Safety of Intradermal Versus Intramuscular Administration of HIV Lipopeptides in HIV Uninfected Adult Volunteers
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Purpose
Intramuscular (IM) administration of HIV lipopeptide vaccines have been shown to be able to induce HIV-1-specific T cell-mediated immune responses. The objective of this trial was to evaluate the safety and immunogenicity of LIPO-4 vaccine (HIV lipopeptides including 4 peptides from Gag, Pol, RT and Nef HIV-1 proteins, each peptide linked to TT) intradermally (ID) compared to IM administration.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections HIV Seronegativity |
Biological: Lipopeptides LIPO-4 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Phase Ib Vaccine Trial Evaluating the Safety and Immunogenicity of HIV Lipopeptides by Two Administration Routes (Intramuscular And Intradermal) in Healthy Adult Volunteers. ANRS VAC16 Trial |
- Clinical and biological safety (over or equal to degree two of a adverse event grading scale) of LIPO-4 by ID and IM routes during the study
- Comparaison of CD4 positive cells responses using
- lymphoprolifération test and CD8 positive cells responses using the capacity of these cells to synthesize IFN following stimulation with peptides of interest (ELISPOT IFN test) following IM or ID administration at weeks 2, 6, 14, 24, and 48
| Estimated Enrollment: | 70 |
| Study Start Date: | July 2004 |
| Estimated Study Completion Date: | December 2005 |
Dose-sparing strategies that use intradermal (ID) delivery of vaccines may be one approach for improving a vaccines immunogenicity and reducing the cost of vaccines.
In this study, 68 HIV-negative healthy adult volunteers, 21-55 years old, all belonging to the "Volunteers for a Vaccine" network set up by ANRS, were randomized to receive at weeks 0, 4, and 12, either 3 IM doses of 0.5 ml of LIPO-4 containing 500 µg of each peptide (n= 35 volunteers), or 3 ID doses of 0.1 ml, containing 100 µg of each peptide (n=33 volunteers). Total follow-up was 48 weeks. Safety was assessed clinically and by laboratory tests. Participants were given diary cards to record adverse events. HIV-1 immune responses were assessed by ELISPOT and lymphoproliferative assay at weeks 0, 2, 6, 14, 24, and 48
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- HIV uninfected
- Acceptable methods of contraception for females of reproductive potential
- Good general health
- Signed written inform consent
Exclusion Criteria:
- Risk to be infected by HIV virus
- Uveitis, chronic lyme disease, active syphilis, active mycobacterial diseases or sarcoidosis
- Autoimmune disease or immunodeficiency
- Medical history of food allergy, Lyell's or Steven Johnson's disease, unstable asthma
- Active, generalized eczema or chronic urticaria
- Blood products within 2 months prior to first study vaccine administration
- HIV vaccines in prior HIV vaccine trial or participation in an immunomodulator study
- Vaccines within 30 days prior to first study vaccine administration
- Pregnant
- Long-term immunosuppressive or immunomodulator medications or within 6 months to first study vaccine administration
- Blood transfusion within 6 months to first study vaccine administration
- Treated with extracted pituitary hormones
Contacts and Locations| France | |
| Hopital Cochin Centre Cochin-Pasteur d'Essais vaccinaux | |
| Paris, France, 75014 | |
| Principal Investigator: | Odile Launay, MD | Hopital Cochin Paris, Centre Cochin-Pasteur d'essais vaccinaux |
| Study Director: | Christine Durier, MD | Inserm SC10 |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00121121 History of Changes |
| Other Study ID Numbers: | ANRS VAC16 |
| Study First Received: | July 13, 2005 |
| Last Updated: | March 14, 2007 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by French National Agency for Research on AIDS and Viral Hepatitis:
|
HIV Vaccines HIV Seronegativity |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases |
Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases |
ClinicalTrials.gov processed this record on May 22, 2013