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| Sponsor: | National Institute of Allergy and Infectious Diseases (NIAID) |
|---|---|
| Collaborator: |
HIV Vaccine Trials Network |
| Information provided by: | National Institute of Allergy and Infectious Diseases (NIAID) |
| ClinicalTrials.gov Identifier: | NCT00865566 |
Purpose
The purpose of this study is to determine the safety and efficacy of a VRC DNA/rAd5 vaccine regimen in healthy, circumcised men and transgender women who have sex with men.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV Infections |
Biological: DNA plasmid vaccine Biological: HIV-1 recombinant adenovirus vaccine Biological: DNA plasmid vaccine placebo Biological: HIV-1 recombinant adenovirus vaccine placebo |
Phase II |
| Study Type: | Interventional |
| Study Design: | Prevention, Randomized, Double Blind (Subject, Caregiver), Parallel Assignment, Safety/Efficacy Study |
| Official Title: | Phase 2, Randomized, Placebo-controlled Trial to Evaluate the Safety and Effect on Post-HIV Acquisition Viremia of a Multiclade HIV-1 DNA Plasmid Vaccine Followed by a Multiclade HIV-1 Recombinant Adenoviral Vector Vaccine in HIV-uninfected, Adenovirus Type 5 Neutralizing Antibody Negative, Circumcised Men and Transgender Women, Who Have Sex With Men |
| Estimated Enrollment: | 1350 |
| Arms | Assigned Interventions |
|---|---|
|
1: Experimental
Participants will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28, and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168
|
Biological: DNA plasmid vaccine
4mg injection administered as 1 mL intramuscularly via Biojector® in either deltoid
Biological: HIV-1 recombinant adenovirus vaccine
1 x 10^10 PU administered as 1 mL intramuscularly by needle and syringe in either deltoid
|
|
2: Placebo Comparator
Participants will receive a recombinant DNA plasmid vaccine placebo injection at study entry and on Days 28, and 56, followed by a recombinant adenoviral serotype vector vaccine placebo injection on Day 168
|
Biological: DNA plasmid vaccine placebo
1 mL administered via Biojector® in either deltoid
Biological: HIV-1 recombinant adenovirus vaccine placebo
1 mL administered intramuscularly by needle and syringe in either deltoid
|
In 2007, the Joint United Nations Programme on HIV/AIDS estimated that 33.2 million people were living with HIV/AIDS globally. The US HIV prevalence data reported in October 2008 by the Centers for Disease Control and Prevention estimates that 1.1 million adults and adolescents were living with diagnosed or undiagnosed HIV infection in the United States at the end of 2006. Nearly half of all US HIV infections (48.1%) were found in men who have sex with men (MSM). Given the difficulty of maintaining behaviors that prevent HIV transmission over a lifetime and the occurrence of non-consensual sex, the need for a safe and effective vaccine is clear. The primary purpose of this study is to determine the safety and efficacy of a VRC DNA/rAd5 vaccine regimen in healthy, at-risk, circumcised men and transgender women who have sex with men.
Participants will be randomly assigned to one of two arms. Participants in Arm 1 will receive a recombinant DNA plasmid vaccine injection at study entry and on Days 28, and 56, followed by a recombinant adenoviral serotype vector vaccine injection on Day 168. Participants in Arm 2 will receive placebo injections at study entry and on Days 28, 56, and 168.
This is an event-driven study. Participants will be tested for HIV approximately every 3 months until a sufficient number of HIV infections have accumulated for assessment of the primary endpoints.
Participants who do not become HIV-infected will be actively followed for a minimum of 12 months and will continue to be contacted by the study for long-term safety surveillance for a total of 5 years following enrollment. Participants will be contacted annually during the period of long-term safety surveillance.
Participants who are found to be HIV-infected prior to receiving their first injection or who receive their first injection, but were HIV-infected prior to study start will be followed on a modified schedule.
Participants who become HIV-infected prior to the primary evaluation time point and primary data analysis will be followed for 18 months post-diagnosis.
Participants who are infected after that point will be offered follow-up through another study.
