adjuvant Dosage volume 0.5 ml Administration Intramuscularly into deltoid muscle, alternate arms at day 0 (right) and day 56 (left).

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
39
Inclusion Criteria
  • Male between 18 and 40 years old
  • TST negative groups: TST- and negative QuantiFERON-TB Gold In tube test
  • BCG group: known to be BCG-vaccinated > 2 years before(scar, vaccination card), TST+ (> 6 or any documented value > 6 mm on medical file in the past), with no active, chronic or past TB disease as confirmed by chest X ray, negative QuantiFERON-TB Gold In Tube test and negative 6-day lymphocyte tests.
  • Infection group: latent TB, TST+ ( = or > 10 mm or documented = or > 10 mm positive on medical file in the past), previously TB infected but with no active disease confirmed by chest X ray, may have received chemoprophylaxis but with no TB treatment/chemoprophylaxis within the preceding 2 years, positive QuantiFERON-TB Gold In Tube test and/or positive 6-day lymphocyte test.
  • Healthy based on medical examination/history at the inclusion
  • Signed informed consent
  • Prepared to grant authorized persons access to the medical records
  • The volunteer is likely to comply with instructions
Exclusion Criteria
  • Confirmed active TB based on clinical evaluation(history, physical findings and investigations)
  • Vaccinated with any vaccine 3 months before first vaccination
  • Administration of immune modulating drugs (steroids, immunosuppressive drugs or immunoglobulins)
  • HBV, HCV or HIV sero-positive
  • Participation in other clinical trials
  • Known hypersensitivity to any of the vaccine components
  • Laboratory parameters outside of normal range considered clinically relevant

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
12 TST negative volunteers antigen onlyAntigen (Ag85B-ESAT-6)-
12 TST negative volunteersAntigen (Ag85B-ESAT-6) with adjuvant (IC31)-
12 with Latent TB infection >= 2 years agoAntigen (Ag85B-ESAT-6) with adjuvant (IC31)-
12 BCG vaccinated volunteersAntigen (Ag85B-ESAT-6) with adjuvant (IC31)-
Primary Outcome Measures
NameTimeMethod
Safety on Physical examination , and Laboratory safety tests of hematology clinical chemistry12 visits in a total of 224 days duratiion from the day of first vaccinantion
Secondary Outcome Measures
NameTimeMethod
Immunogenicity assessment by: A.Detection of IFN gama production after stimulation with Ag85B, ESAT-6 and H1. B.Detection of IgG antibodies to recombinant proteins Ag85B, ESAT-6 and H1 in serum/plasma.12 visits in a total of 224 days duratiion from the day of first vaccinantion
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