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临床试验/NCT01024842
NCT01024842终止1 期

HIV-CORE 001 - A Randomised Placebo-controlled Study to Evaluate the Safety and Immunogenicity of a Candidate HIV-1 Vaccine, MVA.HIVconsv, Delivered by Intramuscular Needle Injection to HIV-1 Seropositive Adult Subjects Receiving Antiretroviral Therapy (ART).

University of Oxford4 个研究点 分布在 1 个国家目标入组 19 人开始时间: 2009年12月最近更新:
适应症

试验速览

阶段
1 期
状态
终止
入组人数
19
试验地点
4
主要终点
The proportion of volunteers who develop a grade 3 or 4 local or systemic reactions

研究概览

简要总结

In this study, the novel vaccine candidate, MVA.HIVconsv, will be tested for safety, tolerability and immunogenicity in HIV-1-seropositive subjects receiving effective antiretroviral therapy.

MVA.HIVconsv will be tested as a single vaccine modality, as a prelude to testing in a heterologous viral vector boost regimen which will include a replication-defective simian adenovirus expressing the same immunogen.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female, aged 18-60 years
  • Confirmed HIV-1 seropositive
  • Willing and able to give written informed consent for participation in the study
  • Treated continuously with a combination of 3 or more antiretroviral agents for the preceding 12 months
  • Willing and able to adhere to an effective ART regimen for the duration of the study (switching from current regimen is allowed if for reasons of tolerability or toxicity)
  • CD4 cell count > 350 cells/μl at screening and at the preceding clinic visit
  • Plasma viral load < 50 copies / ml at screening and at the preceding clinic visit
  • No new AIDS-defining diagnosis or progression of HIV-related disease in the preceding 6/12 months
  • Haematological and biochemical laboratory parameters as follows:
  • Haemoglobin > 10g/dl
  • Platelets > 100,000/μl
  • ALT ≤ 2.5 x ULN
  • Creatinine ≤ 1.3 x ULN
  • Serology: negative for hepatitis B surface antigen OR HbsAg positive with HBV DNA < 1000 copies/ml; negative for hepatitis C antibodies OR confirmed clearance of HCV infection (spontaneous or following treatment); negative syphilis serology or documented adequate treatment of syphilis if positive EIA IgG or TPHA
  • Available for follow up for duration of study (screening + 38 weeks) and willing to comply with the protocol requirements
  • Women of child-bearing age must not be pregnant, planning a pregnancy or breast-feeding. Sexually active women must be willing to use an approved method of contraception from screening until 4 months after the third immunisation. Sexually active men in heterosexual relationships must be willing to use an approved method of contraception with their partners from screening until 4 months after the third immunisation.

排除标准

  • Confirmed HIV-2 seropositive
  • Positive pregnancy test
  • Participation in another clinical trial within 12 weeks of study entry
  • History of autoimmune disease other than HIV-related auto-immune disease which has resolved with ART
  • History or clinical manifestations of any physical or psychiatric disorder which could impair the subject's ability to complete the study
  • History of anaphylaxis or severe adverse reaction to vaccines
  • History of alcohol or drug dependency which could, in the opinion of the investigators, impair the subject's ability to complete the study
  • Previous immunisation with a recombinant MVA vaccine
  • Immunisation with any experimental immunogens within 6 months of study entry
  • Receipt of blood products or immunoglobulins within 6 months of study entry
  • Treatment for cancer or lymphoproliferative disease within 1 year of study entry
  • Receipt of vaccines other than Hepatitis B vaccine within 2 weeks of study entry or planned receipt within 2 weeks of vaccination
  • Any other prior therapy which, in the opinion of the investigators, would make the individual unsuitable for the study or influence the results of the study
  • Current or recent use (within last 3 months) of interferon or systemic corticosteroids or other immunosuppressive agents

结局指标

主要结局

The proportion of volunteers who develop a grade 3 or 4 local or systemic reactions

时间窗: Actively collected data throughout the study until 6 months after the last vaccination

次要结局

  • PBMC will be stored for other exploratory assays to characterise vaccine-expanded T cell populations such as IL-10 secretion and CFSE proliferation assays.(Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination))
  • Evaluation of the effect of MVA.HIVconsv vaccinations on viral suppressive capacity of CD8+ T cells in vitro, using a novel flow cytometric assay(Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination))
  • Magnitude and phenotype, including but not limited to activation status, of HIV-1-specific CD8+ T cell populations identified by tetramer staining before and after vaccination, in selected volunteers with appropriate HLA class I alleles.(Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination))
  • A descriptive summary of grade 3 or 4 local and systemic events, including laboratory abnormalities(Actively collected data throughout the study until 6 months after the last vaccination)
  • A descriptive summary of serious adverse events, including laboratory abnormalities(Actively collected data throughout the study until 6 months after the last vaccination)
  • The proportion of volunteers who develop CD8+ T cell responses to a new HIV-1 epitope, as determined by IFN-γ ELISPOT assay(Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination))
  • The proportion of volunteers in whom the magnitude of CD8+ T cell responses to HIVconsv peptides increases by ≥ 3-fold, as determined by IFN-γ ELISPOT assay(Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination))
  • Serum and plasma will be stored for investigation of binding and neutralising antibodies to vaccinia and of pro-inflammatory cytokines.(Screen (≤ day -28); Day 0; Day 14; Day 28; Day 42; Day 56; Day 84; Day 112; Day 182; Final visit (day 266 / early termination))

研究者

申办方类型
Other
责任方
Sponsor

研究点 (4)

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