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Experienced one or both of the following HIV risk criteria in the 6 months before study entry:
Exclusion Criteria:
Contacts and Locations| United States, Alabama | |
| Alabama Vaccine CRS | Recruiting |
| Birmingham, Alabama, United States, 35294-2050 | |
| Contact: Susan F. Duncan, CRNP, MSN 205-975-2840 sduncan@uab.edu | |
| Principal Investigator: Paul A. Goepfert, MD | |
| United States, California | |
| San Francisco Vaccine and Prevention CRS | Recruiting |
| San Francisco, California, United States, 94102-6033 | |
| Contact: Theresa M. Wagner, MPH 415-554-4294 Theresa.Wagner@sfdph.org | |
| Principal Investigator: Susan P. Buchbinder, MD | |
| The AIDS Research Alliance of America CRS | Recruiting |
| Los Angeles, California, United States, 90015 | |
| Contact: Michele Vertucci, PA-C 310-358-2429 mvertucci@aidsresearch.org | |
| Principal Investigator: Judith S. Currier, MD, MSc | |
| United States, Georgia | |
| Hope Clinic of the Emory Vaccine Center CRS | Recruiting |
| Decatur, Georgia, United States, 30030 | |
| Contact: Jane Skvarich, RN, MN 404-377-3719 ext 19 jskvari@emory.edu | |
| Principal Investigator: Mark Mulligan, MD | |
| United States, Illinois | |
| UIC Project WISH CRS | Recruiting |
| Chicago, Illinois, United States, 60612 | |
| Contact: Mariela Diaz-Linares, PharmD 312-996-1654 mardiaz@uic.edu | |
| United States, Maryland | |
| VRC Clinical Trials Core CRS | Recruiting |
| Bethesda, Maryland, United States, 20816 | |
| Contact: Julie E. Martin, DO 301-594-8502 JUMartin@niaid.nih.gov | |
| Principal Investigator: Julie E. Martin, DO | |
| United States, Massachusetts | |
| Fenway Community Health Clinical Research Site (FCHCRS) | Recruiting |
| Boston, Massachusetts, United States, 02115 | |
| Contact: Katiri Wagner 617-927-6109 kwagner@fenwayhealth.org | |
| Principal Investigator: Kenneth H. Mayer, MD | |
| United States, New York | |
| Univ. of Rochester HVTN CRS | Recruiting |
| Rochester, New York, United States, 14642-0001 | |
| Contact: Catherine A. Bunce, RN, MS, CCRC 585-275-5744 catherine_bunce@urmc.rochester.edu | |
| Principal Investigator: Michael C. Keefer, MD | |
| HIV Prevention & Treatment CRS | Recruiting |
| New York, New York, United States, 10032 | |
| Contact: Steven Chang 212-305-1570 sc1286@columbia.edu | |
| Principal Investigator: Scott M. Hammer, MD | |
| United States, Pennsylvania | |
| 3535 Market Street CRS | Not yet recruiting |
| Philadelphia, Pennsylvania, United States, 19104-3309 | |
| Contact: Debora Dunbar, MSN, CRNP | |
| Principal Investigator: David S. Metzger, PhD | |
| United States, Washington | |
| FHCRC/UW Vaccine CRS | Recruiting |
| Seattle, Washington, United States, 98104 | |
| Contact: David Berger, RN 206-667-2344 dberger@fhcrc.org | |
| Principal Investigator: Margaret J. McElrath, MD, PhD, MPH | |
| Study Chair: | Scott Hammer | Columbia University |
| Study Chair: | Magdalena Sobieszczyk | Columbia University |
| Study Chair: | Michael Yin | Columbia University |
More Information
| Responsible Party: | DAIDS ( Rona Siskind ) |
| Study ID Numbers: | HVTN 505 |
| Study First Received: | March 17, 2009 |
| Last Updated: | January 27, 2010 |
| ClinicalTrials.gov Identifier: | NCT00865566 History of Changes |
| Health Authority: | United States: Food and Drug Administration |
|
HIV Seronegativity HIV Preventive Vaccine HIV Treatment Vaccine Adenovirus |
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Virus Diseases Sexually Transmitted Diseases, Viral RNA Virus Infections Slow Virus Diseases Immune System Diseases HIV Infections |
Sexually Transmitted Diseases Acquired Immunodeficiency Syndrome Lentivirus Infections Infection Retroviridae Infections Immunologic Deficiency Syndromes |