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Safety and immunogenicity study of a candidate tuberculosis vaccine in HIV-positive adults.

Phase 2
Registration Number
CTRI/2011/091/000065
Lead Sponsor
GlaxoSmithKline Biologicals
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
240
Inclusion Criteria

• Subjects who the investigator believes that they can and will comply with the requirements of the protocol.

• A male or female between, and including, 18 and 59 years of age at the time of the first vaccination.

• Written informed consent obtained from the subject prior to any study procedure.

Female subjects of non-childbearing potential may be enrolled in the study.

• Female subjects of childbearing potential may be enrolled in the study, if the subject:

- has practiced adequate contraception for 30 days prior to vaccination,

- has a negative pregnancy test on the day of vaccination, and

- has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series.

• Clinically acceptable laboratory values at screening as determined by the investigator.

No evidence of tuberculosis disease with no evidence of pulmonary pathology as confirmed by chest X-ray.

• No history of extra pulmonary tuberculosis.

Based on their medical history, all subjects must have no history of chemotherapy for tuberculosis.

• Additional inclusion criteria for subjects to be enrolled in HIV+ on highly active antiretroviral therapy cohort:

• Subjects must be HIV-positive and under care of a physician for at least 6 months.

• Subjects must have a CD4+T cell count greater than or equal to 250 cells/mm3 at screening.

• Subjects must be stable on highly active antiretroviral therapy for at least 6 months, with an undetectable HIV viral load level at screening.

• Additional inclusion criteria for subjects to be enrolled in HIV+ treatment naïve cohort:

• Subjects must be HIV-positive and under care of a physician for at least 6 months

• Subjects must be highly active antiretroviral therapy-naïve (never received anti-retrovirals after HIV diagnosis)

• Subjects must have a CD4 + T cell count above 350 cells/mm3 at screening.

• Subjects for whom commencement of highly active antiretroviral therapy is not expected based on current assessment within next year.

• Subjects must have a viral load between 5000 - 80000 copies/mL at screening.

• Additional inclusion criteria for subjects to be enrolled in HIV-negative cohort

Subjects must be negative for HIV-1.

Exclusion Criteria

• Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.

• Administration of a registered live vaccine not foreseen by the study within 30 days preceding the first dose of study vaccine and administration of a registered inactivated vaccine within 14 days preceding the first dose of study vaccine.

• History of previous administration of experimental Mtb vaccines.

• History of previous exposure to components of the investigational vaccine within 30 days preceding the first dose of study vaccine.

• Chronic administration of immunosuppressant or other immune-modifying drugs within six months prior to the first vaccine/product dose. For corticosteroids, this will mean prednisone greater than or equal to 20 mg/kg/day, or equivalent. Inhaled and topical steroids are allowed.

• Any condition or illness or medication, which in the opinion of the Investigator might interfere with the evaluation of the safety or immunogenicity of the vaccine.

• Planned participation or participation in another experimental protocol with an experimental product during the study period.

• Administration of any immunoglobulin, any immunotherapy and/or any blood products within the three months preceding the first dose of study vaccination, or planned administrations during the study period.

• Subjects taking any of the following medication: chronic administration of systemic steroids, interleukins, systemic interferon or systemic chemotherapy.

• History of allergic reactions or anaphylaxis to any drug or vaccine.

• History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.

• History of chronic alcohol consumption and/or drug abuse which in the Investigators opinion would put the subject at risk.

• Pregnant female, lactating female or female planning to become pregnant or stop contraception.

• Acute or chronic clinically relevant pulmonary, cardiovascular, hepatic or renal function abnormality as determined by physical examination or laboratory screening tests.

• Additional exclusion criteria for subjects to be enrolled in HIV+ on highly active antiretroviral therapycohort:

• Any change in anti-retroviral drug regimen within 12 weeks prior to screening.

• Any chronic drug therapy, other than highly active antiretroviral therapy or prophylaxis for opportunistic HIV related infections, birth control pills, anti-histamines for seasonal allergies and SSRIs.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
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